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Human Vaccines And Immunotherapeutics • 2014<br />

Serum and mucosal antibody responses<br />

to inactivated polio vaccine after sublingual immunization<br />

using a thermoresponsive gel delivery system<br />

Author information<br />

White JA1, Blum JS, Hosken NA, Marshak JO,<br />

Duncan L, Zhu C, Norton EB, Clements JD, Koelle DM,<br />

Chen D, Weldon WC, Oberste MS, Lal M.<br />

Abstract<br />

Administering vaccines directly to mucosal surfaces can induce both serum and mucosal immune<br />

responses. Mucosal responses may prevent establishment of initial infection at the port of<br />

entry and subsequent dissemination to other sites. The sublingual route is attractive for mucosal<br />

vaccination, but both a safe, potent adjuvant and a novel formulation are needed to achieve an<br />

adequate immune response. We report the use of a thermoresponsive gel (TRG) combined with<br />

a double mutant of a bacterial heat-labile toxin (dmLT) for sublingual immunization with a trivalent<br />

inactivated poliovirus vaccine (IPV) in mice. This TRG delivery system, which changes<br />

from aqueous solution to viscous gel upon contact with the mucosa at body temperature, helps<br />

to retain the formulation at the site of delivery and has functional adjuvant activity from the inclusion<br />

of dmLT. IPV was administered to mice either sublingually in the TRG delivery system<br />

or intramuscularly in phosphate-buffered saline. We measured poliovirus type-specific serum<br />

neutralizing antibodies as well as polio-specific serum Ig and IgA antibodies in serum, saliva,<br />

and fecal samples using enzyme-linked immunosorbent assays. Mice receiving sublingual vaccination<br />

via the TRG delivery system produced both mucosal and serum antibodies, including<br />

IgA. Intramuscularly immunized animals produced only serum neutralizing and binding Ig but<br />

no detectable IgA. This study provides proof of concept for sublingual immunization using the<br />

TRG delivery system, comprising a thermoresponsive gel and dmLT adjuvant.<br />

“This study provides<br />

proof of concept for<br />

sublingual immunization ...”<br />

http://www.ncbi.nlm.nih.gov/pubmed/?term=25483682

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