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Pharmaceutical Manufacturing Handbook: Production and

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636 NASAL DELIVERY OF PEPTIDE AND NONPEPTIDE DRUGS<br />

TABLE 5<br />

Delivery<br />

Nasal Vaccination Delivery Systems Studied<br />

System/Adjuvant Antigen Employed<br />

Remarks<br />

Reference<br />

Chitosan Diphtheria toxin Increased local as well as<br />

systemic effects<br />

208<br />

Infl uenza virus<br />

Immune response<br />

comparable to that<br />

of intramuscular<br />

administration<br />

209<br />

Filamentous hemagglutinin Chitosan stimulates 209 , 210<br />

<strong>and</strong> recombinant pertussis mucosal <strong>and</strong> systemic<br />

toxin (single or bivalent<br />

vaccine)<br />

effects<br />

IL - 12<br />

Tetanus toxoid<br />

IL - 12 - induced IgA<br />

response<br />

211<br />

Infl uenza hemagglutinin <strong>and</strong> Induces protective<br />

212<br />

neuraminidase<br />

immunity<br />

CpG motifs Hepatitis B surface antigen Potent enhancement of 213<br />

(HBsAg)<br />

systemic <strong>and</strong> mucosal<br />

immune responses<br />

Formalin - inactivated Enhances the serum IgG 214<br />

infl uenza virus<br />

<strong>and</strong> s - IgA responses<br />

Liposomes Infl uenza subunit vaccine Induction of systemic IgG<br />

<strong>and</strong> s - IgA responses<br />

215<br />

Inactivated measles virus Stimulation of mucosal<br />

<strong>and</strong> systemic responses<br />

216<br />

Bovine serum albumin<br />

(BSA)<br />

—<br />

217<br />

Streptococcus mutans —<br />

218<br />

Infl uenza hemagglutinin <strong>and</strong> Good response in<br />

219<br />

neuraminidase (when<br />

used in combination with<br />

heat - labile toxin (HLT)<br />

presence of HLT<br />

Infl uenza, hepatitis B,<br />

tetanus toxoid<br />

—<br />

220<br />

Yersinia pestis<br />

—<br />

221<br />

ISCOMs Infl uenza subunit<br />

Protective immunity to 222<br />

(immune<br />

challenge<br />

stimulating Measles nucleoprotein Induces cytotoxic T - cell 223<br />

complex)<br />

response<br />

Echinococcus surface<br />

antigen<br />

—<br />

224<br />

Respiratory syncytial virus<br />

(RSV) envelope antigen<br />

225<br />

Poly(lactic - co - HBsAg<br />

Strong systemic <strong>and</strong><br />

226<br />

glycolic acid<br />

mucosal immune<br />

(PLGA)<br />

microparticles<br />

responses<br />

Cationic<br />

HBsAg <strong>and</strong> β - galactosidase Strong mucosal as well as 227<br />

nanoparticles<br />

systemic antibody <strong>and</strong><br />

(SMBV)<br />

CTL responses

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