Abstract
The young twenty-first century has already brought several medical advances, such as a functional artificial human liver created from stem cells, improved antiviral (e.g., against HIV) and cancer (e.g., against breast cancer) therapies, interventions controlling cardiovascular diseases, and development of new and optimized vaccines (e.g., HPV vaccine). However, despite this substantial progress and the achievements of the last century, humans still suffer considerably from diseases, especially from infectious diseases. Thus, almost one-fourth of all deaths worldwide are caused directly or indirectly by infectious agents. Although vaccination has led to the control of many diseases, including smallpox, diphtheria, and tetanus, emerging diseases are still not completely contained. Furthermore, pathogens such as Bordetella pertussis undergo alterations making adaptation of the respective vaccine necessary. Moreover, insufficient implementation of vaccination campaigns leads to re-emergence of diseases which were believed to be already under control (e.g., poliomyelitis). Therefore, novel vaccination strategies need to be developed in order to meet the current challenges including lack of compliance, safety issues, and logistic constraints. In this context, mucosal and transdermal approaches constitute promising noninvasive vaccination strategies able to match these demands.
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Abbreviations
- αGalCer:
-
Alpha galactosylceramide
- APCs:
-
Antigen-presenting cells
- c-di-AMP:
-
Bis-(3′,5′)-cyclic dimeric adenosine monophosphate
- CNS:
-
Central nervous system
- CT:
-
Cholera toxin
- CTB:
-
Cholera toxin B subunit
- CTL:
-
Cytotoxic T lymphocyte
- cVDPV:
-
Circulating vaccine-derived polioviruses
- DCs:
-
Dendritic cells
- EMA:
-
European Medicines Agency
- ETEC:
-
Enterotoxigenic Escherichia coli
- FDA:
-
Food and Drug Administration
- GRAS:
-
Generally regarded as safe
- HIV:
-
Human immunodeficiency virus
- i.d.:
-
Intradermal
- i.m.:
-
Intramuscular
- IMSG NPs:
-
Inverse micellar sugar glass nanoparticles
- i.n.:
-
Intranasal
- i.t.:
-
Intratracheal
- i.v.:
-
Intravenous
- i.vag.:
-
Intravaginal
- LAIV:
-
Live attenuated influenza virus vaccines
- LCs:
-
Langerhans cells
- LPS:
-
Lipopolysaccharide
- LT:
-
Heat-labile toxin
- MALP-2:
-
TLR2/6-binding macrophage-activating lipopeptide-2
- MCTs:
-
Medium-chain triglycerides
- MPL:
-
Monophosphoryl lipid A
- NALT:
-
Nasal-associated lymphoid tissue
- PAMPs:
-
Pathogen-associated molecular patterns
- PEMs:
-
Polyelectrolyte multiple layers
- PLA:
-
Polylactic acid
- PLA NPs:
-
Polylactic acid nanoparticles
- PLGA:
-
Polylactic-co-glycolic acid
- PLGA NPs:
-
Polylactic-co-glycolic acid nanoparticles
- PRRs:
-
Pattern recognition receptors
- SC:
-
Stratum corneum
- s.c.:
-
Subcutaneous
- s.l.:
-
Sublingual
- STING:
-
Stimulator of interferon genes
- TCV:
-
Transcutaneous vaccination
- t.f.:
-
Transfollicular
- TLR:
-
Toll-like receptor
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Acknowledgement
This work was in part supported by the BMBF-funded project PeTrA (Project Number 13N11455).
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Schulze, K., Ebensen, T., Riese, P., Prochnow, B., Lehr, CM., Guzmán, C.A. (2016). New Horizons in the Development of Novel Needle-Free Immunization Strategies to Increase Vaccination Efficacy. In: Stadler, M., Dersch, P. (eds) How to Overcome the Antibiotic Crisis . Current Topics in Microbiology and Immunology, vol 398. Springer, Cham. https://doi.org/10.1007/82_2016_495
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