Li Zhuofan, Cao Yan, Li Yibo, Zhao Yiwen, Chen Xinyuan
JCI Insight. 2021 Apr 8;6(7):144627. doi: 10.1172/jci.insight.144627.
Vaccine delivery technologies are mainly designed to minimally invasively deliver vaccines to target tissues with little or no adjuvant effects. This study presents a prototype laser-based powder delivery (LPD) with inherent adjuvant effects for more immunogenic vaccination without incorporation of external adjuvants. LPD takes advantage of aesthetic ablative fractional laser to generate skin microchannels to support high-efficient vaccine delivery and at the same time creates photothermal stress in microchannel-surrounding tissues to boost vaccination. LPD could significantly enhance pandemic influenza 2009 H1N1 vaccine immunogenicity and protective efficacy as compared with needle-based intradermal delivery in murine models. The ablative fractional laser was found to induce host DNA release, activate NLR family pyrin domain containing 3 inflammasome, and stimulate IL-1β release despite their dispensability for laser adjuvant effects. Instead, the ablative fractional laser activated MyD88 to mediate its adjuvant effects by potentiation of antigen uptake, maturation, and migration of dendritic cells. LPD also induced minimal local or systemic adverse reactions due to the microfractional and sustained vaccine delivery. Our data support the development of self-adjuvanted vaccine delivery technologies by intentional induction of well-controlled tissue stress to alert innate immune systems for more immunogenic vaccination.
疫苗递送技术主要旨在以微创方式将疫苗递送至靶组织,且几乎不产生或不产生佐剂效应。本研究提出了一种基于激光的粉末递送(LPD)原型,其具有内在佐剂效应,无需添加外部佐剂即可实现更强的免疫接种效果。LPD利用美容剥脱性分数激光生成皮肤微通道,以支持高效的疫苗递送,同时在微通道周围组织中产生光热应力,以增强疫苗接种效果。与小鼠模型中基于针的皮内递送相比,LPD可显著增强2009年大流行性H1N1流感疫苗的免疫原性和保护效力。尽管剥脱性分数激光对其佐剂效应并非必不可少,但发现它可诱导宿主DNA释放,激活含NLR家族pyrin结构域3的炎性小体,并刺激IL-1β释放。相反,剥脱性分数激光通过增强树突状细胞的抗原摄取、成熟和迁移来激活MyD88,从而介导其佐剂效应。由于微分数和持续的疫苗递送,LPD还诱导了最小的局部或全身不良反应。我们的数据支持通过有意诱导良好控制的组织应激来提醒先天免疫系统以实现更强免疫接种效果的自佐剂疫苗递送技术的开发。