Department of Chemical Engineering, Texas Tech University, Lubbock, Texas, USA.
Expert Opin Drug Deliv. 2021 Oct;18(10):1455-1472. doi: 10.1080/17425247.2021.1946511. Epub 2021 Jul 6.
: The oral route of vaccination is pain- and needle-free and can induce systemic and mucosal immunity. However, gastrointestinal barriers and antigen degradation impose significant hurdles in the development of oral vaccines. Live attenuated viruses and bacteria can overcome these barriers but at the risk of introducing safety concerns. As an alternative, particles have been investigated for antigen protection and delivery, yet there are no FDA-approved oral vaccines based on particle-based delivery systems. Our objective was to discover underlying determinants that can explain the current inadequacies and identify paradigms that can be implemented in future for successful development of oral vaccines relying on particle-based delivery systems.: We reviewed literature related to the use of particles for oral vaccination and placed special emphasis on formulation characteristics and administration schedules to gain an insight into how these parameters impact production of antigen-specific antibodies in systemic and mucosal compartments.: Despite the long history of vaccines, particle-based oral vaccination is a relative new field with the first study published in 1989. Substantial variability exists between different studies with respect to dosing schedules, number of doses, and the amount of vaccine per dose. Most studies have not used adjuvants in the formulations. Better standardization in vaccination parameters is required to improve comparison between experiments, and adjuvants should be used to enhance the systemic and mucosal immune responses and to reduce the number of doses, which will make oral vaccines more attractive.
口服疫苗接种途径无疼痛且无针,可诱导全身和黏膜免疫。然而,胃肠道屏障和抗原降解对口服疫苗的发展构成了重大障碍。减毒活病毒和细菌可以克服这些障碍,但存在引入安全问题的风险。作为替代方法,已研究了颗粒用于抗原保护和递送,但没有基于基于颗粒的递送系统的 FDA 批准的口服疫苗。我们的目标是发现可以解释当前不足的潜在决定因素,并确定可以在未来实施的范例,以成功开发基于基于颗粒的递送系统的口服疫苗。
我们综述了与颗粒用于口服疫苗接种相关的文献,并特别强调了配方特征和管理方案,以深入了解这些参数如何影响全身和黏膜部位产生抗原特异性抗体。
尽管疫苗的历史悠久,但基于颗粒的口服疫苗接种是一个相对较新的领域,第一篇研究于 1989 年发表。不同研究之间在剂量方案、剂量数和每次剂量的疫苗量方面存在很大差异。大多数研究未在制剂中使用佐剂。需要更好地标准化疫苗接种参数,以改善实验之间的比较,并且应该使用佐剂来增强全身和黏膜免疫反应,并减少剂量数,这将使口服疫苗更具吸引力。
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