Department of Microbiology, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Global Health and Emerging Pathogens Institute, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Hum Vaccin Immunother. 2024 Dec 31;20(1):2368288. doi: 10.1080/21645515.2024.2368288. Epub 2024 Jul 2.
Many pathogens enter the host through mucosal sites. Thus, interfering with pathogen entry through local neutralization at mucosal sites therefore is an effective strategy for preventing disease. Mucosally administered vaccines have the potential to induce protective immune responses at mucosal sites. This manuscript delves into some of the latest developments in mucosal vaccination, particularly focusing on advancements in adjuvant technologies and the role of these adjuvants in enhancing vaccine efficacy against respiratory pathogens. It highlights the anatomical and immunological complexities of the respiratory mucosal immune system, emphasizing the significance of mucosal secretory IgA and tissue-resident memory T cells in local immune responses. We further discuss the differences between immune responses induced through traditional parenteral vaccination approaches vs. mucosal administration strategies, and explore the protective advantages offered by immunization through mucosal routes.
许多病原体通过黏膜部位进入宿主。因此,通过局部中和作用在黏膜部位阻止病原体进入是预防疾病的有效策略。黏膜给予的疫苗具有在黏膜部位诱导保护性免疫应答的潜力。本文深入探讨了黏膜免疫接种的一些最新进展,特别是在佐剂技术的进展以及这些佐剂在增强针对呼吸道病原体的疫苗效力方面的作用。它强调了呼吸道黏膜免疫系统的解剖学和免疫学复杂性,强调了黏膜分泌型 IgA 和组织驻留记忆 T 细胞在局部免疫反应中的重要性。我们还讨论了传统的肠外接种方法与黏膜给予策略诱导的免疫反应之间的差异,并探讨了通过黏膜途径免疫接种带来的保护优势。