“…Furthermore, the ability of OMVs to activate the innate immune system 14,20,22,24,25,69,114 , together with their particulate nature, provides these nano particles with their own adjuvant activity, as they are able to enhance antibody and T cell responses to antigens 76,83,87,115 . Finally, OMVs are very versatile as they can be bioengineered to express any chosen antigen 77,112,[116][117][118] and they can be manipulated to reduce their endotoxicity [119][120][121] . Despite the enormous vaccine potential of OMVs, it has taken more than 20 years for an OMV-based vaccine to be licensed for human use.…”