“…Transcutaneous immunization is based on the co-application of antigen with an ADPribosylating exotoxin, such as cholera toxin (CT) secreted by Vibrio cholerae [11], heat-labile enterotoxin of Escherichia coli (LT) [14,15] or mutants of LT [14,16,17] onto hydrated bare skin. Studies in mice have shown that transcutaneous immunization elicits systemic and mucosal immune responses to various types of antigens including proteins, peptides, glycoconjugate vaccines, viruses and plasmid DNA [18], and its potential was more recently shown in humans [19,20].…”