Almost all vaccinations today are delivered through parenteral routes. Mucosal vaccination offers several benefits over parenteral routes of vaccination, including ease of administration, the possibility of self-administration, elimination of the chance of injection with infected needles, and induction of mucosal as well as systemic immunity. However, mucosal vaccines have to overcome several formidable barriers in the form of significant dilution and dispersion; competition with a myriad of various live replicating bacteria, viruses, inert food and dust particles; enzymatic degradation; and low pH before reaching the target immune cells. It has long been known that vaccination through mucosal membranes requires potent adjuvants to enhance immunogenicity, as well as delivery systems to decrease the rate of dilution and degradation and to target the vaccine to the site of immune function. This review is a summary of current approaches to mucosal vaccination, and it primarily focuses on adjuvants as immunopotentiators and vaccine delivery systems for mucosal vaccines based on protein, DNA or RNA. In this context, we define adjuvants as protein or oligonucleotides with immunopotentiating properties co-administered with pathogenderived antigens, and vaccine delivery systems as chemical formulations that are more inert and have less immunomodulatory effects than adjuvants, and that protect and deliver the vaccine through the site of administration. Although vaccines can be quite diverse in their composition, including inactivated virus, virus-like particles and inactivated bacteria (which are inert), protein-like vaccines, and non-replicating viral vectors such as poxvirus and adenovirus (which can serve as DNA delivery systems), this review will focus primarily on recombinant protein antigens, plasmid DNA, and alphavirus-based replicon RNA vaccines and delivery systems. This review is not an exhaustive list of all available protein, DNA and RNA vaccines, with related adjuvants and delivery systems, but rather is an attempt to highlight many of the currently available approaches in immunopotentiation of mucosal vaccines.Key words: adjuvant, delivery system, immunomodulator, mucosal, vaccine.
Recombinant protein vaccinesTraditional vaccines have comprised live-attenuated microbes, inactivated microorganisms, purified microbial components, polysaccharide-carrier protein conjugates or recombinant proteins. The first of the latter type of vaccine was derived from the diphtheria and tetanus toxoids, and was developed in the first half of the twentieth century. The two toxins were chemically detoxified to produce the non-toxic toxoids. Conventional approaches to vaccine development have been based on biochemical, immunological and microbiological methods that have been labourious, time-consuming and have allowed identification of the most abundant antigens of any given pathogen. Recent progress in DNA sequencing and subsequently in bioinformatics have resulted in advances in vaccine development. When the whole sequence of ...