The aim of this study was to measure serum and mucosal antibody responses following intranasal administration of biodegradable poly(DL-lactide-co-glycolide) (PLGA) microspheres loaded with the CS3 colonization factor isolated from enterotoxigenic Escherichia coli (ETEC). The response was compared against that measured in mice similarly administered the native CS3 antigen and in mice co-administered, along with the CS3 antigen, a known mucosal adjuvant, the R192G mutant heat-labile enterotoxin (mLT). The integrity of the CS3 antigen released from the microspheres was maintained as determined by SDS-PAGE and immunoblotting. Native CS3 induced serum and mucosal (bronchoalveolar, small intestinal and faecal) IgG and IgA responses. The co-administration of the mLT mucosal adjuvant significantly enhanced (P<0?001) serum and mucosal antibody responses to the CS3 protein. Likewise, the CS3-loaded PLGA microspheres induced significantly greater (P<0?001) serum and mucosal antibody responses than native CS3, as well as inducing antibody responses superior to those of the CS3 plus mLT formulation. Following administration of CS3 plus mLT, the mice became distressed (loss of activity, increased huddling, ruffled fur), a situation not seen following administration of the CS3-loaded PLGA microspheres. The results in this trial show that the CS3-loaded PLGA microspheres when administered intranasally to mice caused no observable distress to the mice and significantly (P<0?001) enhanced the immunogenicity of the CS3 protein.
INTRODUCTIONEnterotoxigenic Escherichia coli (ETEC) is a leading cause of diarrhoea in children in developing countries, with an estimated 800 000 deaths among those under the age of 5 years (Gaastra & Svennerholm, 1996). ETEC is also an agent of diarrhoea in travellers to high-risk areas (Black, 1990), and is of critical concern for military units assigned to these areas of operation (Hyams et al., 1991). A safe and effective vaccine directed against ETEC would be of considerable public health benefit. However, at present, no licensed ETEC vaccine is available for at-risk individuals.Administering antigen directly to the mucosa-associated lymphoid tissue (MALT), such as the nasal mucosa, can act to induce both local and systemic specific immune responses (Eyles et al., 1998a). This is particularly important considering that most pathogens enter the body via mucosal surfaces, and protection against such organisms most often requires local production of antibodies, most importantly, secretory IgA (sIgA) (Eyles et al., 1998b). Native antigens can be weak immunogens when administered to mucosal surfaces as a result of adverse conditions and/or inadequate absorption (Eyles et al., 1998b). However, mucosal delivery vehicles, such as PLGA microspheres, can act to protect antigens as well as increasing their absorption, thus enhancing the immunogenicity of the antigens (Byrd et al., 2005;Eldridge et al., 1991b).In this study, the immune response in BALB/c mice intranasally administered CS3-loaded poly(DL-lactide-c...