Administration of vaccines by the nasal route has recently proven to be one of the most efficient ways for inducing both mucosal and systemic antibody responses in experimental animals. Our results demonstrate that P40, a well-defined outer membrane protein A from Klebsiella pneumoniae, is indeed a carrier molecule suitable for nasal immunization. Using fragments from the respiratory syncytial virus subgroup A (RSV-A) G protein as antigen models, it has been shown that P40 is able to induce both systemic and mucosal immunity when fused or coupled to a protein or a peptide and administered intranasally (i.n.) to naive or K. pneumoniaeprimed mice. Confocal analyses of nasal mucosa-associated lymphoid tissue after i.n. instillation of P40 showed that this molecule is able to cross the nasal epithelium and target CD11c-positive cells likely to be murine dendritic cells or macrophages. More importantly, this targeting of antigen-presenting cells following i.n. immunization with a subunit of the RSV-A molecule in the absence of any mucosal adjuvant results in both upper and lower respiratory tract protection against RSV-A infection.Many pathogens cause diseases by colonizing or penetrating mucosal tissues. Local production of immunoglobulin A (IgA) at the mucosal surface and induction of systemic IgG are essential for the primary defense against these pathogens (3). Successful protection against infectious diseases through vaccination implies high user compliance, which is best achieved by noninvasive mucosal administration of vaccines (38). To date, most of the vaccines licensed for human use are formulated for parenteral immunization and consequently induce a systemic immune response.Several approaches have been investigated for their ability to provide efficient immunization by the mucosal route. Various killed or live attenuated recombinant microorganisms have been used as delivery systems essentially for the oral route (17,30). As an alternative, many efforts have been made to immunize by the nasal route (18). In comparison to oral immunization, nasal administration of antigen seems to be more efficient, as smaller amounts of protein antigen and adjuvants are required (28). Recently, administration of vaccines by the nasal route has proven to be one of the most efficient ways of inducing both mucosal and systemic antibody responses in experimental animal models and human subjects (10,14,29,32). In addition, nasal immunization can induce immune responses in other mucosal sites, such as the vagina (2, 20), a result which is of major interest for sexually transmitted diseases.Intranasal (i.n.) immunization with a soluble protein antigen alone does not usually elicit substantial antibody or cellular immune responses. These failures can be overcome by coadministration of antigens formulated with liposomes (5), biodegradable polymer microspheres (7), microparticles (1), outer membrane proteins (4), or proteosomes (9, 20). In addition, adjuvants such as cholera toxin (CT), Escherichia coli heatlabile toxin (LT), or thei...