“…Interestingly, TCI induces both systemic and mucosal immune responses (6,22,23,28,41,42,48). TCI has been shown to be safe and effective in animals and humans (9,21,23,42,47,58). In order to assess whether TCI would induce immune responses against C. difficile toxin A, we therefore transcutaneously immunized mice with a toxoid derivative of C. difficile toxin A (CDA), with or without the immunoadjuvant CT, and measured systemic and mucosal anti-CDA immune responses, including induction of toxin Aneutralizing antibodies in immunized mice.…”