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Infection and Immunity, February 1999, p. 618-623, Vol. 67, No. 2
Department of Pediatric Dentistry,
Received 17 August 1998/Returned for modification 15 October
1998/Accepted 23 November 1998
Recent attention to mucosal immunization strategies has been
focused on the nasal route for vaccine delivery. This study was designed to determine the effectiveness of a liposome-protein vaccine
compared to that of a protein-only vaccine in inducing immune responses
in humans. Healthy subjects were randomly assigned to two groups and
immunized intranasally with a crude antigen preparation rich in
glucosyltransferase (C-GTF) from Streptococcus mutans,
alone or in liposomes. Parotid saliva, nasal wash, and serum were
collected prior to and at weekly intervals following immunization and
were analyzed for anti-C-GTF activity by enzyme-linked immunosorbent
assay. The levels of immunoglobulin A (IgA) anti-C-GTF activity in the
nasal wash from both groups after immunization increased to a mean peak
of fivefold over the baseline level on day 28. Salivary IgA anti-C-GTF
responses were induced to a lesser extent. IgG and IgA anti-C-GTF
responses in serum were detected on day 14. The IgA responses were
predominantly of the IgA1 subclass. These results show that C-GTF
vaccines were more effective in inducing a local secretory IgA antibody
response than a salivary or serum response when they were given
intranasally. The IgA1 anti-C-GTF response in nasal wash samples for
liposomal antigen versus antigen only was the only response which was
significantly different (P < 0.04). This suggests
that the form of the antigen affects the magnitude of the local mucosal
response but not that of a disseminated response. These results provide
evidence for the effective use of a nasal protein vaccine in humans for
the induction of mucosal and systemic responses.
0019-9567/99/$04.00+0
Copyright © 1999, American Society for Microbiology. All rights reserved.
A Controlled Clinical Study of the Effect of Nasal Immunization
with a Streptococcus mutans Antigen Alone or Incorporated
into Liposomes on Induction of Immune Responses
*
Corresponding author. Mailing address: Department of
Pediatric Dentistry, School of Dentistry, Room 312, University of
Alabama at Birmingham, Birmingham, AL 35294-0007. Phone: (205)
934-3230. Fax: (205) 975-5737. E-mail: nkc{at}uab.edu.
Infection and Immunity, February 1999, p. 618-623, Vol. 67, No. 2
0019-9567/99/$04.00+0
Copyright © 1999, American Society for Microbiology. All rights reserved.
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