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Infection and Immunity, December 1998, p. 5630-5635, Vol. 66, No. 12
University of Alabama at Birmingham,
Birmingham, Alabama,1 and
Hospital for
Children and Adolescents, University of Helsinki, Helsinki,
Finland2
Received 11 May 1998/Returned for modification 15 July
1998/Accepted 15 September 1998
Based on the concept of the common mucosal immune system,
immunization at various inductive sites can induce an immune response at other, remote mucosal surfaces. The immune responses elicited through rectal and oral routes of antigen delivery were compared with
respect to (i) measurement of antibody responses in serum and various
external secretions of the vaccinees and (ii) characterization of the
nature and homing potentials of circulating antibody-secreting cells
(ASC). Specific ASC appeared in the circulation in 4 of 5 volunteers
after oral and 9 of 11 volunteers after rectal immunization with
Salmonella typhi Ty21a. The kinetics, magnitude, and
immunoglobulin isotype distribution of the ASC responses were similar
in the two groups. In both groups, almost all ASC (99 or 95% after
oral or rectal immunization, respectively) expressed
0019-9567/98/$04.00+0
Copyright © 1998, American Society for Microbiology. All rights reserved.
Differences in Immune Responses Induced by Oral and
Rectal Immunizations with Salmonella typhi Ty21a:
Evidence for Compartmentalization within the Common Mucosal
Immune System in Humans
4
7, the gut homing receptor (HR), whereas L-selectin, the peripheral
lymph node HR, was expressed only on 22 or 38% of ASC, respectively. Oral immunization elicited a more pronounced immune response in saliva
and vaginal secretion, while rectal immunization was more potent in
inducing a response in nasal secretion, rectum, and tears. No major
differences were found in the abilities of the two immunization routes
to induce a response in serum or intestinal secretion. Thus, the rectal
antigen delivery should be considered as an alternative to the oral
immunization route. The different immune response profiles found in
various secretions after oral versus rectal antigen administration
provide evidence for a compartmentalization within the common mucosal
immune system in humans.
*
Corresponding author. Present address: Department of
Internal Medicine, Central Hospital of Central Finland,
Keskussairaalantie 19, FIN-40620 Jyväskylä, Finland. Phone:
358-14-242 539. Fax: 358-14-691 098. E-mail:
anu.kantele{at}ksshp.fi.
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