Infection and Immunity · 2013 · 153 citations · 44 references
PharmacyImmunologyInfectious DiseasesDrug DeliveryImmunizationVaccinologyMucosal VaccinesNanocarriers For Mucosal DeliveryNanomedicineVaccine DeliveryVaccine Delivery SystemsVaccine FormulationIntranasal VaccinationIntranasal VaccinesNanoparticle Nasal FormulationsNanoparticle Vaccine DeliveryNanoparticle Vaccine FormulationsNasal VaccinationNasal VaccinesVaccine Delivery Formulations
To establish a safer and more effective vaccine against pneumococcal respiratory infections, current knowledge regarding the antigens common among pneumococcal strains and improvements to the system for delivering these antigens across the mucosal barrier must be integrated. We developed a pneumococcal vaccine that combines the advantages of pneumococcal surface protein A (PspA) with a nontoxic intranasal vaccine delivery system based on a nanometer-sized hydrogel (nanogel) consisting of a cationic cholesteryl group-bearing pullulan (cCHP). The efficacy of the nanogel-based PspA nasal vaccine (cCHP-PspA) was tested in murine pneumococcal airway infection models. Intranasal vaccination with cCHP-PspA provided protective immunity against lethal challenge with Streptococcus pneumoniae Xen10, reduced colonization and invasion by bacteria in the upper and lower respiratory tracts, and induced systemic and nasal mucosal Th17 responses, high levels of PspA-specific serum immunoglobulin G (IgG), and nasal and bronchial IgA antibody responses. Moreover, there was no sign of PspA delivery by nanogel to either the olfactory bulbs or the central nervous system after intranasal administration. These results demonstrate the effectiveness and safety of the nanogel-based PspA nasal vaccine system as a universal mucosal vaccine against pneumococcal respiratory infection.
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Bacterial Meningitis in the United States in 1995
Anne Schuchat, Katherine A. Robinson, Jay D. Wenger et al. · New England Journal of Medicine · 1997 · 1.3K citations
Bacterial Meningitis in the United States, 1998–2007
Michael C. Thigpen, Cynthia G. Whitney, Nancy E. Messonnier et al. · New England Journal of Medicine · 2011 · 953 citations · Full text