Abstract
Subunit vaccines are designed to stimulate specific immunity against pathogens. The vagina has a rich vascular plexus and a large surface area due to the folds in the mucosa (rugae) making it ideal for absorbing drugs. Mucosal immune responses in the genital tract can be induced by the administration of antigen to distal or local mucosal surfaces. IgA antibodies in the vaginal tract are essential as a first-line defence against micro-organisms that enter the body via mucosal surfaces. Immune responses of various types stimulated by subunit vaccines administered vaginally have been investigated. Both vaginal and serum IgA and IgG levels have been enhanced following administration of subunit vaccines from various drug delivery systems. Studies comparing immunization at the female genital tract by delivering plasmid DNA intranasally, intrarectally and vaginally demonstrate that vaginal immunization induces better mucosal immunity. Professional antigen-presenting cells (e.g. dendritic cells), T-cells and B-cells populate the cervix and vagina of the human and murine female genital tract, indicating the potential for stimulation of mucosal immunity.
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The author gratefully acknowledges Damien Lowry for providing Fig. 17.2.
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Lowry, D. (2015). Vaginal Delivery of Subunit Vaccines. In: Foged, C., Rades, T., Perrie, Y., Hook, S. (eds) Subunit Vaccine Delivery. Advances in Delivery Science and Technology. Springer, New York, NY. https://doi.org/10.1007/978-1-4939-1417-3_17
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DOI: https://doi.org/10.1007/978-1-4939-1417-3_17
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