Key result
Intramuscular delivery of Norovirus GII.4 VLPs with adjuvants induced strong systemic IgG but no mucosal IgA, whereas intranasal delivery induced both systemic and mucosal IgA in mice.
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Route of norovirus VLP delivery shapes immunity in mice; leaves open optimal human vaccine strategies.
Norovirus (NoV) is a main cause of acute gastroenteritis across all ages worldwide. NoV vaccine candidates currently in clinical trials are based on noninfectious highly immunogenic virus-like particles (VLPs) delivered intramuscularly (IM). Since NoV is an enteric pathogen, it is likely that mucosal immunity has a significant role in protection from infection in the intestine. Due to the fact that IM delivery of NoV VLPs does not generate mucosal immunity, we investigated whether NoV genotype GII.4 VLPs coadministered with aluminum hydroxide (Al(OH) 3 ) or monophosphoryl lipid A (MPLA) would induce mucosal antibodies in mice. Systemic as well as mucosal IgG and IgA antibodies in serum and intestinal and nasal secretions were measured. As expected, strong serum IgG, IgG1, and IgG2a antibodies as well as a dose sparing effect were induced by both Al(OH) 3 and MPLA, but no mucosal IgA antibodies were detected. In contrast, IN immunization with GII.4 VLPs without an adjuvant induced systemic as well as mucosal IgA antibody response. These results indicate that mucosal delivery of NoV VLPs is needed for induction of mucosal responses.
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Heinimäki et al. (2018) studied Norovirus. Norovirus GII.4 VLPs with Al(OH)3 or MPLA (intramuscular) vs. Norovirus GII.4 VLPs without adjuvant (intranasal) was evaluated on Systemic and mucosal IgG and IgA antibodies in serum and intestinal and nasal secretions. Intramuscular delivery of Norovirus GII.4 VLPs with adjuvants induced strong systemic IgG but no mucosal IgA, whereas intranasal delivery induced both systemic and mucosal IgA in mice.
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