Most infectious diseases begin at a mucosal surface. Prevention of infectio
n must therefore consider ways to enhance local immunity to prevent the att
achment and invasion of microbes. Despite this understanding, most vaccines
depend on parenterally administered vaccines that induce a circulating imm
une response that often does not cross to mucosal sites. Administration of
vaccines to mucosal sites induces local immunity. To be effective requires
that antigen be administered often. This is not always practical depending
on the site where protection is needed, nor comfortable to the patient. Not
all mucosal sites have inductive lymphoid tissue present as well. Oral adm
inistration is easy to do, is well accepted by humans and animals and targe
ts the largest inductive lymphoid tissue in the body in the intestine. Oral
administration of antigen requires protection of antigen from the enzymes
and pH of the stomach. Polymeric delivery systems are under investigation t
o deliver vaccines to the intestine while protecting them from adverse cond
itions that could adversely affect the antigens. They also can enhance deli
very of antigen specifically to the inductive lymphoid tissue. Sodium algin
ate is a readily available, inexpensive polymer that can be used to encapsu
late a wide variety of antigens under mild conditions. Orally administered
alginate microspheres containing antigen have successfully induced immunity
in mice to enteric (rotavirus) pathogens and in the respiratory tract in c
attle with a model antigen (ovalbumin). This delivery system offers a safe,
effective means of orally vaccinating large numbers of animals land perhap
s humans) to a variety of infectious agents. (C) 1999 Elsevier Science Ltd.
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