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How do oral vaccines work?

Published in Oral Vaccines 2 mins read

Oral vaccines work by exposing the gut-based mucosal immune system to antigens, triggering a localized immune response within the gut itself. This is crucial because the gut is often the primary entry point for many pathogens.

Mechanism of Oral Vaccines

Unlike vaccines administered through injection, oral vaccines capitalize on the gut's unique immunological environment.

  • Antigen Delivery: Oral vaccines contain antigens, which can be inactivated viruses or bacteria [22].
  • Mucosal Immunity: These antigens are delivered directly to the mucosal immune system in the gut. This system is specifically designed to respond to pathogens entering through mucosal surfaces.
  • Localized Response: The gut's immune cells recognize the antigens and initiate an immune response that is largely localized to the gut.
  • Antibody Production: This response includes the production of antibodies, specifically IgA, which are secreted into the gut lumen and can neutralize pathogens before they infect cells.
  • Cell-Mediated Immunity: Oral vaccines can also stimulate cell-mediated immunity in the gut, involving T cells and other immune cells that can directly kill infected cells.

Advantages of Oral Vaccines

Oral vaccines offer several advantages over injectable vaccines:

  • Ease of Administration: They are easier to administer, especially in mass vaccination campaigns, as they do not require trained personnel.
  • Needle-Free: Eliminating the need for needles reduces the risk of infections.
  • Mucosal Immunity: Stimulating mucosal immunity provides protection at the site of entry for many pathogens.

Example

A classic example of an oral vaccine is the oral polio vaccine (OPV). It contains live, attenuated poliovirus strains that replicate in the gut, triggering an immune response and providing long-lasting protection against polio.

Feature Oral Vaccines
Route of Admin Oral
Target Gut-based Mucosal Immune System
Antigen Type Inactivated viruses or bacteria
Immune Response Localized in the gut
Primary Benefit Protection at the pathogen's entry point
Reference [22]

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