Vaccination into the Dermal Compartment: Techniques, Challenges, and Prospects

In 2019, an ‘influenza pandemic’ and ‘vaccine hesitancy’ were listed as two of the top 10 challenges to global health by the WHO. The skin is a unique vaccination site, due to its immune-rich milieu, which is evolutionarily primed to respond to challenge, and its ability to induce both humoral and c...

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Main Authors: Johanna Hettinga, Robert Carlisle
Format: Article
Language:English
Published: MDPI AG 2020-09-01
Series:Vaccines
Subjects:
Online Access:https://www.mdpi.com/2076-393X/8/3/534
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author Johanna Hettinga
Robert Carlisle
author_facet Johanna Hettinga
Robert Carlisle
author_sort Johanna Hettinga
collection DOAJ
description In 2019, an ‘influenza pandemic’ and ‘vaccine hesitancy’ were listed as two of the top 10 challenges to global health by the WHO. The skin is a unique vaccination site, due to its immune-rich milieu, which is evolutionarily primed to respond to challenge, and its ability to induce both humoral and cellular immunity. Vaccination into this dermal compartment offers a way of addressing both of the challenges presented by the WHO, as well as opening up avenues for novel vaccine formulation and dose-sparing strategies to enter the clinic. This review will provide an overview of the diverse range of vaccination techniques available to target the dermal compartment, as well as their current state, challenges, and prospects, and touch upon the formulations that have been developed to maximally benefit from these new techniques. These include needle and syringe techniques, microneedles, DNA tattooing, jet and ballistic delivery, and skin permeabilization techniques, including thermal ablation, chemical enhancers, ablation, electroporation, iontophoresis, and sonophoresis.
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spelling doaj.art-b746100b596a473c9193249a752d20852023-11-20T13:57:03ZengMDPI AGVaccines2076-393X2020-09-018353410.3390/vaccines8030534Vaccination into the Dermal Compartment: Techniques, Challenges, and ProspectsJohanna Hettinga0Robert Carlisle1Department of Engineering Science, Institute of Biomedical Engineering, University of Oxford, Oxford OX3 7DQ, UKDepartment of Engineering Science, Institute of Biomedical Engineering, University of Oxford, Oxford OX3 7DQ, UKIn 2019, an ‘influenza pandemic’ and ‘vaccine hesitancy’ were listed as two of the top 10 challenges to global health by the WHO. The skin is a unique vaccination site, due to its immune-rich milieu, which is evolutionarily primed to respond to challenge, and its ability to induce both humoral and cellular immunity. Vaccination into this dermal compartment offers a way of addressing both of the challenges presented by the WHO, as well as opening up avenues for novel vaccine formulation and dose-sparing strategies to enter the clinic. This review will provide an overview of the diverse range of vaccination techniques available to target the dermal compartment, as well as their current state, challenges, and prospects, and touch upon the formulations that have been developed to maximally benefit from these new techniques. These include needle and syringe techniques, microneedles, DNA tattooing, jet and ballistic delivery, and skin permeabilization techniques, including thermal ablation, chemical enhancers, ablation, electroporation, iontophoresis, and sonophoresis.https://www.mdpi.com/2076-393X/8/3/534vaccinetranscutaneousintradermalmicroneedlesballistic deliveryDNA tattooing
spellingShingle Johanna Hettinga
Robert Carlisle
Vaccination into the Dermal Compartment: Techniques, Challenges, and Prospects
Vaccines
vaccine
transcutaneous
intradermal
microneedles
ballistic delivery
DNA tattooing
title Vaccination into the Dermal Compartment: Techniques, Challenges, and Prospects
title_full Vaccination into the Dermal Compartment: Techniques, Challenges, and Prospects
title_fullStr Vaccination into the Dermal Compartment: Techniques, Challenges, and Prospects
title_full_unstemmed Vaccination into the Dermal Compartment: Techniques, Challenges, and Prospects
title_short Vaccination into the Dermal Compartment: Techniques, Challenges, and Prospects
title_sort vaccination into the dermal compartment techniques challenges and prospects
topic vaccine
transcutaneous
intradermal
microneedles
ballistic delivery
DNA tattooing
url https://www.mdpi.com/2076-393X/8/3/534
work_keys_str_mv AT johannahettinga vaccinationintothedermalcompartmenttechniqueschallengesandprospects
AT robertcarlisle vaccinationintothedermalcompartmenttechniqueschallengesandprospects