3. Results and Discussion
3.4 Histopathology
One of the reasons why there are currently few reports describing intranasal vaccination using oil-based systems may pertain to concerns relating to potentially adverse effects on the nasal mucosa. To assess whether S/O nanodispersions could cause structural changes in the mucosal membrane, nasal toxicity was evaluated via H&E staining. Large areas of the nasal epithelium and cilia were damaged in the noses of mice treated with IPA, suggesting high toxicity of IPA to the nasal mucosa (Fig. 4-8). Conversely, in the group of mice administered S/O nanodispersions the nasal cilia appeared bushy and regular, and the epithelium was intact.
No removal of mucosa or cells of the epithelium was observed, which was similar to the group of mice administered PBS alone. Therefore, S/O nanodispersions may be safe for intranasal vaccination and appropriate for use as antigenic carriers in this context.
Fig. 4-8 Morphology of nasal mucosa in mice after intranasal administration of ovalbumin in solid-in-oil nanodispersions (S/O sol.), phosphate-buffered saline solution (PBS sol.), or isopropanol solution (IPA sol.). The images were captured using a fluorescence microscope with×4, ×20, and×40 objective lenses. Cilia are indicated by arrows.
To the best of our knowledge this is the first report describing intranasal vaccination using oil-based nanotechnology. Notably however, the mechanisms involved in the effects of intranasal immunization via S/O nanodispersions remain unclear. The main mechanism may be similar to that of water-based particle preparations in that antigens in the vaccine are transported to the immune system by M cells in NALT [6–8]. S/O nanodispersions maybe stable after contact with mucin on the surface of nasal mucosa, which has an amphiphilic structure, and first form a solid-in-oil-in-water emulsion and then be taken up by M cells. To further improve the immunogenicity of S/O nanodispersions, the incorporation of other adjuvants such as CpG oligoribodeoxynucleotides or resiquimod R848 will be investigated in the future [37,50].
4 Conclusion
Oil-based formulations based on S/O technology exhibit potential as intranasal vaccine carriers. In the present study, in in vivo nasal absorption experiments S/O formulations were associated with comparatively longer retention of OVA in the nasal cavity, and in vivo immunization induced strong mucosal and systemic immune responses. Intranasal vaccination using S/O nanodispersions may constitute a relatively simpler method of effective en masse immunization against infectious pathogens in the future.
References
1. Narwaney, K.J.; Breslin, K.; Ross, C.A.; Shoup, J.A.; Wain, K.F.; Weintraub, E.S.;
McNeil, M.M.; Hambidge, S.J. Vaccine adverse events in a safety net healthcare system and a managed care organization. Vaccine 2017, 35, 1335–1340.
2. Trinh, L.; Macartney, K.; McIntyre, P.; Chiu, C.; Dey, A.; Menzies, R. Investigating adverse events following immunisation with pneumococcal polysaccharide vaccine using electronic General Practice data. Vaccine 2017, 35, 1524–1529.
3. Levine, M.M. Can needle-free administration of vaccines become the norm in global immunization? Nat. Med. 2003, 9, 99–103.
4. Lycke, N. Recent progress in mucosal vaccine development: potential and limitations.
Nat. Rev. Immunol. 2012, 12, 592–605.
5. Riese, P.; Sakthivel, P.; Trittel, S.; Guzmán, C.A. Intranasal formulations: promising strategy to deliver vaccines. Expert Opin. Drug Deliv. 2014, 11, 1619–1634.
6. Zaman, M.; Chandrudu, S.; Toth, I. Strategies for intranasal delivery of vaccines. Drug Deliv. Transl. Res. 2013, 3, 100–109.
7. Marasini, N. Intranasal delivery of nanoparticle-based vaccines. Ther. Deliv 2017, 8, 151–167.
8. Shakya, A.K.; Chowdhury, M.Y.E.; Tao, W.; Gill, H.S. Mucosal vaccine delivery:
Current state and a pediatric perspective. J. Control. Release 2016, 240, 394–413.
9. Lewis, K.D.C.; Ortiz, J.R.; Rahman, M.Z.; Levine, M.Z.; Rudenko, L.; Wright, P.F.;
Katz, J.M.; Dally, L.; Rahman, M.; Isakova-Sivak, I.; et al. Immunogenicity and Viral Shedding of Russian-Backbone, Seasonal, Trivalent, Live, Attenuated Influenza Vaccine in a Phase II, Randomized, Placebo-Controlled Trial Among Preschool-Aged Children in Urban Bangladesh. Clin. Infect. Dis. 2019, 69, 777–785.
10. Bahamondez-Canas, T.F.; Cui, Z. Intranasal immunization with dry powder vaccines.
Eur. J. Pharm. Biopharm. 2018, 122, 167–175.
11. Yusuf, H.; Kett, V. Current prospects and future challenges for nasal vaccine delivery.
Hum. Vaccines Immunother. 2017, 13, 34–45.
12. Bernocchi, B.; Carpentier, R.; Betbeder, D. Nasal nanovaccines. Int. J. Pharm. 2017, 530, 128–138.
13. Illum, L. Chitosan and its use as a pharmaceutical excipient. Pharm. Res. 1998, 15, 1326–1331.
14. Kobayashi, T.; Fukushima, K.; Sannan, T.; Saito, N.; Takiguchi, Y.; Sato, Y.; Hasegawa, H.; Ishikawa, K. Evaluation of the Effectiveness and Safety of Chitosan Derivatives as Adjuvants for Intranasal Vaccines. Viral Immunol. 2013, 26, 133–142.
15. Liu, Q.; Zheng, X.; Zhang, C.; Shao, X.; Zhang, X.; Zhang, Q.; Jiang, X. Antigen-conjugated N-trimethylaminoethylmethacrylate chitosan nanoparticles induce strong immune responses after nasal administration. Pharm. Res. 2015, 32, 22–36.
16. Pawar, D.; Jaganathan, K.S. Mucoadhesive glycol chitosan nanoparticles for intranasal delivery of hepatitis B vaccine: enhancement of mucosal and systemic immune response.
Drug Deliv. 2016, 23, 185–194.
17. Liu, Q.; Zheng, X.; Zhang, C.; Shao, X.; Zhang, X.; Zhang, Q.; Jiang, X. Conjugating influenza a (H1N1) antigen to n-trimethylaminoethylmethacrylate chitosan nanoparticles improves the immunogenicity of the antigen after nasal administration. J.
Med. Virol. 2015, 87, 1807–1815.
18. Vila, A.; Sánchez, A.; Janes, K.; Behrens, I.; Kissel, T.; Jato, J.L.V.; Alonso, M.J. Low molecular weight chitosan nanoparticles as new carriers for nasal vaccine delivery in mice. Eur. J. Pharm. Biopharm. 2004, 57, 123–131.
19. Lebre, F.; Borchard, G.; Faneca, H.; Pedroso de Lima, M.C.; Borges, O. Intranasal Administration of Novel Chitosan Nanoparticle/DNA Complexes Induces Antibody Response to Hepatitis B Surface Antigen in Mice. Mol. Pharm. 2016, 13, 472–482.
20. Heurtault, B.; Frisch, B.; Pons, F. Liposomes as delivery systems for nasal vaccination:
Strategies and outcomes. Expert Opin. Drug Deliv. 2010, 7, 829–844.
21. Nagamoto, T.; Hattori, Y.; Takayama, K.; Maitani, Y. Novel chitosan particles and chitosan-coated emulsions inducing immune response via intranasal vaccine delivery.
Pharm. Res. 2004, 21, 671–674.
22. Pawar, D.; Mangal, S.; Goswami, R.; Jaganathan, K.S. Development and characterization of surface modified PLGA nanoparticles for nasal vaccine delivery:
Effect of mucoadhesive coating on antigen uptake and immune adjuvant activity. Eur. J.
Pharm. Biopharm. 2013, 85, 550–559.
23. Jabbal-Gill, I.; Watts, P.; Smith, A. Chitosan-based delivery systems for mucosal vaccines. Expert Opin. Drug Deliv. 2012, 9, 1051–1067.
24. Cu, Y.; Saltzman, W.M. Controlled Surface Modification with Poly(ethylene)glycol Enhances Diffusion of PLGA Nanoparticles in Human Cervical Mucus. Mol. Pharm.
2009, 6, 173–181.
25. Kim, M.-G.; Park, J.Y.; Shon, Y.; Kim, G.; Shim, G.; Oh, Y.-K. Nanotechnology and vaccine development. Asian J. Pharm. Sci. 2014, 9, 227–235.
26. Kaplan, M.; Tuğcu-Demiröz, F.; Vural, İ.; Çelebi, N. Development and characterization of gels and liposomes containing ovalbumin for nasal delivery. J. Drug Deliv. Sci.
Technol. 2018, 44, 108–117.
27. DEJONGE, M. Intranasal immunisation of mice with liposomes containing recombinant meningococcal OpaB and OpaJ proteins. Vaccine 2004, 22, 4021–4028.
28. Wang, D.; Christopher, M.E.; Nagata, L.P.; Zabielski, M.A.; Li, H.; Wong, J.P.; Samuel, J. Intranasal immunization with liposome-encapsulated plasmid DNA encoding influenza virus hemagglutinin elicits mucosal, cellular and humoral immune responses.
J. Clin. Virol. 2004, 31, 99–106.
29. Khatri, K.; Goyal, A.K.; Gupta, P.N.; Mishra, N.; Mehta, A.; Vyas, S.P. Surface modified liposomes for nasal delivery of DNA vaccine. Vaccine 2008, 26, 2225–2233.
30. Fox, C.B. Squalene emulsions for parenteral vaccine and drug delivery. Molecules 2009, 14, 3286–3312.
31. Wong, P.T.; Wang, S.H.; Ciotti, S.; Makidon, P.E.; Smith, D.M.; Fan, Y.; Schuler, C.F.;
Baker, J.R. Formulation and characterization of nanoemulsion intranasal adjuvants:
Effects of surfactant composition on mucoadhesion and immunogenicity. Mol. Pharm.
2014, 11, 531–544.
32. Makidon, P.E.; Belyakov, I.M.; Blanco, L.P.; Janczak, K.W.; Landers, J.; Bielinska, A.U.; Groom, J. V.; Baker, J.R. Nanoemulsion mucosal adjuvant uniquely activates cytokine production by nasal ciliated epithelium and induces dendritic cell trafficking.
Eur. J. Immunol. 2012, 42, 2073–2086.
33. Makidon, P.E.; Bielinska, A.U.; Nigavekar, S.S.; Janczak, K.W.; Knowlton, J.; Scott, A.J.; Mank, N.; Cao, Z.; Rathinavelu, S.; Beer, M.R.; et al. Pre-clinical evaluation of a novel nanoemulsion-based hepatitis B mucosal vaccine. PLoS One 2008, 3, e2954.
34. Mahajan, H.S.; Rasal, A.D. Microemulsions for Nasal Drug Delivery Systems : An Overview. Int. J. Pharm. Sci. Nanotechnol. 2013, 5, 1825–1831.
35. Aucouturier, J.; Dupuis, L.; Ganne, V. Adjuvants designed for veterinary and human vaccines. Vaccine 2001, 19, 2666–2672.
36. Kitaoka, M.; Wakabayashi, R.; Kamiya, N.; Goto, M. Solid-in-oil nanodispersions for transdermal drug delivery systems. Biotechnol. J. 2016, 11, 1375–1385.
37. Wakabayashi, R.; Sakuragi, M.; Kozaka, S.; Tahara, Y.; Kamiya, N.; Goto, M. Solid-in-Oil Peptide Nanocarriers for Transcutaneous Cancer Vaccine Delivery against Melanoma. Mol. Pharm. 2018, 15, 955–961.
38. Bonferoni, M.; Rossi, S.; Sandri, G.; Ferrari, F.; Gavini, E.; Rassu, G.; Giunchedi, P.
Nanoemulsions for “Nose-to-Brain” Drug Delivery. Pharmaceutics 2019, 11, 84.
39. Sintov, A.C.; Levy, H. V.; Botner, S. Systemic delivery of insulin via the nasal route using a new microemulsion system: In vitro and in vivo studies. J. Control. Release 2010, 148, 168–176.
40. Shah, V.; Sharma, M.; Pandya, R.; Parikh, R.K.; Bharatiya, B.; Shukla, A.; Tsai, H.C.
Quality by Design approach for an in situ gelling microemulsion of Lorazepam via intranasal route. Mater. Sci. Eng. C 2017, 75, 1231–1241.
41. Masiuk, T.; Kadakia, P.; Wang, Z. Development of a physiologically relevant dripping analytical method using simulated nasal mucus for nasal spray formulation analysis. J.
Pharm. Anal. 2016, 6, 283–291.
42. Puchta, A.; Verschoor, C.P.; Thurn, T.; Bowdish, D.M.E. Characterization of Inflammatory Responses During Intranasal Colonization with Streptococcus pneumoniae. J. Vis. Exp. 2014, 1–15.
43. Tahara, Y.; Namatsu, K.; Kamiya, N.; Hagimori, M.; Kamiya, S.; Arakawa, M.; Goto, M. Transcutaneous immunization by a solid-in-oil nanodispersion. Chem. Commun.
(Camb). 2010, 46, 9200–9202.
44. Khunt, D.; Shah, B.; Misra, M. Role of butter oil in brain targeted delivery of Quetiapine fumarate microemulsion via intranasal route. J. Drug Deliv. Sci. Technol. 2017, 40, 11–
20.
45. Hall, S.I.; Krietz, G.A.; Ulrich, R.G.; Cisney, E.D.; Fernandez, S. Examining the Role of Nasopharyngeal-associated Lymphoreticular Tissue (NALT) in Mouse Responses to Vaccines. J. Vis. Exp. 2012, 1–7.
46. Kantipakala, R.; Bonam, S.R.; Vemireddy, S.; Miryala, S.; Halmuthur M, S.K. Squalane-based emulsion vaccine delivery system: composition with murabutide activate Th1 response. Pharm. Dev. Technol. 2019, 24, 269–275.
47. Kitaoka, M.; Imamura, K.; Hirakawa, Y.; Tahara, Y.; Kamiya, N.; Goto, M. Sucrose laurate-enhanced transcutaneous immunization with a solid-in-oil nanodispersion. Med.
Chem. Commun. 2014, 5, 20–24.
48. Tada, R.; Hidaka, A.; Iwase, N.; Takahashi, S.; Yamakita, Y.; Iwata, T.; Muto, S.; Sato, E.; Takayama, N.; Honjo, E.; et al. Intranasal immunization with dotap cationic liposomes combined with DC-cholesterol induces potent antigen-specific mucosal and systemic immune responses in mice. PLoS One 2015, 10, 1–21.
49. Soane, R.J.; Frier, M.; Perkins, A.C.; Jones, N.S.; Davis, S.S.; Illum, L. Evaluation of the clearance characteristics of bioadhesive systems in humans. Int. J. Pharm. 1999, 178, 55–65.
50. Kitaoka, M.; Naritomi, A.; Kawabe, Y.; Kamihira, M.; Kamiya, N.; Goto, M.
Transcutaneous pollinosis immunotherapy using a solid-in-oil nanodispersion system carrying T cell epitope peptide and R848. Bioeng. Transl. Med. 2017, 2, 102–108.