Physicochemical and Preclinical Evaluation of a Novel Buccal Measles Vaccine

The aim of this study is to develop an orally disintegrating film (ODF) containing a microparticulate measles vaccine formulation for buccal delivery. The measles vaccine microparticles were made with biocompatible and biodegradable bovine serum albumin (BSA) and processed by spray drying. These vaccine microparticles were incorporated in the ODF, consisting of Lycoat RS720®, Neosorb P60W® and Tween 80. The yield of the microparticles was approximately 85–95%, w/w. The mean size of the vaccine microparticles was 3.65 ± 1.89 μm and had a slightly negative surface charge of 32.65 ± 2.4 mV. The vaccine particles were nontoxic to normal cells at high concentrations (500 μg/2.5 × 105 cells) of vaccine particles. There was a significant induction of innate immune response by vaccine microparticles which was observed in vitro when compared to blank microparticles (P < 0.05). The vaccine microparticles also significantly increased the antigen presentation and co-stimulatory molecules expression on antigen presenting cells, which is a prerequisite for Th1 and Th2 immune responses. When the ODF vaccine formulation was dosed in juvenile pigs, significantly higher antibody titers were observed after week 2, with a significant increase at week 4 and plateauing through week 6 comparative to naïve predose titers. The results suggest that the ODF measles vaccine formulation is a viable dosage form alternative to noninvasive immunization that may increase patient compliance and commercial distribution.

[1]  Rikhav P. Gala,et al.  Induction of Death Receptor CD95 and Co-stimulatory Molecules CD80 and CD86 by Meningococcal Capsular Polysaccharide-Loaded Vaccine Nanoparticles , 2014, The AAPS Journal.

[2]  P. Selvaraj,et al.  Formulation and evaluation of oral microparticulate ovarian cancer vaccines. , 2012, Vaccine.

[3]  Jean-Pierre Amorij,et al.  Buccal and sublingual vaccine delivery , 2014, Journal of Controlled Release.

[4]  G. Knipp,et al.  Comparative pharmacokinetics studies of immediate- and modified-release formulations of glipizide in pigs and dogs. , 2012, Journal of pharmaceutical sciences.

[5]  M. Kweon Sublingual mucosa: A new vaccination route for systemic and mucosal immunity. , 2011, Cytokine.

[6]  P. Wertz,et al.  The lipid composition of porcine epidermis and oral epithelium. , 1986, Archives of oral biology.

[7]  D. Griffin,et al.  Measles virus, immune control, and persistence. , 2012, FEMS microbiology reviews.

[8]  H. Junginger,et al.  In-vivo buccal delivery of fluorescein isothiocyanate-dextran 4400 with glycodeoxycholate as an absorption enhancer in pigs. , 1996, Journal of pharmaceutical sciences.

[9]  P. Wertz,et al.  Lipid content and water permeability of skin and oral mucosa. , 1991, The Journal of investigative dermatology.

[10]  Li Shi,et al.  Scalable imprinting of shape-specific polymeric nanocarriers using a release layer of switchable water solubility. , 2012, ACS nano.

[11]  C. Sánchez,et al.  Prevalence of anti-rubella, anti-measles and anti-mumps IgG antibodies in neonates and pregnant women in Catalonia (Spain) in 2013: susceptibility to measles increased from 2003 to 2013 , 2015, European Journal of Clinical Microbiology & Infectious Diseases.

[12]  M. D'souza,et al.  Formulation and evaluation of an oral melanoma vaccine , 2007, Journal of microencapsulation.

[13]  Ruhi V. Ubale,et al.  Formulation of meningococcal capsular polysaccharide vaccine-loaded microparticles with robust innate immune recognition , 2013, Journal of microencapsulation.

[14]  B. Wahrén,et al.  Induction of mucosal IgA by a novel jet delivery technique for HIV-1 DNA. , 1999, Vaccine.

[15]  K Reesten M Eldgaard,et al.  A Population-Based Study of Measles, Mumps, and Rubella Vaccination and Autism , 2002 .

[16]  K. Peh,et al.  Characterization of Oral Disintegrating Film Containing Donepezil for Alzheimer Disease , 2012, AAPS PharmSciTech.

[17]  H. Nakagawa,et al.  Gene gun–mediated oral mucosal transfer of interleukin 12 cDNA coupled with an irradiated melanoma vaccine in a hamster model: Successful treatment of oral melanoma and distant skin lesion , 2001, Cancer Gene Therapy.

[18]  Naveen K. Bejugam,et al.  Oral delivery of gastro-resistant microencapsulated typhoid vaccine , 2009, Journal of drug targeting.

[19]  P. Selvaraj,et al.  Oral microparticulate vaccine for melanoma using M-cell targeting , 2012, Journal of drug targeting.

[20]  D. Griffin,et al.  Pathogenesis of measles virus infection: an hypothesis for altered immune responses. , 1994, The Journal of infectious diseases.

[21]  R. Mumper,et al.  Bilayer Films for Mucosal (Genetic) Immunization via the Buccal Route in Rabbits , 2002, Pharmaceutical Research.

[22]  E. Usherwood,et al.  Differential requirements for CD80/86-CD28 costimulation in primary and memory CD4 T cell responses to vaccinia virus. , 2011, Cellular immunology.

[23]  F. Cutts,et al.  The epidemiology of measles: thirty years of vaccination. , 1995, Current topics in microbiology and immunology.

[24]  J. Goodson,et al.  Measles 50 Years After Use of Measles Vaccine. , 2015, Infectious disease clinics of North America.

[25]  Min Liu,et al.  Evaluation of Chlorpheniramine Maleate microparticles in orally disintegrating film and orally disintegrating tablet for pediatrics , 2014, Drug development and industrial pharmacy.

[26]  R. Schmidt,et al.  Environmental chemical exposures and autism spectrum disorders: a review of the epidemiological evidence. , 2014, Current problems in pediatric and adolescent health care.

[27]  H E Junginger,et al.  Recent advances in buccal drug delivery and absorption--in vitro and in vivo studies. , 1999, Journal of controlled release : official journal of the Controlled Release Society.

[28]  Jennifer R Stalkup A review of measles virus. , 2002, Dermatologic clinics.

[29]  G. Eslick,et al.  Vaccines are not associated with autism: an evidence-based meta-analysis of case-control and cohort studies. , 2014, Vaccine.

[30]  D. Griffin,et al.  Measles: old vaccines, new vaccines. , 2009, Current topics in microbiology and immunology.

[31]  W. Hinrichs,et al.  Towards tailored vaccine delivery: needs, challenges and perspectives. , 2012, Journal of controlled release : official journal of the Controlled Release Society.

[32]  H. Patil,et al.  Development of a fast dissolving film of epinephrine hydrochloride as a potential anaphylactic treatment for pediatrics , 2017, Pharmaceutical development and technology.

[33]  Li Shi,et al.  Nanoimprint lithography based fabrication of shape-specific, enzymatically-triggered smart nanoparticles. , 2008, Journal of controlled release : official journal of the Controlled Release Society.

[34]  Mogens Vestergaard,et al.  A population-based study of measles, mumps, and rubella vaccination and autism. , 2002, The New England journal of medicine.

[35]  D. Stephens,et al.  Neisseria meningitidis Lipooligosaccharide Structure-Dependent Activation of the Macrophage CD14/Toll-Like Receptor 4 Pathway , 2004, Infection and Immunity.

[36]  P. Selvaraj,et al.  A novel microparticulate vaccine for melanoma cancer using transdermal delivery , 2011, Journal of microencapsulation.

[37]  M. D'souza,et al.  Spray-dried microparticles: a potential vehicle for oral delivery of vaccines , 2012, Journal of microencapsulation.

[38]  F. Godlee,et al.  Wakefield’s article linking MMR vaccine and autism was fraudulent , 2011, BMJ : British Medical Journal.

[39]  R. Jachowicz,et al.  Orodispersible films and tablets with prednisolone microparticles. , 2015, European journal of pharmaceutical sciences : official journal of the European Federation for Pharmaceutical Sciences.

[40]  F. Quan,et al.  Immunogenicity and protection of oral influenza vaccines formulated into microparticles. , 2012, Journal of pharmaceutical sciences.

[41]  M. Griffith Measles vaccines , 2014, Reactions Weekly.

[42]  P. Selvaraj,et al.  Formulation and evaluation of a particulate oral breast cancer vaccine. , 2012, Journal of pharmaceutical sciences.

[43]  M. D'souza,et al.  Formulation and evaluation of albumin microspheres and its enteric coating using a spray-dryer. , 2008, Journal of microencapsulation.

[44]  P. Aaby,et al.  The challenge of improving the efficacy of measles vaccine. , 2003, Acta tropica.

[45]  Franco Lombardo,et al.  Stabilization of Pharmaceuticals to Oxidative Degradation , 2002, Pharmaceutical development and technology.

[46]  A. Sharpe,et al.  The role of B7 co‐stimulation in activation and differentiation ofCD4+and CD8+T cells , 1998, Immunological reviews.

[47]  M. D'souza,et al.  Microencapsulation of protein into biodegradable matrix: a smart solution cross-linking technique , 2013, Journal of microencapsulation.

[48]  Krishnendu Roy,et al.  Intracellular delivery of polymeric nanocarriers: a matter of size, shape, charge, elasticity and surface composition. , 2013, Therapeutic delivery.