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. 2013 Mar 14;4(3):246–252. doi: 10.4161/gmic.24197

Table 1. Route of immunization against rectogenital infection in animal models.

Route Advantages Disadvantages Feasibility
Oral
Easy to administer, convenient mode of remote immunization
No to low levels of rectogenital responses induced and risk of inducing oral tolerance
Practical for mass vaccination and preferred
Intranasal
Easy to administer, convenient mode of remote immunization
Inducing modest levels of cellular and humoral responses and weak protection, pre-existing immunity to some delivery vehicles, may exacerbate nasal or respiratory inflammation; risk of transport through olfactory nerve to brain.
Practical for mass vaccination
Intracolorectal
Local immunization inducing both cellular and humoral rectal and vaginal responses
Vaccination requiring facility and a trained professional, discomfort and accidental trauma may occur
Feasible for special treatment but impractical for mass vaccination
Intravaginal
Local immunization inducing humoral vaginal responses
Vaccination efficacy is influenced by the menstrual cycle and no responses induced in the large intestine
Feasible for special treatment but impractical for mass vaccination
Targeted oral Easy to administer, passing through small intestine and selectively targeting large intestine to induce immune protective immunity comparable to intracolorectal immunization Extra manufacturing procedures required but not significant Practical for mass vaccination and preferred