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. 2014 Mar 14;46(3):e85. doi: 10.1038/emm.2013.165

Table 2. Characteristics of immune induction depending on the routes of mucosal immunization.

Route of immunization Effective compartment Form Characteristics (advantage/disadvantage) Examples Reference
Oral Gastrointestinal tract, salivary gland, mammary gland Liquid, pills Enhances immune response both in systemic and mucosal areas; safe; easy to vaccinate; easy to scale up/induction of tolerance, the harsh environment of the gastrointestinal tract Rotavirus, Poliovirus, Salmonella typhi, Vibrio cholera, Cholera toxin 6
Intranasal Upper respiratory tract, genital tract Sprays, drop Enhances immune response both in systemic and mucosal areas; easy to vaccinate/side effects such as Bell's palsy, damage to nasal epithelium Influenza type A, H1N1 influenza 29
Pulmonary Respiratory tract Aerosol, powders Enhances immune response both in systemic and mucosal areas; easy to vaccinate, simplified logistics/requirement of device, difficulty in vaccination Edmonston-Zagreb 30
Sublingual Respiratory and gastrointestinal tracts Liquid, pills Quick diffusion into the venous circulation/lack of strong adjuvants, difficulty in vaccine formulation HIV-1 gp41, 31
Intravaginal/Rectal Genital tract Cream High relevance for sexually transmitted diseases/difficulty in inoculation HIV-1, HSV-2 32, 33
Ocular Ocular system Drops Generation of ocular mucosal immunity HSV-2 34, 35

Abbreviation: HSV, Herpes simplex virus.