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. 2020 Dec 10;268:120597. doi: 10.1016/j.biomaterials.2020.120597

Table 2.

Representative studies utilizing polymeric nanostructures for vaccine development against infectious diseases.

Vaccine platform
Antigen
Adjuvant
Admin route
Organism model
Humoral response
T cell response
Other attributes
Ref.
CD4+ Th cells
CD8+ T cells
Viral Infection
H5N1 avian influenza virus
PLGA nanoparticle HA PLGA nanoparticle encapsulated MPL and R837 s.c. Mouse IgG1, IgG2a, IgG2b, and virus neutralizing antibody titer Th1 Strong response 100% survival and maintained body weight were achieved for 14-days post-infection. The antigen-specific memory CD4+ T cells was persistent for 1.5-year post-vaccination. [132]
PA nanoparticle H5 HA trimer Pentablock copolymer hydrogel s.c. Mouse Sustained virus neutralizing antibody titer for up to 70 days N/E N/E Significant reduction of viral load in the lungs of mice, with maintained body weight similar to healthy, noninfected mice [143]
H1N1 swine influenza virus
PS-core protein-shell nanoparticle HA i.v. Mouse IgG, IgG1, IgG2a and HA inhibition titers Th1 Strong response with CTL activity Protection against H1N1 virus for up to 16 days post-infection as indicated from high survival rate and minimum body-weight loss [104]
pABOL nanoparticle saRNA encoding for HA i.m. Mouse HA IgG, HA inhibition, and virus neutralization titers N/E N/E The mice were protected against the H1N1 challenge as reflected from 8% decrease of the body weight as compared to naïve mice which lost >25% of body weight [127]
Middle East Respiratory Syndrome Coronavirus (MERS-CoV)
Hollow-core PLGA-shell nanoparticle coated with lipid Receptor binding domain protein cdGMP s.c. Mouse IgG, IgG1, IgG2a (for 300 days post-vaccination), with the virus neutralizing titer Balanced Th1/Th2, with persistent central memory CD4+ T cell responses (for 28-day) Strong and peptide specific responses, with CTL activity Significant reduction of virus load titers in the lungs after the challenge, with 100% survival for 24-days post-infection [96]
Zika virus (ZIKV)
Chitosan/γ-PGA nanoparticle Inactivated Zika virus s.c. Mouse IgG, IgG1, IgG2a Balanced Th1/Th2 Strong response The produced antibody was able to neutralize Zika virus infection [128]
Ebola virus (EBOV)
PAA-PPI dendrimers and lipid-PEG nanoparticle VEEV replicon RNA for the EBOV glycoprotein i.m. Mouse IgG Th1 Strong response with the production of IFN-γ and IL2 After 23-days post-infection, the mice immunized with a single dose of the polymeric vaccines achieved 100% survival rate [129]
Dengue virus (DENV)
PLGA nanoparticle Tetravalent E protein s.c. Mouse IgG, IgG1, IgG2a, and virus neutralizing antibody titer Balanced Th1/Th2 N/E A balanced serotype-specific antibody response was stimulated to each DENV serotype (DENV1, DENV2, DENV3 and DENV4) [130]
Human immunodeficiency virus (HIV)
Mannosylated PEI nanoparticle Plasmid DNA encoding 15 protein antigens t.d. Human (Phase I, Phase I/II) Th1 Strong response with the production of IFN-γ and IL2, and CTL activity HIV-specific precursor/memory T cells with high proliferation capacity was expanded in a dose-dependent manner at week 48 post-immunization [144,145]
PLGA microparticle Plasmid DNA encoding Gag and V2-deleted gp140 Env MF59 during boosting i.m. Human (Phase I) Strong neutralization antibody against the homologous HIV, but minimal neutralization breadth against the heterologous HIV Th1 Minimal response Polyfunctional CD4+ T cell responses were elicited, comprising of IFN-γ (most dominant), IL2, TNF-α and IL-4 [135]
PEI-cyclodextrin nanoparticle mRNA for gp120 glyco-protein i.n. Mouse IgG, IgG1, IgG2a, and secreted IgA in distal mucosa Balanced Th1/Th2/Th17 Strong response with cytotoxic T-lymphocyte activity The nanoparticles could facilitate antigen delivery through intra- and paracellular pathways, inducing both systemic and mucosal immune response [92]
PLGA nanoparticle HIV-1 p24-Nef fusion peptide Recombinant FLiC protein (TLR5 agonist) i.d. Mouse IgG, IgG1 and IgG2a Th1 and Th2 Strong response with cytotoxic T-lymphocyte activity Lowering the immunization dose significantly increased the Th1 cytokine and slightly decreased the humoral response [136]
CS/DS, or CS/HA nanoparticles PCS5 peptide antigen Poly(I:C) (TLR3 agonist) i.m. Mouse IgG Th1 Strong response Central and effector memory CD4+ and CD8+ T cells were generated [146]
Hepatitis B Virus (HBV)
CS/γ-PGA nanogels HBsAg i.m. Mouse IgG Th2 Strong response with induction of effector memory CD8+ T cells Single dose vaccination of cationic CS/γ-PGA nanogels cleared HBsAg and restored IgG production after plasmid challenge [147]
CS nanoparticle HBsAg i.p. Mouse IgG, IgG1, IgG2a, IgG2b, IgG3 titers in serum, spleen and bone marrow Th1 and Th2 N/E The humoral and cellular response were durable up to 30-weeks after single-dose vaccination, with increased in BAFF-R + B cells, CD138+ plasma cells, and Tfh cells [133]
PLA-core lipid-shell microparticle HBsAg i.m. Mouse IgM, IgG, IgG1 and IgG2a Th1 Strong response with CTL activity Granzyme B, the effector of cytotoxic T cell, was also produced [148]
Hepatitis C Virus (HCV)
PHB-core protein-shell particle HCV core protein CFA or Emulsigen s.c. Mouse IgG1 and IgG2c Th1 N/E Strong cytokine profiles, including IFN-γ, TNF-α, IL-17A, IL-2, IL-6, and IL-10 as compared to the respective soluble controls [149]
PHB-core protein-shell particle HCV core protein Alum i.m. Mouse IgG Th1 N/E Reduction of virus load titer in ovaries after the challenge [150]
Bacterial infection
Mycobacterium tuberculosis
PEG–PPS micelle Mycolid acid (MA) – a lipid antigen i.n. Mouse Anti-CD1b antibody titers Th1 N/E The nanoparticles were primarily taken up by alveolar macrophages and DCs in the lung [151]
PHB-core protein-shell particle Mycobacterial fusion peptides Ag85B–TB10.4–Rv2660c DDAB s.c. Mouse Antigen-specific antibody titers, dominated by IgG1 Th1, Th2 and Th17 N/E Strong production of cytokines, IFN-γ, TNF-α, IL-17A, IL-2, IL-6, IL-10, as compared to the respective soluble controls [131]
Mycobacterium paratuberculosis
PA nanoparticle M. paratuberculosis culture filtrate s.c. Mouse N/E Th1 Strong responses both post-vaccination and post-challenge The bacterial load in spleen, liver, small intestine and mesenteric lymph node was reduced. [152]
Mycobacterium bovis
PHB-core protein-shell particle Mycobacterial fusion proteins, Ag85A–ESAT-6 Emulsigen s.c. Mouse IgG Th1 and Th17 N/E Reduction of bacterial count in the spleen and the lung after the challenge [153]
Staphylococcus aureus (resistant to the antibiotic, methicillin)
PLGA-core red blood cell-shell nanoparticle α-hemolysin (Hla) protein s.c. Mouse Anti-Hla IgG titer for up to 35 days, with germinal center formed N/E N/E Minimum skin lesion area and reduced bacterial load in the skin. Reduced bacterial load was also observed in major organs (heart, kidney, spleen, lung and liver) after the challenge [154]
PLGA-core red blood cell-shell nanoparticle Combination of α-toxin, PVL, and γ-toxin s.c. Mouse Anti-α-toxin, anti-PVL, and anti γ-toxin, with germinal center formed N/E N/E Minimum skin lesion area, and reduced bacterial load at heart, lung and kidney after the challenge [155]
Pseudomonas aeruginosa
PLGA-core macrophage-shell nanoparticle Combination of FliC, OprM, OprE and SSB s.c. and i.n. Mouse IgG, with germinal center formed. N/E N/E After i.n. injection, both systemic and mucosal immunities were elicited. Reduced bacterial load in lung for both s.c. or i.n. vaccination. [138]
PHB-core protein-shell particle Fusion antigenic epitopes AlgE, OprF and OprI Alum s.c. Mouse IgG1 and IgG2c, with opsonophagocytic antibody titer Th1 N/E Without the adjuvant, Th1 immune response can be induced [156]
Streptococcus pneumoniae
cCHP nanogel PspA i.n. Rhesus Macaque PspA-specific bronchoalveolar fluid IgG and nasal wash IgA antibodies, with neutralizing antibody titer Th2 and Th17 N/E The mice injected intraperitoneally with the pooled sera of macaques nasally immunized with the nanogels were protected from the challenge for at least 2 weeks [157]
PHB-core protein-shell particle Ply and 19F CPS s.c. Mouse IgG with the dominant IgG1 and IgG2b, and opsonophagocy-tic antibody titer Th2 N/E The IgG was persistent for up to 6 months and recognized Ply in whole cell lysates of six different S. pneumoniae serotypes [158]
PHB-core protein-shell particle PsaA s.c. Mouse IgG with the dominant IgG1 and IgG2b Th2 N/E The elicited IgG recognized PsaA in whole cell lysate of seven different serotypes of S. pneumoniae [159]
Neisseria meningtidis
PHB-core protein-shell particle NadA and MenC s.c. Mouse IgG with the dominant IgG1 and IgG2b Th1 and Th17 N/E The serum exhibited bactericidal activity [160]
Parasitic infection
Plasmodium yoelii
PS nanoparticle MSP 4/5 i.d. Mouse IgG, IgG1, IgG2a, IgG2b Th1 and Th2 N/E Moderate survival rate of the immunized mice against the blood-stage malaria infection was demonstrated [161]
Plasmodium falciparum
PLGA nanoparticle Pfs25 s.c. Rhesus macaque IgG Th1 Strong response •The T cell response increased the antibodies' avidity •The numbers of Pfs25-specific plasmablasts, circulating memory B cells, and plasma cells in the bone marrow were increased. [162]
Plasmodium vivax
PLGA-core lipid-shell nanoparticle VMP001 MPLA s.c. Mouse IgG, IgG1, IgG2b, IgG2c, IgG3, with germinal center formed Balanced Th1/Th2 N/E The antibodies had high avidity that could agglutinate live sporozoites 6-month after the vaccination [163]

Abbreviation: N/E, not evaluated.

1. Vaccine platform: cCHP, cholesteryl group-bearing pullulan; CS, chitosan; DS, dextran sulfate; HA, hyaluronic acid; PA, poly(anhydride); PAA-PPI, poly(amido amine)-poly(propylenimine); pABOL, poly(N,N-cystaminebis(acrylamide)-co-4-amino-1-butanol); PAS, poly(acrylic starch); PEG, poly(ethylene glycol); PHB, poly(3-hydroxybutyric acid); PLA, poly(lactic acid); PLGA, poly(lactic-co-glycolic acid); PS, poly(styrene).

2. Antigens: CPS, capsular polysaccharide; ESAT-6, early secreted antigenic target 6-kDa protein; Flagellin, FliC; HA, hemagglutinin; HBsAg, hepatitis B surface antigen; MenC, capsular polysaccharide from serogroup C; MSP 4/5, Recombinant merozoite surface protein 4/5; M2e, matrix protein 2 ectodomain; NadA, Neisseria adhesin A; NP, nucleoprotein; OprM and OprE, Outer membrane proteins; PA, polymerase protein; PCS5, protease cleavage site 5; Pfs25, a glycophosphotidylinositol-linked protein expressed on the ookinetes surface; Ply, Pneumolysin; PsaA, Pneumococcal surface adhesin A protein; PspA, Pneumococcal surface protein A; PVL, Panton–Valentine leucocidin; saRNA, self-amplifying RNA; SSB, single-stranded DNA binding protein; VEEV replicon RNA, Venezuelan equine encephalitis virus replicon RNA; VMP001, Vivax malaria protein – a recombinant antigen derived from the circumsporozoite protein.

3. Adjuvant: cdGMP, cyclic diguanylate monophosphate; CFA: complete Freund's adjuvant; CpG ODN, CpG oligodeoxynucleotide; DDAB, dimethyl dioctadecyl ammonium bromide; MPLA, monophosphoryl lipid A; poly(I:C), polyinosinic:polycytidylic acid.

4. Route of administration: i.d., intradermal; i.m., intramuscular; i.n., intranasal; i.t., intratracheal; p.o., oral; s.c., subcutaneous; t.d., transdermal.