Table 1.
Oral vaccine | Oral tolerance | Modulation of lamina propria immune cells |
Intestinal barrier enhancement |
Modulation of gut microbiota |
|
---|---|---|---|---|---|
Harsh GIT conditions (pH variation, proteolytic enzymes) | Should consider (antigens should be protected by NPs encapsulation) | Could consider when loaded drugs or targeting ligands are vulnerable (drugs should be protected by NPs encapsulation, and targeting ligands should be protected, for example by embedding NPs in hydrogels) | |||
Short residence time in small intestine | Should consider (antigens should be delivered to APCs in the inductive sites of small intestines) | Should consider if targeting the small intestine | |||
Penetration through the intestinal barrier (mucus layer, epithelium) | Should consider (Both M-cells and epithelium are located underneath the epithelium) | Should consider (The lamina propria is located underneath the epithelium) when the intestinal barrier structure is intact | Should consider penetrating through the mucus layer for epithelium targeting when the intestinal barrier structure is intact | ||
Not applicable for certain diseases such as IBD with denuded mucus layer and disrupted intestinal epithelium | |||||
Targeting strategy | - M-cell targeting - Epithelium targeting |
- M-cell targeting - CD103+ DC targeting |
- Targeting innate immune cells (e.g., macrophages, neutrophils, Ly6C+ mononuclear phagocytes) | - Mucus targeting - Epithelium targeting |
- Mucus targeting - Large intestine lumen targeting |
Other considerations | - Should consider using immunostimulatory adjuvants | - Should consider using immunomodulatory agents |