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Updated: Jul 11, 2026

Sublingual Immunotherapy as an Alternative to Induce Protection Against Acute Respiratory Infections
Published on: August 30, 2014
Live attenuated B. pertussis as a single-dose nasal vaccine against whooping cough
Nathalie Mielcarek1, Anne-Sophie Debrie, Dominique Raze
11INSERM U629, Lille, France.
Insights
A novel nasal vaccine, BPZE1, offers potent protection against whooping cough (pertussis) in infants. This live attenuated Bordetella pertussis strain provides needle-free immunization, crucial for protecting the most vulnerable populations.
Area of Science:
- Immunology
- Vaccinology
- Microbiology
Background:
- Pertussis (whooping cough) remains a significant global health threat, with increasing incidence despite high vaccination rates.
- Infants are particularly vulnerable to severe pertussis and mortality, as current vaccines are not optimally effective in early life.
Purpose of the Study:
- To develop a novel live attenuated Bordetella pertussis vaccine (BPZE1) for early-life immunization.
- To evaluate the efficacy and safety of BPZE1 as a single-dose nasal vaccine in neonates.
Main Methods:
- BPZE1 was engineered through genetic modification to inactivate or remove three key pertussis toxins.
- The vaccine's immunogenicity and protective efficacy were assessed in mouse models following nasal administration.
- Immune responses and protection against Bordetella pertussis and Bordetella parapertussis were compared to a standard acellular pertussis vaccine (aPV).
Main Results:
- BPZE1 demonstrated high attenuation in mice while effectively colonizing the respiratory tract.
- A single nasal dose of BPZE1 induced robust protective immunity against B. pertussis, comparable to two doses of aPV in adult mice and superior in infant mice.
- BPZE1 conferred protection against Bordetella parapertussis, a benefit not observed with aPV.
Conclusions:
- BPZE1 is a promising vaccine candidate for protecting infants against whooping cough via needle-free nasal administration.
- The vaccine's ability to induce broad protection, including against B. parapertussis, highlights its potential for improved pertussis control.
- Nasal administration at birth represents a feasible strategy for early-life immunization against pertussis.
Abstract:
Pertussis is still among the principal causes of death worldwide, and its incidence is increasing even in countries with high vaccine coverage. Although all age groups are susceptible, it is most severe in infants too young to be protected by currently available vaccines. To induce strong protective immunity in neonates, we have developed BPZE1, a live attenuated Bordetella pertussis strain to be given as a single-dose nasal vaccine in early life. BPZE1 was developed by the genetic inactivation or removal of three major toxins. In mice, BPZE1 was highly attenuated, yet able to colonize the respiratory tract and to induce strong protective immunity after a single nasal administration. Protection against B. pertussis was comparable to that induced by two injections of acellular vaccine (aPV) in adult mice, but was significantly better than two administrations of aPV in infant mice. Moreover, BPZE1 protected against Bordetella parapertussis infection, whereas aPV did not. BPZE1 is thus an attractive vaccine candidate to protect against whooping cough by nasal, needle-free administration early in life, possibly at birth.
Related Concept Videos
Vaccinations
Acute Pharyngitis
Acute pharyngitis is the inflammation of the back of the throat (pharynx), commonly resulting in a sore throat. It is a frequently encountered condition that prompts individuals to seek medical advice.
Classification
Acute pharyngitis can be categorized based on its underlying cause:
Diphtheria
Smallpox
Poliomyelitis
Respiratory Syncytial Virus Disease

