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Published on: February 10, 2023
A Microneedle Patch for Measles and Rubella Vaccination Is Immunogenic and Protective in Infant Rhesus Macaques
Jessica C Joyce1, Timothy D Carroll2, Marcus L Collins3
1Wallace H. Coulter Department of Biomedical Engineering, Georgia Institute of Technology, Atlanta.
Background:
New methods to increase measles and rubella (MR) vaccination coverage are needed to achieve global and regional MR elimination goals.
Methods:
Here, we developed microneedle (MN) patches designed to administer MR vaccine by minimally trained personnel, leave no biohazardous sharps waste, remove the need for vaccine reconstitution, and provide thermostability outside the cold chain. This study evaluated the immunogenicity of MN patches delivering MR vaccine to infant rhesus macaques.
Results:
Protective titers of measles neutralizing antibodies (>120 mIU/mL) were detected in 100% of macaques in the MN group and 75% of macaques in the subcutaneous (SC) injection group. Rubella neutralizing antibody titers were >10 IU/mL for all groups. All macaques in the MN group were protected from challenge with wild-type measles virus, whereas 75% were protected in the SC group. However, vaccination by the MN or SC route was unable to generate protective immune responses to measles in infant macaques pretreated with measles immunoglobulin to simulate maternal antibody.
Conclusions:
These results show, for the first time, that MR vaccine delivered by MN patch generated protective titers of neutralizing antibodies to both measles and rubella in infant rhesus macaques and afforded complete protection from measles virus challenge.
Insights
Microneedle (MN) patches effectively deliver measles-rubella (MR) vaccines, inducing protective antibody levels and complete protection against measles virus challenge in infant rhesus macaques. This novel approach offers a promising alternative for global MR vaccination efforts.
Area of Science:
- Vaccinology
- Immunology
- Biotechnology
Background:
- Global measles and rubella (MR) elimination goals require improved vaccination coverage.
- Current vaccination methods face challenges including cold chain requirements and biohazardous waste.
Purpose of the Study:
- To develop and evaluate microneedle (MN) patches for MR vaccine delivery.
- To assess the immunogenicity and protective efficacy of MR vaccine delivered via MN patches in infant rhesus macaques.
Main Methods:
- Development of MR vaccine-loaded MN patches.
- Administration of MR vaccine via MN patches and subcutaneous (SC) injection in infant rhesus macaques.
- Evaluation of neutralizing antibody titers and protection against wild-type measles virus challenge.
Main Results:
- 100% of macaques receiving the MR vaccine via MN patches achieved protective measles antibody titers, compared to 75% in the SC group.
- All macaques in the MN group were protected from measles virus challenge, versus 75% in the SC group.
- MN and SC vaccination did not overcome simulated maternal antibody interference.
Conclusions:
- MR vaccine delivered by MN patches generates protective immune responses in infant rhesus macaques.
- MN patches provide a viable, needle-free alternative for MR vaccination, potentially improving global coverage.
- Further research is needed to address challenges like maternal antibody interference.
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