Impact of inactivated poliovirus vaccine on mucosal immunity: implications for the polio eradication endgame.
File(s)Parker et al-IPV Review.pdf (840.28 KB)
Published version
Author(s)
Parker, EP
Molodecky, NA
Pons-Salort, M
O'Reilly, KM
Grassly, NC
Type
Journal Article
Abstract
The polio eradication endgame aims to bring transmission of all polioviruses to a halt. To achieve this aim, it is essential to block viral replication in individuals via induction of a robust mucosal immune response. Although it has long been recognized that inactivated poliovirus vaccine (IPV) is incapable of inducing a strong mucosal response on its own, it has recently become clear that IPV may boost immunity in the intestinal mucosa among individuals previously immunized with oral poliovirus vaccine. Indeed, mucosal protection appears to be stronger following a booster dose of IPV than oral poliovirus vaccine, especially in older children. Here, we review the available evidence regarding the impact of IPV on mucosal immunity, and consider the implications of this evidence for the polio eradication endgame. We conclude that the implementation of IPV in both routine and supplementary immunization activities has the potential to play a key role in halting poliovirus transmission, and thereby hasten the eradication of polio.
Date Issued
2015-08-01
Date Acceptance
2015-05-15
Citation
Expert Review of Vaccines, 2015, 14 (8), pp.1113-1123
ISSN
1744-8395
Publisher
Expert Reviews
Start Page
1113
End Page
1123
Journal / Book Title
Expert Review of Vaccines
Volume
14
Issue
8
Copyright Statement
© 2015, Informa UK, Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercialNoDerivatives
License (http://creativecommons.org/Licenses/by-nc-nd/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited, and is not altered, transformed, or built upon in any way.
License (http://creativecommons.org/Licenses/by-nc-nd/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited, and is not altered, transformed, or built upon in any way.
Identifier
http://www.ncbi.nlm.nih.gov/pubmed/26159938
Subjects
environmental surveillance
eradication
inactivated poliovirus vaccine
mucosal immunity
oral poliovirus vaccine
poliovirus
Publication Status
Published