Current Topics in Microbiology and Immunology Volume 351 Series Editors Klaus Aktories Medizinische Fakultät, Institut für Experimentelle und Klinische Pharmakologie und Toxikologie, Albert-Ludwigs-Universität Freiburg, Abt. I, Albertstr. 25, 79104 Freiburg, Germany Richard W. Compans Department of Microbiology and Immunology, Emory University School of Medicine, 3001 Rollins Research Center, Atlanta, 30322, GA, USA Max D. Cooper Department of Pathology and Laboratory Medicine, Georgia Research Alliance, Emory University, 1462 Clifton Road, Atlanta, 30322, GA, USA Yuri Y. Gleba ICON Genetics AG, Biozentrum Halle, Weinbergweg 22, 06120 Halle, Germany Tasuku Honjo DepartmentofMedicalChemistry,FacultyofMedicine,KyotoUniversity,Sakyo- ku, Yoshida, Kyoto, 606-8501, Japan Hilary Koprowski Biotechnology Foundation, Inc., 119 Sibley Avenue, Ardmore, PA, 19003, USA Bernard Malissen Centre d’Immunologie de Marseille-Luminy, Parc Scientifique de Luminy, Case 906, 13288, Marseille Cedex 9, 13288, France Fritz Melchers MaxPlanckInstituteforInfectionBiology,Charitéplatz1,10117Berlin,Germany Michael B. A. Oldstone Department of Neuropharmacology, Division of Virology, The Scripps Research Institute, 10550 North Torrey Pines Road, La Jolla, CA, 92037, USA Peter K. Vogt Department of Molecular and Experimental Medicine, The Scripps Research Institute, 10550 North Torrey Pines Road, BCC-239, La Jolla, CA, 92037, USA Current Topics in Microbiology and Immunology Previously publishedvolumes Further volumes canbe foundatwww.springer.com Vol.325:Shenk,ThomasE.;Stinski,MarkF.(Eds.): Vol.338:Rothman,AlanL.(Ed.): HumanCytomegalovirus.2008. DengueVirus.2009. ISBN978-3-540-77348-1 ISBN978-3-642-02214-2 Vol.326:Reddy,AnireddyS.N.; Vol.339:Spearman,Paul;Freed,EricO.(Eds.): Golovkin,Maxim(Eds.): HIVInteractionswithHostCellProteins.2009. Nuclearpre-mRNAprocessinginplants.2008 ISBN978-3-642-02174-9 ISBN978-3-540-76775-6 Vol.340:Saito,Takashi;Batista,FacundoD.(Eds.): Vol.327:Manchester,Marianne; ImmunologicalSynapse.2010. SteinmetzNicoleF.(Eds.): ISBN978-3-642-03857-0 VirusesandNanotechnology.2008. Vol.341:Bruserud,Øystein(Ed.): ISBN978-3-540-69376-5 TheChemokineSysteminClinical Vol.328:vanEtten,(Ed.): andExperimentalHematology.2010. 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ISBN978-3-642-13662-7 ISBN978-3-540-92164-6 Vol.347:ChristianRommel;BartVanhaesebroeck; Vol.334:McGavern,Dorian;Dustin,Micheal(Eds.): PeterK.Vogt(Ed.): VisualizingImmunity.2009. Phosphoinositide3-kinaseinHealthandDisease.2010. ISBN978-3-540-93862-0 ISBN978-3-642-14815-6 Vol.335:Levine,Beth;Yoshimori,Tamotsu; Vol.348:LyubomirVassilev;DavidFry(Eds.): Deretic,Vojo(Eds.): Small-MoleculeInhibitorsofProtein-Protein AutophagyinInfectionandImmunity.2009. Interactions.2011. ISBN978-3-642-00301-1 ISBN978-3-642-17082-9 Vol.349:MichaelKartin(Ed.): Vol.336:Kielian,Tammy(Ed.): NF-kBinHealthandDisease.2011. Toll-likeReceptors:RolesinInfectionand ISBN:978-3-642-16017-2 Neuropathology.2009. ISBN978-3-642-00548-0 Vol.350:RafiAhmed;TasukuHonjo(Eds.) NegativeCo-receptorsandLigands.2011. Vol.337:Sasakawa,Chihiro(Ed.): ISBN:978-3-642-19545-7 MolecularMechanismsofBacterialInfectionviatheGut. 2009. ISBN978-3-642-01845-9 Marcel B. M. Teunissen Editor Intradermal Immunization Responsible series editor: Richard W. Compans 123 MarcelB. M.Teunissen, Ph.D Department of Dermatology Academic Medical Center Universityof Amsterdam Meibergdreef 9 1105AZ Amsterdam The Netherlands e-mail: [email protected] ISSN 0070-217X ISBN 978-3-642-23689-1 e-ISBN978-3-642-23690-7 DOI 10.1007/978-3-642-23690-7 SpringerHeidelbergDordrechtLondonNewYork LibraryofCongressControlNumber:2011937253 (cid:2)Springer-VerlagBerlinHeidelberg2012 Thisworkissubjecttocopyright.Allrightsarereserved,whetherthewholeorpartofthematerialis concerned,specificallytherightsoftranslation,reprinting,reuseofillustrations,recitation,broadcast- ing, reproduction on microfilm or in any other way, and storage in data banks. Duplication of this publicationorpartsthereofispermittedonlyundertheprovisionsoftheGermanCopyrightLawof September 9, 1965, in its current version, and permission for use must always be obtained from Springer.ViolationsareliabletoprosecutionundertheGermanCopyrightLaw. Theuseofgeneraldescriptivenames,registerednames,trademarks,etc.inthispublicationdoesnot imply, even in the absence of a specific statement, that such names are exempt from the relevant protectivelawsandregulationsandthereforefreeforgeneraluse. Coverdesign:Deblik,Berlin Printedonacid-freepaper SpringerispartofSpringerScience+BusinessMedia(www.springer.com) Preface Intradermal Immunization: More than Just Skin-Deep Vaccination is one of the most powerful interventions to effectively reduce mor- tality and morbidity caused by infectious diseases. It originated in 1796 when Jenner inoculated cowpox virus into the skin to render individuals resistant to subsequent infection with the potentially lethal smallpox virus. Since then, numerous vaccines have been developed against many bacteria and viruses, leadingtoeradication(smallpox)orcontrolofprevailinginfectiousdiseases(such as mumps, measles, rabies, yellow fever, influenza, and several others). Despite the impressive success of current vaccine programs, there remains a need to improvetheeffectivenessofcurrentvaccines.Amorepowerfulandlongerlasting immune response induced by smaller and fewer doses of vaccine is an exciting challenge and necessary to reduce costs and to avoid vaccine shortages during pandemic epidemics. Improvement of effectiveness also enables induction of protective immunity in populations that respond poorly to vaccination, for example elderly or immunocompromised individuals. Furthermore, for some devastatinginfectiousdiseases(suchasAIDSandmalaria)effectivevaccineshave notbeensuccessfullydeveloped.Therapidlyexpandingknowledgeonthecellular and molecular mechanisms involved in and controlling protective immune responses will ultimately lead to better vaccines. According to the generally accepted dogma, dendritic cells have a crucial role in up taking antigens (e.g. vaccine)andprimingtherequiredtypeofTcellresponseforprotectiveimmunity. In addition, ample evidence proves that triggering pattern recognition receptors (such as Toll-like receptors) on dendritic cells boosts the immunostimulatory function of these cells. Although the pioneering work of Jenner demonstrated that administration of pathogensasavaccineintheskinprovidedprotection,nowadaysthevastmajority of the vaccines are applied as subcutaneous and intramuscular injection. There is no scientific evidence to show that these routes are optimal for vaccination. The skinharborsawidespreadnetworkofdendriticcellsandcontainsawell-developed v vi Preface immune system with a good connection to regional lymphatic tissues. Therefore, theskinformsanattractivesiteforefficientimmunization.Itmayverywellbethat intradermal vaccination is superior to the conventional intramuscular or subcuta- neousmethods.ThereviewsinthisvolumeofCurrentTopicsinMicrobiologyand Immunology cover diverse topics related to intradermal immunization. The vol- umestartswithabasicoverviewofmurineandhumanskindendriticcellnetwork, respectively,andtheirroleinimmunity,aswellasanextensivedescriptionofthe immunobiology of the skin. The next chapter describes the state-of-the-art on delivery systems especially designed for intradermal vaccination. The remaining chapters highlight the effectiveness of intradermal immunization in experimental animal models or in clinical practice, all supporting the view that intradermal immunization is at least as good as other immunization routes. Keeping in mind thatcurrentvaccinesarenotspeciallydesignedforintradermalimmunization,but show comparable efficiency even at reduced dosages, this underlines the great potential for the skin as a vaccination site and suggests that the efficacy can be further improved. Hopefully, the overview in this volume will encourage vaccine designerstofocusonthispromisingimmunizationroute,andinaddition,toinspire them to develop a cocktail of antigen, adjuvant and formulation that is especially optimized for intradermal immunization. Finally, I would like to thank Professor Richard W. Compans at Emory Uni- versity School of Medicine (Atlanta, GA, USA) for inviting me to edit this vol- ume, all the authors for their expert contributions, and Anne Clauss for her patience and taking care of organizing the process of publication. Amsterdam, The Netherlands Marcel B. M. Teunissen Contents Understanding the Murine Cutaneous Dendritic Cell Network to Improve Intradermal Vaccination Strategies . . . . . . . . . . . . . . . . . 1 F. Ginhoux, L. G. Ng and M. Merad Insight into the Immunobiology of Human Skin and Functional Specialization of Skin Dendritic Cell Subsets to Innovate Intradermal Vaccination Design. . . . . . . . . . . . . . . . . . . . 25 M. B. M. Teunissen, M. Haniffa and M. P. Collin Delivery Systems for Intradermal Vaccination . . . . . . . . . . . . . . . . . . 77 Y. C. Kim, C. Jarrahian, D. Zehrung, S. Mitragotri and M. R. Prausnitz Targeting Skin Dendritic Cells to Improve Intradermal Vaccination . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 113 N. Romani, V. Flacher, C. H. Tripp, F. Sparber, S. Ebner and P. Stoitzner Intradermal Rabies Vaccination: The Evolution and Future of Pre- and Post-exposure Prophylaxis. . . . . . . . . . . . . . . . . . . . . . . . 139 M. J. Warrell Intradermal Vaccination to Protect Against Yellow Fever and Influenza . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 159 A. H. E. Roukens, L. B. S. Gelinck and L. G. Visser The Dermis as a Portal for Dendritic Cell-Targeted Immunotherapy of Cutaneous Melanoma. . . . . . . . . . . . . . . . . . . . . . 181 D. Oosterhoff, B. J. R. Sluijter, B. N. Hangalapura and T. D. de Gruijl vii viii Contents DNA Vaccines and Intradermal Vaccination by DNA Tattooing. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 221 K.Oosterhuis,J.H.vandenBerg,T.N.Schumacherand J. B. A. G. Haanen Index . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 251 Contributors M. P. Collin Institute of Cellular Medicine, Newcastle University, Newcastle upon Tyne, NE2 4HH, UK T.D.deGruijlDepartmentofMedicalOncology,VUUniversityMedicalCenter, De Boelelaan 1117, 1081 HV, Amsterdam, The Netherlands S. Ebner Department of Dermatology and Venereology, Innsbruck Medical University, Anichstrasse 35, 6020, Innsbruck, Austria V. Flacher Department of Dermatology and Venereology, Innsbruck Medical University, Anichstrasse 35, 6020, Innsbruck, Austria L.B.S.GelinckDepartmentofInternalMedicine,MedischCentrumHaaglanden, P.O. Box 432, 2501 CK, The Hague, The Netherlands F. Ginhoux Singapore Immunology Network (SIgN), Agency for Science, TechnologyandResearch (A*STAR),8ABiomedicalGrove, Immunos,Biopolis, Singapore 138648, Singapore J. B. A. G. Haanen DivisionofImmunology,TheNetherlandsCancerInstitute, Plesmanlaan121,1066CX,Amsterdam,TheNetherlands B. N. Hangalapura Department of Medical Oncology VU University Medical Center, De Boelelaan 1117, 1081 HV, Amsterdam, The Netherlands M.HaniffaInstituteofCellularMedicine,NewcastleUniversity,Newcastleupon Tyne, NE2 4HH, UK C. Jarrahian PATH, Seattle, WA, 98121, USA Y. C. Kim School of Chemical and Biomolecular Engineering, Georgia Institute of Technology, Atlanta, GA, 30332, USA M.MeradDepartmentofGeneandCellMedicineandtheImmunologyInstitute, Mount Sinai School of Medicine, 1425 Madison Avenue, New York, NY, 10029, USA ix x Contributors S. Mitragotri Department of Chemical Engineering, University of California Santa Barbara, Santa Barbara, CA, 93106, USA L. G. Ng Singapore Immunology Network (SIgN), Agency for Science, Tech- nology and Research (A*STAR), 8A Biomedical Grove, Immunos, Biopolis, Singapore 138648, Singapore D. Oosterhoff Department of Medical Oncology, VU University Medical Center, De Boelelaan 1117, 1081 HV, Amsterdam, The Netherlands K. Oosterhuis Division of Immunology, The Netherlands Cancer Institute, Ples- manlaan121,1066CX,Amsterdam,TheNetherlands M. R. Prausnitz School of Chemical and Biomolecular Engineering, Georgia Institute of Technology, Atlanta, GA, 30332, USA N. Romani Department of Dermatology and Venereology, Innsbruck Medical University, Anichstrasse 35, 6020, Innsbruck, Austria A. H. E. Roukens Department of Infectious Diseases, Suite C5-P, Leiden University Medical Centre, Albinusdreef 2, 2333 ZA, Leiden, The Netherlands T. N. Schumacher Division of Immunology, The Netherlands Cancer Institute, Plesmanlaan121,1066CX,Amsterdam,TheNetherlands B. J. R. Sluijter Department of Surgical Oncology, VU University Medical Center, De Boelelaan 1117, 1081 HV, Amsterdam, The Netherlands F. Sparber Department of Dermatology and Venereology Innsbruck Medical University, Anichstrasse 35, 6020, Innsbruck, Austria P. Stoitzner Department of Dermatology and Venereology, Innsbruck Medical University, Anichstrasse 35, 6020, Innsbruck, Austria M. B. M. Teunissen Department of Dermatology, Academic Medical Center, UniversityofAmsterdam,Meibergdreef9,1105AZ,Amsterdam,TheNetherlands C. H. Tripp Department of Dermatology and Venereology, Innsbruck Medical University, Anichstrasse 35, 6020, Innsbruck, Austria J. H. van den Berg Division of Immunology, The Netherlands Cancer Institute, Plesmanlaan121,1066CX,Amsterdam,TheNetherlands L. G. Visser Department of Infectious Diseases, Suite C5-P, Leiden University Medical Centre, Albinusdreef 2, 2333 ZA, Leiden, The Netherlands M. J. Warrell Oxford Vaccine Group, Centre for Clinical Vaccinology and Tropical Medicine, Churchill Hospital, University of Oxford, Oxford, OX3 7LJ, UK D. Zehrung PATH Seattle, WA, 98121, USA