Skin Vaccination Could Boost Treatment of Sexually Transmitted Infections

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A recent study published in the Nature Communications has shown how skin vaccination can generate protective CD8 T-cells that are recruited to the genital tissues and could be used as a vaccination strategy for sexually transmitted infections (STIs).

According to the researchers, one of the confronts in developing vaccines for STIs, such as HIV or herpes simplex virus, is understanding how to attract specialized immune cells, called CD8 T-cells, to take up residence in the part of the body where the virus first enters.

CD8+ T cells (often calledcytotoxic T lymphocytes, orCTLs) are very important for immune defence against intracellular pathogens, including viruses and bacteria, and for tumour surveillance. CD8+ T cells recognise peptides presented by MHC Class I molecules, found on all nucleated cells.

These cells need to be in place, armed and ready to provide an immediate protective immune defence, rather than waiting for immune cells in the blood to enter the tissues which takes time.

Before this study, it was thought that vaccines ideally needed to be delivered directly to the body surface (e.g. female genital tissue) where the infection might start, so that the immune system can generate these CD8 T-cells, travel back to the vaccination site and eliminate any future virus that is encountered.

However, delivering vaccines directly to the female genital tissue is neither patient friendly nor efficient.

Now the researchers have found that their vaccination strategy marshals a platoon of immune cells, called innate lymphoid cells (ILC1) and monocytes, in the genital tissues to work together and release chemicals (chemokines) to send out a call to the CD8 T-cells generated by the vaccine to troop into the genital tissue.

This research builds on the team's earlier work to develop skin vaccination techniques using a dissolvable ‘micro needle' vaccine patch that once placed against the skin dissolves and releases the vaccine without requiring a hypodermic needle injection and generates immune responses.

Lead author of the study, Professor Linda Klavinskis from King's College London said, “This study highlights how specialized groups of ‘innate' immune cells in distant tissues can be harnessed to attract protective CD8 T-cells, arming the body's frontline tissues from infection.

She added “We now need to confirm these results with other types of vaccines from the one used in the study to see if a common pathway is triggered by skin vaccination. If proven, this could have a significant impact in improving the effectiveness of vaccines against sexually transmitted infections.”