Vaccines
have become a method of primary disease prevention in healthcare and can be
categorized by method of administration and production. Researchers have been
striving to find more cost efficient and patient appealing ways to provide
immunotherapy. Oral administration is considered easier than injection,
especially with younger patients (Kim and Yang, 2010). The need for simple administration
and cheaper production was the basis for establishing the Children’s Vaccine
Initiative in 1990 (Arntzen, 1997). One benefit to oral vaccination is the
absence of pain. This is appealing for younger patients and could increase
child vaccination rates because the fear of pain is gone (Arntzen, 1997). The
use of transgenic plants as a vector for oral vaccines has significant
advantages over their injection counterpart such as lower production cost,
absence of genes that may cause pathogenesis, elimination of needles, and do
not require refrigeration to maintain viability (Guan et al., 2013). In 2000,
it was estimated that the production cost for vaccinations using transgenic
plants could be 10 to 50-fold lower than through traditional bacterial fermentation
(Giddings et al., 2000). There are two transformation approaches. One is
nuclear transformation, which uses Agrobacterium, and the other is
transient expression, which uses a plant virus (Kim and Yang, 2010; Giddings et
al., 2000). Producing transgenic plants using Agrobacterium tumefaciens
introduces its DNA into the plant cells by using the recombinant plasmid vector
to insert its genes into the genome of the host plant. The other method
is to infect the plant with a recombinant virus expressing the desired
transgene which will be incorporated into the host’s DNA during replication
(Kim and Yang, 2010; Giddings et al., 2000). The significance of this is that
as the vaccine passes through GI tract, it comes into contact with the gut
associated lymphoid tissues (GALT) stimulating immunoglobulin A production
imitating a natural infection, and providing mucosal as well as systemic
immunity. This cannot be accomplished through vaccine injection. The
antigen is protected from the stomach by the plant cell wall. In the intestine,
it is broken down further releasing the antigen into the body. The antigen then
stimulates an immune response (Sharma and Sood, 2011). Therefore, transgenic
plants may provide an alternative form of immunotherapy by providing vaccinations
through oral consumption, thus lowering the production cost of vaccinations and
making them more readily available.
References:
Arntzen,
C. J. (1997). Edible vaccines. Public
Health Reports, 112, 190-197.
Retrieved from http://ezproxy.msu.edu/login?url=http://search.proquest.com/docview/59785612?accountid=12598
Giddings,
G., Gordon, A., Brooks, D., et al. (2000). Transgenic plants as factories for
biopharmaceuticals. Nature Biotechnology, 18(11),
1151-5. doi:10.1038/81132
Guan, Z., Guo, B., Huo, Y., et al.
(2013). Recent advances and safety issues of transgenic plant-
derived vaccines.
Applied Microbiology and Biotechnology, 97(7), 2817-40. doi:10.1007/s00253-012-4566-2
Kim, T., & Yang, M. (2010).
Current trends in edible vaccine development using transgenic
plants.
Biotechnology and Bioprocess Engineering: BBE, 15(1), 61-65.
doi:10.1007/s12257-009-3084-2
Sharma,
M., & Sood, B. (2011). A banana or a syringe: Journey to edible vaccines. World
Journal of Microbiology and Biotechnology, 27(3), 471-477. doi:10.1007/s11274-010-0481-9
I think that this is a very interesting article, and am curious as to see if this is implemented in the upcoming future! As seen with the nasal administration of the flu vaccines, I feel like oral administration of vaccines may be a great alternative. If proven to be effective, this may be also be a great solution for individuals with clotting disorders, who may otherwise have not been able to be vaccinated. Quick question, do you think that the children's edible vaccines will be offered in grape or cherry flavors?
ReplyDeleteGrape is the most disgusting medicine flavor available however Robitussin's cherry is a very close second.
ReplyDeleteI was thinking the exact same thing. You know what they say...
ReplyDeleteHey, Will! I think this is such a fascinating article and actually would be a promising implementation into the field of pediatrics. I love that you gave such immense detail, which lent a greater understanding to something I'm unfamiliar with. There is one question I would like to pose. Do you think these transgenic plants should be considered genetically modified or a GMO? If so, how should we inform patients of this if consuming GMOs goes against their personal lifestyle? I think it's amazing that we are able to manipulate genes in such a way, and I'm totally pro-transgenic manipulation. GMOs just seem like such a hot topic right now, and this issue is something I could foresee effecting the future of edible vaccines. I hope we are able to discuss more of this in bioethics next semester (: that would be awesome and hopefully would shed more insight on this particular issue. I found an article that briefly touches on some of the ethics and future hurdles that involve edible vaccines if you wanna check it out (http://www.ijmm.org/article.asp?issn=0255-0857;year=2007;volume=25;issue=2;spage=93;epage=102;aulast=Lal). Great post!
ReplyDeleteThe research that I found does consider them GMOs, that being said, just like any treatment, it's an option. I can tell a patient that this vaccine will be cheap and painless but it is a GMO or the alternative is a needle stick and it will be more expensive. I think that is more of a first world problem, this would be much more beneficial in getting vaccines from the US to Africa to combat disease because of the ease of shipping.
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