Dithranol as novel co-adjuvant for non-invasive dermal vaccination

Author:

Sohl Julian,Hartmann Ann-Kathrin,Hahlbrock Jennifer,Bartneck Joschka,Stassen Michael,Klein Matthias,Bros Matthias,Grabbe Stephan,Marini FedericoORCID,Woods Kevin,Guezguez BorhaneORCID,Mack MatthiasORCID,Schild Hansjörg,Muth Sabine,Melchior FelixORCID,Probst Hans Christian,Langguth Peter,Radsak Markus P.ORCID

Abstract

AbstractTranscutaneous immunization (TCI) utilizing the TLR7 agonist imiquimod (IMQ-TCI) induces T cell-driven protective immunity upon application onto intact skin. In our present work, we combine the anti-psoriatic agent dithranol with IMQ-TCI to boost vaccination efficacy (Dithranol/IMQ-based transcutaneous vaccination (DIVA)). Using ovalbumin-derived peptides as model antigens in mice, DIVA induced superior cytolytic CD8+ T cells and CD4+ T cells with a TH1 cytokine profile in the priming as well as in the memory phase. Regarding the underlying mechanisms, dithranol induced an oxidant-dependent, monocyte-attracting inflammatory milieu in the skin boosting TLR7-dependent activation of dendritic cells and macrophages leading to superior T cell priming and protective immunity in vaccinia virus infection. In conclusion, we introduce the non-invasive vaccination method DIVA to induce strong primary and memory T cell responses upon a single local treatment. This work provides relevant insights in cutaneous vaccination approaches, paving the way for clinical development in humans.

Funder

Deutsche Forschungsgemeinschaft

Publisher

Springer Science and Business Media LLC

Subject

Pharmacology (medical),Infectious Diseases,Pharmacology,Immunology

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