Table 1 List of currently licensed mucosal vaccines (modified from reference 8)

From: Antigen targeting to M cells for enhancing the efficacy of mucosal vaccines

Pathogens

Trade names

Composition

Dosage

Immunological mechanism

Efficacy

Rotavirus

Rotarix; RotaTeq

Live attenuated, monovalent or pentavalent rotaviruses

Oral, 3 doses

Mucosal IgA and systemic neutralizing IgG

Over 70–90% against severe disease

Poliovirus

Orimune; OPV; Poliomyelitis vaccine

Live attenuated trivalent, bivalent and monovalent polioviruses

Oral, 3 doses

Mucosal IgA and systemic IgG

Over 90% in most of the world

Salmonella Typhi

Vivotif; Ty21A

Live attenuated S. typhi bacteria

Oral, 3–4 doses

Mucosal IgA, systemic IgG and CTL responses

Variable, but more than 50%

Vibrio cholera

Dukoral; ORC-Vax; Shanchol

Inactivated V. cholera O1 classical and El Tor biotypes with or without CTB

Oral, 2–3 doses

Antibacterial, toxin-specific and LPS-specific IgA

Strong herd protection over 85%

  1. Abbreviations: CTB, cholera toxin B subunit; CTL, cytotoxic T lymphocyte; LPS, lipopolysaccharide; OPV, oral polio vaccine.