Abstract
Manipulation of the immune system for clinical dermatology can be divided into three categories: augmentation of immunity, suppression of immunity, or alteration of immunity such as induction of tolerance. Current methods for augmenting immunity include vaccination, medications, or interventions such as stem cell transplantation. Traditional vaccination relies upon administration of either antigens, inactivated or attenuated, or live organisms, with or without adjuvants. In the case of inherited immune deficiencies, gene therapy or bone marrow transplants have been performed. In the case of acquired immune deficiencies due to infection (such as human immunodeficiency virus), drugs directed at the causative organism have been used. In the case of acquired immune deficiency due to malignancy, antitumor medications have been indicated. While these therapies tend to be effective for their respective indications, they may lack efficiency, may lack a robust and sustained change in immune status, or may lack specificity and entail significant side effects or unintended effects.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Imbimbo BP, et al. Solanezumab for the treatment of mild-to-moderate Alzheimer’s disease. Expert Rev Clin Immunol. 2012;8(2):135–49.
Arigoni M, et al. A vaccine targeting angiomotin induces an antibody response which alters tumor vessel permeability and hampers the growth of established tumors. Angiogenesis. 2012;15(2):305–16.
Thapa P, et al. Nanoparticle formulated alpha-galactosylceramide activates NKT cells without inducing anergy. Vaccine. 2009;27(25–26):3484–8.
Hodi FS, et al. Improved survival with ipilimumab in patients with metastatic melanoma. N Engl J Med. 2010;363(8):711–23.
Ascierto PA, Marincola FM, Ribas A. Anti-CTLA4 monoclonal antibodies: the past and the future in clinical application. J Transl Med. 2011;9:196.
Marin GH, et al. Exploratory study on the effects of biodegradable nanoparticles with drugs on malignant B cells and on a human/mouse model of Burkitt lymphoma. Curr Clin Pharmacol. 2010;5(4):246–50.
Nakatsuji T, Gallo RL. Antimicrobial peptides: old molecules with new ideas. J Invest Dermatol. 2012;132(3 Pt 2):887–95.
Nakatsuji T, et al. Vaccination targeting a surface sialidase of P. acnes: implication for new treatment of acne vulgaris. PLoS One. 2008;3(2):e1551.
Wong DA, et al. Cytokine profiles in spontaneously regressing basal cell carcinomas. Br J Dermatol. 2000;143(1):91–8.
Criscione VD, et al. Actinic keratoses: natural history and risk of malignant transformation in the Veterans Affairs Topical Tretinoin Chemoprevention Trial. Cancer. 2009;115(11):2523–30.
Friedman KM, et al. Tumor-specific CD4+ melanoma tumor-infiltrating lymphocytes. J Immunother. 2012;35(5):400–8.
Lazar-Molnar E, et al. Autocrine and paracrine regulation by cytokines and growth factors in melanoma. Cytokine. 2000;12(6):547–54.
Macpherson N, Lamrock E, Watt G. Effect of inflammation on positive margins of basal cell carcinomas. Australas J Dermatol. 2010;51(2):95–8.
Maguire Jr HC, et al. Phase I study of R24 in patients with metastatic melanoma including evaluation of immunologic parameters. Cancer Biother Radiopharm. 1998;13(1):13–23.
Cafardi JA, Elmets CA. T4 endonuclease V: review and application to dermatology. Expert Opin Biol Ther. 2008;8(6):829–38.
Stone GW, et al. Nanoparticle-delivered multimeric soluble CD40L DNA combined with toll-Like Receptor agonists as a treatment for melanoma. PLoS One. 2009;4(10):e7334.
Tittarelli A, et al. Toll-like receptor 4 gene polymorphism influences dendritic cell in vitro function and clinical outcomes in vaccinated melanoma patients. Cancer Immunol Immunother. 2012 May 3. [Epub ahead of print] PubMed PMID: 22552381.
Cheng YS, Xu F. Anticancer function of polyinosinic-polycytidylic acid. Cancer Biol Ther. 2011;10(12):1219–23.
Tormo D, et al. Therapeutic efficacy of antigen-specific vaccination and toll-like receptor stimulation against established transplanted and autochthonous melanoma in mice. Cancer Res. 2006;66(10):5427–35.
Tarhini AA, et al. Safety and immunogenicity of vaccination With MART-1 (26–35, 27L), gp100 (209–217, 210M), and tyrosinase (368–376, 370D) in adjuvant with PF-3512676 and GM-CSF in metastatic melanoma. J Immunother. 2012;35(4):359–66.
Speiser DE, et al. Memory and effector CD8 T-cell responses after nanoparticle vaccination of melanoma patients. J Immunother. 2010;33(8):848–58.
Li N, et al. Effective transcutaneous immunization by antigen-loaded flexible liposome in vivo. Int J Nanomedicine. 2011;6:3241–50.
Ni X, Duvic M. Dendritic cells and cutaneous T-cell lymphomas. G Ital Dermatol Venereol. 2011;146(2):103–13.
Kim YH, et al. In situ vaccination against mycosis fungoides by intratumoral injection of a TLR9 agonist combined with radiation: a phase 1/2 study. Blood. 2012;119(2):355–63.
Richardson SK, et al. Bexarotene blunts malignant T-cell chemotaxis in Sezary syndrome: reduction of chemokine receptor 4-positive lymphocytes and decreased chemotaxis to thymus and activation-regulated chemokine. Am J Hematol. 2007;82(9):792–7.
Prince HM, Dickinson M. Romidepsin for cutaneous T-cell lymphoma. Clin Cancer Res. 2012;18(13):3509–15.
Degenhardt Y, et al. Distinct MHC gene expression patterns during progression of melanoma. Genes Chromosomes Cancer. 2010;49(2):144–54.
Baumgartner JM, et al. DC maturation and function are not altered by melanoma-derived immunosuppressive soluble factors. J Surg Res. 2012;176(1):301–8.
McCarter M, et al. Melanoma skews dendritic cells to facilitate a T helper 2 profile. Surgery. 2005;138(2):321–8.
McGary EC, Lev DC, Bar-Eli M. Cellular adhesion pathways and metastatic potential of human melanoma. Cancer Biol Ther. 2002;1(5):459–65.
Melnikova VO, Bar-Eli M. Bioimmunotherapy for melanoma using fully human antibodies targeting MCAM/MUC18 and IL-8. Pigment Cell Res. 2006;19(5):395–405.
Bradbury PA, Shepherd FA. Immunotherapy for lung cancer. J Thorac Oncol. 2008;3(6 Suppl 2):S164–70.
Wondimu A, et al. Peptides mimicking GD2 ganglioside elicit cellular, humoral and tumor-protective immune responses in mice. Cancer Immunol Immunother. 2008;57(7):1079–89.
Deng K, et al. Synthesis of QS-21-xylose: establishment of the immunopotentiating activity of synthetic QS-21 adjuvant with a melanoma vaccine. Angew Chem Int Ed Engl. 2008;47(34):6395–8.
Randazzo M, et al. Active-specific immunotherapy of human cancers with the heat shock protein Gp96-revisited. Int J Cancer. 2012;130(10):2219–31.
Hersey P. Active immunotherapy with viral lysates of micrometastases following surgical removal of high risk melanoma. World J Surg. 1992;16(2):251–60.
Hersey P. Evaluation of vaccinia viral lysates as therapeutic vaccines in the treatment of melanoma. Ann N Y Acad Sci. 1993;690:167–77.
Van Nuffel AM, et al. Epitope and HLA-type independent monitoring of antigen-specific T-cells after treatment with dendritic cells presenting full-length tumor antigens. J Immunol Methods. 2012;377(1–2):23–36.
van Broekhoven CL, et al. Targeting dendritic cells with antigen-containing liposomes: a highly effective procedure for induction of antitumor immunity and for tumor immunotherapy. Cancer Res. 2004;64(12):4357–65.
Wicki A, et al. Targeting tumor-associated endothelial cells: anti-VEGFR2 immunoliposomes mediate tumor vessel disruption and inhibit tumor growth. Clin Cancer Res. 2012;18(2):454–64.
Debierre-Grockiego F. Glycolipids are potential targets for protozoan parasite diseases. Trends Parasitol. 2010;26(8):404–11.
Kannagi R, et al. Current relevance of incomplete synthesis and neo-synthesis for cancer-associated alteration of carbohydrate determinants—Hakomori’s concepts revisited. Biochim Biophys Acta. 2008;1780(3):525–31.
Livingston PO. Approaches to augmenting the immunogenicity of melanoma gangliosides: from whole melanoma cells to ganglioside-KLH conjugate vaccines. Immunol Rev. 1995;145:147–66.
Ingale S, Buskas T, Boons GJ. Synthesis of glyco(lipo)peptides by liposome-mediated native chemical ligation. Org Lett. 2006;8(25):5785–8.
Ingale S, et al. Robust immune responses elicited by a fully synthetic three-component vaccine. Nat Chem Biol. 2007;3(10):663–7.
Ingale S, et al. Increasing the antigenicity of synthetic tumor-associated carbohydrate antigens by targeting Toll-like receptors. Chembiochem. 2009;10(3):455–63.
Ebisawa I. The encounter of Gaston Ramon (1886–1963) with formalin: a biographical study of a great scientist. Kitasato Arch Exp Med. 1987;60(3):55–70.
Oyewumi MO, Kumar A, Cui Z. Nano-microparticles as immune adjuvants: correlating particle sizes and the resultant immune responses. Expert Rev Vaccines. 2010;9(9):1095–107.
Schijns VE, Lavelle EC. Trends in vaccine adjuvants. Expert Rev Vaccines. 2011;10(4):539–50.
Sharp FA, et al. Uptake of particulate vaccine adjuvants by dendritic cells activates the NALP3 inflammasome. Proc Natl Acad Sci U S A. 2009;106(3):870–5.
Stanberry LR. Clinical trials of prophylactic and therapeutic herpes simplex virus vaccines. Herpes. 2004;11 Suppl 3:161A–9.
Schauner S, Lyon C. Bivalent HPV recombinant vaccine (Cervarix) for the prevention of cervical cancer. Am Fam Physician. 2010;82(12):1541–2.
Tan A, De La Pena H, Seifalian AM. The application of exosomes as a nanoscale cancer vaccine. Int J Nanomedicine. 2010;5:889–900.
Bowman BN, et al. Improving reverse vaccinology with a machine learning approach. Vaccine. 2011;29(45):8156–64.
Dormitzer PR, Ulmer JB, Rappuoli R. Structure-based antigen design: a strategy for next generation vaccines. Trends Biotechnol. 2008;26(12):659–67.
Palumbo A, et al. A chemically modified antibody mediates complete eradication of tumours by selective disruption of tumour blood vessels. Br J Cancer. 2011;104(7):1106–15.
Palumbo E, et al. Antigen identification starting from the genome: a “Reverse Vaccinology” approach applied to MenB. Methods Mol Biol. 2012;799:361–403.
Andre F, et al. Exosomes for cancer immunotherapy. Ann Oncol. 2004;15 Suppl 4:iv141–4.
Kooijmans SA, et al. Exosome mimetics: a novel class of drug delivery systems. Int J Nanomedicine. 2012;7:1525–41.
Mahapatro A, Singh DK. Biodegradable nanoparticles are excellent vehicle for site directed in-vivo delivery of drugs and vaccines. J Nanobiotechnology. 2011;9:55.
Kagnoff MF. Oral tolerance: mechanisms and possible role in inflammatory joint diseases. Baillieres Clin Rheumatol. 1996;10(1):41–54.
Pabst O, Mowat AM. Oral tolerance to food protein. Mucosal Immunol. 2012;5(3):232–9.
Salyaev RK, Rigano MM, Rekoslavskaya NI. Development of plant-based mucosal vaccines against widespread infectious diseases. Expert Rev Vaccines. 2010;9(8):937–46.
Rigano MM, et al. Plants as biofactories for the production of subunit vaccines against bio-security-related bacteria and viruses. Vaccine. 2009;27(25–26):3463–6.
Balmelli C, et al. Nasal immunization of mice with human papillomavirus type 16 virus-like particles elicits neutralizing antibodies in mucosal secretions. J Virol. 1998;72(10):8220–9.
Cheng C, et al. Induction of protective immunity by vaccination against Chlamydia trachomatis using the major outer membrane protein adjuvanted with CpG oligodeoxynucleotide coupled to the nontoxic B subunit of cholera toxin. Vaccine. 2009;27(44):6239–46.
Tengvall S, et al. CpG oligodeoxynucleotide augments HSV-2 glycoprotein D DNA vaccine efficacy to generate T helper 1 response and subsequent protection against primary genital herpes infection in mice. J Reprod Immunol. 2005;68(1–2):53–69.
Gittard SD, et al. Multiphoton microscopy of transdermal quantum dot delivery using two photon polymerization-fabricated polymer microneedles. Faraday Discuss 2011;149:171–85; discussion 227–45.
Nasir A. Nanotechnology in vaccine development: a step forward. J Invest Dermatol. 2009;129(5):1055–9.
Liard C, et al. Targeting of HIV-p24 particle-based vaccine into differential skin layers induces distinct arms of the immune responses. Vaccine. 2011;29(37):6379–91.
Mahe B, et al. Nanoparticle-based targeting of vaccine compounds to skin antigen-presenting cells by hair follicles and their transport in mice. J Invest Dermatol. 2009;129(5):1156–64.
Badran MM, Kuntsche J, Fahr A. Skin penetration enhancement by a microneedle device (Dermaroller) in vitro: dependency on needle size and applied formulation. Eur J Pharm Sci. 2009;36(4–5):511–23.
Kupper TS. Old and new: recent innovations in vaccine biology and skin T cells. J Invest Dermatol. 2012;132(3 Pt 2):829–34.
Degim IT, Burgess DJ, Papadimitrakopoulos F. Carbon nanotubes for transdermal drug delivery. J Microencapsul. 2010;27(8):669–81.
Wu J, et al. Programmable transdermal drug delivery of nicotine using carbon nanotube membranes. Proc Natl Acad Sci U S A. 2010;107(26):11698–702.
Im JS, Bai B, Lee YS. The effect of carbon nanotubes on drug delivery in an electro-sensitive transdermal drug delivery system. Biomaterials. 2010;31(6):1414–9.
Miyazawa M, et al. Phase I clinical trial using peptide vaccine for human vascular endothelial growth factor receptor 2 in combination with gemcitabine for patients with advanced pancreatic cancer. Cancer Sci. 2010;101(2):433–9.
Mochimaru H, et al. Suppression of choroidal neovascularization by dendritic cell vaccination targeting VEGFR2. Invest Ophthalmol Vis Sci. 2007;48(10):4795–801.
Lori F. DermaVir: a plasmid DNA-based nanomedicine therapeutic vaccine for the treatment of HIV/AIDS. Expert Rev Vaccines. 2011;10(10):1371–84.
Wang YS, et al. Immunity against tumor angiogenesis induced by a fusion vaccine with murine beta-defensin 2 and mFlk-1. Clin Cancer Res. 2007;13(22 Pt 1):6779–87.
Frech SA, et al. Use of a patch containing heat-labile toxin from Escherichia coli against travellers’ diarrhoea: a phase II, randomised, double-blind, placebo-controlled field trial. Lancet. 2008;371(9629):2019–25.
Frolov VG, et al. Transcutaneous delivery and thermostability of a dry trivalent inactivated influenza vaccine patch. Influenza Other Respi Viruses. 2008;2(2):53–60.
Frech SA, et al. Improved immune responses to influenza vaccination in the elderly using an immunostimulant patch. Vaccine. 2005;23(7):946–50.
Quan FS, et al. Dose sparing enabled by skin immunization with influenza virus-like particle vaccine using microneedles. J Control Release. 2010;147(3):326–32.
Kreiter S, et al. Intranodal vaccination with naked antigen-encoding RNA elicits potent prophylactic and therapeutic antitumoral immunity. Cancer Res. 2010;70(22):9031–40.
Manolova V, et al. Nanoparticles target distinct dendritic cell populations according to their size. Eur J Immunol. 2008;38(5):1404–13.
Kobiasi MA, et al. Control of size dispersity of chitosan biopolymer microparticles and nanoparticles to influence vaccine trafficking and cell uptake. J Biomed Mater Res A. 2012;100(7):1859–67.
Senti G, et al. Intralymphatic immunotherapy for cat allergy induces tolerance after only 3 injections. J Allergy Clin Immunol. 2012;129(5):1290–6.
Besterman JM, Low RB. Endocytosis: a review of mechanisms and plasma membrane dynamics. Biochem J. 1983;210(1):1–13.
Lim JP, Gleeson PA. Macropinocytosis: an endocytic pathway for internalising large gulps. Immunol Cell Biol. 2011;89(8):836–43.
Meyer C, et al. Interleukin-6 receptor specific RNA aptamers for cargo delivery into target cells. RNA Biol. 2012;9(1):67–80.
Zaki NM, Tirelli N. Gateways for the intracellular access of nanocarriers: a review of receptor-mediated endocytosis mechanisms and of strategies in receptor targeting. Expert Opin Drug Deliv. 2010;7(8):895–913.
De Temmerman ML, et al. Particulate vaccines: on the quest for optimal delivery and immune response. Drug Discov Today. 2011;16(13–14):569–82.
Cluff CW. Monophosphoryl lipid A (MPL) as an adjuvant for anti-cancer vaccines: clinical results. Adv Exp Med Biol. 2009;667:111–23.
Barry M, Cooper C. Review of hepatitis B surface antigen-1018 ISS adjuvant-containing vaccine safety and efficacy. Expert Opin Biol Ther. 2007;7(11):1731–7.
Vandepapeliere P, et al. Vaccine adjuvant systems containing monophosphoryl lipid A and QS21 induce strong and persistent humoral and T cell responses against hepatitis B surface antigen in healthy adult volunteers. Vaccine. 2008;26(10):1375–86.
Lell B, et al. A randomized trial assessing the safety and immunogenicity of AS01 and AS02 adjuvanted RTS, S malaria vaccine candidates in children in Gabon. PLoS One. 2009;4(10):e7611.
Yang D, et al. [Gd@C(82)(OH)(22)](n) nanoparticles induce dendritic cell maturation and activate Th1 immune responses. ACS Nano. 2010;4(2):1178–86.
Cech PG, et al. Virosome-formulated Plasmodium falciparum AMA-1 & CSP derived peptides as malaria vaccine: randomized phase 1b trial in semi-immune adults & children. PLoS One. 2011;6(7):e22273.
Garcia A, et al. Microfabricated engineered particle systems for respiratory drug delivery and other pharmaceutical applications. J Drug Deliv. 2012;2012:941243.
Agnandji ST, et al. First results of phase 3 trial of RTS, S/AS01 malaria vaccine in African children. N Engl J Med. 2011;365(20):1863–75.
Gagnon R, et al. Safe vaccination of patients with egg allergy with an adjuvanted pandemic H1N1 vaccine. J Allergy Clin Immunol. 2010;126(2):317–23.
Rubinstein E, et al. The responses of Aboriginal Canadians to adjuvanted pandemic (H1N1) 2009 influenza vaccine. CMAJ. 2011;183(13):E1033–7.
Cooper C, et al. High-level immunogenicity is achieved vaccine with adjuvanted pandemic H1N1(2009) and improved with booster dosing in a randomized trial of HIV-infected adults. HIV Clin Trials. 2012;13(1):23–32.
Tulic MK, et al. Local induction of a specific Th1 immune response by allergen linked immunostimulatory DNA in the nasal explants of ragweed-allergic subjects. Allergol Int. 2009;58(4):565–72.
Hofmann MA, et al. Phase 1 evaluation of intralesionally injected TLR9-agonist PF-3512676 in patients with basal cell carcinoma or metastatic melanoma. J Immunother. 2008;31(5):520–7.
Molenkamp BG, et al. Intradermal CpG-B activates both plasmacytoid and myeloid dendritic cells in the sentinel lymph node of melanoma patients. Clin Cancer Res. 2007;13(10):2961–9.
Cerritelli S, Velluto D, Hubbell JA. PEG-SS-PPS: reduction-sensitive disulfide block copolymer vesicles for intracellular drug delivery. Biomacromolecules. 2007;8(6):1966–72.
Hegyi Z, et al. Vitamin D analog calcipotriol suppresses the Th17 cytokine-induced proinflammatory S100 “alarmins” psoriasin (S100A7) and koebnerisin (S100A15) in psoriasis. J Invest Dermatol. 2012;132(5):1416–24.
Deguchi E, et al. Topical vitamin D3 analogues induce thymic stromal lymphopoietin and cathelicidin in psoriatic skin lesions. Br J Dermatol. 2012;167(1):77–84.
McInturff JE, et al. Granulysin-derived peptides demonstrate antimicrobial and anti-inflammatory effects against Propionibacterium acnes. J Invest Dermatol. 2005;125(2):256–63.
Simanski M, et al. Antimicrobial RNases in cutaneous defense. J Innate Immun. 2012;4(3):241–7.
Schittek B. The multiple facets of dermcidin in cell survival and host defense. J Innate Immun. 2012;4(4):349–60.
Hofmann SC, et al. Expression of innate defense antimicrobial peptides in hidradenitis suppurativa. J Am Acad Dermatol. 2012;66(6):966–74.
Dombrowski Y, Schauber J. Cathelicidin LL-37: a defense molecule with a potential role in psoriasis pathogenesis. Exp Dermatol. 2012;21(5):327–30.
Brandelli A. Nanostructures as promising tools for delivery of antimicrobial peptides. Mini Rev Med Chem. 2012;12(8):731–41.
Nguyen DN, et al. Lipid-derived nanoparticles for immunostimulatory RNA adjuvant delivery. Proc Natl Acad Sci USA. 2012;109(14):E797–803.
Williams RL, et al. Synthetic decapeptide reduces bacterial load and accelerates healing in the wounds of restraint-stressed mice. Brain Behav Immun. 2012;26(4):588–96.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2013 Springer Science+Business Media, LLC
About this chapter
Cite this chapter
Nasir, A., Gaspari, A. (2013). Augmenting the Skin Immune System. In: Nasir, A., Friedman, A., Wang, S. (eds) Nanotechnology in Dermatology. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-5034-4_15
Download citation
DOI: https://doi.org/10.1007/978-1-4614-5034-4_15
Published:
Publisher Name: Springer, New York, NY
Print ISBN: 978-1-4614-5033-7
Online ISBN: 978-1-4614-5034-4
eBook Packages: MedicineMedicine (R0)