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Mucosal\n                    <jats:styled-content style=\"fixed-case\">CD<\/jats:styled-content>\n                    4\n                    <jats:sup>+<\/jats:sup>\n                    T\u2010cell responses have been shown to be essential for vaccine\u2010induced protection against\n                    <jats:italic>H. pylori<\/jats:italic>\n                    infection. The current study addresses the influence of the adjuvant and site of mucosal immunization on early\n                    <jats:styled-content style=\"fixed-case\">CD<\/jats:styled-content>\n                    4\n                    <jats:sup>+<\/jats:sup>\n                    T\u2010cell priming to\n                    <jats:italic>H. pylori<\/jats:italic>\n                    antigens. The vaccine formulation consisted of\n                    <jats:italic>H. pylori<\/jats:italic>\n                    lysate antigens and mucosal adjuvants, cholera toxin (\n                    <jats:styled-content style=\"fixed-case\">CT<\/jats:styled-content>\n                    ) or a detoxified double\u2010mutant heat\u2010labile enterotoxin from\n                    <jats:italic>Escherichia coli<\/jats:italic>\n                    (dm\n                    <jats:styled-content style=\"fixed-case\">LT<\/jats:styled-content>\n                    ), which were administered by either the sublingual or intragastric route. We report that\n                    <jats:italic>in vitro<\/jats:italic>\n                    , adjuvants\n                    <jats:styled-content style=\"fixed-case\">CT<\/jats:styled-content>\n                    and dm\n                    <jats:styled-content style=\"fixed-case\">LT<\/jats:styled-content>\n                    induce up\u2010regulation of pro\u2010inflammatory gene expression in purified dendritic cells and enhance the\n                    <jats:italic>H. pylori<\/jats:italic>\n                    \u2010specific\n                    <jats:styled-content style=\"fixed-case\">CD<\/jats:styled-content>\n                    4\n                    <jats:sup>+<\/jats:sup>\n                    T\u2010cell response including interleukin\u201017A (\n                    <jats:styled-content style=\"fixed-case\">IL<\/jats:styled-content>\n                    \u201017A), interferon\u2010\n                    <jats:italic>\u03b3<\/jats:italic>\n                    (\n                    <jats:styled-content style=\"fixed-case\">IFN<\/jats:styled-content>\n                    \u2010\n                    <jats:italic>\u03b3<\/jats:italic>\n                    ) and tumour necrosis factor\u2010\n                    <jats:italic>\u03b1<\/jats:italic>\n                    (\n                    <jats:styled-content style=\"fixed-case\">TNF<\/jats:styled-content>\n                    \u2010\n                    <jats:italic>\u03b1<\/jats:italic>\n                    ) secretion.\n                    <jats:italic>In vivo<\/jats:italic>\n                    , sublingual immunization led to an increased frequency of\n                    <jats:styled-content style=\"fixed-case\">IL<\/jats:styled-content>\n                    \u201017A\n                    <jats:sup>+<\/jats:sup>\n                    ,\n                    <jats:styled-content style=\"fixed-case\">IFN<\/jats:styled-content>\n                    \u2010\n                    <jats:italic>\u03b3<\/jats:italic>\n                    <jats:sup>+<\/jats:sup>\n                    and\n                    <jats:styled-content style=\"fixed-case\">TNF<\/jats:styled-content>\n                    \u2010\n                    <jats:italic>\u03b1<\/jats:italic>\n                    <jats:sup>+<\/jats:sup>\n                    secreting\n                    <jats:styled-content style=\"fixed-case\">CD<\/jats:styled-content>\n                    4\n                    <jats:sup>+<\/jats:sup>\n                    T cells in the cervical lymph nodes compared with in the mesenteric lymph nodes after intragastric immunization. Subsequently,\n                    <jats:styled-content style=\"fixed-case\">IL<\/jats:styled-content>\n                    \u201017A\n                    <jats:sup>+<\/jats:sup>\n                    cells were visualized in the stomach of sublingually immunized and challenged mice. In summary, our results suggest that addition of an adjuvant to the vaccine clearly activated dendritic cells, which in turn, enhanced\n                    <jats:styled-content style=\"fixed-case\">CD<\/jats:styled-content>\n                    4\n                    <jats:sup>+<\/jats:sup>\n                    T\u2010cell cytokines\n                    <jats:styled-content style=\"fixed-case\">IL<\/jats:styled-content>\n                    \u201017A,\n                    <jats:styled-content style=\"fixed-case\">IFN<\/jats:styled-content>\n                    \u2010\n                    <jats:italic>\u03b3<\/jats:italic>\n                    and\n                    <jats:styled-content style=\"fixed-case\">TNF<\/jats:styled-content>\n                    \u2010\n                    <jats:italic>\u03b1<\/jats:italic>\n                    responses, particularly in the cervical lymph nodes after sublingual vaccination.\n                  <\/jats:p>","DOI":"10.1111\/imm.12676","type":"journal-article","created":{"date-parts":[[2016,9,27]],"date-time":"2016-09-27T08:53:15Z","timestamp":1474966395000},"page":"172-183","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":30,"title":["Induction of mucosal immune responses against\n                    <i>Helicobacter pylori<\/i>\n                    infection after sublingual and intragastric route of immunization"],"prefix":"10.1111","volume":"150","author":[{"given":"Louise","family":"Sj\u00f6kvist Ottsj\u00f6","sequence":"first","affiliation":[{"name":"Department of Microbiology &amp; Immunology Institute of Biomedicine Sahlgrenska Academy University of Gothenburg Gothenburg Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Frida","family":"Jeverstam","sequence":"additional","affiliation":[{"name":"Department of Microbiology &amp; Immunology Institute of Biomedicine Sahlgrenska Academy University of Gothenburg Gothenburg Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Linda","family":"Yrlid","sequence":"additional","affiliation":[{"name":"Department of Microbiology &amp; Immunology Institute of Biomedicine Sahlgrenska Academy University of Gothenburg Gothenburg Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexander U.","family":"Wenzel","sequence":"additional","affiliation":[{"name":"Department of Microbiology &amp; Immunology Institute of Biomedicine Sahlgrenska Academy University of Gothenburg Gothenburg Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anna K.","family":"Walduck","sequence":"additional","affiliation":[{"name":"School of Science RMIT University Bundoora Vic. 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