Cholera toxin B subunit modulation of mucosal vaccines for infectious and autoimmune diseases

William Langridge, Béla Dénes, Istaván Fodor

Research output: Contribution to journalReview article

26 Citations (Scopus)


Parenteral vaccination is generally considered to be the most effective form of therapy for protection against infectious diseases. In recent years, vaccination at mucosal surfaces and combinatorial vaccination strategies that link immunostimulatory molecules to antigens have been developed to enhance vaccine efficacy. Prominent among immunological enhancement strategies are the bacterial A and B toxins, which include the cholera toxin (CT)A and CTB subunits. In contrast to the toxic CTA subunit, the non-toxic CTB subunit displays both carrier and immunostimulatory properties. When linked to pathogen antigens, CTB can impart immunostimulatory properties that are characteristic of the linked antigen. Vaccination strategies have also been broadened to include 'self' proteins applied for the immunological suppression of autoimmunity. When CTB is linked to an autoantigen, the outcome might be considered paradoxical. In type 1 diabetes, self proteins become strongly immunosuppressive, while cancer CTB-autoantigen fusion proteins may exert a strong inflammatory response. This review discusses the immunostimulatory and immunosuppressive roles played by the CTB subunit in vaccine protection and therapy against infectious and autoimmune diseases.

Original languageEnglish
Pages (from-to)919-928
Number of pages10
JournalCurrent Opinion in Investigational Drugs
Issue number8
Publication statusPublished - Aug 1 2010


  • AB enterotoxin
  • CTB fusion protein
  • autoimmunity
  • cholera toxin B
  • immunomodulator
  • infectious disease
  • mucosal vaccine
  • vaccination

ASJC Scopus subject areas

  • Pharmacology
  • Drug Discovery

Fingerprint Dive into the research topics of 'Cholera toxin B subunit modulation of mucosal vaccines for infectious and autoimmune diseases'. Together they form a unique fingerprint.

  • Cite this