“…Results of studies in animals and volunteers suggest that live bacteria are especially efficient mucosal immunogens; one example is immunity to reinfection evoked by prior colonization or infection with Vibrio cholerae 01 (1,5,14). Such observations underlie efforts to develop oral vaccines for several enteric infections with live attenuated bacteria or avirulent genetic hybrids that produce antigens of unrelated pathogenic bacteria (3,7,10,11,15). The aim of such vaccines is to evoke mucosal immunity, including, but not necessarily restricted to, protective sIgA responses.…”