“…Deletion of essential genes, auxotrophic strains [7] Expression systems employed Constitutive expression, inducible systems (e.g., nisin-inducible system [NICE]) [10,22,28] Augmentation of the immune response Intracellular antigen targeting (antigen fusion with viral proteins, antigen-presenting cells binding proteins), sub-cellular antigen retention (e.g., in the rugged endoplasmic reticulum), immunomodulators (interleukins, viral or heat shock proteins) [14][15][16][17][18]21,29] Increasing protein expression Codon optimization for Lactococcus, synthetic promoters, protease deficient strains [30,31] Route of administration Dependent on the immune response most adequate for the targeted disease and the entry route of the causal agent [3] Antigen location in L. lactis Cytoplasmic, extracellular or associated with the cell [11] cases probably represent opportunistic infection of (in this case) L. lactis, due to the weakened general health of the patients [25,26]. To our knowledge no cases of infection by L. lactis have been reported in healthy individuals.…”