Commercially available LAIV was supplied each year by MedImmune,

Commercially available LAIV was supplied each year by MedImmune, and commercially available TIV was purchased by KP as part of routine practice. Each annual formulation of the vaccines contained the strains recommended for inclusion by the US Public Health Service. Subjects were screened for underlying medical conditions and provided the appropriate vaccine based on the eligibility criteria in each vaccine’s package insert, physician discretion, and patient choice. The protocol was reviewed and approved by the KP Institutional Review Board. The study’s objective was to assess the safety of LAIV, by comparing the rates of medically attended events (MAEs)

in LAIV recipients, including all MAEs by diagnosis and specifically GDC-0941 purchase serious selleck chemicals llc adverse events (SAEs), anaphylaxis, urticaria, asthma, wheezing, prespecified diagnoses of interest, and rare events potentially related to wild-type influenza, to the rates in 3 nonrandomized control groups. Through KP immunization registries, approximately 40,000 individuals 5–17 years of age who were immunized with LAIV as part of routine clinical practice were identified from the 2003–2004 through the 2007–2008 influenza seasons. The population included approximately 20,000 individuals in each of 2 age groups;

5–8 years and 9–17 years. Subjects from 5 to 8 years of age may have received 1 or 2 doses of LAIV in accordance with influenza vaccination recommendations whereas subjects ≥9 years of age were expected to receive only 1 dose. Study subjects with high-risk underlying medical conditions such as cancer, organ transplantation, diabetes, endocrine and metabolic disorders, blood

disorders, liver disorders, kidney disorders old and cardiopulmonary disorders (for whom LAIV was not recommended) were identified via automated extraction of healthcare databases and were excluded from analysis in all cohorts. Three nonrandomized control groups were identified for comparison: a within-cohort (i.e., self-control) control, matched concurrent unvaccinated controls, and matched concurrent TIV recipient controls. For the within-cohort analysis, LAIV recipients served as their own controls based on the observation time after vaccination. Risk intervals of 3 and 21 days postvaccination were compared with control intervals from 4 to 42 days postvaccination (for the 3-day risk interval) and 22 to 42 days postvaccination (for a 0- to 21-day risk interval). Unvaccinated controls were selected from the pool of individuals who were members of KP during the same month that the reference LAIV recipient was vaccinated and included those who did not receive TIV or LAIV. For the unvaccinated population, the effective vaccination date was the date on which the matched LAIV recipient was vaccinated.

More recent studies have examined novel behavioral outcomes,
<

More recent studies have examined novel behavioral outcomes,

including social buffering effects on pain tolerance (reviewed in Martin et al., 2014) and changes in alcohol consumption (Anacker et al., 2011; Hostetler and Ryabinin, 2014). Social housing impacts HPA axis responsiveness to a stressor or to hormonal stimulation via CRF. Following CRF administration, male group-housed rats have reduced CORT and ACTH relative to isolated males (Ruis et al., 1999). In young male guinea pigs, presence of the mother or an unfamiliar adult female attenuates increases in plasma ACTH, cortisol and vocalizations in response GSK1210151A to a novel environment (Hennessy et al., 2000), with additional, subtly varying effects across the lifespan (Hennessy et al., 2006). Studies in prairie voles allow for distinction between buffering by social peers and reproductive partners.

In prairie voles, exposure to a novel individual of the opposite sex leads to a decline in serum CORT over the following 15–60 min Dolutegravir research buy in both males and females, while same-sex novel pairings did not influence serum CORT (DeVries et al., 1997 and DeVries et al., 1995). This decline in CORT may be important for the ability of the female to form a partner preference, while it must pass in order for males to form (CORT-dependent) partner preferences (DeVries, 2002). The nature of social buffering may be quite different within established social relationships: in prairie voles, female sibling pairs experienced elevated CORT until following separation and this effect was attenuated following reunion (unpublished data referenced in Carter et al., 1995). In males, loss of a female partner also

resulted in increased circulating CORT as well as increased adrenal weight (Bosch et al., 2009). The presence of a partner may provide social buffering from a stressor; female prairie voles that recovered alone from immobilization stress exhibited high levels of CORT and increased anxiety behavior, while females recovering with their male partner showed no such elevation (Smith and Wang, 2014). While CORT is an easily measured signal that often relates to stress level, it is worth noting that measurement of glucocorticoids is not always a clear indicator of either stress exposure or stressed affect, and stress may result in both enhanced and dampened CORT profiles depending on timing and chronicity (e.g. Sapolsky et al., 2000 and Beery et al., 2012). Social companionship has been associated with outcomes beyond the HPA axis, although many of these changes may ultimately be related to common pathways. For example, in prairie voles, females recovering from immobilization stress with a male partner showed no CORT elevation, coupled with evidence of increased oxytocin (OT) release in the paraventricular nucleus (PVN) of the hypothalamus.

Particular thanks go to the child group management and staff and

Particular thanks go to the child group management and staff and the parents who participated. “
“Foot-and-mouth disease (FMD) is an economically important viral disease that affects animals such as cattle, swine and sheep with a potential for rapid spread. The causative agent, FMD virus (FMDV), is a positive-stranded RNA virus enclosed by an icosahedral capsid. Intact (infectious) FMDV particles sediment at 146S in sucrose gradients. They are composed of 60 copies of VP1, VP2, VP3 and VP4 each and the RNA molecule [1]. Specific degradation products of such virions can be generated by mild acid treatment or heating to 56 °C. These 12S

particles consist of 5 copies of VP1, VP2 and VP3 each and lack VP4 [2]. Seven antigenically distinct serotypes of FMDV have been identified: O, A, C, Asia 1, SAT1, SAT2 and SAT3 [3]. Conventional FMD

KU-57788 solubility dmso vaccines are based on virus that is cultured using baby hamster kidney (BHK)-21 cells, inactivated by binary ethyleneimine (BEI) treatment, concentrated and formulated with a suitable adjuvant. Such FMD vaccines are unstable as measured by potency tests or serology [4] and [5]. The molecular basis for this decrease in FMDV immunogenicity is unclear. Proteolysis of FMDV antigens has been detected during prolonged storage at 4 °C [6] and [7]. Dissociation of 146S particles into 12S particles could also be involved [8]. Finally, specific chemical modifications such as deamidation or oxidation of specific amino acids

could also negatively affect vaccine efficacy, as was Navitoclax datasheet demonstrated for several other vaccine antigens [9] and [10]. However, chemical modification of FMDV antigen has never been analysed. In this study we used surface-enhanced laser desorption ionization-time of flight-mass spectrometry (SELDI-TOF-MS) for profiling of FMDV antigen. This method uses several ProteinChip arrays for immobilization of proteins on various chromatographic surfaces dependent on their physicochemical characteristics. Antibodies can also be covalently coupled to activated surfaces of particular ProteinChip arrays for specific immunocapture of the target antigen Resveratrol from complex samples. The noncovalently bound antigens are then analysed by TOF-MS. Advantages of SELDI-TOF-MS as compared to Western blotting or 2D SDS-PAGE are higher sensitivity (at least at lower molecular mass), low sample volume, ease-of-use, speed and high reproducibility [11]. SELDI-TOF-MS is often used for proteomic analysis of complex samples such as blood or urine. However, it is also suitable for other applications such as expression optimization and purification process development [12]. Here we have used SELDI-TOF-MS for characterization of FMDV antigen during various stages of vaccine production.

Finally, the lack of homogeneity in the school-based nutrition in

Finally, the lack of homogeneity in the school-based nutrition interventions likely led to bias in the results.

Given the diversity of the FDA-approved Drug Library cost intervention components (from food service staff training to incorporation of new contract language), it is difficult to disentangle the contributions of each component. For example, LAC used a categorical food partner model to work with vendors on developing new recipes that included more fresh fruits and vegetables on the menu, while also utilizing behavioral economics approaches to promote fruit and vegetable selection (e.g., putting fruits in an attractive basket near check-out stands). These strategies likely worked synergistically to increase selection of these items by students. Collectively, school-based nutrition interventions in LAC and SCC appeared to have contributed favorably to changes in the school cafeteria environment, including improvements to the overall nutrient base of school meals served. This suggests that federal as well as local initiatives in obesity prevention and in cardiovascular health Stem Cell Compound Library promotion should continue to invest in these kinds of system and environmental changes aimed at creating healthier food environments

for children and adolescents in the U.S. The authors report no financial disclosures or conflicts of interest. The authors would like to thank the Board of Education, the Office of the Superintendent, and the Food Services Branch in the Los Angeles Unified School District, and the Cook County Department of Public Health

as well as the four participating school districts for their support and contributions to this project. The authors would 3-mercaptopyruvate sulfurtransferase also like to thank Janice H. Vick and Kathleen Whitten from ICF International for their careful review of this manuscript prior to submission. The project was supported in part by cooperative agreements from the Centers for Disease Control and Prevention (Communities Putting Prevention to Work #3U58DP002485-01S1, #1U58DP00263-01S1, and Sodium Reduction in Communities Program # 1U58DP003061-01). The findings and conclusions in the article are those of the authors and do not necessarily represent the views or the official position(s) of the Consortium to Lower Obesity in Chicago Children, the Los Angeles County Department of Public Health, the Cook County Department of Public Health, the Centers for Disease Control and Prevention, the Ann and Robert H. Lurie Children’s Hospital of Chicago or any other organization mentioned in the text. In accordance with U.S. law, no Federal funds provided by CDC were permitted to be used by community grantees for lobbying or to influence, directly or indirectly, specific pieces of pending or proposed legislation at the federal, state, or local levels.

Partek Genomics Suite (Partek Inc , St Louis, MI) was used for t

Partek Genomics Suite (Partek Inc., St. Louis, MI) was used for the analysis of the normalized data. The differential expression level of a subset of genes selected from highly expressed genes by microarray was confirmed by quantitative real-time RT-PCR analysis. this website Isolated RNA was reverse transcribed and the resulting cDNA was then amplified using SYBR green and specific primers according to the manufacturer’s instructions (Applied Biosystems, Carlsbad, CA). All samples

were run in triplicate and the expression of each gene was standardized using the housekeeping gene glyceraldehyde-3-phosphate dehydrogenase (GAPDH) as a reference. Amplification reactions were performed using a 9700H real-time PCR instrument (Applied Biosystems, Carlsbad, CA). The conditions for the reactions were: 95 °C, 10 min; 95 °C, 15 s; 60 °C, 60 s for 40 cycles. The related genes expression was determined using 2−△△ct method. Data are expressed as mean ± SE. A one-way ANOVA determined whether the results had statistical significance. In some cases, a Student’s t-test was used for comparing the two groups. Selleck CP 690550 A P-value set at 0.05 was used to determine significant differences. All analyses were performed using SPSS 14.0 (IBM Corporation, Somers, NY). Xenograft tumor model mice implanted with HCT-116 human

colorectal carcinoma cells were administrated with 25 and 50 mg/kg PPD. After 30 days of treatment, 25 and 50 mg/kg PPD inhibited tumor growth approximately by 35% and 50%, respectively ( Fig. 2:

A and B; P < 0.01 compared to control, P < 0.05, compared to 25 mg/kg group). With the assistance of veterinary staff in the animal care facility SB-3CT in our university, no obvious clinical signs of adverse events were observed during the PPD treatment. These daily observations included: motor activity (locomotion, catalepsy), respiration (dyspnea), skin (edema, erythema), and reflexes (light) (17). Growth inhibitory effects of PPD on SW-480, HT-29, and HCT-116 cancer cells at various PPD concentrations (5, 10, 20, 30 and 40 μM) were evaluated at 24, 48 or 72 h. The MTS assay results are shown in Fig. 3A, B and C. The growth of the treated cells decreased significantly in a concentration-dependent manner. We also observed that, PPD at 20 μM, HCT-116 cells were significantly more sensitive to the treatment than the other two cells, suggesting that the status of p53 could account for this difference. A normal rat small intestine epithelial cell line, IEC-6, was used to evaluate the effects of PPD. Compared with the control (100%), the cell viabilities of PPD on IEC-6 cells in 10, 20, 30 and 40 μM for 48 h were 100.8 ± 5.0%, 103.5 ± 4.8%, 101.4 ± 7.3%, and 86.3 ± 6.6%, respectively. In contrast, cell growth was almost totally inhibited in all the three colorectal cancer cell lines when treated with PPD at 30 μM (Fig. 3). HCT-116 and SW-480 cells were treated with different PPD concentrations (15, 20, 25, 30, and 35 μM) for 72 h.

The characteristics of all

The characteristics of all GW-572016 mouse vaccines have been previously reported [10], [11] and [12]. Both studies were conducted in accordance with the Code of Ethics of the World Medical Association

(Declaration of Helsinki). Parents or guardians recorded daily temperatures and signs or symptoms of respiratory illness and were instructed to promptly notify study personnel if their child developed qualifying symptoms. They were also contacted every 7–10 days throughout the influenza season. Nasal swabs were collected if a child had ≥1 of the following: acute otitis media (suspected or diagnosed), fever, pneumonia, pulmonary congestion, shortness of breath, or wheezing, or ≥2 of the following symptoms concurrently: chills, cough, decreased activity, headache, irritability, muscle aches, pharyngitis, rhinorrhea, or vomiting. Central laboratories evaluated nasal swabs for the presence of influenza virus by viral culture; wild-type serotypes were identified using antigenic methods. Laboratory-confirmed cases of influenza were classified as moderate/severe influenza if there was any documentation

of fever >39 °C, acute otitis media, or lower respiratory tract illness (defined as healthcare provider-confirmed shortness of breath, pulmonary congestion, pneumonia, bronchiolitis, bronchitis, wheezing, or croup). All other cases were classified as milder influenza. All children ≥24 months of age were retained in this post hoc analysis. Alpelisib molecular weight Efficacy was calculated as one minus the relative risk of laboratory-confirmed influenza regardless of antigenic match with LAIV versus placebo or IIV. Efficacy was evaluated first against moderate/severe cases of influenza in all children, then against mild cases of influenza only. The 95% CIs of the vaccine efficacy point estimates were obtained by a log-binomial regression. Results

from the two studies were not combined because study 1 assessed LAIV efficacy versus placebo, whereas study 2 assessed LAIV efficacy versus IIV. A total of 1330 children ≥24 months of age in year 1 (LAIV, n = 897; placebo, n = 433) and 1358 children in year 2 (LAIV, n = 917; placebo, n = 441) were enrolled in study 1. The attack rates of moderate/severe influenza Astemizole were 0.6% (5/897) in year 1 and 1.1% (10/917) in year 2 in the LAIV group versus 12.0% (52/433) in year 1 and 9.5% (42/441) in year 2 in the placebo group, resulting in efficacy estimates of 95.4% (95% CI: 88.5, 98.1) in year 1 and 88.5% (77.4, 94.9) in year 2 ( Figs. 1A and 1B). The attack rates of mild influenza were 0.6% (5/892) in year 1 and 0.6% (5/907) in year 2 in the LAIV group versus 6.6% (25/381) in year 1 and 3.6% (14/399) in year 2 in the placebo group, resulting in efficacy estimates of 91.4% (77.9, 96.7) and 84.2% (56.7, 94.3) in year 1 and year 2, respectively ( Figs. 1A and 1B). In year 1, both A/H3N2 and B strains circulated. Efficacy against moderate/severe influenza for A/H3N2 and B strains was 95.7% (86.5, 99.2) and 95.8% (83.0, 99.

6, 7,

6, 7, Galunisertib research buy 8, 9 and 10 It has been noted that approximately 35%

Acinetobacter species were found to be resistant to carbapenem drugs in India. 3 and 11 There are several factors contributing to antibiotic resistance development in A. baumannii among them metallo-β-lactamases (carbapenemases) are predominant. 11 and 12 Carbapenem-hydrolyzing metallo-β-lactamases (carbapenemase) belong to class B β-lactamases which can hydrolyze all β-lactams except monobactams. The IMP and VIM are the most prevalent types of acquired carbapenemase.13 Additionally, New Delhi metallo-β-lactamase 1 (NDM-1) producing A. baumannii are increasingly reported nowadays. 14 The treatment of MDR bacterial infections such as the carbapenemase producing A. baumannii is a major concern to clinicians and continues to be problematic. Clinically, these pathogens are becoming more and more resistant to the old and some of the more recently

developed antimicrobials agents due to non availability of mechanism to fight resistance. Above data indicates that the existing antibiotics being used to treat infections caused by A. baumannii are getting resistant. Surveillance studies provide significant information regarding resistance patterns among common MDR bacterial pathogens. Therefore, the aim of the present study was to conduct a microbial surveillance across different states in India to study incidence and prevalence TGF-beta inhibitor of carbapenemase producing genes among multidrug resistant A. baumannii isolates and to study the behavior of the current treatment options to this bug PAK6 by antimicrobial susceptibility study under Elores Antimicrobial Susceptibility Evaluation (EASE) programme. The following antibiotics were used

in this study: ceftriaxone plus EDTA plus sulbactam; Elores, a novel antibiotic adjuvant entity (30:10:15 μg), piperacillin plus tazobactam (100:10 μg), imipenem (10 μg), meropenem (10 μg), doripenem (10 μg) colistin (10 μg) and tigecycline (15 μg). All of the discs were obtained from Hi-Media Laboratories Pvt. Ltd., Mumbai, India. This prospective study was conducted from May 2012 to January 2013. In this study, a total of 454 clinical isolates of A. baumannii were collected from blood (n = 136), urine (n = 165), pus (n = 94), fluid (n = 44), respiratory secretion (n = 15) from different centers of India including Delhi, Kolkatta, Hyderabad, Bangalore, Aligarh and Chennai (name of centers is not disclosed due to confidentiality agreement). All the samples were collected with aseptic precautions from ventilator associated pneumonia (VAP), sepsis, secondary meningitis, catheter associated blood stream infections (CA-BSI), surgical site infections (SSI) and catheter associated urinary tract infections (CA-UTI) from ICU patients. The identity of all strains was reconfirmed morphologically and by conventional biochemical methods.

4, 5 and 10 In recent times, the bacterial bioluminescence genes

4, 5 and 10 In recent times, the bacterial bioluminescence genes (lux genes) have been employed in the field of molecular biology and in environmental NVP-BKM120 mw biotechnology as genetic reporters and contaminant

biosensors, respectively. 11 The luminescent system is highly sensitive to even micro quantities of pollutants which make it one of the most promising methods for monitoring the environmental pollution. Bioluminescent bacteria based bioassays and biosensors offer an imperative way for the estimation of water toxicity and recurrently go beyond other known bioassays in speed, accuracy, sensitivity and simplicity.1 The bioluminescent properties of Vibrio rotiferianus for development of bioluminescent bacteria based bioassays and biosensors are yet to be studied in detail. The present investigation is a key step toward investigating role of V. rotiferianus in pollutant detection system. In December, 2012 water samples were collected from the surface water layer of varied locations of Diu beach, Diu district, India (Asia) through dissolution system in sample bottles. After collection, the bottles were sealed and transported at 4 °C in cool boxes to the laboratory and processed

further. About 300 μl of water samples GSK1349572 datasheet were plated on nutrient agar medium by spread plate method along with several additives like 3% glycerol and 50% sea water. Plates were incubated in a dark room at three different temperatures 15 °C, 22 °C and 37 °C for 24 h. The sample’s prevalence for luminescent colonies was performed after incubation period was over. Selected strains were further tested for the bioluminescence assay as explained. The growth and luminescence pattern of bacterial isolates were further tested on Nutrient agar (NA) media enriched with addition of artificial sea water with (8.25, 16.50, 24.75, 33.00 g sea salt/1000 ml) as 25%, 50%, 75% and 100% respectively with various pH such as 6, 7 and 8 and incubated at 4 °C, 22 °C, 37 °C, and

45 °C to determine however the optimum medium constitute, pH and temperature at which the culture show prominent growth. Bacterial genomic DNA was extracted using the Axyprep bacterial genomic DNA Miniprep Kit (Axygen). PCR was performed to amplify the 16S ribosomal gene locus using universal primers as 8F: 5′ AGA GTT TGA TCC TGG CTC AG 3′ and 1492R: 5′ ACG GCT ACC TTG TTA CGA CTT 3′. Amplification cycle was kept as follows: an initial denaturation of 94 °C for 3 min, 30 cycles of 94 °C 30 s, 52.7 °C 30 s, and 72 °C 1.30 min. Amplicon was resolved on 1% Agarose Gel and further sequenced using BDT v3.1 Cycle sequencing kit on ABI 3730xl Genetic Analyzer. The sequence was checked against the microbial nucleotide databases using BLASTN search algorithm and identified for genus and species.

Exercise programs based on using a gaming console offer

Exercise programs based on using a gaming console offer see more the potential to meet some of the challenges associated with exercise adherence in people with cystic fibrosis. One popular commercially available gaming console is Nintendo-WiiTM. It comprises a suite of games and activities that involve the player in dance, martial arts, sports and other forms of physical activity.

Some programs such as Nintendo-WiiTM Fit and EA Sports WiiTM Active specifically target physical fitness through a range of aerobic, balance, yoga, and strengthening activities. Nintendo-WiiTM has a wireless controller which is purported to detect movement in three dimensions. In addition, the

WiiTM balance board, a component of the Wii-Fit game that contains four pressure transducers, has been shown to be a valid measure of standing balance (Clark et al 2010). Gaming console exercise provides instant visual and verbal feedback with games that are goal-oriented and enjoyable and therefore has the potential to improve motivation and adherence to an exercise program. An exercise program using a gaming console may improve exercise adherence among people with cystic fibrosis because the exercise is purported to be fun, which may increase motivation to exercise. However, before gaming console

exercise is included in an exercise program it is important to determine if it provides a similar cardiovascular Pfizer Licensed Compound Library clinical trial demand as more traditional exercise programs. Therefore, this research sought to investigate if gaming console exercise is a feasible mode of aerobic exercise in adults with cystic fibrosis. Specifically, the research questions were: 1. Does participating in 15 minutes to of exercise using a gaming console produce a similar cardiovascular demand and energy expenditure as exercise on a treadmill or cycle ergometer in adults with cystic fibrosis? A randomised cross-over trial with concealed allocation, intention-to-treat analysis, and assessor blinding for two outcomes was conducted at a tertiary referral public hospital in Brisbane, Australia. Participants underwent two exercise interventions in a randomised order within a 48-hour period. One intervention involved exercise using a gaming console and the other involved exercise on a treadmill or cycle ergometer. Participants were randomly allocated to the order of exercise interventions by an investigator independent of the recruitment of participants using a computer-generated random number program. Allocation was concealed with the use of consecutively numbered envelopes.

This work was presented at the 2010 Keystone Vaccine Symposium, O

This work was presented at the 2010 Keystone Vaccine Symposium, Oct 27–Nov 01, 2010, Seattle, USA. Abstract # 109. Conflict of interest statement: None declared. “
“Effective immunization largely depends on the consideration of immunogenic vaccine antigens and effective adjuvants. Most live attenuated or killed vaccines have been replaced by subunit vaccines, which are safer but typically

are less immunogenic and thus require the presence of strong adjuvants BGJ398 that can induce an early onset of immunity, long duration, and if needed, a shift in the type of the response. Furthermore, the use of effective adjuvant platforms can also help to reduce the number of immunizations required, ideally to a single immunization only. Adjuvants include a large group of molecules that can be divided into delivery systems and immune modulators. Most often immune stimulators are derived from pathogen associated find more molecular patterns (PAMPs) also termed as ‘danger signals’ like bacterial unmethylated CpG, LPS, flagellin and viral double stranded RNA to name a few. These PAMPs are recognized by

cells of the innate immune system, including antigen presenting cells, which express specific pathogen recognition receptors (PRRs) such as Toll like receptors (TLRs). In the present study, we evaluated a novel vaccine platform containing CpG ODNs, polyphosphazenes and cationic innate defense regulator peptide (IDR) 1002. CpG ODNs have been studied extensively in regards to their immune stimulatory activities and are well characterized as vaccine adjuvant in both preclinical and clinical studies [1]. CpG ODN act through TLR9, expressed on human plasmacytoid DCs and B-cells [2], and favor induction of a pro-inflammatory Th1 immune response. Thus, CpG ODN has been used as adjuvants to promote a Th1 or mixed Th1/Th2 response in experimental vaccines against various diseases

[3] and [4]. Interestingly, CpG ODNs have shown greater adjuvanticity when co-administered with other adjuvants [5] and [6]. In the present study, CpG ODNs were co-formulated with synthetic innate defense regulator (IDR) peptides, which have well documented selective immune stimulatory activities that include protection against infections, chemokine induction leading to the recruitment of leukocytes, wound healing, modulation before of apoptosis, and anti-inflammatory activities [7] and [8]. IDRs are synthetic mimics of host defense peptides, which represent important components of the innate immune system and these peptides also enhance and modulate adaptive immune responses [9] and [10]. We previously demonstrated this adjuvantation with a pertussis vaccine [11]. Polyphosphazenes are an emerging class of well-defined macromolecules that combine immune stimulatory activity and dose-sparing effects with the ease of their assembly into supra-molecular MP structures to achieve optimal delivery [12].