Could Implanted Pellets Replace Booster Shots?
A small pellet could be implanted under the skin along with an injected vaccine; later, instead of a booster shot, a pill taken orally would signal the pellet to release a second dose, researchers at the University of Freiburg demonstrated in a recent paper.

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The belief among some parents groups that vaccines are bad for children might best be explained as a result of parents’ discomfort watching their children cry as they are stuck with a needle. It can be hard to adhere to the abstractions of science when faced with a child’s tears.
Well, what if doctors could deliver a no-tears vaccine? That’s what some researchers at the University of Freiburg, in Germany, are working toward. In a recent paper, they demonstrated that a small pellet could be implanted under the skin along with an injected vaccine. Later, instead of a booster shot, a pill taken orally would signal the pellet to release a second dose.
Eliminating all booster shots would reduce the number of shots babies get by two-thirds, according to CDC recommendations.
And in developing countries, patients could be sent home with instructions to take the signal pill at a certain time, improving compliance.
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The researchers used a pellet made of hydrogel, a polymer similar in texture to human tissue, to hold the second dose. This particular hydrogel was formulated to respond to fluorescein, an organic compound which is already FDA-approved for use in humans. An oral dose of fluorescein stimulated the pellet to release its vaccine payload.
A booster dose of a vaccine against the human papillomavirus delivered this way was as effective in mice as one injected.
More research is needed before the Russian nesting doll-styled vaccine cycles make it to the pediatrician’s office. But with a functional vaccine and a trigger that’s already been approved, the method seems likely to work for humans with some adjustments.
Images: James Gathany, CDC via Wikimedia Commons; Commonwealth Fund via Wikimedia Commons
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