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MV140 (brand name Uromune) is a sublingual mucosal-based polybacterial vaccine developed by Inmunotek for the prevention of recurrent urinary tract infections (rUTIs). It consists of a suspension of four whole-cell heat-inactivated bacteria: *Escherichia coli*, *Klebsiella pneumoniae*, *Proteus vulgaris*, and *Enterococcus faecalis*. Administered as an oral spray, MV140 works by stimulating the innate immune system and inducing both systemic and local genitourinary immune responses, including the induction of trained immunity in the bladder. Clinical trials have demonstrated its efficacy in reducing UTI recurrence and antibiotic consumption while improving patient quality of life.
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