Abstract
Lipopolysaccharide (LPS) is a well-defined agonist of Toll-like receptor (TLR) 4 that activates innate immune responses and influences the development of the adaptive response during infection with Gram-negative bacteria. Many years ago, Dr. Edgar Ribi separated the adjuvant activity of LPS from its toxic effects, an effort that led to the development of monophosphoryl lipid A (MPL). MPL, derived from Salmonella minnesota R595, has progressed through clinical development and is now used in various product-enabling formulations to support the generation of antigen-specific responses in several commercial and preclinical vaccines. We have generated several synthetic lipid A molecules, foremost glucopyranosyl lipid adjuvant (GLA) and second-generation lipid adjuvant (SLA), and have advanced these to clinical trial for various indications. In this review we summarize the potential and current positioning of TLR4-based adjuvant formulations in approved and emerging vaccines.
Keywords:
Adjuvant; Formulation; Monophosphoryl lipid A; Toll-like receptor 4; Vaccine.
Copyright © 2018 Elsevier Ltd. All rights reserved.
Publication types
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Research Support, Non-U.S. Gov't
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Review
MeSH terms
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Adjuvants, Immunologic / chemistry
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Adjuvants, Immunologic / pharmacology*
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Alum Compounds / chemistry
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Alum Compounds / pharmacology*
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Animals
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Glucosides / chemistry
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Glucosides / pharmacology*
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HIV Infections / immunology
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HIV Infections / prevention & control
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HIV Infections / virology
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Humans
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Immunity, Cellular / drug effects
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Immunity, Humoral / drug effects
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Immunogenicity, Vaccine*
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Leishmaniasis / immunology
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Leishmaniasis / parasitology
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Leishmaniasis / prevention & control
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Leprosy / immunology
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Leprosy / parasitology
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Leprosy / prevention & control
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Lipid A / analogs & derivatives*
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Lipid A / chemistry
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Lipid A / pharmacology
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Liposomes / administration & dosage
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Liposomes / chemistry
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Liposomes / immunology
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Malaria / immunology
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Malaria / parasitology
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Malaria / prevention & control
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Mice
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Schistosomiasis / immunology
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Schistosomiasis / parasitology
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Schistosomiasis / prevention & control
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T-Lymphocytes, Helper-Inducer / drug effects
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T-Lymphocytes, Helper-Inducer / immunology
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T-Lymphocytes, Helper-Inducer / microbiology
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Toll-Like Receptor 4 / agonists
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Toll-Like Receptor 4 / genetics
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Toll-Like Receptor 4 / immunology
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Tuberculosis / immunology
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Tuberculosis / microbiology
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Tuberculosis / prevention & control*
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Vaccines / administration & dosage
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Vaccines / chemistry
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Vaccines / immunology
Substances
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Adjuvants, Immunologic
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Alum Compounds
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Glucosides
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Lipid A
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Liposomes
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TLR4 protein, human
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Toll-Like Receptor 4
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Vaccines
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glucopyranosyl lipid-A
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monophosphoryl lipid A