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##syl Lipid A ( GLA ) Adjuvants : Associated Antigen Portrayed In Fig1

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associated antigen (Rv1813) as shown in Fig1. The protein has been identified to recognize human T cells [11] and has the capacity to stimulate Th1 immune responses known to confer protective immunity that is required for an effective TB vaccine [12]. However, as is generally known, recombinant proteins are by themselves poorly immunogenic and need an adjuvant to stimulate adaptive immune responses. The Glucopyranosyl Lipid A (GLA) adjuvant is a synthetic Toll-like Receptor (TLR) 4 that is formulated as either a stable emulsion (GLA-SE) [13] or as a liposomal formulation containing QS21 saponin (GLA-LSQ). The adjuvants have been efficiently combined with the antigen for the stimulation of high antibody production and Th1 immune responses …show more content…

Moreover, antigens coupled to the surface of liposomes consisting of unsaturated fatty acids have also been reported to be pinocytosed by APCs, loaded onto the class I MHC processing pathway, and presented to both CD4+ and CD8+ T cells [23]. Thus, adjuvant-coupled antigens are anticipated to be appropriate for the development of vaccines that induce humoral and cellular immunity [23, 24]. The T-cell dependent manner in which conjugate vaccines have been described to work could significantly boost immunogenicity compared to unconjugated antigens [25-28].
Many commercial conjugate vaccines have been approved for widespread use. Some of these include Prevnar®13 (Pfizer, USA) and Synflorix® (GlaxoSmithKline, UK). Reductive amination conjugation chemistry was used in Prevnar®13 while in the preparation of Synflorix®, 1-cyano-4-dimethylamino pyridinium tetrafluoroborate (CDAP) conjugation chemistry was used [29, 30]. Currently, many new vaccine candidates with adjuvants are presented in separate vials to enable bedside mixing of the antigen with the adjuvant. However, this results in the potential for mixing errors and added cost. Effective conjugation of the antigen to the adjuvant could enable presentation of the vaccine in one vial and therefore prevent wastage and

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