“…Mannan, a poly-mannose isolated from the cell wall of yeasts, has been shown to exert immunomodulatory effects in the cancer settings in vitro [ 45 , 46 , 47 , 48 , 49 , 50 ], in vivo (inbred mice, transgenic mice, rats, rabbits, and chickens) [ 51 , 52 , 53 , 54 , 55 , 56 , 57 , 58 , 59 , 60 , 61 , 62 ], in rhesus macaques [ 63 , 64 , 65 ], and in human clinical trials [ 66 , 67 , 68 , 69 , 70 , 71 , 72 , 73 , 74 , 75 ]. Mannan targets antigens to the mannose receptor, antigens endocytosed for MHC class I or II presentation, and modulation of appropriate T cells [ 45 , 53 , 54 , 55 , 76 , 77 , 78 , 79 , 80 , 81 ]. In relation to autoimmune disorders, mannan conjugates (i) represent a new class of immunoregulators that directly and selectively target a population of immune cells that are implicated in the pathogenesis and progression of disease; (ii) provide first line treatment that selectively tolerates or inactivates disease-inducing cells in patients and also prevents progression of disease by stopping diversification of the autoimmune response to additional epitopes; (iii) allows easier formulation of newly discovered molecules within the mannan matrix platform; and (iv) can achieve block-buster status as a global vaccine drug for eff...…”