2004
DOI: 10.1517/14712598.4.7.1129
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Taking a Toll on human disease: Toll-like receptor 4 agonists as vaccine adjuvants and monotherapeutic agents

Abstract: Toll-like receptor (TLR) agonists are being developed for use as vaccine adjuvants and as stand-alone immunomodulators because of their ability to stimulate innate and adaptive immune responses. Among the most thoroughly studied TLR agonists are the lipid A molecules that target the TLR4 complex. One promising candidate, monophosphoryl lipid A, which is a derivative of lipid A from Salmonella minnesota, has proven to be safe and effective as a vaccine adjuvant in > 120,000 human doses. A new class of synthetic… Show more

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Cited by 236 publications
(157 citation statements)
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“…LPS is a potent adjuvant for systemically administered experimental vaccines, although the extreme inflammatory toxicity of LPS precludes it from being clinically useful as an adjuvant in humans (3). Efforts to reduce the toxicity of LPS, while retaining its potent adjuvant properties, have led to the development of monophosphoryl lipid A (MPLA), 3 an LPS derivative capable of generating potent immune responses to coadministered Ags with minimal toxicity (4,5). Like LPS, the adjuvant properties of MPLA appear to be TLR4 dependent (4 -6).…”
Section: Tlr-induced Localmentioning
confidence: 99%
“…LPS is a potent adjuvant for systemically administered experimental vaccines, although the extreme inflammatory toxicity of LPS precludes it from being clinically useful as an adjuvant in humans (3). Efforts to reduce the toxicity of LPS, while retaining its potent adjuvant properties, have led to the development of monophosphoryl lipid A (MPLA), 3 an LPS derivative capable of generating potent immune responses to coadministered Ags with minimal toxicity (4,5). Like LPS, the adjuvant properties of MPLA appear to be TLR4 dependent (4 -6).…”
Section: Tlr-induced Localmentioning
confidence: 99%
“…The TLR7 agonist imiquimod, for example, has been used to treat superficial basal cell carcinoma (Stockfleth et al, 2003), while theTLR9 agonist CpG-ODN B type is being evaluated in clinical trials in patients with melanoma and lymphoma (Speiser et al, 2005;Jahrsdorfer et al, 2005a). TLR4 agonists, including monophosphoryl lipid, have been used as adjuvant for vaccines against HBV and other pathogens (Baldridge et al, 2004). Several mechanisms have been proposed to explain the apparent adjuvant effects of TLR agonists on antitumor immunity.…”
Section: Targeting Tlrs For Cancer Therapymentioning
confidence: 99%
“…Although review of the field of vaccine adjuvant development is outside the scope of this review, it is critical to note that rapid advances in the field of dendritic cell biology, B cell immunoregulation and Toll-like receptor signaling have provided important new insights that the HIV-1 vaccine field needs to access for design of optimal HIV-1 vaccines [195][196][197][198][199][200][201][202][203].…”
Section: Adjuvant Design For Hiv-1 Vaccinesmentioning
confidence: 99%