Skip to main content

An Overview of Adjuvant Use

  • Protocol
Vaccine Adjuvants

Part of the book series: Methods in Molecular Medicine™ ((MIMM,volume 42))

Abstract

Adjuvants have been used to augment the immune response to antigens for more than 70 years. Ramon first demonstrated that it was possible to increase levels of diphtheria or tetanus antitoxin by the addition of bread crumbs, agar, tapioca, starch oil, lecithin, or saponin to the vaccines (1). In this chapter, an overview is provided of modern vaccine adjuvants as background for more detailed discussions of promising adjuvants in chapters to follow. After a more general discussion of adjuvants including their definition, mechanisms of action, safety, ideal characteristics, impediments to development, and preclinical and clinical regulatory issues, examples will be provided of experimental vaccine adjuvants that have entered clinical trial to enhance a variety of licensed and experimental vaccines in humans. For additional expositions on this complex subject and for a historical perspective, the reader is referred to recent textbooks on vaccine adjuvants (24) and a selection of useful review articles published over the past 18 years (5,10).

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Protocol
USD 49.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 149.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 199.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 199.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Ramon, G. (1925) Sur l’augmentation anormale de l’antitoxine chez les chevaux producteurs de serum antidipherique. Bull. Soc. Cent. Med. Vet. 101, 227–234.

    Google Scholar 

  2. Spriggs, D. R. and Koff, W. C. (1991) Topics in Vaccine Adjuvant Research, CRC, Boco Raton, FL.

    Google Scholar 

  3. Stewart-Tull, D. E. S. (1989) Recommendations for the assessment of adjuvants (immunopotentiators) in Immunological Adjuvants and Vaccines (Gregoriadis, G., Allison, A. C., and Poste, G., eds.), Plenum, New York, pp. 213–226.

    Google Scholar 

  4. Powell, M. F. and Newman, M. J. (1995) Vaccine Design: The Subunit and Adjuvant Approach, Plenum, New York.

    Google Scholar 

  5. Edelman, R. (1980) Vaccine adjuvants. Rev. Infect. Dis. 2, 370–383.

    Article  PubMed  CAS  Google Scholar 

  6. Gupta, R. K., Relyveld, E. H., Lindblad, E. B., Bizzini, B., Ben Efraim, and Gupta C. K. (1993) Adjuvants-a balance between toxicity and adjuvanticity. Vaccine 11, 293–306.

    Article  PubMed  CAS  Google Scholar 

  7. Cooper, P. D. (1994) The selective induction of different immune responses by vaccine adjuvants, in Strategies in Vaccine Design (Ada, G. L., ed.), Landes, Austin, TX, pp. 125–158.

    Google Scholar 

  8. Hunter, R. L. and Lal, A. A. (1994) Copolymer adjuvants in malaria vaccine development. Am. J. Trop. Med. Hyg. 50, 52–58.

    PubMed  CAS  Google Scholar 

  9. Gupta, R. K. and Siber, G. R. (1995) Adjuvants for human vaccines-current status, problems and future prospects. Vaccine 13, 1263–1276.

    Article  PubMed  CAS  Google Scholar 

  10. Cox, J. C. and Coulter, A. R. (1997) Adjuvants-a classification and review of their modes of action. Vaccine 15, 248–256.

    Article  PubMed  CAS  Google Scholar 

  11. Douglas, R. G., Jr. (1993) The children’s vaccine initiative-will it work? J. Infect. Dis. 168, 269–274.

    Article  PubMed  Google Scholar 

  12. Ramon, G. (1926) Procedes pour accroitre la production des antitoxines. Ann. Inst. Pasteur 40, 1–10.

    Google Scholar 

  13. Lesourd, B. M., Vincent-Falquet, J. C., Deslandes, D., Musset, M., and Moulias, R. (1988) Influenza vaccination in the elderly: improved antibody response with Imuthiol (Na diethyldithiocarbamate) adjuvant therapy. Int. J. Immunopharmacol. 10, 135–143.

    Article  PubMed  CAS  Google Scholar 

  14. Gravenstein, S., Duthie, E. H., Miller, B. A., Roecker, E., Drinka, P., Prathipati, K., and Ershler, W. B. (1989) Augmentation of influenza antibody response in elderly men by thymosin alpha one. A double-blind placebo-controlled clinical study. J. Am. Geriatr. Soc. 37, 1–8.

    PubMed  CAS  Google Scholar 

  15. Goodman, M. G. (1995) A new approach to vaccine adjuvants: Immunopotentiation by intracellular T-helper-like signals transmitted by loxoribine, in Vaccine Design: The Subunit and Adjuvant Approach (Powell, M. F. and Newman, M. J., eds.), Plenum, New York, pp. 581–610.

    Google Scholar 

  16. Lin, R., Tarr, P. E., and Jones, T. C. (1995) Present status of the use of cytokines as adjuvants with vaccines to protect against infectious diseases. Clin. Infect. Dis. 21, 1439–1449.

    Article  PubMed  CAS  Google Scholar 

  17. Hess, G., Kreiter, F., Kosters, W., and Deusch, K. (1996) The effect of granulocyte-macrophage colony-stimulating factor (GM-CSF) on hepatitis B vaccination in haemodialysis patients. J. Viral. Hepat. 3, 149–153.

    Article  PubMed  CAS  Google Scholar 

  18. Drabick, J. J., Tang, D. B., Moran, E. E., Trofa, A. F., Foster, J. S., and Zollinger, W. D. (1997) A randomized, placebo-controlled study of oral cimetidine as an immunopotentiator of parenteral immunization with a group B meningococcal vaccine. Vaccine 15, 1144–1148.

    Article  PubMed  CAS  Google Scholar 

  19. Evans, T. G., Judd, M. E., Dowell, T., Poe, S., Daynes, R. A., and Araneo, B. A. (1996) The use of oral dehydroepiandrosterone sulfate as an adjuvant in tetanus and influenza vaccination of the elderly. Vaccine 14, 1531–1537.

    Article  PubMed  CAS  Google Scholar 

  20. Edelman, R. and Tacket, C. O. (1990) Adjuvants. Int. Rev. Immunol. 7, 51–66.

    Article  PubMed  CAS  Google Scholar 

  21. Ockenhouse, C. F., Sun, P. F., Lanar, D. E., Wellde, B. T., Hall, B. T., Kester, K., et al. (1998) Phase I/IIa safety, immunogenicity, and efficacy trial of NYVAC-Pf7, a pox-vectored, multiantigen, multistage vaccine candidate for Plasmodium falciparum malaria. J. Infect. Dis. 177, 1664–1673.

    Article  PubMed  CAS  Google Scholar 

  22. Stover, C. K., Bansal, G. P., Hanson, M. S., Burlein, J. E., Palaszynski, S. R., Young, J. F., et al. (1993) Protective immunity elicited by recombinant bacille Calmette-Guerin (BCG) expressing outer surface protein A (OspA) lipoprotein: a candidate Lyme disease vaccine. J. Exp. Med. 178, 197–209.

    Article  PubMed  CAS  Google Scholar 

  23. MacGregor, R. R., Boyer, J. D., Ugen, K. E., Lacy, K. E., Gluckman, S. J., Bagarazzi, M. L., et al. (1998) First human trial of a DNA-based vaccine for treatment of human immunodeficiency virus type 1 infection: safety and host response. J. Infect. Dis. 178, 92–100.

    PubMed  CAS  Google Scholar 

  24. Hoffman, S. L., Edelman, R., Bryan, J. P., Schneider, I., Davis, J., Sedegah, M., et al. (1994) Safety, immunogenicity, and efficacy of a malaria sporozoite vaccine administered with monophosphoryl lipid A, cell wall skeleton of mycobacteria, and squalane as adjuvant. Am. J. Trop. Med. Hyg. 51, 603–612.

    PubMed  CAS  Google Scholar 

  25. Fries, L. F., Gordon, D. M., Richards, R. L., Egan, J. E., Hollingdale, M. R., et al. (1992) Liposomal malaria vaccine in humans: a safe and potent adjuvant strategy. Proc. Natl. Acad. Sci. USA 89, 358–362.

    Article  PubMed  CAS  Google Scholar 

  26. Lidgate, D. M. and Byars, N. E. (1995) Development of an emulsion-based muramyl dipeptide adjuvant formulation for vaccines, in Vaccine Design: The Subunit and Adjuvant Approach (Powell, M. F. and Newman, M. J., eds.), Plenum, New York, pp. 313–324.

    Google Scholar 

  27. Wintsch, J., Chaignat, C. L., Braun, D. G., Jeannet, M., Stalder, H., Abrignani, S., et al. (1991) Safety and immunogenicity of a genetically engineered human immunodeficiency virus vaccine. J. Infect. Dis. 163, 219–225.

    Article  PubMed  CAS  Google Scholar 

  28. Stoute, J. A., Slaoui, M., Heppner, D. G., Momin, P., Kester, K. E., Desmons, P., et al. (1997) A preliminary evaluation of a recombinant circumsporozoite protein vaccine against Plasmodium falciparum malaria. N. Engl. J. Med. 336, 86–91.

    Article  PubMed  CAS  Google Scholar 

  29. Levine, M. M. and Dougan, G. (1998) Optimism over vaccines administered via mucosal surfaces. Lancet 351, 1375–1376.

    Article  PubMed  CAS  Google Scholar 

  30. Tacket, C. O., Reid, R. H., Boedeker, E. C., Losonsky, G., Nataro, J. P., Bhagat, H., and Edelman, R. (1994) Enteral immunization and challenge of volunteers given enterotoxigenic E. coli CFA/II encapsulated in biodegradable microspheres. Vaccine 12, 1270–1274.

    Article  PubMed  CAS  Google Scholar 

  31. Lowell, G. H. (1997) Proteosomes for improved nasal, oral, or infectable vaccines, in New Generation Vaccines, 2nd ed. (Levine, M. M., Woodrow, G. C., Kaper, J. B., and Cobon, G. S., eds.), Marcel Dekker, Inc., New York, NY, pp. 193–206.

    Google Scholar 

  32. Chaicumpa, W., Chongsa-nguan, M., Kalambaheti, T., Wilairatana, P., Srimanote, P., Makakunkijcharoen, Y., et al. (1998) Immunogenicity of liposome-associated and refined antigen oral cholera vaccines in Thai volunteers. Vaccine 16, 678–684.

    Article  PubMed  CAS  Google Scholar 

  33. Moldoveanu, Z., Love-Homan, L., Huang, W. Q., and Krieg, A. M. (1998) CpG DNA, a novel immune enhancer for systemic and mucosal immunization with influenza virus. Vaccine 16, 1216–1224.

    Article  PubMed  CAS  Google Scholar 

  34. Gould-Fogerite, S., Edghill-Smith, Y., Kheiri, M., Wang, Z., Das, K., Feketeova, E., Canki, M., and Mannino, R. J. (1994) Lipid matrix-based subunit vaccines: a structure-function approach to oral and parenteral immunization. AIDS Res. Hum. Retroviruses 10 Suppl. 2, S99–103.

    Google Scholar 

  35. Cryz, S. J., Jr. and Gluck, R. (1998) Immunopotentiating reconstituted influenza virosomes as a novel antigen delivery system. Dev. Biol. Stand. 92, 219–223.

    PubMed  Google Scholar 

  36. Saldinger, P. F., Blum, A. L., and Corthesy-Theulaz, I. E. (1997) Perspectives of anti-H. pylori vaccination. J. Physiol. Pharmacol. 48 Suppl. 4, 59–65.

    Google Scholar 

  37. Glenn, G. M., Rao, M., Matyas, G. R., and Alving, C. R. (1998) Skin immunization made possible by cholera toxin [letter]. Nature 391, 851.

    Article  PubMed  CAS  Google Scholar 

  38. Gonzalez, C., Hone, D., Noriega, F. R., Tacket, C. O., Davis, J. R., Losonsky, G. et al. (1994) Salmonella typhi vaccine strain CVD 908 expressing the circumsporozoite protein of Plasmodium falciparum: strain construction and safety and immunogenicity in humans. J. Infect. Dis. 169, 927–931.

    Article  PubMed  CAS  Google Scholar 

  39. Edelman, R., Palmer, K., Russ, K. D., Secrest, H. P., Becker, J. A. Bodison, S. A., et al. (1998) Safety and immunogenicity of recombinant Bacille Calmette-Guerin (rBCG) expressing Borrelia burgdorferi outer surface protein A (OspA) lipoprotein in adult volunteers: A candidate Lyme disease Vaccine. Vaccine, 17, 904–914.

    Article  Google Scholar 

  40. Tacket, C. O., Losonsky, G., Lubeck, M. D., Davis, A. R., Mizutani, S., Horwith, G., et al. (1992) Initial safety and immunogenicity studies of an oral recombinant adenohepatitis B vaccine. Vaccine 10, 673–676.

    Article  PubMed  CAS  Google Scholar 

  41. Tacket, C. O., Mason, H. S., Losonsky, G., Clements, J. D., Levine, M. M., and Arntzen, C. J. (1998) Immunogenicity in humans of a recombinant bacterial antigen delivered in a transgenic potato. Nature 4, 607–609.

    Article  CAS  Google Scholar 

  42. Krieg, A. M. (1996) An innate immune defense mechanism based on the recognition of CpG motifs in microbial DNA. J. Lab. Clin. Med. 128, 128–133.

    Article  PubMed  CAS  Google Scholar 

  43. Newman, M. J. and Powell, M. F. (1995) Immunological and formulation design consideratins for subunit vaccines, in Vaccine Design: The Subunit and Adjuvant Approach (Powell, M. F. and Newman, M. J., eds.), Plenum, New York, pp. 1–42.

    Google Scholar 

  44. Newman, M. J., Wu, J. Y., Gardner, B. H., Munroe, K. J., Leombruno, D., Recchia, J., and Kensil, C. R. (1992) Saponin adjuvant induction of ovalbuminspecific CD8+cytotoxic T lymphocyte responses. J. Immunol. 148, 2357–2362.

    PubMed  CAS  Google Scholar 

  45. Newman, M. J., Munroe, K. J., Anderson, C. A., Murphy, C. I., Panicali, D. L., Seals, J. R., et al. (1994) Induction of antigen-specific killer T lymphocyte responses using subunit SIVmac251 gag and env vaccines containing QS-21 saponin adjuvant. AIDS Res. Hum. Retroviruses 10, 853–861.

    PubMed  CAS  Google Scholar 

  46. Gupta, R. K. and Siber, G. R. (1994) Comparison of adjuvant activities of aluminium phosphate, calcium phosphate and stearyl tyrosine for tetanus toxoid. Biologicals 22, 53–63.

    Article  PubMed  CAS  Google Scholar 

  47. Kensil, C. R., Newman, M. J., et al. (1993) The use of Stimulon adjuvant to boost vaccine response. Vaccine Res. 2, 273–282 (Abstr.).

    CAS  Google Scholar 

  48. Hui, G. S., Chang, S. P., Gibson, H., Hashimoto, A., Hashiro, C., Barr, P. J., and Kotani, S. (1991) Influence of adjuvants on the antibody specificity to the Plasmodium falciparum major merozoite surface protein, gp195. J. Immunol. 147, 3935–3941.

    PubMed  CAS  Google Scholar 

  49. Kenney, J. S., Hughes, B. W., Masada, M. P., and Allison, A. C. (1989) Influence of adjuvants on the quantity, affinity, isotype and epitope specificity of murine antibodies. J. Immunol. Methods 121, 157–166.

    Article  PubMed  CAS  Google Scholar 

  50. Tam, J. P. (1988) Synthetic peptide vaccine design: synthesis and properties of a high-density multiple antigenic peptide system. Proc. Natl. Acad. Sci. USA 85, 5409–5413.

    Article  PubMed  CAS  Google Scholar 

  51. Nardin, E. H., Calvo-Calle, J. M., Oliveira, G. A., Clavijo, P., Nussenzweig, R., Simon, R., Zeng, W., and Rose, K. (1998) Plasmodium falciparum polyoximes: highly immunogenic synthetic vaccines constructed by chemoselective ligation of repeat B-cell epitopes and a universal T-cell epitope of CS protein. Vaccine 16, 590–600.

    Article  PubMed  CAS  Google Scholar 

  52. Goldenthal, K. L., Cavagnaro, J. A., Alving, C. R., and Vogel, F. R. (1993) NCVDG working groups: Safety evaluation of vaccine adjuvants: National cooperative vaccine development meeting working group. AIDS Res. Hum. Retrovirus 9, S47–S51.

    Google Scholar 

  53. Bussiere, J. L., McCormick, G. C., and Green, J. D. (1995) Preclinical safety assessment considerations in vaccine development, in Vaccine Design:The Subunit and Adjuvant Approach (Powell, M. F. and Newman, M. J., eds.), Plenum, New York, pp. 61–79.

    Google Scholar 

  54. Schultz, N., Oratz, R., Chen, D., Zeleniuch-Jacquotte, A., Abeles, G., and Bystryn, J. C. (1995) Effect of DETOX as an adjuvant for melanoma vaccine. Vaccine 13, 503–508.

    Article  PubMed  CAS  Google Scholar 

  55. Keitel, W., Couch, R., Bond, N., Adair, S., Van Nest, G., and Dekker, C. (1993) Pilot evaluation of influenza virus vaccine (IVV) combined with adjuvant. Vaccine 11, 909–913.

    Article  PubMed  CAS  Google Scholar 

  56. Brewer, M. A., Edwards, K. M., Palmer, P. S., and Hinson, H. P. (1994) Bacille Calmette-Guerin immunization in normal healthy adults. J. Infect. Dis. 170, 476–479.

    Article  PubMed  CAS  Google Scholar 

  57. Kemp, E. B., Belshe, R. B., and Hoft, D. F. (1996) Immune responses stimulated by percutaneous and intradermal bacille Calmette-Guerin. J. Infect. Dis. 174, 113–119.

    Article  PubMed  CAS  Google Scholar 

  58. Gordon, D. M., Duffy, P. E., Heppner, D. G., Lyon, J. A., Williams, J. S., Scheumann, D., et al. (1996) Phase I safety and immunogenicity testing of clinical lots of the synthetic Plasmodium falciparum vaccine SPf66 produced under good manufacturing procedure conditions in the United States. Am. J. Trop. Med. Hyg. 55, 63–68.

    PubMed  CAS  Google Scholar 

  59. Amador, R., Moreno, A., Murillo, L. A., Sierra, O., Saavedra, D., Rojas, M., et al. (1992) Safety and immunogenicity of the synthetic malaria vaccine SPf66 in a large field trial. J. Infect. Dis. 166, 139–144.

    Article  PubMed  CAS  Google Scholar 

  60. Waters, R. V., Terrell, T. G., and Jones, G. H. (1986) Uveitis induction in the rabbit by muramyl dipeptides. Infect. Immun. 51, 816–825.

    PubMed  CAS  Google Scholar 

  61. Allison, A. C. and Byars, N. E. (1991) Immunological adjuvants: desirable properties and side-effects. Mol. Immunol. 28, 279–284.

    Article  PubMed  CAS  Google Scholar 

  62. McElrath, M. J. (1994) Adjuvant effects on human immune responses in recipients of candidate HIV vaccines. IBC Conference, in Novel Vaccine Strategies for Mucosal Immunization, Genetic Approaches and Adjuvants, Rockville, MD, 24–26 (Abstr.).

    Google Scholar 

  63. Pearson, C. M. (1963) Experimental joint disease: Observations on adjuvantinduced arthritis. J. Chron. Dis. 16, 863–874 (Abstract).

    Article  PubMed  CAS  Google Scholar 

  64. Kleinau, S., Erlandsson, H., Holmdahl, R., and Klareskog, L. (1991) Adjuvant oils induce arthritis in the DA rat. I. Characterization of the disease and evidence for an immunological involvement. J. Autoimmun. 4, 871–880.

    Article  PubMed  CAS  Google Scholar 

  65. Murray, R., Cohen, P., and Hardegree, M. C. (1972) Mineral oil adjuvants: biological and chemical studies. Ann. Allergy 30, 146–151.

    PubMed  CAS  Google Scholar 

  66. Salk, J. and Salk, D. (1977) Control of influenza and poliomyelitis with killed virus vaccines. Science 195, 834–847.

    Article  PubMed  CAS  Google Scholar 

  67. Stuart-Harris, C. H. (1969) Adjuvant influenza vaccines. Bull. WHO 41, 617–621 (Abstract).

    PubMed  CAS  Google Scholar 

  68. Beebe, G. W., Simon, A. H., and Vivona, S. (1972) Long-term mortality followup of Army recruits who received adjuvant influenza virus vaccine in 1951-1953. Am. J. Epidemiol. 95, 337–346.

    PubMed  CAS  Google Scholar 

  69. Page, W. F., Norman, J. E., and Benenson, A. S. (1993) Long-term follow-up of army recruits immunized with Freund’s incomplete adjuvanted vaccine. Vaccine Res. 2, 141–149.

    Google Scholar 

  70. Davenport, F. M. (1968) Seventeen years’ experience with mineral oil adjuvant influenza virus vaccines. Ann. Allergy 26, 288–292.

    PubMed  CAS  Google Scholar 

  71. Keefer, M. C., Wolff, M., Gorse, G. J., Graham, B. S., Corey, L., Clements-Mann, M. L., et al. (1997) Safety profile of phase I and II preventive HIV type 1 envelope vaccination: experience of the NIAID AIDS Vaccine Evaluation Group. AIDS Res. Hum. Retroviruses 13, 1163–1177.

    Article  PubMed  CAS  Google Scholar 

  72. Butler, N. R., Feng, S., Benson, P. F., et al. (1962) Response of infants to pertussis vaccine at one week and to poliomyelitis, diptheria, and tetanus vaccine at six months. Lancet 2, 112–114 (Abstract).

    Article  PubMed  CAS  Google Scholar 

  73. Cvjetanovic, B. and Uemura, K. (1965) The present status of field and laboratory studies of typhoid and paratyphoid vaccines with special reference to studies sponsored by the World Health Organization. Bull. WHO 32, 29–36 (Abstr.).

    PubMed  CAS  Google Scholar 

  74. Woolridge, R. L., Grayston, J. T., Chang, I. A., et al. (1967) Long-term follow-up of the initial (1959-1960) trachoma vaccine field on Taiwan. Am. J. Ophthalmol. 63, 1650–1653 (Abstract).

    PubMed  Google Scholar 

  75. Kasel, J. A., Couch, R. B., and Douglas, R.G., Jr. (1971) Antigenicity of alum and aqueous adenovirus hexon antigen vaccines in man. J. Immunol. 107, 916–919.

    PubMed  CAS  Google Scholar 

  76. Davenport, F. M., Hennessy, A. V., and Askin, F. B. (1968) Lack of adjuvant effect of AIPO4 on purified influenza virus haemagglutinins in man. J. Immunol. 100, 1139–1140 (Abstr.).

    PubMed  CAS  Google Scholar 

  77. Claesson, B. A., Trollfors, B., Lagergard, T., Taranger, J., Bryla, D., Otterman, G., et al. (1988) Clinical and immunologic responses to the capsular polysaccharide of Haemophilus influenzae type b alone or conjugated to tetanus toxoid in 18-to 23-month-old children. J. Pediatr. 112, 695–702.

    Article  PubMed  CAS  Google Scholar 

  78. O’Hagan, D. T., Jeffery, H., and Davis, S. S. (1993) Long-term antibody responses in mice following subcutaneous immunization with ovalbumin entrapped in biodegradable microparticles. Vaccine 11, 965–969.

    Article  PubMed  Google Scholar 

  79. Gupta, R. K., Rost, B. E., Relyveld, E., and Siber, G. R. (1995) Adjuvant properties of aluminum and calcium compounds, in Vaccine Design: The Subunit and Adjuvant Approach (Powell, M. F. and Newman, M. J., eds.), Plenum, New York: 229–248.

    Google Scholar 

  80. World Health Organization (1977) Manual for the Production and Control of Vaccines-Tetanus Toxoid. BLD/UNDP/77.2 Rev.1 ed.

    Google Scholar 

  81. Jensen, O. M. and Koch, C. (1988) On the effect of AI(OH)3 as an immunological adjuvant. Acta Pathol. Microbiol. Immun. Scand. 96, 257–264 (Abstract).

    CAS  Google Scholar 

  82. Bumford, R. (1989) Aluminum salts: prospectives in their use as adjuvants, in Immunological Adjuvants and Vaccines (Gregoriadis, G., Allison, A. C., and Poste, G., eds.), Plenum, New York, pp. 35–41.

    Google Scholar 

  83. Hardegree, M. C., Pittman, M., and Maloney, C. J. (1972) Influence of mouse strain on the assayed potency (unitage) of tetanus toxoid. Appl. Microbiol. 24, 120–126.

    PubMed  CAS  Google Scholar 

  84. Murphey-Corb, M., Ohkawa, S., Martin, L., et al. (1993) Comparative efficacy of a whole killed SIV vaccine in combination with various adjuvants, Sixth Annu. Meet. Nat. Cooperative Vaccine Dev. Group for AIDS (Abstract).

    Google Scholar 

  85. Tacket, C. O., Rennels, M. B., and Mattheis, M. J. (1997) Initial clinical evaluation of new vaccine candidates: phase 1 and 2 clinical trials of safety, immunogenicity, and preliminary efficacy, in New Generation Vaccines (Levine, M. M., Woodrow, G. C., Kaper, J. B., and Cobon, G. S., eds.), Marcel Dekker, New York, pp. 35–45.

    Google Scholar 

  86. U.S. Food and Drug Administration (1991) General Biological Products Standards, in Anonymous Code of Federal Regulations, Department of Health and Human Services, Bethesda, MD, pp. 43–53.

    Google Scholar 

  87. Davenport, L. W. (1995) Regulatory considerations in vaccine design, in Vaccine Design: The Subunit and Adjuvant Approach (Powell, M. F. and Newman, M. J., eds.), Plenum, New York, pp. 81–96.

    Google Scholar 

  88. Edelman, R. (1997) Adjuvants for the Future, in New Generation Vaccines (Levine, M. M., Woodrow, G. C., Kaper, J. B., and Cobon, G. S., eds.), Marcel Dekker, New York, pp. 173–192.

    Google Scholar 

  89. Hunsmann, G. (1995) Protection of macaques against simian immunodeficiency virus infection with inactivated vaccines: comparison of adjuvants, doses and challenge viruses. Vaccine 13, 295–300.

    Google Scholar 

  90. Ballou, W. R., Hoffman, S. L., Sherwood, J. A., Hollingdale, M. R., Neva, F. A., Hockmeyer, W. T., et al. (1987) Safety and efficacy of a recombinant DNA Plasmodium falciparum sporozoite vaccine. Lancet 1, 1277–1281.

    Article  PubMed  CAS  Google Scholar 

  91. Herrington, D. A., Clyde, D. F., Losonsky, G., Cortesia, M., Murphy, J. R., Davis, J., et al. (1987) Safety and immunogenicity in man of a synthetic peptide malaria vaccine against Plasmodium falciparum sporozoites. Nature 328, 257–259.

    Article  PubMed  CAS  Google Scholar 

  92. Patarroyo, M. E., Amador, R., Clavijo, P., Moreno, A., Guzman, F., Romero, P., et al. (1988) A synthetic vaccine protects humans against challenge with asexual blood stages of Plasmodium falciparum malaria. Nature 332, 158–161.

    Article  PubMed  CAS  Google Scholar 

  93. Alonso, P. L., Smith, T., Schellenberg, J. R., Masanja, H., Mwankusye, S., Urassa, H., et al. (1994) Randomised trial of efficacy of SPf66 vaccine against Plasmodium falciparum malaria in children in southern Tanzania. Lancet 344, 1175–1181.

    Article  PubMed  CAS  Google Scholar 

  94. Fries, L. F., Gordon, D. M., Schneider, I., Beier, J. C., Long, G. W., Gross, M., et al. (1992) Safety, immunogenicity, and efficacy of a Plasmodium falciparum vaccine comprising a circumsporozoite protein repeat region peptide conjugated to Pseudomonas aeruginosa toxin A. Infect. Immun. 60, 1834–1839.

    PubMed  CAS  Google Scholar 

  95. Brown, A. E., Singharaj, P., Webster, H. K., Pipithkul, J., Gordon, D. M., Boslego, J. W., et al. (1994) Safety, immunogenicity and limited efficacy study of a recombinant Plasmodium falciparum circumsporozoite vaccine in Thai soldiers. Vaccine 12, 102–108.

    Article  PubMed  CAS  Google Scholar 

  96. Gordon, D. M., McGovern, T. W., Krzych, U., Cohen, J. C., Schneider, I., LaChance, R., et al. (1995) Safety, immunogenicity, and efficacy of a recombinantly produced Plasmodium falciparum circumsporozoite proteinhepatitis B surface antigen subunit vaccine. J. Infect. Dis. 171, 1576–1585.

    Article  PubMed  CAS  Google Scholar 

  97. Heppner, D. G., Gordon, D. M., Gross, M., Wellde, B., Leitner, W., Krzych, U., et al. (1996) Safety, immunogenicity, and efficacy of Plasmodium falciparum repeatless circumsporozoite protein vaccine encapsulated in liposomes. J. Infect. Dis. 174, 361–366.

    Article  PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2000 Humana Press Inc.

About this protocol

Cite this protocol

Edelman, R. (2000). An Overview of Adjuvant Use. In: O’Hagan, D.T. (eds) Vaccine Adjuvants. Methods in Molecular Medicine™, vol 42. Springer, Totowa, NJ. https://doi.org/10.1385/1-59259-083-7:1

Download citation

  • DOI: https://doi.org/10.1385/1-59259-083-7:1

  • Publisher Name: Springer, Totowa, NJ

  • Print ISBN: 978-0-89603-735-9

  • Online ISBN: 978-1-59259-083-4

  • eBook Packages: Springer Protocols

Publish with us

Policies and ethics