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Table l Examples of class I adjuvants (delivery systems)

From: Adjuvants for peptide-based cancer vaccines

 

Mode of action(s)

Types of response

Pros

Cons

IFA and Montanide formulations

Depot

Ab, Th1, Th2

Widely used for vaccines when antibody production is desired [123].

May not suitable for therapeutic vaccine when cellular response is desired as extended depot will attract CTL to vaccine sites [10].

Aluminum

Depot, inflammasome activation

Ab, Th2

Safety characters are well defined as it is the most widely used adjuvant [124].

Needs to be combined with other adjuvants to induce CTL response in therapeutic vaccines.

Micro/nano particles

Varies, depending on particlenature: increase Ag half-life (via encapsulation, sustained release) delivery Ag to target cells/organs, cellular and Inflammation induction (see text for detail)

Not well defined but size of articles may contribute to types of response: size of 40–50 nm induces stronger T cell response than 20nm or 2000 nm particles 4.

Reduce Ag dose, cellular and biological characters are well defined, versatile to be combined with other adjuvants [121].

Rapid clearance in blood and accumulation in filtering organs such as liver and spleen [24].

Need to be combined with immunopotentiators.