This Review describes selected examples of natural and synthetic carbohydrate-based adjuvants and their application in synthetic self-adjuvanting vaccines, while also discussing current understanding of their molecular mechanisms of action.
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carbohydrate-based vaccine adjuvants
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Naturally derived carbohydrate adjuvants are heterogeneous, difficult to obtain, and in some cases unstable.
The molecular mechanisms of action of carbohydrate adjuvants are generally not fully understood, partly because of a lack of tools to elucidate their immune-potentiating effects.
Modern subunit vaccines are less immunogenic than traditional whole-pathogen vaccines and therefore require adjuvants to increase immunogenicity and potentiate immune responses.
A number of natural and synthetic carbohydrate structures have been used as adjuvants in clinical trials, and two have recently been approved in human vaccines.