2. Adjuvants
Latin, “adjuvare,” meaning “to help”,
Have ability to enhance and modulate immune response,
Also, increases high degree of cellular immunity,
Injected together with antigen.
3. Role of Adjuvants:
Improve the immunogenicity of antigens/vaccines.
Reduce the dose of antigen.
Improve the efficacy of vaccines in immune-
compromised persons
4. Types of Adjuvants
1. Alum:(Aluminium potassium sulphate):
makes slower release of antigen.
Acts to increase antigen persistance.
↑ Local cytokines and chemokines.
↑ Cell recruitment (eosinophils, monocytes, macrophages)
5. Delay release of antigen.
Enhanced uptake by macrophages
2. Freund’s Adjuvants
A: Freund’s incomplete adjuvants:
antigen emulsified in mineral
oil.
B: Freund’s complete adjuvants:
Oil-in-water with inactivated
and dried mycobacteria
Induction of co-stimulators in
macrophages
6. 3. Synthetic polyribonucleotides and bacterial
lipopolysaccharides(LPS)
Stimulates APCs
Induction of co-stimulators
Stimulates non-specific lymphocytes proliferation
7. Mechanisms of Adjuvants
Precipitates the antigen Activates macrophage
increases size, enhance phagocytosis
prolongs persistence increases expression of B7 and MHC-ll
Stimulates local inflammation
9. Adverse effects of Adjuvants
classified into
1.Local reactions:
Local injection site pain,
inflammation, swelling,
and necrosis,
granulomas, ulcers and
generation of sterile
abscesses etc.
2. Systemic reactions:
Induction of acquired
immunodeficiency,
immunosuppression,
eosinophilia, allergy,
organ specific toxicity
and immunotoxicity.