"What" Series

What adjuvants are and how they work?

11 May 2024
2 min read

Adjuvants are substances that are added to vaccines to enhance the body's immune response to an antigen (a substance that can trigger an immune response). The use of adjuvants can lead to stronger, longer-lasting immunity, which may reduce the amount of antigen needed, allow for fewer doses of the vaccine, and provide protection against similar pathogens. Here's how adjuvants generally work:

·Enhancing Immune Cell Activation: Adjuvants can stimulate immune cells such as macrophages and dendritic cells to take up the antigen more effectively. These cells then process the antigen and present it to T cells, initiating an adaptive immune response.

·Prolonging Antigen Presence: Some adjuvants form slow-release depots at the injection site, which means the antigen is released gradually over time. This prolonged presence of the antigen can lead to a more sustained immune response.

·Inflammation: Adjuvants can induce a local inflammatory response, which recruits more immune cells to the site of the vaccine, increasing the chance that the antigen will be noticed and responded to by the immune system.

·Activating Pattern Recognition Receptors (PRRs): Adjuvants can activate PRRs on immune cells, such as Toll-like receptors (TLRs). This activation mimics the immune response to natural infections and can enhance the immune response to the vaccine.

·Modulating the Type of Immune Response: Certain adjuvants can bias the immune response towards a Th1-mediated cellular response (which is useful for fighting intracellular pathogens like viruses and some bacteria) or a Th2-mediated humoral response (which is important for immunity against extracellular pathogens and toxins).

·Increasing Immunological Memory: By enhancing the initial immune response, adjuvants can also improve the development of immunological memory, leading to a faster and more effective response upon subsequent exposure to the pathogen.

·Targeting Antigen-Presenting Cells: Some adjuvants are designed to specifically target antigen-presenting cells (APCs), such as dendritic cells, to improve the efficiency of antigen uptake and presentation.

It's important to note that not all vaccines require adjuvants, and the choice of adjuvant depends on the nature of the antigen, the desired type of immune response, and safety considerations. Adjuvants must be thoroughly tested for safety and efficacy before they can be used in human vaccines. The development of new and improved adjuvants is an active area of research in vaccine technology.

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