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Reviews Of Infectious Diseases • May 1980<br />

Vaccine adjuvants<br />

Edelman R.<br />

Abstract<br />

Nonreplicating, purified subunit or synthetic viral vaccines of the future are<br />

likely to be weak immunogens that will require immunopotentiation if they<br />

are to be effective. These marginal vaccines could be improved by combination<br />

with potent and safe immunologic adjuvants. The use of adjuvants<br />

should also reduce the amount of purified antigen required for successful<br />

immunization, thus making vaccine production more economical and more<br />

feasible. It may be possible to combine the recently developed relatively<br />

nontoxic synthetic immunoregulators of low molecular weight with antigens<br />

in order to modulate preselected compartments of the immune system. To<br />

date, the question of adjuvant safety has not been resolved and represents<br />

the major obstacle to the orderly development of adjuvanted vaccines. The<br />

fear of inducing cancer and other immediate or long-term perturbations of<br />

the immune system must be patently and rationally overcome by basic and<br />

applied experimentation and by the development of appropriate guidelines<br />

for studies in humans.<br />

“Nonreplicating, purified subunit or<br />

synthetic viral vaccines of the future<br />

are likely to be weak immunogens that<br />

will require immunopotentiation if<br />

they are to be effective.”<br />

http://www.ncbi.nlm.nih.gov/pubmed/?term=6997966

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