The Mucosal Vaccine Adjuvant LT(R192G/L211A) or dmLT

ABSTRACT Perhaps the best-studied mucosal adjuvants are the bacterially derived ADP-ribosylating enterotoxins. This adjuvant family includes heat-labile enterotoxin of Escherichia coli (LT), cholera toxin (CT), and mutants or subunits of LT and CT. These proteins promote a multifaceted antigen-speci...

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Autores principales: John D. Clements, Elizabeth B. Norton
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Lenguaje:EN
Publicado: American Society for Microbiology 2018
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Acceso en línea:https://doaj.org/article/804b0ebcf2d743a4b4140eb36cdd18d9
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spelling oai:doaj.org-article:804b0ebcf2d743a4b4140eb36cdd18d92021-11-15T15:25:51ZThe Mucosal Vaccine Adjuvant LT(R192G/L211A) or dmLT10.1128/mSphere.00215-182379-5042https://doaj.org/article/804b0ebcf2d743a4b4140eb36cdd18d92018-08-01T00:00:00Zhttps://journals.asm.org/doi/10.1128/mSphere.00215-18https://doaj.org/toc/2379-5042ABSTRACT Perhaps the best-studied mucosal adjuvants are the bacterially derived ADP-ribosylating enterotoxins. This adjuvant family includes heat-labile enterotoxin of Escherichia coli (LT), cholera toxin (CT), and mutants or subunits of LT and CT. These proteins promote a multifaceted antigen-specific response, including inflammatory Th1, Th2, Th17, cytotoxic T lymphocytes (CTLs), and antibodies. However, more uniquely among adjuvant classes, they induce antigen-specific IgA antibodies and long-lasting memory to coadministered antigens when delivered mucosally or even parenterally. The purpose of this minireview is to describe the general properties, history and creation, preclinical studies, clinical studies, mechanisms of action, and considerations for use of the most promising enterotoxin-based adjuvant to date, LT(R192G/L211A) or dmLT. This review is timely due to completed, ongoing, and planned clinical investigations of dmLT in multiple vaccine formulations by government, nonprofit, and industry groups in the United States and abroad.John D. ClementsElizabeth B. NortonAmerican Society for MicrobiologyarticleadjuvantdmLTmucosal vaccinesMicrobiologyQR1-502ENmSphere, Vol 3, Iss 4 (2018)
institution DOAJ
collection DOAJ
language EN
topic adjuvant
dmLT
mucosal vaccines
Microbiology
QR1-502
spellingShingle adjuvant
dmLT
mucosal vaccines
Microbiology
QR1-502
John D. Clements
Elizabeth B. Norton
The Mucosal Vaccine Adjuvant LT(R192G/L211A) or dmLT
description ABSTRACT Perhaps the best-studied mucosal adjuvants are the bacterially derived ADP-ribosylating enterotoxins. This adjuvant family includes heat-labile enterotoxin of Escherichia coli (LT), cholera toxin (CT), and mutants or subunits of LT and CT. These proteins promote a multifaceted antigen-specific response, including inflammatory Th1, Th2, Th17, cytotoxic T lymphocytes (CTLs), and antibodies. However, more uniquely among adjuvant classes, they induce antigen-specific IgA antibodies and long-lasting memory to coadministered antigens when delivered mucosally or even parenterally. The purpose of this minireview is to describe the general properties, history and creation, preclinical studies, clinical studies, mechanisms of action, and considerations for use of the most promising enterotoxin-based adjuvant to date, LT(R192G/L211A) or dmLT. This review is timely due to completed, ongoing, and planned clinical investigations of dmLT in multiple vaccine formulations by government, nonprofit, and industry groups in the United States and abroad.
format article
author John D. Clements
Elizabeth B. Norton
author_facet John D. Clements
Elizabeth B. Norton
author_sort John D. Clements
title The Mucosal Vaccine Adjuvant LT(R192G/L211A) or dmLT
title_short The Mucosal Vaccine Adjuvant LT(R192G/L211A) or dmLT
title_full The Mucosal Vaccine Adjuvant LT(R192G/L211A) or dmLT
title_fullStr The Mucosal Vaccine Adjuvant LT(R192G/L211A) or dmLT
title_full_unstemmed The Mucosal Vaccine Adjuvant LT(R192G/L211A) or dmLT
title_sort mucosal vaccine adjuvant lt(r192g/l211a) or dmlt
publisher American Society for Microbiology
publishDate 2018
url https://doaj.org/article/804b0ebcf2d743a4b4140eb36cdd18d9
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