Review Article

Adjuvants: Classification, Modus Operandi, and Licensing

Table 1

Classification of adjuvants.

TypeAdjuvant/formulation

Delivery systems
 Mineral saltsAluminum salts [alum]
Calcium phosphate
 Lipid particlesIncomplete Freund’s adjuvant
MF59
Cochleates
 MicroparticlesVirus-like particles
Virosomes
PLA (polylactic acid), PLG (poly[lactide-coglycolide])

Immune potentiatorsdsRNA: Poly(I:C), Poly-IC:LC
Monophosphoryl lipid A (MPL), LPS
Flagellin
Imidazoquinolines: imiquimod (R837), resiquimod (848)
CpG oligodeoxynucleotides (ODN)
Muramyl dipeptide (MDP)
Saponins (QS-21)

Mucosal adjuvantsCholera toxin (CT)
Heat-labile enterotoxin (LTK3 and LTR72)
Chitosan