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. 2004 Mar;72(3):1608–1617. doi: 10.1128/IAI.72.3.1608-1617.2004

TABLE 1.

Immunomodulators chosen for their expected Th1-promoting abilities and tested in combination with DDA

Immunomodulator Biological activity Reference
Saponin Plant-derived extract with delayed type hypersensitivity-inducing qualities 10
Calcitriol Biologically active form of vitamin D3 with macrophage-activating abilities 1, 50
β-Glucan Effective in activating macrophage functions 30
n-Hexadecane Strong inducer of proinflammatory responses 41
TDB Synthetic analog of the potent immunostimulator TDM (cord factor); TDB has shorter mycolic acids and is therefore expected to show less toxicity 46, 49
MDP The smallest unit of bacterial cell walls that can replace mycobacteria in complete Freund’s adjuvant; has the ability to regulate several functions of cells involved in the immune response, including macrophage activation 7, 44
MPL Induces the synthesis and release of cytokines, particularly IL-2 and IFN-γ, thereby promoting Th1 responses 58