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Glucopyranosyl lipid adjuvant (GLA) is a synthetic, hexaacylated monophosphoryl lipid A (MPL) derivative that acts as a potent agonist of **Toll-like receptor 4 (TLR4)**. Developed primarily as a vaccine adjuvant, GLA is designed to activate the innate immune system, specifically inducing Th1-biased CD4+ T-cell responses and robust humoral immunity. The aqueous formulation, known as **GLA-AF**, is frequently utilized in clinical trials to enhance the immunogenicity of recombinant protein antigens. It is currently being evaluated in Phase 1 clinical trials as an adjuvant for the Na-APR-1 (M74) hookworm vaccine and has been investigated in vaccine candidates for schistosomiasis, HIV, and tuberculosis. The molecule was originally developed by the Infectious Disease Research Institute (IDRI), now known as the Access to Advanced Health Institute (AAHI).
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