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Cervarix is a bivalent, recombinant, adjuvanted vaccine developed by GSK for the prevention of diseases caused by human papillomavirus (HPV) types 16 and 18. The vaccine contains virus-like particles (VLPs) composed of the L1 capsid proteins of HPV-16 and HPV-18, which are produced using a recombinant baculovirus expression system in insect cells. It is formulated with GSK's proprietary AS04 adjuvant system, which consists of aluminum hydroxide and 3-O-desacyl-4'-monophosphoryl lipid A (MPL). MPL acts as a Toll-like receptor 4 (TLR4) agonist, enhancing the immune response and promoting high, sustained levels of neutralizing antibodies. Cervarix is indicated for the prevention of cervical cancer, cervical intraepithelial neoplasia (CIN) grades 1-3, and adenocarcinoma in situ, primarily in females.
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