“…In the course of our own structure–activity studies on a detoxified but complex form of lipid A known as 3- O -desacyl monophosphoryl lipid A (MPLA), a disaccharide TLR4 agonist, we developed a new class of synthetic monosaccharide TLR4-active glycolipids known as aminoalkyl glucosaminide 4-phosphates (AGPs), capable of eliciting robust innate and adaptive immune responses. − These monosaccharide compounds consist of three fatty acyl chains that are N - and O -linked to an O -glucosaminyl ethylamine or serine backbone (e.g., 1a – c , Figure ). We demonstrated that minor structural modifications to synthetic TLR4 agonists could alter signaling selectivity , (MyD88 vs TRIF bias in TLR4 agonists) and convert agonist to antagonist responses . Engineered to specifically trigger an innate immune response with varying degrees of specificity, potency, and safety attributes, some of these agonists, in addition to showing promise as vaccine adjuvants, − were also capable of eliciting nonspecific protection against a wide range of infectious pathogens. − As evidence of the validity of this approach, the TLR4 agonist RC-529 was approved for human use in a recombinant HBV vaccine and another highly active TLR4 agonist, GSK1795091 (agonist 1c ), completed a phase I clinical trial for safety evaluation …”