Type II heat-labile enterotoxins (HLTs) constitute a promising set of adjuvants that have been shown to enhance humoral and cellular immune responses when coadministered with an array of different proteins, including several pathogen-associated antigens. However, the adjuvant activities of the four best-studied HLTs, LT-IIa, LT-IIb, LT-IIb T13I , and LT-IIc, have never been compared side by side. We therefore conducted immunization studies in which LT-IIa, LT-IIb, LT-IIb T13I , and LT-IIc were coadministered by the intradermal route to mice with two clinically relevant protein subunit vaccine antigens derived from the enzymatic A subunit (RTA) of ricin toxin, RiVax and RVEc. The HLTs were tested with low and high doses of antigen and were assessed for their abilities to stimulate antigen-specific serum IgG titers, ricin toxin-neutralizing activity (TNA), and protective immunity. We found that all four HLTs tested were effective adjuvants when coadministered with RiVax or RVEc. LT-IIa was of particular interest because as little as 0.03 g when coadministered with RiVax or RVEc proved effective at augmenting ricin toxin-specific serum antibody titers with nominal evidence of local inflammation. Collectively, these results justify the need for further studies into the mechanism(s) underlying LT-IIa adjuvant activity, with the long-term goal of evaluating LT-IIa's activity in humans.T he absence of effective adjuvants constitutes a critical bottleneck to the development of protein subunit vaccines for biodefense and emerging infectious diseases (1-3). RiVax, for example, is a recombinant, attenuated derivative of the enzymatic subunit of ricin toxin (RTA), which has been deemed to be safe for human use (4, 5). Unfortunately, phase I clinical trials indicated that even repeated high-dose immunizations were relatively poor at stimulating ricin-specific IgG antibodies and toxin-neutralizing activity (TNA) in sera of volunteers. Adsorption of RiVax to aluminum salts adjuvant only marginally improved the antibody response to the vaccine antigen, indicating that the future success of RiVax and other ricin toxin subunit vaccine antigens under investigation, like RVEc, may depend on the identification of morepotent adjuvants (6).The type I and type II bacterial heat-labile enterotoxins (HLTs) are among the most potent adjuvants described to date. The HLTs are AB 5 subunit toxins, consisting of a single ADP-ribosylating ("A") subunit joined noncovalently to pentamers of gangliosidebinding ("B 5 ") subunits. The well-characterized type I HLTs include cholera toxin (CT), expressed by Vibrio cholerae, and LT enterotoxin, expressed by enterotoxigenic strains of Escherichia coli. The type II enterotoxins, on the other hand, are less well characterized and more diverse than CT or LT (7,8). The beststudied type II HLTs are LT-IIa, LT-IIb, and LT-IIc, each of which has been shown to enhance antigen-specific immune responses when coadministered with a model antigen like ovalbumin (OVA) (9). Adjuvant activities of the type I and II HL...