“…Numerous novel immunization strategies, including multicomponent (e.g., Figure 3) and temporal release vaccination, have been devised with MNAs to further improve the efficacy, longevity, breadth, and protection capacity of MNA- administered vaccines. To this end, several different immunestimulants/adjuvants, such as imiquimod (TLR7/8 agonist), c-di-GMP (STING pathway agonist), polyinosinic:polycytidylic acid (poly(I:C), a TLR3 agonist), platycodin (saponin adjuvant), monophosphoryl lipid A (TLR4 agonist), Quil-A (saponin adjuvant), resiquimod (TLR7/8 agonist), glucopyranosyl lipid adjuvant (GLA, TLR4 ligand), or CpG oligonucleotides (TLR9 ligand), have been used with the same MNAs to enhance the immune responses to the antigen delivered to the skin [214][215][216][217][218][219][220][221][222][223][224]. A few small-molecule adjuvants, such as imiquimod, could also be topically applied to the skin prior to MNA delivery of antigens or could be formulated with STAR particles and SNAs for enhanced topical vaccination.…”