Improving the therapeutic index of CpG oligodeoxynucleotides by intralymphatic administration

Signal transduction initiated by TLR such as TLR9, a natural receptor for unmethylated cytosine‐guanine‐rich motifs (CpG), results in activation of transcription factors, including NF‐κB, with substantial impact on the innate and adaptive immunity. However, practical application of new adjuvants suc...

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Veröffentlicht in:European journal of immunology 2005-06, Vol.35 (6), p.1869-1876
Hauptverfasser: von Beust, Barbara R., Johansen, Pål, Smith, Kent A., Bot, Adrian, Storni, Tazio, Kündig, Thomas M.
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container_end_page 1876
container_issue 6
container_start_page 1869
container_title European journal of immunology
container_volume 35
creator von Beust, Barbara R.
Johansen, Pål
Smith, Kent A.
Bot, Adrian
Storni, Tazio
Kündig, Thomas M.
description Signal transduction initiated by TLR such as TLR9, a natural receptor for unmethylated cytosine‐guanine‐rich motifs (CpG), results in activation of transcription factors, including NF‐κB, with substantial impact on the innate and adaptive immunity. However, practical application of new adjuvants such as CpG oligodeoxynucleotides (ODN) remains a challenge, since prominent systemic activation of NF‐κB may result in severe side effects reminiscent of septic shock, thus limiting their therapeutic index (TI). Low‐dose administration of CpG ODN into lymph nodes has been evaluated as a means to reduce systemic side effects while retaining strong adjuvant properties. To this aim, a prototype immune‐stimulating CpG ODN was used to enhance the antibody production against the antigen phospholipase A2 and the CD8+ T cell responses to ovalbumin in mice. When administered subcutaneously, high CpG ODN doses (>10 nmol) were required to enhance antibody and CD8+ T cell responses. In contrast, when administered directly into a lymph node, much lower amounts of CpG (
doi_str_mv 10.1002/eji.200526124
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However, practical application of new adjuvants such as CpG oligodeoxynucleotides (ODN) remains a challenge, since prominent systemic activation of NF‐κB may result in severe side effects reminiscent of septic shock, thus limiting their therapeutic index (TI). Low‐dose administration of CpG ODN into lymph nodes has been evaluated as a means to reduce systemic side effects while retaining strong adjuvant properties. To this aim, a prototype immune‐stimulating CpG ODN was used to enhance the antibody production against the antigen phospholipase A2 and the CD8+ T cell responses to ovalbumin in mice. When administered subcutaneously, high CpG ODN doses (&gt;10 nmol) were required to enhance antibody and CD8+ T cell responses. In contrast, when administered directly into a lymph node, much lower amounts of CpG (&lt;0.1 nmol) were sufficient for a similar immune‐enhancing effect. Systemic adverse reactions induced by CpG ODN were only detected at higher doses (1–10 nmol), independently of the route of administration. Finally, low‐dose CpG ODN, administered in a targeted fashion to HLA‐A2.1+ transgenic mice, greatly elevated anti‐tumor CD8+ T cell immunity. 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Systemic adverse reactions induced by CpG ODN were only detected at higher doses (1–10 nmol), independently of the route of administration. Finally, low‐dose CpG ODN, administered in a targeted fashion to HLA‐A2.1+ transgenic mice, greatly elevated anti‐tumor CD8+ T cell immunity. 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subjects Acute-Phase Reaction
Adjuvants, Immunologic - administration & dosage
Animals
CD8-Positive T-Lymphocytes - immunology
Cytotoxicity, Immunologic - drug effects
Dendritic Cells - drug effects
Dendritic Cells - physiology
Humans
Lymph Nodes - drug effects
Mice
Mice, Inbred C57BL
Mice, Inbred CBA
Oligodeoxyribonucleotides - administration & dosage
Oligodeoxyribonucleotides - toxicity
Splenomegaly - chemically induced
Th1 Cells - immunology
title Improving the therapeutic index of CpG oligodeoxynucleotides by intralymphatic administration
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