Jpn. J. Infect. Dis., 55, 37-44, 2002
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Invited Review
Discovery of Immunostimulatory CpG-DNA and Its Application to Tuberculosis Vaccine Development
Saburo Yamamoto1*, Toshiko Yamamoto1,2, Yasuhiro Nojima1, Kiyoko Umemori1, Susan Phalen2, David N. McMurray2, Etsuro Kuramoto3, Sumiko Iho4, Rumiko Takauji4, Yukio Sato5, Takeshi Yamada6, Naoya Ohara6, Sohkichi Matsumoto7, Yoshitaka Goto8, Kazuhiro Matsuo9 and Tohru Tokunaga10
1National Institute of Infectious Diseases, Gakuen 4-7-1, Musashimurayama, Tokyo 208-0011, 2Texas A & M University Health Science Center, College Station, Texas, USA, 3Mitsui Pharmaceuticals, Inc., Togo, Mobara, Chiba 297-0017, 4Fukui Medical University School of Medicine, Matsuoka-cho, Yoshida, Fukui 910-1193, 5Fukushima Medical University School of Medicine, Hikarigaoka, Fukushima 960-1295, 6Nagasaki University School of Dentistry, Sakamoto, Nagasaki 852-8523, 7Osaka City University School of Medicine, Asahi, Abeno-ku, Osaka 545-8585, 8Miyazaki University Faculty of Agriculture, Gakuen Kibanadai Nishi, Miyazaki 889-2192, 9Japan Science and Technology Cooperation, AIDS Vaccine Project Office, Nonthaburi 11000, Thailand and 10Fukuoka Jo-Gakuin University, Osa, Minami-ku, Fukuoka, 811-1313, Japan
(Received April 22, 2002)
CONTENTS: 1. Introduction 2. Immunostimulatory sequences 3. Bacterial DNA, but not animal or plant DNA, possesses immunostimulatory activity 4. Antitumor activity of immunostimulatory CpG-DNA 5. Immunostimulatory activity of CpG-DNA 6. Intracellular mechanisms of immunostimulatory CpG-DNA 7. Immunostimulatory CpG-DNA as an immunoadjuvant for vaccine development 8. Therapeutic applications of immunostimulatory CpG-DNA
SUMMARY: DNA containing an unmethylated CpG motif has a
potent immunostimulatory effect on the vertebrate immune system.
Because such CpG motifs are relatively common in bacterial DNA,
but rare in mammalian animal and plant DNA, they may be an evolutionary
adaptation augmenting innate immunity, most likely in response
to pathogens that replicate within the host cells, such as viruses
and intracellular bacteria. Microbial infection induces innate
immunity by triggering pattern-recognition systems. The infected
cells produce proinflammatory cytokines that directly combat microbial
invaders and express costimulating surface molecules, which develop
adaptive immunity by inducing distinct T cell differentiation.
Bacterial DNA with unmethylated CpG-DNA stimulates vertebrate
immature immune cells to induce maturation and to produce TNF-ƒ¿
as well as Th1-type cytokines, IL-12 and IFN-ƒÁ. Therefore, CpG-DNA
functions as an adjuvant for regulating the initiation of Th1
differentiation. The roles of immunostimulatory CpG motifs in
DNA vaccine developments and in therapeutic applications have
been discussed.
*Corresponding author: Tel: +81-42-561-0771, Fax: +81-42-565-3315, E-mail: saburo@nih.go.jp
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