A suppressive oligodeoxynucleotide enhances the efficacy of myelin cocktail/IL-4-tolerizing DNA vaccination and treats autoimmune disease

PP Ho, P Fontoura, M Platten, RA Sobel… - The Journal of …, 2005 - journals.aai.org
PP Ho, P Fontoura, M Platten, RA Sobel, JJ DeVoss, LY Lee, BA Kidd, BH Tomooka…
The Journal of Immunology, 2005journals.aai.org
Targeting pathogenic T cells with Ag-specific tolerizing DNA vaccines encoding
autoantigens is a powerful and feasible therapeutic strategy for Th1-mediated autoimmune
diseases. However, plasmid DNA contains abundant unmethylated CpG motifs, which
induce a strong Th1 immune response. We describe here a novel approach to counteract
this undesired side effect of plasmid DNA used for vaccination in Th1-mediated autoimmune
diseases. In chronic relapsing experimental autoimmune encephalomyelitis (EAE) …
Abstract
Targeting pathogenic T cells with Ag-specific tolerizing DNA vaccines encoding autoantigens is a powerful and feasible therapeutic strategy for Th1-mediated autoimmune diseases. However, plasmid DNA contains abundant unmethylated CpG motifs, which induce a strong Th1 immune response. We describe here a novel approach to counteract this undesired side effect of plasmid DNA used for vaccination in Th1-mediated autoimmune diseases. In chronic relapsing experimental autoimmune encephalomyelitis (EAE), combining a myelin cocktail plus IL-4-tolerizing DNA vaccine with a suppressive GpG oligodeoxynucleotide (GpG-ODN) induced a shift of the autoreactive T cell response toward a protective Th2 cytokine pattern. Myelin microarrays demonstrate that tolerizing DNA vaccination plus GpG-ODN further decreased anti-myelin autoantibody epitope spreading and shifted the autoreactive B cell response to a protective IgG1 isotype. Moreover, the addition of GpG-ODN to tolerizing DNA vaccination therapy effectively reduced overall mean disease severity in both the chronic relapsing EAE and chronic progressive EAE mouse models. In conclusion, suppressive GpG-ODN effectively counteracted the undesired CpG-induced inflammatory effect of a tolerizing DNA vaccine in a Th1-mediated autoimmune disease by skewing both the autoaggressive T cell and B cell responses toward a protective Th2 phenotype. These results demonstrate that suppressive GpG-ODN is a simple and highly effective novel therapeutic adjuvant that will boost the efficacy of Ag-specific tolerizing DNA vaccines used for treating Th1-mediated autoimmune diseases.
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