Unmethylated CpG motifs are prevalent in bacterial but not vertebrate genomic DNAs. Oligodeoxynucleotides (ODN) containing CpG motifs activate host defense mechanisms leading to innate and acquired immune responses. The recognition of CpG motifs requires Toll-like receptor (TLR) 9, which triggers alterations in cellular redox balance and the induction of cell signaling pathways including the mitogen activated protein kinases (MAPKs) and NFκB. Cells that express TLR-9, which include plasmacytoid dendritic cells (PDCs) and B cells, produce Th1-like proinflammatory cytokines, interferons, and chemokines. Certain CpG motifs (CpG-A) are especially potent at activating NK cells and inducing IFN-α production by PDCs, while other motifs (CpG-B) are especially potent B cell activators. CpG-induced activation of innate immunity protects against lethal challenge with a wide variety of pathogens, and has therapeutic activity in murine models of cancer and allergy. CpG ODN also enhance the development of acquired immune responses for prophylactic and therapeutic vaccination.
*Abbreviations: APC, antigen presenting cell; BCR, B cell receptor; bDNA, bacterial DNA; CFA, complete Freund's adjuvant; CpG, cytosine linked to a guanine by a phosphate bond; CpG-A ODN, an ODN containing a CpG motif with bases linked by phosphodiester bonds; CpG-B ODN, an ODN containing a CpG motif with bases linked by phosphorothioate bonds; Id, idiotype; IFN, interferon; LPS, lipopolysaccharide; MAPK, mitogen-activated protein kinase; ODN, oligodeoxynucleotide; PO, phosphodiester; PS, phosphorothioate; TCR, T cell receptor.