International Immunology, Vol. 11, No. 2, 289-296,
February 1999
© 1999 Japanese Society for Immunology
Non-coding plasmid DNA induces IFN-
in vivo and suppresses autoimmune encephalomyelitis
1 The Weizmann Institute of Science, Department of Immunology, Rehovot 76100, Israel
2 Department of Neurology and Neurological Sciences, Stanford University School of Medicine, Stanford, CA 943055429, USA
Correspondence to: L. Steinman, Department of Neurology and Neurological Sciences, Beckman B002, Stanford University School of Medicine, Stanford, CA 94305-5429, USA
| Abstract |
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Regulatory sequences used in plasmids for naked DNA vaccination can modulate cytokine production in vivo. We demonstrate here that injection of plasmid DNA can suppress the prototypic T cell-mediated autoimmune disease, experimental autoimmune encephalomyelitis, by inducing IFN-
.
Keywords: autoimmunity, cytokines, experimental autoimmune encephalomyelitis, gene therapy, multiple sclerosis, vaccination
| Introduction |
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DNA vaccination has been successful for immunization against infectious disease, for cancer immunotherapy and for treatment of autoimmune disease (13). DNA vaccination to TCR Vß genes prevented the development of experimental autoimmune encephalomyelitis (EAE), which serves as a prototype for animal models of T cell-mediated autoimmunity. EAE serves as a model for human multiple sclerosis (MS), a demyelinating disease mediated by CD4+ T cells targeted to various myelin components.
The cellular and molecular mechanisms involved in immunization with naked DNA are not well understood. DNA vaccination allows targeting of the encoded antigen to distinct cytoplasmic domains, like the proteasome, the endoplasmic reticulum and the cytosol. Intracellular targeting may affect antigen processing and presentation of antigen. Therefore, the immunization by naked DNA offers a variety of possibilities to induce both MHC I- and MHC II-restricted responses, and to control the Th1/Th2 balance (35). Muscle cells and more conventional antigen-presenting cells like B cells and dendritic cells can be transfected in vivo by injected DNA (5). The immune response can be modulated by co-injection of cDNAs encoding cytokines or co-stimulatory molecules.
It was assumed that the critical factor in DNA vaccination would be the degree of expression of the foreign DNA; the more DNA-encoded antigen made by the body's cells, the greater the immune response to the antigen. This idea led to the design of vaccines composed of the DNA for the antigen attached to `promoter' DNA sequences that would enhance the degree of antigen expression by the cells taking up the vaccine. Surprisingly, however, it was found that stronger immune responses could be obtained by using bacterial DNA promoter sequences that actually stimulated less expression of the DNA-encoded antigen. Indeed, immunostimulatory sequences (ISS) containing CpG motifs have been reported to greatly increase the immunogenicity of DNA vaccines (4,6,7), providing that they are hypomethlylated (7). The molecular mechanism underlying this phenomena likely involves the stimulation of cytokine expression. In vitro analyses have shown that oligonucleotides carrying the motif 5'-PuPuCGPyPy-3' directly induce the expression of inflammatory cytokines, i.e. IFN-
, -ß and -
, and IL-12, IL-18 and IL-6 (4,711).
The CpG motif is critical for DNA vaccination because it is immunostimulatory. The six-membered sequence PuPuCpGPyPy has been shown to stimulate B cells to proliferate, to secrete IL-6 and IL-12, and to produce antibodies. This bacterial DNA motif activates macrophages to produce IL-12 and IFN-
, -ß and -
. These cytokines stimulate T cells and NK cells in a cascade of activity that augments the immune response to specific antigens and enhances the production of certain cytokines. In other words, the bacterial CpG sequence promotes and enhances the immune response to the foreign protein antigen encoded by the expressed portion of the DNA vaccine. We have exploited in these experiments the use of the CpG motif in the naked DNA vaccine, to enhance production of IFN-
, which then suppresses EAE.
| Methods |
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Animals and induction of EAE
Female Lewis rats between 4 and 8 weeks old were used. EAE was induced by injecting both hind foot pads with 50 µl containing 200 µg of the myelin basic protein (MBP) peptide 8799 (VVHFFKNIVTPRT) and 100 µg Mycobacterium tuberculosis H37RA (Difco, Detroit, MI) emulsified in equal volumes of incomplete Freund's adjuvant and PBS. Severity of disease was graded as follows: 0, no clinical signs, +0.25, loss of the tip-of-tail reflex; +0.5, paralysis of posterior half of the tail; +1, complete paralysis of the tail; +1.5, incomplete paralysis of hind legs; +2, paralysis of hind legs; +3, paralysis extending to the thoracic spine.
T cell proliferation assay
Cell suspensions were prepared from lymph nodes and spleens by pressing the organs trough a fine wire mesh. Lymphocytes and splenocytes (2x105/well) were cultured in 200 µl of DMEM supplemented with 100 U/ml penicillin, 100 mg/ml streptomycin, 0.25 mg/ml Fungizone (BioLab, Jerusalem, Israel), 1 mM sodium pyruvate, 2 mM glutamine and non-essential amino acids, 50 µM ß-mercaptoethanol (Fluka, Buchs, Switzerland), and 1% syngeneic normal serum (complete medium). After 3 days of culture in round-bottom 96-well plates (Nunc, Roskilde, Denmark) in the presence of variable amounts of MBP 8799 or 1.25 µg/ml concanavalin A (Sigma Israel, Holon, Israel), cells were then pulsed during 16 h with 10 µCi [methyl-3H]thymidine (sp. act. 50 Ci/mmol; ICN Pharmaceuticals, Costa Mesa, CA), harvested and radioactivity was counted. Quadruplicates were performed for each antigen dilution.
Anti-MBP antibody levels
Rats were bled at different time points and sera was analyzed by ELISA. MaxiSorp immuno-plates (Nunc) were treated overnight at 4°C with PBS containing either 10 µg/ml of MBP 8799 or 5 µg/ml of rat MBP or guinea pig MBP. After blocking with 1% skim milk in PBS, diluted sera were added. Plates were washed with 0.1% Tween in PBS and incubated with rabbit anti-rat antibody conjugated with peroxidase. After repeated washing, H2O2 and 2,2'-azino-bis(3-ethylbenzthiazoline-6-sulfonic acid) (Kirkegaard & Perry, Gaithersburg, MD) were added to develop the reaction. Absorbance at 405 nm was measured at different time points (5 min to 4 h) to obtain a linear response with sera dilution. Normal Lewis rat serum was used to measure the background signal.
Adoptive transfer of EAE
Splenocytes isolated at peak disease were incubated 48 h at a density of 4x106 cell/ml in the presence of 1.25 µg/ml concanavalin A in complete DMEM. Thereafter cells were washed with PBS. Cells (5x107) were injected i.p. into naive rats. Between two and three rats were injected with the suspension from a single spleen.
DNA preparation and injection
The plasmids pECE (12), MBPpECE (13), pcDNA3 (Invitrogen, San Diego, CA) and pBKNS were amplified in Escherichia coli XL-Blue or XL1-Blue MRF' strain. pBKNS was obtained by deletion of the NheISpeI fragment from the plasmid pBK-CMV (Stratagene, La Jolla, CA).
Large-scale plasmid preparation of plasmid DNA was performed using Qiagen Plasmid Mega Prep (Qiagen, Hilden, Germany) or Wizard Maxi or Mega Preps (Promega, Madison, WI). When indicated, DNA was treated with Triton X-114 (14). DNA was always ethanol-precipitated and redissolved in sterile PBS. Five days before DNA treatment, animals were injected under pentathol anesthesia into the tibialis anterior muscle with 100 µl of 10 µM snake cardiotoxin (Sigma, St Louis, MO) in PBS. Between 50 and 100 µl containing 2550 µg of DNA was then injected in each leg at 710 day intervals. Three or four DNA injections were performed and 1 week afterwards, EAE was induced.
Phosphorothioaete oligonucleotides were obtained from PAN facility Beckman Center for Molecular and Genetic Medicine, Stanford University; 50 µg of each one was injected as above, on days 4, 0, +9 and +13 relative to induction of EAE. The oligonucleotide CG contains two 9mer segments from the pECE ß-lactamase gene including a CpG motif, and the oligonucleotide GC displays the same sequence with inverted motifs. Oligonucleotide CG: 5'-TCCATAACGTTGCAAACGTTCTG-3'. Oligonucleotide GC: 5'-TCCATAAGCTTGCAAAGCTTCTG-3'.
RNA extraction and cDNA synthesis
Lymphocytes were obtained as before and 5x106 cells/ml were incubated in 24-well plates with complete medium in the presence of 10 µg/ml MBP 8799 during 1624 h. After washing in PBS, RNA was extracted with Tri Reagent (Molecular Research Center, Cincinnati, OH). RNA from 107 lymph node cells (LNC) was resuspended in 20 µl of diethylpirocarbonate-treated water. Spinal cord was dissected at peak disease and the distal 3 cm used for RNA isolation. Spinal cord RNA was resuspended in a final volume of 100 µl. RNA quality and yield were tested in non-denaturing agarose gel electrophoresis.
RNA (2 µl) was mixed with 500 ng oligo-dT (Promega) and heated at 65°C during 10 min in a volume of 6 µl. Then 6 µl of 2xRT mix containing 2xRT buffer; 1 mM each dNTP; 2 U/µl RNasin and 20 U/µl reverse transcriptase M-MLV H (Promega) were added, and the reaction was performed at 42°C during 90 min followed by denaturation at 100°C during 10 min.
Semiquantitative RT-PCR
Specific primers for cytokines and housekeeping mRNAs were used to amplify cDNAs. Sequence and size were as follow: tumor necrosis factor (TNF)-
, AGGAGGCGCTCCCCAAAAAGATGGG, GTACATGGGCTCATACCAGGGCTTG, 551 bp; IFN-
, ATGAGTGCTACACGCCGCGTCTTGG, GAGTTCATTGACTTTGTGCTGG, 405 bp; transforming growth factor (TGF)-ß, GTGCCGTGAGCTGTGCAGGTGCTGG, CGACCCAGAGCCGGAGCCCGAAGCG, 549 bp; IL-10, GAGTGAAGCCAGCAAAGGC, TCGCAGCTGTATCCAGAGG, 329 bp, CD3, AGAGCAGCTGGCAAAGGTGGTGTC, TATGGCACTTTGAGAAACCTCCAT, 320 bp; GAPDH, CCCACGGCAAGTTCAACGG, CTTTCCAGAGGGGCCATCCA, 408 bp. All PCR reactions were as follow: denaturation during 10 min at 94°C followed by a variable number of cycles of 1 min at 94°C; 1 min at 65°C and 1 min at 72°C. An additional extension of 10 min at 72°C was performed. the number of cycles was 32 for IL-10 and TNF-
, 34 for IFN-
, 35 for TGF-ß, 30 for CD3, and 25 for GAPDH when analyzing LNC cDNAs. PCR reactions were performed in 20 µl containing 0.2 mM each dNTP; 1 µM each primer, 1xbuffer and 2 U of DynaZyme (Finnzymes, Espoo, Finland). For double PCR, 30 cycles were used. The concentration of IFN-
-specific oligonucleotides was adjusted to 2 µM.
PCR samples were analyzed in 2.5% agarose gels (1.5% NuSieve agarose, FMC BioProducts, Rockland, ME; 1% agarose, Talron, Rehovot, Israel), in TrisacetateEDTA (TAE) buffer containing ethidium bromide.
| Results |
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Bacterial plasmids prevent EAE
T cells specific for MBP 8799 can be found in the brains of patients with MS (1517). Injection of MBP 8799 induces EAE in Lewis rats, with T cells found in rat brain bearing the same TCR Vß CDR3 sequences as those found in humans with MS (15). We chose this model of EAE, because of the similarities with MS and asked whether cDNA vaccination with a gene encoding MBP could modulate EAE.
A plasmid carrying the cDNA for the murine 14 kDa MBP inserted into the plasmid pECE was used. The expression of MBP from this construct has been shown previously in distinct cell types, including oligodendrocytes (13) and was further confirmed in murine antigen-presenting cells (data not shown). This construct was used to perform DNA vaccination in Lewis rats, followed by induction of EAE with the MBP 8799. Figure 1
shows that the incidence and the intensity of the disease on the vaccinated animals were significantly lower than in the control group. Surprisingly, a group of animals treated with the plasmid vector pECE, carrying no insert, also strongly protected from the disease (Fig. 1
).
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Table 1
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The preventive action was also observed with plasmid DNA that was further purified by extraction with Triton X-114 (experiment H in Table 1
Immune response to MBP in DNA-treated animals
To analyze whether the capacity to mount an immune response against MBP peptides was altered in the protected animals, both the presence of T cells anti-MBP and the antibodies levels were evaluated at several time points during the disease. Similar levels of anti-MBP antibodies were detected in control and protected animals at both peak disease and after recovery (Fig. 2
). The differences between the two groups observed at peak disease was comparable to the variation among individuals. Antibody levels were less variable at day 28, shortly after recovery from EAE. Those data indicate that the B cell response to the encephalitogen was normal.
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The proliferative response induced by MBP 8799 in both LNC and splenocytes was analyzed at peak disease (day 15 post-induction) as shown in Fig. 3
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Table 2
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Passive transfer of EAE with cells from protected animals
The encephalitogenic capacity of T cell anti-MBP from protected animals was compared to that of sick animals. Naive Lewis rats injected with splenocytes from control, sick animals (score 1) developed a similar disease (score 1). In contrast, when naive rats were injected with splenocytes from pECE- or MBP-pECE-treated animals, the incidence of EAE was lower. Only one out of nine animals showed clinical manifestation of the disease (Fig. 4
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Cytokine expression in LNC of protected rats
RT-PCR was performed in pooled samples of control (disease score 1 to 2) and pECE-treated animals (disease score 0) using CD3-specific primers for normalization. Levels of two anti-inflammatory cytokines, IL-10 and TGF-ß, were almost 5-fold higher in LNC from the protected rats (Fig. 5
expression was slightly elevated in the sick animals. Surprisingly, IFN-
appeared up-regulated in the protected animals. This was also observed in additional experiments where the analysis was performed at different times during disease (not shown). In addition, it was further confirmed by double-PCR analysis where the amount of IFN-
mRNA relative to either CD3 or TGF-ß mRNA was assessed. Figure 6
and CD3 in LNC from two protected animals (score 0) and two sick animals at peak disease (score 1 and 2.5). The level of IFN-
mRNA relative to CD3 mRNA was higher in the pECE-treated rats. Moreover, the IFN-
/TGF-ß balance is altered in the protected animals. Double PCR analysis of these cytokines performed in two separate experiments indicated that the IFN-
/TGF-ß ratio in LNC from non-treated animals (disease score 2.5) was lower than in pECE-treated rats (disease score 0) (Fig. 7
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Cytokine levels were analyzed in the central nervous system, using GAPDH specific primers for normalization (Fig. 8
(Fig. 8
mRNA were readily detected in the spinal cord of sick animals, together with high levels of CD3 mRNA (not shown). In contrast, almost no signal for messengers encoding those cytokines was observed in five protected rats (Fig. 8
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Synthetic oligonucleotides with ISS protect from EAE
All plasmids which demonstrated a significant protective capacity carry an ampicillin-resistance gene, where an ISS has been described to be present. Therefore, the effect of a phosphorothioate oligonucleotide carrying those ISS was analyzed. A control oligonucleotide was designed carrying the same sequence with an inverted CpG motif. Figure 9
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| Discussion |
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In the course of our studies on DNA vaccination on EAE in the Lewis rat we found that treatment with plasmid DNA carrying no insert abrogated the disease. The observation that non-coding plasmid DNA can influence the normal immune response to MBP to the extent that no autoimmune disease develops is remarkable. When looking at possible alterations of the immune response to the encephalitogen MBP 8799, we found that vigorous B and T cell reactions occurred. Unlike the case of EAE, where the T cells decline after reaching a maximum during the disease period, the proliferative response of anti-MBP T cells remained elevated at later times in the protected rats. This probably suggests that the down-regulation of anti-MBP T cells is somehow impaired in the animals that did not develop EAE. In spite of the strong anti-MBP reaction mounted, no clinical manifestation of disease nor infiltration were observed. Furthermore, the encephalitogenic capacity of splenocytes from protected animals was largely reduced.
These results suggest a protective mechanism involving changes in the cytokine profile. Indeed, significant differences were observed when the expression of both anti-inflammatory and pro-inflammatory cytokines was analyzed in LNC. Both TGF-ß and IL-10 mRNAs appeared 5-fold elevated in the pECE-treated animals. The importance of those cytokines in recovery and treatment of EAE has been reported previously. In contrast, the expression of TNF-
, a cytokine involved in the pathogenesis, was slightly reduced. Surprisingly, the levels of IFN-
were augmented in anti-MBP T cells from protected animals.
IFN-
is a pro-inflammatory cytokine whose role in EAE and MS is somehow contradictory. IFN-
has both an inflammatory and a regulatory action. It activates macrophages and astrocytes, stimulating the expression of IL-1, TNF-
and MHC II, thus inducing a cascade of inflammatory molecules (18). Indeed, the tissue-specific expression of IFN-
promotes inflammation in several organs (19,20). Clinical trials have shown that IFN-
has a deleterious effect in relapsing-remitting MS patients (21). The fact that IFN-
is elevated in sick spinal cord points to its action as a pro-inflammatory cytokine, when acting locally and thus this agrees with the results of other authors [particularly Panitch et al. (21)]. Despite the fact that systemic administration of IFN-
is protective in EAE, IFN-
can induce MHC class II on astrocytes (33) and allow these glial cells to present myelin antigens to encephalitogenic T cells. While in EAE systemic administration of IFN-
is protective, in MS administration of IFN-
provokes exacerbations of disease (21).
Evidence that this cytokine may also exert beneficial effects is mainly derived from two lines of research: manipulation of IFN-
levels by administration of the cytokine or specific mAb and studies on IFN-
knockout animals. Heremans et al. (22) have shown that EAE is enhanced by systemic administration of anti-IFN-
antibodies and that treatment with IFN-
reduces morbidity and mortality in mice. Likewise, Voorthuis et al. (23) reported that intraventricular injection of IFN-
inhibits EAE in rats and systemic anti-IFN-
exacerbates the disease. In addition, administration of encephalitogenic T cells together with anti-IFN-
antibodies greatly exacerbates disease, whereas antibodies against other pro-inflammatory cytokines like IL-2 have the opposite effect (24).
A second line of evidence of the beneficial regulatory action of IFN-
derives from the work done with knockout mice. We have shown (25) that EAE develops with higher mortality in animals carrying a disrupted IFN-
gene. Moreover, recent reports indicate that the IFN-
and the IFN-
receptor genes confer resistance to EAE. Indeed, the BALB/c mouse strain is normally refractory to the disease, but it is converted to a susceptible phenotype when the IFN-
gene is disrupted (26). Likewise, the 129/Sv mice are resistant to myelin oligodendrocyte glycoprotein-induced EAE, but they develop a disease with high morbidity and mortality when lacking the gene coding for the ligand-binding chain of the IFN-
receptor (27).
Our data strongly suggest that the protection provoked by plasmid DNA is likely mediated by IFN-
. In the repeated analysis by RT-PCR that we performed, we found that the elevation of IFN-
was consistently associated with suppression of EAE. However, the participation of the elevated levels of the anti-inflammatory cytokines IL-10 and TGF-ß in protection may be important, and may synergize with IFN-
. Anti-IFN-
worsens EAE in our laboratory [see fig. 1A
and table 1
in (34), and in a number of cited studies (2224)].
It has been reported that certain DNA sequences can stimulate the secretion of this and others cytokines. In vitro experiments have shown that either single-strand or double-strand oligonucleotides carrying the motifs AACGTT (I), AGCGCT (II), GACGTC (III), AACGCT (IV) or GACGTT (V) induce the expression of IL-12, IL-6, and IFN-
, -ß and -
in macrophages, T cells and B cells (7,11,28,29). Those hypomethylated CpG motifs present in plasmids or in short oligonucleotides have a potent adjuvant effect in vivo (6,7,30).
Two copies of the motif I and a single copy of motifs II and V are present in pECE. Likewise, pCDNA3 contains 11 copies of those CpG motifs. Therefore, it is likely that those plasmid sequences up-regulate IFN-
, thus triggering a protective mechanism. Indeed, a synthetic oligonucleotide carrying the motifs AACGTT protected from the disease, whereas a similar oligonucleotide with the sequence AAGCTT did not (Fig. 9
). The fact that bacterial DNA affects autoimmunity is not unexpected. Segal et al. (31) have recently shown that quiescent T cells specific for MBP are converted to an encephalitogenic phenotype, when exposed to bacterial DNA or oligonucleotides containing CpG motifs in vitro. In contrast, the present data show that the outcome of the immunomodulatory capacity of bacterial DNA can be quite the opposite, with suppression of EAE, when assessed in vivo. Similarly, a recent report by Gilkeson et al. (32) shows that bacterial DNA ameliorates autoimmunity in NZB/NZW mice.
| Acknowledgments |
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We thank Edgar Stibbe for technical assistance, and Drs David Colman and Susan Staugaitis for providing the plasmids used in this work. This work was supported by the National Institutes of Health. This work was supported by grants from the National Institutes of Health and by the National Multiple Sclerosis Society. G. L. B. was supported by a Weizmann-Campomar Cooperation Program Fellowship.
| Abbreviations |
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| EAE | experimental autoimmune encephalomyelitis |
| ISS | immunostimulatory sequences |
| MS | multiple sclerosis |
| MBP | myelin basic protein |
| LNC | lymph node cells |
| TGF | transforming growth factor |
| TNF | tumor necrosis factor |
| Notes |
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Transmitting editor: R. Hardy
Received 8 May 1998, accepted 22 October 1998.
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B. J. Marsh, S. L. Stevens, B. Hunter, and M. P. Stenzel-Poore Inflammation and the Emerging Role of the Toll-Like Receptor System in Acute Brain Ischemia Stroke, March 1, 2009; 40(3_suppl_1): S34 - S37. [Abstract] [Full Text] [PDF] |
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A. M. Krieg Antiinfective Applications of Toll-like Receptor 9 Agonists Proceedings of the ATS, July 1, 2007; 4(3): 289 - 294. [Abstract] [Full Text] [PDF] |
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Y. Okura, A. Miyakoshi, K. Kohyama, I.-K. Park, M. Staufenbiel, and Y. Matsumoto Nonviral Abeta DNA vaccine therapy against Alzheimer's disease: Long-term effects and safety PNAS, June 20, 2006; 103(25): 9619 - 9624. [Abstract] [Full Text] [PDF] |
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P. P. Ho, P. Fontoura, P. J. Ruiz, L. Steinman, and H. Garren An Immunomodulatory GpG Oligonucleotide for the Treatment of Autoimmunity via the Innate and Adaptive Immune Systems J. Immunol., November 1, 2003; 171(9): 4920 - 4926. [Abstract] [Full Text] [PDF] |
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F. J. Quintana, A. Rotem, P. Carmi, and I. R. Cohen Vaccination with Empty Plasmid DNA or CpG Oligonucleotide Inhibits Diabetes in Nonobese Diabetic Mice: Modulation of Spontaneous 60-kDa Heat Shock Protein Autoimmunity J. Immunol., December 1, 2000; 165(11): 6148 - 6155. [Abstract] [Full Text] [PDF] |
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A. Lobell, R. Weissert, S. Eltayeb, C. Svanholm, T. Olsson, and H. Wigzell Presence of CpG DNA and the Local Cytokine Milieu Determine the Efficacy of Suppressive DNA Vaccination in Experimental Autoimmune Encephalomyelitis J. Immunol., November 1, 1999; 163(9): 4754 - 4762. [Abstract] [Full Text] [PDF] |
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