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Blood, 15 August 2001, Vol. 98, No. 4, pp. 1217-1225
NEOPLASIA
Synthetic unmethylated cytosine-phosphate-guanosine
oligodeoxynucleotides are potent stimulators of antileukemia
responses in naive and bone marrow transplant recipients
Bruce R. Blazar,
Arthur M. Krieg, and
Patricia A. Taylor
From the University of Minnesota Cancer Center and
Department of Pediatrics, Division of Bone Marrow Transplant,
Minneapolis, MN; Department of Veteran Affairs Medical Center and the
Department of Internal Medicine, University of Iowa College of
Medicine, Iowa City; and the Coley Pharmaceutical Group, Wellesley, MA.
Immunostimulatory cytosine-phophate-guanosine (CpG)-containing
motifs in bacterial DNA are potent immune system activators. Depending
on the bases flanking the CpG motif and on the DNA backbone, CpG
oligodeoxynucleotides (ODNs) can induce relatively more B-cell activation or relatively more natural killer (NK)-cell activation. To
evaluate their antitumor activities, an NK-optimized ODN (1585) and 2 B-cell-optimized ODNs (1826 and 2006) were compared for their ability
to protect naive mice against a lethal acute myelogenous leukemia (AML)
challenge. CpG 2006, but not CpG 1585, administered 2 days before the
AML challenge, allowed mice to survive more than 100 times a lethal
tumor dose. Cell depletion studies showed that protection did not
require T or B cells but depended on NK cells and also on an
NK-independent mechanism. CpG 2006 protected against AML challenge in
both syngeneic and allogeneic bone marrow transplant (BMT) recipients
at both early and late time points after transplantation. Although CpG
1585 had no protective effect on its own, it showed a striking synergy
with CpG 2006 to induce prolonged survival to AML challenge in
allogeneic recipients of T-cell-depleted marrow grafts, exceeding the
survival benefit of donor lymphocyte infusion (DLI). When combined with
DLI, a synergistic effect was observed in recipients of CpG2006 or
2006 + 1585 with 88% of mice surviving long-term. These data are
the first to indicate that the systemic administration of CpG ODNs is a
potent means of inducing therapeutic anti-AML innate immune responses
in naive and BMT recipients.

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