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*
Division of Allergy and Immunology, Department of Internal Medicine, University of Texas Medical Branch, Galveston, TX 77555; and
Retroviral Immunology Section, Center for Biologics Evaluation and Research, Food and Drug Administration, Bethesda, MD 20892.
Asthma is an inflammatory disease of the airways that is induced by
Th2 cytokines and inhibited by Th1 cytokines. Despite a steady increase
in the incidence, morbidity, and mortality from asthma, no current
treatment can reduce or prevent asthma for a prolonged period. We
examined the ability of unmethylated CpG oligodeoxynucleotides (ODN),
which are potent inducers of Th1 cytokines, to prevent the inflammatory
and physiological manifestations of asthma in mice sensitized to
ragweed allergen. Administration of CpG ODN 48 h before allergen
challenge increased the ratio of IFN-
to IL-4 secreting cells,
diminished allergen-induced eosinophil recruitment, and decreased the
number of ragweed allergen-specific IgE-producing cells. These effects
of CpG ODN were sustained for at least 6 wk after its administration.
Furthermore, there was a vigorous Th1 memory response to the recall Ag,
inhibition of peribronchial and perivascular lung inflammation, and
inhibition of bronchial hyperresponsiveness 6 wk after administration
of CpG ODN. Administration of CpG ODN in IFN-
-/- mice failed to
inhibit eosinophil recruitment, indicating a critical role of IFN-
in mediating these effects. This is the first report of a treatment
that inhibits allergic lung inflammation in presensitized animals for a
prolonged period and thus has relevance to the development of an
effective long term treatment for asthma.
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