2011
DOI: 10.1016/j.vaccine.2011.05.026
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Bis-(3′,5′)-cyclic dimeric adenosine monophosphate: Strong Th1/Th2/Th17 promoting mucosal adjuvant

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Cited by 113 publications
(140 citation statements)
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References 75 publications
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“…When administered intranasally with the S. pneumonia antigen pneumococcal surface protein A, cdGMP protected against S. pneumonia colonization (67). The ability of structurally related CDNs, such as cyclic di-inosine monophosphate and cyclic di-AMP, to adjuvant mucosal immunizations has also been reported (17,68). In contrast to the robust response to CDNs in mucosal immunization, the efficacy of CDNs as adjuvants in the setting of traditional parenteral immunization has been less clear, with much of the early published data focused on the use of CDNs to boost immunity against highly immunogenic model antigens and/or using large doses of CDNs.…”
Section: Type I Ifn and Tnf-α Play Complementary Roles Following Npcdmentioning
confidence: 94%
“…When administered intranasally with the S. pneumonia antigen pneumococcal surface protein A, cdGMP protected against S. pneumonia colonization (67). The ability of structurally related CDNs, such as cyclic di-inosine monophosphate and cyclic di-AMP, to adjuvant mucosal immunizations has also been reported (17,68). In contrast to the robust response to CDNs in mucosal immunization, the efficacy of CDNs as adjuvants in the setting of traditional parenteral immunization has been less clear, with much of the early published data focused on the use of CDNs to boost immunity against highly immunogenic model antigens and/or using large doses of CDNs.…”
Section: Type I Ifn and Tnf-α Play Complementary Roles Following Npcdmentioning
confidence: 94%
“…Cyclic di-nucleotides that bind Stimulator of Interferon Gamma Genes (STING) were recently shown to be potential alternatives to cAMP-inducing bacterial toxins and derivatives as vaccine adjuvants. For example, STING ligands of bacterial origin, including 3′3′-cGAMP, c-di-AMP, and c-di-GMP, have been shown to effectively elicit mucosal and systemic immune responses following intranasal administration (6466). More recently, targeting STING with 3′3′-cGAMP was found to be an effective strategy for enhancing the magnitude of immune responses and promoting IgA by sublingual immunization (67).…”
Section: Vaccine Adjuvants and Delivery Systems For Induction Of Mmentioning
confidence: 99%
“…Treatment with CDNs stimulates innate immune cells to control Klebsiella pneumoniae and Staphylococcus aureus infection in vivo (Karaolis et al, 2007a, 2007b). Additionally, immunizing with model antigens in conjunction with CDNs results in distinct immune responses depending on the route of delivery, with subcutaneous administration leading to a Th1/Th2 response and mucosal administration leading to a Th17 response (Ebensen et al, 2011). CDNs have also been shown to elicit protective antibody-based immunity when used as a vaccine adjuvant against the extracellular bacterial pathogens S. aureus and Streptococcus pneumoniae (Ebensen et al, 2007a, 2007b; Ogunniyi et al, 2008; Hu et al, 2009; Yan et al, 2009; Libanova et al, 2010; Madhun et al, 2011; Dubensky et.…”
Section: Introductionmentioning
confidence: 99%