2011
DOI: 10.1038/nm.2403
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DNA released from dying host cells mediates aluminum adjuvant activity

Abstract: Aluminum-based adjuvants (aluminum salts or alum) are widely used in human vaccination, although their mechanisms of action are poorly understood. Here we report that, in mice, alum causes cell death and the subsequent release of host cell DNA, which acts as a potent endogenous immunostimulatory signal mediating alum adjuvant activity. Furthermore, we propose that host DNA signaling differentially regulates IgE and IgG1 production after alum-adjuvanted immunization. We suggest that, on the one hand, host DNA i… Show more

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Cited by 466 publications
(470 citation statements)
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“…How particles induce Th2 responses is a complex subject for immunologists (26). The lipid mediator PGE 2 (57), self nucleic acids (58), and uric acid (59) are considered to be involved in alum-induced Th2 responses. It would be FIGURE 7.…”
Section: Discussionmentioning
confidence: 99%
“…How particles induce Th2 responses is a complex subject for immunologists (26). The lipid mediator PGE 2 (57), self nucleic acids (58), and uric acid (59) are considered to be involved in alum-induced Th2 responses. It would be FIGURE 7.…”
Section: Discussionmentioning
confidence: 99%
“…Two papers suggested that these factors might be involved (7,9). However, a number of studies have shown that T-cell priming and Ab responses are intact in mice that are genetically deficient in caspase-1, Nlrp3, MyD88, or the IL-1 receptor (6,(10)(11)(12)(13)(14), and thus indicate that IL-1β and related cytokines are not required for alum to act as an adjuvant.…”
mentioning
confidence: 99%
“…Alum crystals can activate the nucleotide binding oligomerization domain-like receptor protein 3 inflammasome leading to the release of mature bioactive IL-1b and IL-18, whose effects could combine with those of IL-36b. At the site of injection, Alum causes tissue damage and cell death that indirectly stimulate nucleotide binding oligomerization domainlike receptor protein 3 via the release of danger-associated molecular patterns such as uric acid, DNA, and alarmins (45,46). These local effects of Alum did not lead to any detectable circulating cytokine levels in AD or NN mice.…”
Section: Discussionmentioning
confidence: 97%