Evidence map›Paper›PMID 19726873›Full record

ArticleThe Journal of clinical investigation2009

CpG-containing immunostimulatory DNA sequences elicit TNF-alpha-dependent toxicity in rodents but not in humans.

John D Campbell, Yan Cho, Martyn L Foster, Holger Kanzler, Melissa A Kachura, Jeremy A Lum, Marianne J Ratcliffe, Atul Sathe, Andrew J Leishman, Ash Bahl and 3 more

Open access · bronzeAbstract readComparative Study
In one paragraph

Article in The Journal of clinical investigation, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed
1.8field-weighted citation impact, top 15% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

35 citing papers in PubMed, 72 citations in OpenAlex.

  1. Article
  2. Broadly active intranasal influenza vaccine with a nanocomplex particulate adjuvant targeting mast cells and toll-like receptor 9.Journal of controlled release : official journal of the Controlled Release Society · 2025
    Article
  3. Review
  4. Mitochondrial DNA and Inflammation in Alzheimer's Disease.Current issues in molecular biology · 2023
    Review
  5. Article
  6. Article
  7. Article
  8. Emerging concepts in the science of vaccine adjuvants.Nature reviews. Drug discovery · 2021
    Review
  9. Review
  10. Article
  11. Review
  12. Article
  13. Article
  14. Review
  15. TLRs in pulmonary diseases.Life sciences · 2019
    Review
  16. Article
  17. Article
  18. Article
  19. Stimulating Innate Immunity to Enhance Radiation Therapy-Induced Tumor Control.International journal of radiation oncology, biology, physics · 2017
    Review
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors at 1 institution in 1 country.

John D CampbellDynavax Technologies Corporation, Berkeley, California 94710, USA. DCampbell@dynavax.com
Yan Cho
Martyn L Foster
Holger Kanzler
Melissa A Kachura
Jeremy A Lum
Marianne J Ratcliffe
Atul Sathe
Andrew J Leishman
Ash Bahl
Mark McHale
Robert L Coffman
Edith M Hessel
Dynavax Technologies (United States) · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

CpG-containing immunostimulatory DNA sequences (ISS), which signal through TLR9, are being developed as a therapy for allergic indications and have proven to be safe and well tolerated in humans when administrated via the pulmonary route. In contrast, ISS inhalation has unexplained toxicity in rodents, which express TLR9 in monocyte/macrophage lineage cells as well as in plasmacytoid DCs (pDCs) and B cells, the principal TLR9-expressing cells in humans. We therefore investigated the mechanisms underlying this rodent-specific toxicity and its implications for humans. Mice responded to intranasally administered 1018 ISS, a representative B class ISS, with strictly TLR9-dependent toxicity, including lung inflammation and weight loss, that was fully reversible and pDC and B cell independent. Knockout mouse experiments demonstrated that ISS-induced toxicity was critically dependent on TNF-alpha, with IFN-alpha required for TNF-alpha induction. In contrast, human PBMCs, human alveolar macrophages, and airway-derived cells from Ascaris suum-allergic cynomolgus monkeys did not produce appreciable TNF-alpha in vitro in response to ISS stimulation. Moreover, sputum of allergic humans exposed to inhaled ISS demonstrated induction of IFN-inducible genes but minimal TNF-alpha induction. These data demonstrate that ISS induce rodent-specific TNF-alpha-dependent toxicity that is absent in humans and reflective of differential TLR9 expression patterns in rodents versus humans.

Indexed as

Adjuvants, ImmunologicAdministration, InhalationAnimalsAsthmaBronchoalveolar Lavage FluidCytokinesDendritic CellsHumansIn Vitro TechniquesLungMacaca fascicularisMiceMice, Inbred C57BLMice, KnockoutOligodeoxyribonucleotidesSpecies Specificity1018 oligonucleotideAdjuvants, ImmunologicCytokinesOligodeoxyribonucleotidesTLR9 protein, humanTlr9 protein, mouseToll-Like Receptor 9Tumor Necrosis Factor-alpha

Identifiers

PMID19726873
PMCPMC2735936
OpenAlexW1980188842

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.