The chemotherapeutic agent DMXAA as a unique IRF3-dependent type-2 vaccine adjuvant

PLoS One. 2013;8(3):e60038. doi: 10.1371/journal.pone.0060038. Epub 2013 Mar 21.

Abstract

5,6-Dimethylxanthenone-4-acetic acid (DMXAA), a potent type I interferon (IFN) inducer, was evaluated as a chemotherapeutic agent in mouse cancer models and proved to be well tolerated in human cancer clinical trials. Despite its multiple biological functions, DMXAA has not been fully characterized for the potential application as a vaccine adjuvant. In this report, we show that DMXAA does act as an adjuvant due to its unique property as a soluble innate immune activator. Using OVA as a model antigen, DMXAA was demonstrated to improve on the antigen specific immune responses and induce a preferential Th2 (Type-2) response. The adjuvant effect was directly dependent on the IRF3-mediated production of type-I-interferon, but not IL-33. DMXAA could also enhance the immunogenicity of influenza split vaccine which led to significant increase in protective responses against live influenza virus challenge in mice compared to split vaccine alone. We propose that DMXAA can be used as an adjuvant that targets a specific innate immune signaling pathway via IRF3 for potential applications including vaccines against influenza which requires a high safety profile.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adjuvants, Immunologic / therapeutic use*
  • Animals
  • Enzyme-Linked Immunosorbent Assay
  • Female
  • Immunity, Innate / drug effects
  • Interferon Regulatory Factor-3 / genetics
  • Interferon Regulatory Factor-3 / metabolism*
  • Interleukin-33
  • Interleukins / genetics
  • Interleukins / metabolism
  • Male
  • Mice
  • Mice, Knockout
  • Xanthones / therapeutic use*

Substances

  • Adjuvants, Immunologic
  • Il33 protein, mouse
  • Interferon Regulatory Factor-3
  • Interleukin-33
  • Interleukins
  • Xanthones
  • vadimezan

Grants and funding

This work was supported by a Health and Labour Sciences Research Grant ‘Adjuvant database Project’ of the Japanese Ministry of Health, Labour and Welfare. CKT was funded by A*STAR, Singapore. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.