From a series of preclinical studies and animal experiments, we have been a
ble to demonstrate that DNA vaccines are a promising tool in strategies for
protecting hosts from a variety of infectious diseases. Since the promoter
activity of the human cytomegalovirus immediate-early promoter/enhancer (C
MV promoter) is known to be responsive to an elevation in the level of intr
acellular cAMP, we hypothesized that use of cAMP analogue (8-Bromo adenosin
e 3'5'-cyclic monophosphate, 8 Br-cAMP) would increase the level of transge
ne expression supported by the CMV, and enhance the ability of DNA vaccines
to evoke an immune response against the transgene product in vivo. To eval
uate this hypothesis, immune responses against HIV-1 envelope protein, gp16
0, an immunogenic HIV-1 component expressed under the control of the CMV pr
omoter, were evaluated in BALB/c mice with or without stimulation by 8 Br-c
AMP. DNA vaccine with 8 Br-cAMP was intramuscularly (i.m.) or intranasally
(i.n.) administered to BALB/c mice twice on days 0 and 14. Regardless of wh
ich route was used, the combination increased the serum lgG antibody (Ab) t
iter, HIV-1-specific cytotoxic T lymphocyte (CTL) activity and the delayed-
type hypersensitivity (DTH) response, compared with the effect of using the
Vaccine alone. When administered via the i.n. route, the combination also
remarkably increased the titer of secretory IgA (slgA). Moreover, it induce
d increased production of interferon-gamma with reduction in IL-4 synthesis
, and decreased the ratio of serum IgG1/lgG2a. However, these enhancements
were not observed when 8 Br-cAMP was coadministered with peptide vaccine or
protein antigen. These data suggest that 8 Br-cAMP is able to enhance both
humoral and cellular immune responses induced by the DNA vaccine. The indu
ction of T helper type 1 (Th1) immunity against HIV-1 was also enhanced by
coadministration of 8 Br-cAMP. A CAT assay study demonstrated that the adju
vant effect of 8 Br-cAMP may be due to the activation of the CMV promoter i
n the DNA vaccine. The virus challenge experiment in a mouse influenza mode
l also proved our hypothesis.