One of the most exciting developments in the field of vaccine research in r
ecent years has been DNA vaccines, with which immune responses are induced
subsequent to the in vivo expression of antigen from directly introduced pl
asmid DNA. Strong immune responses have been demonstrated in a number of an
imal models against many viral, bacterial and parasitic pathogens, and seve
ral human clinical trials have been undertaken. The strong and long-lasting
antigen-specific humoral (antibodies) and cell-mediated (T help, other cyt
okine functions and cytotoxic T cells) immune responses induced by DNA vacc
ines appear to be due to the sustained in vivo expression of antigen, effic
ient antigen presentation and the presence of stimulatory CpG motifs. These
features are desirable for the development of prophylactic vaccines agains
t numerous infectious agents. Furthermore, the strong cellular responses ar
e also very desirable for the development of therapeutic DNA vaccines to tr
eat chronic viral infections or cancer. Efforts are now focusing on underst
anding the mechanisms for the induction of these immune responses, which in
turn should aid in the optimization of DNA vaccines. This review will focu
s on the role of CpG motifs in DNA vaccines.