Although DNA vaccines have been shown to elicit potent immune responses in
animal models, initial clinical trials in humans have been disappointing, h
ighlighting a need to optimize their immunogenicity. Naked DNA vaccines are
usually administered either i.m. or intradermally. The current study shows
that immunization with naked DNA by direct injection into a peripheral lym
ph node enhances immunogenicity by 100- to 1,000-fold, inducing strong and
biologically relevant CD8+ cytotoxic T lymphocyte responses. Because inject
ion directly into a lymph node is a rapid and easy procedure in humans, the
se results have important clinical implications for DNA vaccination.