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          CpG M362         |  
      | Vaxjo ID | 266 |  
      | Vaccine Adjuvant Name | CpG M362 |  
      | Alternative Names | (Class C oligodeoxynucleotide) |  
      | Adjuvant VO ID | VO_0005753 |  
      | Description | CpG M362 is a Class C CpG oligodeoxynucleotide that acts as a TLR9 agonist, stimulating both B cells and plasmacytoid dendritic cells (pDCs). It serves as a potent immunoadjuvant to reverse immune tolerance and restore HBV-specific T-cell responses. |  
      | Stage of Development | Research |  
      | Host Species for Testing | Mouse |  
      | Components | Oligodeoxynucleotides (ODNs) containing class C unmethylated cytosine-guanine dinucleotide (CpG-C) motifs may provide potential adjuvants for the immunotherapeutic strategy against CHB, since CpG-C ODNs stimulate both B cell and dendritic cell (DC) activation. |  
      | Structure | Synthetic single-stranded DNA Contains unmethylated CpG motifs (Class C structure) |  
      | Storage | Stored at –80 °C in serum samples; CpG M362 assumed stable under standard ODN storage conditions (–20 to –80 °C dry) |  
      | Preparation | CpG M362 sourced from Invivogen Mixed with 2 μg rHBVvac per mouse 10 μg CpG M362 administered per dose (s.c.) once weekly for 3 weeks |  
      | Dosage | 10 μg CpG M362 + 2 μg rHBVvac per mouse Subcutaneous injection on days 1, 8, and 15 |  
      | Function | Chronic Hepatitis B virus (CHB) infection is a global public health problem. Oligodeoxynucleotides (ODNs) containing class C unmethylated cytosine-guanine dinucleotide (CpG-C) motifs may provide potential adjuvants for the immunotherapeutic strategy against CHB, since CpG-C ODNs stimulate both B cell and dendritic cell (DC) activation. However, the efficacy of CpG-C ODN as an anti-HBV vaccine adjuvant remains unclear. In this study, we demonstrated that CpG M362 (CpG-C ODN) as an adjuvant in anti-HBV vaccine (cHBV-vaccine) successfully and safely eliminated the virus in HBV-carrier mice. The cHBV-vaccine enhanced DC maturation both in vivo and in vitro, overcame immune tolerance, and recovered exhausted T cells in HBV-carrier mice. Furthermore, the cHBV-vaccine elicited robust hepatic HBV-specific CD8+ and CD4+ T cell responses, with increased cellular proliferation and IFN-γ secretion. Additionally, the cHBV-vaccine invoked a long-lasting follicular CXCR5+ CD8+ T cell response following HBV re-challenge. Taken together, CpG M362 in combination with rHBVvac cleared persistent HBV and achieved long-term virological control, making it a promising candidate for treating CHB. |  
      | Safety | Safe in mice No liver toxicity (ALT levels unchanged) No adverse events reported |  
	  | References | Zhao et al., 2022: Zhao H, Han Q, Yang A, Wang Y, Wang G, Lin A, Wang X, Yin C, Zhang J. CpG-C ODN M362 as an immunoadjuvant for HBV therapeutic vaccine reverses the systemic tolerance against HBV. International journal of biological sciences. 2022; 18(1); 154-165. [PubMed: 34975324]. |  |