Synthetic
oligodeoxynucleotides (ODNs) containing unmethylated CpG phosphorothioate (PS
CpG-ODN) are known to decrease
IgE synthesis in Th2
allergy responses. Nonetheless, the therapeutic role of PS
CpG-ODN is limited due to cytotoxicity. Therefore, we developed a phosphodiester (PO) form of
CpG-ODN (46O) with reduced toxicity but effective against
allergies. In this study, we first compared the toxicity of 46O with CpG-ODNs containing a PS backbone (1826S). We also investigated the therapeutic efficacy and mechanism of 46O injected intravenously in a mouse model of
ovalbumin (OVA)-induced
atopic dermatitis (AD). To elucidate the mechanism of 46O underlying the inhibition of
IgE production,
IgE- and TGF--associated molecules were evaluated in CD40/IL-4- or LPS/IL-4-stimulated B cells. Our data showed that the treatment with 46O was associated with a lower hematological toxicity compared with 1826S. In addition, injection with 46O reduced
erythema, epidermal thickness, and suppressed
IgE and
IL-4 synthesis in mice with OVA-induced AD. Additionally, 46O induced TGF-β production in LPS/IL-4-stimulated B cells via inhibition of Smad7, which suppressed
IgE synthesis via interaction between Id2 and E2A. These findings suggest that enhanced TGF-β signaling is an effective treatment for
IgE-mediated allergic conditions, and 46O may be safe and effective for treating allergic diseases such as AD and
asthma. [BMB Reports 2021; 54(2): 142-147].