Vaccination is the most efficient strategy to protect from
infectious diseases and the induction of a protective immune response not only depends on the nature of the
antigen, but is also influenced by the vaccination strategy and the co-administration of adjuvants. Therefore, the precise monitoring of adjuvant candidates and their immune modulatory properties is a crucial step in
vaccine development. Here, one central aspect is the induction of appropriate humoral and cellular effector mechanisms. In our study we performed a direct comparison of two promising candidates in adjuvant development, the
STING activator bis-(3,5)-cyclic dimeric
adenosine monophosphate (
c-di-AMP) and the
Toll-like receptor ligand formulation
poly(I:C)/CpG. These were evaluated in C57BL/6 mice using the model
antigen ovalbumin (OVA) in subcutaneous vaccination with soluble
protein as well as in a dendritic cell (DC) targeting approach (αDEC-OVA). Strikingly,
c-di-AMP as compared to
poly(I:C)/CpG resulted in significantly higher
antigen-specific
IgG antibody levels when used in immunization with soluble OVA as well as in
antigen targeting to DC. In vaccination with soluble OVA,
c-di-AMP induced a significantly stronger CTL, Th1 and IFNγ-producing CD8+ memory T cell response than
poly(I:C)/CpG. The response was CTL and Th1 cell dominated, a profile shared by both adjuvants. In the context of targeting OVA to DC,
c-di-AMP induced significantly increased Th1 and Th2 cell responses as compared to
poly(I:C)/CpG. Interestingly, the Th1 response dominated the overall T cell response only when
c-di-AMP was used, indicating a distinct modulatory property of
c-di-AMP when the DC targeting immunization approach was exploited. Taken together, we describe superior properties of
c-di-AMP as compared to
poly(I:C)/CpG in subcutaneous vaccination with soluble
antigen as well as
antigen targeting to DC. This indicates exceptionally effective adjuvant properties for
c-di-AMP and provides compelling evidence of its potential for further adjuvant development, especially also when using DC targeting approaches.