“…Blinded histologic evaluation of joints 4 days after injection of CpG ODNs or bacterial DNA provides rigorous evidence of pathology, which correlates with joint swelling (Pearson's correlation coefficient r ϭ 0.59, P Ͻ 0.0001) (5). Although systemically administered CpG DNA stimulates B cells, natural killer cells, and dendritic cells to proliferate, mature, and/or secrete in vivo (6)(7)(8)(9), no direct effect on the joints has ever been reported (Table 1) (4). The findings of the present study demonstrate that the generalized immune activation triggered by systemic CpG ODN treatment increases host susceptibility to a subsequent arthritogenic stimulus.…”