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Title: Immunopotentiating formulations for vaccinal use
United States Patent: 6,355,414
Inventors: Aguilar Rubido; Julio Cesar (Havana, CU); Muzio
Gonzalez; Verena Lucila (Havana, CU); Leal Angulo; Maria de Jesus (Havana,
CU); Guillen Nieto; Gerardo Enrique (Havana, CU); Penton Arias; Eduardo
(Havana, CU); Veliz Rios; Gloria (Havana, CU); Pichardo Diaz; Dagmara
(Havana, CU); Herrera Buch; Antonieta (Havana, CU); Iglesias Perez;
Enrique (Havana, CU); Cruz Ricondo; Luis Javier (Havana, CU); Carmenate
Portilla; Tania (Havana, CU); Mesa Pardillo; Cirse (Havana, CU);
Hechavarria Gay; Maydel (Havana, CU); Diaz Martinez; Maylin (Havana, CU);
Madrazo Pinol; Juan Joel (Havana, CU)
Assignee: Centro de Ingenieria Genetica y Biotechnologia
(Havana, CU)
Appl. No.: 380790
Filed: January 6, 2000
PCT Filed: March 5, 1998
PCT NO: PCT/CU98/00003
371 Date: January 6, 2000
102(e) Date: January 6, 2000
PCT PUB.NO.: WO98/39032
PCT PUB. Date: September 11, 1998
Foreign Application Priority Data: Mar 06, 1997[CU]
(27/97)
Abstract
The present invention is related to the field of medicine, particularly
to the use of new adjuvant formulations with vaccine antigens. The
technical objective pursued with this invention is, precisely, the
development of formulations that are able to increase and/or modulate the
immune response of the organism to vaccine antigens in the serum and the
mucous lining. With this aim, a formulation was developed that contained
as the main components the surface antigen of the hepatitis B virus and
the acemannan in adequate proportions. As an extension of this result,
formulations were developed in which a) HBsAg was used as the homologous
or heterologous antigen carrier b) delivery systems of particulated
antigens and c) soluble antigens, combined with the acemannan in specific
proportions. The formulations of this invention are applicable in the
pharmaceutical industry as vaccine formulations for human and veterinary
use.
DISCLOSE OF THE INVENTION
The present invention is related to a vaccine formulation
for nasopharyngeal administration, having as its main components subunit
particulated antigens and the acemannan, in adequate proportions.
The novelty of this invention is due to the properties resulting from its
nasopharyngeal administration, these are: to generate a systemic immunity
of similar intensity and higher quality for similar antigen doses to that
obtained with conventional vaccine formulations using aluminum hydroxide
as the adjuvant. Also, a strong mucosal response is generated, which is
not obtained by systemic inoculations of the antigen.
This is the first time that the use of the HBsAg is reported as antigen
delivery system through the nasopharyngeal route combined with acemannan.
With this system a proportionally increased response was obtained for the
epitopes displayed on its surface in relation to the response obtained
without using HBsAg as particulating system. This finding allows the
formulation of combined vaccines using the HBsAg as an antigen delivery
system through the mucous. Different in concept of the carrier activity as
T cell bearing molecule capable of enhancing a T cell response against the
antigen conjugated. It also supports the use of this strategy for the
soluble antigen-particulated antigen combination and its use with
polysaccharides with these characteristics through mucosal inoculation
routes.
Here, it was generalized that liquid formulations of particulated
(non-inactivated, non alive) antigen delivery systems together with the
acemannan, inoculated by the nasopharyngeal route, preferentially
potentiated the immune response in relation to the soluble antigen until
the level of serological response obtained by the systemic route with
alum. In the present invention the immunological modulator activity of
combined formulations of antigen-acemannan are also described.
At present, the action mechanisms of the acemannan and other immunological
stimulators polysaccharides are not completely clear. A possible mechanism
could be related with the macrophages and dendritic cells, that have
specific receptors for mannose and fucose increasing phagocytosis after
antigen entrance. The antigenic assimilation at the nasopharyngeal level
and more specifically at the Waldeyer ring--according to the assimilation
mechanism for stratified epithelial tissue--can be potentiated with the
activation of the macrophages and dendritic cells found in the area and
with the attraction toward this zone of an increased number of
immunological competent cells.
The particulation of the subunit (non inactivated and non living
antigens), through conjugations to particulated antigens or their
inclusion or association to delivery systems of antigens, constitutes a
first step in antigen processing in this invention, the second step is the
addition of the polysaccharide that activates the immune system. Special
cases of this invention are those antigens particulated per se. This kind
of antigens avoid the use of a particulated antigen delivery system, we
have the example of hepatitis B surface antigen and are different to
living or inactivated antigens.
The viscous consistency of the acemannan makes it an active vehicle that
increases the time of antigen presence at the inoculation site. Other
activities as the induction of the cytokines, the activation of mechanisms
for antigen uptake by the M cell, the recruitment of different populations
of cells from the immunological system and the increase of the antigen
presenting activity, are not discarded. But these properties per se are
not enough to induce an immune response through the nasopharingeal route.
The formulation, which is the object of this invention, presents,
according to the size of the species to be immunized, an amount of
inoculum able to cover the nasopharyngeal area up to the subglotis. The
dose may be divided in 2 parts for its application or it may be introduced
once. The concentration of the polysaccharide used ranged from 1 mg/mL to
9 mg/mL of lyophilized weight corresponding approximately to 0.070-0.600
mg/mL (in total hexose content measured by the antrone method). In spite
of this broad range of concentrations, all of them are not capable of
inducing optimum responses, at higher doses the responses are affected due
to the polysaccharide viscosity, the presence of contaminants from lower
molecular weights decrease the acemannan concentration, and the
effectiveness of the resulting formulation. The purification method
reported permits the higher purity of acemannan and thus its possible to
achieve the higher responses. Furthermore this pure polysaccharide will be
less reactogenic for humans.
Claim 1 of 15 Claims
What is claimed is:
1. A method for potentiating an immune response to antigens comprising:
administering a formulation comprising a subunit particulated antigen; and
acemannan polysaccharide, wherein the administration is by mucosal
administration.
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