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Title: Vaccine compositions including chitosan for
intranasal administration and use thereof
United States Patent: 6,391,318
Inventors: Illum; Lisbeth (Nottingham, GB); Chatfield; Steven
Neville (Berkshire, GB)
Assignee: West Pharmaceutical Services Drug Delivery &
Clinical Research Centre (Nottingham, GB)
Appl. No.: 088185
Filed: June 1, 1998
Foreign Application Priority Data: Dec 07, 1995[GB]
(9525083)
Abstract
A variety of different types of nasal vaccine systems have been
described including cholera toxin, microspheres, nanoparticles, liposomes,
attenuated virus, and outer membrane proteins (proteosomes). The present
invention is directed toward a novel nasal vaccine composition that
utilizes the cationic polysaccharide, chitosan, as a delivery system.
Chitosan is a polysaccharide comprising copolymers of glucosamine and N-acetylglucosamine.
The term chitosan encompasses a series of chitosan polymers with different
molecular weights (50 kDa-2,000 kDa) and degree of acetylation (40%-98%).
Several vaccine animal studies were carried out employing influenza or
pertussis antigens in combination with chitosan. Nasal administration of
chitosan-antigen nasal vaccines induced significant serum IgG responses
and secretory IgA levels. Animals vaccinated via the nasal route with
various chitosan-antigen vaccines were also found to be protected against
the appropriate challenge.
DETAILED DESCRIPTION OF THE INVENTION
It has now been found that, upon intranasal
co-administration, chitosan enhances the immune response of antigens and
thus provides an adjuvant effect.
Accordingly, in a first aspect of the invention, there is provided a
vaccine composition adapted for intranasal administration, which
composition includes antigen and an effective adjuvant amount of a
chitosan (hereinafter referred to as "the compositions according to
the invention").
The term "effective adjuvant amount" will be well understood by
those skilled in the art, and includes an amount of a chitosan which is
capable is of stimulating the immune response to nasally administered
antigens, i.e. an amount that increases the immune response of a nasally
administered antigen composition, as measured in terms of the IgA levels
in the nasal washings. Suitably effective increases in IgA levels include
by more than 5%, preferably by more than 25%, and in particular by more
than 50%, as compared to the same antigen composition without any
adjuvant.
Preferred concentrations of the chitosan in the compositions according to
the invention are in the range 0.02 to 10%, more preferably 0.1 to 5% and
particularly 0.25% to 2%.
It has now been found that, by administration of an antigen together with
a particular chitosan derivative in an intranasal composition, it is
possible to achieve an immune (e.g. IgG and IgA) response. It has now been
found that, if a chitosan is incorporated into intranasal vaccine
compositions containing an antigen, good systemic and local immune
responses are produced. In particular, it has been found that the
intranasal administration of the compositions according to the invention
enhances both a protective IgA mucosal immune response and an IgG systemic
immune response.
Thus, the invention further provides a method of enhancing a protective
IgA mucosal immune response and an IgG systemic immune response by
administering intranasally to a mammal a vaccine composition including an
antigen and an effective adjuvant amount of a chitosan.
The antigen may be provided as a sub-unit of a cell wall protein or
polysaccharide, or as DNA which produces the antigen in the cells after
introduction of the DNA (e.g. by transfection). Strictly speaking, the DNA
is not itself an "antigen" but it encodes the antigen and is
termed antigen herein.
The antigen may further be provided in a purified or an unpurified form.
However, the antigen preferably is provided in a purified form.
Antigens of the compositions and methods disclosed herein may include
proteins from pathogens, recombinant proteins, peptides, polysaccharides,
glycoproteins, lipopolysaccharides and DNA molecules (polynucleotides).
The following list of antigens is provided by means of illustration and is
not meant to be exclusive: influenza virus antigens (such as
haemagglutinin and neuraminidase antigens), Bordetella pertussis antigens
(such as pertussis toxin, filamentous haemagglutinin, pertactin), human
papilloma virus (HPV) antigens, Helicobacter pylori antigens, rabies
antigens, tick-borne encephalitis (TBE) antigens, meningococcal antigens
(such as capsular polysaccharides of serogroup A, B, C, Y and W-135),
tetanus antigens (such as tetanus toxoid), diphtheria antigens (such as
diphtheria toxoid), pneumococcal antigens (such as Streptococcus
pneumoniae type 3 capsular polysaccharide), tuberculosis antigens, human
immunodeficiency virus (HIV) antigens (such as GP-120, GP-160), cholera
antigens (such as cholera toxin B subunit), staphylococcal antigen (such
as staphylococcal enterotoxin B), shigella antigens (such as shigella
polysaccharides), vesicular stomatitis virus antigen (such as vesicular
stomatitis virus glycoprotein), cytomegalovirus (CMV) antigens, hepatitis
antigens (such as hepatitis A (HAV), B (HBV), C (HCV), D (HDV) and G (HGV)
virus antigens), respiratory syncytial virus (RSV) antigens, herpes
simplex antigens, or combinations thereof (e.g. combinations of
diphtheria, pertussis and tetanus (DPT)). Suitable antigens also include
those delivered for induction of tolerance, such as retinal antigens.
Preferred antigens include Bordetella pertussis antigens, meningococcal
antigens, tetanus antigens, diphtheria antigens, pneumococcal antigens,
tuberculosis antigens and RSV antigens.
According to a further aspect of the invention, the antigen preferably is
not an influenza virus antigen.
Preferably, the chitosan is water-soluble, and may advantageously be
produced from chitin by deacetylation to a degree of greater than 40%,
preferably between 50% and 90%, and more preferably between 70% and 95%,
deacetylation.
Particular deacetylated chitosans which may be mentioned include the SEA
CURE.TM. chitosan glutamate available from Protan Biopolymer A/S, Drammen,
Norway.
The molecular weight of the chitosan may be between 10 kD and 500 kD,
preferably between 50 kD and 300 kD and more preferably between 100 kD and
300 kD.
The compositions according to the invention may be used in the
immunisation of a host against diseases, for example as described in the
tests below.
According to a further aspect of the invention, there is provided a method
of immunising a host against infection by disease, which method comprises
administering intranasally to the host a vaccine composition comprising
antigen together with an effective adjuvant amount of a chitosan as
hereinbefore defined.
Moreover, according to a further aspect of the invention, there is
provided a method of enhancing the immune response of an intranasally
administered antigen, which method comprises co-administration of said
antigen and a chitosan as hereinbefore defined.
The intranasal compositions according to the invention can be formulated
as liquids or dry powders, for administration as aerosols, drops or
insufflations.
Preferably, the compositions according to the invention are formulated as
dry powders or in the form of microspheres.
Compositions for administration as nasal drops may contain one or more
excipients of the type usually included in such compositions, for example
preservatives, viscosity adjusting agents, tonicity adjusting agents,
buffering agents and the like.
In order to ensure that the chitosan remains soluble in an aqueous medium,
and to ensure also that the antigen is not adversely affected by too
acidic a pH, a solution for intranasal administration preferably has a pH
in the range 5.5 to 6.5, most preferably approximately pH 6.
Also provided is a means for dispensing the intranasal compositions of
purified surface antigen and chitosan. A dispensing device may, for
example, take the form of an aerosol delivery system, and may be arranged
to dispense only a single dose, or a multiplicity of doses.
The vaccine should be administered to the patient in an amount effective
to stimulate a protective immune response in the patient. For example, the
vaccine may be administered to humans in one or more doses, each dose
containing 1-250 micrograms and more preferably 2-50 micrograms of protein
or polysaccharide antigen prepared from each viral or bacterial strain.
For example, where haemagglutinin and neuraminidase preparations are
prepared from three virus strains, e.g. 2.times.Influenza A and
1.times.Influenza B, a total dose of viral protein administered may be in
the range 15-150 micrograms. Where Bordetella pertussis antigens are
employed, a total dose of bacterial protein administered as FHA, pertussis
toxin (toxoid) or pertactin, either individually or in combination may be
in the range 5-150 micrograms.
Claim 1 of 17 Claims
We claim:
1. A vaccine composition for intranasal administration, wherein the
composition comprises antigen and an effective adjuvant amount of a
chitosan,
wherein the chitosan is produced from chitin by deacetylation to a degree
of greater than 40% deacetylation and has a molecular weight between 10 kD
and 500 kD.
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