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Title: Methods for producing an immune response against
HIV-1
United States Patent: 6,511,845
Issued: January 28, 2003
Inventors: Davis; Alan R. (4411 Oak Forest Dr., Missouri
City, TX 77459); Hung; Paul P. (506 Ramblewood Dr., Bryn Mawr, PA 19010);
Lubeck; Michael D. (2265 Spangler Rd., York, PA 17402); Natuk; Robert J. (63
Vones La., Raritan, NJ 08869); Chanda; Pranab K. (30 Zaitz Farm Rd., West
Windsor, NJ 08550); Murthy; Shridhara C. S. (4677 Erin Ct., Ann Arbor, MI
48105); Lee; Shaw-Guang L. (155 S. Spring Mill Rd., Villanova, PA 19085)
Appl. No.: 618360
Filed: July 18, 2000
Abstract
This invention provides a method of protecting a primate from an
infectious organism by stimulating the production of antibodies or cell
mediated immunity to the infectious organism which comprises administering
to said primate intranasally, intramuscularly, or subcutaneously, live
recombinant adenoviruses in which the virion structural protein is unchanged
from that in the native adenovirus from which the recombinant adenovirus is
produced, and which contain the gene coding for the antigen corresponding to
said antibodies or inducing said cell mediated immunity. Preferably, the
infectious organism is HIV and the primate is a human.
SUMMARY OF THE INVENTION
This invention provides a method of producing antibodies or cell mediated
immunity to an infectious organism in a warm blooded mammal which comprises
administering to said warm blooded mammal intranasally, intramuscularly, or
subcutaneously, live recombinant adenoviruses in which the virion structural
protein is unchanged from that in the native adenovirus from which the
recombinant adenovirus is produced, and which contain the gene coding for
the antigen corresponding to said antibodies or inducing said cell mediated
immunity. The warm blooded mammal is preferably a primate, most preferably a
human.
In its preferred embodiments, this invention provides a method of producing
antibodies to human immunodeficiency virus (HIV-1), hepatitis B, hepatitis
C, human papilloma virus, respiratory syncytial virus, rotavirus, or
parainfluenza virus in a warm blooded mammal which comprises administering
to said warm blooded mammal intranasally, intramuscularly, or
subcutaneously, live recombinant adenoviruses in which the virion structural
protein is unchanged from that in the native adenovirus from which the
recombinant adenovirus is produced and which contain the gene coding for,
respectively, human immunodeficiency virus, hepatitis B, hepatitis C, human
papilloma virus, respiratory syncytial virus, rotavirus, or parainfluenza
virus.
This invention also provides composition for producing antibodies or cell
mediated immunity to an infectious organism in a warm blooded mammal,
comprising live recombinant adenoviruses in which the virion structural
protein is unchanged from that in the native adenovirus from which the
recombinant adenovirus is produced, and which contain the gene coding for
the antigen corresponding to said antibodies or inducing said cell mediated
immunity, said composition being formulated in an intranasal, intramuscular,
or subcutaneous dosage form.
Although this specification specifically refers to adenovirus of types 4, 5,
or 7, live, infectious adenovirus of any type may be employed in this
invention. Additionally, while the specification specifically refers to
adenoviruses having an early region 3 (E3) deletion, adenoviruses which are
attenuated, contain a temperature sensitive lesion, or a E1 deletion may
also be used as a vector. Similarly, although specific reference has been
made to vaccines producing antibodies to HIV, hepatitis B, hepatitis C,
human papilloma virus, respiratory syncytial virus, rotavirus, or
parainfluenza virus, our invention provides vaccines against any infectious
agent containing an antigen to which a warm-blooded animal will produce
antibodies or cell mediated immunity, and which antigen is coded for by a
gene composed of up to about 3000 base pairs. Thus, for example, included
within the scope of the invention are immunization against such diseases as
influenza, hepatitis A, cholera, E. coli, pertussis, diphtheria, tetanus,
shigellosis, gonorrhea, mycoplasma pneumonia, and the like.
In one embodiment, the method of treatment includes administering the
recombinant adenovirus both prophylactically to an HIV-1 susceptible mammal
and as immunotherapy following detection of HIV in said mammal. Regimens
containing the following recombinant adenoviruses were used to produce the
anti-HIV responses.
In a preferred embodiment, the method is a method of protecting a primate
against HIV-1 infection comprising intranasal or intramuscular
administration to said primate of an intranasal or intramuscular dosage of a
recombinant adenovirus having a deletion in the E3 gene and an expression
cassette containing a major late promoter, a tripartite leader sequence,
part or all of the HIV-1 gp160 sequence and a polyadenylation signal
sequence. Preferably the primate is a human. The expression cassette is
inserted into the recombinant adenovirus between the E4 promoter and the
inverted terminal repeat. Optionally the intranasal or intramuscular
administration of recombinant adenovirus is followed by one or more
intranasal or intramuscluar booster administrations of the recombinant
adenovirus. The recombinant adenovirus is a serotype 4, 5 or 7 serotype
adenovirus and optionally the expression cassette additionally comprises
part of all of the coding sequence for the HIV-1 rev gene inserted in frame
after the HIV-1 gp160 sequence and before the polyadenylation signal
sequence. The HIV-1 gp160 sequence can be from the MN strain gp160 sequence
or the LAV strain gp160 sequence. In an alternative embodiment, the HIV-1
gp160 sequence is replaced by a sequence encoding the gag-pro region of
HV-1. In either embodiment, when the initial administration is followed by
one or more intranasal or intramuscular booster administrations of the
recombinant adenovirus, the last booster administration may be followed by
an intramuscular injection of at least one booster immunization with an
HIV-1 subunit antigen preparation, preferably containing an HIV-1 gag and/or
env polypeptide sequence. For intranasal administration, the intranasal
dosage administered is in the range of 1.times.107 pfu of virus and for
intramuscular administration, the intramuscular dosage administered is in
the range of 1.times.107 to 2.times.109 pfu of virus. The
intranasal booster is administered in a dosage in the range of
1.times.107 to 1.times.108 pfu of virus and the intramuscular
booster is administered in a dosage in the range of 1.times.1010 to
8.times.1010 pfu of virus. When a subunit antigen booster is employed,
the subunit antigen preparation contains between 200 .mu.g and 0.5 mg of
HIV-1 polypeptide.
Virus Name Descriptive Name ATCCName
Ad7-env Ad7-tplenv-tplHrev VR-2299
Ad7-gag Ad7-tplgag-tplHrev VR-2393
Ad7-gag-1 Ad7-rev-gag VR-2392
Ad4-env Ad4-tplenv-tplHrev VR-2293
Ad4-gag Ad4-tplgag-tplHrev VR-2391
Ad4-gag-1 Ad4-rev-gag VR-2390
Ad5-env Ad5-tplenv-tplHrev VR-2297
Ad5-gag Ad5-tplgag-tplHrev VR-2298
Ad7-envMN Ad7-tplenvMN -tplHrev VR-
Ad4-envMN Ad4-tplenvMN -tplHrev VR-
Ad5-envMN Ad5-tplenvMN -tplHrev VR-
Referring to the above table Ad4, Ad5, and Ad7 refer to human
adenoviruses types 4, 5, and 7 respectively in which the E3 region has been
deleted. Env refers to the HIV envelope glycoprotein (gp 160) gene. Gag
refers to the HIV gag/pro gene. Rev refers to the HIV regulatory gene. Hrev
refers to an altered version of the rev gene where the nucleotide sequences
were changed without changing the amino acid sequence employing codons that
were frequently used in human genes. Tpl refers to the upstream
adenovirus tripartite leader sequence with an intervening sequence between
the first and second leaders that are positioned in front of the recombinant
genes. The constructs designated Ad7-env, Ad7-gag, Ad7-gag-1, Ad4-env,
Ad4-gag, Ad4-gag-1, Ad5-env, and Ad5-gag contain either the gag or the env
gene from the LAV strain of HIV and the constructs Ad7-envMN,
Ad4-envMN, and Ad5-envMN contain the env gene from the MN strain
of HIV. The recombinant adenoviruses made from the LAV and MN strains of
HIV-1 are illustrative of recombinant adenoviruses covered by this
invention. This invention also covers recombinant adenoviruses which include
the env and/or gag genes from other strains of HIV-1.
Both the Ad-env and Ad-envMN adenoviruses were shown to replicate in
human A549 cells and expressed recombinant env antigen in vitro
demonstrating their capability of generating cell mediated, humoral, and
secretory immunity in a mammal.
As described in detail below, intranasal administration of Ad-HIV
recombinant viruses to naive chimpanzees resulted in both priming and
boosting of both humoral and cell-mediated immune responses directed at HIV
recombinant antigens. The recombinant adenoviruses administered to
chimpanzees were shown to produce antibodies to the env and gag proteins of
HIV. IgG antibodies specific for HIV were observed in nasal, saliva, and
vaginal secretions following administration of the recombinant adenoviruses
and IgA antibodies specific for HIV were observed in nasal and saliva
secretions. The first set of recombinant viruses (Ad7) appeared to be shed
the longest period of time and induce the best anti-Ad antibody response.
The results also showed that administration of Ad-HIV vaccines by the
intranasal route was superior to administration of enteric-coated
recombinant viruses by the oral route.
Optimum immune responses directed at HIV antigens required primary infection
one booster immunization with a heterotypic recombinant Ad-HIV to elicit
strong anti-HIV binding antibodies. Intranasal administration of the Ad-HIV
viruses effectively primed chimpanzees to respond with high titered
neutralizing antibodies to HIV-1 following subsequent HIV-1 subunit protein
booster immunization.
Claim 1 of 24 Claims
What is claimed is:
1. A method of producing an immune response against HIV-1 infection in a
human comprising intranasal administration to said human an intranasal
dosage of a recombinant adenovirus having a deletion in the E3 gene and an
expression cassette containing a major late promoter, a tripartite leader
sequence, part or all of the HIV-1 gp160 sequence and a polyadenylation
signal sequence, said cassette being inserted into said recombinant
adenovirus between the E4 promoter and the inverted terminal repeat of said
recombinant adenovirus, wherein said intranasal administration of the
recombinant adenovirus is followed by one or more intranasal or
intramuscular booster administrations of said recombinant adenovirus.
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