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Title: Method of inducing the
production of antibodies to HIV
United States Patent: 7,070,787
Issued: July 4, 2006
Inventors: Haynes; Barton
F. (Durham, NC); Patel; Dhavalkumar D. (Durham, NC); Alam; Munir (Chapel
Hill, NC); Liao; Hua-Xin (Chapel Hill, NC)
Assignee: Duke University
(Durham, NC)
Appl. No.: 646729
Filed: August 25, 2003
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Outsourcing Guide
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Abstract
The present invention relates, in
general, to an immunogen and, in particular, to an immunogen for inducing
antibodies that neutralize a wide spectrum of HIV primary isolates. The
invention also relates to a method of inducing anti-HIV antibodies using
same.
SUMMARY OF THE
INVENTION
The present invention relates to an
immunogen for inducing antibodies that neutralize a wide spectrum of HIV
primary isolates. The invention also relates to a method of inducing
anti-HIV antibodies using such an immunogen.
DETAILED DESCRIPTION
OF THE INVENTION
The present invention relates to an
immunogen that induces broadly reactive neutralizing antibodies that are
necessary for an effective AIDS vaccine. In one embodiment, the immunogen
comprises a cleaved or uncleaved gp140 or gp160 HIV envelope protein that
has been "activated" to expose intermediate conformations of conserved
neutralization epitopes that normally are only transiently or less well
exposed on the surface of the HIV virion. The immunogen is a "frozen"
triggered form of HIV envelope that makes available specific epitopes for
presentation to B lymphocytes. The result of this epitope presentation is
the production of antibodies that broadly neutralize HIV.
The concept of a fusion intermediate immunogen is consistent with
observations that the gp41 HR-2 region peptide, DP178, can capture an
uncoiled conformation of gp41 (Furata et al, Nature Struct. Biol. 5:276
(1998)), and that formalin-fixed HIV-infected cells can generate broadly
neutralizing antibodies (LaCasse et al, Science 283:357 (1997)). Recently
a monoclonal antibody against the coiled-coil region bound to a
conformational determinant of gp41 in HR1 and HR2 regions of the
coiled-coil gp41 structure, but did not neutralize HIV (Jiang et al, J.
Virol. 10213 (1998)). However, this latter study proved that the
coiled-coil region is available for antibody to bind if the correct
antibody is generated.
Conserved neutralization sites on the HIV envelope can be on two regions;
they can be on gp41 and they can be on gp120.
The regions and conformations of gp41 that are exposed during gp140 or
gp160 "triggering" ("activation") can be expected to be conserved since: i)
the amino acid sequences of the coiled-coil region are conserved and ii)
the function of the fusogenic envelope complex is conserved and essential
for virus pathogenicity. This conservation is key to the production of
broadly neutralizing anti-HIV antibodies.
The immunogen of one aspect of the invention comprises HIV envelope
cleaved or uncleaved gp140 or gp160 either in soluble form or anchored,
for example, in cell vesicles made from gp140 or gp160 expressing cells,
or in liposomes containing translipid bilayer HIV gp140 or gp160 envelope.
Alternatively, triggered gp160 in aldrithio 1-2 inactivated HIV-1 virions
can be used as an immunogen. The gp160 can also exist as a recombinant
protein either as gp160 or gp140 (gp140 is gp160 with the transmembrane
region and possibly other gp41 regions deleted). Bound to gp160 or gp140
can be recombinant CCR5 or CXCR4 co-receptor proteins (or their
extracellular domain peptide or protein fragments) or antibodies or other
ligands that bind to the CXCR4 or CCR5 binding site on gp120, and/or
soluble CD4, or antibodies or other ligands that mimic the binding actions
of CD4 (FIG. 1). Alternatively, vesicles or liposomes containing CD4, CCR5
(or CXCR4) (FIG. 2), or soluble CD4 and peptides reflective of CCR5 or
CXCR4 gp120 binding sites (FIG. 3). Alternatively, an optimal CCR5 peptide
ligand can be a peptide from the N-terminus of CCR5 wherein specific
tyrosines are sulfated (Bormier et al, Proc. Natl. Acad. Sci. USA 97:5762
(2001)). The data in FIG. 13 clearly indicate that the triggered immunogen
may not need to be bound to a membrane but may exist and be triggered in
solution. Alternatively, soluble CD4 (sCD4) can be replaced by an envelope
(gp140 or gp160) triggered by CD4 peptide mimetopes (Vitra et al, Proc.
Natl. Acad. Sci. USA 96:1301 (1999)). Other HIV co-receptor molecules that
"trigger" the gp160 or gp140 to undergo changes associated with a
structure of gp160 that induces cell fusion can also be used. (See also
FIG. 8.) The data presented in Example 2 demonstrate that ligation of
soluble HIV gp140 primary isolate HIV 89.6 envelope with soluble CD4
(sCD4) induced conformational changes in gp41 (see FIG. 13).
In one embodiment, the invention relates to an immunogen that has the
characteristics of a receptor (CD4)-ligated envelope with CCR5 binding
region exposed but unlike CD4-ligated proteins that have the CD4 binding
site blocked, this immunogen has the CD4 binding site exposed (open).
Moreover, this immunogen can be devoid of host CD4, which avoids the
production of potentially harmful anti-CD4 antibodies upon administration
to a host. (See FIGS. 18 25.)
The immunogen can comprise gp120 envelope ligated with a ligand that binds
to a site on gp120 recognized by an A32 monoclonal antibodies (mab) (Wyatt
et al, J. Virol. 69:5723 (1995), Boots et al, AIDS Res. Hum. Retro.
13:1549 (1997), Moore et al, J. Virol. 68:8350 (1994), Sullivan et al, J.
Virol. 72:4694 (1998), Fouts et al, J. Virol. 71:2779 (1997), Ye et al, J.
Virol. 74:11955 (2000)). One A32 mab has been shown to mimic CD4 and when
bound to gp120, upregulates (exposes) the CCR5 binding site (Wyatt et al,
J. Virol. 69:5723 (1995)). Ligation of gp120 with such a ligand also
upregulates the CD4 binding site and does not block CD4 binding to gp120.
Advantageously, such ligands also upregulate the HR-2 binding site of gp41
bound to cleaved gp120, uncleaved gp140 and cleaved gp41, thereby further
exposing HR-2 binding sites on these proteins--each of which are potential
targets for anti-HIV neutralizing antibodies.
In a specific aspect of this embodiment, the immunogen comprises soluble
HIV gp120 envelope ligated with either an intact A32 mab, a Fab2 fragment
of an A32 mab, or a Fab fragment of an A32 mab, with the result that the
CD4 binding site, the CCR5 binding site and the HR-2 binding site on gp120
are exposed/upregulated. The immunogen can comprise gp120 with an A32 mab
(or fragment thereof) bound or can comprise gp120 with an A32 mab (or
fragment thereof) bound and cross-linked with a cross-linker such as 0.3%
formaldehyde or a heterobifunctional cross-linker such as DTSSP (Pierce
Chemical Company). The immunogen can also comprise uncleaved gp140 or a
mixture of uncleaved gp140, cleaved gp41 and cleaved gp120. An A32 mab (or
fragment thereof) bound to gp140 and/or gp120 or to gp120 non-covalently
bound to gp41, results in upregulation (exposure) of HR-2 binding sites in
gp41, gp120 and uncleaved gp140. Binding of an A32 mab (or fragment
thereof) to gp120 or gp140 also results in upregulation of the CD4 binding
site and the CCR5 binding site. As with gp120 containing complexes,
complexes comprising uncleaved gp140 and an A32 mab (or fragment thereof)
can be used as an immunogen uncross-linked or cross-linked with
cross-linker such as 0.3% formaldehyde or DTSSP. In one embodiment, the
invention relates to an immunogen comprising soluble uncleaved gp140 bound
and cross linked to a Fab fragment of an A32 mab, optionally bound and
cross-linked to an HR-2 binding protein.
The gp120 or gp140 HIV envelope protein triggered with a ligand that binds
to the A32 mab binding site on gp120 can be administered in combination
with at least a second immunogen comprising a second envelope, triggered
by a ligand that binds to a site distinct from the A32 mab binding site,
such as the CCR5 binding site recognized by mab 17b. The 17b mab (Kwong et
al, Nature 393:648 (1998) available from the AIDS Reference Repository,
NIAID, NIH) augments sCD4 binding to gp120. This second immunogen (which
can also be used alone or in combination with triggered immunogens other
than that described above) can, for example, comprise soluble HIV gp120
envelope ligated with either the whole 17b mab, a Fab2 fragment of the 17b
mab, or a Fab fragment of the 17b mab. It will be appreciated that other
CCR5 ligands, including other antibodies (or fragments thereof), that
result in the CD4 binding site being exposed can be used in lieu of the
17b mab. This further immunogen can comprise gp120 with the 17b mab, or
fragment thereof, (or other CCR5 ligand as indicated above) bound or can
comprise gp120 with the 17b mab, or fragment thereof, (or other CCR5
ligand as indicated above) bound and cross-linked with an agent such as
0.3% formaldehyde or a heterobifunctional cross-linker, such as DTSSP
(Pierce Chemical Company). Alternatively, this further immunogen can
comprise uncleaved gp140 present alone or in a mixture of cleaved gp41 and
cleaved gp120. Mab 17b, or fragment thereof (or other CCR5 ligand as
indicated above) bound to gp140 and/or gp120 in such a mixture results in
exposure of the CD4 binding region. The 17b mab, or fragment thereof, (or
other CCR5 ligand as indicated above)-gp140 complexes can be present
uncross-linked or cross-linked with an agent such as 0.3% formaldehyde or
DTSSP.
Soluble HR-2 peptides, such as T649Q26L and DP178 (see below), can be
added to the above-described complexes to stabilize epitopes on gp120 and
gp41 as well as uncleaved gp140 molecules, and can be administered either
cross-linked or uncross-linked with the complex.
A series of monoclonal antibodies (mabs) have been made that neutralize
many HIV primary isolates, including, in addition to the 17b mab described
above, mab IgG1b12 that binds to the CD4 binding site on gp120(Roben et
al, J. Virol. 68:482 (1994), Mo et al, J. Virol. 71:6869 (1997)), mab 2G12
that binds to a conformational determinant on gp120 (Trkola et al, J.
Virol. 70:1100 (1996)), and mab 2F5 that binds to a membrane proximal
region of gp41 (Muster et al, J. Virol. 68:4031 (1994)). A mixture of
triggered envelope immunogens can be used to optimize induction of
antibodies that neutralize a broad spectrum of HIV primary isolates. Such
immunogens, when administered to a primate, for example, either
systemically or at a mucosal site, induce broadly reactive neutralizing
antibodies to primary HIV isolates.
As indicated above, various approaches can be used to "freeze" fusogenic
epitopes in accordance with the invention. For example, "freezing" can be
effected by addition of the DP-178 or T-649Q26L peptides that represent
portions of the coiled coil region, and that when added to CD4-triggered
envelop, result in prevention of fusion (Rimsky et al, J. Virol. 72:986
993 (1998) (see FIGS. 9 and 13). HR-2 peptide bound gp140, gp41 or gp160
can be used as an immunogen or crosslinked by a reagent such as DTSSP or
DSP (Pierce Co.), formaldehyde or other crosslinking agent that has a
similar effect (see below).
"Freezing" can also be effected by the addition of 0.1% to 3% formaldehyde
or paraformaldehyde, both protein cross-linking agents, to the complex, to
stabilize the CD4, CCR5 or CXCR4, HR-2 peptide gp160 complex, or to
stabilize the "triggered" gp41 molecule, or both (LaCasse et al, Science
283:357 362 (1999)).
Further, "freezing" of gp41 or gp120 fusion intermediates can be effected
by addition of heterobifunctional agents such as DSP (dithiobis[succimidylproprionate])
(Pierce Co. Rockford, Ill., No. 22585ZZ) or the water soluble DTSSP
(Pierce Co.) that use two NHS esters that are reactive with amino groups
to cross link and stabilize the CD4, CCR5 or CXCR4, HR-2 peptide gp160
complex, or to stabilize the "triggered" gp41 molecule, or both.
Inherent differences exist in HIV isolates among HIV clades and among HIV
isolates from patients in varying geographic locations. Triggered
complexes for HIV vaccine development can be made with HIV envelopes from
a variety of HIV clades and from a variety of locations. Triggered
complexes comprising antibodies or fragments thereof that upregulate the
CCR5 binding site, the CD4 binding site, or both, or antibodies, or
fragments thereof, that are CD4 inducible can be produced by co-expressing
in a dicistronic manner in a plasmid both gp120 and, for example, the
heavy and light chain of the Fab region of the antibody, in order to
produce a recombinant protein that has the properties of the above
described complexes.
The immunogen of the invention can be formulated with a pharmaceutically
acceptable carrier and/or adjuvant (such as alum) using techniques well
known in the art. Suitable routes of administration of the present
immunogen include systemic (e.g. intramuscular or subcutaneous).
Alternative routes can be used when an immune response is sought in a
mucosal immune system (e.g., intranasal).
Claim 1 of 18 Claims
1. A method of inducing the
production of antibodies to HIV in a mammal comprising administering to said
mammal an amount of an immunogen comprising an HIV envelope protein bound to
a ligand, which ligand upregulates at least one of the CD4 binding site and
the CCR5 binding site on said protein, wherein said immunogen is
administered in an amount sufficient to effect said induction.
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