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Title: Anti-sepsis conjugate
vaccine
United States Patent: 7,014,857
Issued: March 21, 2006
Inventors: Gustafson; Gary L. (Missoula,
MT); DeBorde; Dan C. (Missoula, MT)
Assignee: EndoBiologics, Incorporated
(Missoula, MT)
Appl. No.: 271253
Filed: October 15, 2002
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Executive MBA in Pharmaceutical Management, U. Colorado
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Abstract
The present invention provides an
immunogenic conjugate comprising biologically deacylated gram-negative
bacterial moieties linked to D. discoideum proteinase 1, as well as
novel subunits thereof, and methods of making and using the conjugates in
vaccines to treat sepsis and other infectious complications.
DETAILED DESCRIPTION
OF THE INVENTION
The LPS Polysaccharide Antigen
Traditional methods of detoxifying LPS for antigen usage employ
non-specific acid- or base-catalyzed hydrolytic processes to remove fatty
acids from LPS polysaccharide antigens, and these processes cause
undesired modifications of polysaccharide epitopes, as discussed
hereinabove. In contrast, the present biological detoxification process
relies on enzymes, produced by D. discoideum cells, to hydrolyze
amide and ester bonds that link fatty acids to LPS. Because these
enzymatic modifications are highly specific, this biological processing
selectively removes toxic components, while preserving non-toxic epitopes
needed for eliciting protective antibodies. Accordingly, the biological
method of LPS detoxification, unlike chemical detoxification processes,
completely deacylates LPS without hydrolyzing covalent bonds that link
either diglucosamine, non-reducing terminal KDOs, or ethanolamine
pyrophosphate groups to the polysaccharide of LPS.
The present method employs E. coli J5 as a source of PS antigen to
exemplify the present method. As discussed hereinabove, native LPS from
this organism can elicit antibodies cross-reactive with LPS from several
other kinds of gram-negative bacteria. Biological processing of E. coli
J5 by D. discoideum cells was employed as a means for
detoxifying E. coli J5 LPS because previous studies indicated that
D. discoideum cells naturally produced deacylated LPS derivatives
as end-products of bacterial catabolism (D. Malchow et al., Eur. J.
Biochem., 2, 469 (1967); 7, 239 (1969)). These studies also suggested
that D. discoideum cells metabolically removed ester-linked and
amide-linked fatty acids from the lipid A portion of LPS, but did not
hydrolyze glycosidic bonds in the polysaccharide portion of LPS. In
addition, these studies indicated that antibodies elicited against native
LPS recognized some LPS catabolites produced by D. discoideum.
However, it was not known that D. discoideum could metabolize the
J5 strain of E. coli. Also, before the present invention, it was
not known whether the forms of deacylated LPS generated by D.
discoideum, whatever their structure, would have activity as
immunogenic epitopes that would elicit antibodies that in turn, could
recognize native forms of LPS. Further, prior art did not provide a method
for isolating deacylated, E. coli J5 LPS from D. discoideum
cultures.
Thus, the present invention represents the first reported use of a
cellular slime mold, such as D. discoideum, to biologically extract
and detoxify bacterial LPS in a form that it is useful as a vaccine
antigen. The embodied biological method for producing detoxified LPS
antigens is more economical and more efficacious than chemical processes
used previously to prepare LPS vaccine antigens. Unlike previous isolation
methods, the new biological method does not require toxic solvents to
extract LPS. Further, the new process does not require that LPS be
chemically fractionated before it is detoxified. Instead, detoxified LPS
antigens are obtained directly as water-soluble end-products that are
produced by cultures of D. discoideum cells grown on bacteria as a
food source. The antigens are readily purified from D. discoideum
culture media by selective filtration processes and by fractional
precipitation of their barium salts in ethanol-water mixtures.
According to the present detoxification method, bacteria are cultured in
liquid media, collected, and washed with a salt solution containing
potassium chloride and magnesium chloride. When E. coli J5 was
added to media containing both magnesium chloride and potassium chloride,
the bacterial cells formed into aggregates that were readily phagocytosed
by D. discoideum. The embodied method for culturing D.
discoideum with bacteria uses phosphate-free media containing 5 mM to
50 mM potassium chloride and 1 mM to 10 mM magnesium chloride. The optimal
concentrations of these salts may be different when different strains of
bacteria are used in the embodied methods. For example, for E coli
J5, the preferred concentrations for potassium chloride and magnesium
chloride are 15 mM and 5 mM, respectively.
Washed bacteria are suspended in the same salt solution and seeded with
D. discoideum spores or D. discoideum amoebae. The resulting
suspension is incubated with stirring and aeration at a constant
temperature between 15° C. and 25° C. Growth and aggregation of D.
discoideum cells is tracked by periodic, microscopic examination of
culture samples.
Incubation is continued until D. discoideum cells cease growing and
collect into multi-celled aggregates. When these conditions are met,
stirring and aeration of the cultures are discontinued, and the aggregated
D. discoideum cells are permitted to sediment from the culture
media. The culture media is then separated from the sediment and filtered
to remove residual cells. Next, the media filtrate is mixed with 0.2 to
0.5 volumes of ethanol and the mixture is supplemented with a
water-soluble barium salt. The addition of barium ions causes the
formation of barium-antigen complexes that precipitate and sediment from
the ethanol-media mixture.
The method for precipitating LPS antigens from D. discoideum
culture media is novel. In a previous study (D. Malchow et al., cited
above), LPS derivatives in D. discoideum culture media were
concentrated by a multi-step method involving centrifugation, evaporation,
and dialysis processes. These methods are undesirable for purifying LPS
derivatives intended for use as vaccine antigens—first, because the
centrifugation and evaporation processes are costly to perform at large
scale; and second, because deacylated LPS antigens from E. coli J5
readily permeate conventional dialysis membranes.
In the present method for concentrating LPS antigens from filtered culture
media, the media is adjusted to contain between 10 and 50% ethanol, and
between 1 to 10 mM barium ions. A common, water soluble salt of barium,
such as barium acetate or barium chloride, is used a source of barium
ions. It is within the scope of these methods to substitute an alternative
divalent cation for barium. For example, calcium ions may be more suitable
than barium ions for precipitating some kinds of LPS antigens produced in
D. discoideum cultures.
After incubation for at least 10 hours at a temperature of 0° C.-10° C.,
the sediment is collected, suspended in water, and treated with acid in
order to remove barium ions from the PS antigen. Following this treatment,
the PS antigen solution is neutralized by addition of an appropriate
amount of a base such as potassium hydroxide, and the solubilized antigen
is further purified by selective filtration and by fractional
precipitation from solutions containing various concentrations of ethanol
and various buffers.
Purified PS antigen, obtained by the present methods, has a sugar
composition similar to that determined previously for the polysaccharide
portion of native LPS from E. coli J5 (S. Muller-Loennies et al.,
Eur. J. Biochem., 260, 235 (1999)). The ratio of
KDO:heptose:glucosamine:glucose:N-acetylglucosamine in purified antigen
preparations was about 2:3:2:1:1, respectively. Phosphorous-31 NMR
indicated that phosphate occurred in purified antigen molecules as
diphosphodiester, and phosphomonoester forms. The structure of the PS
antigen is depicted in FIG. 2.
In a final purification step, antigen is treated with a
phosphomonoesterase to remove the 1′-phosphate from the diglucosamine
group in each antigen molecule. This treatment generates one aldehyde or
acetal functional group in each antigen molecule, that can be further
modified, e.g., for direct attachment to the carrier protein, or reacted
with a variety of (bis)functional linking molecules. This hydrolysis
reaction is depicted in FIG. 3, step (1).
Linker Molecules
Following introduction of an aldehyde or ketal into the molecule, these
groups can be reacted with a bis-functional linker such as adipic
dihydrazide (ADH), followed by reduction of the Schiff base, to
incorporate a linker group that can be used for subsequent conjugation of
PS antigen molecules to carrier protein. This reaction is depicted in FIG.
3, step 2. In this derivatization reaction, antigen is incubated at about
20-40° C. for about 20 hours in a solution of formamide containing about
10% v/v sodium acetate at pH 5, or in an aqueous buffer between pH 4-6,
containing an excess of sodium cyanoborohydride. Sodium borohydride may be
subsequently added to derivatization reactions to enhance reduction of
hydrazone bonds formed between antigen and ADH. These conditions support
reactions that form antigen-hydrazide molecules that contain covalent
hydrazide bonds linking aldehyde groups in antigen to α-hydrazide groups
in ADH. The aldehyde group participating in this reaction represents the
anomeric carbon in the reducing-end glucosamine of each antigen molecule.
Other linkers are available and can be used to link two aldehyde moieties,
two carboxylic acid moieties, or mixtures thereof. Such linkers include (C1-C6)
alkylene dihydrazides, (C1-C6)alkylene or arylene
diamines, ω-aminoalkanoic acids, alkylene diols or oxyalkene diols or
dithiols, cyclic amides and anhydrides and the like. For example, see U.S.
Pat. No. 5,739,313.
Carrier Protein and Modifications Thereof
To prepare the present carrier molecule for the PS antigens, Proteinase 1,
a lysosomal cysteine proteinase, was purified from D. discoideum
cells by a novel method. Previously, Proteinase 1 was purified by methods
that employed two or more chromatographic steps (G. L. Gustafson et al.,
J. Biol. Chem., 254, 12471 (1979); D. P. Mehta et al., J. Biol.
Chem., 271, 10897 (1996); T. Ord et al., Arch. Biochem. Biophys.,
339, 64 (1997)). These earlier methods were unsuitable for use in the
present method because they resulted in poor recovery of purified enzyme,
and the chromatographic steps were not desirable for large-scale
production of the enzyme. The novel steps in the present method of
Proteinase 1 purification include steps wherein the enzyme is precipitated
from aqueous ethanol in the presence of barium acetate, and a step wherein
the enzyme is precipitated in the presence of high concentrations of
ammonium sulfate. By substituting these novel steps for chromatographic
fractionation, it is possible to manufacture purified enzyme in much
higher yield and at a much greater scale than achieved previously.
To convert purified Proteinase 1 to a form suitable for use as a carrier
protein, the proteinase is reacted with sodium periodate in an aqueous,
buffer adjusted to a pH between pH 5 and pH 6. The preferred concentration
of periodate in this reaction mixture is between 50 mM and 150 mM, and the
preferred reaction temperature is between -20° C. and 20° C., preferably
about 0° C., and the desired reaction is the oxidative conversion of diol
groups in the N-acetylglucosamine-1-phosphate (GlcNAcP) residues to
dialdehyde groups.
It is believed that other proteins containing GlcNAcP-serine moieties,
such as analogous lysosomal cysteine proteinases, can be obtained from
D. discoideum or from other slime molds, including other species of
Dictyostelium or species of Polysphondylium.
The practice of the present invention can be enhanced by genetically
modifying the Dictyostelium cells that are used for producing
Proteinase 1. For example, genetic modifications can provide
Dictyostelium mutants that (1) produce larger amounts of Proteinase 1,
(2) produce an altered form of Proteinase 1 that is easier to purify, or
(3) produce an altered form of Proteinase 1 that contains a larger number
of GlcNAcP residues. These enhancements can be achieved by transfecting
Dictyostelium cells with DNA that codes for the synthesis of natural
or modified forms of Proteinase 1. Recombinant DNA techniques have been
adapted for use in genetic modifications of Dictyostelium (Jenne et
al., J. Cell Sci., 111, 61 (1998); Moreno-Bueno et al., Biochem.
J., 349, 527 (2000), and Agarwal et al., Differentiation, 65,
73 (1999)), and the use of methods to modify the genome of
Dictyostelium so as to enhance either the manufacturing of Proteinase
1 or the carrier functions of Proteinase 1 are within the scope of the
present invention.
Conjugation
To conjugate the carrier protein (i.e., the oxidized proteinase) with the
PS antigen-hydrazide, the oxidized protein is desalted, suspended in
aqueous buffer (preferably at a pH between pH 4 and pH 7), and reacted at
a temperature of about 10° C.-30° C. for about 20-30 hrs, with antigen-hydrazide.
The resulting mixture is then treated with an excess of sodium
cyanoborohydride for about 24-72 hrs at about 0° C. to 20° C. As shown in
FIG. 4, these conditions support reactions that generate covalent bonds
between aldehyde groups in the carrier protein and hydrazide groups in PS
antigen-hydrazide. With some antigens, the conjugation steps could be
reversed, so that the ADH is first reacted with oxidized protease, then
the free hydrazino group is reacted with an antigen aldehyde.
Upon completion of the conjugation reaction, the conjugate is separated
from unconjugated antigen, desalted by dialysis, and filter sterilized.
The sterile conjugate may be stored as an aqueous solution, a frozen
solution, or as a freeze-dried product.
Vaccine Formulations and Vaccination
Vaccines of the invention are typically formed by incorporating the
present PS antigen-carrier conjugates into pharmaceutically acceptable
formulations. The formulations may contain pharmaceutically acceptable
adjuvants (such as oils, surfactants, alum), immunostimulating agents
(such as phospholipids, glycolipids, glycans, glycopeptides, or
lipopeptides), and one or more diluents ("excipients"). Examples of
diluents suitable for use are water, phosphate buffered saline, 0.15 M
sodium chloride solution, dextrose, glycerol, mannitol, sorbitol, dilute
ethanol, and mixtures thereof. Pharmaceutically acceptable unit dosage
forms of the vaccines can be formulated as solutions, emulsions,
dispersions, tablets, or capsules.
For human use, the vaccines are preferably administered parenterally,
usually via subcutaneous or intramuscular routes of injection.
Alternatively, they may be administered intraperitoneally, intravenously,
or by inhalation. Oral dosage forms can also be employed, such as
solutions or suspensions. In general, the vaccine of the present invention
is formulated so that a dose of vaccine can be administered in a volume
between 0.1 ml and 0.5 ml, but if given orally it could be administered in
capsule or tablet form. The vaccine dosage, the number of doses given to
an individual, and the vaccination schedule depend on the antigenicity and
immunogenicity of the antigens in the conjugate and on other known
pharmaceutical considerations such as the age and body weight of the
individual.
The vaccines of the present invention will provide protective benefits for
humans at high risk of developing sepsis and septic shock. These include
elderly patients with chronic diseases, patients treated with aggressive
chemotherapies or immunosuppressive therapies, patients receiving
transplanted organs, and victims of severe traumatic injury. The vaccines
of the present invention may also provide protective benefits in humans
against one or more kinds of infections involving pathogenic gram-negative
bacteria. The levels of protection obtained with the vaccine can correlate
with blood titers of anti-LPS antibodies produced in vaccinated
individuals. Dosages can also be extrapolated from dosages of toxoid-PS
vaccines found to be safe and/or efficacious in humans. See, for example,
U.S. Pat. Nos. 4,771,127 and 5,370,872.
Claim 1 of 9 Claims
1. An immunogenic
conjugate comprising a plurality of deacylated lipopolysaccharide (LPS)
molecules from a gram-negative bacterium covalently linked to glucosamine
residues of isolated Dictyostelium discoideum Proteinase 1.
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