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Title: Adjuvant compositions
and methods for enhancing immune responses to polynucleotide-based
vaccines
United States Patent: 7,105,574
Issued: September 12, 2006
Inventors: Wheeler; Carl J.
(Poway, CA)
Assignee: Vical
Incorporated (San Diego, CA)
Appl. No.:
09/937,604
Filed: March 24, 2000
PCT Filed: March 24, 2000
PCT No.: PCT/US00/08282
371(c)(1),(2),(4) Date:
September 26, 2001
PCT Pub. No.: WO00/57917
PCT Pub. Date: October 05,
2000
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Woodbury College's
Master of Science in Law
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Abstract
The invention provides adjuvants,
immunogenic compositions, and methods useful for polynucleotide-based
vaccination and immune response. In particular, the invention provides an
adjuvant of cytofectin:co-lipid mixture wherein cytofectin is GAP-DMORIE.
DETAILED DESCRIPTION
OF PREFERRED EMBODIMENTS OF THE INVENTION
It will be apparent to one skilled in the
art, in view of the following detailed description and the claims appended
hereto, that various substitutions and modifications may be made to the
present invention without departing from the scope of the invention as
claimed.
The present invention is directed to the polynucleotide-based immunization
of a vertebrate, to protect from or treat a vertebrate with a disease
condition. The present invention includes the use of cytofectin,
especially GAP-DMORIE in adjuvants, immunogenic compositions, and methods
for immunizing a vertebrate, especially with polynucleotude-based
immunogen.
The adjuvant composition of the present invention includes one or more
cytofectins and, in preferred embodiments, one or more co-lipids.
Cytofectins are cationic lipids. In one embodiment, cytofectin is GAP-DMORIE,
which has a structure corresponding to a 2,3-dialkoxy-propanaminium
skeleton possessing a unique combination of two linear fourteen-carbon
mono-unsaturated alkyl chains and a propylamine substituent on the
quaternary nitrogen (See FIG. 2).
GAP-DMORIE contains a set of synergistic structural features, none of
which when individually incorporated into the skeleton affords optimal
activity. Thus, with reference to FIG. 3, by examining the group DMRIE((.+-.)-N-(2-hydroxyethyl)-N,N-dimethyl-2,3-bis(tetradecyloxy)-1-pro-
panaminium bromide), DLRIE
((.+-.)-N-(2-hydroxyethyl)N,N-dimethyl-2,3-bis(dodecyloxy)-1-propanaminiu-
m bromide) and DDRIE
((.+-.)-N-(2-hydroxyethyl)-N,N-dimethyl-2,3-bis(decyloxy)-1-propanaminium
bromide), and comparing the group GAP-DMRIE
((.+-.)-N-(3-aminopropyl)-N,N-dimethyl-2,3-(bis-tetradecyloxy)
1-propanaminium bromide), GAP-DLRIE
((.+-.)-N-(3-aminopropyl)-N,N-dimethyl-2,3-(bis-dodecyloxy)-1-propanamini-
um bromide), and GAP-DPRIE
((.+-.)-N-(3-aminopropyl)-N,N-dimethyl-2,3-(bis-hexadecyloxy)-1-propanami-
nium bromide), it is evident that fourteen-carbon chains are more active
(i.e., elicit greater levels of antibody stimulation) relative to other
chain lengths, whether the quaternary nitrogen is substituted with a
hydroxyethyl moiety (former group) or with a propylamino moiety (latter
group). By comparing DMRIE versus GAP-DMRIE (see FIG. 3), it appears that
incorporating a propylamino group in lieu of a hydroxyethyl group offers
no apparent advantage. Similarly, DMRIE and DMORIE are equally active
despite the incorporation of an olefin into the fourteen-carbon chain.
However, by incorporating the combination of a propylamino substituent and
an olefin moiety, GAP-DMORIE appears to be more active than either DMORIE
or GAP-DMRIE, based on the geometric mean titer (GMT) relative to that for
pDNA alone (FIG. 3). In addition, DOSPA
(2,3-dioleyloxy-N-(2-(sperminecarboxamido)ethyl)-N,N-dimethyl-1-propanami-
nium pentahydrochloride), which incorporates both an olefin into its
eighteen-carbon alkyl chains and an amino-bearing quaternary ammonium
substituent, is not only less active than DORIE
((.+-.)-N-(2-hydroxyethyl)-N,N-dimethyl-2,3-bis(syn-9-octadeceneyloxy)-1--
propanaminium bromide), which is equivalent except for quaternary ammonium
substitution, but dramatically decreases the level of antibody titers
relative to those seen for pDNA alone. The preferred salt of GAP-DMORIE
for use in the present invention is the bromide salt; however, all
suitable salts of GAP-DMORIE are encompassed by the term "GAP-DMORIE."
For purposes of definition, the term "co-lipid" refers to any hydrophobic
material that can be combined with the cytofectin component, e.g., GAP-DMORIE.
The co-lipid of the present invention can be amphipathic lipids and
neutral lipids. Amphipathic lipids include phospholipids, e.g.,
phosphatidylethanolamines and phosphatidylcholines. Neutral lipids include
cholesterol. In one preferred embodiment, phosphatidylethanolamines
include DOPE, DUPE, and DPyPE. DOPE and DpyPE are particularly preferred;
the most preferred co-lipid is DpyPE, which comprises two phytanoyl
substituents incorporated into the diacylphosphatidylethanolamine
skeleton. As illustrated by FIG. 3, the combination of the cytofectin GAP-DMORIE
with the co-lipid DPyPE results in a synergistic effect to further enhance
the humoral immune response, as evidenced by the level of antibody titers
from pDNA immunization.
According to the present invention, cytofectins and co-lipids may be mixed
or combined in a number of ways to produce a variety of adjuvant
compositions of non-covalently bonded macroscopic structures, e.g.,
liposomes, multilamellar vesicles, unilamellar vesicles, micelles, and
simple films. The cytofectins and co-lipids can be mixed in a variety of
molar ratios. Preferably, the molar ratio of GAP-DMORIE and co-lipid is
from about 9:1 to about 1:9, more preferably, the molar ratio is from
about 4:1 to about 1:4, or from about 2:1 to about 1:2. Most preferably,
the molar ratio is about 1:1.
The cytofectins and co-lipids can be dissolved in a solvent to increase
homogenity of the mixture. Suitable solvents include chloroform. For
example, GAP-DMORIE can be mixed with one or more co-lipids in chloroform,
the mixture is subsequently evaporated under vacuum to form a dried thin
layer of film on the inner surface of a glass vessel, e.g., a Rotovap
round-bottomed flask. Such dried mixture can be suspended in an aqueous
solvent where the amphipathic lipid component molecules self-assemble into
homogenous lipid vesicles. These lipid vesicles can subsequently be
processed by any methods used in the art to have a selected mean diameter
of uniform size prior to complexing with other entities, e.g., pDNA. The
sonication of a lipid solution is described in Felgner et al., Proc. Natl.
Acad. Sci. USA 84,7413-7417 (1987) and in U.S. Pat. No. 5,264,618, the
disclosure of which is incorporated herein by reference.
The adjuvant compositions of the present invention may include additives
such as hydrophobic and amphiphilic additives. For example, the adjuvant
composition can include sterols, fatty acids, gangliosides, glycolipids,
lipopeptides, liposaccharides, neobees, niosomes, prostaglandins or
sphingolipids. The amount of additives included in the adjuvant may be any
including from about 0.1 mol % to about 99.9 mol %, from about 1 mol % to
about 50 mol %, and from about 2 mol % to about 25 mol %, relative to
total amount of lipid. These additives can also be included in an
immunogenic composition containing the adjuvant composition of the present
invention.
The immunogenic composition of the present invention includes an adjuvant
composition as described above and an immunogen. An "immunogen" is meant
to encompass any antigenic or immunogenic polypeptides including poly-aminoacid
materials having epitopes or combinations of epitopes, and immunogen-encoding
polynucleotides. In addition, an "immunogen" is also meant to encompass
any poly-saccharide material useful in generating immune response. As used
herein, an antigenic polypeptide or an immunogenic polypeptide is a
polypeptide which, when introduced into a vertebrate, reacts with the
immune system molecules of the vertebrate, i.e., is antigenic, and/or
induces an immune response in the vertebrate, i.e., is immunogenic. It is
quite likely that an immunogenic polypeptide will also be antigenic, but
an antigenic polypeptide, because of its size or conformation, may not
necessarily be immunogenic. Examples of antigenic and immunogenic
polypeptides include, but are not limited to, polypeptides from infectious
agents such as bacteria, viruses, parasites, or fungi, allergens such as
those from pet dander, plants, dust, and other environmental sources, as
well as certain self polypeptides, for example, tumor-associated antigens.
Antigenic and immunogenic polypeptides of the present invention can be
used to prevent or treat, i.e., cure, ameliorate, lessen the severity of,
or prevent or reduce contagion of viral, bacterial, fungal, and parasitic
infectious diseases, as well as to treat allergies.
In addition, antigenic and immunogenic polypeptides of the present
invention can be used to prevent or treat, i.e., cure, ameliorate, or
lessen the severity of cancer including, but not limited to, cancers of
oral cavity and pharynx (i.e., tongue, mouth, pharynx), digestive system
(i.e., esophagus, stomach, small intestine, colon, rectum, anus, anal
canal, anorectum, liver, gallbladder, pancreas), respiratory system (i.e.,
larynx, lung), bones, joints, soft tissues (including heart), skin,
melanoma, breast, reproductive organs (i.e., cervix, endometirum, ovary,
vulva, vagina, prostate, testis, penis), urinary system (i.e., urinary
bladder, kidney, ureter, and other urinary organs), eye, brain, endocrine
system (i.e., thyroid and other endocrine), lymphoma (i.e., hodgkin's
disease, non-hodgkin's lymphoma), multiple myeloma, leukemia (i.e., acute
lymphocytic leukemia, chronic lymphocytic leukemia, acute myeloid
leukemia, chronic myeloid leukemia).
Examples of viral antigenic and immunogenic polypeptides include, but are
not limited to, adenovirus polypeptides, alphavirus polypeptides,
calicivirus polypeptides, e.g., a calicivirus capsid antigen, coronavirus
polypeptides, distemper virus polypeptides, Ebola virus polypeptides,
enterovirus polypeptides, flavivirus polypeptides, hepatitis virus (AE)
polypeptides, e.g., a hepatitis B core or surface antigen, herpesvirus
polypeptides, e.g., a herpes simplex virus or varicella zoster virus
glycoprotein, immunodeficiency virus polypeptides, e.g., the human
immunodeficiency virus envelope or protease, infectious peritonitis virus
polypeptides, influenza virus polypeptides, e.g., an influenza A
hemagglutinin, neuramimidase, or nucleoprotein, leukemia virus
polypeptides, Marburg virus polypeptides, orthomyxovirus polypeptides,
papilloma virus polypeptides, parainfluenza virus polypeptides, e.g., the
hemagglutinin/neuramimidase, paramyxovirus polypeptides, parvovirus
polypeptides, pestivirus polypeptides, picoma virus polypeptides, e.g., a
poliovirus capsid polypeptide, pox virus polypeptides, e.g., a vaccinia
virus polypeptide, rabies virus polypeptides, e.g., a rabies virus
glycoprotein G, reovirus polypeptides, retrovirus polypeptides, and
rotavirus polypeptides.
Examples of bacterial antigenic and immunogenic polypeptides include, but
are not limited to, Actinomyces polypeptides, Bacillus polypeptides,
Bacteroides polypeptides, Bordetella polypeptides, Bartonella
polypeptides, Borrelia polypeptides, e.g., B. burgdorferi OspA, Brucella
polypeptides, Campylobacter polypeptides, Capnocytophaga polypeptides,
Chlamydia polypeptides, Clostridium polypeptides, Corynebacterium
polypeptides, Coxiella polypeptides, Dermatophilus polypeptides,
Enterococcus polypeptides, Ehrlichia polypeptides, Escherichia
polypeptides, Francisella polypeptides, Fusobacterium polypeptides,
Haemobartonella polypeptides, Haemophilus polypeptides, e.g., H.
influenzae type b outer membrane protein, Helicobacter polypeptides,
Klebsiella polypeptides, L-form bacteria polypeptides, Leptospira
polypeptides, Listeria polypeptides, Mycobacteria polypeptides, Mycoplasma
polypeptides, Neisseria polypeptides, Neorickettsia polypeptides, Nocardia
polypeptides, Pasteurella polypeptides, Peptococcus polypeptides,
Peptostreptococcus polypeptides, Pneumococcus polypeptides, Proteus
polypeptides, Pseudomonas polypeptides, Rickettsia polypeptides,
Rochalimaea polypeptides, Salmonella polypeptides, Shigella polypeptides,
Staphylococcus polypeptides, Streptococcus polypeptides, e.g., S. pyogenes
M proteins, Treponema polypeptides, and Yersinia polypeptides, e.g., Y.
pestis Fl and V antigens.
Examples of fungal immunogenic and antigenic polypeptides include, but are
not limited to, Absidia polypeptides, Acremonium polypeptides, Alternaria
polypeptides, Aspergillus polypeptides, Basidiobolus polypeptides,
Bipolaris polypeptides, Blastomyces polypeptides, Candida polypeptides,
Coccidioides polypeptides, Conidiobolus polypeptides, Cryptococcus
polypeptides, Curvalaria polypeptides, Epidermophyton polypeptides,
Exophiala polypeptides, Geotrichum polypeptides, Histoplasma polypeptides,
Madurella polypeptides, Malassezia polypeptides, Microsporum polypeptides,
Moniliella polypeptides, Mortierella polypeptides, Mucor polypeptides,
Paecilomyces polypeptides, Penicillium polypeptides, Phialemonium
polypeptides, Phialophora polypeptides, Prototheca polypeptides,
Pseudallescheria polypeptides, Pseudomicrodochium polypeptides, Pythium
polypeptides, Rhinosporidium polypeptides, Rhizopus polypeptides,
Scolecobasidium polypeptides, Sporothrix polypeptides, Stemphylium
polypeptides, Trichophyton polypeptides, Trichosporon polypeptides, and
Xylohypha polypeptides.
Examples of protozoan parasite immunogenic and antigenic polypeptides
include, but are not limited to, Babesia polypeptides, Balantidium
polypeptides, Besnoitia polypeptides, Cryptosporidium polypeptides,
Eimeria polypeptides, Encephalitozoon polypeptides, Entamoeba
polypeptides, Giardia polypeptides, Hammondia polypeptides, Hepatozoon
polypeptides, Isospora polypeptides, Leishmania polypeptides,
Microsporidia polypeptides, Neospora polypeptides, Nosema polypeptides,
Pentatrichomonas polypeptides, Plasmodium polypeptides, e.g., P.
falciparum circumsporozoite (PfCSP), sporozoite surface protein 2
(PfSSP2), carboxyl terminus of liver state antigen 1 (PfLSA1 c-term), and
exported protein 1 (PfExp-1), Pneumocystis polypeptides, Sarcocystis
polypeptides, Schistosoma polypeptides, Theileria polypeptides, Toxoplasma
polypeptides, and Trypanosoma polypeptides.
Examples of helminth parasite immunogenic and antigenic polypeptides
include, but are not limited to, Acanthocheilonema polypeptides,
Aelurostrongylus polypeptides, Ancylostoma polypeptides, Angiostrongylus
polypeptides, Ascaris polypeptides, Brugia polypeptides, Bunostomum
polypeptides, Capillaria polypeptides, Chabertia polypeptides, Cooperia
polypeptides, Crenosoma polypeptides, Dictyocaulus polypeptides,
Dioctophyrne polypeptides, Dipetalonema polypeptides, Diphyllobothrium
polypeptides, Diplydium polypeptides, Dirofilaria polypeptides,
Dracunculus polypeptides, Enterobius polypeptides, Filaroides
polypeptides, Haemonchus polypeptides, Lagochilascaris polypeptides, Loa
polypeptides, Mansonella polypeptides, Muellerius polypeptides,
Nanophyetus polypeptides, Necator polypeptides, Nematodirus polypeptides,
Oesophagostomum polypeptides, Onchocerca polypeptides, Opisthorchis
polypeptides, Ostertagia polypeptides, Parafilaria polypeptides,
Paragonimus polypeptides, Parascaris polypeptides, Physaloptera
polypeptides, Protostrongylus polypeptides, Setaria polypeptides,
Spirocerca polypeptides Spirometra polypeptides, Stephanofilaria
polypeptides, Strongyloides polypeptides, Strongylus polypeptides,
Thelazia polypeptides, Toxascaris polypeptides, Toxocara polypeptides,
Trichinella polypeptides, Trichostrongylus polypeptides, Trichuris
polypeptides, Uncinaria polypeptides, and Wuchereria polypeptides.
Examples of ectoparasite immunogenic and antigenic polypeptides include,
but are not limited to, polypeptides (including protective antigens as
well as allergens) from fleas; ticks, including hard ticks and soft ticks,
flies, such as midges, mosquitos, sand flies, black flies, horse flies,
horn flies, deer flies, tsetse flies, stable flies, myiasis-causing flies
and biting gnats; ants; spiders, lice; mites; and true bugs, such as bed
bugs and kissing bugs.
Examples of tumor-associated antigenic and immunogenic polypeptides
include, but are not limited to, tumor-specific immunoglobulin variable
regions, GM2, Tn, sTn, Thompson-Friedenreich antigen (TF), Globo H, Le(y),
MUC1, MUC2, MUC3, MUC4, MUC5AC, MUC5B, MUC7, carcinoembryonic antigens,
beta chain of human chorionic gonadotropin (hCG beta), HER2/neu, PSMA,
EGFRvIII, KSA, PSA, PSCA, GP100, MAGE 1, MAGE 2, TRP 1, TRP 2, tyrosinase,
MART-1, PAP, CEA, BAGE, MAGE, RAGE, and related proteins.
Also included as polypeptides of the present invention are fragments or
variants of the foregoing polypeptides, and any combination of the
foregoing polypeptides. Additional polypeptides may be found, for example
in "Foundations in Microbiology," Talaro, et al., eds., McGraw-Hill
Companies (Oct.,1998), Fields, et al., "Virology," 3rd ed., Lippincott-Raven
(1996), "Biochemistry and Molecular Biology of Parasites," Marr, et al.,
eds., Academic Press (1995), and Deacon, J., "Modern Mycology," Blackwell
Science Inc (1997), which are incorporated herein by reference.
The immunogen-encoding polynucleotide is intended to encompass a singular
"polynucleotide" as well as plural "polynucleotides," and refers to an
isolated molecule or construct. The immunogen-encoding polynucleotides
include nucleotide sequences, nucleic acids, nucleic acid oligomers,
messenger RNA (mRNA), DNA (e.g. pDNAs, derivatives of pDNA, linear DNA),
or fragments of any of thereof. The immunogen-encoding polynucleotides may
be provided in linear, circular, e.g., plasmid, or branched form as well
as double-stranded or single-stranded form. The immunogen-encoding
polynucleotides may comprise a conventional phosphodiester bond or a
non-conventional bond, e.g., an amide bond, such as found in peptide
nucleic acids (PNA).
According to the present invention, the immunogen-encoding polynucleotide
can be part of a circular or linearized plasmid containing a
non-infectious and non-integrating polynucleotide. A non-infectious
polynucleotide is a polynucleotide that does not infect vertebrate cells
while a non-integrating polynucleotide does not integrate into the genome
of vertebrate cells. A linearized plasmid is a plasmid that was previously
circular but has been linearized, for example, by digestion with a
restriction endonuclease. The immunogen-encoding polynucleotide may
comprise a sequence that directs the secretion of a polypeptide.
The form of immunogen-encoding polynucleotides depends in part on the
desired kinetics and duration of expression. When long-term delivery of a
protein encoded by a polynucleotide is desired, the preferred form is DNA.
Alternatively, when short-term transgene protein delivery is desired, the
preferred form is mRNA, since mRNA can be rapidly translated into
polypeptide, however RNA may be degraded more quickly than DNA.
In one embodiment, the immunogen-encoding polynucleotide is RNA, e.g.,
messenger RNA (mRNA). Methods for introducing RNA sequences into mammalian
cells is described in U.S. Pat. No. 5,580,859, the disclosure of which is
incorporated herein by reference. A viral alpbavector, a non-infectious
vector useful for administering RNA, may be used to introduce RNA into
mammalian cells. Methods for the in vivo introduction of alphaviral
vectors to mammalian tissues are described in Altman-Hamamdzic, S., et
al., Gene Therapy 4, 815-822 (1997), the disclosure of which is
incorporated herein by reference.
Preferably, the immunogen-encoding polynucleotide is DNA. In the case of
DNA, a promoter is preferably operably linked to the nucleotide sequence
encoding for the immunogen. The promoter can be a cell-specific promoter
that directs substantial transcription of the DNA only in predetermined
cells. Other transcription control elements, besides a promoter, can be
included with the polynucleotide to direct cell-specific transcription of
the DNA. An operable linkage is a linkage in which a polynucleotide
encoding for an immunogenic molecule is connected to one or more
regulatory sequences in such a way as to place expression of the immunogen
under the influence or control of the regulatory sequence(s). Two DNA
sequences (such as a coding sequence and a promoter region sequence linked
to the 5' end of the coding sequence) are operably linked if induction of
promoter function results in the transcription of mRNA encoding for the
desired immunogen and if the nature of the linkage between the two DNA
sequences does not (1) result in the introduction of a frame-shift
mutation, (2) interfere with the ability of the expression regulatory
sequences to direct the expression of the immunogen, or (3) interfere with
the ability of the DNA template to be transcribed. Thus, a promoter region
would be operably linked to a DNA sequence if the promoter was capable of
effecting transcription of that DNA sequence.
The immunogen-encoding polynucleotide, e.g., pDNA, mRNA, polynucleotide or
nucleic acid oligomer can be solubilized in any of various buffers prior
to mixing or complexing with the adjuvant components, e.g., cytofectins
and co-lipids. Suitable buffers include phosphate buffered saline (PBS),
normal saline, Tris buffer, and sodium phosphate. Insoluble
polynucleotides can be solubilized in a weak acid or weak base, and then
diluted to the desired volume with a buffer. The pH of the buffer may be
adjusted as appropriate. In addition, a pharmaceutically acceptable
additive can be used to provide an appropriate osmolarity. Such additives
are within the purview of one skilled in the art.
According to the present invention, the immunogen-encoding polynucleotides
can be complexed with the adjuvant compositions of the present invention
by any means known in the art, e.g., by mixing a pDNA solution and a
solution of cytofectin/co-lipid liposomes. In one embodiment, the
concentration of each of the constituent solutions is adjusted prior to
mixing such that the desired final pDNA/cytofectin:co-lipid ratio and the
desired pDNA final concentration will be obtained upon mixing the two
solutions. For example, if the desired final solution is to be
physiological saline (0.9% weight/volume), both pDNA and cytofectin:co-lipid
liposomes are prepared in 0.9% saline and then simply mixed to produce the
desired complex. The cytofectin:co-lipid liposomes can be prepared by any
means known in the art. For example, one can hydrate a thin film of GAP-DMORIE
and co-lipid mixture in an appropriate volume of aqueous solvent by vortex
mixing at ambient temperatures for about 1 minute. Preparation of a thin
film of cytofectin and co-lipid mixture is known to a skilled artisan and
can be prepared by any suitable techniques. For example, one can mix
chloroform solutions of the individual components to generate an equimolar
solute ratio and subsequently aliquot a desired volume of the solutions
into a suitable container where the solvent can be removed by evaporation,
e.g., first with a stream of dry, inert gas such as argon and then by high
vacuum treatment.
According to the present invention, the immunogenic composition of the
present invention can be used to immunize a vertebrate. The term
"vertebrate" is intended to encompass a singular "vertebrate" as well as
plural "vertebrates", and comprises mammalian and avian species, as well
as fish. The method for immunizing a vertebrate includes administering to
the vertebrate an immunogenic composition of the present invention in an
amount sufficient to generate an immune response to the immunogen.
The immunogenic compositions of the present invention may be administered
according to any of various methods known in the art. For example, U.S.
Pat. No. 5,676,954 reports on the injection of genetic material, complexed
with cationic lipid carriers, into mice. Also, U.S. Pat. Nos. 5,589,466,
5,693,622, 5,580,859, 5,703,055, and PCT international patent application
PCT/US94/06069 (WO 94/29469), the disclosures of which are incorporated
herein by reference, provide methods for delivering DNA-cationic lipid
complexes to mammals.
Specifically, the immunogenic compositions of the present invention may be
administered to any tissue of a vertebrate, including, but not limited to,
muscle, skin, brain, lung, liver, spleen, bone marrow, thymus, heart,
lymph, blood, bone, cartilage, mucosal tissue, pancreas, kidney, gall
bladder, stomach, intestine, testis, ovary, uterus, vaginal tissue,
rectum, nervous system, eye, gland, tongue and connective tissue.
Preferably, the compositions are administered to skeletal muscle. The
immunogenic compositions of the invention may also be administered to a
body cavity, including, but not limited to, the lung, mouth, nasal cavity,
stomach, peritoneum, intestine, heart chamber, vein, artery, capillary,
lymphatic, uterus, vagina, rectum, and ocular cavity.
Preferably, the immunogenic compositions of the present invention are
administered by intramuscular (i.m.) or subcutaneous (s.c.) routes. Other
suitable routes of administration include transdermal, intranasal,
inhalation, intratracheal, transmucosal (i.e., across a mucous membrane),
intra-cavity (e.g., oral, vaginal, or rectal), intraocular, vaginal,
rectal, intraperitoneal, intraintestinal and intravenous (i.v.)
administration.
Any mode of administration can be used so long as the administration
results in desired immune response. Administration means of the present
invention include, but not limited to, needle injection, catheter
infusion, biolistic injectors, particle accelerators (i.e., "gene guns" or
pneumatic "needleless" injectors--for example, Med-E-Jet (Vahlsing, H., et
al., J. Immunol. Methods 171, 11-22 (1994)), Pigjet (Schrijver, R., et
al., Vaccine 15, 1908-1916 (1997)), Biojector (Davis, H., et al., Vaccine
12, 1503-1509 (1994); Gramzinski, R., et al., Mol. Med. 4, 109-118
(1998)), AdvantaJet, Medijector, gelfoam sponge depots, other commercially
available depot materials (e.g., hydrojels), osmotic pumps (e.g., Alza
minipumps), oral or suppositorial solid (tablet or pill) pharmaceutical
formulations, topical skin creams, and decanting, use of polynucleotide
coated suture (Qin et al., Life Sciences 65, 2193-2203 (1999)) or topical
applications during surgery. The preferred modes of administration are
intramuscular needle-based injection and intranasal application as an
aqueous solution.
Determining an effective amount of an immunogenic composition depends upon
a number of factors including, for example, the chemical structure and
biological activity of the substance, the age and weight of the subject,
and the route of administration. The precise amount, number of doses, and
timing of doses can be readily determined by those skilled in the art.
In certain embodiments, the immunogenic composition is administered as a
pharmaceutical composition. Such a pharmaceutical composition can be
formulated according to known methods, whereby the substance to be
delivered is combined with a pharmaceutically acceptable carrier vehicle.
Suitable vehicles and their preparation are described, for example, in
Remington's Pharmaceutical Sciences, 16.sup.th Edition, A. Osol, ed., Mack
Publishing Co., Easton, Pa. (1980), and Remington's Pharmaceutical
Sciences, 19.sup.th Edition, A. R. Gennaro, ed., Mack Publishing Co.,
Easton, Pa. (1995). The pharmaceutical composition can be formulated as an
emulsion, gel, solution, suspension, lyophilized form, or any other form
known in the art. In addition, the pharmaceutical composition can also
contain pharmaceutically acceptable additives including, for example,
diluents, binders, stabilizers, and preservatives. Administration of
pharmaceutically acceptable salts of the polynucleotide constructs
described herein is preferred. Such salts can be prepared from
pharmaceutically acceptable non-toxic bases including organic bases and
inorganic bases. Salts derived from inorganic bases include sodium,
potassium, lithium, ammonium, calcium, magnesium, and the like. Salts
derived from pharmaceutically acceptable organic non-toxic bases include
salts of primary, secondary, and tertiary amines, basic amino acids, and
the like.
For aqueous pharmaceutical compositions used in vivo, use of sterile
pyrogen-free water is preferred. Such formulations will contain an
effective amount of the immunogenic composition together with a suitable
amount of vehicle in order to prepare pharmaceutically acceptable
compositions suitable for administration to a vertebrate.
The present invention also provides kits for use in delivering a
polypeptide to a vertebrate. Each kit includes a container holding 1 ng to
30 mg of an immunoge-encoding polynucleotide which operably encodes an
immunogen within vertebrate cells in vivo. Furthermore, each kit includes,
in the same or in a different container, an adjuvant composition
comprising GAP-DMORIE and a co-lipid. Any of components of the
pharmaceutical kits can be provided in a single container or in multiple
containers. Preferably, the kit includes from about 1 ng to about 30 mg of
a immunogen-encoding polynucleotide, more preferably, the kit includes
from about 100 ng to about 10 mg of a immunogen-encoding polynucleotide.
Any suitable container or containers may be used with pharmaceutical kits.
Examples of containers include, but are not limited to, glass containers,
plastic containers, or strips of plastic or paper.
Each of the pharmaceutical kits may further comprise an administration
means. Means for administration include, but are not limited to syringes
and needles, catheters, biolistic injectors, particle accelerators, i.e.,
"gene guns," pneumatic "needleless" injectors, gelfoam sponge depots,
other commercially available depot materials, e.g., hydrojels, osmotic
pumps, and decanting or topical applications during surgery. Each of the
pharmaceutical kits may further comprise sutures, e.g., coated with the
immunogenic composition (Qin et al., Life Sciences (1999) 65:2193-2203).
The kit can further comprise an instruction sheet for administration of
the composition to a vertebrate. The polynucleotide components of the
pharmaceutical composition are preferably provided as a liquid solution or
they may be provided in lyophilized form as a dried powder or a cake. If
the polynucleotide is provided in lyophilized form, the dried powder or
cake may also include any salts, entry enhancing agents, transfection
facilitating agents, and additives of the pharmaceutical composition in
dried form. Such a kit may further comprise a container with an exact
amount of sterile pyrogen-free water, for precise reconstitution of the
lyophilized components of the pharmaceutical composition.
The container in which the pharmaceutical composition is packaged prior to
use can comprise a hermetically sealed container enclosing an amount of
the lyophilized formulation or a solution containing the formulation
suitable for a pharmaceutically effective dose thereof, or multiples of an
effective dose. The pharmaceutical composition is packaged in a sterile
container, and the hermetically sealed container is designed to preserve
sterility of the pharmaceutical formulation until use. Optionally, the
container can be associated with administration means and/or instruction
for use.
Claim 1 of 18 Claims
1. An adjuvant composition
comprising GAP-DMORIE and one or more co-lipids.
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