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Title: Tumor vaccines
United States Patent: 7,247,310
Issued: July 24, 2007
Inventors:
Ohno; Tadao (Ibaraki, JP), Peng; Bao Gang (Guang
Shou, CN), Leong; Kam (Ellicott City, MD), Liu; Shu Qin (Ontario, CA)
Assignee:
Cell-Medicine, Inc. (Ibaraki, JP), Riken (Saitama, JP)
Appl. No.: 09/890,266
Filed: February 9, 2000
PCT Filed: February 09,
2000
PCT No.: PCT/JP00/00692
371(c)(1),(2),(4) Date:
March 27, 2002
PCT Pub. No.: WO00/47226
PCT Pub. Date: August 17,
2000
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Training Courses -- Pharm/Biotech/etc.
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Abstract
A tumor vaccine which comprises a
microparticle or a lysate prepared from a solidified tumor material
selected from the group consisting of a tumor tissue, a tumor cell, and a
component thereof, and at least one cytokine and/or cytokine-inducing
agent (e.g., a granulocyte-macrophage-colony stimulating factor and/or
interleukin-2 and the like), and optionally an adjuvant. The vaccine can
be easily prepared and widely applied for prevention of recurrence,
inhibition of metastasis and therapeutic treatment regardless of a type of
a tumor, and has excellent antitumor effect.
Description of the Invention
TECHNICAL FIELD
The present invention relates to a tumor
vaccine useful for prevention of recurrence, inhibition of metastasis and
therapeutic treatment of tumors.
BACKGROUND ART
The tumor vaccine therapy is to activate
immune system in vivo, particularly killer lymphocytes that play a key
role in cellular immune responses, especially cytolytic T lymphocytes
(hereinafter abbreviated as "CTL"), to specifically kill tumor cells
without damaging normal cells, and to expect prevention of recurrence of
the tumor, inhibition of metastasis, or cure of the established tumor.
Various kinds of tumor vaccines have been developed (Pardoll, D. M.,
Nature Med., 4(5 Suppl), pp. 525-531, 1998). Roughly tumor vaccines can be
categorized depending on tumor-specific materials as follows: (1) vaccines
wherein a tumor antigenic peptide with a known property is used; (2)
vaccines wherein a tumor tissue extract containing an unidentified tumor
antigenic peptide is used; (3) vaccines wherein the above peptide is bound
to an antigen-presenting cell, especially a dendritic cell with a strong
capability of antigen presentation (Nestle, F. O., et al., Nature Med., 4,
pp. 328-332, 1998); (4) vaccines wherein a tumor antigenic protein is
taken into a dendritic cell and loaded; (5) vaccines wherein a dendritic
cell and a tumor cell are fused; (6) vaccines wherein a tumor antigen is
bound to a liposome for uptake together with the liposome (Nakanishi, T.,
et al., Biochem. Biophys. Res. Comm., 240, pp. 793-797, 1997); (7)
vaccines wherein a tumor cell, per se, is treated for inactivation with
radiation or a fixing agent before administration; (8) vaccines wherein a
cytokine gene, having an antigen-presenting cell stimulating effect or a
lymphocyte stimulating effect, is introduced into a tumor cell and the
cell is administered as a vaccine for a gene therapy, or wherein a tumor
antigenic gene is introduced into a suitable cell and a tumor cell
expressing the gene is administered as a vaccine; (9) vaccines wherein a
tumor antigenic gene is integrated into a virus or a bacterium for
infection of a patient; (10) vaccines wherein a live tumor cell, a tumor
antigenic peptide or an extract of a tumor cell is administered, and
separately a great amount of a cytokine is administered (Rosenberg, S. A.,
et al., Nature Med., 4, pp. 321-327, 1998), or wherein a cytokine is
formulated into a controlled release preparation and administered (Golumbek,
P. T., et al., Cancer Res., 53, pp. 5841-5844, 1993) and the like.
However, any of the above tumor vaccines is advantageous from some aspects
while disadvantageous from other points of view. For example, Method (1)
can only be applied to tumors which express a specific major
histocompatibility complex (hereinafter abbreviated as "MHC", and for
Class I referred to as "MHC-I" and for Class II as "MHC-II") that meets to
an identified tumor antigenic peptide. The human MHC is highly diverse,
and consequently, clinical cases are very limited in which those tumor
antigenic peptides can meet the MHC. To overcome the problem, Method (2)
using a tumor tissue extract containing an unidentified tumor antigenic
peptide has been developed. However, only a trace amount of the tumor
antigenic peptide can be extracted from tumor tissues, and it is often
impossible to concentrate the extract when the amount of the tumor as a
raw material is small. Therefore, the extract cannot be administered in a
large amount such as identified and synthesized tumor antigen peptides,
and effects are limited.
Where a tumor antigenic peptide is bound to an antigen-presenting cell
beforehand, such as in Method (3), a high CTL activating effect is
obtained. However, peripheral blood or bone marrow for isolation and
preparation of the antigen-presenting cell, especially a dendritic cell
having strong antigen presenting capability, should be derived from the
patient who bears the tumor and is to be applied with the tumor vaccine
therapy to prevent dangerous graft-versus-host-disease (hereinafter
abbreviated to "GVHD"), which requires a highly skilled technique and is
complicated. Methods (4) and (5) have the same problem as that of Method
(3), and in addition, a fusion process is very complicated in Method (5).
Although there is no concern about the risk of GVHD in Method (6), an
efficiency of the introduction of the tumor antigen into the
antigen-presenting cell is sometimes not successfully high, and a
relatively great amount of the tumor antigen is required to prepare the
tumor vaccine.
Method (7) is also complicated and costly because the tumor cells are
obtained by mass culture, and moreover, the method has a problem in that
the amount of the tumor antigen contained in the tumor cells per se is
very small. This method is known to be successful in tumor cells with high
antigenicity when treatment with poly(L-lysine) is applied (Naito, M. and
Seno, S., Cell Biol. International Rep., 5, pp. 675-681, 1981). However,
the method remains unsuccessful in tumor cells with low antigenicity.
Genetic therapies of Methods (8) and (9) are extraordinarily complicated
in procedures to obtain approval for the treatment, as well as in
therapeutic operations. Method (10) is promising at present; however,
especially in the method of Rosenberg et al., a huge amount of
interleukin-2 simultaneously administered causes a severe side effect, and
clinical results for tumors treatment are sometimes not satisfactory. Even
when cytokines are formulated as controlled release preparations by the
method of Golumbek et al., a complication still remains in preparation of
X-ray-irradiated live tumor cells.
The tumor vaccine is desirably provided in a form that can be handled as
easily as possible. From this point of view, methods involving
administration of live tumor cells or antigen-presenting cells as a part
of a tumor vaccine have problems in that they are technically very
complicated as operations under a live state are required. The operations
are further complicated for a genetic therapy. When tumor antigenic
peptides are known, the peptides can be synthesized in large quantities
for administration. However, there are a large variety of tumor antigenic
peptides, and additionally, due to restriction from MHC molecules of a
patient individual, it often cannot be appropriately determine which of
tumor antigenic peptides is applicable to the patient individual, which
may limit the application. When a tumor antigenic protein is used instead
of the tumor antigenic peptide, the protein is processed in the
antigen-presenting cells and then a tumor antigenic peptide that meets the
MHC is selected. Accordingly, the method is not restricted by the MHC of a
patient individual to be treated. However, this method has a problem in
that purification and large-scale preparation of the tumor antigenic
protein, per se, is difficult.
As a method for inducing CTL, a method is known in which CTL is induced
from peripheral blood mononuclear cells on a fixed tumor tissue obtained
by removing paraffin from pathological sections (Liu, S. Q. et al., Nature
Med., 2, pp. 1283-1283, 1996). Generally, when an antigenic protein in a
soluble state is provided to antigen-presenting cells, the protein has a
high stimulating effect on liquid immunity that links to production of
antibodies by binding antigenic proteins-derived antigen peptides to MHC-II,
whereas the protein has a low stimulating effect on cellular immunity that
activates killer cells by binding antigenic proteins-derived antigen
peptides to MHC-I. Falo et al. conducted induction of CTL that react to
ovalbumin-derived antigenic peptides by binding ovalbumin as a foreign
protein with strong antigenicity to iron powder and administering the
product to mice without addition of an adjuvant (Falo, Jr., L. D., et al.,
Nat. Med., 1, pp. 649-653, 1995).
The inventors of the present invention found that CTL can be induced
efficiently from peripheral blood lymphocytes of the same individual by
fixing soluble tumor antigenic proteins on fine polystyrene beads and
subjected the product as fine solids to phagocytosis by antigen-presenting
cells in human peripheral blood mononuclear cells in a cell culture system
in vitro (Kim, C., et al., Cancer Immunol. Immunother., 47, pp. 90-96,
1998). It is also known that dead cell-derived antigens can efficiently
induce immune responses thousands folds stronger when the antigens are
phagocytosed in the state of dead cells by immature dendritic cells than
when the antigens are not phagocytosed (Inaba, et al., Lecture SI-3-3,
Japanese Immunology Society, Dec. 2, 1998).
DISCLOSURE OF THE
INVENTION
An object of the present invention is to
provide a tumor vaccine which can be simply handled, generally applied for
prevention of tumor recurrence, inhibition of metastasis and therapeutic
treatment, regardless of a type of a tumor, and also has a strong
antitumor effect.
The inventors of the present invention conducted intensive studies to
achieve the foregoing object. As a result, they found that the prevention
of tumor recurrence, inhibition of metastasis, and therapeutic treatment
can be achieved with high efficiency by using a material solidified from
tumor tissues, tumor cells, or components thereof by a fixation operation,
and processing the material into microparticles in a size that can be
phagocytosed by antigen-presenting cells, or lysing the material by a
lysation operation, and then using the resulting product as a tumor
vaccine in combination with at least one kind of cytokines.
The present invention thus provides a tumor vaccine which comprises
microparticles prepared from a solidified tumor material selected from the
group consisting of tumor tissues, tumor cells and components thereof, and
at least one kind of cytokines and/or cytokine-inducing agents; and a
tumor vaccine which comprises a lysate prepared from a solidified tumor
material selected from the group consisting of tumor tissues, tumor cells
and components thereof, and at least one kind of cytokines and/or
cytokine-inducing agents.
According to preferred embodiments of the present invention, provided are
the aforementioned tumor vaccine which further contains an adjuvant
unspecifically inducing immune responses; the aforementioned tumor vaccine
for administration to an identical site in vivo; the aforementioned tumor
vaccine which contains a cytokine-controlled release preparation as the
cytokine; and the aforementioned tumor vaccine which contains a
granulocyte-macrophage-colony stimulating factor and/or interleukin-2 as
the cytokine. From another aspect, there is provided a tumor vaccine for
using in combination with at least one kind of cytokines which contains,
as an active ingredient, microparticles prepared from a solidified tumor
material selected from the group consisting of tumor tissues, tumor cells
and components thereof, or a lysate prepared from the tumor material.
From still other aspects, there are provided a method of therapeutic
treatment of, prevention of recurrence of, and inhibition of metastasis of
a tumor which comprises the step of administering an effective amount of
microparticles prepared from a solidified tumor material selected from the
group consisting of tumor tissues, tumor cells and components thereof, and
at least one kind of cytokines and/or cytokine-inducing agents; a method
which comprises the step of administering an effective amounts of a lysate
prepared from a solidified tumor material selected from the group
consisting of tumor tissues, tumor cells and components thereof, and at
least one kind of cytokines and/or cytokine-inducing agents; the
aforementioned methods in which the administration is repeatedly made an
identical site; and a use of the microparticles or the lysate prepared
from the aforementioned solidified tumor material for the manufacture of
the aforementioned tumor vaccines.
BEST MODE FOR
CARRYING OUT THE INVENTION
The tumor vaccine of the present
invention is characterized to comprise microparticles or a lysate prepared
from a solidified tumor material selected from the group consisting of
tumor tissues, tumor cells and components thereof as a tumor antigen, and
further containing at least one kind of cytokines and/or cytokine-inducing
agents.
As the tumor cells or tumor tissues, for example, those derived from a
mammal, preferably those derived from a human, can be used. Those from any
species of organisms may be used so far that the cells or tissues contain
a tumor antigen of a tumor to be therapeutically or preventively treated.
The types of the tumor tissues are not particularly limited so far that
they contain tumor cells. When components of tumor cells or tumor tissues
are used, the types of the components are not limited so far that they
contain a substance as potential tumor antigen. Fresh specimens such as
solid cancer tissues, bone marrow, and white blood cells which contain
cancer cells isolated or collected from the living body can be used as
tumor materials. As the component of tumor tissues or tumor cells, for
example, antigenic peptides or antigenic proteins can be used.
The fixation method to prepare the solidified tumor material is not
particularly limited, and any means available to those skilled in the art
may be applied. For example, when a tissue fixing agent is used, neutral
formalin, glutaraldehyde, an alcohol such as methanol and ethanol and the
like can be used. Besides the aforementioned methods, any method may be
used so far that fresh tissues or cells or components thereof can be
solidified. Tumor materials may be solidified by a method such as paraffin
embedding, freezing and the like. When tissues originally in a solid state
such as bone tissues are used as the solidified tumor material, it is
preferably to apply an appropriate fixation method.
The preparation method of microparticles is not particularly limited, and
applicable methods include, for example, a method of grinding the
solidified tumor tissues to prepare microparticles of fine fragments, as
well as a method of lysing ground fragments of tumor tissues or tumor
cells to fix the lysate to solid microparticles, a method of fixing
soluble tumor antigens such as antigenic peptides and antigenic proteins
to solid microparticles and the like. As the solid microparticles, for
example, iron powder, carbon powder, polystyrene beads and the like from
about 0.05 to 1,000 .mu.m in diameter can be used. Usable microparticles
include ground tissue fragments, tumor cells or soluble tumor antigens
bound to lipid particles such as liposomes so as to be recognized as
microparticles by the antigen-presenting cells to allow phagocytosis, or a
microparticles obtained by binding soluble tumor antigens, per se, to each
other by using a binder or a crosslinking agent.
Sizes of microparticles are not especially limited, however, a size that
allows phagocytosis by cells with phagocytic ability in vivo is desirable.
It is not necessary to grind fixed tumor cells that are originally in a
state of small single cells. However, it is desirable to apply grinding or
dispersing treatment when the cells aggregate during the fixation
operation. For the grinding or dispersing treatment, treatment with a
homogenizer, ultrasonic treatment, partial digestion with a digestive
enzyme and the like can be used. The microparticles can also be prepared
by passing through a screen having a pore size of not more than 1,000 .mu.m,
preferably not more than 380 .mu.m. The preparation of these
microparticles is well known to those skilled in the art, and the skilled
artisan can prepare the microparticles by a single appropriate method or a
combination of plural methods.
As a method to prepare the lysate from solidified tumor materials, for
example, a method using a proteolytic enzyme can be applied. An example of
the proteolytic enzyme includes proteinase K. A method employing an
appropriate combination of an enzyme other than the proteolytic enzyme, an
acid, an alkali and the like may also be utilized. Any method that can
achieve lysis of the solidified tumor material may be employed, and those
skilled in the art can choose an appropriate method. The lysate may be
fixed to the solid microparticles mentioned above.
The term "lysate" used in the specification means a state of dispersion of
the solidified tumor material in an aqueous medium such as water,
physiological saline, and a buffer solution to an extent that any solid
mass cannot be observed with naked eyes, and to an extent that the
dispersoids can be phagocytosed by the antigen-presenting cells. However,
the term should not be construed in any limiting way. The details of the
preparations of the fixed tumor materials, the preparations of the
microparticles, and the preparations of lysates are specifically described
in the examples of the present specification. Accordingly, those skilled
in the art can prepare the desired microparticles or the lysates by
referring to the above general explanations and specific explanations in
the examples, and appropriately modifying or altering those methods, if
necessary.
The type of cytokines contained in the tumor vaccine of the present
invention is not especially limited, and one or more kinds of cytokines
can be used. For example, granulocyte-macrophage-colony-stimulating factor
(hereinafter abbreviated as "GM-CSF"), or interleukin-2 (hereinafter
abbreviated as "IL-2") may preferably be used, and a combination of GM-CSF
and IL-2 may also preferably be used. In addition, other cytokines or
cytokine-inducing agents can be used which stimulate the local immune
cells in vivo, and consequently achieve the same conditions as those
achieved by GM-CSF and/or IL-2 administration. As cytokines or
cytokine-inducing agents besides these two kinds of cytokines, examples
include interleukin-12, interleukin-18, interferon category and the like.
However, cytokines or cytokine-inducing agents are not limited to these
examples.
These cytokines or inducing agents may preferably be prepared as
controlled-release preparations so that concentrations at sites received
administration can be kept at a high level as long as possible. Such means
for preparing controlled-release preparations is, for example, reported by
Golumbek et al (Golumbek, P. T., et al., Cancer Res., 53, pp. 5841-5844,
1993). Various methods for preparation of controlled release preparations
are known in the field of the art, and any method can be applied.
The tumor vaccine of the present invention may contain an adjuvant that
induces non-specific immune responses. The adjuvant can be used alone or
in combination of two or more kinds. As the adjuvant, examples include
Freund complete adjuvant, Freund incomplete adjuvant, bacterial
preparations such as BCG, bacterial component preparations such as
tuberculin, natural macromolecular substances such as keyhole limpet
hemocyanine and yeast mannan, Alum, synthetic adjuvant preparations such
as Titer Max Gold and the like. However, the adjuvants are not limited to
these specific examples, and any substances may be used so far that they
are effective as adjuvants. Whether an adjuvant should be used or not can
be judged by intensity of inflammatory reaction at a site of
administration or intensity of antitumor effect induced as a result of the
administration as a standard. For example, alternate administrations of
the tumor vaccine containing an adjuvant and the vaccine without adjuvant
can be applied to the same site.
Forms of preparation of the tumor vaccine of the present invention are not
particularly limited, and desirably, the forms of preparation may be
suitable for local administration. The methods for manufacturing
pharmaceutical preparations are not particularly limited, and a
preparation in a desired form can be prepared by applying a single method
available in the field of the art or methods in an appropriate
combination. For the manufacture of pharmaceutical preparations, aqueous
media such as distilled water for injection and physiological saline, as
well as one or more kinds of pharmaceutical additives available in the
field of the art can be used. For example, buffering agents, pH adjusting
agents, solubilizing aids, stabilizing agents, soothing agents,
antiseptics and the like can be used, and specific ingredients thereof are
well known to those skilled in the art. The tumor vaccine can also be
prepared as a solid preparation such as a lyophilized preparation, and
then prepared as an injection by adding a solubilizing agent such as
distilled water for injection before use.
When vaccine therapy is carried out using the tumor vaccine of the present
invention, the tumor vaccine may be administered only once. However, it is
desirable to repeat the administration to the same site of a body to
achieve coexistence of a tumor antigen and a cytokine or a
cytokine-inducing agent as long as possible. For example, both components
may preferably coexist for 3 hours or more so that inflammatory reaction
at the site of administration can be induced and conditions can be
achieved wherein immune cells are concentrated and cells are kept at the
site. When a tumor vaccine without adjuvant is administered, an adjuvant
may be administered to the same site. Generally, the tumor vaccine can be
administered to a patient from which the tumor material is derived;
however, the vaccine can also be administered to a patient bearing a tumor
that contains, from a viewpoint of pathological diagnosis, the same or
relative species of a tumor antigen as that contained in the tumor
material.
The site to be administered is not particularly limited. Preferred sites
include those where cytokines are hardly be diffused and disappeared, for
example, intradermal, subcutaneous or intramuscular sites, in lymphnodes,
and in a main organ such as spleen. However, by choosing a dosage form
which prevents ready diffusion of the active ingredients of the tumor
vaccine, local administrations may sometimes be performable to any site of
a body, or by applying a drug delivery system, the systemic administration
may sometimes be possible. The dose and administration period of the tumor
vaccine of the present invention are not particularly limited. It is
desirable to determine an appropriate dose and administration period by
observing effects of the vaccine therapy. The administration can be made,
for example, by injections and the like.
Claim 1 of 18 Claims
1. A tumor vaccine comprising: (A) a
microparticle comprising a fragment of solidified, chemically fixed tumor
tissues or cells, said fragment being of a size so as to allow
phagocytosis of the fragment; and (B) at least one isolated cytokine, at
least one isolated compound that is a cytokine-inducing agent, or a
combination thereof.
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