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Title: Compounds and methods
for treatment and diagnosis of chlamydial infection
United States Patent: 7,462,357
Issued: December 9, 2008
Inventors: Bhatia; Ajay
(Seattle, WA), Skeiky; Yasir A. W. (Silver Spring, MD), Probst; Peter
(Seattle, WA)
Assignee: Corixa
Corporation (Wilmington, DE)
Appl. No.:
10/872,155
Filed: June 18, 2004
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Executive MBA in Pharmaceutical Management, U. Colorado
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Abstract
Compounds and methods for the diagnosis
and treatment of Chlamydial infection are disclosed. The compounds
provided include polypeptides that contain at least one antigenic portion
of a Chlamydia antigen and DNA sequences encoding such polypeptides.
Pharmaceutical compositions and vaccines comprising such polypeptides or
DNA sequences are also provided, together with antibodies directed against
such polypeptides. Diagnostic kits containing such polypeptides or DNA
sequences and a suitable detection reagent may be used for the detection
of Chlamydial infection in patients and in biological samples.
Description of the
Invention
SUMMARY OF THE INVENTION
The present invention provides compositions and methods for the diagnosis
and therapy of Chlamydia infection. In one aspect, the present invention
provides polypeptides comprising an immunogenic portion of a Chlamydia
antigen, or a variant of such an antigen. Certain portions and other
variants are immunogenic, such that the ability of the variant to react with
antigen-specific antisera is not substantially diminished. Within certain
embodiments, the polypeptide comprises an amino acid sequence encoded by a
polynucleotide sequence selected from the group consisting of (a) a sequence
of SEQ ID NO: 358-361; (b) the complements of said sequences; and (c)
sequences that hybridize to a sequence of (a) or (b) under moderate to
highly stringent conditions. In specific embodiments, the polypeptides of
the present invention comprise at least a portion of a Chlamydial protein
that includes an amino acid sequence selected from the group consisting of
sequences recited in SEQ ID NO:362-365 and variants thereof.
The present invention further provides polynucleotides that encode a
polypeptide as described above, or a portion thereof (such as a portion
encoding at least 15 amino acid residues of a Chlamydial protein),
expression vectors comprising such polynucleotides and host cells
transformed or transfected with such expression vectors.
In a related aspect, polynucleotide sequences encoding the above
polypeptides, recombinant expression vectors comprising one or more of these
polynucleotide sequences and host cells transformed or transfected with such
expression vectors are also provided.
In another aspect, the present invention provides fusion proteins comprising
an inventive polypeptide, or, alternatively, an inventive polypeptide and a
known Chlamydia antigen, as well as polynucleotides encoding such fusion
proteins, in combination with a physiologically acceptable carrier or
immunostimulant for use as pharmaceutical compositions and vaccines thereof.
The present invention further provides pharmaceutical compositions that
comprise: (a) an antibody, both polyclonal and monoclonal, or
antigen-binding fragment thereof that specifically binds to a Chlamydial
protein; and (b) a physiologically acceptable carrier. Within other aspects,
the present invention provides pharmaceutical compositions that comprise one
or more Chlamydia polypeptides disclosed herein, e.g., a polypeptide
according to SEQ ID NO:362-365, 431-454 and 560-581, or a polynucleotide
molecule encoding such a polypeptide, such as a polynucleotide according to
SEQ ID NO:358-361, 407-430, 525-559 and 582-598, and a physiologically
acceptable carrier. The invention also provides vaccines for prophylactic
and therapeutic purposes comprising one or more of the disclosed
polypeptides and an immunostimulant, as defined herein, together with
vaccines comprising one or more polynucleotide sequences encoding such
polypeptides and an immunostimulant.
In yet another aspect, methods are provided for inducing protective immunity
in a patient, comprising administering to a patient an effective amount of
one or more of the above pharmaceutical compositions or vaccines.
In yet a further aspect, methods for the treatment of Chlamydia infection in
a patient are provided, the methods comprising obtaining peripheral blood
mononuclear cells (PBMC) from the patient, incubating the PBMC with a
polypeptide of the present invention (or a polynucleotide that encodes such
a polypeptide) to provide incubated T cells and administering the incubated
T cells to the patient. The present invention additionally provides methods
for the treatment of Chlamydia infection that comprise incubating antigen
presenting cells with a polypeptide of the present invention (or a
polynucleotide that encodes such a polypeptide) to provide incubated antigen
presenting cells and administering the incubated antigen presenting cells to
the patient. Proliferated cells may, but need not, be cloned prior to
administration to the patient. In certain embodiments, the antigen
presenting cells are selected from the group consisting of dendritic cells,
macrophages monocytes, B-cells, and fibroblasts. Compositions for the
treatment of Chlamydia infection comprising T cells or antigen presenting
cells that have been incubated with a polypeptide or polynucleotide of the
present invention are also provided. Within related aspects, vaccines are
provided that comprise: (a) an antigen presenting cell that expresses a
polypeptide as described above and (b) an immunostimulant.
The present invention further provides, within other aspects, methods for
removing Chlamydial-infected cells from a biological sample, comprising
contacting a biological sample with T cells that specifically react with a
Chlamydial protein, wherein the step of contacting is performed under
conditions and for a time sufficient to permit the removal of cells
expressing the protein from the sample.
Within related aspects, methods are provided for inhibiting the development
of Chlamydial infection in a patient, comprising administering to a patient
a biological sample treated as described above. In further aspects of the
subject invention, methods and diagnostic kits are provided for detecting
Chlamydia infection in a patient. In one embodiment, the method comprises:
(a) contacting a biological sample with at least one of the polypeptides or
fusion proteins disclosed herein; and (b) detecting in the sample the
presence of binding agents that bind to the polypeptide or fusion protein,
thereby detecting Chlamydia infection in the biological sample. Suitable
biological samples include whole blood, sputum, serum, plasma, saliva,
cerebrospinal fluid and urine. In one embodiment, the diagnostic kits
comprise one or more of the polypeptides or fusion proteins disclosed herein
in combination with a detection reagent. In yet another embodiment, the
diagnostic kits comprise either a monoclonal antibody or a polyclonal
antibody that binds with a polypeptide of the present invention.
The present invention also provides methods for detecting Chlamydia
infection comprising: (a) obtaining a biological sample from a patient; (b)
contacting the sample with at least two oligonucleotide primers in a
polymerase chain reaction, at least one of the oligonucleotide primers being
specific for a polynucleotide sequence disclosed herein; and (c) detecting
in the sample a polynucleotide sequence that amplifies in the presence of
the oligonucleotide primers. In one embodiment, the oligonucleotide primer
comprises at least about 10 contiguous nucleotides of a polynucleotide
sequence peptide disclosed herein, or of a sequence that hybridizes thereto.
In a further aspect, the present invention provides a method for detecting
Chlamydia infection in a patient comprising: (a) obtaining a biological
sample from the patient; (b) contacting the sample with an oligonucleotide
probe specific for a polynucleotide sequence disclosed herein; and (c)
detecting in the sample a polynucleotide sequence that hybridizes to the
oligonucleotide probe. In one embodiment, the oligonucleotide probe
comprises at least about 15 contiguous nucleotides of a polynucleotide
sequence disclosed herein, or a sequence that hybridizes thereto.
These and other aspects of the present invention will become apparent upon
reference to the following detailed description.
All of the above U.S. patents, U.S. patent application publications, U.S.
patent applications, foreign patents, foreign patent applications and
non-patent publications referred to in this specification and/or listed in
the Application Data Sheet, are incorporated herein by reference, in their
entirety.
DETAILED DESCRIPTION OF THE INVENTION
As noted above, the present invention is generally directed to compositions
and methods for the diagnosis and treatment of Chlamydial infection. In one
aspect, the compositions of the subject invention include polypeptides that
comprise at least one immunogenic portion of a Chlamydia antigen, or a
variant thereof.
In specific embodiments, the subject invention discloses polypeptides
comprising an immunogenic portion of a Chlamydia antigen, wherein the
Chlamydia antigen comprises an amino acid sequence encoded by a
polynucleotide molecule disclosed herein, the complements of said nucleotide
sequences, and variants of such sequences.
As used herein, the term "polypeptide" encompasses amino acid chains of any
length, including full length proteins (i.e., antigens), wherein the amino
acid residues are linked by covalent peptide bonds. Thus, a polypeptide
comprising an immunogenic portion of one of the inventive antigens may
consist entirely of the immunogenic portion, or may contain additional
sequences. The additional sequences may be derived from the native Chlamydia
antigen or may be heterologous, and such sequences may (but need not) be
immunogenic.
The term "polynucleotide(s)," as used herein, means a single or
double-stranded polymer of deoxyribonucleotide or ribonucleotide bases and
includes DNA and corresponding RNA molecules, including HnRNA and mRNA
molecules, both sense and anti-sense strands, and comprehends cDNA, genomic
DNA and recombinant DNA, as well as wholly or partially synthesized
polynucleotides. An HnRNA molecule contains introns and corresponds to a DNA
molecule in a generally one-to-one manner. An mRNA molecule corresponds to
an HnRNA and DNA molecule from which the introns have been excised. A
polynucleotide may consist of an entire gene, or any portion thereof.
Operable anti-sense polynucleotides may comprise a fragment of the
corresponding polynucleotide, and the definition of "polynucleotide"
therefore includes all such operable anti-sense fragments.
An "immunogenic portion" of an antigen is a portion that is capable of
reacting with sera obtained from a Chlamydia-infected individual (i.e.,
generates an absorbance reading with sera from infected individuals that is
at least three standard deviations above the absorbance obtained with sera
from uninfected individuals, in a representative ELISA assay described
herein). Such immunogenic portions generally comprise at least about 5 amino
acid residues, more preferably at least about 10, and most preferably at
least about 20 amino acid residues. Methods for preparing and identifying
immunogenic portions of antigens of known sequence are well known in the art
and include those summarized in Paul, Fundamental Immunology, 3.sup.rd ed.,
Raven Press, 1993, pp. 243-247 and references cited therein. Such techniques
include screening polypeptides for the ability to react with
antigen-specific antibodies, antisera and/or T-cell lines or clones. As used
herein, antisera and antibodies are "antigen-specific" if they specifically
bind to an antigen (i.e., they react with the protein in an ELISA or other
immunoassay, and do not react detectably with unrelated proteins). Such
antisera and antibodies may be prepared as described herein, and using well
known techniques. An immunogenic portion of a native Chlamydia protein is a
portion that reacts with such antisera and/or T-cells at a level that is not
substantially less than the reactivity of the full length polypeptide (e.g.,
in an ELISA and/or T-cell reactivity assay). Such immunogenic portions may
react within such assays at a level that is similar to or greater than the
reactivity of the full length polypeptide. Such screens may generally be
performed using methods well known to those of ordinary skill in the art,
such as those described in Harlow and Lane, Antibodies: A Laboratory Manual,
Cold Spring Harbor Laboratory, 1988. For example, a polypeptide may be
immobilized on a solid support and contacted with patient sera to allow
binding of antibodies within the sera to the immobilized polypeptide.
Unbound sera may then be removed and bound antibodies detected using, for
example, .sup.125I-labeled Protein A.
Examples of immunogenic portions of antigens contemplated by the present
invention include, for example, the T cell stimulating epitopes provided in
SEQ ID NO: 9, 10, 18, 19, 31, 39, 93-96, 98, 100-102, 106, 108, 138-140,
158, 167, 168, 246, 247 and 254-256. Polypeptides comprising at least an
immunogenic portion of one or more Chlamydia antigens as described herein
may generally be used, alone or in combination, to detect Chlamydial
infection in a patient.
The compositions and methods of the present invention also encompass
variants of the above polypeptides and polynucleotide molecules. Such
variants include, but are not limited to, naturally occurring allelic
variants of the inventive sequences. In particular, variants include other
Chlamydiae serovars, such as serovars D, E and F, as well as the several LGV
serovars which share homology to the inventive polypeptide and
polynucleotide molecules described herein. Preferably, the serovar
homologues show 95-99% homology to the corresponding polypeptide sequence(s)
described herein.
A polypeptide "variant," as used herein, is a polypeptide that differs from
the recited polypeptide only in conservative substitutions and/or
modifications, such that the antigenic properties of the polypeptide are
retained. In a preferred embodiment, variant polypeptides differ from an
identified sequence by substitution, deletion or addition of five amino
acids or fewer. Such variants may generally be identified by modifying one
of the above polypeptide sequences, and evaluating the antigenic properties
of the modified polypeptide using, for example, the representative
procedures described herein. In other words, the ability of a variant to
react with antigen-specific antisera may be enhanced or unchanged, relative
to the native protein, or may be diminished by less than 50%, and preferably
less than 20%, relative to the native protein. Such variants may generally
be identified by modifying one of the above polypeptide sequences and
evaluating the reactivity of the modified polypeptide with antigen-specific
antibodies or antisera as described herein. Preferred variants include those
in which one or more portions, such as an N-terminal leader sequence or
transmembrane domain, have been removed. Other preferred variants include
variants in which a small portion (e.g., 1-30 amino acids, preferably 5-15
amino acids) has been removed from the N- and/or C-terminal of the mature
protein.
As used herein, a "conservative substitution" is one in which an amino acid
is substituted for another amino acid that has similar properties, such that
one skilled in the art of peptide chemistry would expect the secondary
structure and hydropathic nature of the polypeptide to be substantially
unchanged. Amino acid substitutions may generally be made on the basis of
similarity in polarity, charge, solubility, hydrophobicity, hydrophilicity
and/or the amphipathic nature of the residues. For example, negatively
charged amino acids include aspartic acid and glutamic acid; positively
charged amino acids include lysine and arginine; and amino acids with
uncharged polar head groups having similar hydrophilicity values include
leucine, isoleucine and valine; glycine and alanine; asparagine and
glutamine; and serine, threonine, phenylalanine and tyrosine. Other groups
of amino acids that may represent conservative changes include: (1) ala,
pro, gly, glu, asp, gln, asn, ser, thr; (2) cys, ser, tyr, thr; (3) val, ile,
leu, met, ala, phe; (4) lys, arg, his; and (5) phe, tyr, trp, his. A variant
may also, or alternatively, contain nonconservative changes. In a preferred
embodiment, variant polypeptides differ from a native sequence by
substitution, deletion or addition of five amino acids or fewer. Variants
may also (or alternatively) be modified by, for example, the deletion or
addition of amino acids that have minimal influence on the immunogenicity,
secondary structure and hydropathic nature of the polypeptide. Variants may
also, or alternatively, contain other modifications, including the deletion
or addition of amino acids that have minimal influence on the antigenic
properties, secondary structure and hydropathic nature of the polypeptide.
For example, a polypeptide may be conjugated to a signal (or leader)
sequence at the N-terminal end of the protein which co-translationally or
post-translationally directs transfer of the protein. The polypeptide may
also be conjugated to a linker or other sequence for ease of synthesis,
purification or identification of the polypeptide (e.g., poly-His), or to
enhance binding of the polypeptide to a solid support. For example, a
polypeptide may be conjugated to an immunoglobulin Fc region.
A polynucleotide "variant" is a sequence that differs from the recited
nucleotide sequence in having one or more nucleotide deletions,
substitutions or additions such that the immunogenicity of the encoded
polypeptide is not diminished, relative to the native protein. The effect on
the immunogenicity of the encoded polypeptide may generally be assessed as
described herein. Such modifications may be readily introduced using
standard mutagenesis techniques, such as oligonucleotide-directed
site-specific mutagenesis as taught, for example, by Adelman et al. (DNA,
2:183, 1983). Nucleotide variants may be naturally occurring allelic
variants as discussed below, or non-naturally occurring variants. The
polypeptides provided by the present invention include variants that are
encoded by polynucleotide sequences which are substantially homologous to
one or more of the polynucleotide sequences specifically recited herein.
"Substantial homology," as used herein, refers to polynucleotide sequences
that are capable of hybridizing under moderately stringent conditions.
Suitable moderately stringent conditions include prewashing in a solution of
5.times.SSC, 0.5% SDS, 1.0 mM EDTA (pH 8.0); hybridizing at 50.degree.
C.-65.degree. C., 5.times.SSC, overnight or, in the event of cross-species
homology, at 45.degree. C. with 0.5.times.SSC; followed by washing twice at
65.degree. C. for 20 minutes with each of 2.times., 0.5.times. and
0.2.times.SSC containing 0.1% SDS. Such hybridizing polynucleotide sequences
are also within the scope of this invention, as are nucleotide sequences
that, due to code degeneracy, encode a polypeptide that is the same as a
polypeptide of the present invention.
Two nucleotide or polypeptide sequences are said to be "identical" if the
sequence of nucleotides or amino acid residues in the two sequences is the
same when aligned for maximum correspondence as described below. Comparisons
between two sequences are typically performed by comparing the sequences
over a comparison window to identify and compare local regions of sequence
similarity. A "comparison window" as used herein, refers to a segment of at
least about 20 contiguous positions, usually 30 to about 75, 40 to about 50,
in which a sequence may be compared to a reference sequence of the same
number of contiguous positions after the two sequences are optimally
aligned.
Optimal alignment of sequences for comparison may be conducted using the
Megalign program in the Lasergene suite of bioinformatics software (DNASTAR,
Inc., Madison, Wis.), using default parameters. This program embodies
several alignment schemes described in the following references: Dayhoff, M.
O. (1978) A model of evolutionary change in proteins--Matrices for detecting
distant relationships. In Dayhoff, M. O. (ed.) Atlas of Protein Sequence and
Structure, National Biomedical Resarch Foundaiton, Washington D.C. Vol. 5,
Suppl. 3, pp. 345-358; Hein J. (1990) Unified Approach to Alignment and
Phylogenes pp. 626-645 Methods in Enzymology vol. 183, Academic Press, Inc.,
San Diego, Calif.; Higgins, D. G. and Sharp, P. M. (1989) Fast and sensitive
multiple sequence alignments on a microcomputer CABIOS 5:151-153; Myers, E.
W. and Muller W. (1988) Optimal alignments in linear space CABIOS 4:11-17;
Robinson, E. D. (1971) Comb. Theor 11:105; Santou, N. Nes, M. (1987) The
neighbor joining method. A new method for reconstructing phylogenetic trees
Mol. Biol. Evol. 4:406-425; Sneath, P. H. A. and Sokal, R. R. (1973)
Numerical Taxonomy--the Principles and Practice of Numerical Taxonomy,
Freeman Press, San Francisco, Calif.; Wilbur, W. J. and Lipman, D. J. (1983)
Rapid similarity searches of nucleic acid and protein data banks Proc. Natl.
Acad, Sci. USA 80:726-730.
Alternatively, optimal alignment of sequences for comparison may be
conducted by the local identity algorithm of Smith and Waterman (1981) Add.
APL. Math 2:482, by the identity alignment algorithm of Needleman and Wunsch
(1970) J. Mol. Biol. 48:443, by the search for similarity methods of Pearson
and Lipman (1988) Proc. Natl. Acad. Sci. (U.S.A.) 85: 2444, by computerized
implementations of these algorithms (GAP, BESTFIT, BLAST, FASTA, and TFASTA
in the Wisconsin Genetics Software Package, Genetics Computer Group (GCG),
575 Science Dr., Madison, Wis.), or by inspection.
One illustrative example of algorithms that are suitable for determining
percent sequence identity and sequence similarity are the BLAST and BLAST
2.0 algorithms, which are described in Altschul et al. (1977) Nuc. Acids
Res. 25:3389-3402 and Altschul et. al. (1990) J. Mol. Biol. 215:403-410,
respectively. BLAST and BLAST 2.0 can be used, for example with the
parameters described herein, to determine percent sequence identity for the
polynucleotides and polypeptides of the invention. Software for performing
BLAST analyses is publicly available through the National Center for
Biotechnology Information (www.ncbi.nlm.nih.gov). In one illustrative
example, cumulative scores can be calculated using, for nucleotide
sequences, the parameters M (reward score for a pair of matching residues;
always >0) and N (penalty score for mismatching residues; always <0). For
amino acid sequences, a scoring matrix can be used to calculate the
cumulative score. Extension of the word hits in each direction are halted
when: the cumulative alignment score falls off by the quantity X from its
maximum achieved value; the cumulative score goes to zero or below, due to
the accumulation of one or more negative-scoring residue alignments; or the
end of either sequence is reached. The BLAST algorithm parameters W, T and X
determine the sensitivity and speed of the alignment. The BLASTN program
(for nucleotide sequences) uses as defaults a wordlength (W) of 11, and
expectation (E) of 10, and the BLOSUM62 scoring matrix (see Henikoff and
Henikoff (1989) Proc. Natl. Acad. Sci. USA 89:10915) alignments, (B) of 50,
expectation (E) of 10, M=5, N=-4 and a comparison of both strands.
Preferably, the "percentage of sequence identity" is determined by comparing
two optimally aligned sequences over a window of comparison of at least 20
positions, wherein the portion of the polynucleotide or amino acid sequence
in the comparison window may comprise additions or deletions (i.e. gaps) of
20 percent or less, usually 5 to 15 percent, or 10 to 12 percent, as
compared to the reference sequences (which does not comprise additions or
deletions) for optimal alignment of the two sequences. The percentage is
calculated by determining the number of positions at which the identical
nucleic acid bases or amino acid residue occurs in both sequences to yield
the number of matched positions, dividing the number of matched positions by
the total number of positions in the reference sequence (i.e. the window
size) and multiplying the results by 100 to yield the percentage of sequence
identity.
Therefore, the present invention provides polynucleotide and polypeptide
sequences having substantial identity to the sequences disclosed herein, for
example those comprising at least 50% or more sequence identity, preferably
at least 55%, 60%, 65%, 70%, 75%, 80%, 85%, 90%, 95%, 96%, 97%, 98%, or 99%
or higher, sequence identity compared to a polynucleotide or polypeptide
sequence of this invention using the methods described herein, (e.g., BLAST
analyisis using standard parameters, as described below). One skilled in
this art will recognize that these values can be appropriately adjusted to
determine corresponding identity of proteins encoded by two polynucleotide
sequences by taking into account codon degeneracy, amino acid similarity,
reading frame positioning and the like.
In additional embodiments, the present invention provides isolated
polynucleotides or polypeptides comprising various lengths of contiguous
stretches of sequence identical to or complementary to one or more of the
sequences disclosed herein. For example, polynucleotides and polypeptides
encompassed by this invention may comprise at least about 15, 20, 30, 40,
50, 75, 100, 150, 200, 300, 400, 500 or 1000 or more contiguous nucleotides
of one or more of the disclosed sequences, as well as all intermediate
lengths therebetween. It will be readily understood that "intermediate
lengths", in this context, means any length between the quoted values, such
as 16, 17, 18, 19, etc.; 21, 22, 23, etc.; 30, 31, 32, etc.; 50, 51, 52, 53,
etc.; 100, 101, 102, 103, etc.; 150, 151, 152, 153, etc.; including all
integers through the 200-500; 500-1,000, and the like.
The polynucleotides of the present invention, or fragments thereof,
regardless of the length of the coding sequence itself, may be combined with
other DNA sequences, such as promoters, polyadenylation signals, additional
restriction enzyme sites, multiple cloning sites, other coding segments, and
the like, such that their overall length may vary considerably. It is
therefore contemplated that a nucleic acid fragment of almost any length may
be employed, with the total length preferably being limited by the ease of
preparation and use in the intended recombinant DNA protocol. For example,
illustrative DNA segments with total lengths of about 10,000, about 5000,
about 3000, about 2,000, about 1,000, about 500, about 200, about 100, about
50 base pairs in length, and the like, (including all intermediate lengths)
are contemplated to be useful in many implementations of this invention.
Also included in the scope of the present invention are alleles of the genes
encoding the nucleotide sequences recited in herein. As used herein, an
"allele" or "allellic sequence" is an alternative form of the gene which may
result from at least one mutation in the nucleic acid sequence. Alleles may
result in altered mRNAs or polypeptides whose structure or function may or
may not be altered. Any given gene may have none, one, or many allelic
forms. Common mutational changes which give rise to alleles are generally
ascribed to natural deletions, additions, or substitutions of nucleotides.
Each of these types of changes may occur alone or in combination with the
others, one or more times in a given sequence.
In specific embodiments, the subject invention discloses polypeptides
comprising at least an immunogenic portion of a Chlamydia antigen (or a
variant of such an antigen), that comprises one or more of the amino acid
sequences encoded by (a) a polynucleotide sequence selected from the group
consisting of SEQ ID NO: 358-361, 407-430, 525-559, 582-598; (b) the
complements of such DNA sequences or (c) DNA sequences substantially
homologous to a sequence in (a) or (b). As discussed in the Examples below,
several of the Chlamydia antigens disclosed herein recognize a T cell line
that recognizes both Chlamydia trachomatis and Chlamydia pneumoniae infected
monocyte-derived dendritic cells, indicating that they may represent an
immunoreactive epitope shared by Chlamydia trachomatis and Chlamydia
pneumoniae. The antigens may thus be employed in a vaccine for both C.
trachomatis genital tract infections and for C. pneumonia infections.
Further characterization of these Chlamydia antigens from Chlamydia
trachomatis and Chlamydia pneumonia to determine the extent of
cross-reactivity is provided in Example 6. Additionally, Example 4 describes
cDNA fragments (SEQ ID NO: 15, 16 and 33) isolated from C. trachomatis which
encode proteins (SEQ ID NO: 17-19 and 32) capable of stimulating a
Chlamydia-specific murine CD8+ T cell line.
In general, Chlamydia antigens, and polynucleotide sequences encoding such
antigens, may be prepared using any of a variety of procedures. For example,
polynucleotide molecules encoding Chlamydia antigens may be isolated from a
Chlamydia genomic or cDNA expression library by screening with a
Chlamydia-specific T cell line as described below, and sequenced using
techniques well known to those of skill in the art. Additionally, a
polynucleotide may be identified, as described in more detail below, by
screening a microarray of cDNAs for Chlamydia-associated expression (i.e.,
expression that is at least two fold greater in Chlamydia-infected cells
than in controls, as determined using a representative assay provided
herein). Such screens may be performed using a Synteni microarray (Palo
Alto, Calif.) according to the manufacturer's instructions (and essentially
as described by Schena et al., Proc. Natl. Acad. Sci. USA 93:10614-10619,
1996 and Heller et al., Proc. Natl. Acad. Sci. USA 94:2150-2155, 1997).
Alternatively, polypeptides may be amplified from cDNA prepared from cells
expressing the proteins described herein. Such polynucleotides may be
amplified via polymerase chain reaction (PCR). For this approach,
sequence-specific primers may be designed based on the sequences provided
herein, and may be purchased or synthesized.
Antigens may be produced recombinantly, as described below, by inserting a
polynucleotide sequence that encodes the antigen into an expression vector
and expressing the antigen in an appropriate host. Antigens may be evaluated
for a desired property, such as the ability to react with sera obtained from
a Chlamydia-infected individual as described herein, and may be sequenced
using, for example, traditional Edman chemistry. See Edman and Berg, Eur. J.
Biochem. 80:116-132, 1967.
Polynucleotide sequences encoding antigens may also be obtained by screening
an appropriate Chlamydia cDNA or genomic DNA library for polynucleotide
sequences that hybridize to degenerate oligonucleotides derived from partial
amino acid sequences of isolated antigens. Degenerate oligonucleotide
sequences for use in such a screen may be designed and synthesized, and the
screen may be performed, as described (for example) in Sambrook et al.,
Molecular Cloning: A Laboratory Manual, Cold Spring Harbor Laboratories,
Cold Spring Harbor, N.Y. (and references cited therein). Polymerase chain
reaction (PCR) may also be employed, using the above oligonucleotides in
methods well known in the art, to isolate a nucleic acid probe from a cDNA
or genomic library. The library screen may then be performed using the
isolated probe.
An amplified portion may be used to isolate a full length gene from a
suitable library (e.g., a Chlamydia cDNA library) using well known
techniques. Within such techniques, a library (cDNA or genomic) is screened
using one or more polynucleotide probes or primers suitable for
amplification. Preferably, a library is size-selected to include larger
molecules. Random primed libraries may also be preferred for identifying 5'
and upstream regions of genes. Genomic libraries are preferred for obtaining
introns and extending 5' sequences.
For hybridization techniques, a partial sequence may be labeled (e.g., by
nick-translation or end-labeling with .sup.32P) using well known techniques.
A bacterial or bacteriophage library is then screened by hybridizing filters
containing denatured bacterial colonies (or lawns containing phage plaques)
with the labeled probe (see Sambrook et al., Molecular Cloning: A Laboratory
Manual, Cold Spring Harbor Laboratories, Cold Spring Harbor, N.Y., 1989).
Hybridizing colonies or plaques are selected and expanded, and the DNA is
isolated for further analysis. cDNA clones may be analyzed to determine the
amount of additional sequence by, for example, PCR using a primer from the
partial sequence and a primer from the vector. Restriction maps and partial
sequences may be generated to identify one or more overlapping clones. The
complete sequence may then be determined using standard techniques, which
may involve generating a series of deletion clones. The resulting
overlapping sequences are then assembled into a single contiguous sequence.
A full length cDNA molecule can be generated by ligating suitable fragments,
using well known techniques.
Alternatively, there are numerous amplification techniques for obtaining a
full length coding sequence from a partial cDNA sequence. Within such
techniques, amplification is generally performed via PCR. Any of a variety
of commercially available kits may be used to perform the amplification
step. Primers may be designed using techniques well known in the art (see,
for example, Mullis et al., Cold Spring Harbor Symp. Quant. Biol. 51:263,
1987; Erlich ed., PCR Technology, Stockton Press, NY, 1989), and software
well known in the art may also be employed. Primers are preferably 22-30
nucleotides in length, have a GC content of at least 50% and anneal to the
target sequence at temperatures of about 68.degree. C. to 72.degree. C. The
amplified region may be sequenced as described above, and overlapping
sequences assembled into a contiguous sequence.
One such amplification technique is inverse PCR (see Triglia et al., Nucl.
Acids Res. 16:8186, 1988), which uses restriction enzymes to generate a
fragment in the known region of the gene. The fragment is then circularized
by intramolecular ligation and used as a template for PCR with divergent
primers derived from the known region. Within an alternative approach,
sequences adjacent to a partial sequence may be retrieved by amplification
with a primer to a linker sequence and a primer specific to a known region.
The amplified sequences are typically subjected to a second round of
amplification with the same linker primer and a second primer specific to
the known region. A variation on this procedure, which employs two primers
that initiate extension in opposite directions from the known sequence, is
described in WO 96/38591. Additional techniques include capture PCR (Lagerstrom
et al., PCR Methods Applic. 1:111-19, 1991) and walking PCR (Parker et al.,
Nucl. Acids. Res. 19:3055-60, 1991). Transcription-Mediated Amplification,
or TMA is another method that may be utilized for the amplification of DNA,
rRNA, or mRNA, as described in Patent No. PCT/US91/03184. This autocatalytic
and isothermic non-PCR based method utilizes two primers and two enzymes:
RNA polymerase and reverse transcriptase. One primer contains a promoter
sequence for RNA polymerase. In the first amplification, the promoter-primer
hybridizes to the target rRNA at a defined site. Reverse transcriptase
creates a DNA copy of the target rRNA by extension from the 3'end of the
promoter-primer. The RNA in the resulting complex is degraded and a second
primer binds to the DNA copy. A new strand of DNA is synthesized from the
end of the primer by reverse transcriptase creating double stranded DNA. RNA
polymerase recognizes the promoter sequence in the DNA template and
initiates transcription. Each of the newly synthesized RNA amplicons
re-enters the TMA process and serves as a template for a new round of
replication leading to the expotential expansion of the RNA amplicon. Other
methods employing amplification may also be employed to obtain a full length
cDNA sequence.
In certain instances, it is possible to obtain a full length cDNA sequence
by analysis of sequences provided in an expressed sequence tag (EST)
database, such as that available from GenBank. Searches for overlapping ESTs
may generally be performed using well known programs (e.g., NCBI BLAST
searches), and such ESTs may be used to generate a contiguous full length
sequence. Full length cDNA sequences may also be obtained by analysis of
genomic fragments.
Polynucleotide variants may generally be prepared by any method known in the
art, including chemical synthesis by, for example, solid phase
phosphoramidite chemical synthesis. Modifications in a polynucleotide
sequence may also be introduced using standard mutagenesis techniques, such
as oligonucleotide-directed site-specific mutagenesis (see Adelman et al.,
DNA 2:183, 1983). Alternatively, RNA molecules may be generated by in vitro
or in vivo transcription of DNA sequences encoding a Chlamydial protein, or
portion thereof, provided that the DNA is incorporated into a vector with a
suitable RNA polymerase promoter (such as T7 or SP6). Certain portions may
be used to prepare an encoded polypeptide, as described herein. In addition,
or alternatively, a portion may be administered to a patient such that the
encoded polypeptide is generated in vivo (e.g., by transfecting
antigen-presenting cells, such as dendritic cells, with a cDNA construct
encoding a Chlamydial polypeptide, and administering the transfected cells
to the patient).
A portion of a sequence complementary to a coding sequence (i.e., an
antisense polynucleotide) may also be used as a probe or to modulate gene
expression. cDNA constructs that can be transcribed into antisense RNA may
also be introduced into cells of tissues to facilitate the production of
antisense RNA. An antisense polynucleotide may be used, as described herein,
to inhibit expression of a Chlamydial protein. Antisense technology can be
used to control gene expression through triple-helix formation, which
compromises the ability of the double helix to open sufficiently for the
binding of polymerases, transcription factors or regulatory molecules (see
Gee et al., In Huber and Carr, Molecular and Immunologic Approaches, Futura
Publishing Co. (Mt. Kisco, N.Y.; 1994)). Alternatively, an antisense
molecule may be designed to hybridize with a control region of a gene (e.g.,
promoter, enhancer or transcription initiation site), and block
transcription of the gene; or to block translation by inhibiting binding of
a transcript to ribosomes.
A portion of a coding sequence, or of a complementary sequence, may also be
designed as a probe or primer to detect gene expression. Probes may be
labeled with a variety of reporter groups, such as radionuclides and
enzymes, and are preferably at least 10 nucleotides in length, more
preferably at least 20 nucleotides in length and still more preferably at
least 30 nucleotides in length. Primers, as noted above, are preferably
22-30 nucleotides in length.
Any polynucleotide may be further modified to increase stability in vivo.
Possible modifications include, but are not limited to, the addition of
flanking sequences at the 5' and/or 3' ends; the use of phosphorothioate or
2' O-methyl rather than phosphodiesterase linkages in the backbone; and/or
the inclusion of nontraditional bases such as inosine, queosine and
wybutosine, as well as acetyl-methyl-, thio- and other modified forms of
adenine, cytidine, guanine, thymine and uridine.
Nucleotide sequences as described herein may be joined to a variety of other
nucleotide sequences using established recombinant DNA techniques. For
example, a polynucleotide may be cloned into any of a variety of cloning
vectors, including plasmids, phagemids, lambda phage derivatives and cosmids.
Vectors of particular interest include expression vectors, replication
vectors, probe generation vectors and sequencing vectors. In general, a
vector will contain an origin of replication functional in at least one
organism, convenient restriction endonuclease sites and one or more
selectable markers. Other elements will depend upon the desired use, and
will be apparent to those of ordinary skill in the art.
Synthetic polypeptides having fewer than about 100 amino acids, and
generally fewer than about 50 amino acids, may be generated using techniques
well known in the art. For example, such polypeptides may be synthesized
using any of the commercially available solid-phase techniques, such as the
Merrifield solid-phase synthesis method, where amino acids are sequentially
added to a growing amino acid chain. See Merrifield, J. Am. Chem. Soc.
85:2149-2146, 1963. Equipment for automated synthesis of polypeptides is
commercially available from suppliers such as Perkin Elmer/Applied
BioSystems Division, Foster City, Calif., and may be operated according to
the manufacturer's instructions.
As noted above, immunogenic portions of Chlamydia antigens may be prepared
and identified using well known techniques, such as those summarized in
Paul, Fundamental Immunology, 3d ed., Raven Press, 1993, pp. 243-247 and
references cited therein. Such techniques include screening polypeptide
portions of the native antigen for immunogenic properties. The
representative ELISAs described herein may generally be employed in these
screens. An immunogenic portion of a polypeptide is a portion that, within
such representative assays, generates a signal in such assays that is
substantially similar to that generated by the full length antigen. In other
words, an immunogenic portion of a Chlamydia antigen generates at least
about 20%, and preferably about 100%, of the signal induced by the full
length antigen in a model ELISA as described herein.
Portions and other variants of Chlamydia antigens may be generated by
synthetic or recombinant means. Variants of a native antigen may generally
be prepared using standard mutagenesis techniques, such as oligonucleotide-directed
site-specific mutagenesis. Sections of the polynucleotide sequence may also
be removed using standard techniques to permit preparation of truncated
polypeptides.
Recombinant polypeptides containing portions and/or variants of a native
antigen may be readily prepared from a polynucleotide sequence encoding the
polypeptide using a variety of techniques well known to those of ordinary
skill in the art. For example, supernatants from suitable host/vector
systems which secrete recombinant protein into culture media may be first
concentrated using a commercially available filter. Following concentration,
the concentrate may be applied to a suitable purification matrix such as an
affinity matrix or an ion exchange resin. Finally, one or more reverse phase
HPLC steps can be employed to further purify a recombinant protein.
Any of a variety of expression vectors known to those of ordinary skill in
the art may be employed to express recombinant polypeptides as described
herein. Expression may be achieved in any appropriate host cell that has
been transformed or transfected with an expression vector containing a
polynucleotide molecule that encodes a recombinant polypeptide. Suitable
host cells include prokaryotes, yeast and higher eukaryotic cells.
Preferably, the host cells employed are E. coli, yeast or a mammalian cell
line, such as COS or CHO. The DNA sequences expressed in this manner may
encode naturally occurring antigens, portions of naturally occurring
antigens, or other variants thereof.
In general, regardless of the method of preparation, the polypeptides
disclosed herein are prepared in an isolated, substantially pure, form.
Preferably, the polypeptides are at least about 80% pure, more preferably at
least about 90% pure and most preferably at least about 99% pure.
Within certain specific embodiments, a polypeptide may be a fusion protein
that comprises multiple polypeptides as described herein, or that comprises
at least one polypeptide as described herein and an unrelated sequence, such
as a known Chlamydial protein. A fusion partner may, for example, assist in
providing T helper epitopes (an immunological fusion partner), preferably T
helper epitopes recognized by humans, or may assist in expressing the
protein (an expression enhancer) at higher yields than the native
recombinant protein. Certain preferred fusion partners are both
immunological and expression enhancing fusion partners. Other fusion
partners may be selected so as to increase the solubility of the protein or
to enable the protein to be targeted to desired intracellular compartments.
Still further fusion partners include affinity tags, which facilitate
purification of the protein. A DNA sequence encoding a fusion protein of the
present invention may be constructed using known recombinant DNA techniques
to assemble separate DNA sequences encoding, for example, the first and
second polypeptides, into an appropriate expression vector. The 3' end of a
DNA sequence encoding the first polypeptide is ligated, with or without a
peptide linker, to the 5' end of a DNA sequence encoding the second
polypeptide so that the reading frames of the sequences are in phase to
permit mRNA translation of the two DNA sequences into a single fusion
protein that retains the biological activity of both the first and the
second polypeptides.
A peptide linker sequence may be employed to separate the first and the
second polypeptides by a distance sufficient to ensure that each polypeptide
folds into its secondary and tertiary structures. Such a peptide linker
sequence is incorporated into the fusion protein using standard techniques
well known in the art. Suitable peptide linker sequences may be chosen based
on the following factors: (1) their ability to adopt a flexible extended
conformation; (2) their inability to adopt a secondary structure that could
interact with functional epitopes on the first and second polypeptides; and
(3) the lack of hydrophobic or charged residues that might react with the
polypeptide functional epitopes. Preferred peptide linker sequences contain
Gly, Asn and Ser residues. Other near neutral amino acids, such as Thr and
Ala may also be used in the linker sequence. Amino acid sequences which may
be usefully employed as linkers include those disclosed in Maratea et al.,
Gene 40:39-46, 1985; Murphy et al., Proc. Natl. Acad. Sci. USA 83:8258-8562,
1986; U.S. Pat. Nos. 4,935,233 and 4,751,180. The linker sequence may be
from 1 to about 50 amino acids in length. As an alternative to the use of a
peptide linker sequence (when desired), one can utilize non-essential
N-terminal amino acid regions (when present) on the first and second
polypeptides to separate the functional domains and prevent steric
hindrance.
The ligated DNA sequences are operably linked to suitable transcriptional or
translational regulatory elements. The regulatory elements responsible for
expression of DNA are located only 5' to the DNA sequence encoding the first
polypeptides. Similarly, stop codons required to end translation and
transcription termination signals are only present 3' to the DNA sequence
encoding the second polypeptide.
Fusion proteins are also provided that comprise a polypeptide of the present
invention together with an unrelated immunogenic protein. Preferably the
immunogenic protein is capable of eliciting a recall response. Examples of
such proteins include tetanus, tuberculosis and hepatitis proteins (see, for
example, Stoute et al. New Engl. J. Med., 336:86-91, 1997).
Within preferred embodiments, an immunological fusion partner is derived
from protein D, a surface protein of the gram-negative bacterium Haemophilus
influenza B (WO 91/18926). Preferably, a protein D derivative comprises
approximately the first third of the protein (e.g., the first N-terminal
100-110 amino acids), and a protein D derivative may be lipidated. Within
certain preferred embodiments, the first 109 residues of a Lipoprotein D
fusion partner is included on the N-terminus to provide the polypeptide with
additional exogenous T-cell epitopes and to increase the expression level in
E. coli (thus functioning as an expression enhancer). The lipid tail ensures
optimal presentation of the antigen to antigen presenting cells. Other
fusion partners include the non-structural protein from influenzae virus,
NS1 (hemaglutinin). Typically, the N-terminal 81 amino acids are used,
although different fragments that include T-helper epitopes may be used.
In another embodiment, the immunological fusion partner is the protein known
as LYTA, or a portion thereof (preferably a C-terminal portion). LYTA is
derived from Streptococcus pneumoniae, which synthesizes an N-acetyl-L-alanine
amidase known as amidase LYTA (encoded by the LytA gene; Gene 43:265-292,
1986). LYTA is an autolysin that specifically degrades certain bonds in the
peptidoglycan backbone. The C-terminal domain of the LYTA protein is
responsible for the affinity to the choline or to some choline analogues
such as DEAE. This property has been exploited for the development of E.
coli C-LYTA expressing plasmids useful for expression of fusion proteins.
Purification of hybrid proteins containing the C-LYTA fragment at the amino
terminus has been described (see Biotechnology 10:795-798, 1992). Within a
preferred embodiment, a repeat portion of LYTA may be incorporated into a
fusion protein. A repeat portion is found in the C-terminal region starting
at residue 178. A particularly preferred repeat portion incorporates
residues 188-305.
In another embodiment, a Mycobacterium tuberculosis-derived Ra12
polynucleotide is linked to at least an immunogenic portion of a
polynucleotide of this invention. Ra12 compositions and methods for their
use inenhancing expression of heterologous polynucleotide sequences is
described in U.S. Patent Application 60/158,585, the disclosure of which is
incorporated herein by reference in its entirety. Briefly, Ra12 refers to a
polynucleotide region that is a subsequence of a Mycobacterium tuberculosis
MTB32A nucleic acid. MTB32A is a serine protease of 32 KD molecular weight
encoded by a gene in virulent and avirulent strains of M tuberculosis. The
nucleotide sequence and amino acid sequence of MTB32A have been described
(U.S. Patent Application 60/158,585; see also, Skeiky et al., Infection and
Immun. (1999) 67:3998-4007, incorporated herein by reference. In one
embodiment, the Ra12 polypeptide used in the production of fusion
polypeptides comprises a C-terminal fragment of the MTB32A coding sequence
that is effective for enhancing the expression and/or immunogenicity of
heterologous Chlamydial antigenic polypeptides with which it is fused. In
another embodiment, the Ra12 polypeptide corresponds to an approximately 14
kD C-terminal fragment of MTB32A comprising some or all of amino acid
residues 192 to 323 of MTB32A.
Recombinant nucleic acids, which encode a fusion polypeptide comprising a
Ra12 polypeptide and a heterologous Chlamydia polypeptide of interest, can
be readily constructed by conventional genetic engineering techniques.
Recombinant nucleic acids are constructed so that, preferably, a Ra12
polynucleotide sequence is located 5' to a selected heterologous Chlamydia
polynucleotide sequence. It may also be appropriate to place a Ra12
polynucleotide sequence 3' to a selected heterologous polynucleotide
sequence or to insert a heterologous polynucleotide sequence into a site
within a Ra12 polynucleotide sequence.
In addition, any suitable polynucleotide that encodes a Ra12 or a portion or
other variant thereof can be used in constructing recombinant fusion
polynucleotides comprising Ra12 and one or more Chlamydia polynucleotides
disclosed herein. Preferred Ra12 polynucleotides generally comprise at least
about 15 consecutive nucleotides, at least about 30 nucleotides, at least
about 60 nucleotides, at least about 100 nucleotides, at least about 200
nucleotides, or at least about 300 nucleotides that encode a portion of a
Ra12 polypeptide.
Ra12 polynucleotides may comprise a native sequence (i.e., an endogenous
sequence that encodes a Ra12 polypeptide or a portion thereof) or may
comprise a variant of such a sequence. Ra12 polynucleotide variants may
contain one or more substitutions, additions, deletions and/or insertions
such that the biological activity of the encoded fusion polypeptide is not
substantially diminished, relative to a fusion polypeptide comprising a
native Ra12 polypeptide. Variants preferably exhibit at least about 70%
identity, more preferably at least about 80% identity and most preferably at
least about 90% identity to a polynucleotide sequence that encodes a native
Ra12 polypeptide or a portion thereof.
In another aspect, the present invention provides methods for using one or
more of the above polypeptides or fusion proteins (or polynucleotides
encoding such polypeptides or fusion proteins) to induce protective immunity
against Chlamydial infection in a patient. As used herein, a "patient"
refers to any warm-blooded animal, preferably a human. A patient may be
afflicted with a disease, or may be free of detectable disease and/or
infection. In other words, protective immunity may be induced to prevent or
treat Chlamydial infection.
In this aspect, the polypeptide, fusion protein or polynucleotide molecule
is generally present within a pharmaceutical composition or a vaccine.
Pharmaceutical compositions may comprise one or more polypeptides, each of
which may contain one or more of the above sequences (or variants thereof),
and a physiologically acceptable carrier. Vaccines may comprise one or more
of the above polypeptides and an immunostimulant, such as an adjuvant or a
liposome (into which the polypeptide is incorporated). Such pharmaceutical
compositions and vaccines may also contain other Chlamydia antigens, either
incorporated into a combination polypeptide or present within a separate
polypeptide.
Alternatively, a vaccine may contain polynucleotides encoding one or more
polypeptides or fusion proteins as described above, such that the
polypeptide is generated in situ. In such vaccines, the polynucleotides may
be present within any of a variety of delivery systems known to those of
ordinary skill in the art, including nucleic acid expression systems,
bacterial and viral expression systems. Appropriate nucleic acid expression
systems contain the necessary polynucleotide sequences for expression in the
patient (such as a suitable promoter and terminating signal). Bacterial
delivery systems involve the administration of a bacterium (such as
Bacillus-Calmette-Guerrin) that expresses an immunogenic portion of the
polypeptide on its cell surface. In a preferred embodiment, the
polynucleotides may be introduced using a viral expression system (e.g.,
vaccinia or other pox virus, retrovirus, or adenovirus), which may involve
the use of a non-pathogenic (defective) virus. Techniques for incorporating
polynucleotides into such expression systems are well known to those of
ordinary skill in the art. The polynucleotides may also be administered as
"naked" plasmid vectors as described, for example, in Ulmer et al., Science
259:1745-1749, 1993 and reviewed by Cohen, Science 259:1691-1692, 1993.
Techniques for incorporating DNA into such vectors are well known to those
of ordinary skill in the art. A retroviral vector may additionally transfer
or incorporate a gene for a selectable marker (to aid in the identification
or selection of transduced cells) and/or a targeting moiety, such as a gene
that encodes a ligand for a receptor on a specific target cell, to render
the vector target specific. Targeting may also be accomplished using an
antibody, by methods known to those of ordinary skill in the art.
Other formulations for therapeutic purposes include colloidal dispersion
systems, such as macromolecule complexes, nanocapsules, microspheres, beads,
and lipid-based systems including oil-in-water emulsions, micelles, mixed
micelles, and liposomes. A preferred colloidal system for use as a delivery
vehicle in vitro and in vivo is a liposome (i.e., an artificial membrane
vesicle). The uptake of naked polynucleotides may be increased by
incorporating the polynucleotides into and/or onto biodegradable beads,
which are efficiently transported into the cells. The preparation and use of
such systems is well known in the art.
In a related aspect, a polynucleotide vaccine as described above may be
administered simultaneously with or sequentially to either a polypeptide of
the present invention or a known Chlamydia antigen. For example,
administration of polynucleotides encoding a polypeptide of the present
invention, either "naked" or in a delivery system as described above, may be
followed by administration of an antigen in order to enhance the protective
immune effect of the vaccine.
Polypeptides and polynucleotides disclosed herein may also be employed in
adoptive immunotherapy for the treatment of Chlamydial infection. Adoptive
immunotherapy may be broadly classified into either active or passive
immunotherapy. In active immunotherapy, treatment relies on the in vivo
stimulation of the endogenous host immune system with the administration of
immune response-modifying agents (for example, vaccines, bacterial adjuvants,
and/or cytokines).
In passive immunotherapy, treatment involves the delivery of biologic
reagents with established immune reactivity (such as effector cells or
antibodies) that can directly or indirectly mediate anti-Chlamydia effects
and does not necessarily depend on an intact host immune system. Examples of
effector cells include T lymphocytes (for example, CD8+ cytotoxic
T-lymphocyte, CD4+ T-helper), killer cells (such as Natural Killer cells,
lymphokine-activated killer cells), B cells, or antigen presenting cells
(such as dendritic cells and macrophages) expressing the disclosed antigens.
The polypeptides disclosed herein may also be used to generate antibodies or
anti-idiotypic antibodies (as in U.S. Pat. No. 4,918,164), for passive
immunotherapy.
The predominant method of procuring adequate numbers of T-cells for adoptive
immunotherapy is to grow immune T-cells in vitro. Culture conditions for
expanding single antigen-specific T-cells to several billion in number with
retention of antigen recognition in vivo are well known in the art. These in
vitro culture conditions typically utilize intermittent stimulation with
antigen, often in the presence of cytokines, such as IL-2, and non-dividing
feeder cells. As noted above, the immunoreactive polypeptides described
herein may be used to rapidly expand antigen-specific T cell cultures in
order to generate sufficient number of cells for immunotherapy. In
particular, antigen-presenting cells, such as dendritic, macrophage,
monocyte, fibroblast, or B-cells, may be pulsed with immunoreactive
polypeptides, or polynucleotide sequence(s) may be introduced into antigen
presenting cells, using a variety of standard techniques well known in the
art. For example, antigen presenting cells may be transfected or transduced
with a polynucleotide sequence, wherein said sequence contains a promoter
region appropriate for increasing expression, and can be expressed as part
of a recombinant virus or other expression system. Several viral vectors may
be used to transduce an antigen presenting cell, including pox virus,
vaccinia virus, and adenovirus; also, antigen presenting cells may be
transfected with polynucleotide sequences disclosed herein by a variety of
means, including gene-gun technology, lipid-mediated delivery,
electroporation, osmotic shock, and particlate delivery mechanisms,
resulting in efficient and acceptable expression levels as determined by one
of ordinary skill in the art. For cultured T-cells to be effective in
therapy, the cultured T-cells must be able to grow and distribute widely and
to survive long term in vivo. Studies have demonstrated that cultured
T-cells can be induced to grow in vivo and to survive long term in
substantial numbers by repeated stimulation with antigen supplemented with
IL-2 (see, for example, Cheever, M., et al, "Therapy With Cultured T Cells:
Principles Revisited," Immunological Reviews, 157:177, 1997).
The polypeptides disclosed herein may also be employed to generate and/or
isolate chlamydial-reactive T-cells, which can then be administered to the
patient. In one technique, antigen-specific T-cell lines may be generated by
in vivo immunization with short peptides corresponding to immunogenic
portions of the disclosed polypeptides. The resulting antigen specific CD8+
or CD4+ T-cell clones may be isolated from the patient, expanded using
standard tissue culture techniques, and returned to the patient.
Alternatively, peptides corresponding to immunogenic portions of the
polypeptides may be employed to generate Chlamydia reactive T cell subsets
by selective in vitro stimulation and expansion of autologous T cells to
provide antigen-specific T cells which may be subsequently transferred to
the patient as described, for example, by Chang et al, (Crit. Rev. Oncol.
Hematol., 22(3), 213, 1996). Cells of the immune system, such as T cells,
may be isolated from the peripheral blood of a patient, using a commercially
available cell separation system, such as Isolex.TM. System, available from
Nexell Therapeutics, Inc. Irvine, Calif. The separated cells are stimulated
with one or more of the immunoreactive polypeptides contained within a
delivery vehicle, such as a microsphere, to provide antigen-specific T
cells. The population of antigen-specific T cells is then expanded using
standard techniques and the cells are administered back to the patient.
In other embodiments, T-cell and/or antibody receptors specific for the
polypeptides disclosed herein can be cloned, expanded, and transferred into
other vectors or effector cells for use in adoptive immunotherapy. In
particular, T cells may be transfected with the appropriate genes to express
the variable domains from chlamydia specific monoclonal antibodies as the
extracellular recognition elements and joined to the T cell receptor
signaling chains, resulting in T-cell activation, specific lysis, and
cytokine release. This enables the T cell to redirect its specificity in an
MHC-independent manner. See for example, Eshhar, Z., Cancer Immunol
Immunother, 45(3-4):131-6, 1997 and Hwu, P., et al, Cancer Res,
55(15):3369-73, 1995. Another embodiment may include the transfection of
chlamydia antigen specific alpha and beta T cell receptor chains into
alternate T cells, as in Cole, D J, et al, Cancer Res, 55(4):748-52, 1995.
In a further embodiment, syngeneic or autologous dendritic cells may be
pulsed with peptides corresponding to at least an immunogenic portion of a
polypeptide disclosed herein. The resulting antigen-specific dendritic cells
may either be transferred into a patient, or employed to stimulate T cells
to provide antigen-specific T cells which may, in turn, be administered to a
patient. The use of peptide-pulsed dendritic cells to generate
antigen-specific T cells and the subsequent use of such antigen-specific T
cells to eradicate disease in a murine model has been demonstrated by
Cheever et al, Immunological Reviews, 157:177, 1997). Additionally, vectors
expressing the disclosed polynucleotides may be introduced into stem cells
taken from the patient and clonally propagated in vitro for autologous
transplant back into the same patient.
Within certain aspects, polypeptides, polynucleotides, T cells and/or
binding agents disclosed herein may be incorporated into pharmaceutical
compositions or immunogenic compositions (i.e., vaccines). Alternatively, a
pharmaceutical composition may comprise an antigen-presenting cell (e.g. a
dendritic cell) transfected with a Chlamydial polynucleotide such that the
antigen presenting cell expresses a Chlamydial polypeptide. Pharmaceutical
compositions comprise one or more such compounds and a physiologically
acceptable carrier. Vaccines may comprise one or more such compounds and an
immunostimulant. An immunostimulant may be any substance that enhances or
potentiates an immune response to an exogenous antigen. Examples of
immunostimulants include adjuvants, biodegradable microspheres (e.g.,
polylactic galactide) and liposomes (into which the compound is
incorporated; see e.g., Fullerton, U.S. Pat. No. 4,235,877). Vaccine
preparation is generally described in, for example, M. F. Powell and M. J.
Newman, eds., "Vaccine Design (the subunit and adjuvant approach)," Plenum
Press (NY, 1995). Pharmaceutical compositions and vaccines within the scope
of the present invention may also contain other compounds, which may be
biologically active or inactive. For example, one or more immunogenic
portions of other Chlamydial antigens may be present, either incorporated
into a fusion polypeptide or as a separate compound, within the composition
or vaccine.
A pharmaceutical composition or vaccine may contain DNA encoding one or more
of the polypeptides as described above, such that the polypeptide is
generated in situ. As noted above, the DNA may be present within any of a
variety of delivery systems known to those of ordinary skill in the art,
including nucleic acid expression systems, bacteria and viral expression
systems. Numerous gene delivery techniques are well known in the art, such
as those described by Rolland, Crit. Rev. Therap. Drug Carrier Systems
15:143-198, 1998, and references cited therein. Appropriate nucleic acid
expression systems contain the necessary DNA sequences for expression in the
patient (such as a suitable promoter and terminating signal). Bacterial
delivery systems involve the administration of a bacterium (such as
Bacillus-Calmette-Guerrin) that expresses an immunogenic portion of the
polypeptide on its cell surface or secretes such an epitope.
In a preferred embodiment, the DNA may be introduced using a viral
expression system (e.g., vaccinia or other pox virus, retrovirus,
adenovirus, baculovirus, togavirus, bacteriophage, and the like), which
often involves the use of a non-pathogenic (defective), replication
competent virus.
For example, many viral expression vectors are derived from viruses of the
retroviridae family. This family includes the murine leukemia viruses, the
mouse mammary tumor viruses, the human foamy viruses, Rous sarcoma virus,
and the immunodeficiency viruses, including human, simian, and feline.
Considerations when designing retroviral expression vectors are discussed in
Comstock et al. (1997).
Excellent murine leukemia virus (MLV)-based viral expression vectors have
been developed by Kim et al. (1998). In creating the MLV vectors, Kim et al.
found that the entire gag sequence, together with the immediate upstream
region, could be deleted without significantly affecting viral packaging or
gene expression. Further, it was found that nearly the entire U3 region
could be replaced with the immediately-early promoter of human
cytomegalovirus without deleterious effects. Additionally, MCR and internal
ribosome entry sites (IRES) could be added without adverse effects. Based on
their observations, Kim et al. have designed a series of MLV-based
expression vectors comprising one or more of the features described above.
As more has been learned about human foamy virus (HFV), characteristics of
HFV that are favorable for its use as an expression vector have been
discovered. These characteristics include the expression of pol by splicing
and start of translation at a defined initiation codon. Other aspects of HFV
viral expression vectors are reviewed in Bodem et al. (1997).
Murakami et al. (1997) describe a Rous sarcoma virus (RSV)-based
replication-competent avian retrovirus vectors, IR1 and IR2 to express a
heterologous gene at a high level. In these vectors, the IRES derived from
encephalomyocarditis virus (EMCV) was inserted between the env gene and the
heterologous gene. The IR1 vector retains the splice-acceptor site that is
present downstream of the env gene while the IR2 vector lacks it. Murakami
et al. have shown high level expression of several different heterologous
genes by these vectors.
Recently, a number of lentivirus-based retroviral expression vectors have
been developed. Kafri et al. (1997) have shown sustained expression of genes
delivered directly into liver and muscle by a human immunodeficiency virus
(HIV)-based expression vector. One benefit of the system is the inherent
ability of HIV to transduce non-dividing cells. Because the viruses of Kafri
et al. are pseudotyped with vesicular stomatitis virus G glycoprotein (VSVG),
they can transduce a broad range of tissues and cell types.
A large number of adenovirus-based expression vectors have been developed,
primarily due to the advantages offered by these vectors in gene therapy
applications. Adenovirus expression vectors and methods of using such
vectors are the subject of a number of United States patents, including U.S.
Pat. Nos. 5,698,202, 5,616,326, 5,585,362, and 5,518,913, all incorporated
herein by reference.
Additional adenoviral constructs are described in Khatri et al. (1997) and
Tomanin et al. (1997). Khatri et al. describe novel ovine adenovirus
expression vectors and their ability to infect bovine nasal turbinate and
rabbit kidney cells as well as a range of human cell type, including lung
and foreskin fibroblasts as well as liver, prostate, breast, colon and
retinal lines. Tomanin et al. describe adenoviral expression vectors
containing the T7 RNA polymerase gene. When introduced into cells containing
a heterologous gene operably linked to a T7 promoter, the vectors were able
to drive gene expression from the T7 promoter. The authors suggest that this
system may be useful for the cloning and expression of genes encoding
cytotoxic proteins.
Poxviruses are widely used for the expression of heterologous genes in
mammalian cells. Over the years, the vectors have been improved to allow
high expression of the heterologous gene and simplify the integration of
multiple heterologous genes into a single molecule. In an effort to diminish
cytopathic effects and to increase safety, vaccinia virus mutant and other
poxviruses that undergo abortive infection in mammalian cells are receiving
special attention (Oertli et al., 1997). The use of poxviruses as expression
vectors is reviewed in Carroll and Moss (1997).
Togaviral expression vectors, which includes alphaviral expression vectors
have been used to study the structure and function of proteins and for
protein production purposes. Attractive features of togaviral expression
vectors are rapid and efficient gene expression, wide host range, and RNA
genomes (Huang, 1996). Also, recombinant vaccines based on alphaviral
expression vectors have been shown to induce a strong humoral and cellular
immune response with good immunological memory and protective effects (Tubulekas
et al., 1997). Alphaviral expression vectors and their use are discussed,
for example, in Lundstrom (1997).
In one study, Li and Garoff (1996) used Semliki Forest virus (SFV)
expression vectors to express retroviral genes and to produce retroviral
particles in BHK-21 cells. The particles produced by this method had
protease and reverse transcriptase activity and were infectious.
Furthermore, no helper virus could be detected in the virus stocks.
Therefore, this system has features that are attractive for its use in gene
therapy protocols.
Baculoviral expression vectors have traditionally been used to express
heterologous proteins in insect cells. Examples of proteins include
mammalian chemokine receptors (Wang et al., 1997), reporter proteins such as
green fluorescent protein (Wu et al., 1997), and FLAG fusion proteins (Wu et
al., 1997; Koh et al., 1997). Recent advances in baculoviral expression
vector technology, including their use in virion display vectors and
expression in mammalian cells is reviewed by Possee (1997). Other reviews on
baculoviral expression vectors include Jones and Morikawa (1996) and
O'Reilly (1997).
Other suitable viral expression systems are disclosed, for example, in
Fisher-Hoch et al., Proc. Natl. Acad. Sci. USA 86:317-321, 1989; Flexner et
al., Ann. N.Y. Acad. Sci. 569:86-103, 1989; Flexner et al., Vaccine 8:17-21,
1990; U.S. Pat. Nos. 4,603,112, 4,769,330, and 5,017,487; WO 89/01973; U.S.
Pat. No. 4,777,127; GB 2,200,651; EP 0,345,242; WO 91/02805; Berkner,
Biotechniques 6:616-627, 1988; Rosenfeld et al., Science 252:431-434, 1991;
Kolls et al., Proc. Natl. Acad. Sci. USA 91:215-219, 1994; Kass-Eisler et
al., Proc. Natl. Acad. Sci. USA 90:11498-11502, 1993; Guzman et al.,
Circulation 88:2838-2848, 1993; and Guzman et al., Cir. Res. 73:1202-1207,
1993. Techniques for incorporating DNA into such expression systems are well
known to those of ordinary skill in the art. In other systems, the DNA may
be introduced as "naked" DNA, as described, for example, in Ulmer et al.,
Science 259:1745-1749, 1993 and reviewed by Cohen, Science 259:1691-1692,
1993. The uptake of naked DNA may be increased by coating the DNA onto
biodegradable beads, which are efficiently transported into the cells.
It will be apparent that a vaccine may comprise a polynucleotide and/or a
polypeptide component, as desired. It will also be apparent that a vaccine
may contain pharmaceutically acceptable salts of the polynucleotides and/or
polypeptides provided herein. Such salts may be prepared from
pharmaceutically acceptable non-toxic bases, including organic bases (e.g.,
salts of primary, secondary and tertiary amines and basic amino acids) and
inorganic bases (e.g., sodium, potassium, lithium, ammonium, calcium and
magnesium salts).While any suitable carrier known to those of ordinary skill
in the art may be employed in the pharmaceutical compositions of this
invention, the type of carrier will vary depending on the mode of
administration. Compositions of the present invention may be formulated for
any appropriate manner of administration, including for example, topical,
oral, nasal, intravenous, intracranial, intraperitoneal, subcutaneous or
intramuscular administration. For parenteral administration, such as
subcutaneous injection, the carrier preferably comprises water, saline,
alcohol, a fat, a wax or a buffer. For oral administration, any of the above
carriers or a solid carrier, such as mannitol, lactose, starch, magnesium
stearate, sodium saccharine, talcum, cellulose, glucose, sucrose, and
magnesium carbonate, may be employed. Biodegradable microspheres (e.g.,
polylactate polyglycolate) may also be employed as carriers for the
pharmaceutical compositions of this invention. Suitable biodegradable
microspheres are disclosed, for example, in U.S. Pat. Nos. 4,897,268 and
5,075,109.
Such compositions may also comprise buffers (e.g., neutral buffered saline
or phosphate buffered saline), carbohydrates (e.g., glucose, mannose,
sucrose or dextrans), mannitol, proteins, polypeptides or amino acids such
as glycine, antioxidants, bacteriostats, chelating agents such as EDTA or
glutathione, adjuvants (e.g., aluminum hydroxide), solutes that render the
formulation isotonic, hypotonic or weakly hypertonic with the blood of a
recipient, suspending agents, thickening agents and/or preservatives.
Alternatively, compositions of the present invention may be formulated as a
lyophilizate. Compounds may also be encapsulated within liposomes using well
known technology.
Any of a variety of immunostimulants may be employed in the vaccines of this
invention. For example, an adjuvant may be included. Most adjuvants contain
a substance designed to protect the antigen from rapid catabolism, such as
aluminum hydroxide or mineral oil, and a stimulator of immune responses,
such as lipid A, Bortadella pertussis or Mycobacterium tuberculosis derived
proteins. Suitable adjuvants are commercially available as, for example,
Freund's Incomplete Adjuvant and Complete Adjuvant (Difco Laboratories,
Detroit, Mich.); Merck Adjuvant 65 (Merck and Company, Inc., Rahway, N.J.);
AS-2 (SmithKline Beecham, Philadelphia, Pa.); aluminum salts such as
aluminum hydroxide gel (alum) or aluminum phosphate; salts of calcium, iron
or zinc; an insoluble suspension of acylated tyrosine; acylated sugars;
cationically or anionically derivatized polysaccharides; polyphosphazenes;
biodegradable microspheres; monophosphoryl lipid A and quil A. Cytokines,
such as GM-CSF or interleukin-2, -7, or -12, may also be used as adjuvants.
Within the vaccines provided herein, under select circumstances, the
adjuvant composition may be designed to induce an immune response
predominantly of the Th1 type or Th2 type. High levels of Th1-type cytokines
(e.g., IFN-.gamma., TNF.alpha., IL-2 and IL-12) tend to favor the induction
of cell mediated immune responses to an administered antigen. In contrast,
high levels of Th2-type cytokines (e.g., IL-4, IL-5, IL-6 and IL-10) tend to
favor the induction of humoral immune responses. Following application of a
vaccine as provided herein, a patient will support an immune response that
includes Th1- and Th2-type responses. Within a preferred embodiment, in
which a response is predominantly Th1-type, the level of Th1-type cytokines
will increase to a greater extent than the level of Th2-type cytokines. The
levels of these cytokines may be readily assessed using standard assays. For
a review of the families of cytokines, see Mosmann and Coffman, Ann. Rev.
Immunol. 7:145-173, 1989.
Preferred adjuvants for use in eliciting a predominantly Th1-type response
include, for example, a combination of monophosphoryl lipid A, preferably
3-de-O-acylated monophosphoryl lipid A (3D-MPL), together with an aluminum
salt. MPL adjuvants are available from Corixa Corporation (Seattle, Wash.;
see U.S. Pat. Nos. 4,436,727; 4,877,611; 4,866,034 and 4,912,094). CpG-containing
oligonucleotides (in which the CpG dinucleotide is unmethylated) also induce
a predominantly Th1 response. Such oligonucleotides are well known and are
described, for example, in WO 96/02555 and WO 99/33488. Immunostimulatory
DNA sequences are also described, for example, by Sato et al., Science
273:352, 1996. Another preferred adjuvant is a saponin, preferably QS21 (Aquila
Biopharmaceuticals Inc., Framingham, Mass.), which may be used alone or in
combination with other adjuvants. For example, an enhanced system involves
the combination of a monophosphoryl lipid A and saponin derivative, such as
the combination of QS21 and 3D-MPL as described in WO 94/00153, or a less
reactogenic composition where the QS21 is quenched with cholesterol, as
described in WO 96/33739. Other preferred formulations comprise an
oil-in-water emulsion and tocopherol. A particularly potent adjuvant
formulation involving QS21, 3D-MPL and tocopherol in an oil-in-water
emulsion is described in WO 95/17210.
Other preferred adjuvants include Montanide ISA 720 (Seppic, France), SAF
(Chiron, Calif., United States), ISCOMS (CSL), MF-59 (Chiron), the SBAS
series of adjuvants (e.g., SBAS-2 or SBAS-4, available from SmithKline
Beecham, Rixensart, Belgium), Detox (Corixa Corporation; Seattle, Wash.),
RC-529 (Corixa Corporation; Seattle, Wash.) and other aminoalkyl
glucosaminide 4-phosphates (AGPs), such as those described in pending U.S.
patent application Ser. Nos. 08/853,826 and 09/074,720, the disclosures of
which are incorporated herein by reference in their entireties.
Any vaccine provided herein may be prepared using well known methods that
result in a combination of antigen, immunostimulant and a suitable carrier
or excipient. The compositions described herein may be administered as part
of a sustained release formulation (i.e., a formulation such as a capsule,
sponge or gel (composed of polysaccharides, for example) that effects a slow
release of compound following administration). Such formulations may
generally be prepared using well known technology (see, e.g., Coombes et
al., Vaccine 14:1429-1438, 1996) and administered by, for example, oral,
rectal or subcutaneous implantation, or by implantation at the desired
target site. Sustained-release formulations may contain a polypeptide,
polynucleotide or antibody dispersed in a carrier matrix and/or contained
within a reservoir surrounded by a rate controlling membrane.
Carriers for use within such formulations are biocompatible, and may also be
biodegradable; preferably the formulation provides a relatively constant
level of active component release. Such carriers include microparticles of
poly(lactide-co-glycolide), as well as polyacrylate, latex, starch,
cellulose and dextran. Other delayed-release carriers include supramolecular
biovectors, which comprise a non-liquid hydrophilic core (e.g., a
cross-linked polysaccharide or oligosaccharide) and, optionally, an external
layer comprising an amphiphilic compound, such as a phospholipid (see e.g.,
U.S. Pat. No. 5,151,254 and PCT applications WO 94/20078, WO/94/23701 and WO
96/06638). The amount of active compound contained within a sustained
release formulation depends upon the site of implantation, the rate and
expected duration of release and the nature of the condition to be treated
or prevented.
Any of a variety of delivery vehicles may be employed within pharmaceutical
compositions and vaccines to facilitate production of an antigen-specific
immune response that targets Chlamydia-infected cells. Delivery vehicles
include antigen presenting cells (APCs), such as dendritic cells,
macrophages, B cells, monocytes and other cells that may be engineered to be
efficient APCs. Such cells may, but need not, be genetically modified to
increase the capacity for presenting the antigen, to improve activation
and/or maintenance of the T cell response, to have anti-Chlamydia effects
per se and/or to be immunologically compatible with the receiver (i.e.,
matched HLA haplotype). APCs may generally be isolated from any of a variety
of biological fluids and organs, and may be autologous, allogeneic,
syngeneic or xenogeneic cells.
Certain preferred embodiments of the present invention use dendritic cells
or progenitors thereof as antigen-presenting cells. Dendritic cells are
highly potent APCs (Banchereau and Steinman, Nature 392:245-251, 1998) and
have been shown to be effective as a physiological adjuvant for eliciting
prophylactic or therapeutic immunity (see Timmerman and Levy, Ann. Rev. Med.
50:507-529, 1999). In general, dendritic cells may be identified based on
their typical shape (stellate in situ, with marked cytoplasmic processes
(dendrites) visible in vitro), their ability to take up, process and present
antigens with high efficiency, and their ability to activate naive T cell
responses. Dendritic cells may, of course, be engineered to express specific
cell-surface receptors or ligands that are not commonly found on dendritic
cells in vivo or ex vivo, and such modified dendritic cells are contemplated
by the present invention. As an alternative to dendritic cells, secreted
vesicles antigen-loaded dendritic cells (called exosomes) may be used within
a vaccine (see Zitvogel et al., Nature Med. 4:594-600, 1998).
Dendritic cells and progenitors may be obtained from peripheral blood, bone
marrow, lymph nodes, spleen, skin, umbilical cord blood or any other
suitable tissue or fluid. For example, dendritic cells may be differentiated
ex vivo by adding a combination of cytokines such as GM-CSF, IL-4, IL-13
and/or TNF.alpha. to cultures of monocytes harvested from peripheral blood.
Alternatively, CD34 positive cells harvested from peripheral blood,
umbilical cord blood or bone marrow may be differentiated into dendritic
cells by adding to the culture medium combinations of GM-CSF, IL-3,
TNF.alpha., CD40 ligand, LPS, flt3 ligand and/or other compound(s) that
induce differentiation, maturation and proliferation of dendritic cells.
Dendritic cells are conveniently categorized as "immature" and "mature"
cells, which allows a simple way to discriminate between two well
characterized phenotypes. However, this nomenclature should not be construed
to exclude all possible intermediate stages of differentiation. Immature
dendritic cells are characterized as APC with a high capacity for antigen
uptake and processing, which correlates with the high expression of Fc.gamma.
receptor and mannose receptor. The mature phenotype is typically
characterized by a lower expression of these markers, but a high expression
of cell surface molecules responsible for T cell activation such as class I
and class II MHC, adhesion molecules (e.g., CD54 and CD11) and costimulatory
molecules (e.g., CD40, CD80, CD86 and 4-1BB).
APCs may generally be transfected with a polynucleotide encoding a
Chlamydial protein (or portion or other variant thereof) such that the
Chlamydial polypeptide, or an immunogenic portion thereof, is expressed on
the cell surface. Such transfection may take place ex vivo, and a
composition or vaccine comprising such transfected cells may then be used
for therapeutic purposes, as described herein. Alternatively, a gene
delivery vehicle that targets a dendritic or other antigen presenting cell
may be administered to a patient, resulting in transfection that occurs in
vivo. In vivo and ex vivo transfection of dendritic cells, for example, may
generally be performed using any methods known in the art, such as those
described in WO 97/24447, or the gene gun approach described by Mahvi et
al., Immunology and cell Biology 75:456-460, 1997. Antigen loading of
dendritic cells may be achieved by incubating dendritic cells or progenitor
cells with the Chlamydial polypeptide, DNA (naked or within a plasmid
vector) or RNA; or with antigen-expressing recombinant bacterium or viruses
(e.g., vaccinia, fowlpox, adenovirus or lentivirus vectors). Prior to
loading, the polypeptide may be covalently conjugated to an immunological
partner that provides T cell help (e.g., a carrier molecule). Alternatively,
a dendritic cell may be pulsed with a non-conjugated immunological partner,
separately or in the presence of the polypeptide.
Routes and frequency of administration of pharmaceutical compositions and
vaccines, as well as dosage, will vary from individual to individual. In
general, the pharmaceutical compositions and vaccines may be administered by
injection (e.g., intracutaneous, intramuscular, intravenous or
subcutaneous), intranasally (e.g., by aspiration) or orally. Between 1 and 3
doses may be administered for a 1-36 week period. Preferably, 3 doses are
administered, at intervals of 3-4 months, and booster vaccinations may be
given periodically thereafter. Alternate protocols may be appropriate for
individual patients. A suitable dose is an amount of polypeptide or DNA
that, when administered as described above, is capable of raising an immune
response in an immunized patient sufficient to protect the patient from
Chlamydial infection for at least 1-2 years. In general, the amount of
polypeptide present in a dose (or produced in situ by the DNA in a dose)
ranges from about 1 pg to about 100 mg per kg of host, typically from about
10 pg to about 1 mg, and preferably from about 100 pg to about 1 .mu.g.
Suitable dose sizes will vary with the size of the patient, but will
typically range from about 0.1 mL to about 5 mL.
While any suitable carrier known to those of ordinary skill in the art may
be employed in the pharmaceutical compositions of this invention, the type
of carrier will vary depending on the mode of administration. For parenteral
administration, such as subcutaneous injection, the carrier preferably
comprises water, saline, alcohol, a fat, a wax or a buffer. For oral
administration, any of the above carriers or a solid carrier, such as
mannitol, lactose, starch, magnesium stearate, sodium saccharine, talcum,
cellulose, glucose, sucrose, and magnesium carbonate, may be employed.
Biodegradable microspheres (e.g., polylactic galactide) may also be employed
as carriers for the pharmaceutical compositions of this invention. Suitable
biodegradable microspheres are disclosed, for example, in U.S. Pat. Nos.
4,897,268 and 5,075,109.
In general, an appropriate dosage and treatment regimen provides the active
compound(s) in an amount sufficient to provide therapeutic and/or
prophylactic benefit. Such a response can be monitored by establishing an
improved clinical outcome in treated patients as compared to non-treated
patients. Increases in preexisting immune responses to a Chlamydial protein
generally correlate with an improved clinical outcome. Such immune responses
may generally be evaluated using standard proliferation, cytotoxicity or
cytokine assays, which may be performed using samples obtained from a
patient before and after treatment.
In another aspect, the present invention provides methods for using the
polypeptides described above to diagnose Chlamydial infection. In this
aspect, methods are provided for detecting Chlamydial infection in a
biological sample, using one or more of the above polypeptides, either alone
or in combination. For clarity, the term "polypeptide" will be used when
describing specific embodiments of the inventive diagnostic methods.
However, it will be clear to one of skill in the art that the fusion
proteins of the present invention may also be employed in such methods.
As used herein, a "biological sample" is any antibody-containing sample
obtained from a patient. Preferably, the sample is whole blood, sputum,
serum, plasma, saliva, cerebrospinal fluid or urine. More preferably, the
sample is a blood, serum or plasma sample obtained from a patient. The
polypeptides are used in an assay, as described below, to determine the
presence or absence of antibodies to the polypeptide(s) in the sample,
relative to a predetermined cut-off value. The presence of such antibodies
indicates previous sensitization to Chlamydia antigens which may be
indicative of Chlamydia-infection.
In embodiments in which more than one polypeptide is employed, the
polypeptides used are preferably complementary (i.e., one component
polypeptide will tend to detect infection in samples where the infection
would not be detected by another component polypeptide). Complementary
polypeptides may generally be identified by using each polypeptide
individually to evaluate serum samples obtained from a series of patients
known to be infected with Chlamydia. After determining which samples test
positive (as described below) with each polypeptide, combinations of two or
more polypeptides may be formulated that are capable of detecting infection
in most, or all, of the samples tested.
A variety of assay formats are known to those of ordinary skill in the art
for using one or more polypeptides to detect antibodies in a sample. See,
e.g., Harlow and Lane, Antibodies. A Laboratory Manual, Cold Spring Harbor
Laboratory, 1988, which is incorporated herein by reference. In a preferred
embodiment, the assay involves the use of polypeptide immobilized on a solid
support to bind to and remove the antibody from the sample. The bound
antibody may then be detected using a detection reagent that contains a
reporter group. Suitable detection reagents include antibodies that bind to
the antibody/polypeptide complex and free polypeptide labeled with a
reporter group (e.g., in a semi-competitive assay). Alternatively, a
competitive assay may be utilized, in which an antibody that binds to the
polypeptide is labeled with a reporter group and allowed to bind to the
immobilized antigen after incubation of the antigen with the sample. The
extent to which components of the sample inhibit the binding of the labeled
antibody to the polypeptide is indicative of the reactivity of the sample
with the immobilized polypeptide.
The solid support may be any solid material known to those of ordinary skill
in the art to which the antigen may be attached. For example, the solid
support may be a test well in a microtiter plate, or a nitrocellulose or
other suitable membrane. Alternatively, the support may be a bead or disc,
such as glass, fiberglass, latex or a plastic material such as polystyrene
or polyvinylchloride. The support may also be a magnetic particle or a fiber
optic sensor, such as those disclosed, for example, in U.S. Pat. No.
5,359,681.
The polypeptides may be bound to the solid support using a variety of
techniques known to those of ordinary skill in the art. In the context of
the present invention, the term "bound" refers to both noncovalent
association, such as adsorption, and covalent attachment (which may be a
direct linkage between the antigen and functional groups on the support or
may be a linkage by way of a cross-linking agent). Binding by adsorption to
a well in a microtiter plate or to a membrane is preferred. In such cases,
adsorption may be achieved by contacting the polypeptide, in a suitable
buffer, with the solid support for a suitable amount of time. The contact
time varies with temperature, but is typically between about 1 hour and 1
day. In general, contacting a well of a plastic microtiter plate (such as
polystyrene or polyvinylchloride) with an amount of polypeptide ranging from
about 10 ng to about 1 .mu.g, and preferably about 100 ng, is sufficient to
bind an adequate amount of antigen.
Covalent attachment of polypeptide to a solid support may generally be
achieved by first reacting the support with a bifunctional reagent that will
react with both the support and a functional group, such as a hydroxyl or
amino group, on the polypeptide. For example, the polypeptide may be bound
to supports having an appropriate polymer coating using benzoquinone or by
condensation of an aldehyde group on the support with an amine and an active
hydrogen on the polypeptide (see, e.g., Pierce Immunotechnology Catalog and
Handbook, 1991, at A12-A13).
In certain embodiments, the assay is an enzyme linked immunosorbent assay
(ELISA). This assay may be performed by first contacting a polypeptide
antigen that has been immobilized on a solid support, commonly the well of a
microtiter plate, with the sample, such that antibodies to the polypeptide
within the sample are allowed to bind to the immobilized polypeptide.
Unbound sample is then removed from the immobilized polypeptide and a
detection reagent capable of binding to the immobilized antibody-polypeptide
complex is added. The amount of detection reagent that remains bound to the
solid support is then determined using a method appropriate for the specific
detection reagent.
More specifically, once the polypeptide is immobilized on the support as
described above, the remaining protein binding sites on the support are
typically blocked. Any suitable blocking agent known to those of ordinary
skill in the art, such as bovine serum albumin (BSA) or Tween 20.TM. (Sigma
Chemical Co., St. Louis, Mo.) may be employed. The immobilized polypeptide
is then incubated with the sample, and antibody is allowed to bind to the
antigen. The sample may be diluted with a suitable dilutent, such as
phosphate-buffered saline (PBS) prior to incubation. In general, an
appropriate contact time (i.e., incubation time) is that period of time that
is sufficient to detect the presence of antibody within an HGE-infected
sample. Preferably, the contact time is sufficient to achieve a level of
binding that is at least 95% of that achieved at equilibrium between bound
and unbound antibody. Those of ordinary skill in the art will recognize that
the time necessary to achieve equilibrium may be readily determined by
assaying the level of binding that occurs over a period of time. At room
temperature, an incubation time of about 30 minutes is generally sufficient.
Unbound sample may then be removed by washing the solid support with an
appropriate buffer, such as PBS containing 0.1% Tween 20.TM.. Detection
reagent may then be added to the solid support. An appropriate detection
reagent is any compound that binds to the immobilized antibody-polypeptide
complex and that can be detected by any of a variety of means known to those
in the art. Preferably, the detection reagent contains a binding agent (such
as, for example, Protein A, Protein G, immunoglobulin, lectin or free
antigen) conjugated to a reporter group. Preferred reporter groups include
enzymes (such as horseradish peroxidase), substrates, cofactors, inhibitors,
dyes, radionuclides, luminescent groups, fluorescent groups and biotin. The
conjugation of binding agent to reporter group may be achieved using
standard methods known to those of ordinary skill in the art. Common binding
agents may also be purchased conjugated to a variety of reporter groups from
many commercial sources (e.g., Zymed Laboratories, San Francisco, Calif.,
and Pierce, Rockford, Ill.).
The detection reagent is then incubated with the immobilized
antibody-polypeptide complex for an amount of time sufficient to detect the
bound antibody. An appropriate amount of time may generally be determined
from the manufacturer's instructions or by assaying the level of binding
that occurs over a period of time. Unbound detection reagent is then removed
and bound detection reagent is detected using the reporter group. The method
employed for detecting the reporter group depends upon the nature of the
reporter group. For radioactive groups, scintillation counting or
autoradiographic methods are generally appropriate. Spectroscopic methods
may be used to detect dyes, luminescent groups and fluorescent groups.
Biotin may be detected using avidin, coupled to a different reporter group
(commonly a radioactive or fluorescent group or an enzyme). Enzyme reporter
groups may generally be detected by the addition of substrate (generally for
a specific period of time), followed by spectroscopic or other analysis of
the reaction products.
To determine the presence or absence of anti-Chlamydia antibodies in the
sample, the signal detected from the reporter group that remains bound to
the solid support is generally compared to a signal that corresponds to a
predetermined cut-off value. In one preferred embodiment, the cut-off value
is the average mean signal obtained when the immobilized antigen is
incubated with samples from an uninfected patient. In general, a sample
generating a signal that is three standard deviations above the
predetermined cut-off value is considered positive for Chlamydia-infection.
In an alternate preferred embodiment, the cut-off value is determined using
a Receiver Operator Curve, according to the method of Sackett et al.,
Clinical Epidemiology: A Basic Science for Clinical Medicine, Little Brown
and Co., 1985, pp. 106-107. Briefly, in this embodiment, the cut-off value
may be determined from a plot of pairs of true positive rates (i.e.,
sensitivity) and false positive rates (100%-specificity) that correspond to
each possible cut-off value for the diagnostic test result. The cut-off
value on the plot that is the closest to the upper left-hand corner (i.e.,
the value that encloses the largest area) is the most accurate cut-off
value, and a sample generating a signal that is higher than the cut-off
value determined by this method may be considered positive. Alternatively,
the cut-off value may be shifted to the left along the plot, to minimize the
false positive rate, or to the right, to minimize the false negative rate.
In general, a sample generating a signal that is higher than the cut-off
value determined by this method is considered positive for Chlamydial
infection.
In a related embodiment, the assay is performed in a rapid flow-through or
strip test format, wherein the antigen is immobilized on a membrane, such as
nitrocellulose. In the flow-through test, antibodies within the sample bind
to the immobilized polypeptide as the sample passes through the membrane. A
detection reagent (e.g., protein A-colloidal gold) then binds to the
antibody-polypeptide complex as the solution containing the detection
reagent flows through the membrane. The detection of bound detection reagent
may then be performed as described above. In the strip test format, one end
of the membrane to which polypeptide is bound is immersed in a solution
containing the sample. The sample migrates along the membrane through a
region containing detection reagent and to the area of immobilized
polypeptide. Concentration of detection reagent at the polypeptide indicates
the presence of anti-Chlamydia antibodies in the sample. Typically, the
concentration of detection reagent at that site generates a pattern, such as
a line, that can be read visually. The absence of such a pattern indicates a
negative result. In general, the amount of polypeptide immobilized on the
membrane is selected to generate a visually discernible pattern when the
biological sample contains a level of antibodies that would be sufficient to
generate a positive signal in an ELISA, as discussed above. Preferably, the
amount of polypeptide immobilized on the membrane ranges from about 25 ng to
about 1 .mu.g, and more preferably from about 50 ng to about 500 ng. Such
tests can typically be performed with a very small amount (e.g., one drop)
of patient serum or blood.
Of course, numerous other assay protocols exist that are suitable for use
with the polypeptides of the present invention. The above descriptions are
intended to be exemplary only. One example of an alternative assay protocol
which may be usefully employed in such methods is a Western blot, wherein
the proteins present in a biological sample are separated on a gel, prior to
exposure to a binding agent. Such techniques are well known to those of
skill in the art.
The present invention further provides agents, such as antibodies and
antigen-binding fragments thereof, that specifically bind to a Chlamydial
protein. As used herein, an antibody, or antigen-binding fragment thereof,
is said to "specifically bind" to a Chlamydial protein if it reacts at a
detectable level (within, for example, an ELISA) with a Chlamydial protein,
and does not react detectably with unrelated proteins under similar
conditions. As used herein, "binding" refers to a noncovalent association
between two separate molecules such that a complex is formed. The ability to
bind may be evaluated by, for example, determining a binding constant for
the formation of the complex. The binding constant is the value obtained
when the concentration of the complex is divided by the product of the
component concentrations. In general, two compounds are said to "bind," in
the context of the present invention, when the binding constant for complex
formation exceeds about 10.sup.3 L/mol. The binding constant may be
determined using methods well known in the art.
Binding agents may be further capable of differentiating between patients
with and without a Chlamydial infection using the representative assays
provided herein. In other words, antibodies or other binding agents that
bind to a Chlamydial protein will generate a signal indicating the presence
of a Chlamydial infection in at least about 20% of patients with the
disease, and will generate a negative signal indicating the absence of the
disease in at least about 90% of individuals without infection. To determine
whether a binding agent satisfies this requirement, biological samples
(e.g., blood, sera, sputum urine and/or tissue biopsies) from patients with
and without Chlamydial infection (as determined using standard clinical
tests) may be assayed as described herein for the presence of polypeptides
that bind to the binding agent. It will be apparent that a statistically
significant number of samples with and without the disease should be
assayed. Each binding agent should satisfy the above criteria; however,
those of ordinary skill in the art will recognize that binding agents may be
used in combination to improve sensitivity.
Any agent that satisfies the above requirements may be a binding agent. For
example, a binding agent may be a ribosome, with or without a peptide
component, an RNA molecule or a polypeptide. In a preferred embodiment, a
binding agent is an antibody or an antigen-binding fragment thereof.
Antibodies may be prepared by any of a variety of techniques known to those
of ordinary skill in the art. See, e.g., Harlow and Lane, Antibodies: A
Laboratory Manual, Cold Spring Harbor Laboratory, 1988. In general,
antibodies can be produced by cell culture techniques, including the
generation of monoclonal antibodies as described herein, or via transfection
of antibody genes into suitable bacterial or mammalian cell hosts, in order
to allow for the production of recombinant antibodies. In one technique, an
immunogen comprising the polypeptide is initially injected into any of a
wide variety of mammals (e.g., mice, rats, rabbits, sheep or goats). In this
step, the polypeptides of this invention may serve as the immunogen without
modification. Alternatively, particularly for relatively short polypeptides,
a superior immune response may be elicited if the polypeptide is joined to a
carrier protein, such as bovine serum albumin or keyhole limpet hemocyanin.
The immunogen is injected into the animal host, preferably according to a
predetermined schedule incorporating one or more booster immunizations, and
the animals are bled periodically. Polyclonal antibodies specific for the
polypeptide may then be purified from such antisera by, for example,
affinity chromatography using the polypeptide coupled to a suitable solid
support.
Monoclonal antibodies specific for an antigenic polypeptide of interest may
be prepared, for example, using the technique of Kohler and Milstein, Eur.
J. Immunol. 6:511-519, 1976, and improvements thereto. Briefly, these
methods involve the preparation of immortal cell lines capable of producing
antibodies having the desired specificity (i.e., reactivity with the
polypeptide of interest). Such cell lines may be produced, for example, from
spleen cells obtained from an animal immunized as described above. The
spleen cells are then immortalized by, for example, fusion with a myeloma
cell fusion partner, preferably one that is syngeneic with the immunized
animal. A variety of fusion techniques may be employed. For example, the
spleen cells and myeloma cells may be combined with a nonionic detergent for
a few minutes and then plated at low density on a selective medium that
supports the growth of hybrid cells, but not myeloma cells. A preferred
selection technique uses HAT (hypoxanthine, aminopterin, thymidine)
selection. After a sufficient time, usually about 1 to 2 weeks, colonies of
hybrids are observed. Single colonies are selected and their culture
supernatants tested for binding activity against the polypeptide. Hybridomas
having high reactivity and specificity are preferred.
Monoclonal antibodies may be isolated from the supernatants of growing
hybridoma colonies. In addition, various techniques may be employed to
enhance the yield, such as injection of the hybridoma cell line into the
peritoneal cavity of a suitable vertebrate host, such as a mouse. Monoclonal
antibodies may then be harvested from the ascites fluid or the blood.
Contaminants may be removed from the antibodies by conventional techniques,
such as chromatography, gel filtration, precipitation, and extraction. The
polypeptides of this invention may be used in the purification process in,
for example, an affinity chromatography step.
Within certain embodiments, the use of antigen-binding fragments of
antibodies may be preferred. Such fragments include Fab fragments, which may
be prepared using standard techniques. Briefly, immunoglobulins may be
purified from rabbit serum by affinity chromatography on Protein A bead
columns (Harlow and Lane, Antibodies. A Laboratory Manual, Cold Spring
Harbor Laboratory, 1988) and digested by papain to yield Fab and Fc
fragments. The Fab and Fc fragments may be separated by affinity
chromatography on protein A bead columns.
Monoclonal antibodies of the present invention may be coupled to one or more
therapeutic agents. Suitable agents in this regard include radionuclides,
differentiation inducers, drugs, toxins, and derivatives thereof. Preferred
radionuclides include .sup.90Y, .sup.123I, .sup.125I, .sup.131I, .sup.186Re,
.sup.188Re, .sup.211At, and .sup.212Bi. Preferred drugs include methotrexate,
and pyrimidine and purine analogs. Preferred differentiation inducers
include phorbol esters and butyric acid. Preferred toxins include ricin,
abrin, diptheria toxin, cholera toxin, gelonin, Pseudomonas exotoxin,
Shigella toxin, and pokeweed antiviral protein.
A therapeutic agent may be coupled (e.g., covalently bonded) to a suitable
monoclonal antibody either directly or indirectly (e.g., via a linker
group). A direct reaction between an agent and an antibody is possible when
each possesses a substituent capable of reacting with the other. For
example, a nucleophilic group, such as an amino or sulfhydryl group, on one
may be capable of reacting with a carbonyl-containing group, such as an
anhydride or an acid halide, or with an alkyl group containing a good
leaving group (e.g., a halide) on the other.
Alternatively, it may be desirable to couple a therapeutic agent and an
antibody via a linker group. A linker group can function as a spacer to
distance an antibody from an agent in order to avoid interference with
binding capabilities. A linker group can also serve to increase the chemical
reactivity of a substituent on an agent or an antibody, and thus increase
the coupling efficiency. An increase in chemical reactivity may also
facilitate the use of agents, or functional groups on agents, which
otherwise would not be possible.
It will be evident to those skilled in the art that a variety of
bifunctional or polyfunctional reagents, both homo- and hetero-functional
(such as those described in the catalog of the Pierce Chemical Co.,
Rockford, Ill.), may be employed as the linker group. Coupling may be
effected, for example, through amino groups, carboxyl groups, sulfhydryl
groups or oxidized carbohydrate residues. There are numerous references
describing such methodology, e.g., U.S. Pat. No. 4,671,958, to Rodwell et
al.
Where a therapeutic agent is more potent when free from the antibody portion
of the immunoconjugates of the present invention, it may be desirable to use
a linker group which is cleavable during or upon internalization into a
cell. A number of different cleavable linker groups have been described. The
mechanisms for the intracellular release of an agent from these linker
groups include cleavage by reduction of a disulfide bond (e.g., U.S. Pat.
No. 4,489,710, to Spitler), by irradiation of a photolabile bond (e.g., U.S.
Pat. No. 4,625,014, to Senter et al.), by hydrolysis of derivatized amino
acid side chains (e.g., U.S. Pat. No. 4,638,045, to Kohn et al.), by serum
complement-mediated hydrolysis (e.g., U.S. Pat. No. 4,671,958, to Rodwell et
al.), and acid-catalyzed hydrolysis (e.g., U.S. Pat. No. 4,569,789, to
Blattler et al.).
It may be desirable to couple more than one agent to an antibody. In one
embodiment, multiple molecules of an agent are coupled to one antibody
molecule. In another embodiment, more than one type of agent may be coupled
to one antibody. Regardless of the particular embodiment, immunoconjugates
with more than one agent may be prepared in a variety of ways. For example,
more than one agent may be coupled directly to an antibody molecule, or
linkers which provide multiple sites for attachment can be used.
Alternatively, a carrier can be used.
A carrier may bear the agents in a variety of ways, including covalent
bonding either directly or via a linker group. Suitable carriers include
proteins such as albumins (e.g., U.S. Pat. No. 4,507,234, to Kato et al.),
peptides and polysaccharides such as aminodextran (e.g., U.S. Pat. No.
4,699,784, to Shih et al.). A carrier may also bear an agent by noncovalent
bonding or by encapsulation, such as within a liposome vesicle (e.g., U.S.
Pat. Nos. 4,429,008 and 4,873,088). Carriers specific for radionuclide
agents include radiohalogenated small molecules and chelating compounds. For
example, U.S. Pat. No. 4,735,792 discloses representative radiohalogenated
small molecules and their synthesis. A radionuclide chelate may be formed
from chelating compounds that include those containing nitrogen and sulfur
atoms as the donor atoms for binding the metal, or metal oxide,
radionuclide. For example, U.S. Pat. No. 4,673,562, to Davison et al.
discloses representative chelating compounds and their synthesis.
A variety of routes of administration for the antibodies and
immunoconjugates may be used. Typically, administration will be intravenous,
intramuscular, subcutaneous or in site-specific regions by appropriate
methods. It will be evident that the precise dose of the antibody/immunoconjugate
will vary depending upon the antibody used, the antigen density, and the
rate of clearance of the antibody.
Antibodies may be used in diagnostic tests to detect the presence of
Chlamydia antigens using assays similar to those detailed above and other
techniques well known to those of skill in the art, thereby providing a
method for detecting Chlamydial infection in a patient.
Diagnostic reagents of the present invention may also comprise DNA sequences
encoding one or more of the above polypeptides, or one or more portions
thereof. For example, at least two oligonucleotide primers may be employed
in a polymerase chain reaction (PCR) based assay to amplify
Chlamydia-specific cDNA derived from a biological sample, wherein at least
one of the oligonucleotide primers is specific for a DNA molecule encoding a
polypeptide of the present invention. The presence of the amplified cDNA is
then detected using techniques well known in the art, such as gel
electrophoresis. Similarly, oligonucleotide probes specific for a DNA
molecule encoding a polypeptide of the present invention may be used in a
hybridization assay to detect the presence of an inventive polypeptide in a
biological sample.
As used herein, the term "oligonucleotide primer/probe specific for a DNA
molecule" means an oligonucleotide sequence that has at least about 80%,
preferably at least about 90% and more preferably at least about 95%,
identity to the DNA molecule in question. Oligonucleotide primers and/or
probes which may be usefully employed in the inventive diagnostic methods
preferably have at least about 10-40 nucleotides. In a preferred embodiment,
the oligonucleotide primers comprise at least about 10 contiguous
nucleotides of a DNA molecule encoding one of the polypeptides disclosed
herein. Preferably, oligonucleotide probes for use in the inventive
diagnostic methods comprise at least about 15 contiguous oligonucleotides of
a DNA molecule encoding one of the polypeptides disclosed herein. Techniques
for both PCR based assays and hybridization assays are well known in the art
(see, for example, Mullis et al. Ibid; Ehrlich, Ibid). Primers or probes may
thus be used to detect Chlamydia-specific sequences in biological samples.
DNA probes or primers comprising oligonucleotide sequences described above
may be used alone or in combination with each other.
Claim 1 of 3 Claims
1. A composition comprising at least one
immunostimulant and a polypeptide selected from the group consisting of:
(a) sequences having at least 95% identity to the sequence set forth in
SEQ ID NO: 431; and (b) sequences having at least 98% identity to the
sequence set forth in SEQ ID NO: 577. ____________________________________________
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