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Title: Vaccine composition of
surfactants as adjuvant of immunity
United States Patent: 7,422,748
Issued: September 9, 2008
Inventors: Aucouturier;
Jerome (Chatenay Malabry, FR), Ganne; Vincent (La Varenne Saint Hilaire,
FR), Trouve; Gerard (Castres, FR)
Assignee: Societe
d'Exploitation de Produits pour les Industries Chimiques (Seppic, FR)
Appl. No.: 09/698,121
Filed: October 30, 2000
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George Washington University's Healthcare MBA
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Abstract
A composition comprising an aqueous
solution comprising: (i) at least one antigen or at least one in vivo
generator of a compound comprising an amino acid sequence, and (ii) as an
adjuvant of immunity, a surfactant, or a mixture of surfactants, having an
overall HLB number of between 5 and 15.
Description of the
Invention
BACKGROUND OF THE INVENTION
(i) Field of the Invention
The present invention relates to novel adjuvants for vaccine compositions,
and to compositions comprising at least one antigen, in particular an
antigen of viral, bacterial or parasitic origin, and at least one
adjuvant.
(ii) Description of the Related Art
The development of inactivated vaccines or vaccines containing purified
antigens is increasingly significant, since it makes it possible to avoid
adverse side effects. However, the improvement in the quality of the
antigens occurs to the detriment of their immunogenic nature. It is for
this reason that they are combined with adjuvants of immunity.
Adjuvants of immunity are products which increase the reactions of the
immune system, when they are administered in the presence of antigens of
viral, bacterial or synthetic origin. They cause a massive appearance of
macrophages at the site of injection, and then in the lymph nodes,
increase the production of specific immunoglobulins, antibodies, and
stimulate many cells involved in immune defense mechanism.
These adjuvants are diverse in nature. They can, for example, consist of
liposomes or emulsions.
Very effective Freund's adjuvants: they result from the combination of a
mineral oil and of a mannitol ester, possibly containing a killed
mycobacterium. Vaccines prepared by mixing in equal parts a Freund's
adjuvant with an aqueous antigenic medium are still used as standards
throughout the world for laboratory studies. They are in the form of water
in oil (W/O) emulsions, i.e., emulsions in which the continuous phase is
the oil. These emulsions are very viscous; they are thus difficult to
inject; they are also relatively unstable, since phase displacements are
observed only a few days after their preparation.
By way of ordinary adjuvants, there are also metal salts, such as aluminum
hydroxide, cerium nitrate, zinc sulphate, colloidal iron hydroxide or
calcium chloride. Of these, aluminum hydroxide is the most commonly used.
These adjuvants are described in the article by Rajesh K. Gupta et al., "Adjuvants,
balance between toxicity and adjuvanticity" Vaccine, Vol. 11, Issue 3,
1993, pages 993-1006. They exhibit, however, weak immunostimulatory
effectiveness, and sometimes induce, when these therapeutic compositions
are injected, the formation of lesions and other local reactions, such as
granulomas, at the point of injection.
More recently, it has been discovered that water-soluble salts of divalent
or trivalent metals are good adjuvants of immunity, in particular
manganese gluconate, calcium gluconate, manganese glycerophosphate,
soluble aluminum acetate and aluminum salicylate. Such adjuvants are
described in the international patent applications published under the
numbers WO 96/32964 and WO 98/17311.
As other adjuvants of immunity, in particular in the case of mucosal
administration, mention may be made of the sympathomimetic compounds
described in the international patent application published under the
number WO 98/15288.
SUMMARY AND OBJECTS OF THE INVENTION
In the course of research into the development of novel adjuvants, the
applicant has discovered that some surfactants themselves exhibit
immunostimulatory effectiveness, and that it is thus possible to prepare
aqueous vaccine compositions essentially free of oily phase, comprising
one or more of these agents as an immunostimulant.
It is for this reason that the subject of the present invention is a
composition in the form of an aqueous solution comprising: (i) at least
one antigen or at least one in vivo generator of a compound comprising an
amino acid sequence, and (ii) as an adjuvant of immunity, a surfactant, or
a mixture of surfactants, having an overall HLB number of between 5 and
15.
The term "antigen" or the phrase "at least one in vivo generator of a
compound comprising an amino acid sequence" refers to either killed
microorganisms, such as viruses, bacteria or parasites, or purified
fractions of these microorganisms, or living microorganisms whose
pathogenic power has been attenuated. As a virus which can constitute an
antigen according to the present invention, mention may be made of rabies
virus, herpes viruses, such as the virus of Aujeszky's disease,
orthomixoviruses such as Influenzae, picornaviruses such as the virus of
foot-and-mouth disease, or retroviruses such as HIVs. As microorganisms of
the bacterial type which can constitute an antigen according to the
present invention, mention may be made of E coli, and those of the
Pasteurella, Furonculosis, Vibriosis, Staphylococcus and Streptococcus
genera. As parasites, mention may be made of the Trypanosoma, Plasmodium
and Leishmania genera. Mention may also be made of recombinant viruses, in
particular nonenveloped viruses such as adenoviruses, the vaccinia virus,
the canarypox virus, herpes viruses or baculoviruses. Reference is also
made to a living nonenveloped viral recombinant vector, the genome of
which contains, inserted preferably into a portion which is nonessential
for the replication of the corresponding enveloped virus, a sequence
encoding an antigenic subunit which induces synthesis of antibodies and/or
a protective effect against the above-mentioned pathogenic enveloped virus
or microorganism; these antigenic subunits can be, for example, a protein,
a glycoprotein, a peptide or a fraction which is a peptide and/or which is
protective against an infection with a living microorganism such as an
enveloped virus, a bacterium or a parasite. The exogenous gene inserted
into the microorganism can be, for example, derived from an HIV or
Aujeszky virus.
Mention may be made in particular of a recombinant plasmid consisting of a
nucleotide sequence, into which is inserted an exogenous nucleotide
sequence originating from a pathogenic microorganism or virus. The aim of
the latter nucleotide sequence is to allow the expression of a compound
comprising an amino acid sequence, the aim of this compound itself being
to trigger an immune reaction in a host organism.
The expression "in vivo generator of a compound comprising an amino acid
sequence" refers to an entire biological product capable of expressing
said compound in the host organism into which said in vivo generator has
been introduced. The compound comprising the amino acid sequence can be a
protein, a peptide or a glycoprotein. These in vivo generators are
generally obtained by methods derived from genetic engineering. More
particularly, they can consist of living microorganisms, generally a
virus, playing the role of recombinant vector, into which is inserted a
nucleotide sequence, in particular an exogenous gene. These compounds are
known in themselves, and are used in particular as recombinant subunit
vaccines. In this respect, reference may be made to the article by M.
Eloit et al., Journal of Virology (1990) 71, 2925-2431, and to the
international patent applications published under the numbers
WO-A-91/00107 and WO-A-94/16681. The in vivo generators according to the
invention can also consist of a recombinant plasmid which comprises an
exogenous nucleotide sequence, and which is capable of expressing, in a
host organism, a compound comprising an amino acid sequence. Such
recombinant plasmids and their method of administration to a host organism
were described in 1990 by Lin et al., Circulation 82: 2217, 2221; Cox et
al., J. of Virol., September 1993, 67, 9, 5665-5667, and in the
international application published under the number WO 95/25542.
Depending on the nature of the nucleotide sequence included in the in vivo
generator, the compound comprising the amino acid sequence which is
expressed within the host organism can:
(i) be an antigen, and enable the triggering of an immune reaction; (ii)
have a curative action with respect to a disease, essentially a disease of
a functional nature, which has been triggered in the host organism. In
this case, the in vivo generator enables gene therapy type treatment of
the host.
By way of example, such a curative action can consist of synthesis by the
in vivo generator of cytokines, such as interleukins, in particular
interleukin-2. These interleukins allow the triggering or the
reinforcement of an immune reaction directed towards selective elimination
of cancerous cells.
A composition according to the invention comprises an antigen
concentration which depends on the nature of this antigen and on the
nature of the individual treated. It is, however, particularly noteworthy
that an adjuvant according to the invention makes it possible to notably
decrease the conventional antigen dose required. The suitable antigen
concentration can be determined conventionally by persons skilled in the
art, Generally, this dose is about 0.1 .mu.g/cm.sup.3 to 1 g/cm.sup.3,
more generally between 1 .mu.g/cm.sup.3 and 100 mg/cm.sup.3.
The concentration of said in vivo generator in the composition according
to the invention depends, here again, in particular on the nature of said
generator and of the host in which is administered. This concentration can
be easily determined by persons skilled in the art, on the basis of
routine experiment. By way of indication, it may, however, be specified
that, when the in vivo generator is a recombinant microorganism, its
concentration in the composition according to the invention can be between
10.sup.2 and 10.sup.15 microorganisms/cm.sup.3, preferably between
10.sup.5 and 10.sup.12 microorganisms/cm.sup.3. When the in vivo generator
is a recombinant plasmid, its concentration in the composition according
to the invention can be between 0.01 and 100 g/dm.sup.3.
For the purpose of the present invention, the HLB number is calculated
using the formula HLB=20 (1-I.sub.s/I.sub.a), in which I.sub.s represents
the saponification index and I.sub.a represents the acid index of said
surfactant or of said mixture of surfactants. These two indices,
saponification and acid indices, are determined by methods described in
the European Pharmacopoeia.
The main subject of the invention is a composition as defined above, in
which a the surfactant(s) is (are) chosen from modified fatty substances
and, preferably, the surfactants(s) is (are) chosen from modified fatty
substances having an overall HLB number of between 6 and 14.
The modified fatty substances used in the context of the present invention
can be of mineral, plant or animal origin. As modified fatty substances of
mineral origin there are oils of petroleum origin. As modified fatty
substances of plant origin, there are modified plant oils, for example
modified groundnut, olive, sesame, soya bean, wheatgerm, grapeseed,
sunflower, castor, flax, corn, copra, palm, walnut, hazelnut or rapeseed
oils. As modified fatty substances of animal origin, there are, for
example, modified squalane, modified squalene, modified spermaceti oil or
modified tallow oil.
The term "modified fatty substances" refers in particular to the
alkoxylated derivatives of fatty substances, and more particularly the
alkoxylated derivatives of oils or the alkoxylated derivatives of alkyl
esters of oils, and more particularly the ethoxylated and/or propoxylated
derivatives of oils or the ethoxylated and/or propoxylated derivatives of
the methyl, ethyl, linear or branched propyl, or linear or branched butyl
esters of said oils. A subject of the invention is more specifically a
composition as defined above, in which the modified fatty substance is
chosen from the ethoxylated derivatives of oils having a number of EOs of
between 1 and 60.
A subject of the invention is particularly a composition as defined above,
in which the modified fatty substance is an alkoxylated derivative of corn
oil, or a mixture of alkoxylated derivatives of corn oil, having an
overall HLB number of between 10 and 14, or a composition as defined above
in which the modified fatty substance is an ethoxylated derivative of
castor oil, or a mixture of alkoxylated derivatives of castor oil, having
an overall HLB number of between 7 and 10. As examples of such
compositions, there is the composition in which the modified fatty
substance is chosen from the ethoxylated derivatives of corn oil having a
number of EOs of between 20 and 40, or the composition in which the
modified fatty substance is a mixture of ethoxylated derivatives of castor
oil having a number of EOs equal to 7 and of ethoxylated derivatives of
castor oil having a number of EOs equal to 60.
A composition which is a subject of the present invention contains between
0.2 mg/cm.sup.3 and 500 mg/cm.sup.3 of adjuvant, more particularly between
2 mg/cm.sup.3 and 500 mg/cm.sup.3 of adjuvant and preferably between 50
mg/cm.sup.3 and 200 mg/cm.sup.3 of adjuvant.
According to a second specific aspect of the present invention, a subject
of this invention is a composition as defined above, in which the
surfactant(s) is (are) chosen from the alkoxylated derivatives of esters
of fatty acids and of polyols or the alkoxylated derivatives of ethers of
fatty alcohols and of polyols, and more particularly from alkoxylated
fatty acid triglycerides, the polyglycerol alkoxylated esters of fatty
acids, the alkoxylated esters of fatty acids with a hexyl, such as for
example sorbitol or mannitol, or the alkoxylated esters of fatty acids
with a hexyl anhydride, such as sorbitan or mannitan.
As fatty acids which are suitable for preparing these modified esters,
there are more particularly those comprising from 12 to 22 carbon atoms,
advantageously a fatty acid which is liquid at 20.degree. C., such as for
example those comprising from 16 to 18 carbon atoms, for instance oleic
acid, ricinoleic acid or isostearic acid.
The composition as defined above contains in particular one or more
ethoxylated derivatives of esters of fatty acids and of polyols, or the
ethoxylated derivatives of ethers of fatty alcohols and of polyols, having
a number of EOs of between 1 and 60. The surfactant, or the mixture of
surfactants, of this composition as defined above has more particularly an
overall HLB number of between 10 and 14, and preferably between 12 and 13.
As an example of such a composition, there is the one in which the
surfactant is an ethoxylated derivative of mannitan oleate having a number
of Eos of between 5 and 15, and preferably between 7 and 11.
A surfactant according to the invention is preferably pharmaceutically
acceptable for the mucous membranes; it must, in particular, be devoid of
heavy metals and have very low acid or peroxide indices. It is also
desirable for it to satisfy the standards of innocuity tests such as those
described by S. S. Berlin, Annals of Allergy, 1962, 20, 473, or the
abnormal toxicity tests described in the European Pharmacopoeia.
The composition according to the invention can comprise a conventional
immunostimulant such as AVRIDINE.RTM., N,N-dioctadecyl-N',N'-bis(2-hydroxyethyl)propanediamine,
MDP (muramyl depeptide) derivatives, in particular threonyl-MDP, mycolic
acid derivatives or Lipid A derivatives.
The composition according to the invention can comprises one or more
water-soluble metal cation organic salts, such as for example calcium
gluconate, manganese gluconate, aluminum salicylate or soluble aluminum
acetate. When the adjuvant composition according to the invention
comprises a pharmaceutically acceptable salt, this salt is at a
concentration of 0.02 to 3000 mg/cm.sup.3, preferably 0.1 to 1000
mg/cm.sup.3, more preferably from 0.1 to 150 mg/cm.sup.3.
The composition according to the invention can comprise a sympathomimetic
compound. The term "sympathomimetic compounds" refers in particular to
amphetamines, catecholamines, phenylisopropylamines and tyramine. As
examples of such compounds mention may be made in particular of
isoproterenol, L-adrenalin, levarterenol, ephedrine, phenylephedrine and
salbutamol When the adjuvant composition according to the invention
comprises a sympathomimetic compound, this compound is at a concentration
of 10.sup.-10 molar to 10.sup.-2 molar, preferably from 10.sup.-7 molar to
10.sup.-5 molar.
The use of surfactants as defined above as adjuvants in the vaccine
compositions, and more particularly in the vaccine compositions which have
no oily phase, constitutes another aspect of the present invention.
The composition according to the invention can be used as a preventive or
curative medicinal product. Depending on the nature of the antigen or of
the in vivo generator, a composition according to the invention can be
administered to fish, crustaceans such as shrimps, poultry, in particular
geese, turkeys, pigeons and chickens, to Canidae such as dogs, to Felidae
such as cats, to pigs, to primates, to Bovidae, to Ovidae and to horses.
The composition according to the invention can also be administered to
humans. The administration of the composition can be carried out
conventionally via the parenteral route, in particular by subcutaneous,
intramuscular or intraperitoneal injection, or via the mucosal route, in
particular orally, rectally, nasally or vaginally. According to another
aspect of the invention, it consists of the use of an adjuvant as defined
above for preparing a vaccine intended for preventing or for treating an
infectious disease, in particular an infectious disease engendered by a
virus or a microorganism, such as those mentioned above.
According to another final aspect of the present invention, it consists of
the use of this adjuvant for preparing a composition intended to treat a
disease of a functional nature, such as cancer or cystic fibrosis.
Claim 1 of 5 Claims
1. A method of providing an adjuvant
effect to a vaccine comprising at least one antigen or at least one in
vivo generator of a compound comprising an amino acid sequence comprising
combining said antigen or in vivo generator with a surfactant or with a
mixture of surfactants having an overall HLB number of between 5 and 15
and comprising: (i) ethoxylated derivatives of ester of fatty acids having
12 to 22 carbon atoms with sorbitan or mannitan having a number of EOs of
between 1 and 60; or (ii) ethoxylated derivatives of oils having a number
of EOs of between 1 and 60. ____________________________________________
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