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Title: Immunogenic HIV-1 multi-clade,
multivalent constructs and methods of their use
United States Patent: 7,425,611
Issued: September 16, 2008
Inventors: Lal; Renu B.
(Dulles, VA), Owen; Sherry M. (Douglasville, GA)
Assignee: The United States
of America as represented by the Secretary of the Department of Health and
Human Services, Centers for Disease Control and Prevention (Washington,
DC)
Appl. No.:
10/550,651
Filed: March 26, 2004
PCT Filed: March 26, 2004
PCT No.: PCT/US2004/009767
371(c)(1),(2),(4) Date:
September 26, 2005
PCT Pub. No.: WO2004/085466
PCT Pub. Date: October 07,
2004
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Training Courses -- Pharm/Biotech/etc.
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Abstract
Described herein are nucleic acid
molecules which encode multiple highly conserved epitopes from HIV-1
proteins, and optionally also epitopes from CCR5; usually also included
sequences that encode spacers between two or more of the epitopes. Some of
the provided nucleic acid molecules further include sequences that encode
targeting domains, useful for targeting the encoded protein into a pathway
for enhancing epitope presentation in a vertebrate immune system. Also
described are multivalent proteins encoded for by these nucleic acid
molecules. The disclosure also encompasses immunogenic compositions that
comprise one or more of the nucleic acid molecules, and/or one or more of
the proteins encoded thereby, as well as methods of inducing an immune
response against HIV-1 in a subject by administering to the subject an
effective amount of a composition containing one or more of these
molecules. Also provided are cultured host cells containing within them
one or more of the described nucleic acid molecules.
Description of the
Invention
SUMMARY OF THE DISCLOSURE
Multi-clade multivalent (MCMV) (polyepitope; multi-epitope) polypeptides and
mixtures of polypeptides have been developed, which can be used to stimulate
immune responses to HIV-1 in vertebrates. In various embodiments, these
polypeptides and polypeptide mixtures include immunogenic CTL, T- and/or
B-cell determinants that are capable of eliciting broad and effective immune
responses against diverse subtypes of HIV-1. Immunogens described herein are
designed to be subtype-independent and will provide both prime and boost
reagents for worldwide use.
Also described herein are recombinant MCMV constructs that can be used
directly or indirectly to protect subjects against infection by multiple
HIV-1 subtypes. These constructs are designed to elicit T-cell, B-cell, or
both T-cell and B-cell responses against highly conserved epitopes within
multiple HIV-1 subtypes. The constructs, when integrated into a vector, can
be used as immunogens, can be used as DNA vaccines, and can be used as
sources of recombinant protein for stimulation of immune responses in
subjects, as well as for protein boosts to subjects who have received a
nucleic acid construct previously.
Without being bound by theory, it is believed that the MCMV HIV-1 constructs
and polypeptides provide universal immune stimulants and vaccines, capable
of effective use in any part of the world affected by the HIV-1 epidemic.
The construction and design of specific provided constructs are particularly
useful in that they allow convenient addition/deletion of epitopes, and
contain specific cellular targeting domains that optimize antigen processing
and recognition.
The provided constructs and proteins encoded thereby also can be combined
with other epitope-based constructs to generate, for instance,
multi-pathogen vaccines.
The foregoing and other features and advantages will become more apparent
from the following detailed description of several embodiments, which
proceeds with reference to the accompanying figures.
Overview of Several Embodiments
Provided herein in various embodiments are multi-clade, multivalent
recombinant polyepitope polypeptides, which are useful to induce immunogenic
responses in vertebrate animals to HIV-1. These polypeptides include CTL-stimulatory
epitopes, T-helper cell stimulatory epitopes, B-cell stimulatory epitopes,
or combinations of two or more such types of epitopes. Epitopes in the
polyepitope polypeptides are selected to provide multi-clade coverage. In
particular, epitopes are selected to be at least 50% conserved across a
plurality of HIV-1 subtypes, for instance, at least 2, 3, 4, 5, 6, or more
HIV-1 subtypes. In particular embodiments, at least 30% of the epitopes
included in a single polyepitope polypeptide are at least 60% conserved, at
least 70% conserved, at least 80% conserved, or even more highly conserved
across a plurality of HIV-1 subtypes.
In specific embodiments there are provided isolated polyepitope
polypeptides, wherein adjacent polypeptide segments are linked by a spacer
peptide. In some examples, the spacer peptide links multiple groups of
polypeptide segments. Specific, non-limiting examples of the spacer peptide
include the tri-amino acid lysine-alanine-alanine, or
proline-glycine-proline.
In other examples, the isolated polyepitope polypeptides also include a
targeting signal that targets the polyepitope polypeptides to a lysosome or
to a proteosome. Specific, non-limiting, examples of the targeting signal
include a targeting-competent fragment of lysosomal integral membrane
protein-II or ubiquitin.
In still other examples, the isolated polyepitope polypeptides also include
a plurality of amino acid segments from one or more HIV-1 coreceptors. A
specific, non-limiting, example of a HIV-1 coreceptor is CCR5.
In further examples, the isolated polyepitope polypeptides include human
cytotoxic T-lymphocyte stimulatory epitopes, human T-helper cell stimulatory
epitopes, human B-cell stimulatory epitopes, or combinations of two or more
epitopes thereof.
In additional embodiments there are provided isolated polyepitope
polypeptides, which polypeptides comprise an amino acid sequence selected
from the group consisting of sequences provided in SEQ ID NOs: 2, 4, 5, 6, 8
and 10. Also provided are mixtures of two or more isolated polyepitope
polypeptides, including (but not limited to) mixtures of the polypeptides
having sequences as shown in SEQ ID NOs: 2 and 8, 2 and 10, 4 and 8, 4 and
10, 5 and 8, 5 and 10, 6 and 8, and 6 and 10.
Other embodiments are isolated polynucleotides (nucleic acid molecules)
which encode one of the polyepitope polypeptides described herein. Specific
examples of such nucleic acid molecules comprise a sequence selected from
the group consisting of sequences recited in SEQ ID NOs: 1, 3, 7, 9 and
complements thereof. Other specific examples of nucleic acid molecules are
the portions of each of SEQ ID NOs: 1, 3, 7, and 9 which correspond to and
encode the polyepitope polypeptides shown in SEQ ID NOs: 2, 4, 8, and 10,
respectively.
Also provided herein are genetic constructs that comprise at least one
nucleic acid molecule encoding a polyepitope polypeptide, and host cells
transformed with such a genetic construct.
Yet another embodiment is a composition comprising at least one polyepitope
polypeptide or at least one nucleic acid molecule encoding a polyepitope
polypeptide, and at least one component selected from the group consisting
of pharmaceutically acceptable carriers and adjuvants. This disclosure
further provides methods for eliciting and/or enhancing an immune response
in a subject, which methods involve administering to the subject such a
composition. In one specific, non-limiting example, the subject is infected
with HIV-1
IV. Multi-Clade, Multivalent HIV-1 Constructs
The current disclosure provides multi-clade multivalent HIV-1 constructs
useful for inducing immune responses in HIV-1-infected populations with
diverse HLA alleles and HIV subtypes.
HIV-1 MCMV constructs comprise synthetic nucleic acid sequences to be used
as HIV-1 immune-stimulatory and/or vaccine constructs to protect against
multiple HIV-1 subtypes. These synthetic nucleic acid molecules or mixtures
of nucleic acid molecules are designed to elicit both T-cell and B-cell
responses against highly conserved epitopes within multiple HIV-1 subtypes.
In specific embodiments, the synthetic genes are contained in plasmid
constructs, which can be used as a DNA vaccine, as well as a source of
recombinant protein for subsequent protein boosts.
Provided herein in various embodiments are multi-clade, multivalent
polyepitope polypeptides, which are useful to induce immunogenic responses
in vertebrate animals to HIV-1. These polypeptides include CTL-stimulatory
epitopes, T-helper cell stimulatory epitopes, B-cell stimulatory epitopes,
or combinations of two or more such types of epitopes. Epitopes in the
polyepitope polypeptides are selected to provide multi-clade coverage. In
particular, epitopes are selected to be at least 50% conserved across a
plurality of HIV-1 subtypes, for instance, at least 2, 3, 4, 5, 6, or more
HIV-1 subtypes. In particular embodiments, at least 30% of the epitopes
included in a single polyepitope polypeptide are at least 60% conserved, at
least 70% conserved, at least 80% conserved, or even more highly conserved
across a plurality of HIV-1 subtypes.
One aspect of embodiments provided herein is that peptide sequences, each of
which contains one or more antibody-binding or class I or class II MHC-binding
epitopes, can be linked in tandem to form polyepitope polypeptides. These
polyepitope polypeptides are proteolytically processed in cells to release
the individual epitopes, and are useful for stimulating an immune response
in a vertebrate animal.
When a MCMV polyepitope polypeptide is introduced into a cell, it is
proteolytically processed into at least some of its constituent epitopes. At
least some of the epitopes generated from the polypeptide can bind to MHC
class I or MHC class II molecules present in the cell, though some of the
epitopes may be specific for MHC class I or class II molecules present only
on other cells. Included epitopes also may be B-cell epitopes, which elicit
antibody-mediated immune responses upon binding to antibody receptors on the
surface of a B-cell.
In one aspect, the disclosure features a nucleic acid encoding a polyepitope
polypeptide that can include, in any order, a first, second, and third
segment, each of which is at least nine amino acids in length. As used
herein, a "segment" is an amino acid sequence which (a) corresponds to the
sequence of a portion (that is, a fragment, less than all) of a naturally
occurring protein, and (b) contains one or more epitopes. By "epitope" is
meant a peptide which binds to the binding groove of an MHC class I or class
II molecule, or to the antigen-binding region of an antibody. In addition,
the polyepitope polypeptide can encode a targeting signal, for instance a
peptide sequence that targets the protein to which it is fused to the
lysosome or to the proteosome, as described in more detail herein.
In some embodiments, a segment of the polyepitope polypeptide has the amino
acid sequence of a portion of (1) a naturally occurring HIV-1 protein or (2)
a naturally occurring coreceptor (collectively referred to as "naturally
occurring proteins"), that is at least nine amino acids in length. A second
segment has the amino acid sequence of a second portion of the same or a
different naturally occurring protein, is at least nine amino acids in
length, and includes at least one epitope which is different from the
epitope(s) of the first segment. Optionally, a third segment is included in
the polyepitope polypeptide, and has the amino acid sequence of a third
portion of the same or a different naturally occurring protein, is at least
nine amino acids in length, and includes at least one epitope which is
different from the epitope(s) of the first and second segments.
Alternatively, the first, second and third portions may be portions of two
or three different naturally occurring proteins (for example, two or three
different HIV-1 proteins). The polyepitope polypeptide may optionally
include additional segments, for example, it can include at least 4, 5, 10,
15, 20, 25, 30, 40, 50, 60, 75, 90 or even 100 or more segments, each being
a portion of a naturally-occurring protein of a pathogenic agent and/or of a
naturally occurring coreceptor which can be the same or different from the
protein(s) from which the other segments are derived.
Each of these segments is at least nine amino acids in length, and each
contains at least one epitope different from the epitope(s) of other
segments in the polyepitope polypeptide. At least one (and in some
embodiments, more) of the segments in the polyepitope polypeptide may
contain class I or class II MHC-binding epitopes. Two, three, or more of the
segments can be contiguous in the polyepitope polypeptide: that is, they are
joined end-to-end, with no spacer between them. Alternatively, any two
adjacent segments can be linked by a spacer amino acid or spacer peptide. In
particular embodiments, the spacer comprises three amino acids. Specific
non-limiting examples of spacers are the tri-amino acid KAA and the
tri-amino acid PGP. Additionally, a spacer amino acid or spacer peptide can
be used to link multiple groups of two, three, or more contiguous segments
in the polyepitope polypeptide: that is, a spacer amino acid or spacer
peptide is inserted between every two, three, or more segments.
A given segment of protein within the polyepitope polypeptide need not be
any specified length, so long as it is sufficiently long to generate at
least one epitope, for example, 2, 3, 4, 5, or more epitopes, and is at
least 9 amino acids in length. For example, a given segment can have a
length of at least 10 amino acids, for example, at least 11, 12, 13, 14, 15,
20, 25, 30, 40, or 50 amino acids. A given segment corresponds to a
particular naturally occurring protein if any 9 (or more) consecutive amino
acids of the segment are found in exactly the same order in a portion of the
naturally occurring protein. In exemplary embodiments, the segments included
in a polyepitope polypeptide are obtained from one or more HIV-1 proteins
and/or coreceptors (for example, CCR5).
It is understood that the term "naturally occurring proteins" used above
does not preclude modification of the sequence used in the polyepitope
polypeptide, for instance by changing one or a few amino acids. In addition,
it is understood that the nucleic acid molecule encoding the segment need
not be identical to the "naturally occurring" sequence, as found in (for
instance) the HV-1 genome. In particular, it is contemplated that the codon
usage in the nucleic acid molecule can be modified, for instance to convert
the encoding sequence to a codon optimized sequence. The codon optimization
can be tailored for the host cell in which the construct will eventually be
expressed. Thus, some constructs are engineered to be codon biased for
expression in a prokaryotic cell, others to be expressed in a unicellular
eukaryotic cell, and still others to be expressed in a cell of a
multicellular eukaryote (for example, a vertebrate). Codon selection to take
advantage of species biases is well known to those of ordinary skill.
The discovery of the HIV-1 coreceptors, together with a greater
understanding of the Envelope-receptor mediated conformational changes
resulting in the membrane fusion process, has identified several promising
vaccine targets. These epitopes as well as others in the transmembrane
envelope glycoprotein (gp41) have been identified as HIV-1 neutralizing
epitopes. Likewise, epitopes in the CCR5 coreceptor have been identified as
potential targets for interfering with receptor-env interactions. Any of
these epitopes can be included in the polyepitope polypeptides described
herein.
Construction of HIV-MCMV Immunogens
HIV-1-MCMV immunogen constructs comprised of a string of codon-optimized
epitopes have been produced. The antigenic fragments/epitopes in examples of
such constructs were selected using published studies including broad MHC
allele recognition and were compiled from the Los Alamos sequence database.
A representative pair of immunogen constructs (polyepitope polypeptides)
contains multiple B-cell epitopes, CTL epitopes, and T-helper epitopes
representing immunodominant regions for all subtypes of HIV-1 (see tables
included in the examples, and FIGS. 1, 2, and 3, see Original Patent). The
epitopes chosen are >80% homologous across diverse HIV-1 subtypes. B-cell
epitopes in the virus binding domain of the human HIV coreceptor CCR5 are
also included.
Without intending to be limited to a single interpretation, it is believed
that antibodies to CCR5 together with neutralizing antibodies directed
against the HIV-1 envelope glycoprotein and strong T-cell immunity will
interfere with the viral entry process and is expected to induce sterilizing
immunity.
Example immunogen constructs are shown in SEQ ID NOs: 2, 4, 5, 6, 8, and 10.
The constructs shown in SEQ ID NOs: 2, 4, 5, and 6 include CTL epitopes (and
therefore can be referred to generally as MCMV-CTL constructs); those in SEQ
ID NOs: 8 and 10 include B-cell and T-helper epitopes (and therefore can be
referred to generally as MCMV-AB/Th constructs).
Unique restriction enzyme digestion sites have been included in the nucleic
acid constructs encoding the provided polyepitope polypeptides. These
facilitate addition/deletion of epitopes, as well as the shuttling of the
polyepitope cassette between a number of DNA vectors, including DNA vaccine
constructs (for example, pVax-1, Invitrogen, Carlsbad, Calif.), eukaryotic
yeast expression vectors (for example, pYes, Invitrogen, Carlsbad, Calif.),
and multi-cell type expression vectors (for example, pTriEX-4, Novagen,
Madison, Wis.). This enables the production of both a DNA based immunogen
and vaccine, and ready production recombinant polyepitope polypeptide, which
can be used directly as an immunogen or as a boost. The synthetic genes
(which encode one or more polyepitope polypeptides) also can be incorporated
into attenuated viral vectors such as Modified Vaccinia or Adenovirus to
serve as a boosting agent.
Delivery and Immunogenicity by Inclusion of Targeting Sequences
Recent studies suggest that peptide spacers between epitopes and/or
targeting sequences may increase the immunogenicity of certain epitopes.
Targeting sequences such as the LIMP-II targeting sequence (which directs
proteins to lysosomes and enhances class-II recognition), or
targeting-competent fragments thereof, are used in certain provided
embodiments to help enhance T-helper response. Likewise, proteosome
targeting sequences (for example, ubiquitin or targeting-competent fragments
thereof) that help induce class I recognition are included in specific
embodiments, to provide improved CTL production. The chosen epitopes were
back translated and human codon optimized for increased expression from the
DNA construct.
In any of the described nucleic acids encoding polyepitope polypeptides, a
spacer amino acid or spacer peptide can be included between any two adjacent
segments of the construct. Optionally, in some embodiments the spacer is
included between each epitope; in other embodiments, a spacer is included
between every two, every three, every four, every five epitopes, or even
less often. In particular embodiments, the spacer comprises three amino
acids. Specific non-limiting examples of spacers are the tri-amino acid KAA
and the tri-amino acid PGP.
Recognition of Epitopes Contained in the Constructs
Most vaccine constructs under development are subtype-specific. This has led
to development of a number of country-specific subtype-specific HIV-1
vaccines, however, such vaccines will be difficult to implement due to
emerging diversity and changing epidemic of HIV-1.
In contrast, the constructs provided herein comprise highly conserved
immunogenic regions of HIV-1 that result in cross-protective immune
responses across HIV-1 subtypes. The immune responses to the immunogenic
epitopes can be tested, for instance, in recently-infected HIV-1 infected
persons (Primary HIV-1 infection; PHI) or individuals that have a slow
progression to disease.
V. Uses of MCMV Immunogens
In order to function effectively in vivo as a DNA-based immunogen, it is
advantageous to include within the MCMV nucleic acid construct a control
sequence that has the effect of enhancing or promoting the translation of
the sequences encoding the antigens. Use of such promoters is well known to
those of skill in the fields of molecular biology, cell biology, and viral
immunology (See, "Molecular Cloning: A Laboratory Manual", 2nd Ed., Sambrook,
Fritsch and Maniatis, Cold Spring Harbor Laboratory, Cold Spring Harbor,
N.Y., 1989; and "Current Protocols in Molecular Biology", Ausubel et al.,
John Wiley and Sons, New York 1987 (updated quarterly)).
In certain embodiments, the nucleic acid construct is intended for use as a
vaccine in a mammalian host. Therefore it is advantageous to employ a
promoter which operates effectively in mammalian cells. Particular
embodiments relate to both prokaryotic and eukaryotic host cells. Many
promoter sequences are known that are useful in either prokaryotic or
eukaryotic host cells. A promoter is operably disposed with respect to the
sequence(s) whose translation is to be promoted, so that it is capable of
promoting translation. In certain embodiments, the promoter is the
cytomegalovirus early promoter. In addition, in some embodiments, the
sequences to be expressed are followed by a terminator sequence.
Preparation of the nucleic acids is readily accomplished by methods well
known to workers of skill in the field of molecular biology. Procedures
involved are set forth, for example, in Sambrook, Fritsch and Maniatis, Cold
Spring Harbor Laboratory, Cold Spring Harbor, N.Y., 1989, and "Current
Protocols in Molecular Biology", Ausubel et al., John Wiley and Sons, New
York 1987 (updated quarterly). Incorporation of promoters, such as the
cytomegalovirus promoter, and of the polyadenylation signal, is likewise
well known to skilled practitioners in molecular biology and recombinant DNA
engineering.
When a nucleic acid molecule harboring a MCMV epitope chain is prepared, it
may be obtained in larger quantities by methods that amplify a nucleic acid
fragment. Such methods are widely known to workers skilled in molecular
biology and recombinant DNA engineering. Examples of these methods include
incorporation of the nucleic acid fragment into a plasmid for replication by
culturing in a cell (for example, a prokaryotic cell) and harvesting the
plasmid after growth of the culture, as well as amplification of the nucleic
acid fragment by nucleic acid amplification methods, such as the PCR. These
methods are exemplary only, and not intended to limit the ways in which the
nucleic acid construct may be obtained.
The MCMV nucleic acid constructs may be introduced into appropriate host
cells in many ways well known to those of ordinary skill in the fields of
molecular biology and viral immunology. By way of example, these include,
but are not limited to, incorporation into a plasmid or similar nucleic acid
vector which is taken up by the host cells, or encapsulation within
vesicular lipid structures such as liposomes, especially liposomes
comprising cationic lipids, or adsorption to particles that are incorporated
into the host cell by endocytosis.
In general, a host cell is a prokaryotic or eukaryotic cell harboring a MCMV
nucleic acid, or into which such a MCMV molecule has been introduced. The
constructs described herein induce the intracellular biosynthesis of the
encoded multivalent HIV-1 antigens. A suitable host cell is one which has
the capability for the biosynthesis of the gene products as a consequence of
the introduction of the nucleic acid. In particular embodiments, a suitable
host cell is one which responds to a control sequence and to a terminator
sequence, if any, which may be included within the construct. In order to
respond in this fashion, such a host cell contains within it components
which interact with a control sequence and with a terminator, and act to
carry out the respective promoting and terminating functions. When the host
cell is cultured in vitro, it may be a prokaryote, a single-celled eukaryote
or a vertebrate cell. In particular embodiments, the host cell is a
mammalian cell
VI. Stimulation of Immunological Responses to HIV-1
With the provision herein of polyepitope polypeptide antigens specific to
HIV-1, methods are now enabled for the stimulation of immune responses to
such antigens in subjects. In certain embodiments, such immune responses
will be protective against HIV-1 infection in the subject. MCMV polyepitope
polypeptides (singly or in combination) can be used, for instance, as
immunogenic agents in the inhibition, treatment, or amelioration of HIV-1.
Subjects selected for this type of treatment are those who are known to
have, or are suspected of having or are at risk of suffering, a HIV-1
infection.
The provided immunostimulatory MCMV polyepitope polypeptides, or constructs
or vectors encoding such polypeptides, are combined with a pharmaceutically
acceptable carrier or vehicle for administration as an immunostimulatory
composition or a vaccine to human or animal subjects. In some embodiments,
more than one polyepitope polypeptide may be combined to form a single
preparation.
The immunogenic formulations may be conveniently presented in unit dosage
form and prepared using conventional pharmaceutical techniques. Such
techniques include the step of bringing into association the active
ingredient and the pharmaceutical carrier(s) or excipient(s). In general,
the formulations are prepared by uniformly and intimately bringing into
association the active ingredient with liquid carriers. Formulations
suitable for parenteral administration include aqueous and non-aqueous
sterile injection solutions which may contain anti-oxidants, buffers,
bacteriostats and solutes which render the formulation isotonic with the
blood of the intended recipient; and aqueous and non-aqueous sterile
suspensions which may include suspending agents and thickening agents. The
formulations may be presented in unit-dose or multi-dose containers, for
example, sealed ampules and vials, and may be stored in a freeze-dried
(lyophilized) condition requiring only the addition of a sterile liquid
carrier, for example, water for injections, immediately prior to use.
Extemporaneous injection solutions and suspensions may be prepared from
sterile powders, granules and tablets commonly used by one of ordinary skill
in the art.
In certain embodiments, unit dosage formulations are those containing a dose
or unit, or an appropriate fraction thereof, of the administered ingredient.
It should be understood that in addition to the ingredients particularly
mentioned above, formulations encompassed herein may include other agents
commonly used by one of ordinary skill in the art.
The compositions provided herein, including those for use as
immunostimulatory agents or vaccines, may be administered through different
routes, such as oral, including buccal and sublingual, rectal, parenteral,
aerosol, nasal, intramuscular, subcutaneous, intradermal, and topical. They
may be administered in different forms, including but not limited to
solutions, emulsions and suspensions, microspheres, particles,
microparticles, nanoparticles, and liposomes.
The volume of administration will vary depending on the route of
administration. By way of example, intramuscular injections may range from
about 0.1 ml to about 1.0 ml. Those of ordinary skill in the art will know
appropriate volumes for different routes of administration.
The amount of protein in each vaccine dose is selected as an amount that
induces an immunostimulatory or immunoprotective response without
significant, adverse side effects. Such amount will vary depending upon
which specific immunogen is employed and how it is presented. Initial
injections may range from about 1 .mu.g to about 1 mg, with some embodiments
having a range of about 10 .mu.g to about 800 .mu.g, and still other
embodiments a range of from about 25 .mu.g to about 500 .mu.g. Following an
initial vaccination, subjects may receive one or several booster
immunizations, adequately spaced. Booster injections may range from about 1
.mu.g to about 1 mg, with other embodiments having a range of about 10 .mu.g
to about 750 .mu.g, and still others a range of about 50 .mu.g to about 500
.mu.g. Periodic boosters at intervals of 1-5 years, for instance three
years, may be desirable to maintain the desired levels of protective
immunity.
As described in WO 95/01441, the course of the immunization may be followed
by in vitro proliferation assays of PBL (peripheral blood lymphocytes)
co-cultured with ESAT6 or ST-CF, and especially by measuring the levels of
IFN-released from the primed lymphocytes. The assays are well known and are
widely described in the literature, including in U.S. Pat. Nos. 3,791,932;
4,174,384 and 3,949,064.
A relatively recent development in the field of immune stimulatory compounds
(for example, vaccines) is the direct injection of nucleic acid molecules
encoding peptide antigens (broadly described in Janeway & Travers,
Immunobiology: The Immune System In Health and Disease, page 13.25, Garland
Publishing, Inc., New York, 1997; and McDonnell & Askari, N. Engl. J. Med.
334:42-45, 1996). Plasmids (vectors) that include nucleic acid molecules
described herein, or that include a nucleic acid sequence encoding an
immunogenic MCMV polyepitope polypeptide may be utilized in such DNA
vaccination methods.
Thus, the terms "immunostimulatory preparation" and "vaccine" as used herein
also include nucleic acid vaccines in which a nucleic acid molecule encoding
a MCMV polyepitope polypeptide is administered to a subject in a
pharmaceutical composition. For genetic immunization, suitable delivery
methods known to those skilled in the art include direct injection of
plasmid DNA into muscles (Wolff et al., Hum. Mol. Genet. 1:363, 1992),
delivery of DNA complexed with specific protein carriers (Wu et al., J.
Biol. Chem. 264:16985, 1989), co-precipitation of DNA with calcium phosphate
(Benvenisty and Reshef, Proc. Natl. Acad. Sci. 83:9551, 1986), encapsulation
of DNA in liposomes (Kaneda et al., Science 243:375, 1989), particle
bombardment (Tang et al., Nature 356:152, 1992; Eisenbraun et al., DNA Cell
Biol. 12:791, 1993), and in vivo infection using cloned retroviral vectors (Seeger
et al., Proc. Natl. Acad. Sci. 81:5849, 1984).
Similarly, nucleic acid vaccine preparations can be administered via viral
carrier.
It is also contemplated that the provided immunostimulatory molecules and
preparations can be administered to a subject indirectly, by first
stimulating a cell in vitro, which stimulated cell is thereafter
administered to the subject to elicit an immune response.
VII. Immunological and Pharmaceutical Compositions
Immunological compositions, including immunological elicitor compositions
and vaccines, and other pharmaceutical compositions containing
latency-specific polypeptides or antigenic fragments thereof are useful for
reducing, ameliorating, treating, or possibly preventing HIV infection,
particularly HIV-1 infection. One or more of the polypeptides are formulated
and packaged, alone or in combination with adjuvants or other antigens,
using methods and materials known to those skilled in the vaccine art. An
immunological response of a subject to such an immunological composition may
be used therapeutically or prophylactically, and in certain embodiments
provides antibody immunity and/or cellular immunity such as that produced by
T-lymphocytes, such as cytotoxic T-lymphocytes or CD4.sup.+ T-lymphocytes.
The MCMV polyepitope polypeptides may be administered with an adjuvant in an
amount effective to enhance the immunogenic response against the conjugate.
At this time, the only adjuvant widely used in humans has been alum
(aluminum phosphate or aluminum hydroxide). Saponin and its purified
component Quil A, Freund's complete adjuvant and other adjuvants used in
research and veterinary applications have toxicities which limit their
potential use in human vaccines. However, chemically defined preparations
such as muramyl dipeptide, monophosphoryl lipid A, phospholipid conjugates
such as those described by Goodman-Snitkoff et al. (J. Immunol 147:410415,
1991), encapsulation of the conjugate within a proteoliposome as described
by Miller et al. (J. Exp. Med 176:1739-1744, 1992), and encapsulation of the
protein in lipid vesicles may also be useful.
The compositions provided herein, including those formulated to serve as
vaccines, may be stored at temperatures of from about -100.degree. C. to
about 4.degree. C. They may also be stored in a lyophilized state at
different temperatures, including higher temperatures such as room
temperature. The preparation may be sterilized through conventional means
known to one of ordinary skill in the art. Such means include, but are not
limited to, filtration, radiation and heat. The preparations also may be
combined with bacteriostatic agents, such as thimerosal
(ethyl(2-mercaptobenzoate-S)mercury sodium salt) (Sigma Chemical Co., St.
Louis, Mo.), to inhibit bacterial growth.
A variety of adjuvants known to one of ordinary skill in the art may be
administered in conjunction with the protein(s) in the provided vaccine
composition. Such adjuvants include but are not limited to the following:
polymers, co-polymers such as polyoxyethylene-polyoxypropylene copolymers,
including block co-polymers; polymer P1005; Freund's complete adjuvant (for
animals); Freund's incomplete adjuvant; sorbitan monooleate; squalene;
CRL-8300 adjuvant; alum; QS 21, muramyl dipeptide; CpG oligonucleotide
motifs and combinations of CpG oligonucleotide motifs; trehalose; bacterial
extracts, including mycobacterial extracts; detoxified endotoxins; membrane
lipids; or combinations thereof.
In a particular embodiment, a vaccine is packaged in a single dosage for
immunization by parenteral (that is, intramuscular, intradermal or
subcutaneous) administration or nasopharyngeal (that is, intranasal)
administration. In certain embodiments, the vaccine is injected
intramuscularly into the deltoid muscle. The vaccine may be combined with a
pharmaceutically acceptable carrier to facilitate administration. The
carrier is, for instance, water, or a buffered saline, with or without a
preservative. The vaccine may be lyophilized for resuspension at the time of
administration or in solution.
The carrier to which the polypeptide may be conjugated may also be a
polymeric delayed release system. Synthetic polymers are particularly useful
in the formulation of a vaccine to affect the controlled release of
antigens.
Microencapsulation of the polypeptide will also give a controlled release. A
number of factors contribute to the selection of a particular polymer for
microencapsulation. The reproducibility of polymer synthesis and the
microencapsulation process, the cost of the microencapsulation materials and
process, the toxicological profile, the requirements for variable release
kinetics and the physicochemical compatibility of the polymer and the
antigens are all factors that must be considered. Examples of useful
polymers are polycarbonates, polyesters, polyurethanes, polyorthoesters,
polyamides, poly-(d,1-lactide-co-glycolide) (PLGA), and other biodegradable
polymers.
Doses for human administration of a pharmaceutical composition or a vaccine
may be from about 0.01 mg/kg to about 10 mg/kg, for instance about 1 mg/kg.
Based on this range, equivalent dosages for heavier (or lighter) body
weights can be determined. The dose may be adjusted to suit the individual
to whom the composition is administered, and may vary with age, weight, and
metabolism of the individual, as well as the health of the subject. Such
determinations are left to the attending physician or another familiar with
the subject and/or the specific situation. The vaccine may additionally
contain stabilizers or physiologically acceptable preservatives, such as
thimerosal.
Claim 1 of 10 Claims
1. An isolated recombinant polyepitope
polypeptide comprising an amino acid sequence selected from the group
consisting of sequences recited in SEQ ID NOs: 2, 4, 5, 6, 8, 10, and
combinations of two or more thereof. ____________________________________________
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