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Title:
Construction of live attenuated Shigella vaccine strains that express
CFA/I antigens (CfaB and CfaE) and the B subunit of heat-labile
enterotoxin (LTB) from enterotoxigenic E. coli
United States Patent: 7,759,106
Issued: July 20, 2010
Inventors: Ranallo; Ryan T.
(Gaithersburg, MD), Venkatesan; Malabi M. (Bethesda, MD)
Assignee: The United States
of America as represented by the Secretary of the Army (Washington, DC)
Appl. No.: 11/132,199
Filed: May 19, 2005
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Covidien Pharmaceuticals Outsourcing
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Abstract
With the goal of creating a combination
vaccine against Shigella and other diarrheal pathogens we have constructed
a prototype vaccine strain of Shigella flexneri 2a (SC608) that can serve
as a vector for the expression and delivery of heterologous antigens to
the mucosal immune system. SC608 is an asd derivative of SC602, a
well-characterized vaccine strain, which has recently undergone several
phase 1 and 2 trials for safety and immunogenicity. Using non-antibiotic
asd-based plasmids, we have created novel constructs for the expression of
antigens from enterotoxigenic E. coli (ETEC), including CFA/I (CfaB and
CfaE) and the B-subunit from heat-labile enterotoxin (LTB) in Shigella
vaccine strain SC608. Heterologous protein expression levels and cellular
localization are critical to immune recognition and have been verified by
immunoblot analysis. Following intranasal immunization (SC608(CFAI) and
SC608(CFAI/LTB) of guinea pigs, serum IgG and IgA immune responses to both
the Shigella LPS and ETEC antigens can be detected by ELISA. In addition,
ELISPOT analysis for ASCs from cervical lymph nodes and spleen showed
similar responses. All vaccine strains conferred high levels of protection
against challenge with wild-type S. flexneri 2a using the Sereny test.
Furthermore, serum from guinea pigs immunized with SC608 expressing CfaB
and LTB contained antibodies capable of neutralizing the cytological
affects of heat-labile toxin (HLT) on Chinese Hamster Ovary (CHO) cells.
These initial experiments demonstrate the validity of a multivalent
invasive Shigella strain that can serve as a vector for the delivery of
pathogen-derived antigens.
Description of the
Invention
FIELD OF INVENTION
The invention relates to materials and methodologies for preparing
multivalent vaccines, recombinant DNA expression products and more
particularly to vector constructs which effectively express the cfaB, cfaE
and LTB proteins in Shigella spp. without affecting the ability of the
Shigella strain to invade cells of the colonic epithelium following oral
administration to humans.
BACKGROUND OF THE INVENTION
Diarrheal diseases are a significant global problem resulting in high
levels of morbidity and mortality especially to children under the age of
5. Two of the most prominent agents that cause diarrheal disease are
Shigella spp and enterotoxigenic E. coli. (ETEC). Current measures for
preventing and treating these diseases are insufficient in that over 375
million cases occur with an estimated 1.48 million resulting in death
annually (34).
Shigella spp are invasive pathogens that can cause disease through
ingestion of food or water contaminated with as little as 100 bacteria.
Shigella can penetrate the intestinal epithelial cells of the colonic
mucosa and stimulate a mucosal inflammatory response eliciting the
production of an array of proinflammatory cytokines leading to recruitment
of neutrophils and macrophages (reviewed in (15)). Following invasion, the
bacteria multiply and spread to contiguous cells using actin
polymerization (25). The resulting disease shigellosis (bacillary
dysentery) is characterized by an inflammatory condition of the colon with
accompanying fever, vomiting, severe abdominal pain, diarrhea and passage
of blood and mucus-containing stools (13).
Enterotoxigenic E. coli (ETEC) is also transmitted through contaminated
food or water, however the infectious dose for ETEC is much higher (11).
Once ingested, ETEC attach to mucosal epithelial cells using proteinacious
fimbriae or colonization factor antigens (CFAs or CFs) and can secrete up
to two separate enterotoxins designated heat-stable toxin (ST) and
heat-labile toxin (HLT) (reviewed in (19) and refs therein). Immune
response to ETEC infections indicates secretory IgA (sIgA) directed
towards CFs can provide protective immunity against homologous fimbrial
type (11).
Currently, there is a significant effort being put forth toward the
development of a safe and efficacious vaccine for both of these enteric
diseases. These efforts include: subcellular complexes purified from
virulent Shigella (30), detoxified LPS-conjugates, subunit approaches,
killed whole-cell preparations, and attenuation of pathogenic isolates for
use as live attenuated vaccines (34).
Precise or targeted attenuation of pathogenic (invasive) strains of
Shigella has made significant progress over the past 15 years. Initially
attenuating mutations were made in key biosynthetic pathways creating
auxotrophic mutants, which maintain the invasive nature of Shigella. These
mutations tended to reduce or eliminate intracellular replication once
inside the host cytoplasm. However, a greater understanding of the
molecular pathogenesis of Shigella has led to the targeting of specific
virulence factors (24) and reviewed in (15). One such strain, SC602 has
deletions in both IcsA and IucA (6). This strain is highly invasive,
however once inside host cells it cannot spread to contiguous cells due to
the IcsA mutation. IcsA mutants, unlike wild-type strains, do not elicit a
characteristic keratoconjunctivitis (Sereny reaction) when applied to the
eyes of guinea pigs, SC602 has recently undergone phase 1 and 2 clinical
trials in North American volunteers and demonstrated significant
protection against severe shigellosis (7, 20). However, the vaccine can be
reactogenic at doses higher than 10.sup.4 thus demonstrating the need to
balance attenuation with immunogenicity.
In addition to their potential for protection against shigellosis,
attenuated strains of Shigella have been used as delivery vehicles for
genes encoding numerous other protective antigens (1, 3-6, 21, 23). In one
scenario the heterologous genes are regulated using a prokaryotic promoter
and expressed by the attenuated bacteria. Immunogenicity of the antigen in
this situation depends on the subcellular location and of the antigen
within the bacteria (17, 22). The heterologous antigen is then processed
by the immune system along with other bacterially derived antigens.
Alternatively, the bacteria harbor heterologous genes under the control of
a eukaryotic promoter. These so-called DNA vaccines are delivered to
antigen presenting cell (APCs) following invasion and bacterial lysis.
Once inside the APC the eukaryotic promoter is turned on and the
expression of foreign proteins leads to an immune response (reviewed in
(32)). Regarding the former scenario several considerations must be
considered when expressing pathogen-derived heterologous protein antigens
in attenuated bacterial vectors regardless of the antigen and species of
bacteria. First, the antigen must be expressed at optimum level so as to
minimize further attenuation of the vaccine strain. The second
consideration is the cellular location and thus presentation to the immune
system. A comparative study looking at antigen subcellular location (periplasmic
or secreted vs. cytoplasmic) found that periplasmic and extracellular
antigens are more immunogenic that antigens retained in the cytoplasm
(17). Finally, the goal is to create a multivalent vaccine strain and thus
heterologous antigen expression should not reduce the immunogenicity
(invasiveness) of the bacterial vector.
There are several reports of Shigella being used as a carrier of both
heterologous protein and DNA antigens. In particular, the Center for
Vaccine Development (CVD) of the University of Maryland School of Medicine
has set out and made significant progress towards the goal of constructing
a combination vaccine to protect against Shigella and ETEC-associated
diarrhea (1, 2, 4, 21, 23). They have used the engineered Shigella vaccine
strain CVD 1204 (.DELTA.guaBA) to express several ETEC fimbrial antigens
as well as mutant heat-labile toxin (mLT) (1, 2, 4, 21). The CVD's
approach has been to clone and express the entire fimbrial operon under
the control of an inducible promoter. To date they have constructed and
tested Shigella strains that express CFA/I, CS2, CS3, CS4, as well as
detoxified mLT (LThK63 or LThR72). Guinea pigs immunized with mixed
inoculums containing five different Shigella strains, each expressing
individual ETEC fimbriae, showed serum and mucosal antibody responses to
both the Shigella vector and the ETEC fimbriae (4).
SUMMARY OF THE INVENTION
The invention includes primer pairs characterized as having a length of
about 15-100 nucleotides, preferably between 25-75 nucleotides, most
preferably 30-46 nucleotides, which pairs permit the PCR amplification of
the entire CfaA, CfaB and CfaE open reading frames without the entire
CFA/I operon but with the signal sequence of each protein along with
restriction sites for insertion into a vector which insertion allows for
expression, export and assembly of the protein on the bacterial surface.
The primer pairs are grouped as follows: a)
5'-GATCAAGCTTCCATGAAAAAGGAGGGATGTA-3' [SEQ ID NO 1] and
5'-GATCCCATGGGCATGCATAAATTATTCTATTTACTAAGT-3' [SEQ ID NO 2] b)
5'-TACATGCCATGGATAAATTATTCTATTTACT-3' [SEQ ID NO 3] and
5'-ATTCTGTTATATATGTCAACCTGCAGGAGGGATGTATAAACATACC-'3 [SEQ ID NO 4], c)
5'-GGTATGTTTATACATCCCTCCTGCAGGTTGACATATATAACAGAAT-3' [SEQ ID NO 5] and
5'-TTACCCAAGCTTAGACATGCTTTTAAAGCAAA-3' [SEQ ID NO 6] and d)
5'-TACATGCCATGGATAAATTATTCTATTTACT-3' [SEQ ID NO 7] and
5'-CGTTTATCCTTTATCATTCTCTTAGTATATAGATGAGTAA-3' [SEQ ID NO 8] and e)
5'-TTACTCATCTATATACTAAGAGAATGATAAAGGATAAACG-3' [SEQ ID NO 9] and
5'-TTCAGCCCAAGCTTTAGCGCCAATATGTTGTTAT-3' [SEQ ID NO 10].
A further embodiment of the invention are vectors containing a cis-acting
DNA promoter element capable of initiating the synthesis of mRNA operabley
linked to an open reading frame containing one or more ETEC genes. ETEC
genes of interest include cfaA, cfaB, cfaE, LTh B, (LTB). The vector is
designed so that the entire CfaA, CfaB and CfaE open reading frames is
expressed without the entire CFA/I operon. The resultant protein is
exported and assembled on the bacterial surface. A conventional cis-acting
promoter suitable for use in the invention is Ptrc. The exemplified
vectors include plasmid pCFAI, pCFAI/LTB, and pCfaAE. These plasmids are
derived from pYA3098. It should be noted that these vectors do not contain
a gene that produces a product capable of breaking down any formally
declared antimicrobial agent for the exclusive purpose of maintaining the
vector. There is no antibiotic marker. The vector population can be
maintained without the use of antibiotics.
The open reading frame can contain a chaperone-subunit consisting
essentially of CfaA-CfaB or CfaA-CfaE and results in periplasmic
accumulation of both the major and minor subunits from CFA/I. (A
chaperone-subunit combination is an interaction between two proteins
whereby the charperone enables the correct folding and stabilization of
the subunit. The subunit here is a protein product that constituents a
fimbriae from enterotoxigenic E. coli.)
The vectors of the invention can also contain the cfaABCE gene cluster
from enterotoxigenic E. coli H10407. This open reading frame can also
include CS6, CS3 and CS17 (Enterotoxigenic E. coli strains).
The open reading frame typically contains a single linear DNA fragment
encoding the cfaA, cfaB, cfaE and LTh B (LTB) genes. This fragment is
obtained by the PCR amplification using the primers of the invention.
A further embodiment of the invention are the use of the vectors to
transform Shigella species which results in the periplasmic expression of
heterologous antigens. This expression is not likely to alter either
Shigella 's natural tissue tropism (colonic epithelium) following oral
immunization or significantly reduce strains invasiveness. Suitable
Shigella species include S. sonnei, S. dysenteriae and S. flexner, in
particular S. sonnei WRSs1 and S. dysentariae WRSd1. Exemplified
transformed shigella strains include Shigella vaccine strain, e.g.
Shigella flexnari. 2a (SC608) (3098), Shigella flexnari 2a (SC608) (LTB),
Shigella flexnari 2a (SC608) (CFAI) and Shigella flexnari 2a (SC608) (CFAI/LTB).
These strains are characterized as having deletions in icsA which causes
intracellular spreading of bacteria to contiguous host epithelial cells.
These transformed shigella strains are suitable for use in immunogenic
composition, in particular vaccines. The vaccines are adapted for oral or
mucosal administration. The vaccines induce a protective immune response
and are suitable for the treatment of Shigella or ETEC-mediated Traveler's
Diarrhea. the protective immune response is directed toward Shigella and
ETEC. The immune response is directed to both Shigella LPS heterologous
antigen and is measurable in serum, cervical lymph nodes, spleen or other
mucosal surface.
The vaccines can be characterize as multivalent vaccine, e.g. bivalent
vaccine. The Shigella can be either live or attenuated. The vaccine can be
administered to the subject in one or a series of does over time.
In summary, the invention has as its goal the creation of a combination
vaccine against Shigella and other diarrheal pathogens. A prototype
vaccine strain of Shigella flexneri 2a (SC608) was constructed that can
serve as a vector for the expression and delivery of heterologous antigens
to the mucosal immune system. SC608 is an asd derivative of SC602, a
well-characterized vaccine strain, which has recently undergone several
phase 1 and 2 trials for safety and immunogenicity. Using non-antibiotic
asd-based plasmids, a novel constructs were created for the expression of
antigens from enterotoxigenic E. coli (ETEC), including CFA/I (CfaB and
CfaE) and the B-subunit from heat-labile enterotoxin (LTB) in Shigella
vaccine strain SC608. Heterologous protein expression levels and cellular
localization are critical to immune recognition and have been verified by
immunoblot analysis. Following intranasal immunization (SC608(CFAI) and
SC608(CFAI/LTB) of guinea pigs, serum IgG and IgA immune responses to both
the Shigella LPS and ETEC antigens can be detected by ELISA. In addition,
ELISPOT analysis for ASCs from cervical lymph nodes and spleen showed
similar responses. All vaccine strains conferred high levels of protection
against challenge with wild-type S. flexneri 2a using the Sereny test.
Furthermore, serum from guinea pigs immunized with SC608 expressing CfaB
and LTB contained antibodies capable of neutralizing the cytological
affects of heat-labile toxin (HLT) on Chinese Hamster Ovary (CHO) cells.
These initial experiments demonstrate the validity of a multivalent
invasive Shigella strain that can serve as a vector for the delivery of
pathogen-derived antigens.
DETAILED DESCRIPTION OF THE INVENTION
The invention is directed to a unique approach for creating a bivalent
vaccine that uses Shigella flexneri 2a (strain SC608) as vector to carry
ETEC antigens to the mucosal immune system. ETEC antigens are incorporated
into SC608 by employing a plasmid-based aspartate semialdehyde
dehydrogenase (asd) `balanced-lethal` system developed by Roy Curtiss III
and colleagues (8). An asd mutant of Shigella flexneri 2a (SC602), called
SC608 was created and used to express antigens from ETEC including the
CFA/1 major subunit, CfaB, CFA/1 minor subunit CfaE and the B-subunit from
the type I heat-labile toxin (LTB). The expression plasmids for CfaB, CfaE
and LTB represent a novel method for fimbrial antigen expression. The
chaperone-subunit (CfaA-CfaB and CfaA-CfaE) combination in each of the
expression plasmids allows for periplasmic accumulation of both the major
and minor subunits from CFA/I. This represents a novel configuration and
provides a strategy for the construction of expression plasmids for other
colonization factor antigens.
Heterologous protein expression levels are critical to immune recognition
and have been verified by immunoblot analysis for all three expression
plasmids. Strain invasiveness, a phenotype critical for the induction of
an effective immune response, was confirmed using HeLa cell invasion with
gentamicin protection. Immunogenicity experiments for SC608(pCFAI) and
SC608(pCFAI/LTB) were assessed following intranasal immunization of guinea
pigs. Serum and mucosal secretion were positive for both Shigella flexneri
2a LPS and ETEC antigens CFAI and LTB. In addition, ELISPOT analysis for
antibody secreting cells from cervical lymph nodes and spleens correlated
with the ELISA results. All immunized guinea pig were protected from
severe conjunctivitis using the Sereny test. Finally, we have used in
vitro assays to examine the specificity of the antibodies generated
against ETEC antigens.
Cloning of CFA/I and LTB Expression Constructs:
The cfaABCE gene cluster from enterotoxigenic E. coli (ETEC) H 10407 (16)
was used to design primers for PCR amplification of the entire CfaA, CfaB
and CfaE open reading frames (ORFs). The primers were designed to include
the signal sequence of each protein as well as restriction sites allowing
for insertion into the asd-based vector pYA3098 (gift from Roy Curtiss
III) down stream from the Ptrc promoter. The resulting clones (pCFAI and
pCfaAE) are unique constructs for the expression of CfaB and CfaE (FIGS.
1A, 1C (see Original Patent)). Previous constructs employed for
heterologous CFA/I expression in Shigella and Salmonella have included the
entire CFA/I operon, allowing for not only expression, but also export and
assembly of CFA/I fimbriae on the bacterial surface. We have chosen a
different strategy for expressing ETEC fimbrial proteins in Shigella for
several reasons. First, periplasmic expression of heterologous antigens is
not likely to alter Shigella 's natural tissue tropism (colonic
epithelium) following oral immunization. Second, this type of expression
doesn't significantly reduce strains invasiveness (data not shown and FIG.
2E (see Original Patent)), a property that is likely necessary for
induction of protective immune responses. In an attempt to create a more
comprehensive Shigella-ETEC hybrid strain we generated a second construct,
which included the B subunit of heat labile toxin (LTB) from ETEC. The
eltB or LTh B gene sequence, encoding LTB, was used to design PCR primers
for amplification of the LTB ORF. A second round of PCR was used to create
a single DNA fragment containing the CfaA, CfaB, and LTB ORFS. This DNA
fragment was inserted into pYA3098 down stream of the Ptrc promoter,
creating the plasmid pCFAI/LTB (FIG. 1B (see Original Patent)).
Protein Expression of ETEC Antigens in Shigella Vaccine Strain SC608:
The asd `balance-lethal` system, which allows for selection of a plasmid
without antibiotic resistance genes, (12, 18, 33), was used to express
antigens derived from ETEC in Shigella. SC602 was used to create an asd
mutant (SC608), which when grown in LB medium has an obligate growth
requirement for diaminopimelic acid (DAP) unless complemented with an asd-containing
plasmid. The expression plasmids (pCFAI, pCfaAE and pCFAI/LTB), along with
an empty vector control (pYA3098), were electroporated into SC608,
generating the Shigella vaccine strains SC608(3098), SC608(CFAI),
SC608(CfaAE) and SC608(CFAI/LTB).
CfaB expression in these new strains was initially evaluated in whole-cell
extracts prepared from log phase cultures. Immunoblotting using
CFA/I-specific antiserum generated against intact fmbrae demonstrated that
both SC608(CFAI) and SC608(CFAI/LTB) were expressing nearly equivalent
amount of the 15-kDa CfaB protein (FIG. 2A, compare lanes 2 and 3 (see Original Patent)).
In order to demonstrate expression of LTB, the same extracts were
separated on a 4-12% SDS-polyacrylamide gel and transferred to
nitrocellulose. Immunoblotting using antiserum to E. coli type I
heat-labile toxin (HLT) detected a .about.12-kDa band corresponding to LTB
in the extracts of SC608(CFAI/LTB) only (FIG. 2B, lane 3). No band of this
mass was detected in the lanes of the controls strains that lack the LTB
ORF (FIG. 1B, lanes 1 and 2 (see Original Patent)). CfaE expression was
also evaluated in whole-cell extracts prepared from log phase cultures.
Immunoblotting using CfaE-specific antiserum demonstrated that both two
individual colonies of SC608(CfaAE) were expressing the CfaE protein (FIG.
2C lanes 2 and 3 (see Original Patent)).
Previous studies using Salmonella as mucosal delivery vector have
indicated that antigens located in the periplasm and extracellular fluid
are much more immunogenic than antigens retained in the cytoplasm (17).
Having modified the CFA/I operon in our expression constructs we sought to
examine the subcellular location of CfaB and LTB using a simple colony
blot technique (28). The technique allows for the absorption of
extracellular and perhaps periplasmic proteins directly to nitrocellulose
for detection. As a control all vaccine strains were evaluated for the
expression of IpaB, a Shigella protein critical for the invasion phenotype
(FIG. 2C (see Original Patent)). All strains had similar levels of IpaB,
while only SC608(CFAI) and SC608(CFAI/LTB) were positive for CfaB (FIG.
2C). Interestingly, SC608(CFAI) had slightly reduced levels of CfaB as
compared to SC608(CFAI/LTB) in the colony blot, but very similar levels in
whole cell extracts (compare FIGS. 2A and 2C). As expected, only
SC608(LTB) was positive for LTB expression (FIG. 2C). Similar experiments
where colonies are treated briefly (3 min.) with lysozyme yields the same
result with a slightly stronger signal (data not shown). Thus by western
and colony immunoblotting we can show expression of CfaB using the
modified CFA/I operon lacking the cfaC and cfaE. Furthermore we show that
replacement of these genes with LTB allows for the expression of both CfaB
and LTB using a single Ptrc promoter. Periplasmic expression of CfaE was
demonstrated using identical protocols (data not shown).
Evaluation of HeLa Cell Invasion Using Shigella Hybrid Vaccine Strains:
It is generally accepted that live attenuated strains of Shigella must
retain the ability to invade nonphagocytic cells in order for them to
generate protective immune responses the host. Thus, Shigella vaccine
strains SC608(3098), SC608(CFAI) and SC608(CFAI/LTB) were evaluated for
invasiveness using the gentamicin protection assay in HeLa epithelial
cells (10). The assay is based on the limited ability of the antibiotic
gentamicin to penetrate eukaryotic cells (31). Shigella that invade and
become intracellular are protected from the bactericidal effects of
gentamicin, whereas extracellular organisms are killed. Positive and
negative control strains for this assay are congo red positive and congo
red negative isolates of the wild type S. flexneri strain 2457T. Congo red
binding in S. flexneri is associated with virulence plasmid maintenance
and thus infectivity (9, 26, 27). Results for the test strains are
calculated as a percentage of the 2457T congo red positive isolate.
Results from this assay indicate SC608(3098) is slightly more invasive
(120%) than 2457T, while SC608(CFAI) and SC608(CFAI/LTB) are slightly less
invasive (96% and 75% respectively) (FIG. 2D). SC608(CfaAE) is also
slightly less invasive (65%) (data not shown). Thus demonstrating that
expression of ETEC antigens (CfaB CfaE and LTB) in SC608, do not appear to
significantly affect HeLa cell invasion.
Evaluation of Immune Responses in Guinea Pigs Immunized with Hybrid
Vaccine Strains:
The immunogenicity and protective efficacy of each vaccine strain was
tested in guinea pigs. Fifty-six guinea pigs were separated into groups
(14 animals per group) and intranasally immunized with 2 doses of
SC608(3098), SC608(CFAI), SC608(CFAI/LTB) and normal saline (unimmunized
control animals), spaced 14 days apart. One week after the last
immunization 6 guinea pigs per group were euthanized and an ELISPOT assay
was used to detect local immune response to Shigella and ETEC antigens in
the spleen and cervical lymph nodes (CLN). S. flexneri 2a LPS-specific IgG,
IgA, and IgM antibody secreting cells (ASCs) were consistently detected
and did not vary significantly between vaccine strains (FIG. 3, panel 1 (see Original Patent)).
ASCs were also measured using ETEC-derived antigens CFAA and HLT. Using
intact CFA/I fimbriae as an antigen, ASC's were detected in both
SC608(CFAI) and SC608(CFAI/LTB) vaccinated animals with IgG being the
dominant isotype detected (FIG. 3, panel 2). Interestingly, and for
reasons that are not immediately apparent the CFA/I-specific ASCs for
SC608(CFAI/LTB) were lower than in SC608(CFAI) immunized animals. As
expected HLT-specific ASCs were detected for SC608(CFAI/LTB) only and
again IgG dominated the isotype distribution (FIG. 3, panel 3).
Immune responses in serum and mucosal secretions were measured using
enzyme-linked immunosorbent assay (ELISA) on days 0, 14, 28. Serum IgG and
IgA-specific immune responses were measured against S. flexneri 2a LPS,
intact CFA/I fimbriae and HLT. Consistent with the ELISPOT assay all
groups immunized with SC608 derivatives induced significant serum IgG and
IgA LPS responses (FIG. 4A (see Original Patent)). Interestingly, only IgA-specific
LPS responses were detected on day 14. Significant serum IgG responses
were detected for SC608(CFAI) and SC608(CFAI/LTB) immunized animals, while
serum IgA responses were less consistently detected (FIG. 4B). In fact
serum IgA responses for HLT were marginal and only detected in some animal
and was not considered significantly above background.
Mucosal immune responses were measured for LPS, CFA/I and HLT-specific
secretory IgA (sIgA) from ocular washes. ELISA assays were used to
quantitate sIgA antibodies with an initial starting dilution of 1:30. All
animals immunized with SC608 vector had high levels of sIgA antibodies
against S. flexneri LPS even at day 14 (FIG. 4C (see Original Patent)).
sIgA antibodies specific for HLT were detected in animals vaccinated with
SC608(CFAI/LTB), however no sIgA specific for CFA/I was detected for
(SC608CFAI) vaccinated animals.
Challenge Assay:
All vaccinated guinea pigs as well as normal saline controls were
challenged three weeks after the final immunization with homologous
wild-type Shigella 2457T using the Sereny test. Guinea pigs (eight per
group) were inoculated in the conjunctival sac of one eye for sham
immunized and both eyes for SC608 immunized guinea pigs. All groups
immunized with SC608 derivative were at least partially protected against
disease (table 1 (see Original Patent)).
SC608/CFAI demonstrated the highest level of protection with 81.3% full
protection and 18.7 partial protection.
Functional Evaluation of Antibodies Produced Against LTB Using CHO Cell
Elongation Assay:
E. coli derived type I heat-labile toxin (HLT) is the prototypical
.alpha..sub.1.beta..sub.5 enterotoxin that causes elevation of the
intracellular levels of cyclic AMP (cAMP), resulting in watery diarrhea
which is associated with ETEC infections (reviewed in (19). In vitro, HLT
induces elongation of cultured Chinese hamster ovary (CHO-K1; ATCC CCL-61)
cells most likely due to changes in the cytoskeleton as a result of high
cAMP levels (29). We used this HLT-induced change in cellular morphology
to measure the neutralizing properties of the antibodies induced by all
SC608 derivatives. The minimal concentration of HLT needed maximal CHO
cell elongation was determined to be 25 ng/ml. Serum collected from guinea
pigs (eight per group) on day 28 was pooled using equal volumes and tested
were for the ability to inhibit HLT elongation. Only serum from animal
immunized with SC608(CFAI/LTB) were able to inhibit HLT-mediated
elongation (FIG. 5 A-F (see Original Patent)). In addition this affect
could be titrated upon dilution of the serum thus demonstrating that
antibodies raised against the B subunit of HLT can neutralize the toxic
affects of HLT in vitro (FIG. 5G (see Original Patent)).
Claim 1 of 8 Claims
1. Primer pairs characterized as having a
length of about 15-100 nucleotides, which pairs permit the PCR
amplification of the entire CfaA, CfaB and CfaE open reading frames
without the entire CFA/I operon but with the signal sequence of each
protein along with restriction sites for insertion into a vector which
insertion allows for expression, export and assembly of the protein on the
bacterial surface, which pairs contain sequences or sequences strictly
complementary thereto and are selected from the group consisting of: a)
5'-GATCAAGCTTCCATGAAAAAGGAGGGATGTA-3' SEQ ID NO 1 and
5'-GATCCCATGGGCATGCATAAATTATTCTATTTACTAAGT-3' SEQ ID NO 2, b)
5'-TACATGCCATGGATAAATTATTCTATTTACT-3' SEQ ID NO 3 and
5'-ATTCTGTTATATATGTCAACCTGCAGGAGGGATGTATAAACATACC-'3 SEQ ID NO 4, c)
5'-GGTATGTTTATACATCCCTCCTGCAGGTTGACATATATAACAGAAT-3' SEQ ID NO 5 and
5'-TTACCCAAGCTTAGACATGCTTTTAAAGCAAA-3' SEQ ID NO 6 and d)
5'-TACATGCCATGGATAAATTATTCTATTTACT-3' SEQ ID NO 7 and
5'-CGTTTATCCTTTATCATTCTCTTAGTATATAGATGAGTAA-3' SEQ ID NO 8, e)
5'-TTACTCATCTATATACTAAGAGAATGATAAAGGATAAACG-3' SEQ ID NO 9 and
5'-TTCAGCCCAAGCTTTAGCGCCAATATGTTGTTAT-3' SEQ ID NO 10.
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