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Title:
Prostate cancer vaccine
United States Patent: 7,910,565
Issued: March 22, 2011
Inventors: McNeel; Douglas
G. (Madison, WI), Olson; Brian M. (Madison, WI)
Assignee: Wisconsin Alumni
Research Foundation (Madison, WI)
Appl. No.: 11/848,607
Filed: August 31, 2007
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Pharm Bus Intell
& Healthcare Studies
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Abstract
Androgen receptor-based vaccines for
eliciting an immune reaction in vivo against cells expressing androgen
receptor are disclosed. The vaccines are useful in the treatment of
prostate cancer. Also disclosed are methods for inducing immune reaction
to androgen receptor or treating prostate cancer in a mammal, using the
vaccines and pharmaceutical compositions comprising the vaccines.
Description of the
Invention
BRIEF SUMMARY OF THE INVENTION
The present invention is based, in part, on the inventors' discovery that
patients with prostate cancer have antibodies specific for the androgen
receptor, that androgen receptor ligand-binding domain as well as four
fragments thereof (SEQ ID NO:9-12) can elicit immune responses in vivo,
and that animals vaccinated with a DNA vaccine encoding the androgen
receptor (AR) ligand-binding domain (LBD) inhibited prostate tumor growth
in vivo.
In one aspect, the invention relates a method for inducing an immune
reaction to androgen receptor in a mammal in need thereof, the method
comprising administering to the mammal an effective amount of a
recombinant DNA construct comprising a polynucleotide operatively linked
to a transcriptional regulatory element (e.g., a promoter such as a
heterologous promoter) wherein the polynucleotide encodes a member
selected from (i) a mammalian androgen receptor (e.g., a human androgen
receptor), (ii) a fragment of the androgen receptor that comprises the
ligand-binding domain, (iii) a fragment of the ligand-binding domain
defined by SEQ ID NO:9, (iv) a fragment of the ligand-binding domain
defined by SEQ ID NO:10, (v) a fragment of the ligand-binding domain
defined by SEQ ID NO:11, and (vi) a fragment of the ligand-binding domain
defined by SEQ ID NO:12, whereby the mammal develops immune reaction
against the androgen receptor. In one form, the polynucleotide employed in
the method encodes the ligand-binding domain of a mammalian androgen
receptor. In another form, multiple DNA constructs with each comprising a
polynucleotide that encodes a different fragment selected from (iii)-(vi)
are administered. For example, two DNA constructs covering fragments (iii)
and (iv) can be administered together. As another example, four DNA
constructs covering all four fragments (iii)-(vi) can be administered
together. The method disclosed can be practiced with a mammal, preferably
a human, who either currently has or previously had prostate cancer.
In one embodiment, the polynucleotide encodes a human androgen receptor or
a fragment of the human androgen receptor that comprises the ligand-binding
domain. The polynucleotide is preferably a nucleotide sequence of the
human androgen receptor gene. In one form of this embodiment, the
polynucleotide encodes the ligand-binding domain of a human androgen
receptor.
The above method employing the DNA construct induces cytotoxic immune
reaction against cells expressing androgen receptor. Preferably, both
humoral and cellular immune reactions against androgen receptor are
induced.
In another aspect, the present invention relates to a method for inducing
an immune reaction to androgen receptor in a mammal in need thereof, the
method comprising administering to the mammal an effective amount of a
polypeptide selected from (i) a mammalian androgen receptor (e.g., a human
androgen receptor), (ii) a fragment of the androgen receptor that
comprises the ligand-binding domain, (iii) a fragment of the ligand-binding
domain defined by SEQ ID NO:9, (iv) a fragment of the ligand-binding
domain defined by SEQ ID NO:10, (v) a fragment of the ligand-binding
domain defined by SEQ ID NO:11, and (vi) a fragment of the ligand-binding
domain defined by SEQ ID NO:12, whereby the mammal develops immune
reaction against the androgen receptor. In one form, the polypeptide
employed is the ligand-binding domain of a mammalian androgen receptor. In
another form, multiple fragments of the ligand-binding domain (e.g. SEQ ID
NO:9 and SEQ ID NO:10, and optionally SEQ ID NO:11 and SEQ ID NO:12) are
administered. The method disclosed can be practiced with a mammal,
preferably a human, who either currently has or previously had prostate
cancer.
In one embodiment, the human androgen receptor or a fragment of the human
androgen receptor that comprises the ligand-binding domain is
administered. In one form of this embodiment, the ligand-binding domain of
the human androgen receptor is administered.
The above method employing the polypeptide induces cellular or humoral
immune reaction against cells expressing androgen receptor. Preferably,
both humoral and cellular immune reactions against androgen receptor are
induced.
According to one embodiment of the invention, the recombinant DNA
construct or the polypeptide is administered to the mammal intradermally,
intramuscularly, subcutaneously, or intravascularly, including
intravenously and intraarterially. Preferably, the recombinant DNA
construct is administered intradermally, intramuscularly, or
intravascularly and the polypeptide is administered subcutaneously.
In another aspect, the present invention relates to an isolated
polypeptide selected from SEQ ID NO:9, SEQ ID NO:10, SEQ ID NO:11, and SEQ
ID NO:12. In another aspect, the present invention relates to a
composition that comprises one or more of the above polypeptides and a
pharmaceutically acceptable carrier.
According to another aspect of the present invention, a DNA vaccine is
contemplated which comprises a plasmid vector comprising a polynucleotide
operatively linked to a transcriptional regulatory element (e.g., a
promoter such as a heterologous promoter) wherein the polynucleotide
encodes a member selected from (i) a mammalian androgen receptor (e.g., a
human androgen receptor), (ii) a fragment of the androgen receptor that
comprises the ligand-binding domain, (iii) a fragment of the ligand-binding
domain defined by SEQ ID NO:9, (iv) a fragment of the ligand-binding
domain defined by SEQ ID NO:10, (v) a fragment of the ligand-binding
domain defined by SEQ ID NO:11, and (vi) a fragment of the ligand-binding
domain defined by SEQ ID NO:12, wherein upon administration of said
vaccine to a mammal a cytotoxic immune reaction against cells expressing
androgen receptor is induced. The vaccine of the present invention
preferably is suitable for intradermal, intramuscular, subcutaneous, or
intravascular (including intravenous and intraarterial) administration to
a mammal such as a human. According to a preferred embodiment, the plasmid
vector comprises (a) a backbone of pNGVL3, (b) a polynucleotide operably
inserted therein wherein the polynucleotide encodes a member selected from
(i) a mammalian androgen receptor (e.g., a human androgen receptor), (ii)
a fragment of the androgen receptor that comprises the ligand-binding
domain, (iii) a fragment of the ligand-binding domain defined by SEQ ID
NO:9, (iv) a fragment of the ligand-binding domain defined by SEQ ID
NO:10, (v) a fragment of the ligand-binding domain defined by SEQ ID
NO:11, and (vi) a fragment of the ligand-binding domain defined by SEQ ID
NO:12, and, optionally, (c) one or a plurality of an immunostimulatory
sequence (ISS) motif.
Preferably, the DNA vaccine according to the invention comprises a plasmid
vector that comprises (a) a polynucleotide operatively linked to a CMV
promoter wherein the polynucleotide encodes a member selected from (i) a
mammalian androgen receptor (e.g., a human androgen receptor), (ii) a
fragment of the androgen receptor that comprises the ligand-binding
domain, (iii) a fragment of the ligand-binding domain defined by SEQ ID
NO:9, (iv) a fragment of the ligand-binding domain defined by SEQ ID
NO:10, (v) a fragment of the ligand-binding domain defined by SEQ ID
NO:11, and (vi) a fragment of the ligand-binding domain defined by SEQ ID
NO:12, (b) a CMV intron A operatively linked to the polynucleotide for
enhancing expression of the polynucleotide, and, optionally, (c) at least
one copy of an immunostimulatory fragment comprising 5'-GTCGTT-3'. In one
embodiment, the plasmid construct does not express in eukaryotic cells any
gene other than a member selected from (i) a mammalian androgen receptor,
(ii) a fragment of the androgen receptor that comprises the ligand-binding
domain, (iii) a fragment of the ligand-binding domain defined by SEQ ID
NO:9, (iv) a fragment of the ligand-binding domain defined by SEQ ID
NO:10, (v) a fragment of the ligand-binding domain defined by SEQ ID
NO:11, and (vi) a fragment of the ligand-binding domain defined by SEQ ID
NO:12. The plasmid vector pTVG4 is particularly preferred.
According to another aspect of the present invention, a peptide vaccine is
contemplated which comprises a member selected from (i) a mammalian
androgen receptor (e.g., a human androgen receptor), (ii) a fragment of
the androgen receptor that comprises the ligand-binding domain, (iii) a
fragment of the ligand-binding domain defined by SEQ ID NO:9, (iv) a
fragment of the ligand-binding domain defined by SEQ ID NO:10, (v) a
fragment of the ligand-binding domain defined by SEQ ID NO:11, and (vi) a
fragment of the ligand-binding domain defined by SEQ ID NO:12. The peptide
vaccine also comprises a pharmaceutically acceptable carrier. The peptide
vaccine preferably is suitable for intradermal, intramuscular,
subcutaneous, or intravascular (including intravenous and intraarterial)
administration to a mammal such as a human.
Also disclosed are pharmaceutical compositions comprising a DNA or peptide
vaccine of the invention (the polypeptides or recombinant plasmid vectors
described above), and a pharmaceutically acceptable carrier. Preferably,
the pharmaceutical composition further comprises a suitable amount of
immuno-stimulant such as GM-CSF.
A kit containing the DNA or peptide vaccine of the invention and an
instruction manual directing administering the vaccine to a mammal that
has or previously had prostate cancer (e.g., a human prostate cancer
patient) is also within the scope of the invention.
In another aspect, the present invention relates to a method for
determining the effectiveness of a treatment for prostate cancer. The
method includes the steps of (a) measuring the frequency or amount of
cytotoxic T lymphocytes (CTLs) specific for a peptide selected from SEQ ID
NO:9, SEQ ID NO:10, SEQ ID NO:11, and SEQ ID NO:12 prior to providing at
least a portion of the treatment to a mammal (e.g., a human) having
prostate cancer, (b) measuring the frequency or amount of CTLs specific
for the peptide after said portion of the treatment is provided to the
mammal, and (c) comparing the frequency or amount of CTLs of (a) and that
of (b) wherein the frequency or amount of CTLs of (b) being higher than
that of (a) indicates that the treatment is effective.
DETAILED DESCRIPTION OF THE INVENTION
This invention provides pharmaceutical compositions and methods that
relate to the use of plasmid DNA and peptide vaccines for the treatment of
prostate cancer. Specifically, this invention provides polypeptides such
as the ligand-binding domain of an androgen receptor or certain fragments
thereof and recombinant plasmid vectors comprising genes or polynucleotide
molecules encoding the polypeptides for preventing or treating prostate
cancer, including metastatic tumors thereof. In a preferred embodiment,
the polypeptides or recombinant plasmid vectors are administered to
prostate cancer patients to treat prostate cancer. In another preferred
embodiment, the polypeptides or recombinant plasmid vectors are
administered to stage D0 or D1 prostate cancer patients to prevent
recurrence or metastasis of prostate cancer.
A polypeptide vaccine of the present invention, which comprises a
pharmaceutically acceptable carrier and an effective amount of a mammalian
androgen receptor, a fragment of the mammalian androgen receptor that
comprises the ligand-binding domain, or certain fragments of the ligand-binding
domain, can be administered into a mammal such as a human being to elicit
an immune response against androgen receptor in the mammal. An "effective
amount" or an "immunologically effective amount" means that the
administration of that amount to a subject, either in a single dose or as
part of a series, is effective for inducing an immune reaction and
preferably for treating or preventing prostate cancer. Pharmaceutically
acceptable carriers are well known to those of ordinary skill in the art (Amon,
R. (Ed.) Synthetic Vaccines I:83-92, CRC Press, Inc., Boca Raton, Fla.,
1987). They include liquid media suitable for use as vehicles to introduce
the peptide into a patient but should not in themselves induce the
production of antibodies harmful to the individual receiving the
composition. An example of such liquid media is saline solution. Moreover,
the vaccine formulation may also contain an adjuvant for stimulating the
immune response and thereby enhancing the effect of the vaccine.
The plasmid DNA vaccines of the present invention, when directly
introduced into mammals such as humans in vivo, induce the expression of
encoded polypeptides within the mammals, and cause the mammals' immune
system to become reactive against the polypeptides. The vaccines may be
any polynucleotides that are capable of eliciting immune responses to an
encoded polypeptide.
The instant invention also provides a method of using a polynucleotide
which, upon introduction into a mammal, induces the expression, in vivo,
of the polynucleotide thereby producing the encoded polypeptide, and
causes the mammal to become immune reactive against the polypeptide so
produced.
DNA vaccines, like peptide-based vaccines, are relatively easy and
inexpensive to manufacture, and are not individualized for patients, as
are dendritic cell-based vaccines. With recombinant protein vaccines, the
antigen is taken up by antigen presenting cells and expressed
predominantly in the context of MHC class II. DNA in nucleic acid vaccines
is taken up and expressed by antigen-presenting cells directly, leading to
antigen presentation through naturally processed MHC class I and II
epitopes (Iwasaki, et al. 1997, J Immunol, 159:11-14).
Given their potential ability to elicit antigen-specific cytotoxic T
lymphocytes (CTL) immunity in an MHC class I diverse population, DNA-based
vaccines for various diseases have recently entered human clinical trials
(Mincheff et al., 2000, Eur. Urol., 38:208-217). This method of
immunization is similar to the use of viral immunization vectors, but
without the additional foreign antigens introduced with a viral vector and
therefore with less risk of an overwhelming immune response to the vector
itself (Irvine and Restifo, 1995, Seminars in Canc. Biol. 6:337-347).
Direct expression by host cells, including MHC class I-expressing
bystander cells, has been demonstrated to lead to vigorous CD8+ CTL
responses specific for the targeted antigen (Iwasak et al., 1997, J.
Immunol. 159:11-4; Chen et al., 1998, J. Immunol. 160:2425-2432; Thomson
et al., 1998, J. Immunol. 160:1717-1723; and Cho et al., 2000, Nat.
Biotechnol, 18:509-14). In addition, plasmid DNA used for immunization may
remain within cells at the site of immunization, providing a constant
source of antigenic stimulation. Persistent antigen expression may lead to
long-lived immunity (Raz et al., 1994, Proc. Natl. Acad. Sci. USA
91:9519-23).
The present invention provides DNA-based vaccines that express a
polypeptide antigen, the ligand-binding domain of a mammalian androgen
receptor or certain fragments thereof, and methods for treating prostate
cancers in a human or non-human animal using the vaccines. In addition to
the reasons explained above, plasmid vaccines are advantageous over viral
vaccines. For example, viral vaccines are not amenable to repeated
immunizations. With viral vectors, one is trying to elicit an immune
response against a "self" protein encoded by a foreign virus. The immune
system preferentially recognizes the foreign proteins, sometimes hundreds
of proteins, encoded by the virus. For example, the inventors have found
in rats that repeated immunizations with a vaccinia virus encoding human
prostatic acid phosphatase (hPAP) elicits a strong vaccinia response but
no hPAP-specific response (Johnson et al., 2007, Canc. Immunol. Immunoth.
56:885). That same finding was also shown in humans, in a trial in which
repeated immunization with the vaccinia virus encoding human
prostate-specific antigen (PSA) elicited weak PSA-specific immunity, but
potent vaccinia immunity (Sanda et al., 1999, Urology 53:260). The
direction in the field of viral-based vaccines is to "prime" with a virus
encoding the antigen, and then "boost" with a different virus (like
adenovirus or fowl pox) encoding the same antigen. The advantage of
plasmid DNA vaccines is that they encode a defined, often small, number of
proteins. Therefore, one can repetitively immunize the animal or patient.
Furthermore, a virus may kill cells, incorporate into the genome, or
potentially induce other unwanted immune responses. All these are
disadvantages that are likely avoided by DNA plasmid vaccines.
It is readily recognizable that the ligand-binding domain of an androgen
receptor of any origin, or any of the ligand-binding domain's derivatives,
equivalents, variants, mutants etc., is suitable for the instant
invention, as long as the ligand-binding domain or derivatives,
equivalents, variants, or mutants thereof is able to induce an immune
reaction in the host human or non-human animal substantially similar to
that induced by an autoantigenic or xenoantigenic ligand-binding domain of
the androgen receptor in the animal. Similarly, a polynucleotide sequence
of an androgen receptor gene of any origin that encodes the ligand-binding
domain of the receptor, or any of the polynucleotide's derivatives,
equivalents, variants, mutants etc., is suitable for the instant
invention, as long as the polynucleotide sequence and the polypeptide or
protein encoded by the polynucleotide sequence, or derivatives,
equivalents, variants, or mutants thereof is able to induce an immune
reaction in the host human or non-human animal substantially similar to
that induced by an autoantigenic or xenoantigenic ligand-binding domain of
the androgen receptor in the animal.
Androgen receptor genes are known and have been cloned from many species.
For example, the human, mouse, rat, dog, chimpanzee, macaque, and lemur
androgen receptor cDNA along with amino acid sequences can be found at
GenBank Accession Nos. NM.sub.--000044 (cDNA-SEQ ID NO:1 and amino acid
sequence-SEQ ID NO:2), NM.sub.--013476 (cDNA-SEQ ID NO:3 and amino acid
sequence-SEQ ID NO:4), NM.sub.--012502 (cDNA-SEQ ID NO:5 and amino acid
sequence-SEQ ID NO:6), NM.sub.--001003053, NM.sub.--001009012, U94179, and
U94178, respectively. Androgen receptor genes from other species are also
known. These species include but are not limited to Sus scrofa,
Astatotilapia burtoni, Gallus gallus, Kryptolebias marmoratus, Alligator
mississippiensis, Leucoraja erinacea, Haplochromis burtoni, Pimephales
promelas, Dicentrarchus labrax, Gambusia affinis, Micropogonias undulates,
Oryzias latipes, Acanthopagrus schlegelii, Rana catesbeiana, Crocuta
crocuta, Eulemur fulvus collaris, and Anguilla japonica (see GenBank
Accession Nos. NM.sub.--214314 (or AF161717), AY082342, NM.sub.--001040090,
DQ339105, AB186356, DQ382340, AF121257, AY727529, AY647256, AB099303,
AY701761, AB076399, AY219702, AY324231, AY128705, U94178, and AB023960,
respectively). The ligand-binding domains of androgen receptors are well
known in the art. For the purpose of the present invention, the ligand-binding
domain of the human androgen receptor refers to a polypeptide that starts
at any amino acid from amino acid positions 651 to 681 and ends at any
amino acid from amino acid positions 900 to 920. For example, human
androgen receptor or a fragment of the human androgen receptor that
comprises amino acids 681-900 as well as DNA vaccines containing a
polynucleotide encoding the above are suitable vaccines. The corresponding
ligand-binding domains of androgen receptors from other species can be
readily determined by sequence alignment (to the human sequence) (e.g., by
the methods described below in connection with sequence identity or
homology). In a preferred embodiment, a polypeptide from the human
androgen receptor that starts at any amino acid from amino acid positions
661 to 671 and ends at any amino acid from amino acid positions 910 to 920
is used in the present invention. In a more preferred embodiment, a
polypeptide containing amino acids 661 to 920 or 664 to 920 of the human
androgen receptor is used in the present invention. To help determine the
corresponding fragments of the androgen receptors from other species, it
is noted here that the amino acid positions on rat, dog, chimpanzee,
macaque, and lemur androgen receptors that correspond to amino acid
positions 661 to 920 of the human androgen receptor are 640 to 899, 643 to
902, 648 to 907, 652 to 910, 636 to 895, and 625 to 884, respectively. It
is noted that the above fragments of the human, mouse, rat, dog,
chimpanzee, macaque, and lemur androgen receptors have the same amino acid
sequence. The ligand-binding domains of the androgen receptors of other
species are also known or can be readily identified through sequence
alignment. As will be readily recognized by one of ordinary skill in the
art, any DNA sequence that encodes a ligand-binding domain or a larger
fragment of an androgen receptor including the full-length receptor from
one of the above species as well as other animals is suitable for the
present invention.
As is well-known to those skilled in the art, polypeptides having
substantial sequence similarities cause identical or very similar immune
reaction in a host animal. As discussed below, this phenomenon is the
basis for using a xenoantigen for inducing autoreactive reaction to an
otherwise tolerated autoantigen. Accordingly, a derivative, equivalent,
variant, fragment, or mutant of the ligand-binding domain of any of the
known or to-be-identified androgen receptors or any DNA sequence encoding
the above is also suitable for the present invention. The polypeptides
encoded by these DNA sequences are useful as long as the polypeptides
encoded by the DNA sequences are structurally similar to the ligand-binding
domain of the autologous androgen receptor, and are sufficiently
immunogenic.
It is readily apparent to those ordinarily skilled in the art that
variations or derivatives of the nucleotide sequence encoding the
polypeptide or protein antigen can be produced which alter the amino acid
sequence of the encoded polypeptide or protein. The altered polypeptide or
protein may have an altered amino acid sequence, for example by
conservative substitution, yet still elicits immune responses which react
with the unaltered protein antigen, and are considered functional
equivalents. According to a preferred embodiment, the derivative,
equivalents, variants, or mutants of the ligand-binding domain of an
androgen receptor are polypeptides that are at least 85% homologous to the
ligand-binding domain of a human androgen receptor. More preferably, the
homology is at least 88%, at least 90%, at least 95%, or at least 98%.
As used in this application, "percent identity" between amino acid or
nucleotide sequences is synonymous with "percent homology," which can be
determined using the algorithm of Karlin and Altschul (Proc. Natl. Acad.
Sci. USA 87, 2264-2268, 1990), modified by Karlin and Altschul (Proc.
Natl. Acad. Sci. USA 90, 5873-5877, 1993). The noted algorithm is
incorporated into the NBLAST and XBLAST programs of Altschul et al. (J.
Mol. Biol. 215, 403-410, 1990). BLAST nucleotide searches are performed
with the NBLAST program, score=100, wordlength=12, to obtain nucleotide
sequences homologous to a polynucleotide of the invention. BLAST protein
searches are performed with the XBLAST program, score=50, wordlength=3, to
obtain amino acid sequences homologous to a reference polypeptide. To
obtain gapped alignments for comparison purposes, Gapped BLAST is utilized
as described in Altschul et al. (Nucleic Acids Res. 25, 3389-3402, 1997).
When utilizing BLAST and Gapped BLAST programs, the default parameters of
the respective programs (e.g., XBLAST and NBLAST) are used.
As used herein, the term "conservative substitution" denotes the
replacement of an amino acid residue by another, biologically similar
residue. It is well known in the art that the amino acids within the same
conservative group can typically substitute for one another without
substantially affecting the function of a protein. For the purpose of the
present invention, such conservative groups are set forth in Table 1 (see Original Patent)
based on shared properties.
In addition, fragments of a ligand binding domain of an androgen receptor
such as those that can bind to HLA-A2 are also useful antigens which
elicit cytotoxic responses against cells expressing the androgen receptor
or its ligand binding domain. Polynucleotides that encode these fragments
are considered functional equivalents. Examples of these fragments are
provided in the examples below. In particular, the use of the following
four fragments are contemplated: SEQ ID NO:9 (amino acids 811-819 of SEQ
ID NO:2), SEQ ID NO:10 (amino acids 761-770 of SEQ ID NO:2), SEQ ID NO:11
(amino acids 805-813 of SEQ ID NO:2), and SEQ ID NO:12 (amino acids
859-867 of SEQ ID NO:2).
A polynucleotide useful in the present invention is preferably ligated
into an expression vector which has been specifically optimized for
polynucleotide vaccinations. Elements include a transcriptional promoter,
immunogenic epitopes, and additional cistrons encoding immunoenhancing or
immunomodulatory genes, with their own promoters, transcriptional
terminator, bacterial origin of replication and antibiotic resistance
gene, as well known to those skilled in the art. Optionally, the vector
may contain internal ribosome entry sites (IRES) for the expression of
polycistronic mRNA.
In one embodiment of this invention, a polynucleotide useful in the
present invention is directly linked to a transcriptional promoter. The
use of tissue-specific promoters or enhancers, for example the muscle
creatine kinase (MCK) enhancer element, may be desirable to limit
expression of the polynucleotide to a particular tissue type. For example,
myocytes are terminally differentiated cells which do not divide.
Integration of foreign DNA into chromosomes appears to require both cell
division and protein synthesis. Thus, limiting protein expression to
non-dividing cells such as myocytes may be preferable. In addition, a PSA
promoter may be used to limit expression of the protein to prostate
tissue. In one embodiment, tissue- or cell-specific promoters may be used
to target the expression of the protein to antigen-presenting cells. For
example, an .alpha.-fetoprotein (AFP) promoter (see e.g., Peyton et al.
2000, Proc. Natl. Acad. Sci., USA. 97:10890-10894) may be used to limit
expression to liver tissues. However, use of the CMV promoter is adequate
for achieving expression in many tissues into which the plasmid DNA
vaccine is introduced.
Suitable vectors include any plasmid DNA construct encoding an androgen
receptor, a fragment of the androgen receptor that comprises the ligand-binding
domain, a suitable fragment of the ligand-binding domain, or a functional
equivalent or derivative thereof, operatively linked to a suitable
promoter. Examples of such vectors include the pCMV series of expression
vectors, commercially available from Stratagene (La Jolla, Calif.); or the
pcDNA or pREP series of expression vectors by Invitrogen Corporation
(Carlsbad, Calif.).
A preferred vector is pNGVL3 available from the National Gene Vector
Laboratory at the University of Michigan. This vector, similar to the
pcDNA3.1 eukaryotic expression vector of Invitrogen Corp. (Carlsbad,
Calif.), drives transcription from the CMV promoter, but also includes the
CMV intron A sequence to enhance protein expression (Lee et al., 1997,
Mol. Cells. 7:495-501). The vector also contains a multi-cloning site, and
does not express a eukaryotic antibiotic resistance gene, such that the
only protein expression expected in a eukaryotic system is the one driven
from the CMV promoter, unlike the pcDNA vector. Another preferred vector
is the pTVG4 vector described in US 2004/0142890, which is herein
incorporated by reference in its entirety. The pTVG4 vector can be made by
incorporating 2 copies of a 36-bp immunostimulatory (ISS) fragment
containing the 5'-GTCGTT-3' motif previously identified (Hartmann et al.,
2000, J. Immunol. 164:1617-24) into pNGVL3.
There are many embodiments of the instant invention which those skilled in
the art can appreciate from the specification. Thus, different
transcriptional promoters, terminators, and other transcriptional
regulatory elements may be used successfully. Examples of other eukaryotic
transcription promoters include the Rous sarcoma virus (RSV) promoter, the
simian virus 40 (SV40) promoter, the human elongation factor-1.alpha.
(EF-1.alpha.) promoter, and the human ubiquitin C (UbC) promoter.
A Kozak sequence can be provided upstream of the polynucleotide useful in
the present invention to enhance the translation of the corresponding mRNA
from the polynucleotide. For vertebrates, the Kozak sequence is (GCC)NCCATGG
(SEQ ID NO:7) wherein N is A or G and GCC is less conserved. For example,
ACCATGG can be used. See Kozak, M. Nucleic Acids Res. 1987, 15:8125-48.
The vectors of the present invention may be delivered intradermally,
intramuscularly, subcutaneously, or intravascularly (including
intravenously and intraarterially). In preferred embodiments, delivery may
be a combination of two or more of the various delivery methods.
"Naked" plasmid DNA expressing a transgene could be directly injected
intradermally or intramuscularly, taken up, and expressed (see e.g., Wolff
et al., 1990, Science 247:1465-8). The efficiency of this approach may be
low, with only a small percentage of myocytes being directly transformed
in vivo, and within only a limited area of muscle tissue targeted by this
directed delivery. Various alternative approaches yielding a higher gene
delivery efficiency are known (see e.g., Acsadi et al., 1991, New Biol.
3:71-81). Subsequent work on strategies that increase uptake of plasmid
DNA by muscle tissue focused on various carrier solutions and molecules
(Wolff et. al., 1991, Biotechniques 11:474-85; and Budker et. al., 1996,
Nat. Biotechnol. 14:760-4), the use of myotoxic agents to enhance DNA
uptake (Davis et al., 1993, Hum. Gene Ther. 4:151-9; and Danko et al.,
1994, Gene Ther. 1: 114-21), and the use of various transcriptional
promoters and plasmid DNA backbones (Manthorpe et al., 1993, Hum. Gene
Ther. 4:419-31).
In a preferred embodiment, plasmid vectors of the present invention may be
delivered to the patient in need thereof intravascularly. Plasmid DNA
delivered intravascularly resulted in 100-fold higher uptake in downstream
tissues in rodent studies (Budker et al., 1996, Gene Ther. 3:593-8).
Intravascular delivery may be intravenal, e.g. by direct injection of
plasmid DNA into the portal vein of rodents with uptake and expression
demonstrated in hepatocytes (Budker et al., 1996, Gene Ther. 3:593-8; and
Zhang et al., 1997, Hum. Gene Ther. 8:1763-72). Intravascular delivery may
also be performed more directly by intraarterial delivery. For example,
initial studies in rodents demonstrated that high levels of gene
expression in hind limb muscle could be obtained by rapid injection of
plasmid DNA into the femoral artery (Budker et al., 1998, Gene Ther.
5:272-276). This approach is efficient and safe in non-human primates as
well, with an average of 7% of downstream myofibers expressing a .beta.-galactosidase
reporter construct two weeks after intraarterial DNA administration (Zhang
et al., 2001, Hum. Gene Ther. 12:427-438). Parallel studies in T cell
immuno-suppressed rats showed that gene expression was stable for at least
10 weeks (Zhang et al., 2001, Hum. Gene Ther. 12:427-438).
Accordingly, delivery of plasmid DNA vaccines of the present invention can
be done by direct intraarterial administration. This method provides more
effective delivery to MHC class I expressing cells. Administrations of
plasmid DNA vaccines intravascularly may result in increased antigen
expression and subsequently lead to enhanced immune responses, and
increased antigen expression in MHC class I expressing cells by means of
intraarterial delivery of DNA plasmid may lead to a more robust immune
response with androgen receptor-specific CTL. An intraarterial method of
DNA delivery has been shown to be at least as effective as or more
effective than traditional intradermal administration of DNA in eliciting
prostatic acid phosphatase-specific immunity.
In another embodiment, intravenous delivery may also be used, employing
methods well known to those skilled in the art (See e.g., Budker et al.,
1998, Gene Ther. 5:272-276; and Budker et al., 1996, Gene Ther.
3:593-598). This delivery method may lead to a high level of antigen
expression in hepatocytes. Expression of the antigen in liver, a tissue
more rich with antigen-presenting cells, may lead to a more pronounced
Th1/CTL response than expression in muscle tissue.
The DNA or peptide vaccines of the present invention can be used in a
prime-boost strategy to induce robust and long-lasting immune response to
androgen receptor. Priming and boosting vaccination protocols based on
repeated injections of the same antigenic construct are well known and
result in strong CTL responses. In general, the first dose may not produce
protective immunity, but only "primes" the immune system. A protective
immune response develops after the second or third dose.
In one embodiment, the DNA or peptide vaccines of the present invention
may be used in a conventional prime-boost strategy, in which the same
antigen is administered to the animal in multiple doses. In a preferred
embodiment, the DNA or peptide vaccine is used in one or more
inoculations. These boosts are performed according to conventional
techniques, and can be further optimized empirically in terms of schedule
of administration, route of administration, choice of adjuvant, dose, and
potential sequence when administered with another vaccine, therapy or
homologous vaccine.
The peptide or DNA vaccines of the present invention may be used in a
prime-boost strategy using an alternative administration of xenoantigen
and autoantigen or xenoantigen- and autoantigen-encoding vectors.
Specifically, according to the present invention, the animal is first
treated, or "primed," with a peptide antigen of foreign origin (a "xenoantigen")
or DNA vaccine encoding the antigen of foreign origin. The animal is then
treated with another peptide antigen which corresponds to the xenoantigen
but is of self origin ("autoantigen") or another DNA vaccine encoding the
autoantigen. This way, the immune reaction to the antigen is boosted. The
boosting step may be repeated one or more times.
A xenoantigen, as compared to a self-antigen or an autoantigen, is an
antigen originated in or derived from a species different from the species
that generates an immune reaction against the antigen. Xenoantigens
usually are highly homologous molecules to a corresponding autoantigen.
Xenoantigens have been shown to be able to elicit auto-reactive immunity.
For example, molecular mimicry by highly homologous viral antigens has
been one theory to explain the occurrence of several autoimmune diseases
(von Herrat and Oldstone, 1996, Curr. Opin. Immunol. 8:878-885; and
Oldstone, 1998, Faseb J. 12:1255-1265). That is, the induction of immune
responses following infection by viral antigens that closely resemble
normal autologous proteins may then lead to an autoimmune reaction to the
autologous protein.
The use of highly homologous foreign antigens or xenoantigens as vaccine
antigens to elicit autoreactive immunity has been explored in animal
models. For example, xenoantigens derived from zona pellucida of foreign
species can elicit autoreactive T cell responses and disrupt ovarian
function in a variety of animal species studied (Mahi-Brown et al., 1992,
J. Reprod. Immunol. 21:29-46; and Mahi-Brown, 1996, J. Reprod. Fertil.
Suppl. 50:165-74). While not wishing to be bound by any theory on
mechanism, it is believed that because T cells involved in autoimmune
processes recognize peptide epitopes presented in the context of MHC
molecules, the uptake and MHC presentation of a homologous foreign antigen
presumably exposes T cell epitopes with enhanced MHC binding or unmasks
cryptic epitopes of the native antigen not normally recognized.
While the prime-boost strategy is known to work with antigens of different
origins, it is readily apparent to those ordinarily skilled in the art
that variants, derivatives or equivalents, as discussed above, of the
nucleotide sequence encoding a self-antigen can also be used to achieve
the same results as xenoantigens.
The peptide or DNA vaccines of the present invention may be used together
with prostate cancer vaccines based on other antigens such as prostatic
acid phosphatase-based antigens. The androgen receptor-based vaccines and
vaccines based on other antigens can be used simultaneously or at
different times. Each may be used in a prime-boost strategy.
The present invention also provides a method for determining the
effectiveness of a treatment for prostate cancer. The method includes the
steps of (a) measuring the frequency or amount of cytotoxic T lymphocytes
(CTLs) specific for a peptide selected from SEQ ID NO:9, SEQ ID NO:10, SEQ
ID NO:11, and SEQ ID NO:12 prior to providing at least a portion of the
treatment to a mammal having prostate cancer, (b) measuring the frequency
or amount of CTLs specific for the peptide after said portion of the
treatment is provided to the mammal, and (c) comparing the frequency or
amount of CTLs of (a) and that of (b) wherein the frequency or amount of
CTLs of (b) being higher than that of (a) indicates that the treatment is
effective. For example, a biological sample containing CTLs such as a
blood sample or a sample of peripheral blood mononuclear cells (PBMC) can
be taken from the mammal and the frequency or amount of CTLs in the blood
sample can be measured. In one embodiment, the method is used to determine
the effectiveness of a treatment provided to a human prostate cancer
patient.
One of ordinary skill in the art is familiar with the techniques for
functional and quantitative measurements of antigen-specific T cells.
Examples include but are not limited to limited dilution assays (LDA),
enzyme linked immunosorbent assay on a single cell level (ELISPOT),
intracellular staining, and MHC/HLA multimer (e.g., dimer, tetramer, and
pentamer) staining. Description on the MHC/HLA multimer staining technique
can be found, for example, in Arnold H Bakker and Ton N M Schumacher
(Current Opinion in Immunology, 2005, 17:428-433), Meidenbauer N et al.
(Methods, 2003, 31:160-171), and U.S. patent application publication
200723036812.
In one embodiment, a biological sample (e.g., a blood sample or PBMC
sample) containing CTLs from a patient is obtained and the sample is
brought into contacted with an HLA multimer (e.g., an HLA tetramer). The
frequency or amount of CTLs specific for a peptide antigen bound the HLA
tetramer can then be measured by known techniques such as flow cytometry.
Claim 1 of 10 Claims
1. A method for inducing an immune
reaction to androgen receptor in a mammal having prostate cancer,
comprising administering to the mammal an effective amount of a
recombinant DNA construct comprising a polynucleotide operatively linked
to a transcriptional regulatory element wherein the polynucleotide encodes
a member selected from a group consisting of (i) a mammalian androgen
receptor, (ii) a fragment of the androgen receptor that comprises a ligand-binding
domain, (iii) a fragment of the ligand-binding domain defined by SEQ ID
NO:9, (iv) a fragment of the ligand-binding domain defined by SEQ ID
NO:10, (v) a fragment of the ligand-binding domain defined by SEQ ID
NO:11, and (vi) a fragment of the ligand-binding domain defined by SEQ ID
NO:12, whereby the mammal develops immune reaction against androgen
receptor.
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