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Title:
Microparticle-based transfection and activation of dendritic cells
United States Patent: 8,097,243
Issued: January 17, 2012
Inventors: Donnelly; John
J. (Moraga, CA), Denis-Mize; Kimberly S. (Concord, CA), Ott; Gary S.
(Oakland, CA)
Assignee: Novartis Vaccines
and Diagnostics, Inc. (Emeryville, CA)
Appl. No.: 12/755,266
Filed: April 6, 2010
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Covidien Pharmaceuticals Outsourcing
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Abstract
The present invention provides an
effective method for the transfection of dendritic cells by non-viral
methods. The present invention provides this benefit by incubating
dendritic cells and a specified transfection agent. The transfection agent
comprises a polynucleotide and microparticles, with the microparticles
being comprised of biodegradable polymer and cationic detergent. The
dendritic cells and transfection agent are incubated for a time sufficient
to transfect the dendritic cells with the polynucleotide.
Description of the
Invention
FIELD OF THE INVENTION
The present invention relates to compositions and methods of providing
dendritic cells for immunotherapy in connection with, for example, viruses
or tumors. In particular, the invention relates to methods for generating
antigen presenting dendritic cells by transfection, allowing for, e.g.,
the activation and expansion of large numbers of viral- or
tumor-antigen-specific T cells for use in adoptive cellular immunotherapy
against viruses and tumors.
BACKGROUND OF THE INVENTION
The generation of an immune response involves the sensitization of helper
(CD4+) (T.sub.H) and cytotoxic (CD8+) (CTL) T cell subsets through their
interaction with antigen presenting cells. Antigen presenting cells
express major histocompatibility (MHC)-class I or class II molecules
associated with antigenic fragments (i.e., specific amino acid sequences
derived from an antigen which bind to MHC I and MHC II for presentation on
the cell surface). The MHC in humans is also referred to as the HLA (human
leukocyte antigen) complex. The sensitized CD4+ T cells produce
lymphokines that participate in the activation of B cells as well as
various T cell subsets. The sensitized CD8+ T cells increase in numbers in
response to lymphokines and act to destroy cells that express the specific
antigenic fragments associated with matching MHC-encoded class I
molecules. In the course of a tumor or viral infection, cytotoxic T cells
eradicate cells expressing tumor or virus associated antigens.
Dendritic cells (DCs) are thought to be the most potent antigen presenting
cells of the immune system (reviewed in Steinman, R. M. 1991. The
dendritic cells system and its role in immunogenicity. Ann. Rev. Immunol.
9:271; Banchereau, J. B. and R. M. Steinman. 1998. Dendritic cells and the
control of immunity. Nature. 392:245). Given their broad spectrum of roles
in initiating the immune response by internalizing and processing
antigens, migrating to lymphoid organs, secreting cytokines, and
expressing co-stimulatory molecules required for lymphocyte signaling, it
is no surprise that dendritic cells are logical targets for clinical use (Banchereau,
J. B. and R. M. Steinman. 1998. Dendritic cells and the control of
immunity. Nature. 392:245). By targeting antigens into dendritic cells in
vivo or exposing dendritic cells to antigen ex vivo, it may be possible to
enhance the immunogenicity of vaccines by eliciting helper and cytotoxic T
cells, antibodies, and IL-12 for prophylactic applications, or induce T
cell mediated anti-tumor responses for cancer immunotherapy. Akbari, et
al. have suggested that transfection and activation of dendritic cells are
key events for immunity following DNA vaccination by scarification of the
ear skin in mouse models (O. Akbari, N. P., S. Garcia, R. Tascon, D.
Lowrie, and B. Stockinger. 1999. DNA vaccination: transfection and
activation of dendritic cells as key events for immunity. J. Exp. Med.
189:169). Anti-tumor CTL activity and protection against lethal tumor
challenge in mouse models have been demonstrated using cytokine-driven
bone-marrow-derived dendritic cells (BMDCs) pulsed with tumor-associated
peptides (J. I. Mayordomo, T. Z., W. J. Storkus. 1995. Bone marrow-derived
dendritic cells pulsed with synthetic tumour peptides elicit protective
and therapeutic antitumour immunity. Nature Med. 1:1297), and whole tumor
lysates (R. C. Fields, K. S., and J. J. Mule'. 1998. Murine dendritic
cells pulsed with whole tumor lysates mediate potent antitumor immune
responses in vitro and in vivo. Proc. Natl. Acad. Sci. USA 95:9482)
transferred by the subcutaneous route.
In vitro generation of dendritic cells has been optimized sufficiently so
that genetic immunotherapy based on passive transfer of dendritic cells
has become an attractive target for development (N. Romani, S. G., D.
Brang. 1994. Proliferating dendritic cell progenitors in human blood. J.
Exp. Med. 180:83). However, in vitro transfection efficiency of dendritic
cells by non-viral methods has been extremely poor (J. F. Arthur, L. H.
B., M. D. Roth, L. A. Bui, S. M. Kiertscher, R. Lau, S. Dubinett, J.
Glaspy, W. H. McBride, and J. S. Economou. 1997. A comparison of gene
transfer methods in human dendritic cells. Cancer Gene Ther. 4:17) and has
limited progress toward effective dendritic-cell-based immunotherapy.
While progress has been made by the use of electroporation, the efficiency
of transfection is extremely low and results in substantial loss of cell
viability (V. F. I. Van Tendeloo, H.-W. S., F. Lardon, GLEE Vanham, G.
Nijs, M. Lenjou, L. Hendriks, C. Van Broeckhoven, A. Moulijn, I. Rodrigus,
P. Verdonk, D. R. Van Bockstaele, and Z. N. Berneman. 1988. Nonviral
transfection of distinct types of human dendritic cells: high efficiency
gene transfer by electroporation into hematopoietic progenitor- but not
monocyte-derived dendritic cells. Gene Ther. 5:700). To date, no purely
chemical method has been shown to be effective.
Particulate carriers have been used in order to achieve controlled,
parenteral delivery of therapeutic compounds. Such carriers are designed
to maintain the active agent in the delivery system for an extended period
of time. Examples of particulate carriers include those derived from
polymethyl methacrylate polymers, as well as microparticles derived from
poly(lactides) (see, e.g., U.S. Pat. No. 3,773,919),
poly(lactide-co-glycolides), known as PLG (see, e.g., U.S. Pat. No.
4,767,628) and polyethylene glycol, known as PEG (see, e.g., U.S. Pat. No.
5,648,095). Polymethyl methacrylate polymers are nondegradable while PLG
particles biodegrade by random nonenzymatic hydrolysis of ester bonds to
lactic and glycolic acids, which are excreted along normal metabolic
pathways.
For example, U.S. Pat. No. 5,648,095 describes the use of microspheres
with encapsulated pharmaceuticals as drug delivery systems for nasal,
oral, pulmonary and oral delivery. Slow-release formulations containing
various polypeptide growth factors have also been described. See, e.g.,
International Publication No. WO 94/12158, U.S. Pat. No. 5,134,122 and
International Publication No. WO 96/37216.
Particulate carriers have also been used with adsorbed or entrapped
antigens in attempts to elicit adequate immune responses. Such carriers
present multiple copies of a selected antigen to the immune system and
promote trapping and retention of antigens in local lymph nodes. The
particles can be phagocytosed by macrophages and can enhance antigen
presentation through cytokine release. For example, commonly owned,
co-pending application Ser. No. 09/015,652, filed Jan. 29, 1998, describes
the use of antigen-adsorbed and antigen-encapsulated microparticles to
stimulate cell-mediated immunological responses, as well as methods of
making the microparticles.
In commonly owned provisional Patent Application 60/036,316, for example,
a method of forming microparticles is disclosed which comprises combining
a polymer with an organic solvent, then adding an emulsion stabilizer,
such as polyvinyl alcohol (PVA), then evaporating the organic solvent,
thereby forming microparticles. The surface of the microparticles
comprises the polymer and the stabilizer. Polynucleotides such as DNA,
polypeptides, and antigens may then be adsorbed on those surfaces. See
also PCT US99/17308.
Commonly owned Provisional Application No. 60/146,391 discloses a method
of forming microparticles with adsorbent surfaces that are capable of
adsorbing a variety of macromolecules including polynucleotides. In one
embodiment, the microparticles are comprised of both a polymer and a
detergent. The microparticles are derived from a polymer, such as a
poly(.alpha.-hydroxy acid), preferably, a poly(D,L-lactide-co-glycolide),
a polyhydroxy butyric acid, a polycaprolactone, a polyorthoester, a
polyanhydride, a polycyanoacrylate, and the like, and are formed with
detergents, such as cationic, anionic, or nonionic detergents, which
detergents may be used in combination. Cationic detergents disclosed are
cetrimide (CTAB), benzalkonium chloride, DDA (dimethyl dioctodecyl
ammonium bromide), DOTAP, and the like. It is noted that these
microparticles yield improved adsorption of viral antigens, and provide
for superior immune responses, as compared to microparticles formed by a
process using only PVA.
Dendritic cells can capture antigen at peripheral sites via
macropinocytosis using membrane ruffling, or may also internalize antigen
by receptor-mediated processes involving Fc.gamma.III, the mannose
receptor, or the C-type lectin DEC-205 (reviewed in Lanzavecchia, A. 1996.
Mechanisms of antigen uptake for presentation. Curr. Op. Immunol. 8:348).
Thus, dendritic cells may be targeted by the capture of larger (>250 nm)
particulate antigens by phagocytosis. Biodegradable polymer microspheres
such as poly-lactide-co-glycolide (PLG) are readily internalized by
phagocytic cells up to a diameter of 5 .mu.m (Ikada, Y. T. et al. 1990.
Phagocytosis of polymer microspheres by macrophages. Adv. Polymer. Sci.
94:107) and have been utilized as carriers for drug delivery systems.
Recently, Newman, et al. reported cytoplasmic delivery of Texas red
labeled dextran encapsulated in PLGA microspheres following phagocytosis
in mouse peritoneal macrophages (K. D. Newman, G. K., J. Miller, V.
Chlumecky, J. Samuel. 1999. Cytoplasmic delivery of a fluorescent probe by
poly(D,L lactic-co-glycolic acid) microspheres. In 1999 AAPS Annual
Meeting Abstracts Online, vol. 1).
The application of synthetic biopolymers for nucleic acid delivery has
proven advantageous by protecting DNA against nuclease degradation and
increasing cellular uptake (C. Chavany, T. S.-B., T. Le Doan, F. Puisieux,
P. Couvreur, and C. Helene. 1994. Adsorption of oligonucleotides onto
polyisohexylcyanoacrylate nanoparticles protects them against nucleases
and increases their cellular uptake. Pharm. Res. 11:1370).
Evidence for direct transfection of non professional antigen presenting
cells mediated by PLG was recently reported by Ciftci and Su who found PLG
microparticles containing a DNA:polycation complex provided controlled
release of DNA and surfactant-enhanced uptake and gene expression in 293
and MCF-7 cells (K. Ciftci, J. S. 1999. DNA-PLGA microparticles: a
promising delivery system for cancer gene therapy. In 1999 AAPS Annual
Meeting Abstracts Online, vol. 1).
While polyalkylcyanoacrylate nanoparticles have been used to bind
CTAB-oligonucleotide complexes to deliver antisense oligonucleotides to
macrophage cell lines in vitro (C. Chavany, T. S.-B., T. Le Doan, F.
Puisieux, P. Couvreur, and C. Helene. 1994. Adsorption of oligonucleotides
onto polyisohexylcyanoacrylate nanoparticles protects them against
nucleases and increases their cellular uptake. Pharm. Res. 11:1370; E.
Fattal, C. V., I. Aynie, Y. Nakada, G. Lambert, C. Malvy, and P. Couvreur.
1998. Biodegradable polyalkylcyanoacrylate nanoparticles for the delivery
of oligonucleotides. J. Controlled Release 53:137), these vehicles have
not been shown to transfect dendritic cells with plasmids carrying
recombinant genes.
Hence, there is a need in the art for an effective non-viral technique for
the transfection of dendritic cells. While microparticle technology has
been heretofore used for introduction of polynucleotides into cells,
applicants are aware of no such technology having been used for the
transfection of dendritic cells, which are notoriously resistant to
transfection.
SUMMARY OF THE INVENTION
The present invention provides an effective method for the transfection of
dendritic cells by non-viral methods. The present invention provides this
benefit by incubating dendritic cells and a specified transfection agent.
The transfection agent comprises polynucleotide and microparticles, with
the microparticles being comprised of a biodegradable polymer and a
cationic detergent. The dendritic cells and transfection agent are
incubated for a time sufficient to transfect the dendritic cells with the
polynucleotide.
For the transfecting agent, the cationic detergent preferably comprises
CTAB or cetrimide, while the polymer preferable is a poly(.alpha.-hydroxy
acid), for example, a poly(lactide), a copolymer of D,L-lactide and
caprolactone, or a copolymer of D,L-lactide and glycolide or glycolic
acid, such as poly(D,L-lactide-co-glycolide). In a further preferred
embodiment, the polynucleotide is provided in the form of a plasmid. In
still further preferred embodiments, the polynucleotide encodes an antigen
associated with a virus, such as HIV, meningitis A, meningitis B or
meningitis C, or a tumor.
The dendritic cells can originate from any available source, for example,
the bone marrow or blood of a vertebrate subject, preferably a human
subject. Dendritic cells can be cultured, for example, for about 5 to
about 10 days prior to transfection, in the presence of appropriate growth
factors, for example, GM-CSF.
The dendritic cells and transfecting agent are preferably incubated for
about 24 hours under appropriate conditions.
In some embodiments of the present invention, an effective amount of the
transfected dendritic cells of the present invention are administered to a
vertebrate subject in need thereof. In other embodiments, T cells are
first activated by the dendritic cells of the present invention and then
administered to a vertebrate subject in need thereof. The dendritic cells
and/or T cells may originate, for example, from the vertebrate subject or
a healthy vertebrate subject MHC-matched to the vertebrate subject. The
dendritic cells and or T cells may be administered parenterally to the
vertebrate subject.
One advantage of the present invention is that polynucleotides can be
efficiently internalized by dendritic cells.
Another advantage of the present invention is that gene expression can be
effected within dendritic cells.
Yet another advantage of the present invention is that antigen can be
processed and presented in connection with MHC molecules on the surface of
dendritic cells.
Another advantage of the present invention is that polynucleotides can be
rapidly internalized and expressed, with antigen presentation.
Still another advantage of the present invention is that the methods of
the invention can be used, for example, in genetic immunotherapy or
vaccination with relative safely. For instance, both cationic detergents,
such as CTAB, and biodegradable polymers, such as PLG, have been utilized
in biomedical applications. Moreover, the obvious safety concerns with the
use of live viral vectors can be avoided (reviewed in Rock, S. R. et al.
1998. Fully mobilizing host defense: building better vaccines. Nature
Biotech. 16:1025).
DETAILED DESCRIPTION OF THE INVENTION
The practice of the present invention will employ, unless otherwise
indicated, conventional methods of chemistry, polymer chemistry,
biochemistry, molecular biology, immunology and pharmacology, within the
skill of the art. Such techniques are explained fully in the literature.
See, e.g., Remington's Pharmaceutical Sciences, 18th Edition (Easton, Pa.:
Mack Publishing Company, 1990); Methods In Enzymology (S. Colowick and N.
Kaplan, eds., Academic Press, Inc.); Handbook of Experimental Immunology,
Vols. I-IV (D. M. Weir and C. C. Blackwell, eds., 1986, Blackwell
Scientific Publications); Sambrook, et al., Molecular Cloning: A
Laboratory Manual (2nd Edition, 1989); Handbook of Surface and Colloidal
Chemistry (Birdi, K. S., ed, CRC Press, 1997) and Seymour/Carraher's
Polymer Chemistry (4th edition, Marcel Dekker Inc., 1996).
Formation of Microparticles
In the present invention, a polynucleotide comprising an antigen of
interest is adsorbed upon microparticles formed from a polymer and a
cationic detergent.
The adsorption of polynucleotides to the surface of the adsorbent
microparticles occurs via any bonding-interaction mechanism, including,
but not limited to, ionic bonding, hydrogen bonding, covalent bonding, Van
der Waals bonding, and bonding through hydrophilic/hydrophobic
interactions. Those of ordinary skill in the art may readily select
cationic detergents appropriate for the invention. As noted above, known
cationic detergents include, but are not limited to, cetyl trimethyl
ammonium bromide (CTAB), cetrimide (a mixture consisting chiefly of
tetradecyltrimethylammonium bromide, together with smaller amounts of
dodecyltrimethylammonium bromide and CTAB), benzalkonium chloride, DDA (dimethyl
dioctodecyl ammonium bromide), DOTAP, and the like. CTAB is particularly
preferred. Microparticles manufactured with cationic detergents, such as
CTAB, e.g., CTAB-PLG microparticles, readily adsorb negatively charged
polynucleotides.
Biodegradable polymers for manufacturing microparticles for use with the
present invention are readily commercially available from, e.g.,
Boehringer Ingelheim, Germany and Birmingham Polymers, Inc., Birmingham,
Ala. For example, useful polymers for forming the microparticles herein
include those derived from polyhydroxybutyric acid; polycaprolactone;
polyorthoester; polyanhydride; as well as a poly(.alpha.-hydroxy acid),
such as poly(L-lactide), poly(D,L-lactide) (both known as APLA" herein),
poly(hydroxybutyrate), copolymers of D,L-lactide and glycolide, such as
poly(D,L-lactide-co-glycolide) (designated as "PLG" or "PLGA" herein) or a
copolymer of D,L-lactide and caprolactone. Particularly preferred polymers
for use herein are PLA and PLG polymers. These polymers are available in a
variety of molecular weights, and the appropriate molecular weight for a
given use is readily determined by one of skill in the art. Thus, e.g.,
for PLA, a suitable molecular weight will be on the order of about 2000 to
5000. For PLG, suitable molecular weights will generally range from about
10,000 to about 200,000, preferably about 15,000 to about 150,000, and
most preferably about 50,000 to about 100,000.
If a copolymer such as PLG is used to form the microparticles, a variety
of lactide:glycolide ratios will find use herein. PLG copolymers with
varying lactide:glycolide ratios and molecular weights are readily
available commercially from a number of sources including from Boehringer
Ingelheim, Germany and Birmingham Polymers, Inc., Birmingham, Ala. These
polymers can also be synthesized by simple polycondensation of the lactic
acid component using techniques well known in the art, such as described
in Tabata et al., J. Biomed. Mater. Res. (1988) 22:837-858.
The polynucleotide/microparticles are prepared using any of several
methods well known in the art. For example, double emulsion/solvent
evaporation techniques, such as those described in U.S. Pat. No. 3,523,907
and Ogawa et al., Chem. Pharm. Bull. (1988) 36:1095-1103, can be used
herein to make the microparticles.
A water-in-oil-in-water (w/o/w) solvent evaporation system can be used to
form the microparticles, as described by O'Hagan et al., Vaccine (1993)
11:965-969 and Jeffery et al., Pharm. Res. (1993) 10:362. In this
technique, the particular polymer is combined with an organic solvent,
such as ethyl acetate, dimethylchloride (also called methylene chloride
and dichloromethane), acetonitrile, acetone, chloroform, and the like. The
polymer will be provided in about a 1-30%, preferably about a 2-15%, more
preferably about a 3-10% and most preferably, about a 4% solution, in
organic solvent. The polymer solution is emulsified using, e.g., a
homogenizer. The emulsion is then optionally combined with a larger volume
of an aqueous solution of an emulsion stabilizer such as polyvinyl alcohol
(PVA), polyvinyl pyrrolidone, and a detergent, specifically a cationic
detergent. The emulsion may be combined with more than one emulsion
stabilizer and/or detergent, e.g., a combination of PVA and a cationic
detergent. Certain polynucleotides may adsorb more readily to
microparticles having a combination of stabilizers and/or detergents.
Where an emulsion stabilizer is used, it is typically provided in about a
2-15% solution, more typically about a 4-10% solution. Generally, a
weight-to-weight detergent to polymer ratio in the range of from about
0.00001:1 to about 0.1:1 will be used, more preferably from about 0.0001:1
to about 0.01:1, more preferably from about 0.001:1 to about 0.01:1, and
even more preferably from about 0.005:1 to about 0.01:1. The mixture is
then homogenized to produce a stable w/o/w double emulsion. Organic
solvents are then evaporated.
The formulation parameters can be manipulated to allow the preparation of
small microparticles on the order of 0.05 .mu.m (50 nm) to larger
microparticles 50 .mu.m or even larger. See, e.g., Jeffery et al., Pharm.
Res. (1993) 10:362-368; McGee et al., J. Microencap. (1996). For example,
reduced agitation results in larger microparticles, as does an increase in
internal phase volume. Small particles are produced by low aqueous phase
volumes with high concentrations of emulsion stabilizers.
Microparticles can also be formed using spray-drying and coacervation as
described in, e.g., Thomasin et al., J. Controlled Release (1996) 41:131;
U.S. Pat. No. 2,800,457; Masters, K. (1976) Spray Drying 2nd Ed. Wiley,
New York; air-suspension coating techniques, such as pan coating and
Wurster coating, as described by Hall et al., (1980) The "Wurster Process"
in Controlled Release Technologies: Methods, Theory, and Applications (A.
F. Kydonieus, ed.), Vol. 2, pp. 133-154 CRC Press, Boca Raton, Fla. and
Deasy, P. B., Crit. Rev. Ther. Drug Carrier Syst. (1988) S(2):99-139; and
ionic gelation as described by, e.g., Lim et al., Science (1980)
210:908-910.
Particle size can be determined by, e.g., laser light scattering, using
for example, a spectrometer incorporating a helium-neon laser. Generally,
particle size is determined at room temperature and involves multiple
analyses of the sample in question (e.g., 5-10 times) to yield an average
value for the particle diameter. Particle size is also readily determined
using scanning electron microscopy (SEM).
Following preparation, microparticles can be stored as is or freeze-dried
for future use.
C. Isolation of Dendritic Cells
Dendritic cells are obtained from any tissue where they reside including
non-lymphoid tissues such as the epidermis of the skin (Langerhans cells)
and lymphoid tissues such as the spleen, bone marrow, lymph nodes and
thymus as well as the circulatory system including blood (blood dendritic
cells), for example peripheral blood and cord blood, and lymph (veiled
cells).
For example, explants of mouse (Larsen et al., J. Exp. Med. 172:1483-1493
(1990)) or human skin (Richters et al., J. Invest. Dermatol. (1994))
placed in organ culture permit selective migration of dendritic cells into
the medium surrounding the explant.
Recent studies have described methods for the isolation and expansion of
human dendritic cells, including, from human peripheral blood. (Macatonia
et al., 1991, Immunol. 74: 399-406; O'Doherty et al., 1993, J. Exp. Med.
178: 1067-1078 (isolation); and Markowicz et al., 1990, J. Clin. Invest.
85: 955-961; Romani et al., 1994, J. Exp. Med. 180: 83-93; Sallusto et
al., 1994, J. Exp. Med. 179: 1109-1118; Berhard et al., 1995, J. Exp. Med.
55: 1099-1104 (expansion)).
Van Tendeloo et al., 1998, Gene Ther. 5: 700-707, discloses techniques for
deriving dendritic cells (including Langerhans' cells) from CD34+
progenitor cells obtained from bone marrow and cord blood and from
mononuclear cells from peripheral blood.
Dendritic cells may also be treated to induce maturation or activation,
e.g., by culturing, preferably in the presence of a specific growth or
stimulatory factor or factors. In the examples below, dendritic cells are
modified by culturing with GM-CSF.
Additional techniques relating to the preparation of dendritic cells can
be found, for example, in U.S. Pat. Nos. 5,788,963, 5,962,318, and
5,851,756, the disclosures of which are herein incorporated by reference.
According to a preferred embodiment of the invention, dendritic cells are
obtained from a patient to be treated. The dendritic cells are used to
activate T cells of the patient, either in vitro or in vivo, for
immunotherapy
According to an alternate embodiment, dendritic cells are obtained from a
healthy individual. The relevant HLA antigens (both class I and II, e.g.,
HLA-A, B, C and DR), for example, on the individual's peripheral blood
mononuclear cells (PBMC's), are identified and dendritic cells that match
the patient, in terms of HLA antigens, are isolated and expanded as
described above. For example, in certain instances, a late stage cancer
patient who has been treated with radiation and/or chemotherapy agents is
not able to provide sufficient or efficient dendritic cells. Thus,
dendritic cells from healthy HLA-matched individuals, such as siblings,
can be obtained and expanded using any of the methods described above.
D. Antigens
Selected antigens that may be expressed include one or more selected
antigens of a vertebrate infectious agent or cancer and can correspond to
either structural or non-structural proteins. The invention herein
described can provide for association of such antigens with MHC molecules
at the surface of dendritic cells such that an immune response to the
antigen of interest can be mounted.
For example, the present invention is useful for stimulating an immune
response against a wide variety of antigens from the herpes virus family,
including proteins derived from herpes simplex virus (HSV) types 1 and 2,
such as HSV-1 and HSV-2 glycoproteins gB, gD and gH; antigens derived from
varicella zoster virus (VZV), Epstein-Barr virus (EBV) and cytomegalovirus
(CMV) including CMV gB and gH; and antigens derived from other human
herpesviruses such as HHV6 and HHV7. (See, e.g. Chee et al.,
Cytomegaloviruses (J. K. McDougall, ed., Springer-Verlag 1990) pp.
125-169, for a review of the protein coding content of cytomegalovirus;
McGeoch et al., J. Gen. Virol. (1988) 69:1531-1574, for a discussion of
the various HSV-1 encoded proteins; U.S. Pat. No. 5,171,568 for a
discussion of HSV-1 and HSV-2 gB and gD proteins and the genes encoding
therefor; Baer et al., Nature (1984) 310:207-211, for the identification
of protein coding sequences in an EBV genome; and Davison and Scott, J.
Gen. Virol. (1986) 67:1759-1816, for a review of VZV.)
Antigens from the hepatitis family of viruses, including hepatitis A virus
(HAV), hepatitis B virus (HBV), hepatitis C virus (HCV), the delta
hepatitis virus (HDV), hepatitis E virus (HEV) and hepatitis G virus (HGV),
can also be conveniently used in the techniques described herein. By way
of example, the viral genomic sequence of HCV is known, as are methods for
obtaining the sequence. See, e.g., International Publication Nos. WO
89/04669; WO 90/11089; and WO 90/14436. The HCV genome encodes several
viral proteins, including E1 (also known as E) and E2 (also known as E2/NSI)
and an N-terminal nucleocapsid protein (termed "core") (see, Houghton et
al., Hepatology (1991) 14:381-388, for a discussion of HCV proteins,
including E1 and E2). Each of these proteins, as well as antigenic
fragments thereof, will find use in the present composition and methods.
Similarly, the sequence for the .delta.-antigen from HDV is known (see,
e.g., U.S. Pat. No. 5,378,814) and this antigen can also be conveniently
used in the present composition and methods. Additionally, antigens
derived from HBV, such as the core antigen, the surface antigen, sAg, as
well as the presurface sequences, pre-S1 and pre-S2 (formerly called
pre-S), as well as combinations of the above, such as sAg/pre-S1, sAg/pre-S2,
sAg/pre-S1/pre-S2, and pre-S1/pre-S2, will find use herein. See, e.g., "HBV
Vaccines--from the laboratory to license: a case study" in Mackett, M. and
Williamson, J. D., Human Vaccines and Vaccination, pp. 159-176, for a
discussion of HBV structure; and U.S. Pat. Nos. 4,722,840, 5,098,704,
5,324,513, incorporated herein by reference in their entireties; Beames et
al., J. Virol. (1995) 69:6833-6838, Birnbaum et al., J. Virol. (1990)
64:3319-3330; and Zhou et al., J. Virol. (1991) 65:5457-5464.
Antigens derived from other viruses will also find use in the claimed
compositions and methods, such as without limitation, proteins from
members of the families Picornaviridae (e.g., polioviruses, etc.);
Caliciviridae; Togaviridae (e.g., rubella virus, dengue virus, etc.);
Flaviviridae; Coronaviridae; Reoviridae; Birnaviridae; Rhabodoviridae
(e.g., rabies virus, etc.); Filoviridae; Paramyxoviridae (e.g., mumps
virus, measles virus, respiratory syncytial virus, etc.); Orthomyxoviridae
(e.g., influenza virus types A, B and C, etc.); Bunyaviridae; Arenaviridae;
Retroviradae (e.g., HTLV-I; HTLV-II; HIV-1 (also known as HTLV-III, LAV,
ARV, hTLR, etc.)), including but not limited to antigens from the isolates
HIV.sub.IIIb, HIV.sub.SF2, HIV.sub.LAV, HIV.sub.LAI, HIV.sub.MN);
HIV-1.sub.CM235, HIV-1.sub.US4; HIV-2; simian immunodeficiency virus (SIV)
among others. Additionally, antigens may also be derived from human
papillomavirus (HPV) and the tick-borne encephalitis viruses. See, e.g.
Virology, 3rd Edition (W. K. Joklik ed. 1988); Fundamental Virology, 2nd
Edition (B. N. Fields and D. M. Knipe, eds. 1991), for a description of
these and other viruses.
More particularly, the gp120 envelope proteins from any of the above HIV
isolates, including members of the various genetic subtypes of HIV, are
known and reported (see, e.g., Myers et al., Los Alamos Database, Los
Alamos National Laboratory, Los Alamos, N. Mex. (1992); Myers et al.,
Human Retroviruses and Aids, 1990, Los Alamos, N. Mex.: Los Alamos
National Laboratory; and Modrow et al., J. Virol. (1987) 61:570-578, for a
comparison of the envelope sequences of a variety of HIV isolates) and
antigens derived from any of these isolates will find use in the present
methods. Furthermore, the invention is equally applicable to other
immunogenic proteins derived from any of the various HIV isolates,
including any of the various envelope proteins such as gp160 and gp41, gag
antigens such as p24gag and p55gag, as well as proteins derived from the
pol region.
Influenza virus is another example of a virus for which the present
invention will be particularly useful. Specifically, the envelope
glycoproteins HA and NA of influenza A are of particular interest for
generating an immune response. Numerous HA subtypes of influenza A have
been identified (Kawaoka et al., Virology (1990) 179:759-767; Webster et
al., "Antigenic variation among type A influenza viruses," p. 127-168. In:
P. Palese and D. W. Kingsbury (ed.), Genetics of influenza viruses.
Springer-Verlag, New York). Thus, proteins derived from any of these
isolates can also be used in the compositions and methods described
herein.
Antigens derived from meningitis A, meningitis B, meningitis C, and other
related viruses will also find use in the compositions and methods of the
present invention. For examples of meningitis B antigens see, for example,
PCT 99/00695 filed Apr. 7, 1999; PCT IB98/01665 filed Oct. 9, 1998 and PCT
US99/09346 filed Apr. 30, 1999.
Non-viral organisms that are controlled by T cell immune responses
include: pathogenic protozoa (e.g. Pneumocystis carinii, Trypanosoma,
Leishmania, Plasmodia, and Toxoplasma gondii); bacteria (e.g.,
Mycobacteria, and Legioniella) and fungi (e.g. Histoplasma capsulatum and
Cocidioides immitus). Hence, antigens derived from these organisms are
also useful in connection with the present invention.
Tumor antigens for use in the invention include, but are not limited to,
melanoma tumor antigens (Kawakami et al., Proc. Natl. Acad. Sci. USA
91:3515-3519 (1994); Kawakami et al., J. Exp. Med., 180:347-352 (1994);
Kawakami et al. Cancer Res. 54:3124-3126 (1994), including MART-1 (Coulie
et al., J. Exp. Med. 180:35-42 (1991), gp100 (Wick et al., J. Cutan.
Pathol. 4:201-207 (1988) and MAGE antigen, MAGE-1, MAGE-2 and MAGE-3 (Van
der Bruggen et al., Science, 254:1643-1647 (1991)); CEA, TRP-1, P-15 and
tyrosinase (Brichard et al., J. Exp. Med. 178:489 (1993)); HER-2/neu gene
product (U.S. Pat. No. 4,968,603); estrogen receptor, milk fat globulin,
p53 tumor suppressor protein (Levine, Ann. Rev. Biochem. 62:623 (1993));
mucin antigens (Taylor-Papdimitriou, International Pub. No. WO90/05142));
telomerases; nuclear matrix proteins; prostatic acid phosphatase;
papilloma virus antigens; and antigens associated with the following
cancers: melanomas, metastases, adenocarcinoma, thymoma, lymphoma,
sarcoma, lung cancer, liver cancer, colon cancer, non-Hodgkins lymphoma,
Hodgkins lymphoma, leukemias, uterine cancer, breast cancer, prostate
cancer, ovarian cancer, cervical cancer, bladder cancer, kidney cancer,
pancreatic cancer and others (e.g., Rosenberg, Ann. Rev. Med. 47:481-91
(1996).
E. Polynucleotides
In accordance with the invention, one or more polynucleotides are inserted
ex vivo into dendritic cells, such that one or more selected antigens are
presented in effective amounts on the surface of the dendritic cells. By
"effective amount" is meant that presentation is sufficient to enable the
dendritic cells to provoke an immune response.
Techniques for nucleic acid manipulation are well known. Reagents useful
in applying such techniques, such as restriction enzymes and the like, are
widely known in the art and commercially available from a number of
vendors.
Large amounts of polynucleotide sequences encoding the selected antigens
for expression in the dendritic cells of the invention may be obtained
using known procedures for molecular cloning and replication of a vector
carrying the sequences in a suitable host cell. The nucleic acid sequences
for use in the present invention may also be produced in part or in total
by chemical synthesis, and may be performed on commercial automated
oligonucleotide synthesizers.
Polynucleotides encoding the desired antigens for presentation in the
dendritic cells are preferably recombinant expression vectors in which
high levels of expression may occur, and which contain appropriate
regulatory sequences for transcription and translation of the inserted
nucleic acid sequence. The vectors may also contain polynucleotide
sequences encoding selected class I and class II MHC molecules,
costimulation and other immunoregulatory molecules, ABC transporter
proteins, including the TAP1 and TAP2 proteins. Thus, various combinations
of polynucleotide sequences may be inserted in a suitable expression
vector or vectors. The vector may contain additional elements needed for
subsequent replication, such as an origin of replication. The vectors may
also contain at least one positive marker that enables the selection of
dendritic cells carrying the inserted nucleic acids.
Preferred recombinant expression vectors for the invention include plasmid
vectors. Preferred plasmid expression vectors include pCMV (see, for
example, U.S. Pat. No. 5,688,688, the entire disclosure of which is hereby
incorporated by reference).
Polynucleotides encoding the desired antigen or antigens are introduced
into dendritic cells using the transfection methods of the present
invention discussed below.
F. Association of Microparticles with Polynucleotides
In order to associate a polynucleotide of interest with a microparticle of
interest, microparticles are simply mixed with polynucleotides, for
example, in an appropriate buffer solution. The resulting formulation can
be lyophilized prior to use. Generally, polynucleotides are added to the
microparticles to yield microparticles with adsorbed polynucleotides
having a weight-to-weight ratio of from about 0.0001:1 to 0.25:1
polynucleotides to microparticles, preferably, 0.001:1 to 0.1, more
preferably 0.01 to 0.05. Polynucleotide content of the microparticles can
be determined using standard techniques.
The microparticles of the present invention may have polynucleotides
entrapped or encapsulated within them, as well as having polynucleotides
adsorbed thereon.
The association of the microparticle with the polynucleotide is referred
to alternatively herein as "polynucleotide/microparticles", "transfecting
agent" and "transfection agent".
G. Transfection of Dendritic Cells
Once the dendritic cells and polynucleotide/microparticles are prepared,
they are incubated in solution for a time and at a temperature sufficient
for transfection to occur. According to a preferred embodiment, dendritic
cells and polynucleotide/microparticles are incubated for 24 hours at
37.degree. C. in humidified CO.sub.2 incubator.
Expression of the polynucleotide of interest after transfection into
dendritic cells may be confirmed by immunoassays or biological assays. For
example, expression of introduced polynucleotides into cells may be
confirmed by detecting the binding to the cells of labeled antibodies
specific for the antigens of interest using assays well known in the art
such as FACS (Fluorescent Activated Cell Sorting) or ELISA (enzyme-linked
immunoabsorbent assay) or by simply by staining (e.g., with (.beta.-gal)
and determining cell counts.
T cell activation may be detected by various known methods, including
measuring changes in the proliferation of T cells, killing of target cells
and secretion of certain regulatory factors, such as lymphokines,
expression of mRNA of certain immunoregulatory molecules, or a combination
of these.
H. Use of Dendritic Cells to Present Antigen In Vitro and In Vivo
According to an embodiment of the invention, dendritic cells transfected
by polynucleotide/microparticles using any of the methods described herein
are used to activate T cells in vitro. T cells or a subset of T cells can
be obtained from various lymphoid tissues. Such tissues include but are
not limited to spleens, lymph nodes, and peripheral blood.
The cells can be co-cultured with transfected dendritic cells as a mixed T
cell population or as a purified T cell subset. For instance, it may be
desired to culture purified CD8+ T cells with antigen transfected
dendritic cells, as early elimination of CD4+ T cells may prevent the
overgrowth of CD4+ cells in a mixed culture of both CD8+ and CD4+ T cells.
T cell purification may be achieved by positive or negative selection,
including but not limited to, the use of antibodies directed to CD2, CD3,
CD4, CD5, and CD8. On the other hand, it may be desired to use a mixed
population of CD4+ and CD8+ T cells to elicit a specific response
encompassing both a cytotoxic and T.sub.H immune response.
After activation in vitro, the T cells are administered to a patient in a
dose sufficient to induce or enhance an immune response to the selected
antigen expressed by the dendritic cells of the invention.
T cells, as well as dendritic cells as described below, may be introduced
into the subject to be treated by using one of a number of methods of
administration of therapeutics known in the art. For example, the cells
may be administered (with or without adjuvant) parenterally (including,
for example, intravenous, intraperitoneal, intramuscular, intradermal, and
subcutaneous administration). Alternatively, the cells may be administered
locally by direct injection into a tumor or infected tissue. Adjuvants
include any known pharmaceutically acceptable carrier. Parenteral vehicles
for use as pharmaceutical carriers include sodium chloride solution,
Ringer's dextrose, dextrose and sodium chloride, and lactated Ringer's.
Other adjuvants may be added as desired such as antimicrobials.
As an example, T cells may be administered, by intravenous infusion, at
doses of about 10.sup.8 to 10.sup.9 cells/m.sup.2 of body surface area
(see, Ridell et al., 1992, Science 257: 238-241) Infusion can be repeated
at desired intervals, for example, monthly. Recipients are monitored
during and after T cell infusions for any evidence of adverse effects.
According to a preferred embodiment, the T cells are obtained from the
same patient from whom the dendritic cells were obtained.
According to another embodiment, the T cells are obtained from a patient
and the dendritic cells, which are used to stimulate the T cells, are
obtained from an HLA-matched healthy donor (e.g., a sibling), or vice
versa.
According to yet another embodiment, both the T cells and the dendritic
cells are obtained from an HLA-matched healthy donor. This embodiment may
be particularly advantageous, for example, when the patient is a late
stage cancer patient who has been treated with radiation and/or
chemotherapy agents and may not be able to provide sufficient or efficient
dendritic or T cells.
According to another embodiment of the invention, dendritic cells isolated
from a patient are cultured, transfected in vitro and administered back to
the patient to stimulate an immune response, including T cell activation.
As such, the dendritic cells constitute a vaccine and/or immunotherapeutic
agent. As an example, dendritic cells presenting antigen are administered,
via intravenous infusion, at a dose of, for example, about 10.sup.6 to
10.sup.8 cells. The immune response of the patient can be monitored.
Infusion can be repeated at desired intervals based upon the patient's
immune response.
Claim 1 of 5 Claims
1. A method for producing an immune
response in a vertebrate subject in need thereof comprising: activating T
cells by subjecting them to dendritic cells produced by a method that
comprises incubating the dendritic cells and a transfection agent for a
time sufficient to transfect the dendritic cells with the polynucleotide,
said transfection agent comprising a polynucleotide that encodes an
antigen associated with a virus or a tumor adsorbed on microparticles
comprised of a biodegradable polymer and a cationic detergent, wherein
polynucleotide is not entrapped within said microparticles; administering
said activated T cells to said subject. ____________________________________________
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