ES2353857T3 - PHARMACEUTICAL COMPOSITIONS THAT IMPROVE THE IMMUNOGENICITY OF LITTLE IMMUNOGENIC ANTIGENS. - Google Patents

Abstract

The present invention relates to Immunology and more specifically to immunogenic compositions containing peptides, polypeptides, proteins, their corresponding DNA sequences, cells or their lysates and very small-sized proteoliposomes (VSSP), the latter formed by joining the complex of outer membrane proteins (CPME) of Neisseria meningitidis with gangliosides, by hydrophobic bonds. In particular, this invention shows how to prepare immunostimulatory compositions capable of generating antigen-specific immune responses even in immunocompromised hosts, such as those suffering from cancer and infections of viral or chronic bacterial origin. In these patients, the administration of the described vaccine compositions allows to restore the functionality of sectors of their immune system. The vaccine compositions of this invention can be used to protect from or treat infectious, malignant or autoimmune diseases.

Description

Technical Sector

The present invention relates to human medicine and especially with protective and / or therapeutic vaccines that confer protection against infectious, autoimmune and cancer diseases, and particularly provides vaccine compositions that allow the generation or increase of the immune response against antigens. little immunogenic Previous Technique

The little success achieved so far in the prevention and treatment of a group of infectious diseases, cancer and autoimmune diseases with vaccines is due to combinations of various factors, mainly the low immunogenicity of relevant antigens, the lack of knowledge on how to manipulate the regulation of immune system and the strategies of evasion of pathogens and tumors, including immunosuppression of the host.

Those peptides, polypeptides and proteins (or their corresponding DNA sequences) present in tumors and normal tissues, or associated with pathogens that produce chronic infections by evading the action of the immune system are known within the state of the art. .

Among the low immunogenic antigens, the receptors of growth factors with kinase activity in tyrosine residues have been shown to be closely related to the development of tumors and tumor metastases, and their value has been proven in some cases as indicators of poor prognosis in cancer. . Such is the case of receptors such as the epidermal growth factor receptor (EGFR) or HER-1, the epidermal growth factor 2 receptor (HER2), and the platelet-derived growth factor receptor (PDGF) -R, acronym in English).

Overexpression of these receptors in some types of neoplasms, mainly of epithelial origin, has been a focus of attention in cancer immunotherapy. Such is the case of tumors of the breast, bladder, ovary, vulva, colon, lung, brain, prostate and head and neck tumors. The presence of EGF-R has proven to be an indication of poor prognosis in breast cancer (Pérez R et al. 1984. Breast Cancer and Treatment 4: 189-193). Although the role of the EGF / EGF-R system in tumor growth regulation is not yet known, it has been suggested that EGF-R expression in tumor cells provides a mechanism for autocrine stimulation that leads to proliferation. uncontrolled of said

cells (Schlessinger J et al. (1983) Crit Rev Biochem 14 (2): 93-111).

Due to its high expression in tumors, the Epidermal Growth Factor receptor has been a target of passive immunotherapy (IP) with monoclonal antibodies natively, associated with drugs, toxins, or radioactive isotopes (Vollmar AM et al. (1987) J Cell Physiol 131: 418-425). Several clinical trials with monoclonal antibodies (AcMs) are being carried out and some have shown promising results, such as the clinical trial with the AcM C225 in breast cancer, pancreatic cells and renal cells in phase II and head. Phase III neck (Mendelsohn J et al. (1999) American Society of Clinical Oncology Meeting). Another Phase II clinical trial with good results is the trial conducted with the AcM IOR egf / r3 in head and neck tumors (Crombet T al. (2000) Cancer Biotherapy and Biopharmaceutical, manuscript accepted).

On the other hand, specific active immunotherapy (AEA) using EGF-R as a target has never been developed, being the causes of this its low immunogenicity as its own molecule and its wide expression in the tissues of the organism, which has determined the fear of Immunologists to consider this option (Disis ML and Cheever MA (1996) Current Opinion in Immunology 8: 637-642). The AE has advantages over IP because the latter does not activate the specific cellular effector branch of the immune response, and its effect depends on the half-life of the antibodies used, and continuous reinfusions are generally necessary to achieve the desired effects.

In the development of effective vaccines, vehicles and adjuvants must act by overcoming the low immunogenicity of the relevant antigens through the appropriate regulation of the immune system and conspiring together against the strategies of evasion of pathogens and tumors. That is why the search for new vehiculization and adjuvant systems today constitutes an important area of research.

In recent years the new theories and emerging knowledge about the regulation of the immune system have opened new fields of experimentation for the development of new vehicles and adjuvants of greater efficiency. Fearon, et al. (Science, Vol. 272, pp 50-53, 1996) have taught that a protective immunity is the result of the interrelation of two cardinal systems: innate immunity and acquired immunity. The cells responsible for acquired immunity cannot distinguish structures that require an immune response from those that do not and therefore need to be instructed by cells of the innate immune system. An essential link between innate and acquired immunity is provided by the Antigen Presenting Cells (APC), among which the Dendritic Cells (DC) are the most efficient inducers of both primary and primary immune responses. high schools. In particular, DCs are crucial because they are the only APCs capable of activating virgin T lymphocytes.

Recently, molecules related to innate immunity have been identified that could be considered as a new generation of vehicles and adjuvants, because they have the ability to mature DC and mediate the cross-presentation of antigens collected from them.

In this sense, a series of works within the state of the art, a series of works. Giroir, (Crit. Care Med., Vol. 5, pp 780-789, 1993), Cella, et al. (Nature, Vol. 388, pp 782-787. 1997) and Hailman, et al. (J. Exp. Med., Vol. 79, pp 269-277. 1994) teach how the interaction of lipopolysaccharide (LPS) with innate immunity recognition systems is the most potent of all, stimulating monocytes, macrophages and Neutrophils produce cytokines and proinflammatory mediators, further increasing the expression of adhesion molecules. These inflammatory cytokines are very important in the response to infections and tumors, but excessive secretion of them leads to 'septic shock', which can be fatal for patients and prevents the use of LPS as a vaccine adjuvant. The response is mediated by the complex that forms LPS with the LPS binding protein (LBP), which in turn interacts with the CD14 molecule. This molecule facilitates the interaction of LPS with signaling molecules called Toll receptors (TLR). Numerous evidence points to the Toll 4 receptor (TLR4) as the Toll family molecule involved in the transduction of the LPS signal.

Ulrich, et al (In Vaccine Design: The subunit and adjuvant approach p 495, edited by MF Powel and MJ Newman, Plenum Press, New York. 1995), Tholen, et al. (Vaccine, Vol. 16, p. 708. 1998), De Becker, et al. (Int. Immunol, Vol. 12, pp. 807-815. 2000) indicate how there are non-toxic derivatives of LPS, such as Monophosphoryl Lipid A (MPLA), which has adjuvant activity for the cell branches and humoral immune response and has been administered to humans in several clinical trials. Although it is argued that MPLA maintains the immunostimulatory properties of LPS, these authors demonstrated that MPLA induces migration and functional maturation of DC in vivo, but at levels lower than those observed with LPS.

Tamura, et al (Science, Vol. 278, pp 117-120. 1997) and Binder, et al (Nature Immunol., Vol. 1, pp 151-155. 2000) have described as heat stress proteins (HSP) they are powerful vehicles for the stimulation of cellular immunity through the phenomenon of cross-presentation of their accompanying antigens. HSPs obtained from tumors have shown interesting antitumor effects in different models. The identification of CD91 as the receptor for HSP gp96, could reflect the presence of a specific route of HSP capture in DC that has evolved to efficiently recruit peptides associated with antigens, infectious agents or damaged cells, for presentation in Major Complex Histocompatibility type I (MHC I). The use of HSP as vehicles for vaccines, however, has the disadvantage that they must be obtained from the source of origin, for example, from tumors. This makes the procedure laborious and expensive and you never really know who is the antigen that has been responsible for the effect.

Hartmann, et al. (Proc. Natl. Acad. Sci. USA, Vol. 96, pp 9305-9310. 1999), Hemmi, et al (Nature, Vol. 6813, pp 740-5. 2000), Sparwasser, et al. (Eur. J. Immunol. Vol. 12, pp 3591-3597. 2000), Hochreiter, et al. (Int. Arch. Allergy Immunol., Vol 124, pp 406-410. 2001) and Deng, et al. (Arthritis Res. Vol 3, pp 48-53. 2001) show how among the molecules associated with innate immunity, identified as inducers of maturation of DC, are the CpG sequences of bacterial DNA. Recently it was shown that the cellular response to CpG sequences is mediated by TLR9, indicating that this receptor is capable of distinguishing bacterial DNA from its own DNA. The induction of cytotoxic T lymphocytes (CTL) against various soluble antigens has been reproduced in genetically modified mice for the CD40, CD4 or MHC II markers. This implies that the activation of CTL mediated by CpG even occurs in the absence of the help of CD4 T cells, which gives this type of molecule special adjuvant properties. However, the "in vivo" ability of CpG sequences to divert a response pattern from Th2 to Th1 is totally dependent on the nature of the antigen and the immunization conditions, this being particularly valid when they are proteins. This may constitute a limitation to the effective use of CpG oligonucleotides as an adjuvant, especially in immunocompromised hosts. It has also been described that bacterial CpG sequences can induce arthritis.

Jeannin, et al. (Nature Immunol., Vol. 6, pp 502-509. 2000) and Miconnet, et al. (J. Immunol., Vol. 166, pp. 4612-4619. 2001) particularly found important immunostimulatory properties of the OmpA protein of the outer membrane of the Gram-negative Klebsiella pneumoneae bacteria. Experiments performed with this recombinantly expressed protein (kpOmpA) showed that it binds and induces complete maturation of DC, using the TLR2 molecule as a signaling pathway. Another important property that this protein presents is its ability to drive antigens to the class 1 presentation pathway, as long as these antigens are covalently or hydrophobically coupled. This is precisely its major limitation as a vaccine vehicle since covalent conjugation techniques have the disadvantage of chemical modifications to both the protein itself and the antigen and the hydrophobic binding only allows working with the subset of hydrophobic antigens.

Lowell described in U.S. Patent No. 5,726,292 an immunopotentiator system to increase the immunogenicity of peptides, polypeptides and proteins, which can be considered the closest prototype to the present invention. In said patent, the compositions are characterized in that the antigens are chemically modified by the addition of at least one cysteine residue and subsequent conjugation of an aliphatic fatty acid molecule or a hydrophobic peptide. Subsequently the modified antigens are complexed with a proteasome by dialysis or lyophilization processes. In particular these compositions do not include glycosides. Compendium of the invention

The novelty of the present invention consists in providing formulations that allow peptides, polypeptides, proteins to be made immunogenic, their corresponding DNA sequences and target cells of vaccine interest, without the need to introduce structural changes in said antigens, by their association with proteoliposomes of very Small size (Very Small Size Proteoliposomes, VSSP) of the Neisseria meningitidis bacteria, which contain potent innate immunity ligands and gangliosides.

This invention shows how the immunopotentiating vehicle consists precisely of the very small proteoliposomes (VSSP) obtained from the association of the Protein Complex of the External Membrane (OMPC) of the Gram-negative bacterium Neisseria meningitidis with gangliosides.

The present invention relates to formulations that are especially effective when poorly immunogenic antigens are selected and administered to immunocompromised hosts.

An object of this invention is to provide immunogenic compositions containing peptides, polypeptides, proteins, their corresponding DNA sequences, target cells or their lysates, as antigens, and very small proteoliposomes (VSSPs) that are formed by joining the Protein Complex of the External Membrane (OMPC) of the Neisseria meningitidis bacteria (Gram-negative bacteria) with gangliosides, by hydrophobic bonds. Additionally it is postulated that these compositions can be formulated alone or in emulsions with the incomplete Freund's adjuvant (AIF) and also be lyophilized.

Another object of the invention is to provide immunostimulatory compositions capable of generating antigen-specific immune responses even in immunocompromised hosts, such as those suffering from cancer and chronic viral infections. In these patients, the administration of the vaccine compositions described in this invention makes it possible to restore the functionality of sectors of their immune system.

Additionally, the vaccine compositions described in the present invention constitute a solution to the problem of the immunogenicity of growth factor receptors and their impact on the treatment of tumors, because these receptors with tyrosine kinase activity and gangliosides that specifically they associate these in the form of molecular membrane clusters, they are presented simultaneously to the host's immune system in the context of the danger signals provided by the VSSP, necessary to activate dendritic cells (DC) effectively, and produce cross presentation. These vaccine compositions, in addition to presenting their components to the immune system, simulating the molecular associations in which they are naturally found in tumor cells, make the use of chemical protein conjugation techniques that generate new spurious immunodominant epitopes unnecessary.

On the other hand, this technological solution allows the use of the complete structures of the receptors, favoring the solution of the problem of the genetic restriction of immunodominance, unlike others that have used derived peptides and that may have more limitations in this regard.

More specifically the invention provides vaccine compositions for the treatment of cancer. Said vaccine compositions contain as active ingredient one or more receptors of growth factors or their extracellular domains, the latter may or may not contain the transmembrane domains, using as a vaccine vehicle very small proteoliposomes derived from the Neisseria outer membrane protein complex. meningitidis (VSSP) and gangliosides that are specifically associated with these receptors, forming molecular membrane clusters. These vaccine compositions may additionally contain an appropriate adjuvant. The vaccine compositions of the invention can be used in the specific active immunotherapy of tumors such as prostate cancer, colon, lung, breast, ovary, head-neck, vulva, bladder, gliomas, as well as in chronic non-communicable diseases.

Detailed description of the invention.

The present invention relates to pharmaceutical compositions that enhance the immunogenicity of low immunogenic antigens, the components of which are:

(TO)

one or more low immunogenic antigens;

(B)

a vaccine vehicle consisting of proteoliposomes derived from the outer membrane protein complex of a Gram-negative bacterial strain (Neisseria menigitidis), which contain incorporated gangliosides; Y

(C)

optionally one or more adjuvants.

The compositions of the invention enhance the immunogenicity of poorly immunogenic antigens, which may be peptides, polypeptides, proteins, or their corresponding nucleic acid sequences, as well as target cells of vaccine interest, or their lysates, or the mixture thereof.

Within low immunogenic antigens, growth factor receptors or their extracellular domains can be used. Such extracellular domains of growth factor receptors may or may not contain their transmembrane region.

Receptors of growth factors that can be used to increase their immunogenicity are HER-1, HER-2, R-PDGF or any of its variants that contain the extracellular domain with and without transmembrane region. The proteoliposomes of the vaccine vehicle of the present invention are obtained from the outer membrane protein complex of a gram-negative bacterium, with Neisseria meningitidis bacteria being preferred, which may be a wild or genetically modified strain.

In the compositions of the invention, the proteoliposomes of the vaccine vehicle with incorporated gangliosides are obtained by hydrophobic incorporation of said gangliosides to the Neisseria meningitidis outer membrane protein complex, the gangliosides GM1, GM3 or their N- variants being used for this purpose. glycolylated.

The compositions of the invention additionally contain an adjuvant, which can be oily in nature or a natural or recombinant polypeptide. The oil-based adjuvant used is preferably Freund's Incomplete Adjuvant or Montanide ISA 51.

Likewise, when a polypeptide adjuvant is used, it can be a cytosine such as the stimulation factor of granulocyte and macrophage colonies, or a chemokine.

The compositions of the invention are useful for the prevention and treatment of cancer, particularly prostate, colon, lung, breast, ovarian, head-neck, vulva, bladder, brain, gliomas, as well as chronic non-communicable diseases.

They can also be used for the prevention and treatment of infectious diseases of viral and bacterial origin, and within these, they can be used in the treatment of Acquired Immune Deficiency Syndrome, as well as for the treatment of autoimmune diseases.

The present invention provides formulations that confer immunogenicity to peptides, recombinant or natural proteins, cell lysates, intact cells and nucleic acids, poorly immunogenic. Immunostimulatory formulations can be defined as those capable of stimulating both the humoral and the cellular response against a particular antigen. In addition, these formulations have the peculiar characteristic of rescuing the immunity of immunocompromised individuals, such as those suffering from cancer and chronic viral infections or certain types of autoimmune diseases. This invention shows how the immunopotentiating vehicle consists of very small proteoliposomes (VSSP) obtained from the association of the Protein Complex of the External Membrane (OMPC) of the Gram-negative bacterium, Neisseria meningitidis with incorporated gangliosides. The components of OMPC undergo a dialysis process that lasts between 2 and 15 days, during which glycolylated and / or acetylated gangliosides are incorporated. With the incorporation of gangliosides to the outer membrane complex, a non-vesicular preparation is obtained, of very small molecular size, invisible to the electron microscope, soluble and of high buoyancy.

The VSSPs of the present invention show surprising immunological properties such as a marked ability to mature dendritic cells, and to immunosuppress immunosuppressed patients. VSSPs are obtained as described in Cuban patents 131/93 and 130/97, in US patents 5,788,985 and US 6,149,921, as well as in the article Estevez, et al (Vaccine, Vol. 18, pp. 190-197, 1999).

The antigenic peptides of interest can be synthetic or extracted from various sources. The preferred size of the peptides can be between 7 and 25 amino acids, depending on the type of T cell to be stimulated. However, the length can vary between 3 and 50 amino acids. The peptides used can be neutral or charged. The hydrophobic nature of the peptides can also vary.

Similarly, the present invention establishes that the recombinant proteins used can be expressed in various expression systems such as bacteria, yeasts, plants and higher cells. In a preferred embodiment of this invention, the use of N. meningitidis as an expression system is postulated, where the proteins of interest are expressed in the outer membrane of the bacterium itself. This allows the protein of interest directly to be part of the OMPC. In this case, the expression of the complete protein, or the insertion of any of its polypeptides or peptides in one or more of the outer membrane proteins of Neisseria meningitidis, such as TBP, Opa, Opc and P1 porins, is equally valid. , P2, P3.

In particular embodiments of the present invention it is shown how the antigens of the vaccine compositions can be receptors of growth factors with tyrosine kinase activity overexpressed in tumor tissues and, alternatively, their extracellular domains, with or without transmembrane region, and having a relationship specific with gangliosides expressed in the membrane of tumor cells. This is the case of HER-1, HER-2 and the PDGF receiver, among others.

The growth factor receptors referred to in the invention are proteins obtained by recombinant techniques by Polymerase Chain Reaction (PCR) according to the classical procedures of Molecular Biology (Sambrook J, Fritsch EF, Maniatis T, Molecular Cloning A Laboratory Manual , second edition, Cold Spring Harbor Laboratory Press, 1989) in expression plasmids in higher cells. Plasmids containing the genes encoding the receptors or their variants are stably transfected into higher cells such as HEK 293 (ATCC CRL 1573), NIH-3T3 (ATCC CRL 1658) and CHO. The receptors or their variants are expressed by the transfected lines in their membranes or are secreted to the supernatant as appropriate. These antigens are extracted from the membrane of the superior cells that express them or from the culture supernatant of said cells and purified by chromatography. Subsequently they are filtered under sterile conditions and lyophilized. They are stored at 4 ° C. The optimal amounts of these antigens in vaccine formulations range between 1 µg and 1000 µg per dose.

For this particular type of antigens, the VSSPs used in vaccine formulations contain gangliosides selected from those that specifically associate with growth factor receptors forming molecular membrane clusters, this being the case of GM3 and GM1, among others.

The VSSPs are present in this vaccine composition in a range between 1 µg and 1000 µg referring to the amount of gangliosides per vaccine dose.

Preferred vaccine compositions in this invention, which contain as growth factor receptor antigens to which they wish to increase their immunogenicity, can be prepared in various ways: a) The growth factor receptors or their extracellular domains

(containing or not, transmembrane region) lyophilized (1-100 mg of protein), amounts of VSSP solutions are added, which allow to guarantee a ratio of receptor / ganglioside mass in a range between 0.1 / 1 to 1/1. Mixing by stirring, between 4 ° C and 20 ° C, for a time interval between 5 minutes and 24 hours. This preparation is kept at a temperature of 4 ° C until it is administered to the host. Just before being administered to the host, the preparation described above is mixed by stirring with AIF in volume / volume ratio between 40/60 and 60/40, for a time interval between 10 and 30 minutes, at room temperature. The volume ratios cover the appropriate range for the type of emulsion desired according to the route of inoculation to the host.

b) Another way of proceeding, equally convenient, is to conserve separately containers containing lyophilized growth factor receptors or their extracellular domains (containing or not transmembrane region) and VSSP solutions, at 4 ° C. Just before being administered to the corresponding host, to the growth factor receptors amounts of VSSP solutions are added, the vaccine composition is prepared in the same manner described in part a).

c) A third way of proceeding is to combine more than one growth factor receptor or its extracellular domains (containing or not transmembrane region) with the corresponding VSSP solutions in the vaccine composition. The amounts of each of the antigens in the vaccine composition will be in any proportion that covers the range between 1 µg and 1000 µg per vaccine dose. Likewise, the amounts of each of the gangliosides in the form of VSSP in the vaccine composition will be in the range of 1 µg to 1000 µg per vaccine dose. To prepare the combined vaccine, the growth factor receptors or their extracellular domains (containing or not transmembrane region) that will be part of it are lyophilized in the amounts referred to in the corresponding subsection. Next, amounts of VSSP solutions are added to ensure a receptor / ganglioside mass ratio in a range between 0.1 / 1 to 1/1. Mixing by stirring, between 4 ° C and 20 ° C, for a time interval between 5 minutes and 24 hours. This preparation is kept at a temperature of 4 ° C until it is administered to the host. Just before being administered to the host, the preparation described above is mixed by stirring with AIF in volume / volume ratio between 40/60 and 60/40, for a time interval between 10 and 30 minutes at room temperature. The volume ratios cover the appropriate range for the type of emulsion desired, according to the route of inoculation to the host.

d) Another way to prepare the combined vaccine referred to in subsection c) is as referred to in subsection b).

On the other hand, multiantigenic systems, such as cells from established tumor lines or those obtained directly from cancer patients, are also used in the formulations described in the present invention. The inactivation of the cells is achieved by the use of gamma radiation or by treatment with Mitomycin C. Another equally convenient alternative is the use of oncolysates obtained by mechanical rupture or infection with tumor cell viruses.

The immunopotentiating preparations of the present invention can be advantageously used in DNA and RNA vaccines. Also, the immunogenicity of retro and adenoviral vectors, used as vaccine vehicles, is increased by combining them with the preparations described in the present invention. These vectors contain the genes that encode the antigenic proteins of interest.

Normally the different immunogenic formulations are obtained by combining the different antigen systems with VSSP previously produced. Antigens that are directly introduced recombinantly into the outer membranes of the N. meningitidis bacteria, as well as those that are incorporated into proteoliposomes during the dialysis process, are already incorporated into the process of obtaining the VSSPs. However, these modified proteoliposomes can also be used with other unincorporated antigens. This allows the preparation of multivalent vaccines.

The preparations with protein antigens, are obtained from mixing between 10 and 1000 µg of the peptide or antigenic protein with amounts of VSSP that allow to guarantee a ratio of total protein mass / ganglioside in a range between 1 and 3. The preparations are preserved at a temperature of 4 ° C until the time of administration to the host. Another way of proceeding, equally convenient, is to keep the antigenic solutions and the VSSP solutions separately, at 4 ° C, and mix them just before being administered.

Nucleic acid formulations are obtained by directly mixing the VSSPs with the DNA or RNA solutions. The mixing process is carried out at 4 ° C, guaranteeing a ratio of 2-100 µg of nucleic acid per 0.1 mg of ganglioside in VSSP. This method is feasible due to the absence of nucleases in VSSP preparations.

In a particularly advantageous embodiment shown in the present invention, live viral vectors (vaccine smallpox virus, avian smallpox or others), which contain the DNA sequences of the proteins of interest, are administered to the host intravenously in amounts that They range between 106 and 5x107 pfu. VSSPs are administered intramuscularly, subcutaneously, intradermally, orally or intranasally, between 12 hours before and 12 hours after administering the viral vector.

Preparations with target cells of interest or their lysates are obtained by first precipitating the respective cultures by centrifugation and then resuspending the cell precipitate in amounts of VSSP that guarantee a ratio between 103 and 5x106 cells per 0.1 mg of ganglioside. These amounts are mixed directly by stirring, between 4 ° C and 20 ° C, for a time interval between 5 and 24 hours. The preparations are stored at a temperature of 4 ° C until the time of administration to the host.

Another way of proceeding, equally convenient, is to keep the cell suspensions or their corresponding lysates separately and the VSSP solutions at 4 ° C, and mix them just before being administered.

The preparations described in the present invention, in which the antigens are mixed or incorporated into the VSSPs, can be administered alone or emulsified with incomplete Freund's adjuvant (AIF). Emulsions are prepared just before being administered to the host. Each preparation is mixed by stirring with the adjuvant in volume / volume ratio between 40/60 and 60/40, for a time interval between 10 and 30 minutes, at room temperature. The volume ratios cover the appropriate range for the type of emulsion desired according to the route of inoculation to the host.

In another preferred embodiment of the present invention the described preparations, in which the antigens are mixed or incorporated into the VSSPs, are lyophilized before being administered alone or emulsified with incomplete Freund's adjuvant.

The vaccine compositions of the present invention can be introduced into the patient parenterally (intramuscularly, intradermally, subcutaneously) or by direct application on mucous membranes. Examples of realization. Example 1. Obtaining an antigen of the vaccine composition composed of extracellular domain (ECD) from murine EGF-R (ECD-EGF-Rm).

The gene encoding the ECD-EGF-Rm was amplified using the PCR technique, from complementary DNA (cDNA) of mouse liver. The PCR was performed by mixing 1 µg of cDNA with, 10 pmoles of each specific primer. Subsequently, a 0.2 mMolar concentration of each dNTP and 1 U of Taq polymerase was added. 30 cycles of PCR were performed with temperatures of 9 ° C, 1 min. (except in the first cycle that were 3 min.); 56 ° C, 1 min .; 72 ° C, 1 min. and 30 sec, (except in the last cycle that was 5 min.). The amplified gene was cloned into the expression vector in higher pcDNA3 cells (Ampr, f'ori, CoIE ori, CMV-Promoter, SV40 ori, SV40pa, Neomycin, Invitrogen), and subsequently the cells of the HEK-293 line were transfected stably with this plasmid. Transfection was carried out by conventional methods and the cells were grown in a selective medium. The ECD-EGF-Rm is obtained from the supernatant of the HEK-293 / ECD-EGF-Rm line that stably expresses the ECD-EGF-Rm.

The ECD-EGF-Rm obtained in the culture supernatant is purified by affinity chromatography techniques, coupling the ligand to the matrix (Affinity Chromatography principles and methods 3:12, Pharmacia Fine Chemicals); It is subsequently filtered under sterile conditions, and lyophilized.

Example 2. Obtaining a vaccine composition comprising ECD-EGF-Rm, VSSP-GM3 and incomplete Freund's adjuvant (AIF), combining all components just before administration.

Proteoliposomes derived from the Neisseria meningitidis outer membrane protein complex including the incorporated GM3 ganglioside were obtained as referred to in US Patent No. 6,149,921. For this, the OMPC complex of N. meningitidis supplied by the "Carlos J. Finlay" Institute (C. Campa et al EP 301992) was used. 10 mg of this OMPC complex is dispersed in a solution of 0.5% sodium deoxycholate and 0.1% sodium dodecyl sulfate, also containing 10 mg of NAcGM3, by gentle mixing overnight at 4 ° C.

The separation of the soluble OMPC-NGCGM3 complex from the detergents was carried out by dialysis, for 14 days, using a 3.5 Kda membrane.

The dialysate was ultracentrifuged at 100,000 g for 1 h and the immunogen present in the supernatant was sterilized by filtration.

The degree of incorporation of ganglioside into protein was determined using the Bio-Rad reagent for proteins and resorcinol for sialic acid. In this way an incorporation of 1 mg of NGcGM3 per mg of OMPC is obtained.

The quantity of the vaccine vehicle previously prepared is 120 µg, based on the amount of gangliosides incorporated in the proteoliposomes per vaccine dose.

To prepare the immunogen, 1 mg of ECD-EGF-Rm was lyophilized and stored at 4 ° C until the time of immunization. Just before administration to the mice, 2.4 mg of VSSP-GM3 (referred to amount of ganglioside) in a volume of 1 mL was added to the antigen and both components were mixed at room temperature for 15 minutes. Subsequently, 1 mL of AIF was added and mixing was performed by stirring at room temperature for 20 minutes. Example 3. Obtaining a vaccine composition comprising the ECD-EGF-Rm, VSSP-GM3 and AIF by combining part of the components and keeping the mixture until administration. Proteoliposomes derived from the Neisseria meningitidis outer membrane protein complex including GM3 ganglioside were obtained as referred to in US Patent No. 6,149,921. The amount of vaccine vehicle used was 120 µg referred to the amount of gangliosides per vaccine dose. To prepare the immunogen, 1 mg of the ECD-EGF-Rm was lyophilized, and then 2.4 mg of VSSP-GM3 (referring to the amount of ganglioside incorporated) was added, in a volume of 1 mL. Both components were mixed at room temperature for 15 minutes and stored at 4 ° C until the time of immunization. Just before administration to the mice, 1 mL of AIF was added and the mixing was performed by stirring at room temperature for 20 minutes.

Example 4. Obtaining a combined vaccine comprising ECD-HER-1, ECD-HER-2, VSSP-GM3 and AIF.

Proteoliposomes derived from the Neisseria meningitidis outer membrane protein complex including GM3 ganglioside were obtained as referred to in US Patent No. 6,149,921. The amount of vaccine vehicle used was 120 µg referred to the amount of gangliosides incorporated in the proteoliposomes per vaccine dose.

To prepare the immunogen, 1 mg of ECD-HER-1 and 1 mg of ECD-HER-2 were freeze-dried together, and stored at 4 ° C until the time of immunization. Just before administration to the mice, 2.4 mg of VSSP-GM3 (referring to amount of ganglioside) was added in a volume of 1 mL. All components were mixed at room temperature for 15 minutes. Subsequently, 1 mL of AIF was added and mixing was performed by stirring at room temperature for 20 minutes. Example 5. Induction of specific immune response to autologous R-EGF by the vaccine composition.

Mice of the C57BL / 6 line were immunized with the vaccine composition containing ECD-EGF-Rm / VSSP-GM3 and A1F, prepared as referred to in the example

2. The immunogen dose was 50 µg per mouse based on the amount of antigen in the composition. The immunization schedule followed included three doses intramuscularly every fifteen days, with blood drawn on days 0, 21, 35 and 56 after the first immunization (Group II). As a reference, a group of mice of the same line immunized with 50 µg of the ECD-EGF-Rm chemically conjugated to KLH and adjuvant in Freund's Complete Adjuvant (ACF) and AIF was used, following the same immunization schedule (Group I). The sera obtained were tested by ELISA for recognition to ECD-EGF-Rm. The ELISA was performed by coating the plate with 10 µg / mL ECD-EGF-Rm. After blocking the plate with PBS / 5% calf serum, the sera of the immunized animals and controls were incubated at different dilutions. A mouse anti-IgG antibody conjugate (Fe-specific) with phosphatase was then added

alkaline (Sigma). All the aforementioned incubations were performed for 1 hour at 37 ° C and after each of the mentioned steps three washes were performed with 0.05% PBS / Tween 20. The reaction was developed with the addition of 1 mg / mL of substrate (p-nitrophenyl phosphate) in diethanolamine buffer, pH 9.8. The absorbance at 5 405 nm was measured in an ELISA reader at 30 min. 100% of the mice immunized with the vaccine composition of the invention developed a specific antibody response against ECD-EGF-Rm, which increased during the course of immunizations, reaching titres of up to 1 / 160,000, while the Preimmune sera did not recognize ECD-EGF-Rm. The isotype of the response of

10 antibodies developed were primarily IgG type. The subclass distribution of the induced antibody response was determined by ELISA. 20.21% of the antibodies were lgG2a, 36.03% lgG1 and 38.93% was IgG2b, showing a shift towards the Th1 response pattern with respect to the reference group (Figure 1).

15 Although the present vaccine composition is compared with a composition in which ECD-EGF-Rm is chemically coupled to KLH, and where ACF is used as an adjuvant, the antibody titres induced by the preparation are superior, and the subclass distribution tends more to a Th1 pattern, proving favorable for the efficacy of said vaccine.

20 Mice immunized with ECD-EGF-Rm / VSSP-GM3 / AIF showed no signs of clinical toxicity, and the biochemical tests performed on the sera of these animals showed no differences with those performed on sera from non-immunized animals (Table 1 ).

25 Table 1

Groups

Animals that respond IgG titles

Day 21

1/100 1/500 1/1000 1/2500 1/5000 1/10000 1/20000

I

8/10 one 3 one one one one

II

10/10 one one 2 5 one

Day 35

1/100 1/500 1/2500 1/5000 1/10000 1/20000 1/40000

I

10/10 2 2 one 5

II

10/10 one 2 one 6

Day 56

1/100 1/500 1/5000 1/10000 1/20000 1/80000 1/160000

I

10/10 one one one 2 one 4

II

10/10 one one 2 4 2

Group I - Animals immunized with ECD-EGF-Rm / KLH / ACF and AIF Group II - Animals immunized with ECD-EGF-Rm / VSSP-GM3 / Montanide-ISA 51

Example 6. Recognition of sera from mice immunized with DECHER-1 / VSSP-GM3 / AIF to cells expressing human EGF-R.

A431 line cells (10,000 cells / well) expressing the human epidermal growth factor receptor were incubated with preimmune serum from C57BL / 6 mice diluted 1/5 (A), ior egf-r3 monoclonal antibody against EGF-R as a positive control at a concentration of 10 µg / mL (B) and serum of immunized C57BL / 6 mice diluted 1/5 (C), for 30 minutes at room temperature. The excess of antibodies not bound to the receptor or bound in a non-specific way was separated by washing with 0.5% buffered phosphate / calf serum solution. For immunodetection the cells were incubated with a second anti-mouse antibody conjugated to fluorescein isothiocyanate diluted 1/50, 30 minutes at room temperature. Fluorescence intensity was measured in a flow cytometer (FACS). Serum from mice immunized with the vaccine preparation recognized the cells expressing EGF-R, with intensities comparable to those of the positive control of the experiment, unlike the preimmune sera of the same animals (Figure 2). Example 7. Cytolytic activity of sera from mice immunized with DECHER-1 / VSSP-GM3 / AIF

A431 line cells (3x105 cells) were incubated with 51Cr radioactive sodium chromate for 1h, and the excess radioactive salts were removed by three washes with culture medium. Cells loaded with 51 Cr were incubated with:

i) 50 µg / mL of the ior-t3 monoclonal antibody (AcM against CD3, as a negative control)

ii) 50 µg / mL of the ior egf-r3 monoclonal antibody (AcM against EGF-R as a positive control)

iii) preimmune serum from C57BL / 6 mice diluted 1/20

iv) serum of C57BL / 6 mice immunized with ECD-HER-1 / VSSP-GM3 / AIF diluted 1/20

After 1 hour incubation at 37 ° C, 40 µl was added. of rabbit complement leaving in incubation at 37 ° C. The tubes were then centrifuged and 100 µL of the supernatant was used to measure in a gamma counter of

Radioactivity the release of 51 Cr, as a measure of cell lysis occurred mediated by antibodies and complement. Total incorporation was measured by total lysis with detergent.

The sera of the mice immunized with the referred vaccine preparation lysed 80% of the A431 cells expressing the EGF-R, unlike the preimmune sera of said mice that only reached 35% lyse (Figure 3). Example 8. Neutralizing ability of sera from mice immunized with DEC-HER-1 / VSSP-GM3 / AIF.

Sera from mice immunized with the vaccine preparation referred to in the patent were tested for their ability to inhibit the binding of EGF to its receptor on the membrane of A431 cells. For this, A431 cells were grown in culture plates until confluence. Once confluent, a set of immune sera was added at different dilutions (1/5, 1/10, 1/20, 1/40) and then EGF-125I was added at a rate of 100,000 cpm / well. The volume of each well was completed up to 500 µl of 1% PBS / BSA in each well. The plates were incubated at room temperature for 1 hour and after this time the reaction was stopped by adding 2 mL of cold 1% PBS / BSA. Subsequently, the liquid from each of the wells was discarded, and after gentle washing with PBS / 1% BSA, 300 µL of 2M NaOH was added to the wells. After 30 minutes at room temperature, 200 µL of each of the wells was collected, and read in a gamma radiation counter.

The set of immune sera showed an inhibition of EGF-125I binding to its receptor in the A 431 cell membrane. This inhibition was dependent on serum dilution (Figure 4). Example 9. Survival of mice immunized with DEC-HER-1 / VSSPGM3 / AIF.

Mice of the C57 / BL6 line, immunized with ECD-EGF-Rm / VSSP-GM3 / AIF (three doses of 50 µg every fifteen days intramuscularly), were transplanted with 100,000 Lewis cells intramuscularly and were observed to determine Survival time Lewis cells are derived from a lung adenocarcinoma of murine origin that express EGF-R. The survival of these mice was compared with that of a group immunized with ECD-EGF-Rm / ACF (three doses of 50 µg every fifteen days subcutaneously). Mice immunized with the vaccine preparation ECD-EGF-Rm / VSSP-GM3 / AIF had significantly better survival (p <0.05) than the mice in the reference group (Figure 5).

Example 10. Obtaining a vaccine composition containing the chimeric monoclonal antibody P3 (AcMq P3), VSSP (GM3) and AIF.

Proteoliposomes derived from the Neisseria meningitidis outer membrane protein complex, including GM3 ganglioside [VSSP (GM3)], were obtained as referred to in Cuban Patent 130/97 and US Patent 6,149,921. The VSSPs (GM3) were stored at a concentration of 4.8 mg / mL in Tris / HCI solution pH 8.9 and at a temperature of 4 ° C, until used.

To prepare the immunogen, a solution containing 2 mg / mL of the chimeric AcM P3 (US Patent No. 5,817,513) in saline phosphate buffer solution was mixed with the VSSP preparation (GM3) in a 1/1 (v / v) ratio. The mixing process was performed by magnetic stirring at room temperature for 15 min.

Subsequently, the IDA was added in a 1/1 (v / v) ratio. The mixture was stirred at room temperature for 15 minutes, until the emulsion was achieved. In another equally convenient procedure, a solution containing 2 mg / mL of AcMq P3 in saline phosphate buffer solution was mixed with the VSSP (GM3) in a 1/1 (v / v) ratio. The mixing process was performed by magnetic stirring at room temperature for 15 min. and the resulting solution was sterilized by filtration through 0.2 µm cellulose acetate membranes. After a dosing, packaging and sealing process the preparation was stored at 4 ° C for a period of up to one year. Just before administration to the host, the preparation was added to the AIF in a 1/1 (v / v) ratio and emulsification was performed by stirring at room temperature for 15 minutes. Example 11. Obtaining a vaccine composition containing a peptide from the heavy chain variable region of AcMq P3 (CDR3 / VH-P3) and VSSP (GM3).

Proteoliposomes derived from the Neisseria meningitidis outer membrane protein complex, including GM3 ganglioside [VSSP (GM3)], were obtained as referred to in Cuban Patent 130/97 and US Patent 6,149,921. The VSSPs (GM3) were stored at a concentration of 4.8 mg / mL in Tris / HCl solution pH 8.9 and at a temperature of 4 ° C, until used. At the time of application to the host, the immunogen was first prepared by dissolving lyophilized CDR3 VH-P3 peptide in saline phosphate buffer solution until a concentration of 4 mg / mL was achieved. Subsequently it was mixed with the VSSP preparation (GM3) in a 1/1 (v / v) ratio. The mixing process was performed by magnetic stirring at room temperature for 15 min. In another equally convenient procedure, lyophilized CDR3 VH-P3 peptide was first dissolved in saline phosphate buffer until a concentration of 4 mg / mL was achieved. Subsequently it was mixed with the VSSP preparation (GM3) in a 1/1 (v / v) ratio. The mixing process was performed by magnetic stirring at room temperature for 15 min. and the resulting solution was sterilized by filtration through 0.2 µm cellulose acetate membranes. After a dosing, packaging and sealing process the preparation was stored at 4 ° C for a period of up to one year.

Example 12. Obtaining a vaccine composition containing a melanoma oncolysate B16, VSSP (GM3) and AIF.

Proteoliposomes derived from the Neisseria meningitidis outer membrane protein complex, including GM3 ganglioside [VSSP (GM3)], were obtained as referred to in Cuban Patent 130/97 and US Patent 6,149,921. The VSSPs (GM3) were stored at a concentration of 2.4 mg / mL in Tris / HCI solution pH 8.9 and at a temperature of 4 ° C, until used. To prepare the immunogen, a suspension of B16 murine melanoma line cells (50x106 cells / mL) was subjected to 5 freeze / thaw cycles, alternating incubations in liquid nitrogen baths and in distilled H2O baths at 37 ° C. The resulting cell lysate was centrifuged at 500 x g for 10 minutes. The resulting sediment was resuspended in VSSP (GM3) guaranteeing a proportion of cell sediment corresponding to 10 x 106 cells per 2.4 mg of GM3 in VSSP. The mixture was stirred for 10 minutes at room temperature. The preparation was then added to the IDA in a 1/1 (v / v) ratio. The mixture was stirred at room temperature for approximately 15 minutes, until the emulsion was achieved. Example 13. Obtaining a vaccine composition containing melanoma cells B16, VSSP (GM3) and AIF.

Proteoliposomes derived from the Neisseria meningitidis outer membrane protein complex, including GM3 ganglioside [VSSP (GM3)], were obtained as referred to in Cuban Patent 130/97 and US Patent 6,149,921. The VSSPs (GM3) were stored at a concentration of 2.4 mg / mL in Tris / HCI solution pH 8.9 and at a temperature of 4 ° C, until used.

To prepare the immunogen, a suspension of B16 murine melanoma line cells (50 x 106 cells / mL) was centrifuged at 300 x g for 10 minutes. The cell pellet was resuspended with the VSSP (GM3) guaranteeing a ratio of 10 x 106 cells per 2.4 mg of GM3 in VSSP. The mixture was stirred for 10 minutes at room temperature. The preparation was then added to the IDA in a 1/1 (v / v) ratio. The mixture was stirred at room temperature for approximately 15 minutes, until the emulsion was achieved.

Example 14. Obtaining a vaccine composition containing a plasmid with the gene encoding the extracellular domain of the human EGF receptor (ECD-HER1), VSSP (GM3) and AIF.

Proteoliposomes derived from the Neisseria meningitidis outer membrane protein complex, including GM3 ganglioside [VSSP (GM3)], were obtained as referred to in Cuban Patent 130/97 and US Patent 6,149,921. The VSSPs (GM3) were stored at a concentration of 4.8 mg / mL in Tris / HCI solution pH 8.9 and at a temperature of 4 ° C, until used.

The vector to insert the DNA of interest was the mammalian expression plasmid pcDNA3, which contains the SV40 origin of replication and the immediate early promoter of human cytomegalovirus (pCMVIT). In this plasmid the gene encoding the extracellular domain of the human EGF receptor (ECD-HER1) was inserted. The resulting plasmid (ECD-HER1 / pcDNA3) was used in the preparation of the immunogen.

To prepare the immunogen, the solution of plasmid ECD-HER1 / pcDNA3 was adjusted to a concentration of 2 mg / mL in phosphate buffered saline. Subsequently it was mixed with the VSSP preparation (GM3) in a 1/1 (v / v) ratio. The mixing was performed by stirring at room temperature for 5 min. Then the preparation was added to the AIF in a 1/1 (v / v) ratio. The mixture was stirred at room temperature for approximately 15 minutes, until the emulsion was achieved. Example 15. In vitro induction of dendritic cell maturation by the VSSP preparation (GM3).

Human dendritic cells were obtained from monocytes isolated from peripheral blood that were cultured, for 7 days, in the presence of recombinant human GM-CSF (hr) (50 ng / ml) and hr-IL4 (1000 U / ml). On the 7th day the dendritic cells obtained were exposed or not, for 18 hours, to the VSSPs (GM3) (1 µg / mL). As references, dendritic cells were incubated with 0.1 µg / mL of purified LPS from strain 44/76 of Neisseria meningitidis or with MPLA (Sigma). The phenotype of each preparation was analyzed by flow cytometry. As shown in Table 2, treatment with VSSP (GM3) caused an increase in the expression of CD11c and considerable changes in the CD83 CD maturation marker. An increase in the expression levels of the HLA-DR molecule was observed. The VSSPs (GM3) induced an increase in the number of cells expressing the CD86 molecule. VSSP (GM3) and LPS showed the same ability to induce maturation in treated DC. In contrast, the detoxified variant of the LPS, MPLA was inferior.

Table 2. Effect of different preparations on the maturation of human DC.

CD11c

CD86 CD83 HLA-DR CD40

Means, medium

37.5 12.5 5.5 401.5 9

LPS

57.1 35.4 14.6 672.7 15.8

VSSP

60 29.6 13.3 656.4 14.1

MPLA

40.1 15.4 5.6 415.5 9.7

Data: average fluorescence intensity of FACS measurements

Example 16. Induction of humoral immune response specific to the AcMq P3 associated with the administration of the vaccine composition.

10 Mice of the C57BL / 6 line were immunized with the vaccine composition referred to in Example 10. 50 µg of the chimeric monoclonal was inoculated in each injection, 2 doses (one every 14 days) being applied intramuscularly. 21 days after the first immunization serum samples were taken. As a reference, a group of mice of the same strain immunized in the same manner with the

15 AcMq P3 helped in AIF or Alumina. The sera obtained were tested by ELISA to determine the presence of anti-AcMq P3 antibodies. 100% of the mice immunized with the vaccine composition described in the present invention developed specific IgG antibody levels against the AcMq P3, higher than those of the reference groups.

20 (Table 3). Table 3. Antibody response induced against AcMq P3 in C57BL / 6 mice immunized with different formulations

Formulation

# of animals that respond Specific IgG titles (average)

AcMP3q / VSSP / AIF

5/5 8000

AcMP3q / AIF

4/5 4000

AcMP3q / Alumina

2/5 1000

Example 17. Induction of specific proliferative cell response to the CDR3 / VH-P3 peptide associated with administration of the vaccine composition.

25 Mice of the C57BL / 6 line were immunized with the vaccine composition

described in Example 11. 100 µg of the peptide was inoculated in each injection, applying 4 doses (one every 14 days) intramuscularly. A group of mice of the same strain immunized in the same manner with the CDR3 / VH-P3 peptide adjuvant in AIF or Alumina was used as reference. 7 days after the last dose, the inguinal lymph nodes were removed from the animals and lymphocytes were isolated by perfusion of the organ. Lymphocytes were cultured for 96 hours with the CDR3A / H-P3 peptide (50 µg / mL). During the last 18 hours of culture, the cells received 1 µCi of tritiated thymidine (Amersham, United Kingdom) and were subsequently harvested and the ß (cpm) emissions detected in a scintillation counter (LKB 10 Wallac, Finland). Cell proliferation levels were analyzed as Stimulation index (IE). The results obtained in this test are shown in Table 4.

Table 4. Lymphoproliferative response induced against CDR3A / H-P3 peptide in C57BL / 6 mice immunized with different formulations

CDR3A / H-P3 / VSSP (GM3)

CDR3 / VH-P3 / AIF CDR3 / VH-P3 / Alumina

50 µg / mL

4 + 0.2 1.8 ± 0.1 1.6 + 0.2

15 Data: Stimulation index values

Notoriously only the peptide contained in the formulation with VSSP (GM3) was able to induce specific antigen proliferation.

Example 18. Induction of specific cytotoxic cellular response to ECD-mEGFR associated with administration of the vaccine composition containing recombinant FPV ECD-mEGFR / FPV, VSSP (GM3) and AIF. Proteoliposomes derived from the outer membrane protein complex of Neisseria meningitidis including the GM3 ganglioside [VSSP (GM3)], were

25 obtained as referred to in Cuban patent 130/97 and in US Pat. 6,149,921. The VSSPs (GM3) were stored at a concentration of 2.4 mg / mL in Tris / HCI solution pH 8.9 and at a temperature of 4 ° C, until used.

The viral vector to insert the DNA of interest was the Avian Smallpox Virus (FPV). The gene encoding the extracellular domain of the murine EGF receptor 30 (ECD-mEGFR) was inserted into the FPV by homologous recombination. The solution of

ECD-mEGFR / FPV recombinant vector was adjusted to a concentration of 108 pfu / mL. In parallel, the VSSP (GM3) emulsion was prepared by adding the vehicle solution to the AIF in a 1/1 (v / v) ratio. The mixture was stirred at room temperature.

approximately for 15 minutes.

Then Balb / c mice were immunized with 200 µL of the ECD-mEGFR / FPV solution intraperitoneally and with 100 µL of VSSP (GM3) / AIF intramuscularly, consecutively. As a control a group of

5 mice given ECD-mEGFR / FPV and saline phosphate buffer solution (STFS). Two biweekly doses were administered and 21 days after the start of the experiment the mice were sacrificed to obtain the corresponding spleen cells. Splenocytes were isolated CD8 + T cells using magnetic pearl technology. These T cells were stimulated for 5 days with cells

10 bone marrow derived dendritic (bmDC), previously pulsed with the immunodominant peptide of the ECD-mEGFR 'NYGTNRTGL', in a 10: 1 ratio (T: bmDC) and in the presence of lL-2 (50 u / mL), Al At the end of the stimulation, a cytotoxicity experiment was performed where Cr51 release was determined by facing different amounts of these cells to the P815 line pulsed with the peptide 'NYGTNRTGL'

15 (Table 5).

Table 5. Specific cytotoxic cell response to ECD-mEGFR

Group immunized with ECDmEGFR / FPV + VSSP (GM3)

Group immunized with ECDmEGFR / FPV + STFS

P815 + pept

P815  P815 + pept P815

Cr51 release%

100: 1

78 8 43 9

50: 1

51 6 25 7

25: 1

29 5 14 5

The administration of VSSP (GM3) in animals doubled the capacity of induction of cytotoxic T cells that FPV has.

Example 19: Immunorestaurant properties of the VSSP vaccine vehicle.

The VSSP vaccine vehicle, described in this invention, was administered intramuscularly (i. M.) To patients with metastatic melanoma under a Phase I Clinical Trial. Patients received 9 doses (200 µg of NGcGM3 in VSSP) in

25 the span of 6 months. The first 5 doses were administered in the first 2 months and the remaining 4 were given monthly. Blood was taken from the patients on day 0 (before administering the first dose) and on day 56 (fifth dose). In parallel, blood was taken from 8 healthy volunteers.

From these samples the corresponding peripheral mononuclear cells (CMP) were obtained by the Ficoll gradient method and the% of CD3 +, CD4 + and CD8 + cells were determined by flow cytometry. As shown in Table 6, the relative expression of the CD3, CD4 and CD8 T cell markers,

5 from the CMP of the 3 patients taken to exemplify, is lower than the average expression of healthy donors on day 0.

Table 6. Relative expression of T-cell markers from the CMP of melanoma patients and healthy controls. Effect of VSSP (NGcGM3) on 10 normalization of markers.

% of total CMP Day 0

% of total CMP Day 56

CD3 +

CD4 + CD8 +  CD3 + CD4 + CD8 +

Healthy controls

70 Four. Five 25 - - -

EM

30 25 5 70 48 22

SJ

26 40 4 70 40 18

YOU

fifteen 28 4 70 56 twenty

Brief description of the figures: Figure 1. Subclass distribution of antibodies induced from the immunization with ECD-EGF-Rm / VSSP-GM3 / AIF.

Sera from C57BL / 6 mice immunized with ECD-EGF-Rm / KLH / ACF (I) or ECD-EGFRm / VSSP-GM3 / AIF (lI) were tested by ELISA for the determination of IgG subclass distribution induced by immunization Figure 2. Recognition of sera from mice immunized with DEC-HER1 / VSSP-GM3 / AIF to cells expressing EGF-R.

20 Cells of the A431 line were incubated with preimmune serum from C57BL / 6 mice (A), ior egf-r3 monoclonal antibody as a positive control (B) and serum from immunized C57BL / 6 mice (C). For immunodetection, a second anti-mouse antibody conjugated to a fluorophore was used. The intensity of the fluorescence was measured in a flow cytometer.

25 Figure 3. Cytolytic activity of sera from mice immunized with ECD-HER1 / VSSP-GM3 / AIF. A431 cells loaded with 51 Cr were incubated with complement and: I) ior-t3 monoclonal antibody (against CD3, as negative control), II) ioEGF-R-r3 monoclonal antibody (against EGF-R, as positive control), III ) preimmune serum of C57B1 / 6, IV mice) serum of C57BL / 6 mice immunized with ECD-HER- / VSSP-GM3 / AIF V) Equal number of cells that were lysed with the previous points

5 detergents as a measure of the total incorporation of 51 Cr. The results are presented in% specific lysis. Figure 4. Neutralizing capacity of sera from mice immunized with ECDHER-1 / VSSP-GM3 / AIF. A 431 cells were incubated with dilutions 1/5, 1/10, 1/20 and 1/40 of a set

10 sera from mice immunized with ECD-HER-1 / VSSP-GM3 / AIF or with the same dilutions of a set of preimmune sera. EGF-125I (100000 com) was added in each well and total binding was measured by incubating the cells with EGF125I. CPMs were measured in a gamma radiation counter. Figure 5. Survival of mice immunized with ECD-EGF-Rm / VSSP

15 GM3 / AIF transplanted with Lewis tumor. Mice of strain C57BL / 6 immunized as referred to in Example 9, were transplanted with 100,000 Lewis Tumor cells and observed to measure survival. As a reference group, mice of the same strain were immunized with ECD-EGF-Rm / ACF.

twenty

Claims (21)

1. A pharmaceutical composition that enhances the immunogenicity of low immunogenic antigens, which contains: 5 (A) one or more low immunogenic antigens; (B) a vaccine vehicle consisting of proteoliposomes derived from the outer membrane protein complex of a Gram-negative bacterium (Neisseria meningitidis) containing incorporated gangliosides; Y (C) possibly one or more adjuvants. 10 2. A composition according to claim 1, wherein the low immunogenic antigens can be selected from the group consisting of peptides, or polypeptides, or proteins, or their corresponding nucleic acid sequences, or target cells of vaccine interest, or their lysates, or mixtures from them. fifteen 3. A composition according to claim 2, wherein the poorly immunogenic antigens or their extracellular domains are growth factor receptors. A composition according to claim 3, wherein the extracellular domains of the growth factor receptors may or may not contain the transmembrane region. 5. A composition according to claims 3 and 4, wherein the receivers 25 growth factors are HER-1, HER-2, R-PDGF or any of its variants that contain the extracellular domain with and without transmembrane region. 6. A composition according to claim 1, wherein the proteoliposomes of the vaccine vehicle are obtained from the outer membrane protein complex of 30 Neisseria meningitidis, either from a wild strain or from a genetically modified one. 7. A composition according to claim 1, wherein the proteoliposomes of the vaccine vehicle with incorporated gangliosides are obtained by hydrophobic incorporation of said gangliosides to the protein complex of the Neisseria meningitidis outer membrane.

8.

A composition according to claim 7, wherein the gangliosides that are hydrophobically incorporated into the Neisseria meningitidis outer membrane protein complex are GM1, GM3 or their N-glycolylated variants.

9.

A composition according to claim 1, wherein the adjuvant is oily in nature or is a natural or recombinant polypeptide.

10.

A composition according to claim 9, wherein the oil-based adjuvant is Freund's Incomplete Adjuvant.

eleven.

A composition according to claim 10, wherein the Freund Incomplete Adjuvant employed is Montanide ISA 51.

12.

A composition according to claim 9, wherein the polypeptide adjuvant is a cytokine or chemokine.

13.

A composition according to claim 12, wherein the cytokine is the stimulation factor of granulocyte and macrophage colonies.

14.

A composition according to any one of claims 1 to 13, for the prevention and treatment of cancer, particularly prostate, colon, lung, breast, ovarian, head-neck, vulva, bladder, brain, gliomas, as well as chronic diseases transmissible.

fifteen.

A composition according to any of claims 1 to 13, for the prevention and treatment of infectious diseases of viral and bacterial origin.

16.

A composition according to claim 14, for the treatment of Acquired Immunodeficiency Syndrome,

17.

Use of the composition according to any one of claims 1 to 16, for the manufacture of a medicament for the prevention and treatment of cancer, particularly prostate, colon, lung, breast, ovarian, head-neck cancer,

vulva, bladder, brain, gliomas, as well as chronic non-communicable diseases. 18. Use of the composition according to any of claims 1 to 16, for the manufacture of a medicine for the prevention and treatment of 5 infectious diseases of viral and bacterial origin. 19. Use of the composition according to any of claims 1 to 16, for the manufacture of a medicament for the treatment of autoimmune diseases. 10 20. Use of Very Small Proteoliposomes (VSSP) obtained from the association of the External Membrane Protein Complex (OMPC) of the Gram-negative bacterial strain Neisseria meningitidis with gangliosides incorporated in them, for the manufacture of a drug for use in a treatment for 15 restore immunity in immunosuppressed patients. 21. Use according to claim 20, wherein the proteoliposomes with the gangliosides incorporated therein are obtained by hydrophobic incorporation of said gangliosides in the Neisseria External Membrane Protein Complex 20 meningitidis 22. The use according to claim 21, wherein the gangliosides that are hydrophobically incorporated into the Neisseria meningitidis External Membrane Protein Complex are GM1, GM3 or their N-glycosylated variations.