IL100765A - Vaccine composition against influenza with synergic effects containing influenza virus core as an additive - Google Patents

Abstract

The use, when preparing a vaccine composition containing a standard influenza virus vaccine, of an additive which consists of a core or core fraction of at least one influenza virus, especially a fraction containing protein M; and a vaccine composition thereby obtained. The use of said additive improves the vaccine's effectiveness.

Description

naoiro u> n»£j¾AJ iiyae; "m .l in Vaccine composition against influenza, with synergic effects containing influenza virus core as an additive PASTEUR MERIEUX SERUMS ET VACCINS C: 85393 "Vaccine Composition against Influenza, with Synergic effects. containing Influenza virus core as an additive".

The object of the present invention is a vaccine composition against influenza, with synergic effects, containing influenza virus core, or a fraction thereof, as an additive to the influenza vaccine.

The influenza virus comprises a lipoprotein envelope surrounding a nucleoprotein "core". The envelope more particularly includes two glycoproteins, hemagglutinin (HA) and neuraminidase (NA). The core is a complex arrangement of viral ribonucleic acid and of several so-called "internal" proteins (polymerases, membrane protein (M) and nucleoprotein (NP)).

At present it is known that the influenza vaccine, even when correctly applied, does not completely protect all the subjects vaccinated: see for example Murphy & Webster, in "Virology, 2nd. edition (Fields et al. Ed.) 1091-1152 (1990), in particular p. 1 128.

It was therefore desirable to improve the existing vaccines.

The influenza vaccines currently used are inactivated vaccines: they may be constituted of entire virions, or of virions subjected to treatment with agents which dissolve lipids ("split" vaccines), or else of purified glycoproteins ("sub-unit vaccines"). These inactivated vaccines mainly protect by causing synthesis of the receiver's antibodies directed against the hemagglutinin. It is known that antigenic evolution of the influenza virus by mutation results basically in modifications in HA and NA, while the internal proteins are only slightly modified. The result is that inactivated vaccines used at present only protect effectively as regards the strains the surface glycoproteins of which are identical or antigenicaliy very close to those of the vaccine strains. To obtain a sufficient antigenic spectrum, the vaccines are obtained from several viral strains; they generally contain two type A strains and one type B strain. To adapt the composition of the vaccines to the antigenic evolution of the influenza viruses, the choice of strains for use in the vaccines is reviewed annually depending on the WHO or the American Food and Drug Administration recommendations, these recommendations being based on the results of international epidemiological observations. It is known that the recommended viral strains may be obtained notably form the following organisations: MIBGO {National Institute for Biological 3ianUai di and Control, London, UK) WIC (World Influenza Centre, London, UK) CDC (Centre for Disease Control, Atlanta, USA) C8ER (Comity of Biological Evolution and Research, Washington, USA).

It has now been discovered that it is possible to obtain a vaccine composition with synergic effect by associating influenza virus core, or a fraction of core, with the conventional influenza vaccine.

An active core fraction Is one which, when used as an additive to a conventional vaccine, Improves the effect of the vaccine.

Moreover, a protection against virus subtypes not used in the preparation of the components of the vaccine (conventional and added core or core faction) may be obtained.

The object of the present invention, then, is a vaccine composition against influenza containing the constituents of a conventional influenza vaccine, and further containing core of at least one influenza virus strain, or a fraction of the said core, as an additive.

The conventional vaccine forming the main constituent of the vaccine composition of the invention may be a vaccine with complete virions, a sub-unit vaccine or a split vaccine. It may be obtained from viruses cultivated in chick embryonated eggs, or on cells.

These conventional vaccines may be prepared according to known methods, which are described by Murphy & Webster, op. cit., for example. Other details are given below.

Complete Virion Vaccine: this may be prepared as follows: the influenza virus, obtained by culture on chick embryonated eggs, or by culture on cells, is concentrated by ultrafiltration and then purified by zonal centrifugation or by chromatography, it is inactivated before or after purification, using formol or beta-propiolactone, for instance.

Subunit Vaccine: such a vaccine may be prepared as follows: using viral suspensions fragmented by treatment with detergent, the surface antigens (hemagglutinin, neuraminidase) are purified, by ultracentrifugatlon for example. The sub-unit vaccines thus contain mainly HA protein, and possibly NA.

The detergent used may be cationic detergent for example, such as hexadecyl trimethyl ammonium bromide (Bachmeyer, Intervirofogy, 5, 260- 272 (1975)), an anionic detergent such as ammonium deoxycholate (Laver & Webster, Virology £2, 51 1-522, 1976; Webster et al., The Journal of Immunology, Vol. 1 19, 2073-2077, 1977); or a nonionic detergent such as that commercialized under the name TRITON X100.

The hemagglutinin may also be isolated after treatment of the virions with a protease such as bromelain, then purified by a method such as that described by Brand and Skehel, Nature, New Biology, Vol. 238, 145-147, 1972. gplit Vaccine: It can be prepared as follows: an aqueous suspension of the purified virus obtained as above, inactivated or not, is treated, under stirring, by lipid solvents such as ethyl ether or chloroform, associated with dotorgonto. The dissolution of the viral envelope lipids twsulls In fragmentation of the viral particles. The aaueous phase Is recuperated containing the split vaccine, constituted mainly of hemaglutinin and neuraminidase with their original lipid environment removed, and the core or its degradation products. Then the residual Infectious particles are inactivated if this has not already been done. A similar method to that described in French patent 2 201 079 (see more particularly example 1) can be used.

Conventional vaccines generally contain 10 to 15 M of hemagglutinin from each of the strains entering into their composition.

The conventional influenza vaccine forming the main constituent of the vaccine composition of the invention may originate from a virus of type A, B or C, or from at least two of these three types. The same applies to the core or fraction of core.

The core or fraction of core may be prepared from viruses from the same strain as the main constituent of the composition, or from a different strain or strains, which may either be of a different type (or, for type A, a different sub-type), or, within the same type or sub-type, consist of different isolate(s) or reassortant(s).

The nomenclature of the influenza viruses and their classification into types and sub-types are described for example in WHO Bull. 58, 585-591 (1980), and in Murphy & Webster, op. cit. It is known, in particular, that human influenza virus type A includes H1 N1 , H2N2 and H3N2 subtypes.

In the composition of the invention, the first and second constituents, that is the conventional vaccine and the additive, may be put together in the same container. They may also be present in separate containers placed in the same wrapping, with a view to mixing them on use or administering them separately.

The composition of the invention may contain the first and second constituents, combined or separate, suspended in a suitable liquid vehicle.

The two constituents of the vaccine composition of the invention, whether together or separate, may also be presented in freeze-dried form. The liquid composition is then reconstituted by mixing with a usual liquid vehicle, at the time of using.

The composition of the invention is generally presented in the form of individual vaccine doses (unit doses), constituted either by a vaccinating-unit dose of the two constituents mixed, or by a unit dose of conventional vaccine and a unit dose of core or fraction of core.

The second constituent of the composition of the invention (core) may be obtained according to known methods, particularly by treatment of the influenza virus using a protease such as bromelain. This treatment allows the envelope proteins to be separated from the core particles; see for example Brand & Skehel, article op. cit.

Other enzymes with analogous action to that of bromelain may be used.

The second constituent of the vaccine composition of the invention may also be composed of an active fraction of influenza virus core, this fraction being a protein or lipoprotein fraction, containing at least one active core protein (particularly M protein), or else an active fragment of this protein. The expressions "active protein" or "active fragment", or "active fraction", designate a protein or fragment of protein or core fraction capable of 100765/2 participating in the protection induced by the vaccine, like the core particles themselves. The active fragments may be determined by simple routine experiments, retaining those fragments which, associated with the first constituent of the vaccine composition, give better protection than that obtained with the first constituent (conventional vaccine) alone.

The core fractions, including a core protein or the fragments of the said protein, may be prepared either by virus culture and extraction, or by genetic engineering methods, or by peptidic synthesis, according to methods known per SQ. It should be noted that the NP protein Is not an active core fraction, as defined above. The combination M+NP constitutes an active fraction, which is about as active as the M protein contained therein.

The second constituent (additive) of the vaccine of the invention is particularly M protein, or membrane protein, sometimes called matrix protein. Two matrix proteins play a role in the assembly of the virus when it replicates: M1 protein, which belongs to the virus structure, and M2 protein, which has been detected In the complete virus but a considerable proportion of which is not integrated into the mature virus. In the present patent application, the expression M protein" designates the matrix protein found major in the complete virus, that is to say 1 protein , which may or may not be mixed with other proteins or core fractions.

M protein, which may constitute the additive to the vaccine according to the invention, may be prepared according to known techniques of protein separation and purification; for example, a method similar to that described by RUIGROK et al., Virology, 122. 311-316 (1989).

This process mainly consists in: - treating a core suspension with a surfactant, for example a nonionic surfactant, at a sufficiently high concentration, and at a sufficiently acid pH to favor separation of proteins M and NP in the following stage. - subjecting the resultant solution to centrifuguation at a speed sufficient for protein NP and any residual core particules to accumulate in the centrifugation pellet while protein remains in the supernatant, • separating the centrifugation pellet and collecting the supernatant, and -concentrating the supernatant if desired, in order to obtain a core fraction solution constituting an additive for a vaccine composition according to the invention.

The nonionic surfactant used is for example a polyoxyethylenated alkyl-phenol- such as Triton X 00 (Rohm & Haas), a polyoxyethylenated fatty alcohol such as Brij 36 T (Sigma) or an alkyl-oside such as octyl beta-D glucopyranoside (or octylglucoside, commercialized by Sigma).

The acid pH favouring separation of proteins M and NP during centrifligation is for example a pH of about 4.8. Centrifligation takes place at 85,OOOg for 90 minutes, for example.

The final concentration stage of the supernatant may be by ultrafiltration, using for example a membrane having a cut-off threshold of 10,000 Dalton. The concentration factor, for example around 10-20, Is obviously chosen in order for the additive to be present in effective amount in a volume compatible with its administration as a vaccine. If necessary, the detergent may be eliminated, for example by dialysis.

The resulting, possibly concentrated supernatant may be used as an additive, In sufficient quantity to obtain an improvement in the vaccination. The quantity of this additive may be assessed for example by reference to the quantity of M protein contained therein.

Detection and dosage of protein may be carried out for example using specific antibodies, according to classical immunology techniques, such as an ELISA test, as will be detailed below.

The core fractions may also be ilpid-free core fractions which may be' obtained by gentle treatment of the virus by at least one surfactant, generally used at weak concentration, for example nonionic surfactants such as those commercialized under the name NONIDET P40 or TRITON X100, or certain cationic surfactants such as hexadecyl trimethyl ammonium bromide. Suitable . concentrations may be determined in each case by routine experiments: they are concentrations which allow the core to subsist in particie form; see for example Bachmayer, article op. cit. and Rigg et al., J. Gen. Viroi, 70, 2097· 2109 (1989).

The lipid-free cores are then purified according to usual methods, notably by centrifugation.

When the vaccine additive according to the invention is in the form of core particles, these may be core particles obtained through the action of bromelain (or analogous), and/or lipid-free core particles. In both cases, they are particles virtually free of hemagglutinin and of neuraminidase.

The vaccine composition of the invention may be administered to humans or animals likely to suffer from influenza, notably equine, swine and avian species. The doses of the composition to be administered are the usual ones for this type of vaccine, and may if necessary be determined for animals In each c se by routine experiments.

For example, in humans, the unit doses for the first constituent (conventional vaccine) are generally defined by their content of hemagglutinin. For each of the three types of vaccine (vaccine with complete virion, sub-unit vaccine and split vaccine) they generally correspond to 1-20 μg< and particularly 5-20 μg, for example 10-15 g of hemagglutinin of each of the strains of which they are composed.

These quantities of hemagglutinin may be measured according to the radial immunodiffusion method described by Wood & coll., Journal of Biological Standardization, 5, 237-247 (1977).

The quantity of additive, in the vaccine composition of the invention, is a predetermined quantity sufficient to cause a statistically significant improvement in the efficiency of the vaccination in the animal species concerned.

The quantity of additive to be used with a unit dose of vaccine is for example a quantity sufficient to cause a statistical improvement of at least 5%, particularly at least 10%, in vaccination efficiency, assessed over at least one recognised criterion of vaccination efficiency. The efficiency of the vaccination may be determined for example by epidemiological studies of a population vaccinated with a conventional vaccine, a population vaccinated with the conventional vaccine and the additive, and possibly a non-vaccinated population. The criteria chosen for assessment of vaccination efficiency are those commonly used by those specialized in this field and particularly : - the proportion of vaccinated individuals suffering from an influenza affection, compared to the total number of individuals vaccinated, in a region where an influenza epidemic has indeed developed; - or the severity or duration of the influenza illness, - or the number, severity or duration of the illness complications, - or protection against a virus subtype other than the subtype(s) used in the preparation of the components (conventional vaccine and additive) of the vaccine, - or else the improvement of the effectiveness of the vaccine may be evaluated through a statistically significant enhancement of the immune response, as assessed by the percentage of sero-converted subjects, by the amount of antibodies directed against the influenza virus or components thereof, or by tests measuring the immunocompetent cell response to the influenza virus infection.

With certain animal species, particularly laboratory animals or with volunteers, it is also possible to determine the efficiency of a vaccination by using experimental infection.

Unit doses for the second constituent (additive) may generally contain (particularly for humans) 1-100 pg (particularly 2-100 μg, or 5-100 μg) and notably 2-50 μgt for example 0-00 μ9, ύί core pai tiules, υι ail equivalent quantity of the core fraction used (that is to say, a quantity corresponding to the quantity of the said fraction contained in the said quantity of core particles, or else a quantity of the said fraction having the same activity in the vaccine composition as the said quantity of core particles).

The quantities of core indicated are expressed in quantities of complete proteins measured for example according to the Bradford method mentioned in the experimental section below.

Measurement of the core quantities may be made by separation of the particles according to their density and comparison with a standard core solution.

An analogous method may be used for lipid-free core particles which, contrary to core particles obtained by bromelain treatment, have a higher density than that of the virion.

When the additive Is at least one M protein, or a core fraction containing M protein, the unit dose of vaccine composition preferably contains at least 3-5pg, and particularly at least 7-10 of added M protein (that is to say in addition to the free protein possibly already present in the conventional vaccine, notably when it is a split vaccine). The quantities of M protein indicated are assessed notably by an immunological test according to the ELISA technique. The amounts of M protein as obtained by ELISA are determined by comparison with a purified M protein standard, which is itself quantified, e.g. with bicinchonic acid. One may also proceed by comparison with the M protein content of a purified influenza virus, subjected to a detergent treatment, by assuming taht the M protein represents 50% by weight of the total proteins in the virus. The ELISA tests are carried out on tested preparations or on control preparations of M protein or of complete virions, in a solution containing for example 0.1% sodium dodecyl sulfate (SDS). The total proteins 100765/ 3 are dosed for example by any suitable method, such as the Bradford method mentioned in the experimental section.

It is known that vaccines with complete virions, and sub-unit vaccines are virtually free from free M protein (that is to say, outside the core or virus particles). Conventional split vaccines contain certain quantities of M protein, these quantities being variable and depending mainly on the preparation technique used.

Thus, it is easy to determine the quantities of M protein which have been added to a given vaccine composition, by knowledge of the preparation technique used, and thus of the quantities of free M protein normally present in the vaccine composition obtained by the said technique.

Furthermore, experiments have shown that the added M protein has a density (as measured e.g. in saccharose gradient) which is generally different from that of the free M protein already present in the split vaccine composition.

The composition of the invention may be administered subcutaneously, intramuscularly, nasally, orally, or as an aearosol. .

It may be administered in association with other vaccines and/or additives.

The composition may also be used for booster injection, for example 1 to 3 months after the first vaccination.

Another object of the invention is the use of an additive constituted by core particles of at least one influenza virus, in the preparation of a vaccine composition against influenza comprising a conventional influenza vaccine.

The invention particularly concerns use of a second constituent (additive) containing core, or a purified core fraction, of at least one influenza virus, in the preparation of a vaccine composition against influenza containing a first constituent corresponding to a conventional influenza vaccine, it being possible for the said first and second constituents to be present in one and the same container, or in separate containers, as aforementioned.

WO 86/04242 discloses a vaccine against influenza, containing nucleoprotein (NP), preferably in the form of a nucleoprotein material free from matrix protein (M protein).

Russel, S.N. and Liew, F.Y., Nature, 280:147-148 (1979) disclose a sequential treatment of mice consisting of injecting core particles of influenza virus, and then, 28 days later, injecting non-inactivated whole influenza virions. This sequential treatment enhances the anti-haemagglu- tinin antibody response, as compared with controls not treated by core particles.

Fischer, A. et al., Eur. J. Immunol. 12:844-849 (1982) disclose a sequential treatment consisting of stimulating T cells in vitro with protein and several months later, stimulating T cells in vitro with whole influenza virus in the presence of the thus stimulated T cells. Fischer et al. show that the treated T cells, grown for more than seven months, all belonged to the helper T cell subset which help in the production of anti- haemagglutinin antibodies when cultured with B cells and whole influenza virus.

The present application claims a vaccine against influenza comprising a conventional anti-influenza vaccine and an additive containing an influenza virus core fraction which includes M protein. The presence of the additive enhances the protective effect of the vaccine. In the method of treatment using the claimed vaccine, the additive is administered essentially simultaneously with the conventional vaccine, and it results from experiments made by the present applicant that wi th such a simultaneous administration, said additive does not enhance the anti-haemagglutinin antibody response. In other words, the enhancement of the protective effect obtained by simultaneous administration of core (or M protein) and conventional vaccine cannot be explained by an enhancement of the antibody response.

The following examples illustrate the invention but do not limit it.

EXAMPI F 1 : Qhtention of Purified Virai Core The reassortant strain of influenza virus NIB16 (A H1 N 1 ) was used; said strain originates from mating wild strain A/Taiwan/1/86 (A/H1 N1 ) and The viral suspensions were prepared by multiplication on chick embryonated eggs, concentration by ultrafiltration and purification on saccharose gradient as described in French patent application n° 2 201 079. To extract the core, the purified virus, suspended in phosphate buffer pH 7.4 (PBS buffer), is subjected to two or three successive treatments with bromelain (Sigma) at 37° C in O.1 M tris buffer pH 7.5, 1 mM EDTA, 50m beta-mercaptoethanol. For the first treatment with the protease, the viral suspension, adjusted to contain 2 mg of proteins per ml of buffer solution, is used, and 1 mg/ml of bromelain is added. After 2 hours' incubation at 37° C and dilution with an aqueous solution of O.1 M NaCI, the preparation is subjected to separation by ultra-centrifugation at 120,000 g, for 90 min, at + 4° C. For the second and if necessary the third treatment, incubation is carried out by using bromelain at 2 mg/ml (final concentration) for 16 hours. The centrifugation treatments are the same as for the first treatment and the pellets are re-suspended in PBS buffer.

The core solution obtained is subjected to purification by isopycnic ultra-centrifugation on a 20-60% (w/w) linear saccharose gradient in PBS buffer at 100,000 g, for 16 hours, at + 4° C. The fractions containing viral core are diluted by one third with PBS buffer, then subjected to ultra-centrifugation at 120,000 g for 90 minutes, at + 4° C. The centrifugation pellet is recovered by PBS buffer pH 7.4, to which 0.01% sodium azide has been added. The solution may be preserved by freezing at minus 20° C.

The purified core preparation thus obtained presents the following characteristics: - the proportion of hemagglutinin is a maximum of 4% compared to the total protein, this proportion being measured by polyacrylamide gel electrophoresis (Laemmli, Nature, 227, 680-686, 1970) or by the ELISA technique; - hemagglutinating activity is less than 0.01% that of the original virus (measurement by hemagglutination according to the method described by Palmer et al., Advanced Laboratory Technicals for Immunological Diagnostic, U.S. Dept. Hlth Ed. Welfare, PHS. Atlanta, Immunology ser. n° 6, Procedural Guide Part 2, hemagglutination inhibition Test, 1975, 25-62).

The final vaccine is prepared by diluting in PBS buffer, as indicated in example 2 below.

EXAMPLE 2: Preparation of the Vaccine and Pharmacological Study The final vaccine is prepared by diluting in PBS buffer, as indicated in example 2 below.

EXAMPLE 2: Preparation of the Vaccine and Pharmacological Study As first constituent of the vaccine composition an inactivated monovalent split vaccine, obtained with the N1B 6 strain, was used.

The hemagglutinin of NIB16 is analogous to that of the A/Singapore /6/86 (A/H1 N1 ) strain.

This split vaccine was obtained by treating the virus with a mixture of Polysorbate 80 and ether, according to the method described in French patent 2 201 079 (example 1).

The second constituent (core) was obtained according to the procedure described in example 1 above.

The monovalent vaccine and the core were diluted and mixed in PBS buffer to provide the combinations and doses indicated in tables 1 and 2 below, in a total volume of 0.5 ml. The composition thus obtained was injected subcutaneously into six-week-old OF1 mice ( IFFA-CREDO France) .

The doses of split vaccine and core used are expressed in μg of total proteins determined by colorimetry, by comparison with a standard solution of bovine serum albumine, according to the method described by Bradford (Anal. Biochem, 1976, 72, 248-354), using the Bio-rad Kit.

One month after vaccination, the mice were infected with the A/Wiison Smith/33 (A/H1 N1 ) strain, obtained from the World Influenza Centre in London. This strain was chosen for the infection challenge since it is lethal for non-immunized mice. It was administered nasally, at the rate of 20 LD50 doses in 30μΙ per mouse under anaesthetic. The mice were then observed daily for three weeks.

The results concerning survival for the different experimental groups were recorded in tables 1 and 2. In the experiments in table 1 , no control mouse (unvaccinated) survived. The viral core administered alone had at best a limited protective effect (10-20%), and the split vaccine injected alone only protected 30 to 50% of the mice. It may be seen that several of the split and core vaccine combinations gave synergic protection at concentrations higher than 3μg of split vaccine associated with 90pg of core, or else, ^ 0μg of split vaccine associated with 10^ig of core.

The experiment was repeated, reducing the range of core quantities tested in association with the split vaccine. The results are presented in table 2. From the results in table 2, it may be seen that the addition of 3μ9 of core or more to the vaccine systematically increases the percentage of mice surviving the test (highly significant protection synergy: p test F = 0.009).

TABLE 1 Surviving mice/Tested mice after immunisation, with, per mouse: TABLE 2 Surviving mice/Tested mice after immunisation, with, per mouse: Example 3: Detection and quantification of the influenza virus core The influenza vaccines of the invention are likely to contain lipid-free or complete influenza core particles and complete virions or protein sub-units in variable proportions depending on their method of preparation.

The method chosen to dose the core uses the difference in density of these elements, shown by isopycnic centrifugation in linear saccarose gradient (Brand & Skehel, article op. cit.).

With this aim, the samples to be analysed were placed in ultra-centrifugation tubes on the surface of a preformed saccharose gradient. In the present case, 14 ml tubes with a 12 ml 20-60% gradient (w/w in PBS) were used. The vaccine dose placed in the tubes was 1 ml in volume.

The samples were then subjected to ultracentrifugation for 16 hours at 100,000 g (at + 4°C), then the contents of the tubes were fractioned from the surface to the bottom in 14 aiiquotes. During fractioning, optical density was measured continuously at 254 mm.

A diagram in which each peak corresponded to a population of particles of determined density was obtained. The apparatus makes it possible to pinpoint the correspondence between the position of a peak on the graph and the fraction in which it may be found. Measurement with the Abbe refractometer shows the saccharose percentage for each fraction, from which conversion tables (Handbook of Chemistry and Physics, 68th. Edition, Ed. R.C. Weast, GRC Press Inc.) give the apparent density of the particles. Characteristically, the density of the viral core (obtained according to the procedure of example 1) is 1.15-1.16 g/cm3 and that of the virus is 1.19-1.20 g/cm3; this corresponds to saccharose concentrations of 35-37% and 42-44% respectively.

The results of the density analysis of a standard core solution are shown in figure 1.

In the graphs of figure 1 the numbers of the fractions are shown in absciss (and the corresponding saccharose concentrations) and the optical density (DO) in arbitrary units in ordinate. The recording conditions (ISCO material) were the following: detection wavelength 254 nm, sensitivity 0.2 of DO (full scale), rate of collection: 3 ml/cm.

The graphs shown in figure 1 were obtained by testing increasing quantities of core in solution in the PBS buffer. It was noticed that the surface delimitated by the peaks was proportional to the quantity of core. A correlation may be established which enables the method to be used for dosage.

In order to confirm that the peak observed for a saccharose concentration of 35-37% is viral core, polyacrylamide gel electrophoresis (Laemmli, see above) may be used, after denaturing treatment of the sample by SDS at 2%, at 90° C for 3 minutes, which shows the presence of core proteins NP and M after coloration with silver.

In figure 2, the diagrams obtained with 3 different vaccines are shown: a vaccine with complete virions, commercialized under the trade name Vaccin Grippal Ronchese (VGR), and two split vaccines obtained with different techniques and commercialized under the trade names VAXIGRIP and MUTAGRIP, these diagrams being established according to the same principles and in the same recording conditions as those described concerning figure 1. Figure 2 allows comparison of influenza vaccine profiles (one dose) before (a) and after (b) addition of 10 g of viral core. In figure 2, graph 1 corresponds to the vaccine with complete virions, and graphs 2 and 3 to the split vaccines (Vaxigrip and Mutagrip respectively). The profiles vary from one vaccine to another but none of them have a content of core.

The addition of core (10 μg /dose) (graphs 1b, 2b, 3b) is clearly identifiable by the appearance of a new peak in the fractions containing saccharose at 36-37%.

Example 4 Preparation of a Core Fraction Containing a Matrix Protein (M Protein): Vaccination and Dosage Tests.

* The bibliographical references in this example are to be found at the end of the example.

This fraction is extracted from purified viral core according to a technique adapted from Ruigrok and coll. (1989). The core is suspended in PBS buffer adjusted to pH 4.8 with a 0.25 M solution of citric acid. At this stage, a protease inhibitor such as TLCK (Sigma, solution at 1 mg/ml in 50 mM pH5 acetate buffer) may be added, to avoid later degradation of the M protein. The core is then subjected to a detergent treatment by a 0% solution of lubrol (Brij 36T, Sigma) the final concentrations of core, lubrol and where necessary TLCK being respectively brought to 0.1 mg/ml, 0.5% and 50 μg ml, by addition of PBS buffer adjusted to pH 4.8 with 1.24 N hydrochloric acid. The mixture is homogenised by gentle stirring at room temperature for one minute, then subjected to ultra-centrifugation at 85,000 g for 90 min, at +4° C. The centrifugation pellets, containing nucleoprotein (NP) are once more suspended in PBS Buffer pH 7.4, while the supernatant , containing the M protein, is concentrated 10-20 times by ultrafiltration (Amicon cell, membrane with cut-off threshold of 10,000 Daltons). The proteins are stocked at -20° C.

They are dosed with bicinchonic acid (Smith, Krohn et al., 1985) using the Pierce Micro BCA Kit.

Their purity is routinely checked by 12.5% polyacrylamide gel electrophoresis followed by coloration with Coomassie blue (Phast System, Pharmacia). No contamination was visible as regarded the matrix protein, which indicates a purity of at least 90%.

Dosage of M protein bv ELISA Principle: The technique used was a non-competitive ELISA sandwich test adapted from Bucher, Kharitonenkov et al., (1987), Donofrio, Coonrod et al., (1986), and Hjerten, Sparrman et al., (1988). It consisted in capturing the M protein in the samples to be dosed (for example: influenza virus, vaccine, core, purified proteins) using specific anti-M immunoglobulins adsorbed on microtitration plates; the presence of the M protein was then assessed using a succession of stages which led to a colorimetrical reaction proportional to the quantity of antigen present.

Immunological reagents used: Total anti-influenza virus M protein immunoglobulins: these specific immunoglobulins were obtained from serum from rabbits hyperimmunized by 3 injections respectively of 100, 75 and 75 g of M protein prepared as previously described; these injections were made intra-muscularly at monthly intervals in presence of Freund's adjuvant (complete adjuvant for the first injection and incomplete for the subsequent ones). The total immunoglobulins were then precipitated with ammonium sulphate at 35% saturation.

Commercial Monoclonal murine anti-M antibody (Serotec) Anti (mouse immunoglobulin) goat immunoglobulins, labelled with peroxidase (Jackson ImmunoResearch).

Solutions: Dilution buffer constituted of PBS pH 7.2 with 0.05% tween 20 and 5% of skimmed powdered milk (Regilait) added.

Washing solution for wells constituted of PBS buffer plus 0.05% of tween 20.

Method: It is carried out in microtitration plates (Nunc). Each reagent is added under a volume of 10ΟμΙ per well: after the saturation stage and up to that of revelation, the plates systematically undergo 4 successive rincings with the washing solution.

The total anti-M protein rabbit immunoglobulins are deposited at a concentration of 1 μg I ml in sodium carbonate 50 mM pH 9.6 buffer and are adsorbed for one night at + 4° C.

A well saturation stage is then carried out for 1 h at 37° C with the help of the dilution buffer.

The samples to be dosed are then placed in the form of rate 2 dilutions in the dilution buffer to which 0.1 % of SDS has been added.

After 2 hours' contact at 37° C, the mouse monoclonal antibody specific to the M protein, diluted at 1/1 ,000 in the dilution buffer containing 0.1 % SDS, is added and incubated for 1 h at 37° C.

Binding of the monoclonal anti-M antibody on the protein is evidenced by addition of the anti-mouse immunoglobulin antibodies labelled with peroxidase and diluted at 1/1 ,000 in the dilution buffer.

After 1 h at 37° C and after a final series of plate washing, the reaction is revealed by addition of the 20 mM citrate buffer, pH 5.6, containing sodium perborate, substrate of the peroxidase (Sigma) , with added oPD (orthophenylenediamine dihydrochloride, Sigma) used at a concentration of 0.4 mg/ml. The reaction is halted after incubation for 20 min at room temperature by adding 50 μΙ of 4N sulphuric acid.

The result is read by using an ELISA plate reader (MR 5,000 Dynatech) which measures absorbency of the reactional medium in the wells at a wavelength of 490 nm.

Protection Tests on Mice Groups of six-week-old BALB/c mice (from IFFA-Credo, France) were immunized with preparations of Vaxigrip (monovalent A/H1 N1 NIB16), with viral protein M, or by associations of Vaxigrip and M protein (see doses used in the result tables). The various preparations were administered viral protein M, or by associations of Vaxigrip and M protein (see doses used in the result tables). The various preparations were administered subcutaneously under 0.5 ml without adjuvant and in a single injection. The mice were tested 4 to 5 weeks after immunization with 5 50% lethal doses (LD50) of the A/H1N1 A/WS/33 strain inoculated under 30μ1 intranasally, under deep anaesthesia of the animals by a mixture of ketamine-Xylazine. The results are presented as the survival table of the mice three weeks after infection challenge.

The two tables presented correspond to two series of experiments carried out with the same M and NIB16 virus core protein preparations. They show that the association of Vaxigrip (monovalent NIB16) and matrix protein preparation improves the protection.

The doses of vaccine, core and protein are expressed in μς of total proteins determined for the vaccine and the core by Bradford's technique (1976, op. cit.in patent), and for M protein by dosage with bicinchonic acid (Smith, Khron et al, 1985, op. ci ).

TABLE 3 N* of surviving mice/N0 of tested mice (10 unless otherwise stated) TABLE 4 N° of BALB/c mice surviving/ 10 tested mice The mice may also be immunized using vaccine preparations with complete virions. The table below presents survival of BALB/c mice Immunized at age 6 weeks with trivalent VGR vaccine preparations with complete virions (Vaccin Grippal Ronchese from the 1990-91 season). The trivalent vaccine dose used was about 5 μg hemagglutinine of NIB16 virus per mouse; it was quantified by radial immunodiffusion according to the technique of Wood & coll., op cit., and corresponds to the quantity present in 10 pg of total proteins of monovalent Vaxigrip NIB16 previously used.

The results show that the improvement effect in protection by addition of protein preparation may also be observed with a complete virus vaccine: TABLE 5 N° of BALB/c mice surviving / 10 mice tested In the same way as before, the BALB/c mice were immunized using sub-unit vaccine preparations, such as the DUPHAR vaccine (Influvac sub-unit); this is obtained after treatment of the virus by hexadecyl trimethyl ammonium bromide (Jennings, Smith et al, 1984; Bachmayer, 1975) and purification of the HA and NA glycoproteins by ultracentrifugation on saccharose gradient. for the monovalent or trivalent vaccine: the equivalent of 5 μς of HA of virus NIB16 assessed by radial immunodiffusion; for the M protein: 5, 15 or 30 μς of protein dosed by the bicinchonic acid method, and for the core, 30 μς of total protein dosed by Bradford's method. - 20 - bibliographical Hoferoncos ..* Example. ): - Bachmayor, H. (197b). "Selective solubilization o( hemagglutinin and neuraminidase from influenza viruses." Interviroiogy. ii, 260-272.

·· Bradford, . . (1976). "A rapid and sensitive method for 1ho quantitation of microgram quantities of proteins utilizing the' principle of protein-dye binding." Anal. fehejTi, 72. 248-254.

- Buchcr, D. J., KhaWtoncrikov, I. G„ Wajeod'Khan, .. Palo, A., Holloway, D. and Mikhail, A. (19Θ7). "Detection of influenza viruees through selective adsorption and detection of the M protein antigen.'' J. of Immunol. Methods. 96. 77-85.

- Donofrio, J, C, Coonrod, J. D., Karalhanasis. V. and Coeiingh, K. V. . (198G). "Electroolulion for purification of Influenza A matrix protein lor use In immunoassay." L oJimmunji..Meluo.ds, i3. 107-120.

• Hjerten, S., parrman, M. and Mao, J. (1986). "Purification of membrane proteins in SDS and subsequent ronaluratlon." 476-464.

- Jonnings, R„ Smith. T. L., Spencer, Π. C, Mcllersh, A. ., Edey, D Fenton, P., et al (1984). "Inactivated Influenza virus vaccines in man : a comparative study of subunlt and spiit vaccinos using two methods for assessment of antibody responses," yagcjne, 2, 75-000. · ' - nuigrok. P. W. H„ Caldcr, L. J, and Wharton, S. T. A. (1989). "Electron Microscopy of the Influenza Virus Submembranal Structure." Virology. 173 , 31 1-316.

• Smith. P. K., Krohn: P. I.. Hermanson. G. T., Mnllia. Λ K.. Gartner, P. H., Provenzano. . D,, ot al (1905). "Measurement of protein using bicinchonic acid." Anal. Biochem,, 1 i»0. 100765/2 - 21 - EmtjQjlle_5 Improvement of protection against a sub type of tho influenza virus by use of a jfteiPfi s ub-type vaccine containing core Groups of ΟΓ-Ί male mice aged 6 weeks wore treated with preparations of monovalent Vaxigrip Λ/Η3Ν2 X 97, A/H3N2 X 97 virus core, or with associations of Vaxigrip and core. The different preparations were administered subcutaneously under a volume of 0.5 ml, without adjuvants and in a single injection. The mice were tested 5 weeks after immunization with a dose corresponding to 20 50% lethal doses (LD50) of the A/H1 N1 A/WS/33 strain Inoculated intra-nasally under a volume of 30 jil, under deep anaesthesia of the animals by a mixture of ketamine-Xylazine.

The results were summed up in the following table: TABLE 6 ° surviving mice/n* tested mice (10 unless othorwise stated) As expected, vaccine A/H3N2 X97 .does not afford protection against an infection challenge with virus A/H1 N1. A surprising effect of protection synergy is observed however when the vaccine is associated with core.

Claims (34)

- 22 - 100765/3 CLAIMS:

1. Vaccine composition against influenza containing the components of a conventional anti-influenza vaccine, and further containing as an additive, a portion of influenza virus core from at least one influenza virus strain which includes M protein or which includes an active fragment of said M protein.

2. Composition according to Claim 1, wherein said conventional anti-influenza vaccine is a complete virion vaccine.

3. Composition according to Claim 1, wherein said conventional anti-influenza vaccine is a sub-unit vaccine.

4. Composition according to Claim 1, wherein said conventional anti-influenza vaccine is a split vaccine.

5. Composition according to any one of the preceding claims, characterized by the fact that said additive comprises core obtained after elimination of envelope proteins by treating an influenza virus with a protease.

6. Composition according to Claim 5, characterized by the fact that said protease is bromelain.

7. Composition according to Claim 1, characterized by the fact that said additive comprises lipid free core particles.

8. Composition according to any one of Claims 1 to 7, characterized by the fact that said additive comprises core obtained by gentle treatment of influenza virus with at least one surfactant, followed by separation of said core according to usual methods.

9. Composition according to the preceding claims, characterized by the fact that said core fraction can be obtained by a process consisting of: - 23 - 100765/2 treating a core suspension with a surfactant at a sufficiently high concentration and at a sufficiently acid pH to favour separation of proteins M and NP in the following stage, subjecting the resultant solution to centrifugation at a speed sufficient for protein NP and any residual core particles to accumulate in the centrifugation pellet while M protein remains in the supernatant, separating the centrifugation pellet and collecting the supernatant, and concentrating the supernatant if desired, in order to obtain a core fraction solution.

10. Composition according to Claim 1, characterized by the fact that said core fraction is M protein or an active fragment thereof.

11. Composition according to any one of the preceding claims, characterized by the fact that the conventional vaccine and the additive are present in the same container.

12. Composition according to any one of Claims 1 to 10, characterized by the fact that the conventional vaccine and the additive are present in separate containers, placed in the same wrapping.

13. Composition according to any one of the preceding claims, characterized by the fact that it is presented in the form of a unit dose containing an efficient amount of said additive.

14. Composition according to the preceding claim, characterized by the fact that it contains as additive from 1 to 100 μg of core, or an equivalent amount of said core fraction.

15. ... Composition according to the preceding claim, characterized, by the fact that it contains as additive from 2 to 100 ,ug of core, or an equivalent amount of core fraction. - 24 - 100765/2

16. Composition according to the preceding claim, characterized by the fact that it contains as additive from 5 to 100 μ&< of core, or an equivalent amount of core fraction.

17. Composition according to Claim 13 or 14, characterized by the fact that it contains as additive at least 3-5 μ&< of M protein.

18. Composition according to the preceding claim, characterized by the fact that it contains as additive at least 7-10 μ% of M protein.

19. Composition according to any one of Claims 13 to 18, characterized by the fact that its conventional vaccine component contains from 1 to 20 μ of hemagglutinin of each of the strains of which it is composed.

20. Composition according to Claim 9, wherein said surfactant is a nonionic surfactant.

21. Composition according to Claim 20, wherein said nonionic surfactant is selected from the group consisting of polyoxyethylenated alkylphenols, polyoxyethylenated fatty alcohols and alkyl-osides.

22. Use, in the preparation of a vaccine composition containing the components of a conventional anti-influenza vaccine, of an additive consisting of a portion of influenza virus core from at least one influenza virus strain wherein said portion includes M protein or an active fragment thereof, substantially as described in the specification.

23. Use according to the preceding claim, characterized by the fact that said conventional vaccine and/or said core and/or said core fraction are as defined in any one of Claims 2 to 10.

24. Use according to Claim 22 or 23, in the preparation of a unit dose containing additive amounts as defined in any one of Claims 13 to 18.

25. Use, according to Claim 22, wherein said core fraction containing M protein can be obtained by a process consisting of: - 25 - 100765/1 treating a core suspension with a surfactant at a sufficiently high concentration and at a sufficiently acid pH to favour separation of proteins M and NP in the following stage, - subjecting the resultant solution to centrifugation at a speed sufficient for protein NP and any residual core particles to accumulate in the centrifugation pellet while M protein remains in the supernatant, separating the centrifugation pellet and collecting the supernatant, and concentrating the supernatant if desired, in order to obtain a core fraction solution.

26. Use according to Claim 25, wherein said surfactant is a nonionic surfactant.

27. Use according to Claim 26, wherein said nonionic surfactant is selected from the group consisting of polyoxyethylenated alkylphenols, polyoxyethylenated fatty alcohols and alkyl-osides.

28. Use, in the preparation of an anti-influenza vaccine composition, of a first component comprising at least one conventional anti-influenza vaccine, and of a second component containing as an additive, a portion of influenza virus core from at least one influenza virus strain wherein said portion includes M protein or an active fragment thereof, substantially as described in the specification.

29. Use according to the preceding claim, characterized by the fact that said core or said core fraction is as defined in any of Claims 5 to 10.

30. Use according to Claim 28 or 29, wherein said first and second components are present in separate containers. .. .

31. Use according to Claim 28 or 29, wherein said first and second components are present in the same container.

32. Use according to Claim 28, wherein said core fraction containing M protein can be obtained by a process consisting of: - 26 - 100765/1 treating a core suspension with a surfactant at a sufficiently high concentration and at a sufficiently acid pH to favour separation of proteins M and NP in the following stage, subjecting the resultant solution to centrifugation at a speed sufficient for protein NP and any residual core particles to accumulate in the centrifugation pellet while M protein remains in the supernatant, separating the centrifugation pellet and collecting the supernatant, and concentrating the supernatant if desired, in order to obtain a core fraction solution.

33. Use according to Claim 32, wherein said surfactant is a nonionic surfactant.

34. Use according to Claim 33, wherein said nonionic surfactant is selected from the group consisting of polyoxyethylenated alkylphenols, polyoxyethylenated fatty alcohols and alkyl-osides. For the Applicants, DR. REINHOLD COHN AND PARTNERS S5393-7-aaims-JP\be\14.5..1995