JP6306514B2 - Hivワクチン接種のための免疫原 - Google Patents
Hivワクチン接種のための免疫原 Download PDFInfo
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Description
(i)前記免疫原のアミノ酸配列は、配列番号1〜16またはその改変体またはそのフラグメントのいずれかのアミノ酸配列以外、HIVゲノムから誘導される長さが8アミノ酸以上の配列を含まず、
(ii)免疫原が、配列番号1〜16からなる群から選択される1つの配列のみを含む場合、この配列は、配列番号3、5、6および16からなる群から選択されない、免疫原性ポリペプチドに関する。
プラスミド298H GMCSF−HIVACAT DNAを、DSMZ−Deutsche Sammlung von Mikroorganismen und Zellkulturen、Inhoffenstraβe 7 B、D−38124 Braunschweig、Federal Republic of Germanyで、受託番号DSM 25555で2012年1月13日に寄託した。
「アジュバント」という用語は、本明細書で使用する場合、免疫原の影響を変えるが、それ自体を投与するときには、直接的な影響があるにしても影響が少ない免疫学的薬剤を指す。アジュバントは、注入される外来物質を最低限に維持しつつ、供給される抗原に対する受容者の免疫応答を高めるために、ワクチンに含まれることが多い。標的抗原に対する免疫系の応答を刺激するために、アジュバントをワクチンに加えるが、それ自体は免疫を与えない。有用なアジュバントの非限定的な例としては、鉱物塩、ポリヌクレオチド、ポリアルギニン、ISCOM、サポニン、モノホスホリル脂質A、イミキモド、CCR−5阻害剤、毒素、ポリホスファゼン、サイトカイン、免疫調節タンパク質、免疫刺激融合タンパク質、共刺激分子、およびこれらの組み合わせが挙げられる。鉱物塩としては、限定されないが、AIK(SO4)2、AlNa(SO4)2、AlNH(SO4)2、シリカ、ミョウバン、Al(OH)3、Ca3(PO4)2、カオリンまたは炭素が挙げられる。有用な免疫刺激ポリヌクレオチドとしては、限定されないが、免疫刺激複合体(ISCOM)を含むか、または含まないCpGオリゴヌクレオチド、ポリアルギニンを含むか、または含まないCpGオリゴヌクレオチド、ポリICまたはポリAU酸が挙げられる。毒素としては、コレラ毒素が挙げられる。サポニンとしては、限定されないが、QS21、QS17またはQS7が挙げられる。有用な免疫刺激融合タンパク質の一例は、免疫グロブリンのFcフラグメントを含むIL−2の融合タンパク質である。有益な免疫制御分子としては、限定されないが、CD40LおよびCD1aリガンドが挙げられる。アジュバントとして有用なサイトカインとしては、限定されないが、IL−1、IL−2、IL−4、GMCSF、IL−12、IL−15、IGF−1、IFN−α、IFN−βおよびインターフェロンガンマが挙げられる。さらに、この例は、ムラミルジペプチド、N−アセチル−ムラミル−L−トレオニル−D−イソグルタミン(thr−DMP)、N−アセチル−ノルヌラミル−L−アラニル−D−イソグルタミン(CGP 11687、ノル−MDPとも呼ばれる)、N−アセチルムラミウル−L−アラニル−D−イソグルタミニル−L−アラニン−2−(1’2’−ジパルミトイル−sn−グリセロ−3−ヒドロキシホスホリルオキシ)−エチルアミン(CGP 19835A、MTP−PEとも呼ばれる)、2%スクアレン/TWEEN(登録商標)80エマルション中のRIBI(MPL+TDM+CWS)、リポ多糖およびその種々の誘導体(リピドAを含む)、完全フロイントアジュバント(FCA)、不完全フロイントアジュバント、Merck Adjuvant 65、ポリヌクレオチド(例えば、ポリICおよびポリAU酸)、Mycobacterium tuberculosis由来のワックスD、Corynebacterium parvum、Bordetella pertussis、Brucella属のメンバー中に見出される物質、Titermax、Quil A、ALUN、リピドA誘導体、コレラ毒素誘導体、HSP誘導体、LPS誘導体、合成ペプチドマトリックスまたはGMDP、Montanide ISA−51およびQS−21、CpGオリゴヌクレオチド、ポリI:CおよびGMCSFが挙げられる。Osol A.編集、Remington’s Pharmaceutical Sciences(Mack Publishing Co.、イーストン、PA、US、1980、pp.1324−1341)、Hunter R、US 5,554,372およびJager E、Knuth A、WO1997028816を参照。アジュバント組み合わせを使用することもできる。
第1の態様では、本発明は、配列番号1〜16の配列を含むアミノ酸配列または前記配列番号1〜16の改変体を含み、前記改変体はそれぞれ、長さが少なくとも8アミノ酸であり、但し、前記アミノ酸配列は、配列番号1〜16またはその改変体のいずれかのアミノ酸配列以外の長さが8アミノ酸以上のHIVゲノムから誘導される配列を含まない、免疫原性ペプチドに関する。
(i)前記アミノ酸配列は、配列番号1〜16またはその改変体またはそのフラグメントのいずれかのアミノ酸配列以外、HIVゲノムから誘導される長さが8アミノ酸以上の配列を含まず、
(ii)免疫原が、配列番号1〜16からなる群から選択される1つの配列のみを含む場合、この配列は、配列番号3、5、6および16からなる群から選択されない。
第3の態様では、本発明は、第1の態様の免疫原をコードする核酸、およびこの核酸を含む発現カセット、ベクター、ウイルスおよび細胞に関する。
別の態様では、本発明は、第1の態様および第2の態様の免疫原、第3の態様の核酸、発現カセット、発現ベクター、ウイルスまたは細胞、または第4の態様の組成物を含むワクチンに関する。
好ましい実施形態では、本発明の免疫原性ポリペプチド、本発明の核酸、本発明の発現カセット、本発明の発現ベクター、本発明のウイルス、本発明の細胞、または本発明のワクチンを、HIV感染またはHIV感染に関連する疾患の予防または治療に使用することができる。
(i)第一の、請求項1〜11のいずれか一項に記載の免疫原性ペプチド、請求項12〜14のいずれか一項に記載の核酸、請求項15に記載の発現カセット、請求項16に記載の発現ベクター、請求項17〜18のいずれか一項に記載のウイルス、請求項19に記載の細胞、または請求項20に記載のワクチンと、
(ii)第2の、請求項1〜11のいずれか一項に記載の免疫原性ペプチド、請求項12〜14のいずれか一項に記載の核酸、請求項15に記載の発現カセット、請求項16に記載の発現ベクター、請求項17〜18のいずれか一項に記載のウイルス、請求項19に記載の細胞、または請求項20に記載のワクチン
の連続投与を含んでなる。
別の態様では、本発明は、第1の態様の免疫原、第2の態様のペプチドまたはその改変体、第4の態様の核酸、発現カセット、発現ベクター、ウイルスまたは細胞、または第4の態様のワクチンを含むキットに関する。これらのキットは、本発明に記載する用途を実行するのに必要な材料を与える。キットは、パッチの形態であってもよい。
1.T細胞の免疫原設計
本発明のHIV OLPの設計のために、以下の手法にしたがった。
(1)OLP免疫原性データ
(2)保存領域の反応性データ
(3)既知の良好なエピトープまたは不良なエピトープを含める/除外するためのセグメントの伸長または切断
(4)CD4エピトープの被覆
(5)HLAの被覆
(6)配列多様性(2010種類のコンセンサスおよびHBX2の定義されたエピトープ)
(7)多変量OLP分析
(8)新規エピトープ/自己エピトープの作成
(9)有益なOLPを含まない天然配列の管理
(10)エピトープ認識を避けるための変更の導入、および
(11)禁じられている残基(G,P,E,D,Q,N,T,SまたはC)を避ける。
このプロトコルによって、免疫原候補として、配列番号1〜配列番号16の設計を得た。
最適な処理を確保し、早すぎるエピトープ消化を避けるために、配列番号1〜配列番号16の配列が、セグメント間の1個、2個または3個のアラニンアミノ酸で連結する。
T細胞免疫原をポリペプチドとして設計し、3個のアラニンリンカーによって統一されたさまざまな大きさ(11〜78aa)のHIV−1ゲノムの16セグメントからアセンブリングした。領域の記述は以下のものを含んでいた。
シグナルペプチドは、一般的に、機能を発揮する細胞位置に到達するために膜を通過しなければならない高度に疎水性のアミノ酸配列(長さが15〜60アミノ酸)のタンパク質である。シグナル認識粒子に結合することによって、これらの配列は、翻訳中にタンパク質が挿入される膜に対する初期のタンパク質−リボソーム複合体を支配する。シグナルペプチドは、種々の膜(例えば、小胞体、ミトコンドリア、葉緑体、ペルオキシソーム)によるタンパク質の翻訳時取り込みを指示する。非膜タンパク質のリーダーシグナル配列は、最終的に、特定のペプチダーゼによって除去される。
MWLQSLLLLGTVACSIS(配列番号46)
トランスフェクトした細胞での発現を評価する目的のために、終止コドンより前に、C末端領域にあるFLAGペプチドに最初に含まれる免疫原配列は、以下であった。
DYKDDDDKL(配列番号48)
T細胞免疫原は、以下の配列(配列番号49)を有している。
GMCSFシグナルペプチドは、下線で示され、このシグナル配列のすぐ後にあるバリンは、マーカーで塗られており、1個、2個または3個のA(AAA)リンカーは太字で示され、FLAGエピトープ(in−vivo試験のために最終構築物で除去される)は、イタリックで示され、異なるセグメントは、以下のようにカッコ内に示される。
発現および分泌を高めるために、T細胞免疫原配列をRNA/コドンが至適化されたヌクレオチド配列に翻訳した(Mr.Gene GmbH、レーゲンスブルク、DE)。コドンの至適化は、コードされるタンパク質に影響を与えることなく、mRNA中、すでに特定されたRNAを処理する配列、阻害する配列、不安定な配列を破壊するような複数のヌクレオチド変更を導入することに基づいていた。Schwartz Sら、J.Virol.1992;66(12):7176−7182を参照。このプロセスは、適切なコドン変更によって、コード配列から予想されるスプライス部位(スコア>0.4)を除外し、スプライシングの可能性を最低限にすることを含んでいてもよい。
コドンが至適化されたT細胞免疫原を、哺乳動物発現プラスミドBV5へクローン化し、ヒトサイトメガロウイルス(CMV)プロモーター、ウシ成長ホルモン(BGH)ポリアデニル化部位およびカナマイシン耐性遺伝子(Xho部位がない)を含む微生物中で成長のために最適化された改変CMV基本プラスミド骨格からなっていた。このクローン化工程は、以下のとおりであった。
298H Plus
GTCACCGGGCGGCTGCATGGCTGGAGGCTCAGGAGGAGGAGGAGGTGGGCTTCtgataaG(配列番号51)
298H Minus
aattCttatcaGAAGCCCACCTCCTCCTCCTCCTGAGCCTCCAGCCATGCAGCCGCCCG(配列番号52)
in−vitro発現試験
数種類の一過性トランスフェクションを行い、HIVACAT T細胞免疫原の発現、局在化および安定性を評価した。
マウスでの細胞応答
1ml(2mg/ml)の298H GMCSF−HIVACAT DNAのストックを、マウスにおけるin vivo試験のためにエンドフリーで製造した。
(1)114H p55 gagクレードB:全gagタンパク質を発現する;
(2)132H NTV:nef、tatおよびvifのキメラタンパク質を発現する;
(3)133H pol:全polタンパク質を発現する;
(4)BV4 CMV−kan−Basic:SHAMコントロール、導入遺伝子を発現しない、類似のDNAプラスミド骨格。
マウスでの液性応答
まず、プールしたマウスの血清で液性応答を分析した。ウェスタン免疫ブロットによって、12% SDS−Pageで分離した1mgのgag発現ベクターでトランスフェクトしたHEK 293細胞からの細胞抽出物を用い、p24、p37およびp55に対する結合抗体を検出し、マウス由来のプールした血清(希釈1:100)を用い、膜を探索した。gag p24に対する抗体価をELISAによって測定した。プールした血清サンプルの段階的な4倍希釈物を評価し、450nmでの吸光度を決定した(Advanced BioScience Lab,Inc.、ケンジントン、MD、US)。SHAM DNAで免疫化したマウスから得たコントロール血清を用いて得られた平均と3つの標準偏差の和より大きな値を有するポジティブ値を示す結合価を最大希釈で報告した。
マウスにおける異種プライム/ブーストin vivo免疫原性
材料および方法
pDNA−HIVACATおよびMVA−HIVACATワクチンの調製
コドンが至適化されたT細胞免疫原を、哺乳動物発現プラスミドBV5へクローン化し、ヒトサイトメガロウイルス(CMV)プロモーター、ウシ成長ホルモン(BGH)ポリアデニル化部位およびカナマイシン耐性遺伝子(Xho部位がない)を含む微生物中で成長のために最適化された改変CMV基本プラスミド骨格からなっていた。マウスを免疫接種するためのプラスミドDNAを、Endo−Free Megaprep(Qiagen)を用いて調製し、使用するまで−80℃で保存した。
マウスにおける異種プライム/ブーストin vivo免疫原性実験のために、5グループの6〜8週齢のメスC57BL/6(Harlan Laboratories Ltd.、バルセロナ、スペイン)を使用した。マウスに対し、100μgのpDNA−HIVACAT(2または3回のワクチン接種)を用いて筋肉内からプライミングし、その後、106pfuのMVA−HIVACATブースト(グループ:それぞれ、2×DNA、3×DNA、2×DNA+1MVAおよび3×DNA+1MVA)を行った。すべてのワクチン接種に3週間の間隔をあけた。
HIVACAT T細胞免疫原のみを発現するpDNAまたはMVAである異種治療法の免疫原性を評価するために、また、接合エピトープ候補の免疫原性を除外するために、9−フルオレニルメチルオキシカルボニル(Fmoc)化学を用い、全HIVACAT T細胞免疫原に広がる(リーダー配列およびリンカー領域を含む)長さが15アミノ酸の147ペプチドのオーバーラッピングペプチド群(11残基が重複する)を新しく合成した。免疫原のタンパク質サブユニットおよびセグメントにしたがって、ペプチドが18種の異なるプールに配分された(シグナルペプチド配列について1プール、n=4ペプチド;Gagについて7プール、n=8〜11ペプチド/それぞれ;Polについて7プール、n=5〜11ペプチド/それぞれ;Vifについて2プール、n=6〜8ペプチド/それぞれ、Nefについて1プール、n=2ペプチド)。8種類のタンパク質サブユニット(Gag p17、Gag p24、Gag p2p7p1p6、Pol−プロテアーゼ、Pol−RT、Pol−インテグラーゼ、VifおよびNef)に特異的なIFNγ応答によって分け、結果を示す。
製造業者の指示にしたがい、最小限の改変を加えつつ、マウスIFNγ ELISpotキット(ALP)(Mabtech AB、ストックホルム、SE)を用い、ELISpotアッセイを行った。すべてのアッセイについて、凍結したマウス脾細胞をまず解凍し、使用前に、R10に37℃で5時間放置した。細胞を、96ウェルポリビニリデンプレート(Millipore Corp.、ベッドフォード、MA、US)内で、R10の140μl中、投入細胞数4×105細胞/ウェルを単独で、またはHIV−1特異的なペプチドプール(各ペプチドの最終濃度14μg/ml)とともに、37℃、5% CO2中で16時間加えた。コンカナバリンA(Sigma−Aldrich Corp.、セントルイス、MO、US)を5mg/mlでポジティブコントロールとして使用した。このプレートを、1工程の5−ブロモ−4−クロロ−3−インドリルホスフェート/ニトロブルーテトラゾリウム(BCIP/NBT、Bio−Rad Laboratories,Inc.、Irvine、CA、US)で現像した。自動化されたELISPOTリーダーシステム(CTL Analyzers LLC、クリーブランド、OH、US)で、ImmunoSpotソフトウェアを用い、プレート上のスポットを計測し、応答の大きさを、投入した脾細胞100万あたり、スポットを形成する細胞(SFC)としてあらわした。陽性応答の閾値は、ウェルあたり少なくとも5個のスポットであり、「ネガティブコントロールウェルの平均値と、ネガティブコントロールウェルの3つの標準偏差の和」および「ネガティブコントロールウェルの平均の3倍」のいずれか大きい方を超える応答であると定義された。
全タンパク質をコードするプラスミドを用いてマウスを免疫化しなかったこれらの実験では、実際の免疫原配列と合うオーバーラッピングペプチドの第2群を合成し、免疫原性の比較のために使用した。100μgのpDNA−HIVACATを用いた3回の筋肉内(i.m.)免疫化は、エレクトロポレーションInovioシステムを用いた免疫化によって誘発されるIFNγ応答の頻度に適合したすべてのマウスにおいてIFNγ応答の頻度を誘発することができた。しかし、2回のpDNA筋肉内ワクチン接種は、3回のpDNA筋肉内免疫接種の後に応答を誘発する動物を100%として、3匹の動物のみで免疫原性である(60%)ことがわかった。興味深いことに、MVA−HIVACATワクチンは、分析した2グループにおいて、幅および大きさの両方で応答を促進することができた(図8B)が、マウスが3回のpDNA−HIVACATの投与ですでにプライミングされていたときに、応答の大きさが顕著に増えた(図8Bおよび8C)。以前のEP実験からわかるように、免疫原に含まれるすべてのタンパク質サブユニットのほとんどに対し、すべての動物において、明確な優性パターンをもたず、均衡の取れた広範囲の応答が観察された。nefまたはgag−p15に特異的な応答は、試験したマウスでは検出されなかった(図8D)。
Claims (26)
- i) 配列番号1の配列に対し少なくとも90%の同一性を有するアミノ酸配列、
ii) 配列番号2の配列に対し少なくとも90%の同一性を有するアミノ酸配列、
iii) 配列番号3の配列に対し少なくとも90%の同一性を有するアミノ酸配列、
iv) 配列番号4の配列に対し少なくとも90%の同一性を有するアミノ酸配列、
v) 配列番号5の配列に対し少なくとも90%の同一性を有するアミノ酸配列、
vi) 配列番号6の配列に対し少なくとも90%の同一性を有するアミノ酸配列、
vii) 配列番号7の配列に対し少なくとも90%の同一性を有するアミノ酸配列、
viii)配列番号8の配列に対し少なくとも90%の同一性を有するアミノ酸配列、
ix) 配列番号9の配列に対し少なくとも90%の同一性を有するアミノ酸配列、
x) 配列番号10の配列に対し少なくとも90%の同一性を有するアミノ酸配列、
xi) 配列番号11の配列に対し少なくとも90%の同一性を有するアミノ酸配列、
xii) 配列番号12の配列に対し少なくとも90%の同一性を有するアミノ酸配列、
xiii)配列番号13の配列に対し少なくとも90%の同一性を有するアミノ酸配列、
xiv) 配列番号14の配列に対し少なくとも90%の同一性を有するアミノ酸配列、
xv) 配列番号15の配列に対し少なくとも90%の同一性を有するアミノ酸配列、および
xvi) 配列番号16の配列に対し少なくとも90%の同一性を有するアミノ酸配列
を含んでなり、
前記i)〜xvi)の少なくとも2個の配列がアミノ酸リンカーによって接合されてなる、免疫原性ポリペプチド。 - i) 配列番号1の配列に対し少なくとも95%の同一性を有するアミノ酸配列、
ii) 配列番号2の配列に対し少なくとも95%の同一性を有するアミノ酸配列、
iii) 配列番号3の配列に対し少なくとも95%の同一性を有するアミノ酸配列、
iv) 配列番号4の配列に対し少なくとも95%の同一性を有するアミノ酸配列、
v) 配列番号5の配列に対し少なくとも95%の同一性を有するアミノ酸配列、
vi) 配列番号6の配列に対し少なくとも95%の同一性を有するアミノ酸配列、
vii) 配列番号7の配列に対し少なくとも95%の同一性を有するアミノ酸配列、
viii)配列番号8の配列に対し少なくとも95%の同一性を有するアミノ酸配列、
ix) 配列番号9の配列に対し少なくとも95%の同一性を有するアミノ酸配列、
x) 配列番号10の配列に対し少なくとも95%の同一性を有するアミノ酸配列、
xi) 配列番号11の配列に対し少なくとも95%の同一性を有するアミノ酸配列、
xii) 配列番号12の配列に対し少なくとも95%の同一性を有するアミノ酸配列、
xiii)配列番号13の配列に対し少なくとも95%の同一性を有するアミノ酸配列、
xiv) 配列番号14の配列に対し少なくとも95%の同一性を有するアミノ酸配列、
xv) 配列番号15の配列に対し少なくとも95%の同一性を有するアミノ酸配列、および
xvi) 配列番号16の配列に対し少なくとも95%の同一性を有するアミノ酸配列
を含んでなる、請求項1に記載の免疫原性ポリペプチド。 - i) 配列番号1のアミノ酸配列、
ii) 配列番号2のアミノ酸配列、
iii) 配列番号3のアミノ酸配列、
iv) 配列番号4のアミノ酸配列、
v) 配列番号5のアミノ酸配列、
vi) 配列番号6のアミノ酸配列、
vii) 配列番号7のアミノ酸配列、
viii)配列番号8のアミノ酸配列、
ix) 配列番号9のアミノ酸配列、
x) 配列番号10のアミノ酸配列、
xi) 配列番号11のアミノ酸配列、
xii) 配列番号12のアミノ酸配列、
xiii)配列番号13のアミノ酸配列、
xiv) 配列番号14のアミノ酸配列体、
xv) 配列番号15のアミノ酸配列、および
xvi) 配列番号16のアミノ酸配列
を含んでなる、請求項2に記載の免疫原性ポリペプチド。 - 前記リンカーによって、接合された配列の間の連結領域にAAA配列領域が生成する、請求項1〜3のいずれか一項に記載の免疫原性ポリペプチド。
- 前記i)〜xvi)の配列がアミノ酸リンカーによって接合されてなる、請求項1〜4のいずれか一項に記載の免疫原性ポリペプチド。
- 前記リンカーによって、接合された配列の間の連結領域にAAA配列領域が生成する、請求項5に記載の免疫原性ポリペプチド。
- 配列番号49のアミノ酸配列を含んでなる、請求項6に記載の免疫原性ポリペプチド。
- 前記アミノ酸配列が、少なくとも1種類の抗レトロウイルス薬耐性変異部位を含んでなる、請求項1〜7のいずれか一項に記載の免疫原性ポリペプチド。
- 前記抗レトロウイルス薬耐性変異部位が配列番号9〜11のいずれかに位置する、請求項8に記載の免疫原性ポリペプチド。
- N末端にシグナルペプチドをさらに含んでなる、請求項1〜9のいずれか一項に記載の免疫原性ポリペプチド。
- 請求項1〜10のいずれか一項に記載の免疫原性ポリペプチドをコードする、核酸。
- ヒト細胞での発現のために至適化されたコドンである、請求項11に記載の核酸。
- 前記核酸が、配列番号50の配列を有するものである、請求項12に記載の核酸。
- 請求項11〜13のいずれか一項に記載の核酸と、プロモーター配列と、3’−UTRと、場合により選択マーカーとを含む、発現カセット。
- 請求項11〜13のいずれか一項に記載の核酸または請求項14に記載の発現カセットを含んでなる、発現ベクター。
- 請求項11〜13のいずれか一項に記載の核酸を含んでなる、ウイルス。
- 前記ウイルスが、改質ワクシニアアンカラウイルスである、請求項16に記載のウイルス。
- 請求項11〜13のいずれか一項に記載の核酸、請求項14に記載の発現カセット、請求項15に記載の発現ベクター、または請求項16または17に記載のウイルスを含んでなる、細胞。
- 請求項1〜10のいずれか一項に記載の免疫原性ポリペプチドと、1つ以上のアジュバントとを含んでなる、ワクチン。
- 医薬に使用するための、請求項1〜10のいずれか一項に記載の免疫原性ポリペプチド、請求項11〜13に記載の核酸、請求項14に記載の発現カセット、請求項15に記載の発現ベクター、請求項16または17に記載のウイルス、請求項18に記載の細胞、または請求項19に記載のワクチン。
- HIV感染またはHIV感染に関連する疾患の予防または治療に使用するための、請求項1〜10のいずれか一項に記載の免疫原性ポリペプチド、請求項11〜13に記載の核酸、請求項14に記載の発現カセット、請求項15に記載の発現ベクター、請求項16または17に記載のウイルス、請求項18に記載の細胞、または請求項19に記載のワクチン。
- 前記使用が、
(i)第1の、請求項1〜10のいずれか一項に記載の免疫原性ポリペプチド、請求項11〜13のいずれか一項に記載の核酸、請求項14に記載の発現カセット、請求項15に記載の発現ベクター、請求項16または17に記載のウイルス、請求項18に記載の細胞、または請求項19に記載のワクチンと、
(ii)第2の、請求項1〜10のいずれか一項に記載の免疫原性ポリペプチド、請求項11〜13のいずれか一項に記載の核酸、請求項14に記載の発現カセット、請求項15に記載の発現ベクター、請求項16または17に記載のウイルス、請求項18に記載の細胞、または請求項19に記載のワクチン
の連続投与を含んでなる、
請求項21に記載の使用のための免疫原性ポリペプチド、核酸、発現カセット、発現ベクター、ウイルス、細胞またはワクチン。 - 第1の免疫原性ポリペプチド、核酸、発現カセット、発現ベクター、ウイルス、細胞またはワクチンが、第2の免疫原性ポリペプチド、核酸、発現カセット、発現ベクター、ウイルス、細胞またはワクチンとは異なるものである、請求項22に記載の使用のための免疫原性ポリペプチド、核酸、発現カセット、発現ベクター、ウイルス、細胞またはワクチン。
- 第1の請求項15に記載の発現ベクターを投与した後、第2の請求項17に記載のウイルスを投与する、請求項23に記載の使用のための免疫原性ポリペプチド、核酸、発現カセット、発現ベクター、ウイルス、細胞またはワクチン。
- 第1の請求項15に記載の発現ベクターを少なくとも2回投与する、請求項24に記載の使用のための免疫原性ペプチド、核酸、発現カセット、発現ベクター、ウイルス、細胞またはワクチン。
- 請求項1〜10のいずれか一項に記載の免疫原性ポリペプチド、請求項11〜13のいずれか一項に記載の核酸、請求項14に記載の発現カセット、請求項15に記載の発現ベクター、請求項16または17に記載のウイルス、請求項18に記載の細胞、または請求項19に記載のワクチンを含んでなる、キット。
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