NZ785677A - Stabilized soluble pre-fusion rsv f proteins - Google Patents

Abstract

The present invention provides stable pre-fusion respiratory syncitial virus (RSV) F proteins (or fragment thereof), compositions comprising said proteins and uses thereof for the prevention and/or treatment of RSV infection.

Description

Stabilized soluble pre-fusion RSV F proteins This application is a onal of New Zealand patent application 746280, which is the national phase entry in New Zealand of PCT international application (published as incorporated herein by reference.

The present invention relates to the field of medicine. The invention in particular relates to recombinant pre-fusion RSV F proteins and uses f, e.g. as a vaccine.

Background of the invention atory syncytial virus (RSV) is a highly contagious childhood pathogen of the respiratory tract which is believed to be responsible for ~200,000 childhood deaths annually.

In children younger than 2 years, RSV ts for approximately 50% of the hospitalizations due to respiratory infections, with a peak of hospitalization occurring at 2-4 months of age. It has been reported that almost all children will have experienced infection with RSV by the age of two, and repeated ion during life is attributed to low natural immunity. In the elderly, the RSV disease burden is similar to those caused by non-pandemic influenza A infections.

To infect a host cell, RSV, like other enveloped s such as influenza virus and HIV, require fusion of the viral membrane with a host cell membrane. For RSV the conserved fusion protein (RSV F protein) fuses the viral and host cell cellular membranes. In current models, based on paramyxovirus studies, the RSV F protein initially folds into a "prefusion" conformation. The metastable structure has recently been solved in complex with a stabilizing neutralizing antibody Fab fragment (McLellan et al., Science 340(6136):1113-7, 2013). During cell entry, the pre-fusion mation undergoes refolding and conformational changes to its "post-fusion" conformation (McLellan, J. Virol 85(15):7788- 96, 2010; Swanson, PNAS ):9619-24, 2011). Thus, the RSV F protein is a metastable protein that drives membrane fusion by coupling irreversible protein refolding to membrane osition by lly folding into a metastable form (pre-fusion conformation) that subsequently undergoes te/stepwise conformational changes to a lower energy conformation (post-fusion conformation). These observations suggest that pre-fusion and post-fusion RSV F protein are antigenically distinct (Calder, L. J. et al. gy 271, 122- 131 (2000)). It is clear from electron microscopy of RSV-F that large structural differences between the sion and post-fusion F trimer exist, which has recently been confirmed by crystallography (McLellan J.S. et al. e 340(6136):1113-7 (2013) and McLellan J.S. et al. e 342(6158): 592-8 (2013)) and it was shown that most of the neutralizing antibodies in the serum of RSV-positive individuals are binding to pre-fusion F (Ngwuta et. al., Science Translational Medicine, 7(309): 309ra162, 1-9).

A vaccine against RSV infection is not currently available, but is desired. Vaccine candidates based on the RSV F n have failed due to problems with e.g. stability, purity, reproducibility, and potency. As indicated above, crystal structures have revealed a large conformational change between the pre-fusion and post-fusion states. The magnitude of the rearrangement suggested that only a portion of antibodies directed to the post-fusion conformation of RSV-F will be able to cross react with the native conformation of the prefusion spike on the surface of the virus. ingly, efforts to produce a vaccine t RSV have d on developing vaccines that contain pre-fusion forms of RSV F protein (see, e.g., WO20101149745, WO2010/1149743, WO2009/1079796, WO2012/158613).

However, these efforts have not yet d stable pre-fusion RSV F proteins that could be used as candidates for testing in humans.

Therefore, a need remains for ent vaccines and methods of vaccinating against RSV, in particular comprising RSV F proteins in the pre-fusion conformation. The t invention aims at providing such vaccines and methods for vaccinating against RSV in a safe and efficacious manner. y of the invention The present invention provides stable, recombinant, pre-fusion respiratory syncytial virus (RSV) fusion (F) proteins, i.e. recombinant RSV F proteins in soluble form (i.e. not membrane bound) that are stabilized in the pre-fusion conformation, wherein the RSV F n comprises an amino acid sequence ed from the group consisting of SEQ ID NO: 1, SEQ ID NO: 2 and SEQ ID NO: 3, or fragments thereof.

In certain embodiments, the RSV F proteins, or fragments thereof, comprise at least one epitope that is specific to the pre-fusion conformation F protein , wherein the at least one epitope is recognized by a pre-fusion specific monoclonal antibody comprising a heavy chain CDR1 region of SEQ ID NO: 4, a heavy chain CDR2 region of SEQ ID NO: 5, a heavy chain CDR3 region of SEQ ID NO: 6 and a light chain CDR1 region of SEQ ID NO: 7, a light chain CDR2 region of SEQ ID NO: 8, and a light chain CDR3 region of SEQ ID NO: 9, and/or a sion specific monoclonal antibody, comprising a heavy chain CDR1 region of SEQ ID NO: 10, a heavy chain CDR2 region of SEQ ID NO: 11, a heavy chain CDR3 region of SEQ ID NO: 12 and a light chain CDR1 region of SEQ ID NO: 13, a light chain CDR2 region of SEQ ID NO: 14, and a light chain CDR3 region of SEQ ID NO: 15.

In certain embodiments, the RSV F proteins are trimeric.

The invention also provides nucleic acid molecules encoding the pre-fusion RSV F proteins or fragments thereof according to the ion and vectors comprising such nucleic acid les.

The invention also relates to compositions, ably immunogenic compositions, sing said RSV pre-fusion F protein (or fragments thereof), nucleic acid molecule encoding said RSV pre-fusion F n, and to the use thereof in inducing an immune response against RSV F n, in particular to the use thereof as a vaccine. The invention also relates to methods for inducing an anti-respiratory ial virus (RSV) immune se in a subject, comprising administering to the subject an effective amount of a prefusion RSV F n, a nucleic acid molecule encoding said RSV F protein, and/or a vector comprising said nucleic acid molecule. Preferably, the induced immune response is characterized by neutralizing antibodies to RSV and/or protective immunity against RSV. In particular s, the invention relates to a method for ng neutralizing anti-respiratory syncytial virus (RSV) F protein antibodies in a subject, comprising administering to the t an ive amount of an immunogenic composition comprising a pre-fusion RSV F protein, a nucleic acid molecule encoding said RSV F protein, and/or a vector comprising said nucleic acid molecule.

Brief description of the Figures FIG 1. Schematic representation of RSV F variants. SCDM – single-chain double mutant, SCTM – single-chain triple mutant, PRQM – processed quadruple mutant and PRPM – processed penta-mutant. Secreted proteins are presented without signal peptide and p27 fragment. F1 and F2 domains are ted, as well as fusion peptide (FP), fibritin trimerization domain (foldon) and the linker in single-chain proteins between F2 and F1 (GSGSG). Three stabilizing mutations (N67I, S215P and D386N) (black diamonds). Two mutations to improve antigenic match to circulating strains (K66E and I76V) (grey diamonds). The residue position is numbered as in the full length wild type protein including signal peptide.

Protein expression levels and pre-fusion stability of processed RSV F PR-A2 variants with multiple amino acid tutions. Protein expression levels in cell culture supernatants were tested 72 hours post transfection by quantitative octet (Q-Octet) with CR9501 and CR9503 (bars to the left) and fraction of RSV F protein binding to sion specific CR9501 dy on the day of harvest and after storage at 4 °C for indicated period of time (bars to the right). Bars represent average of 2-4 measurements, lines represent range of Melting temperatures (Tm) of the purified RSV-F proteins. Each measurement is represented by a dot.

K66E and I76V amino acid substitutions did not have effect on F protein expression levels and sion stability. Protein expression levels in cell culture supernatants were tested 96 hours post transfection by Q-Octet with CR9501 and CR9503 (bars to the left) and on of RSV F protein binding to pre-fusion specific CR9501 antibody on the day of harvest and after storage at 4 °C for indicated period of time (bars to the right). Bars represent e of 2 measurements, lines represent range of values.

Pre-fusion stability of the F protein variants in CHO cell culture supernatant. Protein sion levels in cell culture supernatants were tested 96 hours post transfection by QOctet with CR9501 and CR9503 and on of RSV F protein binding to pre-fusion specific CR9501 antibody on the day of harvest and after e at 4 °C for indicated period of time.

Bars represent average of 2 measurements, lines represent range of values. PRQM – PR-A2 with N67I, S215P, K66E, and I76V; PRPM – PR-A2 with N67I, S215P, K66E, I76V and D486N.

RSV F proteins of the invention stay intact in CHO cell culture supernatant at pH5. pH of the cell culture supernatants containing F protein variants was adjusted to pH5 and the samples were incubated at 7 days with or without protease inhibitors. The samples were ed on SDS-PAGE under reducing conditions. The first lane of each gel is molecular weight standard marker; the size of the standard proteins is ted. The samples: 1 - day 0 sample; 2 - day 7 sample incubated at 4 °C; 3 - day 7 sample incubated at 4 °C with protease inhibitors; 4 - day 0 sample; 5 - day 7 sample incubated at room temperature; 6 - day 7 sample incubated at room temperature with protease inhibitors; 7 - day 0 sample; 8 - day 7 sample incubated at 37 °C; 9 - day 7 sample incubated at 37 °C with protease inhibitors. In the sed protein s, the lower band represents the F1 domain and the upper band represents partially processed protein 7) or unprocessed protein F1+F2). In the singlechain n sample, the band is F1+F2 domains. PRQM – PR-A2 with N67I, S215P, K66E, and I76V; PRPM – PR-A2 with N67I, S215P, K66E, I76V and D486N. LNR: K683-065.

Temperature stability of RSV F proteins in CHO cell culture supernatant. The atant samples were subjected to heat treatment for 30 min at temperatures 45-65 °C.

The amount of pre-fusion protein in the sample was measured in ELISA with CR9501 antibodies. The values were normalized to untreated sample (20 °C). The curves are shown for each protein individually and an overlay of all curves (on the lower right). Each point represents a replicate measurement. Two assays were performed with 2 technical replicates each. The curves were fitted using Nonlinear regression variable slope equation (GraphPad Prism); melting temperatures (Tm) were calculated as IC50 values. PRQM – PR-A2 with N67I, S215P, K66E, and I76V; PRPM – PR-A2 with N67I, S215P, K66E, I76V and D486N.

RSV titers in lungs and nose 5 days after nge with RSV A2. RSV titers in lungs (upper panel) and nose (lower panel) 5 days after challenge with RSV A2. The lower level of detection (LOD) is indicated by a dotted line. Mean titers (log10 pfu per gram of tissue) are indicated with horizontal bars. Adjuvanted and non-adjuvanted PRPM groups were compared across dose by a Cochran-Mantel-Haenszel test and statistical differences are indicated in the figure. i.m.: uscular; i.n: intranasal.

RSV neutralizing titers against RSV A Long in cotton rats sera at day 49 after priming. RSV neutralizing titers (IC50 (log2)) against RSV A Long using an ELISA-based readout were determined in cotton rats sera at day 49 after priming. The mean of each group is indicated with a horizontal bar. The limit of detection (LOD) is set on 3.0 (log2 and indicated with a dashed line). VNA titers induced PRPM by adjuvanted and non-adjuvanted were compared across dose by ANOVA and the s are indicated in the . i.m.: intramuscular; i.n: intranasal.

Detailed ption of the invention The fusion protein (F) of the respiratory syncictial virus (RSV) is involved in fusion of the viral membrane with a host cell membrane, which is required for infection. The RSV F mRNA is translated into a 574 amino acid precursor protein designated F0, which contains a signal e sequence of 26 amino acids at the inus that is d by a signal peptidase in the endoplasmic reticulum. F0 is cleaved at two sites (between amino acid es 109/110 and 136/137) by cellular furin-like proteases in the trans-Golgi, removing a short glycosylated intervening sequence (also referred to a p27 region, comprising the amino acid residues 110 to 136, and generating two s or subunits designated F1 and F2. The F1 domain (amino acid es 137-574) contains a hydrophobic fusion peptide at its N- terminus and the C-terminus contains the transmembrane (TM) (amino acid residues 530- 550) and cytoplasmic region (amino acid residues 551-574). The F2 domain (amino acid residues 27-109) is covalently linked to F1 by two disulfide bridges. The F1-F2 heterodimers are led as homotrimers in the virion.

A vaccine against RSV infection is not currently available, but is desired. One potential approach to ing a vaccine is a subunit vaccine based on purified RSV F protein. r, for this approach it is ble that the purified RSV F protein is in a conformation which resembles the conformation of the pre-fusion state of RSV F protein, and which is stable over time, and can be produced in sufficient quantities. In addition, for a subunit-based vaccine, the RSV F protein needs to be truncated by deletion of the transmembrane (TM) and the asmic region to create a soluble secreted F protein (sF).

Because the TM region is responsible for membrane anchoring and trimerization, the anchorless soluble F protein is considerably more labile than the full-length protein and will readily refold into the post-fusion end-state. In order to obtain soluble F protein in the stable sion conformation that shows high expression levels and high ity, the pre-fusion conformation thus needs to be stabilized.

Several ons stabilizing RSV F protein in the pre-fusion conformation have previously been described in WO2014/174018 and WO2014/202570. The RSV F proteins according to the present invention comprise a unique and specific subset of mutations described earlier in combination with two further mutations. According to the invention it has been shown that this unique combination of mutations of the present invention s in increased RSV F protein expression levels and stability of the pre-fusion conformation.

The t invention thus provides novel stable soluble pre-fusion RSV F proteins, i.e. soluble RSV F proteins that are stabilized in the pre-fusion conformation, or fragments thereof. The RSV F proteins according to the present invention comprise an amino acid ce selected from the group consisting of SEQ ID NO: 1, SEQ ID NO: 2 and SEQ ID NO: 3.

In the research that led to the present invention, a unique combination of mutations was introduced together with a logous trimerization domain in order to obtain said stable soluble pre-fusion RSV F proteins. The stable pre-fusion RSV F proteins of the invention are in the pre-fusion conformation, i.e. they comprise (display) at least one epitope that is specific to the pre-fusion conformation F protein. An epitope that is specific to the prefusion mation F protein is an epitope that is not presented in the post-fusion conformation. t wishing to be bound by any particular theory, it is believed that the pre-fusion conformation of RSV F protein may contain epitopes that are the same as those on the RSV F protein expressed on l RSV virions, and therefore may provide advantages for eliciting tive neutralizing antibodies.

In certain embodiments, the RSV pre-fusion F ns (or fragments thereof) of the ion comprise at least one epitope that is recognized by a pre-fusion specific monoclonal dy, comprising a heavy chain CDR1 region of SEQ ID NO: 4, a heavy chain CDR2 region of SEQ ID NO: 5, a heavy chain CDR3 region of SEQ ID NO: 6 and a light chain CDR1 region of SEQ ID NO: 7, a light chain CDR2 region of SEQ ID NO: 8, and a light chain CDR3 region of SEQ ID NO: 9 (hereafter referred to as CR9501) and/or a pre-fusion specific monoclonal antibody, comprising a heavy chain CDR1 region of SEQ ID NO: 10, a heavy chain CDR2 region of SEQ ID NO: 11, a heavy chain CDR3 region of SEQ ID NO: 12 and a light chain CDR1 region of SEQ ID NO: 13, a light chain CDR2 region of SEQ ID NO: 14, and a light chain CDR3 region of SEQ ID NO: 15 (referred to as CR9502). CR9501 and CR9502 comprise the heavy and light chain variable regions, and thus the binding specificities, of the antibodies 58C5 and 30D8, respectively, which have previously been shown to bind specifically to RSV F protein in its pre-fusion conformation and not to the post-fusion conformation (as disclosed in WO2012/006596).

In certain embodiments, the recombinant pre-fusion RSV F proteins are trimeric.

As used throughout the present application nucleotide sequences are provided from 5’ to 3’ direction, and amino acid sequences from N-terminus to C-terminus, as custom in the As indicated above, fragments of the sion RSV F protein are also encompassed by the present invention. The fragment may result from either or both of amino-terminal (e.g. by cleaving off the signal sequence) and y-terminal ons. The fragment may be chosen to comprise an immunologically active fragment of the F protein, i.e. a part that will give rise to an immune response in a subject. This can be easily determined using in silico, in vitro and/or in vivo methods, all routine to the skilled person.

In certain embodiments, the encoded proteins according to the invention comprise a signal sequence, also referred to as leader sequence or signal peptide, corresponding to amino acids 1-26 of SEQ ID NO: 1, SEQ ID NO: 2 or SEQ ID NO: 3. Signal sequences typically are short (e.g. 5-30 amino acids long) amino acid sequences present at the inus of the majority of newly sized proteins that are destined s the secretory pathway, and are typically cleaved by signal ase to generate a free signal e and a mature protein.

In certain embodiments, the ns according to the invention do not comprise a signal sequence.

The present invention further provides nucleic acid molecules encoding the RSV prefusion F proteins, or fragments thereof, ing to the invention.

In preferred embodiments, the nucleic acid molecules encoding the RSV F proteins according to the invention are codon-optimized for expression in mammalian cells, preferably human cells. Methods of codon-optimization are known and have been described usly (e.g. WO 96/09378). A sequence is ered codon-optimized if at least one non-preferred codon as compared to a wild type sequence is replaced by a codon that is more preferred.

Herein, a non-preferred codon is a codon that is used less ntly in an organism than another codon coding for the same amino acid, and a codon that is more preferred is a codon that is used more frequently in an organism than a non-preferred codon. The frequency of codon usage for a specific organism can be found in codon frequency tables, such as in http://www.kazusa.or.jp/codon. Preferably more than one non-preferred codon, preferably most or all non-preferred codons, are replaced by codons that are more preferred. Preferably the most frequently used codons in an sm are used in a codon-optimized sequence.

Replacement by preferred codons generally leads to higher expression.

It will be tood by a skilled person that numerous different polynucleotides and nucleic acid les can encode the same protein as a result of the degeneracy of the genetic code. It is also understood that skilled persons may, using routine techniques, make nucleotide substitutions that do not affect the protein sequence encoded by the nucleic acid molecules to reflect the codon usage of any particular host organism in which the proteins are to be expressed. Therefore, unless otherwise specified, a "nucleotide sequence encoding an amino acid sequence" includes all nucleotide sequences that are degenerate versions of each other and that encode the same amino acid ce. Nucleotide sequences that encode proteins and RNA may or may not e introns.

Nucleic acid sequences can be cloned using routine molecular biology techniques, or generated de novo by DNA synthesis, which can be performed using e procedures by e companies having business in the field of DNA synthesis and/or molecular g (e.g. GeneArt, GenScripts, Invitrogen, Eurofins).

In certain ments, the nucleic acid molecules comprise a nucleotide sequence of SEQ ID NO. 21, 22 or 23.

The ion also es vectors comprising a c acid molecule as bed above. In certain embodiments, a nucleic acid molecule according to the invention thus is part of a vector. Such vectors can easily be manipulated by methods well known to the person skilled in the art, and can for instance be designed for being capable of replication in prokaryotic and/or eukaryotic cells. In addition, many s can be used for transformation of eukaryotic cells and will integrate in whole or in part into the genome of such cells, resulting in stable host cells comprising the desired nucleic acid in their genome. The vector used can be any vector that is suitable for cloning DNA and that can be used for transcription of a nucleic acid of interest. The person d in the art is capable of choosing le expression vectors, and inserting the nucleic acid sequences of the invention in a functional manner.

Host cells comprising the nucleic acid les encoding the pre-fusion RSV F proteins form also part of the invention. The pre-fusion RSV F proteins may be produced through recombinant DNA technology involving expression of the les in host cells, e.g. Chinese hamster ovary (CHO) cells, tumor cell lines, BHK cells, human cell lines such as HEK293 cells, PER.C6 cells, or yeast, fungi, insect cells, and the like, or transgenic animals or plants. In certain embodiments, the cells are from a multicellular organism, in certain embodiments they are of vertebrate or invertebrate origin. In certain embodiments, the cells are mammalian cells. In certain embodiments, the cells are human cells. In general, the production of a recombinant proteins, such the pre-fusion RSV F proteins of the invention, in a host cell comprises the introduction of a heterologous nucleic acid molecule encoding the protein in expressible format into the host cell, culturing the cells under conditions conducive to expression of the nucleic acid molecule and allowing expression of the protein in said cell.

The nucleic acid molecule encoding a protein in expressible format may be in the form of an expression te, and usually requires sequences capable of bringing about expression of the c acid, such as enhancer(s), er, polyadenylation signal, and the like. The person skilled in the art is aware that various promoters can be used to obtain expression of a gene in host cells. Promoters can be constitutive or regulated, and can be obtained from various sources, including s, prokaryotic, or eukaryotic s, or artificially designed.

Cell culture media are available from various vendors, and a suitable medium can be routinely chosen for a host cell to express the n of interest, here the pre-fusion RSV F proteins. The suitable medium may or may not contain serum.

A "heterologous c acid molecule" (also referred to herein as ‘transgene’) is a nucleic acid molecule that is not naturally present in the host cell. It is uced into for instance a vector by standard molecular y techniques. A transgene is generally operably linked to expression control sequences. This can for instance be done by placing the nucleic acid encoding the transgene(s) under the control of a promoter. Further regulatory sequences may be added. Many promoters can be used for expression of a transgene(s), and are known to the d person, e.g. these may comprise viral, ian, synthetic promoters, and the like. A miting example of a suitable promoter for obtaining expression in eukaryotic cells is a omoter (US 5,385,839), e.g. the CMV immediate early promoter, for instance comprising nt. –735 to +95 from the CMV immediate early gene enhancer/promoter. A polyadenylation signal, for example the bovine growth hormone polyA signal (US 5,122,458), may be present behind the transgene(s). Alternatively, several widely used expression vectors are available in the art and from commercial sources, e.g. the pcDNA and pEF vector series of Invitrogen, pMSCV and g from BD Sciences, pCMV-Script from Stratagene, etc, which can be used to recombinantly express the protein of interest, or to obtain suitable promoters and/or transcription terminator sequences, polyA sequences, and the like.

The cell culture can be any type of cell culture, including adherent cell culture, e.g. cells attached to the surface of a culture vessel or to arriers, as well as suspension culture. Most large-scale suspension cultures are operated as batch or tch processes because they are the most straightforward to operate and scale up. Nowadays, continuous processes based on ion principles are becoming more common and are also suitable.

Suitable culture media are also well known to the skilled person and can generally be obtained from cial sources in large quantities, or custom-made according to standard protocols. Culturing can be done for instance in dishes, roller bottles or in bioreactors, using batch, fed-batch, continuous systems and the like. Suitable conditions for culturing cells are known (see e.g. Tissue Culture, Academic Press, Kruse and on, editors (1973), and R.I.

Freshney, Culture of animal cells: A manual of basic que, fourth edition (Wiley-Liss Inc., 2000, ISBN 034889-9)).

The invention r es compositions comprising a pre-fusion RSV F protein and/or a nucleic acid molecule, and/or a vector, as described above. The invention thus provides compositions comprising a pre-fusion RSV F n that displays an e that is present in a pre-fusion conformation of the RSV F protein but is absent in the post-fusion conformation, or a fragment thereof. The invention also provides compositions comprising a nucleic acid molecule and/or a , ng such pre-fusion RSV F protein or fragment thereof. The compositions preferably are genic compositions comprising a pre-fusion RSV F protein, and/or a c acid molecule, and/or a vector, as described above. The invention also provides the use of a stabilized pre-fusion RSV F protein or a nucleic acid molecule encoding said RSV F protein ing to the invention, for inducing an immune response against RSV F protein in a t. Further provided are methods for inducing an immune response against RSV F protein in a subject, comprising administering to the subject a pre-fusion RSV F protein, and/or a nucleic acid molecule, and/or a vector, according to the invention. Also provided are pre-fusion RSV F proteins, nucleic acid molecules, and/or vectors, ing to the ion for use in inducing an immune response against RSV F protein in a subject. Further provided is the use of the pre-fusion RSV F proteins, and/or nucleic acid molecules, and/or vectors according to the invention for the cture of a medicament for use in inducing an immune se against RSV F protein in a t.

The pre-fusion RSV F proteins, c acid molecules, or vectors of the invention may be used for prevention (prophylaxis) and/or treatment of RSV infections. In certain embodiments, the prevention and/or treatment may be targeted at patient groups that are susceptible RSV infection. Such patient groups include, but are not limited to e.g., the elderly (e.g. ≥ 50 years old, ≥ 60 years old, and preferably ≥ 65 years old), the young (e.g. ≤ 5 years old, ≤ 1 year old), hospitalized patients and patients who have been treated with an antiviral compound but have shown an inadequate antiviral response.

The pre-fusion RSV F proteins, nucleic acid molecules and/or vectors according to the ion may be used e.g. in stand-alone treatment and/or prophylaxis of a disease or condition caused by RSV, or in combination with other prophylactic and/or therapeutic treatments, such as ing or future) vaccines, antiviral agents and/or monoclonal dies.

The invention further provides methods for preventing and/or treating RSV infection in a subject utilizing the pre-fusion RSV F proteins, nucleic acid molecules and/or vectors according to the invention. In a specific embodiment, a method for preventing and/or treating RSV infection in a subject comprises administering to a subject in need thereof an effective amount of a sion RSV F protein, nucleic acid molecule and/or a vector, as described above. A therapeutically effective amount refers to an amount of a protein, nucleic acid molecule or vector, which is effective for preventing, ameliorating and/or treating a disease or condition resulting from infection by RSV. Prevention encompasses ting or reducing the spread of RSV or inhibiting or ng the onset, development or progression of one or more of the symptoms associated with infection by RSV. Amelioration as used in herein may refer to the reduction of visible or perceptible disease symptoms, viremia, or any other measurable station of influenza infection.

For administering to subjects, such as humans, the ion may employ pharmaceutical compositions comprising a pre-fusion RSV F protein, a nucleic acid molecule and/or a vector as described herein, and a pharmaceutically acceptable carrier or excipient. In the present context, the term "pharmaceutically acceptable" means that the carrier or ent, at the dosages and concentrations employed, will not cause any unwanted or harmful s in the ts to which they are administered. Such pharmaceutically acceptable rs and excipients are well known in the art (see Remington's Pharmaceutical Sciences, 18th edition, A.

R. Gennaro, Ed., Mack Publishing y [1990]; Pharmaceutical Formulation Development of Peptides and Proteins, S. Frokjaer and L. Hovgaard, Eds., Taylor & Francis [2000]; and Handbook of Pharmaceutical Excipients, 3rd edition, A. Kibbe, Ed., Pharmaceutical Press ). The RSV F proteins, or nucleic acid molecules, preferably are formulated and administered as a sterile solution although it may also be possible to utilize lyophilized ations. Sterile solutions are prepared by sterile tion or by other methods known per se in the art. The solutions are then lyophilized or filled into ceutical dosage containers.

The pH of the solution generally is in the range of pH 3.0 to 9.5, e.g. pH 5.0 to 7.5. The RSV F proteins typically are in a solution having a suitable pharmaceutically acceptable buffer, and the composition may also contain a salt. Optionally stabilizing agent may be present, such as albumin. In certain embodiments, detergent is added. In certain embodiments, the RSV F proteins may be ated into an injectable preparation.

In certain embodiments, a composition according to the invention further comprises one or more adjuvants. Adjuvants are known in the art to further increase the immune response to an applied nic determinant. The terms "adjuvant" and "immune stimulant" are used interchangeably herein, and are defined as one or more substances that cause stimulation of the immune system. In this context, an adjuvant is used to e an immune response to the RSV F ns of the invention. Examples of suitable adjuvants include aluminium salts such as aluminium hydroxide and/or aluminium phosphate; oil-emulsion compositions (or oil-in-water compositions), ing squalene-water emulsions, such as MF59 (see e.g. WO 90/14837); saponin formulations, such as for example QS21 and Immunostimulating Complexes (ISCOMS) (see e.g. US 5,057,540; WO 90/03184, WO 96/11711, of which are monophosphoryl lipid A (MPL), 3-O-deacylated MPL (3dMPL), CpG-motif containing oligonucleotides, ADP-ribosylating bacterial toxins or mutants thereof, such as E. coli heat labile enterotoxin LT, a toxin CT, and the like; eukaryotic proteins (e.g. antibodies or fragments thereof (e.g. directed t the antigen itself or CD1a, CD3, CD7, CD80) and ligands to receptors (e.g. CD40L, GMCSF, GCSF, etc), which stimulate immune response upon ction with recipient cells. In n embodiments the compositions of the invention comprise aluminium as an adjuvant, e.g. in the form of ium hydroxide, aluminium phosphate, aluminium ium phosphate, or combinations thereof, in trations of 0.05 – 5 mg, e.g. from 0.075-1.0 mg, of aluminium content per dose.

The pre-fusion RSV F proteins may also be administered in combination with or conjugated to nanoparticles, such as e.g. polymers, liposomes, virosomes, virus-like particles or self-assembling protein les. The sion F proteins may be combined with, encapsidated in or conjugated to the nanoparticles with or without adjuvant. Encapsulation within liposomes is described, e.g. in US 4,235,877. Conjugation to macromolecules is disclosed, for e in US 4,372,945 or US 4,474,757.

In other embodiments, the compositions do not comprise adjuvants.

In certain embodiments, the invention provides methods for making a vaccine against respiratory syncytial virus (RSV), comprising providing a ition according to the invention and ating it into a pharmaceutically acceptable composition. The term "vaccine" refers to an agent or composition containing an active component effective to induce a certain degree of ty in a subject t a certain pathogen or disease, which will result in at least a decrease (up to complete absence) of the severity, duration or other manifestation of symptoms associated with infection by the pathogen or the e. In the present invention, the vaccine comprises an effective amount of a pre-fusion RSV F protein and/or a c acid molecule encoding a pre-fusion RSV F protein, and/or a vector comprising said nucleic acid le, which results in an immune response against the F protein of RSV. This provides a method of preventing serious lower respiratory tract disease leading to hospitalization and the decrease in frequency of complications such as pneumonia and bronchiolitis due to RSV infection and replication in a subject. The term "vaccine" according to the invention implies that it is a pharmaceutical composition, and thus typically includes a pharmaceutically acceptable diluent, carrier or excipient. It may or may not comprise further active ingredients. In certain embodiments it may be a combination vaccine that further ses other components that induce an immune response, e.g. against other ns of RSV and/or against other infectious agents. The administration of further active components may for instance be done by separate administration or by administering combination products of the vaccines of the invention and the further active components.

Compositions may be administered to a subject, e.g. a human subject. The total dose of the RSV F proteins in a composition for a single administration can for ce be about 0.01 µg to about 10 mg, e.g. 1 µg – 1 mg, e.g. 10 µg – 100 µg. Determining the ended dose will be carried out by mentation and is routine for those skilled in the art.

Administration of the compositions according to the invention can be performed using standard routes of administration. Non-limiting embodiments include parenteral administration, such as intradermal, intramuscular, subcutaneous, utaneous, or mucosal administration, e.g. asal, oral, and the like. In one ment a composition is administered by intramuscular injection. The skilled person knows the various possibilities to administer a composition, e.g. a vaccine in order to induce an immune response to the antigen(s) in the vaccine.

A t as used herein preferably is a mammal, for instance a , e.g. a mouse, a cotton rat, or a non-human-primate, or a human. Preferably, the subject is a human subject.

The proteins, nucleic acid molecules, vectors, and/or compositions may also be stered, either as prime, or as boost, in a homologous or heterologous prime-boost regimen. If a boosting vaccination is performed, typically, such a boosting vaccination will be administered to the same subject at a time between one week and one year, ably between two weeks and four months, after administering the composition to the subject for the first time (which is in such cases referred to as ‘priming vaccination’). In certain embodiments, the administration comprises a prime and at least one booster administration.

In addition, the proteins of the invention may be used as diagnostic tool, for e to test the immune status of an individual by establishing whether there are antibodies in the serum of such individual capable of binding to the protein of the invention. The invention thus also relates to an in vitro diagnostic method for detecting the presence of an RSV infection in a patient said method comprising the steps of a) contacting a biological sample obtained from said patient with a n according to the invention; and b) detecting the presence of antibodyprotein complexes.

E 1: Generation of the stable pre-fusion RSV F protein Several pre-fusion RSV F n variants were ed, which are schematically represented in Fig.1. All candidates comprise a fibritin trimerization domain (foldon) (GYIPEAPRDGQAYVRKDGEWVLLSTFL; SEQ ID NO: 20), linked to the amino acid residue 495 of the RSV A2 F1 domain.

In the processed versions of RSV F (i.e. the versions which are cleaved removing the p27 region) the N67I substitution had the strongest effect on both the sion level and stability but fully stable pre-fusion F protein was obtained only when the 67 and 215 substitutions were combined, resulting in a 20-fold expression level increase (Fig. 2).

Addition of a third amino acid substitution did not improve expression level or ity as measured by storage stability at 4°C. However, when the RSV F proteins were purified and further terized, it turned out that the extra third tution significantly stabilizes the pre-fusion F protein as measured by the more stringent temperature stability test (by Differential Scanning Fluorimetry assay – DSF) (Fig. 3).

Because the A2 strain that was used as a parental sequence for the RSV F protein variants described previously (WO2014/174018 and /202570) is a cell line adapted laboratory strain which had accumulated two unique and rare mutations in the apex K66 and I76), it was decided to mutate these two residues to match the natural clinical isolates (K66E, I76V). The K66E and I76V mutations were included in the new processed protein design to make the sequence closer to the natural virus isolates. The K66E+I76V substitutions were tested in selected stabilized variants to demonstrate that the amino acid substitutions did not have negative effect on protein expression or stability. It was shown that the ns were stable in cell culture supernatants for longer than 2 weeks. There was no negative effect on the expression level of the F proteins, on the contrary, RSV F protein with N67I, S215P, K66E and I76V mutations expressed to a higher level than protein with only N67I and S215P (Fig. 4).

The processed RSV F proteins with N67I, S215P, K66E and I76V (named PRQM for processed quadruple-mutant) and with N67I, S215P, K66E, I76V and D486N (named PRPM for processed penta-mutant) were purified and further characterized.

The screening of the izing mutations for the RSV F protein was performed in suspension HEK cells tyle 293F). These cells are convenient to use in a research laboratory because they are adapted to simple transfection protocol and express proteins at a high level. For big scale and GMP protein production CHO cells are often the cell line of choice. Therefore expression and stability of several preferred F protein designs was tested in suspension CHO cells (FreeStyle CHO-S). CHO-S cells are difficult to transfect and therefore overall expression levels were expected to be lower than in HEK cells. During analysis therefore we focused on relative expression of the proteins and their stability.

Five processed proteins were selected for the test. The 5 variants all contained the substitutions K66E, I76V, N67I and S215P. As described above, the latter 2 are required to ize the protein in pre-fusion conformation; the former two were included to make the sequence closer to naturally ing isolates (as was described in the previous n). The proteins differed by the additional mutations E161P, D486N and E487Q. These were chosen because of high expression level, storage stability and low impact on antigenicity. All proteins were expressed in CHO cells and had comparable storage stability. The RSV F proteins were stable in pre-fusion conformation when stored in cell culture supernatants for 2 weeks at 4°C (Fig. 5). Also, the stability of the RSV F proteins in CHO cell culture supernatant at pH5 was tested. As shown in Fig. 6 no degradation after incubation of n samples for 7 days at different temperatures was detected.

In conclusion, the RSV F proteins of the invention expressed in CHO cells and were stable in cell culture supernatants. onally, the temperature stability of the protein was tested. The cell culture supernatants were subjected to heat treatment and amount of pre- fusion protein in the samples was ed in ELISA with CR9501 antibody (Fig. 7).

The variant with D486N (PRPM protein) was most stable against temperature stress.

Addition of K498R on seemed to have no advantage compared to n with minimal amount of modification (PRQM). The variants with E161P mutation had highest expression levels (data not shown). However the drawback of this amino acid substitution was that the residue 161 is located on the surface of the protein and on the fringe of epitope for CR9501 antibody.

According to the present invention, it thus was shown that the PRPM (RSV F n with in foldon trimerization domain and with mutations N67I, S215P, K66E, I76V and D486N, SEQ ID NO: 1) and the PRQM (RSV F protein with in foldon trimerization domain and with N67I, S215P, K66E, and I76V, SEQ ID NO: 2) as a sed pre-fusion protein with minimum of required sequence modifications, as well as the PRQM +S46G or PRPM +S46G variant all are stabilized in the pre-fusion conformation and show a high Tm (Table 1). The latter variants with the S46G substitution have a significantly higher expression level.

Table 1.

Protein ID Freeze-thaw stability Tm (ºC) PRQM S46G Stable for 3 , 56.2 aggregation after 5 cycles PRPM S46G Stable for 5 cyles 63.6 PRPM Stable for 5 cycles 65.0 EXAMPLE 2: Immunogenicity and protection d by PRPM with and without adjuvant An experiment was conducted to determine the immunogenic and prophylactic efficacy of the recombinant PRPM protein in the presence or absence of an adjuvant in a homologous RSV-A2 challenge cotton rat model. The animals were immunized i.m. on day 0 and 28 with 2 doses of PRPM (5 and 0.5 µg), non-adjuvanted or adjuvanted with 100 µg Adjuphos. The animals were challenged on day 49 with 105 (pfu) of RSV A2. Animals were sacrificed 5 days after challenge and titers were measured in lungs and nose.

Results Immunization with adjuvanted PRPM d te protection in the lungs and nose, with the exception of 1 animal that showed breakthrough in the nose. Most of the animals receiving 5 and 0.5 µg non-adjuvanted PRPM showed breakthrough in the lungs and noses and there was a significant difference between the groups receiving the nted and the non-adjuvanted protein (Figure 8). The adjuvanted protein induced significantly higher VNA titers compared to the non-adjuvanted n at day 49 after immunization (Figure 9).

Table 1. Antibody sequences Ab VH domain VH CDR1 VH CDR2 VH CDR3 GASINSDNYYWT HISYTGNTYYTPSLKS CGAYVLISNCGWFDS Amino acids 1-125 CR9501 of SEQ ID NO: 16 (SEQ ID NO:4) (SEQ ID NO:5) (SEQ ID NO:6) WVSTNNGNTEYAQKIQ GFTFSGHTIA EWLVMGGFAFDH Amino acids 1-121 G CR9502 of SEQ ID NO:18 (SEQ ID NO:10) (SEQ ID NO:11) (SEQ ID NO:12) Ab VL domain VL CDR1 VL CDR2 VL CDR3 GASNLET PYT Amino acids 1-107 QASQDISTYLN (SEQ CR9501 of SEQ ID NO: 17 ID NO: 7) (SEQ ID NO:8) (SEQ ID NO:9) GANNIGSQNVH DDRDRPS QVWDSSRDQAVI Amino acids 1-110 CR9502 of SEQ ID NO: 19 (SEQ ID NO:13) (SEQ ID NO:14) (SEQ ID NO:15) Sequences SEQ ID NO: 1: PRPM KANAITTILTAVTFCFASGQNITEEFYQSTCSAVSKGYLSALRTGWYTSVITIE LSNIKEIKCNGTDAKVKLIKQELDKYKNAVTELQLLMQSTPATNNRARRELPRFMN YTLNNAKKTNVTLSKKRKRRFLGFLLGVGSAIASGVAVSKVLHLEGEVNKIKSALLS TNKAVVSLSNGVSVLTSKVLDLKNYIDKQLLPIVNKQSCSIPNIETVIEFQQKNNRLLE ITREFSVNAGVTTPVSTYMLTNSELLSLINDMPITNDQKKLMSNNVQIVRQQSYSIMSI IKEEVLAYVVQLPLYGVIDTPCWKLHTSPLCTTNTKEGSNICLTRTDRGWYCDNAGS VSFFPQAETCKVQSNRVFCDTMNSLTLPSEVNLCNVDIFNPKYDCKIMTSKTDVSSSV ITSLGAIVSCYGKTKCTASNKNRGIIKTFSNGCDYVSNKGVDTVSVGNTLYYVNKQE GKSLYVKGEPIINFYDPLVFPSNEFDASISQVNEKINQSLAFIRKSDELLSAIGGYIPEAP RDGQAYVRKDGEWVLLSTFL SEQ ID NO: 2 PRQM MELLILKANAITTILTAVTFCFASGQNITEEFYQSTCSAVSKGYLSALRTGWYTSVITIE LSNIKEIKCNGTDAKVKLIKQELDKYKNAVTELQLLMQSTPATNNRARRELPRFMN YTLNNAKKTNVTLSKKRKRRFLGFLLGVGSAIASGVAVSKVLHLEGEVNKIKSALLS TNKAVVSLSNGVSVLTSKVLDLKNYIDKQLLPIVNKQSCSIPNIETVIEFQQKNNRLLE VNAGVTTPVSTYMLTNSELLSLINDMPITNDQKKLMSNNVQIVRQQSYSIMSI IKEEVLAYVVQLPLYGVIDTPCWKLHTSPLCTTNTKEGSNICLTRTDRGWYCDNAGS VSFFPQAETCKVQSNRVFCDTMNSLTLPSEVNLCNVDIFNPKYDCKIMTSKTDVSSSV ITSLGAIVSCYGKTKCTASNKNRGIIKTFSNGCDYVSNKGVDTVSVGNTLYYVNKQE GKSLYVKGEPIINFYDPLVFPSDEFDASISQVNEKINQSLAFIRKSDELLSAIGGYIPEAP RDGQAYVRKDGEWVLLSTFL SEQ ID NO: 3 PRPM + S46G MELLILKANAITTILTAVTFCFASGQNITEEFYQSTCSAVSKGYLGALRTGWYTSVITI ELSNIKEIKCNGTDAKVKLIKQELDKYKNAVTELQLLMQSTPATNNRARRELPRFMN YTLNNAKKTNVTLSKKRKRRFLGFLLGVGSAIASGVAVSKVLHLEGEVNKIKSALLS TNKAVVSLSNGVSVLTSKVLDLKNYIDKQLLPIVNKQSCSIPNIETVIEFQQKNNRLLE ITREFSVNAGVTTPVSTYMLTNSELLSLINDMPITNDQKKLMSNNVQIVRQQSYSIMSI IKEEVLAYVVQLPLYGVIDTPCWKLHTSPLCTTNTKEGSNICLTRTDRGWYCDNAGS VSFFPQAETCKVQSNRVFCDTMNSLTLPSEVNLCNVDIFNPKYDCKIMTSKTDVSSSV ITSLGAIVSCYGKTKCTASNKNRGIIKTFSNGCDYVSNKGVDTVSVGNTLYYVNKQE GKSLYVKGEPIINFYDPLVFPSNEFDASISQVNEKINQSLAFIRKSDELLSAIGGYIPEAP RDGQAYVRKDGEWVLLSTFL CR9501 heavy chain (SEQ ID NO: 16): QVQLVQSGPGLVKPSQTLALTCNVSGASINSDNYYWTWIRQRPGGGLEWIGHISYTG NTYYTPSLKSRLSMSLETSQSQFSLRLTSVTAADSAVYFCAACGAYVLISNCGWFDS WGQGTQVTVSSASTKGPSVFPLAPSSKSTSGGTAALGCLVKDYFPEPVTVSWNSGAL TSGVHTFPAVLQSSGLYSLSSVVTVPSSSLGTQTYICNVNHKPSNTKVDKKVEPKSC CR9501 light chain (SEQ ID NO: 17): EIVMTQSPSSLSASIGDRVTITCQASQDISTYLNWYQQKPGQAPRLLIYGASNLETGVP SRFTGSGYGTDFSVTISSLQPEDIATYYCQQYQYLPYTFAPGTKVEIKRTVAAPSVFIF PPSDEQLKSGTASVVCLLNNFYPREAKVQWKVDNALQSGNSQESVTEQDSKDSTYS LSSTLTLSKADYEKHKVYACEVTHQGLSSPVTKSFNRGEC CR9502 heavy chain (SEQ ID : EVQLLQSGAELKKPGASVKISCKTSGFTFSGHTIAWVRQAPGQGLEWMGWVSTNNG NTEYAQKIQGRVTMTMDTSTSTVYMELRSLTSDDTAVYFCAREWLVMGGFAFDHW GQGTLLTVSSASTKGPSVFPLAPSSKSTSGGTAALGCLVKDYFPEPVTVSWNSGALTS GVHTFPAVLQSSGLYSLSSVVTVPSSSLGTQTYICNVNHKPSNTKVDKRVEPKSC CR9502 light chain (SEQ ID NO: 19): QSVLTQASSVSVAPGQTARITCGANNIGSQNVHWYQQKPGQAPVLVVYDDRDRPSG IPDRFSGSNSGNTATLTISRVEAGDEADYYCQVWDSSRDQAVIFGGGTKLTVLGQPK AAPSVTLFPPSSEELQANKATLVCLISDFYPGAVTVAWKADSSPVKAGVETTTPSKQS NNKYAASSYLSLTPEQWKSHRSYSCQVTHEGSTVEKTIAPTECS Nucleotide ce encoding PRPM (SEQ ID NO: 20): ATGGAACTGCTGATCCTGAAGGCCAACGCCATCACCACCATCCTGACCGCCGTGACCTTCTGCTTCGCCAGCG GCCAGAACATCACCGAGGAATTCTACCAGAGCACCTGTAGCGCCGTGTCCAAGGGCTACCTGAGCGCCCTGA GAACCGGCTGGTACACCAGCGTGATCACCATCGAGCTGAGCAACATCAAGGAAATCAAGTGCAACGGCACCG ACGCCAAGGTCAAGCTGATCAAGCAGGAACTGGACAAGTACAAGAACGCCGTGACCGAGCTGCAGCTGCTG ATGCAGAGCACCCCCGCCACCAACAACCGGGCCAGACGCGAGCTGCCCCGGTTCATGAACTACACCCTGAAC AACGCCAAAAAGACCAACGTGACCCTGAGCAAGAAGCGGAAGCGGCGGTTCCTGGGCTTCCTGCTGGGCGT TGCCATTGCTAGCGGCGTGGCCGTGTCTAAGGTGCTGCACCTGGAAGGCGAAGTGAACAAGATCAA GAGCGCCCTGCTGAGCACCAACAAGGCCGTGGTGTCCCTGAGCAACGGCGTGTCCGTGCTGACCAGCAAGGT GCTGGATCTGAAGAACTACATCGACAAGCAGCTGCTGCCCATCGTGAACAAGCAGAGCTGCAGCATCCCCAA CATCGAGACAGTGATCGAGTTCCAGCAGAAGAACAACCGGCTGCTGGAAATCACCCGCGAGTTCAGCGTGAA CGCTGGCGTGACCACCCCCGTGTCCACCTACATGCTGACCAACAGCGAGCTGCTGAGCCTGATCAACGACATG CCCATCACCAACGACCAGAAAAAGCTGATGAGCAACAACGTGCAGATCGTGCGGCAGCAGAGCTACTCCATC ATGAGCATCATCAAAGAAGAGGTGCTGGCCTACGTGGTGCAGCTGCCCCTGTACGGCGTGATCGACACCCCC TGCTGGAAGCTGCACACCAGCCCCCTGTGCACCACCAACACCAAAGAGGGCAGCAACATCTGCCTGACCCGG ACCGACCGGGGCTGGTACTGCGATAATGCCGGCTCCGTGTCATTCTTTCCACAGGCCGAGACATGCAAGGTGC AGAGCAACCGGGTGTTCTGCGACACCATGAACAGCCTGACCCTGCCCTCCGAAGTGAACCTGTGCAACGTGG ACATCTTCAACCCTAAGTACGACTGCAAGATCATGACCAGCAAGACCGACGTGTCCAGCTCCGTGATCACCTC CCTGGGCGCCATCGTGTCCTGCTACGGCAAGACCAAGTGCACCGCCAGCAACAAGAACCGGGGCATCATCAA GACCTTCAGCAACGGCTGCGACTACGTGTCCAACAAGGGGGTGGACACCGTGTCCGTGGGCAACACCCTGTA CTACGTGAACAAACAGGAAGGCAAGAGCCTGTACGTGAAGGGCGAGCCCATCATCAACTTCTACGACCCCCT GGTGTTCCCCAGCAACGAGTTCGACGCCAGCATCAGCCAGGTCAACGAGAAGATCAACCAGAGCCTGGCCTT CATCAGAAAGAGCGACGAGCTGCTGTCCGCCATCGGCGGCTACATCCCCGAGGCCCCTAGAGATGGCCAGGC CTACGTGCGGAAGGACGGCGAGTGGGTGCTGCTGTCTACCTTCCTG Nucleotide sequence encoding PRQM (SEQ ID NO: 21): ATGGAACTGCTGATCCTGAAGGCCAACGCCATCACCACCATCCTGACCGCCGTGACCTTCTGCTTCGCCAGCG GCCAGAACATCACCGAGGAATTCTACCAGAGCACCTGTAGCGCCGTGTCCAAGGGCTACCTGAGCGCCCTGA GAACCGGCTGGTACACCAGCGTGATCACCATCGAGCTGAGCAACATCAAGGAAATCAAGTGCAACGGCACCG ACGCCAAGGTCAAGCTGATCAAGCAGGAACTGGACAAGTACAAGAACGCCGTGACCGAGCTGCAGCTGCTG ATGCAGAGCACCCCCGCCACCAACAACCGGGCCAGACGCGAGCTGCCCCGGTTCATGAACTACACCCTGAAC AACGCCAAAAAGACCAACGTGACCCTGAGCAAGAAGCGGAAGCGGCGGTTCCTGGGCTTCCTGCTGGGCGT TGCCATTGCTAGCGGCGTGGCCGTGTCTAAGGTGCTGCACCTGGAAGGCGAAGTGAACAAGATCAA GAGCGCCCTGCTGAGCACCAACAAGGCCGTGGTGTCCCTGAGCAACGGCGTGTCCGTGCTGACCAGCAAGGT GCTGGATCTGAAGAACTACATCGACAAGCAGCTGCTGCCCATCGTGAACAAGCAGAGCTGCAGCATCCCCAA CATCGAGACAGTGATCGAGTTCCAGCAGAAGAACAACCGGCTGCTGGAAATCACCCGCGAGTTCAGCGTGAA CGCTGGCGTGACCACCCCCGTGTCCACCTACATGCTGACCAACAGCGAGCTGCTGAGCCTGATCAACGACATG CCCATCACCAACGACCAGAAAAAGCTGATGAGCAACAACGTGCAGATCGTGCGGCAGCAGAGCTACTCCATC ATGAGCATCATCAAAGAAGAGGTGCTGGCCTACGTGGTGCAGCTGCCCCTGTACGGCGTGATCGACACCCCC TGCTGGAAGCTGCACACCAGCCCCCTGTGCACCACCAACACCAAAGAGGGCAGCAACATCTGCCTGACCCGG CGGGGCTGGTACTGCGATAATGCCGGCTCCGTGTCATTCTTTCCACAGGCCGAGACATGCAAGGTGC ACCGGGTGTTCTGCGACACCATGAACAGCCTGACCCTGCCCTCCGAAGTGAACCTGTGCAACGTGG ACATCTTCAACCCTAAGTACGACTGCAAGATCATGACCAGCAAGACCGACGTGTCCAGCTCCGTGATCACCTC CCTGGGCGCCATCGTGTCCTGCTACGGCAAGACCAAGTGCACCGCCAGCAACAAGAACCGGGGCATCATCAA GACCTTCAGCAACGGCTGCGACTACGTGTCCAACAAGGGGGTGGACACCGTGTCCGTGGGCAACACCCTGTA CTACGTGAACAAACAGGAAGGCAAGAGCCTGTACGTGAAGGGCGAGCCCATCATCAACTTCTACGACCCCCT GGTGTTCCCCAGCGACGAGTTCGACGCCAGCATCAGCCAGGTCAACGAGAAGATCAACCAGAGCCTGGCCTT CATCAGAAAGAGCGACGAGCTGCTGTCCGCCATCGGCGGCTACATCCCCGAGGCCCCTAGAGATGGCCAGGC CTACGTGCGGAAGGACGGCGAGTGGGTGCTGCTGTCTACCTTCCTG Nucleotide sequence encoding PRPM + S46G (SEQ ID NO: 22): ATGGAACTGCTGATCCTGAAGGCCAACGCCATCACCACCATCCTGACCGCCGTGACCTTCTGCTTTGCCAGCG GCCAGAACATCACCGAGGAATTCTACCAGAGCACCTGTAGCGCCGTGTCCAAGGGCTATCTGGGCGCCCTGA GAACCGGCTGGTACACCAGCGTGATCACCATCGAGCTGAGCAACATCAAAGAAATCAAGTGCAACGGCACCG ACGCCAAAGTGAAGCTGATCAAGCAGGAACTGGACAAGTACAAGAATGCCGTGACCGAACTGCAGCTGCTGA TGCAGAGCACCCCCGCCACCAACAACCGGGCCAGAAGAGAACTGCCCAGATTCATGAACTACACCCTGAACA ACGCCAAAAAGACCAACGTGACCCTGAGCAAGAAGCGGAAGCGGCGGTTCCTGGGCTTTCTGCTGGGAGTG GGAAGCGCCATTGCTAGCGGAGTGGCCGTGTCTAAGGTGCTGCACCTGGAAGGCGAAGTGAACAAGATCAA GAGCGCCCTGCTGAGCACCAACAAGGCCGTGGTGTCTCTGAGCAACGGCGTGTCCGTGCTGACCAGCAAGGT GCTGGATCTGAAGAACTACATCGACAAACAGCTGCTGCCCATCGTGAACAAGCAGAGCTGCAGCATCCCCAAC ATCGAGACAGTGATCGAGTTCCAGCAGAAGAACAACCGGCTGCTGGAAATCACCCGCGAGTTCAGCGTGAAC GCTGGCGTGACCACCCCCGTGTCCACCTACATGCTGACCAACAGCGAGCTGCTGTCCCTGATCAACGACATGC CCATCACCAACGACCAGAAAAAGCTGATGAGCAACAACGTGCAGATCGTGCGGCAGCAGAGCTACTCCATCA TTATCAAAGAAGAGGTGCTGGCCTACGTGGTGCAGCTGCCTCTGTACGGCGTGATCGACACCCCCTG CTGGAAGCTGCACACCAGCCCTCTGTGCACCACCAACACCAAAGAGGGCAGCAACATCTGCCTGACCCGGACC GACAGAGGCTGGTACTGCGATAATGCCGGCTCCGTCTCATTCTTTCCACAAGCCGAGACATGCAAGGTGCAGA GCAACCGGGTGTTCTGCGACACCATGAACAGCCTGACCCTGCCCTCCGAAGTGAATCTGTGCAACGTGGACAT CTTCAACCCTAAGTACGACTGCAAGATCATGACCTCCAAGACCGACGTGTCCAGCTCCGTGATCACAAGCCTG GGCGCCATCGTGTCCTGCTACGGCAAGACCAAGTGCACCGCCAGCAACAAGAACCGGGGCATCATCAAGACC TTCAGCAACGGCTGCGACTACGTGTCCAACAAGGGGGTGGACACCGTGTCTGTGGGCAACACCCTGTACTAC GTGAACAAACAGGAAGGCAAGAGCCTGTACGTGAAGGGCGAGCCCATCATCAACTTCTACGACCCCCTGGTG TTCCCCAGCAACGAGTTCGACGCCAGCATCAGCCAAGTGAACGAGAAGATCAACCAGAGCCTGGCCTTCATCA CCGATGAGCTGCTGAGCGCCATCGGCGGCTACATCCCTGAGGCCCCTAGAGATGGCCAGGCCTATG TGCGGAAGGACGGCGAATGGGTGCTGCTGTCTACCTTTCTG

Claims (11)

Claims

1. A recombinant pre-fusion respiratory syncytial virus (RSV) Fusion (F) protein, comprising an amino acid sequence selected from the group consisting of SEQ ID 5 NO: 1, SEQ ID NO: 2 and SEQ ID NO: 3, or a fragment thereof.

2. Pre-fusion RSV F protein, or fragment thereof, according to claim 1, comprising at least one epitope that is specific to the pre-fusion mation F protein, wherein the at least one epitope is recognized by a pre-fusion specific monoclonal antibody, 10 comprising a heavy chain CDR1 region of SEQ ID NO: 4, a heavy chain CDR2 region of SEQ ID NO: 5, a heavy chain CDR3 region of SEQ ID NO: 6 and a light chain CDR1 region of SEQ ID NO: 7, a light chain CDR2 region of SEQ ID NO: 8, and a light chain CDR3 region of SEQ ID NO: 9 and/or a pre-fusion ic monoclonal antibody, comprising a heavy chain CDR1 region of SEQ ID NO: 10, a 15 heavy chain CDR2 region of SEQ ID NO: 11, a heavy chain CDR3 region of SEQ ID NO: 12 and a light chain CDR1 region of SEQ ID NO: 13, a light chain CDR2 region of SEQ ID NO: 14, and a light chain CDR3 region of SEQ ID NO: 15.

3. Pre-fusion RSV F protein, or fragment thereof, according to claim 1 or 2, wherein the 20 protein is ic.

4. Nucleic acid molecule encoding a pre-fusion RSV F protein, or fragment thereof, according to any claim 1, 2 or 3. 25

5. Nucleic acid molecule according to claim 4, n the nucleic acid molecule has been codon-optimized for expression in ian cells.

6. c acid molecule according to claim 4 or 5, comprising a nucleotide sequence selected from the group consisting of SEQ ID NO: 21, SEQ ID NO: 22 and SEQ ID 30 NO: 23.

7. Vector comprising a nucleic acid molecule according to claim 4, 5 or 6.

8. Composition comprising a pre-fusion RSV F protein, or fragment thereof, according to claim 1, 2 or 3, a nucleic acid molecule according to claim 4, 5 or 6, and/or a vector according to claim 7. 5

9. Composition ing to claim 8 for use in inducing an immune response against RSV F protein.

10. Composition according to claim 8 or 9 for use in the prophylaxis and/or treatment of RSV infection.

11. Vaccine against RSV comprising a pre-fusion RSV n, or fragment thereof, ing to claim 1, 2 or 3, a nucleic acid molecule according to claim 4, 5 or 6 and/or a vector according to claim 7. - ued - ued