US20140248309A1 - Dna promoters and anthrax vaccines - Google Patents

Dna promoters and anthrax vaccines Download PDF

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US20140248309A1
US20140248309A1 US14/185,353 US201414185353A US2014248309A1 US 20140248309 A1 US20140248309 A1 US 20140248309A1 US 201414185353 A US201414185353 A US 201414185353A US 2014248309 A1 US2014248309 A1 US 2014248309A1
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attenuated
promoter
vaccine
salmonella
expression
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Dennis J. Kopecko
Manuel Osorio
Siba Bhattacharyya
Chandrakant P. Giri
Milan Blake
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US Department of Health and Human Services
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    • CCHEMISTRY; METALLURGY
    • C07ORGANIC CHEMISTRY
    • C07KPEPTIDES
    • C07K14/00Peptides having more than 20 amino acids; Gastrins; Somatostatins; Melanotropins; Derivatives thereof
    • C07K14/195Peptides having more than 20 amino acids; Gastrins; Somatostatins; Melanotropins; Derivatives thereof from bacteria
    • C07K14/32Peptides having more than 20 amino acids; Gastrins; Somatostatins; Melanotropins; Derivatives thereof from bacteria from Bacillus (G)
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K39/00Medicinal preparations containing antigens or antibodies
    • A61K39/02Bacterial antigens
    • A61K39/07Bacillus
    • CCHEMISTRY; METALLURGY
    • C07ORGANIC CHEMISTRY
    • C07KPEPTIDES
    • C07K14/00Peptides having more than 20 amino acids; Gastrins; Somatostatins; Melanotropins; Derivatives thereof
    • C07K14/195Peptides having more than 20 amino acids; Gastrins; Somatostatins; Melanotropins; Derivatives thereof from bacteria
    • C07K14/24Peptides having more than 20 amino acids; Gastrins; Somatostatins; Melanotropins; Derivatives thereof from bacteria from Enterobacteriaceae (F), e.g. Citrobacter, Serratia, Proteus, Providencia, Morganella, Yersinia
    • C07K14/255Salmonella (G)
    • CCHEMISTRY; METALLURGY
    • C07ORGANIC CHEMISTRY
    • C07KPEPTIDES
    • C07K16/00Immunoglobulins [IGs], e.g. monoclonal or polyclonal antibodies
    • C07K16/12Immunoglobulins [IGs], e.g. monoclonal or polyclonal antibodies against material from bacteria
    • C07K16/1267Immunoglobulins [IGs], e.g. monoclonal or polyclonal antibodies against material from bacteria from Gram-positive bacteria
    • C07K16/1278Immunoglobulins [IGs], e.g. monoclonal or polyclonal antibodies against material from bacteria from Gram-positive bacteria from Bacillus (G)
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K39/00Medicinal preparations containing antigens or antibodies
    • A61K2039/51Medicinal preparations containing antigens or antibodies comprising whole cells, viruses or DNA/RNA
    • A61K2039/52Bacterial cells; Fungal cells; Protozoal cells
    • A61K2039/522Bacterial cells; Fungal cells; Protozoal cells avirulent or attenuated
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K39/00Medicinal preparations containing antigens or antibodies
    • A61K2039/51Medicinal preparations containing antigens or antibodies comprising whole cells, viruses or DNA/RNA
    • A61K2039/52Bacterial cells; Fungal cells; Protozoal cells
    • A61K2039/523Bacterial cells; Fungal cells; Protozoal cells expressing foreign proteins
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K39/00Medicinal preparations containing antigens or antibodies
    • A61K2039/51Medicinal preparations containing antigens or antibodies comprising whole cells, viruses or DNA/RNA
    • A61K2039/53DNA (RNA) vaccination
    • YGENERAL TAGGING OF NEW TECHNOLOGICAL DEVELOPMENTS; GENERAL TAGGING OF CROSS-SECTIONAL TECHNOLOGIES SPANNING OVER SEVERAL SECTIONS OF THE IPC; TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
    • Y02TECHNOLOGIES OR APPLICATIONS FOR MITIGATION OR ADAPTATION AGAINST CLIMATE CHANGE
    • Y02ATECHNOLOGIES FOR ADAPTATION TO CLIMATE CHANGE
    • Y02A50/00TECHNOLOGIES FOR ADAPTATION TO CLIMATE CHANGE in human health protection, e.g. against extreme weather
    • Y02A50/30Against vector-borne diseases, e.g. mosquito-borne, fly-borne, tick-borne or waterborne diseases whose impact is exacerbated by climate change

Definitions

  • the invention is related to intracellularly induced bacterial DNA promoters and vaccines against Bacillus anthracis.
  • FIG. 1 Construction of promoter-trap GFP-CAT reporter plasmid vector.
  • Promoterless GFPmut3.1 sequence
  • FIG. 2 Construction of Salmonella Typhimurium DT104 genomic promoter fragment library in promoter trap vector pCG101.
  • FIG. 3 Double-selection strategy to enrich for intracellularly-activated promoter clones in INT407 epithelial cells.
  • FIG. 4 A-D FACS analyses of experimental control plasmids.
  • FIG. 5 A-C FACS analyses of genomic library before and after intracellular induction.
  • FIG. 6 Representative kinetic analyses of fluorescence-induction mediated by promoter-fragment inserts in pCG101.
  • FIG. 7 Selection strategy to enrich for intracellularly-activated promoter clones in J774 macrophage cells.
  • FIG. 8 A-D Intracellularly-activated promoter fragments.
  • FIG. 9 A-C Construction of pGB2/P nirB /PA plasmid vector.
  • FIG. 10 Immunoblot analysis of PA expression in Salmonella Typhi Ty21a.
  • FIG. 11 Plasmid stability upon broth subculturing.
  • FIG. 12 Humoral anti-PA response in mice following IP immunization.
  • FIG. 13 Representative pGB-2 constructs with 2 promoters linked to wild type or codon-optimized PA genes.
  • FIG. 14 Representative plasmids for periplasmic and extracellular secretion.
  • FIG. 15 Representative immunoblot of PA expression in Salmonella Typhi Ty21a. Lanes (1) Purified PA 150 ng/land, (2) pGB-2 plasmid control (10 8 cfu), (3) phtrA-PAcm (10 8 cfu), (4) phtrA-PAwt (10 8 cfu).
  • FIG. 16 Dosing and challenge schedule for Ty21a mice.
  • FIG. 17 Anti-PA geometric mean titer (GMT) in Ty21a-PAwt immunized mice.
  • FIG. 18 Real time stability of B/Harbin live attenuated influenza virus vaccine formulated and spray dried. Shown are the mean slope and 95% confidence intervals.
  • FIG. 19 A-C Real time stability of live attenuated influenza virus formulated and freeze dry foamed. Shown are the mean slope and 95% confidence interval for three monovalent influenza strains (A) A/Beijing (H1N1 strain), (B) A/Sydney (H3N2 strain), and (C) B/Harbin (B strain).
  • FIG. 20 A-B Production of stable dry powder particles with optimal size range for nasal deposition.
  • Placebo formulations were spray dried under different mass ratios of atomizer gas to liquid feed and then subjected to laser diffraction particle size analysis.
  • Foam dried formulation was mechanically recovered with a spatula then subjected to mechanical impact milling using a pin mill to produce fine dry powders.
  • FIG. 21 pGB-2/nirBp.
  • FIG. 22 htrA promoter.
  • FIG. 23 A-B DNA sequences coding for B. anthracis protective antigen (PA).
  • PA B. anthracis protective antigen
  • FIG. 24 pnirB-PA (PAcm).
  • FIG. 25 phtrA-PA (PAcm).
  • FIG. 26 pnirB-fds-PA.
  • FIG. 27 pnirB-fds-PAcm.
  • FIG. 28 phtrA-fds-PAcm.
  • FIG. 29 A-C Construction of phtrA-PA-Hly.
  • A HlyAs-BD cassette,
  • B PA without stop codon,
  • C phtrA-PA-Hly.
  • FIG. 30 A-C Construction of pnirB-PA-Hly.
  • A pnirB-PA-Hly
  • B PAcm-HlyAs fusion fragment
  • C pnirB-PAcm-Hly.
  • Salmonella enterica serovar Typhimurium definitive phage type 104 (DT104) strains are emerging foodborne pathogens in several countries worldwide (Evans S, and Davies R. 1996 Vet Rec 139: 557-558; Hollingsworth J. and Kaplan B. 1997 J Am Vet Med Assoc 210:1712 & 1716; Gosek G. et al. 1996 MMWR 46:308-310).
  • DT104 strains typically are multiply resistant to many commonly used antibiotics and have been isolated from poultry, swine, cattle, and other domestic and wild animals. First detected in the U.K.
  • the bacterial strains used in this study are listed in Table 1 and include the multiply restriction-minus, modification plus Salmonella Typhimurium strain LB5000, and Salmonella Typhimurium DT104 strains (BT9 isolate from a clinical preschool outbreak in Hawaii, USA, source #H2662 Ms. Peggy Hayes, CDC; BT-19 isolate from cattle feces, source #30 Dr. Tom Humphrey, PHLS). Unless otherwise indicated, all bacterial strains were routinely grown in LB broth or agar containing 1% NaCl. Ampicillin and chloramphenicol were used at a final concentration of 100 ⁇ g/ml. Brain heart infusion broth was used for bacterial growth prior to invasion studies.
  • FACS analysis was performed using a FACSVANTAGETM SE flow cytometer/cell sorter (Becton Dickinson).
  • FSC Forward scatter
  • SSC side scatter
  • gating was used to identify the viable cell population.
  • Cells containing GFP-expressing bacteria were identified by log-amplified green fluorescence.
  • Analysis of GFP-expressing bacteria was accomplished by lysing infected cells with TRITON® X-100 (0.1%), and filtration of cellular debris.
  • the threshold parameter was SSC. Sorting of GFP containing infected cells or bacteria was accomplished by creating a sorting gate based on green fluorescence intensity that was above the autofluorescence background.
  • Plasmids were isolated with QIAPREP® Spin Miniprep kits (Qiagen, Inc.). DNA fragments from agarose gels were isolated using QIAQUICK® Gel Extraction kits (Qiagen, Inc.). All restriction and DNA modifying enzymes were procured from New England BioLabs.
  • Insert sizes from selected plasmid clones were determined by PCR amplification using primers on plus (5′-CGT ATT ACC GCC TTT GAG TG-3′) (SEQ ID NO:17) and minus (5′-GGG ACA ACT CCA GTG AAA AG-3′) (SEQ ID NO:18) strands, which flank the inserts cloned at the BamH1 site in the promoter-trap plasmid expression vector, pCG101. All PCR reactions were carried out using the “hot-start” method (15 min at 95° C., 25 sec at 94° C., and 25 sec at 52° C. and 30 sec at 72° C. for a total of 35 cycles; Qiagen HOTSTARTAQ® MASTERMIX® kit). The final elongation was done at 72° C. for 5 min. The amplified PCR inserts were size-analyzed by agarose gel electrophoresis using DNA molecular weight markers.
  • DNA sequencing was performed with Ready Reactions DyeDeoxy Terminator cycle sequencing kits (Applied Biosystems) and an ABI model 373A automated sequencer. Sequences were assembled and analyzed by using the VECTOR NTI® suite 6.0 software (Informax, Inc.). DNA homology searches were performed by using the Basic Local Alignment Search Tool (BLAST) of the National Center for Biotechnology Information. Bacterial putative promoter searches were conducted according to the Neural Network Promoter Prediction Model (fruitfly.org/seq_tools/promoter.html).
  • BLAST Basic Local Alignment Search Tool
  • the promoter-trap plasmid was constructed from the 3.3 kb pGFPmut3.1 plasmid.
  • pGFPmut3.1 contains a pUC origin of replication, an ampicillin resistance gene (Ap r ), and the reporter gene GFP linked to pLac and a multiple cloning site (MCS).
  • Ap r ampicillin resistance gene
  • MCS multiple cloning site
  • the unique Sap1 site was converted, via linker ligation, to a Pst1 site. Pst1 digestion of the resulting plasmid effected the deletion of pLac, and created a promoter-less pGFPmut3.1.
  • a chloramphenicol acetyltransferase (CAT) gene obtained from pCM7 on a HindIII fragment was ligated to the HindIII site at the C-terminal end of GFP to create pCG101.
  • This Ap r “promoter-trap” bacterial expression plasmid pCG101 is a pUC replicon that contains a MCS in front of fused GFP and CAT reporter genes and was used to select for the insertion of random promoter fragments from the Salmonella Typhimurium DT104 genome, as described below (see FIG. 1 ).
  • Salmonella Typhimurium DT104 isolate BDT-9 genomic DNA was isolated, partially digested with Sau3a, and size-fractionated on an agarose gel to obtain 0.4-1.6 kb fragments. These selected fragments were randomly cloned into the BamH1-digested, pCG101 in front of the fused reporter genes ( FIG. 2 ). Resulting plasmid recombinants were electroporated into E. coli DH5 ⁇ and selected on media containing ampicillin. Population-isolated plasmids from DH5 ⁇ were passed through Salmonella Typhimurium strain LB5000 for DNA modification, before final electroporation into Salmonella Typhimurium DT104 strain BDT-19.
  • Positive and negative experimental control promoter plasmids contained the pLac sequence on a Pst1 fragment in the correct or opposite orientation, respectively, at the Pst1 site in front of the GFP gene (see FIG. 1 ).
  • the resultant library of promoter-fragment clones consisted of ⁇ 40,000 recombinant plasmids and was used to enrich for intracellularly-activated promoters as described below.
  • a unique double-selection strategy was employed to enrich for intracellularly activated, cloned promoter DNA sequences ( FIG. 3 ).
  • the DT104 bacteria bearing the entire genomic fragment library in pCG101 were used to infect 1 day old INT407 cells at an MOI of ⁇ 200. Following a 1-3 hr. invasion period, remaining extracellular bacteria were killed in the presence of 100 ⁇ g/ml gentamicin over a 1 hr period.
  • 100 ⁇ g/ml of chloramphenicol was added to the monolayer for 16 hrs.
  • Intracellularly-induced, surviving Cm r clones were additionally enriched for GFP expression by FACS analysis.
  • FACS control studies using uninfected cells and pLac insert controls allowed for the establishment of fluorescence gate limits to detect GFP expression from promoter clones ( FIG. 4 ).
  • the selected GFP+, Cm r isolates were grown in nutrient medium and FACS-selected for only GFP-bacteria. This double-selection strategy was repeated a total of three times to obtain highly enriched, intracellularly-activated promoters from the DT104 promoter fragment library ( FIG. 5 ).
  • a promoter-trap plasmid vector has been constructed which contains tandem GFP and CAT reporter genes. This vector was utilized to develop a library of small DNA fragments representing the genome of Salmonella Typhimurium DT104. Cloned promoter fragments were inserted into a recipient DT104 strain which was used to infect INT407 human cells. A stringent double-selection strategy was employed to select for intracellular reporter gene expression. Analysis of a representative set of selected promoter fragments revealed five unique inserts that exhibit a range of inducibility from 5- to >100-fold in eukaryotic cells.
  • This invention relates to attenuated bacteria capable of expressing a heterologous protein, to their preparation and to vaccines containing them.
  • Virulent strains of Salmonella can be attenuated by introducing specific mutations into genes required for survival and growth in vivo. Attenuated variants which establish self-limiting, clinically insignificant infections can be considered as potential live oral vaccines against Salmonella infections.
  • Ty21a is an attenuated variant of Salmonella Typhi , which harbors mutations in galE and other unknown attenuating lesions, and is licensed for use in many countries as a live oral typhoid vaccine.
  • Salmonella aro mutants which have an auxotrophic requirement for several aromatic compounds, have been shown to be effective oral vaccines in mice, sheep, cattle, chickens and more recently they have been shown to be attenuated and immunogenic in volunteers. Salmonella cya crp double mutants are also effective oral vaccines.
  • Attenuated salmonellae can be considered as carriers of heterologous antigens to the immune oral system. This is because salmonellae can be delivered via the oral route and are potent immunogens being able to stimulate systemic and local cellular and antibody responses. Heterologous antigens from bacteria, viruses and parasites can be delivered to the host using Salmonella vaccines.
  • Nakayama et al. described the use of linking an essential gene to the expression plasmid for stabilizing in vivo expression. Although this is a highly effective approach, it does not prevent the generation of plasmid free variants but simply ensures they do not survive. Further stable but constitutive high level expression of a foreign antigen in a Salmonella vaccine strain could slow down the growth rate and hence potentially affect the immunogenicity of the live vaccine.
  • an attenuated bacterium which is capable of expressing a heterologous protein, the expression of the heterologous protein being under the control of a promoter whose activity is induced by anaerobic conditions.
  • the attenuated bacterium can therefore be used as a vaccine.
  • Any suitable bacterium may be employed, for example a gram-negative bacterium.
  • Some gram-negative bacteria such as Salmonella invade and grow within eukaryotic cells and colonize mucosal surfaces.
  • the attenuated bacterium may therefore be selected from the genera Salmonella, Bordetella, Vibrio, Haemophilus, Neisseria and Yersinia .
  • the attenuated bacterium may be an attenuated strain of enterotoxigenic Escherichia coli .
  • Salmonella Typhi the cause of human typhoid
  • Salmonella Typhimurium the cause of salmonellosis in several animal species
  • S. enteritidis a cause of food poisoning in humans
  • choleraesuis a cause of salmonellosis in pigs
  • Bordetella pertussis the cause of whooping cough
  • Haemophilus influenzae a cause of meningitis
  • Neisseria gonorrhoeae the cause of gonorrhoea
  • Yersinia a cause of food poisoning.
  • the heterologous antigen which an attenuated bacterium is capable of expressing may, for example, comprise an antigenic determinant of a pathogenic organism.
  • the antigen may be derived from a virus, bacterium, fungus, yeast, or parasite.
  • the heterologous protein therefore, typically comprises an antigenic sequence derived from a virus, bacterium, fungus, yeast, or parasite.
  • the antigenic sequence may be derived from a type of human immunodeficiency virus (HIV) such as HIV-1 or HIV-2, hepatitis A or B virus, human rhinovirus such as type 2 or type 14, herpes simplex virus, poliovirus type 2 or 3, foot-and-mouth disease virus, influenza virus, coxsackie virus, the cell surface antigen CD4 and Chlamydia trachomatis .
  • the antigen may comprise the CD4 receptor binding site from HIV, for example from HIV-1 or -2.
  • Other useful antigens include the protective antigen (PA) of B. anthracis, E. coli heat labile toxin B subunit (LT-B), E. coli K88 antigens, P.69 protein from B. pertussis , tetanus toxin fragment C and antigens of flukes, mycoplasma, roundworms, tapeworms, rabies virus and rotavirus.
  • PA protective antigen
  • LT-B E. coli
  • An attenuated bacterium according to the present invention may be prepared by transforming an attenuated bacterium with a DNA construct comprising a promoter whose activity is induced by anaerobic conditions, such as the promoter sequences identified in FIG. 8 and in SEQ ID NOs:1-8 or functional fractions thereof. Any suitable transformation technique may be employed, such as electroporation. In this way, an attenuated bacterium capable of expressing a protein heterologous to the bacterium may be obtained. A culture of the attenuated bacterium may be grown under aerobic conditions. A sufficient amount of the bacterium is thus prepared for formulation as a vaccine, with minimal expression of the heterologous protein occurring.
  • the DNA construct is typically a replicable expression vector comprising a promoter selected from FIG. 8 and in SEQ ID NOs:1-8, or functional fractions thereof operably linked to a DNA sequence encoding the heterologous protein.
  • the promoter may be inserted in an expression vector, which already incorporates a gene encoding the heterologous protein, in place of the existing promoter controlling expression of the protein.
  • the expression vector should, of course, be compatible with the attenuated bacterium into which the vector is to be inserted.
  • the expression vector is provided with appropriate transcriptional and translational control elements including, besides the promoter, a transcriptional termination site and translational start and stop codons.
  • An appropriate ribosome binding site is provided.
  • the vector typically comprises an origin of replication and, if desired, a selectable marker gene such as an antibiotic resistance gene.
  • the vector may be a plasmid.
  • An attenuated bacterium of the invention can be used as a vaccine.
  • the vaccine comprises a pharmaceutically acceptable carrier or diluent and, as active ingredient, the attenuated bacterium.
  • the vaccine is advantageously presented in a lyophilized form, for example in a capsular form, for oral administration to a patient.
  • Such capsules may be provided with an enteric coating comprising, for example, EUDRAGIT® “S”, EUDRAGIT® “L”, cellulose acetate, cellulose phthalate or hydroxypropylmethyl cellulose.
  • the lyophilized material may be reconstituted prior to administration, e.g., as a suspension. Reconstitution is advantageously effected in a buffer at a suitable pH to ensure the viability of the organisms.
  • a sodium bicarbonate preparation is advantageously administered before each administration of the vaccine.
  • the vaccine may be prepared for parenteral administration, intranasal administration, or intramammary.
  • the attenuated bacterium of the invention may be used in the prophylactic treatment of a host, particularly a human host but also possibly an animal host.
  • An infection caused by a microorganism, especially a pathogen, may therefore be prevented by administering an effective dose of an attenuated bacterium according to the invention.
  • the bacterium then expresses a heterologous protein capable of raising antibody to the microorganism.
  • the dosage employed will be dependent on various factors including the size and weight of the host, the type of vaccine formulated, and the nature of the heterologous protein. However, for attenuated Salmonella Typhi a dosage comprising the oral administration of from 10 9 to 10 11 Salmonella Typhi organisms per dose is generally convenient for a 70 kg adult human host.
  • Bacillus anthracis is a gram-positive, spore-forming bacterium that causes the disease anthrax.
  • the disease is typically initiated by introduction of Bacillus anthracis endospores into the body, and protection is afforded by an antibody response against the protective antigen (PA) component of anthrax toxin.
  • PA protective antigen
  • Recent terrorist activities in Washington, D.C. involving the mailing of anthrax spores have now shown that anthrax can serve as an effective bio-terrorist weapon.
  • the only FDA-approved anthrax vaccine is toxoid-based, requires multiple doses to stimulate immunity, and causes moderate adverse effects.
  • the anthrax PA was cloned behind an inducible promoter in a genetically stable low copy plasmid vector.
  • the live attenuated Salmonella vector containing the PA plasmid construct expresses PA intracellularly and under conditions of oxygen limitation.
  • the anthrax PA is expressed at high levels in this system as demonstrated by western blot analysis using a polyclonal anti-PA antibody.
  • Preliminary mouse studies have shown PA-specific immune stimulation. Currently, dosing schedules and administration methods are being optimized. Given the safety record of attenuated Salmonella vaccine vectors in humans, a vaccine construct that induces a strong response to PA is envisioned as forming the basis of a safe and effective vaccine against anthrax.
  • Bacillus anthracis is a gram-positive, spore-forming bacterium that causes the disease anthrax.
  • Anthrax is typically initiated by introduction of Bacillus anthracis endospores into the body. Endospores have a high affinity for the regional macrophages and are efficiently and rapidly phagocytosed in vivo. After spore germination and local multiplication within the macrophage (i.e. intracellular events), vegetative bacteria kill the macrophage and are released into the blood stream, where they live as extracellular pathogens and reach high numbers. The vegetative bacilli respond to host signals of physiological body temperature and CO 2 levels in order to transcriptionally activate the genes for virulence factors (e.g., capsule and toxins).
  • virulence factors e.g., capsule and toxins
  • the anthrax toxin is composed of three subunits: (i) lethal factor (LF), a zinc-metalloprotease, is the toxin component thought to kill host cells by disrupting the mitogen-activated protein kinase pathway; (ii) edema factor (EF), an adenylate cyclase that causes edema in the infected host; and (iii) protective antigen (PA), which binds to eukaryotic cell surface proteins, forms homoheptamers, and then binds to and internalizes EF and LF.
  • LF acts upon macrophages in the body and causes the release of pro-inflammatory cytokines responsible for sudden and fatal shock.
  • the first overt sign of disease is often death itself, which can occur as early as 1-7 days post exposure. Considerable evidence exists to show that antibodies to PA alone can protect against anthrax infection.
  • the majority of available vaccines are composed of: (1) inactivated components, such as formalinized toxoids; (2) inactivated whole virus or bacteria; or (3) purified bacterial antigens, such as capsular polysaccharides.
  • Another class of vaccines consists of live, attenuated strains of bacteria or viruses.
  • live attenuated vaccines are: (i) the high levels of protection obtained from limited multiplication in vivo, i.e., an aborted infection), thereby inducing an immune response resembling that seen after natural infection; (ii) the need for only one or a few doses to confer long-lasting immunity against certain diseases; and (iii) the ability of orally-administered live, attenuated carrier strains such as Salmonella Typhi to stimulate the humoral, mucosal, and cellular arms of the immune response.
  • the simplicity of administering oral vaccines without the need for a skilled health care specialist
  • the potential for low cost manufacturing makes this approach very attractive.
  • Anthrax protective antigen was cloned under the control of the nirB promoter in the low copy plasmid, pGB-2 and the sequence was verified ( FIG. 9 ).
  • FIG. 10 Western blot of auxotrophic Salmonella Typhi Ty21a cell lysates and culture supernatants separated by SDS-PAGE and probed with polyclonal anti-PA antibody.
  • Salmonella Typhi and Salmonella Typhi containing the empty vector and vector +PA were cultured separately overnight at 37° C. in Luria Broth (LB) and LB containing spectinomycin, respectively. Then the cultures were grown anaerobically in an airtight jar in presence of GASPAK® (BBL®) catalyst for about 4 hours at 37° C.
  • BBL® GASPAK®
  • mice Twelve, 6-8 week old, female BALB/c mice were immunized intraperitoneally with a single dose of 5 ⁇ 10 7 cells (Ty21a-PA) or 0.5 ml of PBS. Blood samples were collected from the tail vein of all animals on days 14 and 28 after immunization and analyzed by ELISA to determine PA-specific IgG antibody titers. The ELISA assay was conducted by standard procedures using 96-well plates coated with 1 ⁇ g/well of purified PA. The endpoint titer is defined as the maximum serum dilution having an optical density (405 nm) of greater than 0.2. Each plot point represents an individual mouse ( FIG. 12 ). The horizontal bars represent mean values.
  • Anthrax protective antigen was cloned under the control of the nirB promoter in the low copy plasmid, pGB-2 and the sequence was verified.
  • the recombinant plasmid containing PA and the empty vector (pGB-2/PnirB) were transformed into E. coli and Salmonella Typhi Ty21a.
  • the cultures were induced anaerobically for about 4 hours at 37° C.
  • Immunoblot of the cultures with PA specific antibody indicated high level expression of PA in Salmonella Typhi Ty21a.
  • This recombinant plasmid containing PA is quite stable during growth in the absence of spectinomycin. Immunization of mice by the IP route with Salmonella Typhi expressing PA resulted in a significant rise in anti-PA antibodies.
  • Vaccines represent a proven and effective approach for assuring widespread protection of large populations and can reduce the number of susceptible individuals prior to or immediately following a bioterrorism attack.
  • the goal of this project is to address two significant problems that are raised by current bioterrorism threats: 1) the need for an easy method of mass vaccination and 2) the shortcomings of the current anthrax vaccine which requires injection by health professionals for administration, vaccine refrigeration, an extended vaccination schedule for protection (6 doses over 18 months), and the concern over transient side effects.
  • rPA recombinant protective antigen
  • a storage-stable vaccine will be processed into a powder that will be suitable for self-administration by oral or nasal delivery and used to protect against anthrax disease.
  • Ty21a is envisioned as the vaccine carrier because of the proven safety profile of the licensed Ty21a vaccine, the ability of Ty21a to express PA, and because Ty21a itself triggers long-term protection against typhoid fever.
  • the gram-positive anthrax Bacillus causes a disease that starts with mild generalized symptoms and abruptly develops into a systemic, difficult-to-treat form with massive bacteremia, toxemia, and fatal shock-like symptoms including sepsis and respiratory failure (Dixon, T. C. et al. 1999 New Engl J Med 341:815-826; Mock, M. and Fouet, A. 2001 Annu Rev Microbiol 55:647-671). Since 2001, the primary disease concern has been the use of B. anthracis spores as a bioterrorist weapon, particularly administered via the inhalational route. Anthrax spores exhibit a high degree of physical stability and can be readily processed into an inhalable powder. It is listed as a NIH category A agent indicating the highest priority for developing effective and rapid medical interventions.
  • Vaccination is capable of preventing infectious diseases such as smallpox, and is likely to be one of the most effective counter measures against a weaponized anthrax attack because it is the most efficient way to reduce the number of susceptible individuals prior to or immediately following an attack. Most importantly, for widespread use, a vaccine must be safe and efficacious. Ideally, the vaccine would also be simple and inexpensive to store and distribute, and could be administered easily to large populations over a relatively short time period.
  • One approach is an oral or nasal vaccine delivered without lengthy reconstitution procedures (thus dispensing with the need for syringes/needles and skilled health care professionals) in fewer than the current 6 doses that could withstand storage and distribution for prolonged periods outside the cold chain (i.e., at room temperature and above).
  • Anthrax vaccine development has focused on the major virulence factors of B. anthracis , which are plasmid encoded toxin production and capsule formation (Mock, M. and Fouet, A. 2001 Annu Rev Microbiol 55:647-671; Dixon, T. C. et al. 1999 New Engl J Med 341:815-826).
  • the toxin-gene complex produces three secreted components: protective antigen (PA), lethal factor (LF), and edema factor (EF).
  • PA protective antigen
  • LF lethal factor
  • EF edema factor
  • These three factors form two binary toxins: lethal toxin (LT) composed of PA, and LF and edema toxin (ET) consisting of PA and EF.
  • the anthrax vaccine in the United States which is similar to the vaccine in the United Kingdom, is an aluminum hydroxide adsorbed vaccine consisting of PA-containing supernatant material from fermenter cultures of a non-encapsulated, toxigenic strain of B. anthracis , V770-NP1-R (Anthrax Vaccine Adsorbed, AVA, currently sold as BIOTHRAX®). Although no human clinical efficacy data is available with the current vaccine, a less potent precursor was shown to be protective in placebo-controlled clinical trials (Friedlander, A. M. et al. 2002 Curr Top Microbiol Immunol 271:33-60).
  • live, attenuated vaccines over purified protein vaccines is the potential to circumvent the use of needles for administration by a trained health care professional.
  • live, attenuated anthrax vaccines have often demonstrated broader protection in animal models with fewer doses, faster immune response, and longer lived immunity (Friedlander, A. M. et al. 2002 Curr Top Microbiol Immunol 271:33-60).
  • Several vaccine candidates have shown promise in early animal studies, but will require further optimization before human studies can be considered (Welkos, S. L. and Friedlander, A. M. 1988 Microbial Pathogenesis 5:127-139; Zegers, N. D. et al. 1999 J Appl Microbiol 87:309-314).
  • Attenuated strains of Salmonella enterica serovars Typhimurium and Typhi offer a well-tested vehicle for oral presentation of heterologous antigens to stimulate mucosal and cell mediated immunity because of their ability to invade the gut via the lymphoid tissues (Friedlander, A. M. et al. 2002 Curr Top Microbiol Immunol 271:33-60; Garmory, H. S. et al. 2003 Infect Immun 71:3831-3836).
  • other bacterial antigens that have been delivered in this way include the following organisms: S. sonnei, S. flexneri 2A, E. coli, V. cholera, F. tularensis, C.
  • viral antigens include the following viruses: dengue, hepatitis B virus, human papillomavirus, influenza and measles (Schodel, F. 1992 Adv Virus Res 41:409-446; Baud, D. et al. 2004 Infect Immun 72:750-756; Pasetti, M. F. et al. 2003 J Virol 77: 5209-5217).
  • the current study is aimed at developing a live, attenuated vaccine using S. enterica serovar Typhi strain Ty21a carrying the rPA gene of B. anthracis on a stable bacterial plasmid.
  • This study is based on the prior human efficacy data for Ty21a as a typhoid vaccine and the unrivaled safety record of this commercial vaccine (VIVOTIF® Berna Vaccine).
  • VIVOTIF® Berna Vaccine There has never been a reported case of documented bacteremic dissemination of the highly attenuated Ty21a in a human.
  • Ty21a generates long-lived immunity that does not require a booster vaccination for at least 5 years (Levine, M. M. et al. 1999 Vaccine 17:S22-S27).
  • One research area over the past 20 years has been to develop attenuated Salmonella Typhi strains with defined alterations, which have improved immunogenicity and potentially can be given in fewer doses than Ty21a (Hohmann, E. L. et al. 1996 J Infect Dis 173:1408-1414; Wang, J.
  • freeze drying has been the process of choice to stabilize a wide range of biologics including proteins (Carpenter, J. F. et al. 2002 Pharm Biotechnol 13:109-133), viruses (Burke, C. et al. 1999 Critical Rev in Therapeutic Drug Carrier Sys 16:1-83), and bacteria (Corbel, M. J. 1996 Dev Biol Stand 87:113-124; Burke, C. 1999 Critical Rev in Therapeutic Drug Carrier Sys 16:1-83).
  • new aluminum packaging technologies have been developed to avoid problems associated with premature moisture ingress.
  • Ty21a After stabilization by lyophilization, Ty21a exhibits a shelf life of approximately 18-24 months at 2-8° C. (Burke, C. et al. 1999 Critical Rev in Therapeutic Drug Carrier Sys 16:1-83; Clarke, P. D. and Forrest, B. D. 1993 WO patent 93/11220), which is typical of many stabilized bacterial vaccine preparations. When exposed to 37° C., lyophilized Ty21a exhibited a half-life of only one day (Clarke, P. D. and Forrest, B. D. 1993 WO 93/11220; Cryz, S. J. et al.
  • regulated promoters display low-level expression of the heterologous antigen during vaccine manufacture, but have maximal activity following immunization as Salmonella infects intestinal cells.
  • These promoters were shown to drive the expression of heterologous proteins, under inducing conditions, to levels as high as 20-30% of total cell protein (Oxer M. D. et al. 1991 Nucleic Acids Res 19:2889-2892).
  • a third method to optimize expression of protective antigen employs a synthetic PA gene that is codon-optimized for expression in Salmonella Typhi .
  • a codon-modified PA gene (PAcm) was constructed synthetically with terminal Nde1 and BamH1 restriction sites for directional cloning.
  • the htrA promoter region was PCR-amplified from the Ty21a genome using primers that introduced HindIII and NdeI restriction enzyme sites at the 5′ and 3′ ends of the gene respectively ( FIG. 13 ).
  • the 3′-end primer also contains an optimal Shine-Delgarno sequence (AGGAG).
  • the nirB promoter region was generated by combining two complementary synthetic oligo-nucleotides leaving EcoRI and NdeI sticky-ends ( FIG. 13 ). An optimal Shine-Delgarno sequence was also engineered into this promoter region.
  • the plasmid vector was prepared by restriction digest using HindIII/BamHI for htrA constructs or EcoRI/BamHI for nirB constructs ( FIG. 13 ). Typically, three different fragments with compatible ends were combined in a ligation reaction to generate the final expression plasmids.
  • htrA-regulated expression of PA results in approximately 0.5 ⁇ g/10 9 cfu of Ty21a expressing wild-type PA (phtrA-PAwt) and approximately 10 ⁇ g/10 9 cfu of Ty21a expressing codon-modified PA (phtrA-PAcm).
  • the yield of PA in Ty21a can be increased about 20-fold by using a synthetic, codon-optimized gene.
  • plasmid stability both during in vitro growth for manufacture and during in vivo growth within the immunized host.
  • pGB-2 stability To test for pGB-2 stability, one colony of Ty21a (pnirB-PAwt) was grown in LB broth without spectinomycin for 12 hrs, and the culture was diluted 100-fold and grown for another 12 hrs, and this process was repeated every 12 hrs for a total of 72 hrs. At each time point (12, 24, 36, 48, 60, and 72 hrs) the culture was serially diluted and plated on LB agar plates.
  • mice Three groups of 12 female BALB/c mice, 6-8 weeks old, were immunized intraperitoneally (i.p.) with a single dose of 5 ⁇ 10 7 cfu of Ty21a expressing PAwt [Ty21a-PAwt], 5 ⁇ 10 7 cfu of Ty21a-PAwt lysed by sonication (i.e., to mimic PA secretion), or with 0.5 ml of PBS. Mice were boosted with an identical dose four weeks after the first immunization. This dosing regimen is shown diagrammatically in FIG. 16 . Blood samples were collected from the tail vein of all animals on days 14, 28, 48, and 65 after the first immunization.
  • Serum samples were analyzed by ELISA to determine PA-specific IgG antibody titers.
  • Mice vaccinated with a single injection of Ty21a-PAwt elicited a significant humoral response to PA with antibody geometric mean titers (GMT) of 100-200.
  • GTT geometric mean titers
  • the antibody titers increased at least two-fold for mice immunized with either Ty21a-PAwt (500 GMT) or lysed Ty21a-PAwt (210 GMT). These titers were maintained for at least four weeks after boosting ( FIG. 17 ).
  • mice immunized with Ty21a-PAwt were challenged with a lethal dose of anthrax lethal toxin (LT) 9 weeks after the first immunization.
  • the stringent challenge consisted of LT (50 ⁇ g of PA plus 25 ⁇ g of LF, i.e., ⁇ 50 LD 50 's) administered i.v. in the tail in a volume of 100 ⁇ L. All 12 mice in the PBS control group and all mice immunized with whole Ty21a-PAwt succumbed to the challenge.
  • One of our goals is to produce a vaccine with optimal physical as well as genetic stability.
  • Our experience in stabilizing thermally labile live organisms has centered on live attenuated influenza virus as a model vaccine.
  • the stability of influenza virus vaccine stabilized in a conventional sucrose-phosphate-glutamate (SPG) buffer is shown in Table 5. Although stable for several months in the frozen state ( ⁇ 20° C.), it loses potency at room temperature (25° C.) in approximately 6 days.
  • SPG sucrose-phosphate-glutamate
  • a liquid feed is spray atomized into fine droplets under a stream of dry heated gas.
  • the evaporation of the droplets results in powders made of the dissolved solutes.
  • a gentle spray drying process was developed that removed water from influenza vaccine without exposing the virus to extreme temperature cycles.
  • the mild thermal drying process efficiently dries liquid formulations at lower heating temperatures than other spray drying processes.
  • a component of this process is an atomizing nozzle that can generate ultra-fine liquid droplets, thereby increasing the effective surface area-to-volume ratio. The increased surface area facilitates the evaporative process and thus permits drying at lower temperatures and reduced thermal stress.
  • Live attenuated influenza vaccine formulated and dried using a thermally mild spray drying process resulted in the preservation of virus infectivity at room temperature (25° C.) for almost 1 year ( FIG. 18 ). This represents a greater than 50-fold increase in the shelf life of the vaccine.
  • freeze dry foaming A second drying technology to preserve influenza virus infectivity is termed freeze dry foaming. This is essentially a freeze drying process that is done under cake collapse conditions. In contrast to conventional freeze drying, this mode of freeze drying does not subject the product to prolonged potentially damaging deep freeze cycles because sublimation of ice occurs more rapidly over a larger total surface area.
  • a second potential advantage is that the dried foams exhibit significantly lower specific surface area than conventional freeze dried cakes or spray dried powders, which appears to be a preferable solid state for long term storage due to the smaller total surface area available for heat and mass transfer as well as lower total surface tension. This process incorporates the use of a plasticizer formulation strategy to optimize structural retention (Cicerone, T. C. et al. 2003 Bioprocess Int 1:2-9).
  • the resultant dry glassy foam can be reconstituted with a diluent for liquid administration or milled into fine powder for solid dosage form administration.
  • Influenza virus stabilized with the freeze dry foam technology resulted in substantial shelf life during room temperature storage ( FIG. 19 ).
  • three influenza virus strains H1N1, H3N2 and B
  • all had shelf lives ⁇ 1 log 10 infectivity loss
  • 2 years had a shelf life of 4 years or greater ( FIG. 19 A-C).
  • These stability profiles should be adequate to provide a commercially viable shelf-life which is typically about 18 months.
  • Powder particles that exhibit a size range of approximately 5 to 100 microns are optimal for nasal deposition while those less than ⁇ 3 microns can penetrate to lower lung airways (Heyder J et al. 1986 J Aerosol Sci 17:811-825).
  • spray drying and freeze dry foaming processes could be used to manufacture dry powder particles with appropriate size range for nasal deposition ( FIGS. 20 A-B).
  • Our data showed that the spray drying process could produce a range of specific powder particle sizes ( FIG. 20A ).
  • the resultant foam was further processed into fine powder by employing conventional mechanical impact milling equipment. The extent of grinding directly affected the final particle size distribution ( FIG. 20B ).
  • a synthetic nirB promoter was created by Taq polymerase extension of annealed oligonucleotides S100 and S101 (SEQ ID NOs:19 and 20, respectively, and see Table 6) containing a complementary 20-bp region at their respective 3′ ends.
  • the 90 by product was PCR amplified using oligonucleotide primers S102 and S103 (SEQ ID NOs:21 and 22, respectively, and see Table 6).
  • the PCR product with an EcoRI restriction site at the 5′ end and a SmaI site at the 3′ end was cloned into the EcoRI and SmaI restriction sites of plasmid pGB-2 by digestion with EcoRI and SmaI followed by ligation with T4 DNA ligase.
  • Plasmid pGB-2 is a low copy (i.e., 5-7 copies/cell) cloning vector, which contains a selectable spectinomycin resistance gene and a multiple cloning site (MCS) locus.
  • MCS multiple cloning site
  • the htrA promoter region was PCR amplified from Salmonella Typhi TY21a genomic DNA using primers M105 and M106 (SEQ ID NOs:29 and 30, respectively, and see Table 6) containing HindIII and NdeI restriction sites, respectively (see FIG. 22 ).
  • Primer M106 also includes a strong Shine-Dalgarno sequence (AGGAG) just upstream of the ATG codon, which is also part of the NdeI site.
  • nirB promoter region was PCR amplified from plasmid pGB-2/nirBp with oligonucleotides M100 and M110 (SEQ ID NOs:27 and 31, respectively, and see Table 6) to generate a product having an EcoRI restriction site at the 5′ end and an NdeI site at the 3′ end.
  • Oligonucleotide M101 also contains a strong Shine-Dalgarno sequence (AGGAG) just upstream of the start ATG codon.
  • the gene encoding the mature form of protective antigen (PA) was isolated from plasmid pYS5 (Singh, Y. et al. 1989 J. Biol. Chem.
  • the gene encoding the mature protective antigen (PA) of B. anthracis was isolated from plasmid pYS5 by restriction endonuclease digestion with NdeI and BamHI.
  • the HindIII-NdeI htrA promoter fragment (116 bp) and the NdeI-BamHI PA fragment (2202 bp) were then cloned into the HindIII and BamHI restriction sites of plasmid pGB-2.
  • the same strategy was used to clone PAcm downstream from the htrA promoter (see FIG. 25 ).
  • Targeting to the periplasmic space is achieved by creating an N-terminal genetic fusion between PA and the 18 amino acid geneIII Sec-dependent signal sequence (fds) from the filamentous phage fd. After synthesis in the cytoplasm, the fusion protein is transported through the inner membrane, and the signal sequence is then cleaved off (Ito, K. et al. 1980 J Biol Chem 255:2123-2130).
  • fds 18 amino acid geneIII Sec-dependent signal sequence
  • the genetic fusion between the geneIII signal sequence and PA was made by a three-step PCR amplification procedure.
  • PA was PCR amplified using oligonucleotides S110 and S111 (SEQ ID NOs:23 and 24, respectively, and see Table 6).
  • S110 creates the fusion by encoding the first 5 amino acids of PA downstream of the last 9 amino acids of the geneIII signal sequence.
  • S112 and S111 SEQ ID NOs:25 and 24, respectively, and see Table 6
  • S112 encodes the first 9 amino acids of the geneIII signal sequence.
  • the last PCR reaction involves oligonucleotides S113 and S111 (SEQ ID NOs:26 and 24, respectively, and see Table 6) which amplify the fusion product and introduce a BglII restriction site at the 5′ end and a BamHI site at the 3′ end.
  • This final product was restriction endonuclease digested with BglII and BamHI and cloned into the BglII/BamHI sites of plasmid pGB-nirBp (see FIG. 26 ).
  • Fusion of the fd signal sequence (fds) to the codon-modified PA gene (PAcm) was done by first amplifying the nirBp-fds region of plasmid pnirB-fds-PA with oligonucleotide primers M101 and M111 (SEQ ID NOs:28 and 32, respectively, and see Table 6).
  • Primer M101 anneals to vector (pGB-2) sequences upstream of the nirB promoter.
  • Primer M111 anneals to the 3′ end of the geneIII signal sequence and is complementary to the first 20 bp of PAcm.
  • the 240 bp PCR product was then used as the 5′-end primer for a subsequent PCR reaction to amplify PAcm.
  • Oligonucleotide M101 was used as the 3′-end primer.
  • the amplified fds-PAcm product was then digested with XbaI and BamHI and used to replace the nirBp-fds-PA region of plasmid pnirkfds-PA which had also been digested with XbaI and BamHI (see FIG. 27 ).
  • the fds-PA and fds-PAcm gene fusions were PCR amplified from plasmid pnirB-fds-PA (PAcm) with oligonucleotide primers M112 and M101 (SEQ ID NOs:33 and 28, respectively, and see Table 6).
  • Primer M112 introduces an NdeI site at the ATG start codon of the geneIII signal sequence and M101 anneals to vector sequences just downstream form the BamHI site.
  • the PCR products were restriction enzyme digested with NdeI and BamHI and cloned into vector phtrA-PA replacing the PA gene (see FIG. 28 ).
  • the C-terminal 60 amino acids of the hlyA gene product are sufficient to effect the secretion of HlyA as well as other polypeptides fused to this secretion signal (Gentschev I. et al. 1996 Gene 179:133-140).
  • the C-terminal 183 nucleotides encoding the secretion signal of the hlyA gene product (HlyA s ) (60 amino acids+stop codon), and the DNA region encoding the Hly B and Hly D gene products were PCR amplified using oligonucleotide primers M120 and M121 (SEQ ID NOs:34 and 35, respectively, and see Table 6).
  • the resulting PCR product ( ⁇ 3.9 kb) was restriction enzyme digested with NsiI and BamHI (see FIG. 29A ).
  • the gene encoding PA (or PAcm) was PCR amplified with primers M100 and M125 (SEQ ID NOs:27 and 36, respectively, and see Table 6) to remove the stop codon at the 3′ end and instead introduce an NsiI restriction site for in-frame ligation at the NsiI site of the HlyAs-BD cassette.
  • the resulting PCR product was restriction endonuclease digested with NdeI and BamHI (see FIG. 29B ).
  • a three-way ligation was performed to ligate both PA (PAcm) and the HlyAs-BD cassette into plasmid pGB-2/htrAp (see FIG. 29C ).
  • the amplified PA genes lacking the stop codon, together with the Hly cassette were ligated into the NdeI and BamHI sites of plasmid pnirB-PA replacing PA and placing the PA-HlyAs fusion under the control of the nirB promoter (see FIG. 30A ). Placement of the PAcm-HlyAs fusion under the control of the nirB promoter was done by restriction enzyme digestion with ClaI, unique, internal site in PAcm, and BamHI (see FIG. 30B ).
  • Oligonucleotides used In This Study Oligonucleotide SEQ ID No. Nucleotide Sequence a Description S100 b 19 5′- GGAATTCC GC TCTAGAGCGG Synthetic nirB TAAATTTGAT GTACATCAAA promoter, EcoRI TGGTAC CCCT TGCTGAATCG -3′ S10l b 20 5′-TCC CCCGGG T TAAGATCTGG Synthetic nirB GCCCTACCGC CTACCTTAAC promoter, SmaI GATT CAGCAA GGGGTACCA -3′ S102 21 5′- nirB promoter, 5′ G GAATTC CGC TCTAGAGCGG-3′ PCR primer, EcoRI S103 22 5′- nirB promoter, 3′ TCC CCCGGG A TTA AGATCT G-3′ PCR primer, SmaI, BglII S110 23 5′-CTGGTGGTGC CGTTCTATAG fds
  • This invention relates broadly to a class of vaccines for the prevention of anthrax disease.
  • a living, non-pathogenic mutant, oral vaccine strain of Salmonella Typhi has already been shown to be safe and effective in protecting against typhoid fever; it is a mutant, galactose epimeraseless strain of Salmonella Typhi designated as Ty21a. Its preparation, safety, and efficacy as a vaccine have already been described in Germanier, R. and Furer 1975 J Infect Dis 131:553-558; Wandan, M. H. et al. 1980 Bull WHO 58:469-474.
  • a particular vaccine of interest according to this invention is a living, attenuated vaccine to be used to protect against Bacillus anthracis.
  • the invention encompasses functional fragments or functional variants of wild type anthrax PA.
  • a “functional” fragment or variant, as used herein, includes a polypeptide that comprises any of a variety of changes (modifications), either naturally occurring or deliberately generated, provided that the polypeptide retains at least one epitope which allows it to be immunogenic. Preferably, the fragment or variant retains the ability to elicit (induce) a protective response against anthrax infection.
  • One of skill in the art can readily determine if a given fragment or variant exhibits the desired property, using conventional methods.
  • Naturally occurring allelic variants of the PA are encompassed by the invention.
  • Antigens used in compositions or methods of the invention can be functional fragments of full-length proteins. Any desirable size (length) polypeptide can be used, ranging from one amino acid shorter than a wild type protein to a small peptide (e.g., about 8-10 amino acids long) bearing only a single epitope and/or antigenic sequence.
  • variant PA polypeptides used in the invention may exhibit substantial identity to comparable portions of wild type PA.
  • the term “substantial identity” or “substantial similarity” as used herein indicates that a polypeptide (or a nucleic acid) comprises a sequence that has at least about 90% sequence identity to a reference sequence, or preferably at least about 95%, or more preferably at least about 98% sequence identity to the reference sequence, over a comparison window of at least about 10 to about 100 or more amino acids residues or nucleotides. Methods to determine sequence identity (between nucleic acids or proteins) are conventional. Alignments can be accomplished by using any effective algorithm.
  • pairwise alignments of DNA sequences the methods described by Wilbur-Lipman (e.g., Wilbur et al. 1983 Proc Natl Acad Sci USA 80:726-730) or Martinez/Needleman-Wunsch (Martinez 1983 Nucleic Acid Res 11:4629-4634) can be used. Pairs of protein sequences can be aligned by the Lipman-Pearson method (Lipman et al. 1985 Science 227:1435-1441), e.g., with k-tuple set at 2, gap penalty set at 4, and gap length penalty set at 12.
  • Variant antigens of the invention include polypeptides having one or more naturally occurring (e.g., through natural mutation) or non-naturally occurring (e.g., by deliberate modification, such as by site-directed mutagenesis) modifications, e.g., insertions, deletions, additions and/or substitutions, either conservative or non-conservative.
  • conservative substitutions is meant by combinations such as Gly, Ala; Val, Ile, Leu; Asp, Glu; Asn, Gln; Ser, Thr; Lys, Arg; and Phe, Tyr.
  • Variants can include, e.g., homologs, muteins and minietics.
  • the invention also encompasses variants such as polypeptides in which cysteine residues which are nonessential for biological activity are deleted or replaced with other amino acids, thereby preventing the formation of incorrect intramolecular disulfide bridges; naturally occurring variants arising from alternative mRNA splicing events; and altered forms reflecting genetic polymorphism (e.g., allelic variation).
  • Other active variants may comprise added peptide sequences, either naturally occurring or heterologous, such as, e.g., leader, signal, secretory, targeting, enzymatic etc. sequences.
  • the polypeptide can be modified by any of a variety of art-recognized modifications.
  • Another aspect of the invention is a method of treating a patient in need thereof, comprising administering to the patient an effective amount of an immunogenic anthrax composition (e.g., an anthrax vaccine) produced by a method of the invention.
  • an effective amount is meant herein an amount that is effective to elicit a desired response.
  • an effective amount of an immunogenic composition is an amount that is effective to elicit a detectable immune response.
  • An effective dose can be determined empirically, according to conventional procedures, taking into account well known factors such as the age, weight, and/or clinical condition of the patient, the method of and scheduling of administration, and the like.
  • the patient can be any animal, preferably a mammal such as, e.g., a farm or other domestic animal, or a rat, mouse, hamster, guinea pig, rabbit, etc., preferably a human.
  • a mammal such as, e.g., a farm or other domestic animal, or a rat, mouse, hamster, guinea pig, rabbit, etc., preferably a human.

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Abstract

The invention is related to intracellularly induced bacterial DNA promoters and vaccines against Bacillus anthracis.

Description

    PRIORITY DATA
  • The instant application is a continuation of U.S. patent application Ser. No. 13/551,168, filed Jul. 17, 2012, which is a divisional of U.S. patent application Ser. No. 12/796,410, filed Jun. 8, 2010, now U.S. Pat. No. 8,247,225, issued Aug. 21, 2012; which is a continuation of U.S. patent application Ser. No. 11/378,003, filed Mar. 17, 2006, now U.S. Pat. No. 7,758,855, issued Jul. 20, 2010; which is a continuation of International Patent Application No. PCT/US2004/030616, filed Sep. 20, 2004; which claims priority benefit of U.S. Provisional Patent Application Nos. 60/504,505 and 60/504,504, both filed Sep. 18, 2003. All of the foregoing applications are incorporated herein by reference in their entireties.
  • STATEMENT OF GOVERNMENT INTEREST
  • The instant application was made with government support; the government has certain rights in this invention.
  • SEQUENCE LISTING DATA
  • The Sequence Listing text document filed herewith, created Jul. 16, 2012, size 22 kilobytes, and named “6137FDA2PUS3_Seq_Listing20140220_ST25.txt,” is incorporated herein by reference in its entirety.
  • BACKGROUND
  • There is need for identifying intracellularly induced bacterial DNA promoters and for developing vaccines against Bacillus anthracis.
  • SUMMARY
  • The invention is related to intracellularly induced bacterial DNA promoters and vaccines against Bacillus anthracis.
  • BRIEF DESCRIPTION OF THE DRAWINGS
  • FIG. 1. Construction of promoter-trap GFP-CAT reporter plasmid vector. Promoterless GFPmut3.1 sequence:
  • (SEQ ID NO: 11)
    ATGACCATGATTACGCCAAGCTTGCATGCCTGCAGGTCGACTCTAGAGG
    ATCCCCGGGTACCTAGAATTAAAGAGGAGAAATTAAGCATGCGTTAAGC
    TTAATTAGCTGACCTACTAGTCGGCCGTACGGGCCC.
  • FIG. 2. Construction of Salmonella Typhimurium DT104 genomic promoter fragment library in promoter trap vector pCG101.
  • FIG. 3. Double-selection strategy to enrich for intracellularly-activated promoter clones in INT407 epithelial cells.
  • FIG. 4 A-D. FACS analyses of experimental control plasmids.
  • FIG. 5 A-C. FACS analyses of genomic library before and after intracellular induction.
  • FIG. 6. Representative kinetic analyses of fluorescence-induction mediated by promoter-fragment inserts in pCG101.
  • FIG. 7. Selection strategy to enrich for intracellularly-activated promoter clones in J774 macrophage cells.
  • FIG. 8 A-D. Intracellularly-activated promoter fragments.
  • FIG. 9 A-C. Construction of pGB2/PnirB/PA plasmid vector.
  • nirB Promoter Sequences:
  • (SEQ ID NO: 12)
    GAATTCAGGTAAATTTGATGTACATCAAATGGTACCCCTTGCTGAATCG
    TTAAGGTAGGCGGTAGGGCCCAGATCTTAATCATCCACAGGAGACTTTC
    TGATG;
    (SEQ ID NO: 13)
    GAATTCCGCTCTAGAGCGGTAAATTTGATGTACATCAAATGGTACCCCT
    TGCTGAATCG;
    (SEQ ID NO: 14)
    CCCCCGGGTTAAGATCTGGGCCCTACCGCCTACCTTAACGATTCAGCAA
    GGGGTACCA.
  • PCR Amplification Primers for Wild Type PA:
  • (SEQ ID NO: 15)
    GGAAGATCTTAATCATCCACAGGAGACTTTCTGATGGAAGTTAAAACAG
    GAA;
    (SEQ ID NO: 16)
    CGGGATCCCGGTTTAAAACATACTCTCC.
  • FIG. 10. Immunoblot analysis of PA expression in Salmonella Typhi Ty21a.
  • FIG. 11. Plasmid stability upon broth subculturing.
  • FIG. 12. Humoral anti-PA response in mice following IP immunization.
  • FIG. 13. Representative pGB-2 constructs with 2 promoters linked to wild type or codon-optimized PA genes.
  • FIG. 14. Representative plasmids for periplasmic and extracellular secretion.
  • FIG. 15. Representative immunoblot of PA expression in Salmonella Typhi Ty21a. Lanes (1) Purified PA 150 ng/land, (2) pGB-2 plasmid control (108 cfu), (3) phtrA-PAcm (108 cfu), (4) phtrA-PAwt (108 cfu).
  • FIG. 16. Dosing and challenge schedule for Ty21a mice.
  • FIG. 17. Anti-PA geometric mean titer (GMT) in Ty21a-PAwt immunized mice.
  • FIG. 18. Real time stability of B/Harbin live attenuated influenza virus vaccine formulated and spray dried. Shown are the mean slope and 95% confidence intervals.
  • FIG. 19 A-C. Real time stability of live attenuated influenza virus formulated and freeze dry foamed. Shown are the mean slope and 95% confidence interval for three monovalent influenza strains (A) A/Beijing (H1N1 strain), (B) A/Sydney (H3N2 strain), and (C) B/Harbin (B strain).
  • FIG. 20 A-B. Production of stable dry powder particles with optimal size range for nasal deposition. (A) Placebo formulations were spray dried under different mass ratios of atomizer gas to liquid feed and then subjected to laser diffraction particle size analysis. (B) Foam dried formulation was mechanically recovered with a spatula then subjected to mechanical impact milling using a pin mill to produce fine dry powders.
  • FIG. 21. pGB-2/nirBp.
  • FIG. 22. htrA promoter.
  • FIG. 23 A-B. DNA sequences coding for B. anthracis protective antigen (PA).
  • FIG. 24. pnirB-PA (PAcm).
  • FIG. 25. phtrA-PA (PAcm).
  • FIG. 26. pnirB-fds-PA.
  • FIG. 27. pnirB-fds-PAcm.
  • FIG. 28. phtrA-fds-PAcm.
  • FIG. 29 A-C. Construction of phtrA-PA-Hly. (A) HlyAs-BD cassette, (B) PA without stop codon, (C) phtrA-PA-Hly.
  • FIG. 30 A-C. Construction of pnirB-PA-Hly. (A) pnirB-PA-Hly, (B) PAcm-HlyAs fusion fragment, (C) pnirB-PAcm-Hly.
  • DETAILED DESCRIPTION Part I A DNA Promoters
  • Salmonella enterica serovar Typhimurium definitive phage type 104 (DT104) strains are emerging foodborne pathogens in several countries worldwide (Evans S, and Davies R. 1996 Vet Rec 139: 557-558; Hollingsworth J. and Kaplan B. 1997 J Am Vet Med Assoc 210:1712 & 1716; Gosek G. et al. 1996 MMWR 46:308-310). DT104 strains typically are multiply resistant to many commonly used antibiotics and have been isolated from poultry, swine, cattle, and other domestic and wild animals. First detected in the U.K. in 1984, this epidemic DT104 lineage has increased from 9% of total nontyphoid Salmonella isolates in 1990 to 33% of all isolates in 1996 in the U.S. (Besser T. E. et al. 1997 Vet Res 140:75). The mortality rate for clinically affected cattle with antibiotic resistant DT104 strains has been reported to be 40-60% in some outbreaks in the U.K. (Wall P. G. et al. 1995 Vet Res 136:591-592). In fact, the case-fatality rate in humans may be higher than with other nontyphoid Salmonella strains. In a study of 83 DT104 cases in the U.K., 41% of patients were hospitalized and 3% died. In contrast, the case-fatality rate for other nontyphoid Salmonella infections is typically <0.1%.
  • There are presently no unique methods available for the control of DT104 strains in humans or animals, primarily because little is understood about the rapid emergence of these strains in nature. Hence, there is a need to study the molecular pathogenesis of DT104 strains in order to define unique virulence attributes which can be used to develop biomarkers for rapid identification of this pathogen. The current approach is part of a larger overall study aimed at using promoter-trap vectors and DNA microarray technology to search for genes that are uniquely expressed inside host cells by DT104 strains.
  • Materials and Methods
  • Bacterial Strains and Growth Conditions.
  • The bacterial strains used in this study are listed in Table 1 and include the multiply restriction-minus, modification plus Salmonella Typhimurium strain LB5000, and Salmonella Typhimurium DT104 strains (BT9 isolate from a clinical preschool outbreak in Hawaii, USA, source #H2662 Ms. Peggy Hayes, CDC; BT-19 isolate from cattle feces, source #30 Dr. Tom Humphrey, PHLS). Unless otherwise indicated, all bacterial strains were routinely grown in LB broth or agar containing 1% NaCl. Ampicillin and chloramphenicol were used at a final concentration of 100 μg/ml. Brain heart infusion broth was used for bacterial growth prior to invasion studies.
  • INT 407 Cell Invasion Studies.
  • Young 1 day old monolayers of INT407 human epithelial cells were used in all experiments and were routinely maintained in minimum essential medium supplemented with 2 mM glutamine, nonessential amino acids, penicillin/streptomycin, and 10% fetal bovine serum (Life Technologies, Grand Island, N.Y.) in a 5% CO2 atmosphere at 37° C. For invasion studies, cultures of bacteria were grown without aeration at 37° C. overnight in brain-heart infusion medium supplemented with 0.3M NaCl. The monolayer cells were infected with mid-log phase bacteria at MOI's of 100-300. Following an invasion period of 1-3 hours at 37° C., the cells were washed with D-PBS. Remaining extracellular bacteria were killed by incubation for 1 hr in 100 μg/ml gentamicin added to the culture medium. To select for intracellular induction of cloned promoter fragments in the promoter-trap pCG101 vector, 100 μg/ml of chloramphenicol was added to the monolayer for 16 hours. Infected monolayers were lysed with 0.5% TRITON® X-100 over 15 minutes to release intracellular bacteria.
  • J774 Cell Invasion Studies.
  • Young 1 day old monolayers of J774.A3 murine macrophage cells were used in all experiments and were routinely maintained in D-MEM supplemented with nonessential amino acids, penicillin/streptomycin, and 10% fetal bovine serum (Life Technologies, NY) in a 5% CO2 atmosphere at 37° C. For invasion studies, bacterial cultures were grown without aeration at 37° C. overnight in BHI medium supplemented with 0.3M NaCl. The monolayer cells were infected with mid-log phase bacteria at ˜100 MOI. Following a 2 hour invasion period at 37° C., the cells were washed with D-PBS. Remaining extracellular bacteria were killed by incubation with 100 μg/ml gentamicin added to the culture medium. The intracellular bacteria from infected cells were released by host cell lysis with 0.5% TRITON° X-100 in D-PBS.
  • Fluorescence-Activated-Cell-Sorting (FACS) Analyses.
  • FACS analysis was performed using a FACSVANTAGE™ SE flow cytometer/cell sorter (Becton Dickinson). For analysis of infected cells, cells were removed from monolayers by trypsin/EDTA treatment, washed by centrifugation, resuspended and filtered through fine mesh into 12×75 mm tubes. Forward scatter (FSC) versus side scatter (SSC) gating was used to identify the viable cell population. Cells containing GFP-expressing bacteria were identified by log-amplified green fluorescence. Analysis of GFP-expressing bacteria was accomplished by lysing infected cells with TRITON® X-100 (0.1%), and filtration of cellular debris. For bacterial analysis, the threshold parameter was SSC. Sorting of GFP containing infected cells or bacteria was accomplished by creating a sorting gate based on green fluorescence intensity that was above the autofluorescence background.
  • Plasmids and Recombinant DNA Methods.
  • Plasmids were isolated with QIAPREP® Spin Miniprep kits (Qiagen, Inc.). DNA fragments from agarose gels were isolated using QIAQUICK® Gel Extraction kits (Qiagen, Inc.). All restriction and DNA modifying enzymes were procured from New England BioLabs.
  • Insert sizes from selected plasmid clones were determined by PCR amplification using primers on plus (5′-CGT ATT ACC GCC TTT GAG TG-3′) (SEQ ID NO:17) and minus (5′-GGG ACA ACT CCA GTG AAA AG-3′) (SEQ ID NO:18) strands, which flank the inserts cloned at the BamH1 site in the promoter-trap plasmid expression vector, pCG101. All PCR reactions were carried out using the “hot-start” method (15 min at 95° C., 25 sec at 94° C., and 25 sec at 52° C. and 30 sec at 72° C. for a total of 35 cycles; Qiagen HOTSTARTAQ® MASTERMIX® kit). The final elongation was done at 72° C. for 5 min. The amplified PCR inserts were size-analyzed by agarose gel electrophoresis using DNA molecular weight markers.
  • DNA Sequencing.
  • DNA sequencing was performed with Ready Reactions DyeDeoxy Terminator cycle sequencing kits (Applied Biosystems) and an ABI model 373A automated sequencer. Sequences were assembled and analyzed by using the VECTOR NTI® suite 6.0 software (Informax, Inc.). DNA homology searches were performed by using the Basic Local Alignment Search Tool (BLAST) of the National Center for Biotechnology Information. Bacterial putative promoter searches were conducted according to the Neural Network Promoter Prediction Model (fruitfly.org/seq_tools/promoter.html).
  • Results
  • Construction of the Promoter-Trap Bacterial Expression Vector and DT104 Genomic Fragment Library.
  • The promoter-trap plasmid was constructed from the 3.3 kb pGFPmut3.1 plasmid. pGFPmut3.1 contains a pUC origin of replication, an ampicillin resistance gene (Apr), and the reporter gene GFP linked to pLac and a multiple cloning site (MCS). As shown in FIG. 1, the unique Sap1 site was converted, via linker ligation, to a Pst1 site. Pst1 digestion of the resulting plasmid effected the deletion of pLac, and created a promoter-less pGFPmut3.1. A chloramphenicol acetyltransferase (CAT) gene obtained from pCM7 on a HindIII fragment was ligated to the HindIII site at the C-terminal end of GFP to create pCG101. This Apr “promoter-trap” bacterial expression plasmid pCG101 is a pUC replicon that contains a MCS in front of fused GFP and CAT reporter genes and was used to select for the insertion of random promoter fragments from the Salmonella Typhimurium DT104 genome, as described below (see FIG. 1).
  • Salmonella Typhimurium DT104 isolate BDT-9 genomic DNA was isolated, partially digested with Sau3a, and size-fractionated on an agarose gel to obtain 0.4-1.6 kb fragments. These selected fragments were randomly cloned into the BamH1-digested, pCG101 in front of the fused reporter genes (FIG. 2). Resulting plasmid recombinants were electroporated into E. coli DH5α and selected on media containing ampicillin. Population-isolated plasmids from DH5α were passed through Salmonella Typhimurium strain LB5000 for DNA modification, before final electroporation into Salmonella Typhimurium DT104 strain BDT-19. Positive and negative experimental control promoter plasmids contained the pLac sequence on a Pst1 fragment in the correct or opposite orientation, respectively, at the Pst1 site in front of the GFP gene (see FIG. 1). The resultant library of promoter-fragment clones consisted of ˜40,000 recombinant plasmids and was used to enrich for intracellularly-activated promoters as described below.
  • Selection for Promoter-Fragments that are Activated Intracellularly in INT407 Epithelial Cells.
  • A unique double-selection strategy was employed to enrich for intracellularly activated, cloned promoter DNA sequences (FIG. 3). The DT104 bacteria bearing the entire genomic fragment library in pCG101 were used to infect 1 day old INT407 cells at an MOI of ˜200. Following a 1-3 hr. invasion period, remaining extracellular bacteria were killed in the presence of 100 μg/ml gentamicin over a 1 hr period. To select for intracellular induction of cloned promoter fragments in the promoter-trap pCG101 vector, 100 μg/ml of chloramphenicol was added to the monolayer for 16 hrs. Intracellularly-induced, surviving Cmr clones were additionally enriched for GFP expression by FACS analysis. FACS control studies using uninfected cells and pLac insert controls allowed for the establishment of fluorescence gate limits to detect GFP expression from promoter clones (FIG. 4). To eliminate the selection of constitutive promoters, the selected GFP+, Cmr isolates were grown in nutrient medium and FACS-selected for only GFP-bacteria. This double-selection strategy was repeated a total of three times to obtain highly enriched, intracellularly-activated promoters from the DT104 promoter fragment library (FIG. 5).
  • Analyses of Selected Promoter Fragments.
  • From the enriched DT104 genomic promoter library, we randomly picked 150 clones following the 3 cycles of double-selection for intracellular expression. Each of these clones were used to infect INT407 cells, and intracellular fluorescence was quantitated by FACS. Kinetic analyses of fluorescence upregulation during INT407 cell infection showed a range of induction from −10- to >100-fold over 3 hours (see FIG. 6).
  • DNA sequence analyses of a representative number of clones revealed that there are only 5 different promoter fragments represented in the 150 randomly selected recombinants (see Table 2 and FIG. 8, SEQ ID NOs:1-5). These five unique intracellularly-expressed promoters exist on fragments ranging from ˜0.5 to 1.5 kb and which include or are adjacent to the following identified Salmonella Typhimurium genes: (a) sixA—a phosphohistidine phosphatase; (b) phsA, a thioglycolate reductase precursor; and (C) pgtE, a phosphoglycerate transport-associated outer membrane protease E precursor; (D), marC, multiple antibiotic resistance transporter; and (e) fabD, which is involved in acyl carrier protein synthesis.
  • Selection of Promoter-Fragments that are Activated Intracellularly in J774 Macrophage Cells.
  • The above double selection strategy for promoter expression in INT407 cells utilizing chloramphenicol required 16 hrs treatment to kill CmS bacteria. In order to detect promoters that are upregulated in a shorter period of time, a single FACS selection strategy was used after 3 hrs in J774 cells (FIG. 7). Four cycles of selection for GFP-expression under intracellular inducing conditions and GFP-nonexpression under broth growth conditions was used to select a final library of 52 clones for plasmid insert size analysis. Of these 52 inserts, only two different inserts sizes were found and these are described in Table 3 and FIG. 8 (SEQ ID NOs:6-8).
  • Summary
  • A promoter-trap plasmid vector has been constructed which contains tandem GFP and CAT reporter genes. This vector was utilized to develop a library of small DNA fragments representing the genome of Salmonella Typhimurium DT104. Cloned promoter fragments were inserted into a recipient DT104 strain which was used to infect INT407 human cells. A stringent double-selection strategy was employed to select for intracellular reporter gene expression. Analysis of a representative set of selected promoter fragments revealed five unique inserts that exhibit a range of inducibility from 5- to >100-fold in eukaryotic cells. This same library of DT104 strain promoter fragments was screened in J774 macrophage cells for inserts that are upregulated intracellularly within 2 hours and two unique fragment inserts of 0.8 and 1.5 kb were detected. These 7 promoter regions have utility for use in live vector bacterial vaccines or in other production systems for the controlled expression of foreign antigens. These studies are part of a larger effort to search for unique virulence/growth activities of these rapidly emerging DT104 pathogenic salmonellae.
  • TABLE 1
    Bacterial Strains and Plasmids
    Description Source
    Bacteria
    Escherichia coli DH5α Clontech
    Salmonella enterica serovar Strain LB5000 hsdR−, hsdM+ LESTDa collection
    Typhimurium
    DT104 isolate BT9, ampicillin resistant CDCb
    DT104 isolate BT19, ampicillin-sensitive PHLSc
    Plasmids
    pCM7 Source of CAT gene Pharmacia
    pGFP mut3.1 SpcR Clontech
    pCG101 Promoter-trap vector fused with This study
    GFP/CAT reporter genes
    pCG106 pCG101 with pLac transcriptionally This study
    linked to reporter genes
    pCG114 pCG101 with pLac in reverse linkage to This study
    reporter genes
    pCG301-503 Individual inserts within pCG101 which This study
    were selected for intracellular expression
    of GFP-CAT reporter genes
    aLESTD = Laboratory of Enteric and Sexually Transmitted Diseases
    bCDC = Centers for Disease Control and Prevention
    cPHLS = Public Health Laboratory Service
  • TABLE 2
    Characterization of Promoter Fragment Inserts Detected in INT407 Cells
    Plasmid Insert Length (bp) Avg. % G + C # Putative Promoters
    pCG301
    689 48.33 4
    pCG316 971 51.08 7
    pCG322 1468 49.32 4
    pCG433 837 50.42 4
    pCG307 577 54.25 0
  • TABLE 3
    Characterization of Promoter Fragment Inserts Detected in J774 Macrophage Cells
    Plasmid Insert Length (bp) Avg. % G + C # Putative Promoters
    pCG501* 1843 (979 + 864) 54.48 10
    pCG502 689 53.96 0
    *Sequencing revealed that two noncontiguous segments of the chromosome were cloned into pCG501 and incomplete sequencing resulted in two non-overlapping fragments of 979 and 864 bp
  • Part I B Expression of Recombinant Proteins in Attenuated Bacteria
  • This invention relates to attenuated bacteria capable of expressing a heterologous protein, to their preparation and to vaccines containing them.
  • Virulent strains of Salmonella can be attenuated by introducing specific mutations into genes required for survival and growth in vivo. Attenuated variants which establish self-limiting, clinically insignificant infections can be considered as potential live oral vaccines against Salmonella infections. Ty21a is an attenuated variant of Salmonella Typhi, which harbors mutations in galE and other unknown attenuating lesions, and is licensed for use in many countries as a live oral typhoid vaccine.
  • More recently genetically defined Salmonella strains harboring individual specific mutants in different genes have been tested as experimental oral vaccines in several target species. For example, Salmonella aro mutants, which have an auxotrophic requirement for several aromatic compounds, have been shown to be effective oral vaccines in mice, sheep, cattle, chickens and more recently they have been shown to be attenuated and immunogenic in volunteers. Salmonella cya crp double mutants are also effective oral vaccines.
  • As well as being vaccines in their own right against salmonellosis, attenuated salmonellae can be considered as carriers of heterologous antigens to the immune oral system. This is because salmonellae can be delivered via the oral route and are potent immunogens being able to stimulate systemic and local cellular and antibody responses. Heterologous antigens from bacteria, viruses and parasites can be delivered to the host using Salmonella vaccines.
  • One potentially serious drawback in using these live vaccines for antigen delivery relates to problems with the stability of the foreign antigen expression in vivo. Unregulated expression of high levels of a foreign protein in bacteria from multiple copy plasmids usually results in rapid loss of the plasmid or expressed gene from the cells. This problem can be controlled in fermenters by using inducible promoter systems such as trp or lac to allow the controlled induction of gene expression when the appropriate biomass has been achieved. Obviously these promoters cannot be induced by exogenously applied inducers such as PP or IPTG when bacteria are growing in host tissues during the self-limited growth following vaccination.
  • In vivo plasmid instability during vaccination with live bacterial vectors has in fact been reported by many workers (Maskell et al. 1987 Microb Path 2:295-305; Nakayama et al. Biotechnology 1988 6:693-697; Tire et al. 1990 Immunology 70:540-546). A number of approaches have been taken to overcome the problem including the use of integration systems for expression of the heterologous antigen from the bacterial chromosome (Hone et al. 1988 Microbiol Path 5:407-418; Strugnell et al. 1990 Gene 88:57-63). However, this approach is only suitable for use with some antigens since expression levels are often quite low (Maskell et al. 1987 Microb Path 2:295-305). Nakayama et al. described the use of linking an essential gene to the expression plasmid for stabilizing in vivo expression. Although this is a highly effective approach, it does not prevent the generation of plasmid free variants but simply ensures they do not survive. Further stable but constitutive high level expression of a foreign antigen in a Salmonella vaccine strain could slow down the growth rate and hence potentially affect the immunogenicity of the live vaccine.
  • According to the present invention, there is provided an attenuated bacterium which is capable of expressing a heterologous protein, the expression of the heterologous protein being under the control of a promoter whose activity is induced by anaerobic conditions.
  • Stable expression of the heterologous protein can be obtained in vivo. The attenuated bacterium can therefore be used as a vaccine. Any suitable bacterium may be employed, for example a gram-negative bacterium. Some gram-negative bacteria such as Salmonella invade and grow within eukaryotic cells and colonize mucosal surfaces.
  • The attenuated bacterium may therefore be selected from the genera Salmonella, Bordetella, Vibrio, Haemophilus, Neisseria and Yersinia. Alternatively, the attenuated bacterium may be an attenuated strain of enterotoxigenic Escherichia coli. In particular the following species can be mentioned: Salmonella Typhi, the cause of human typhoid; Salmonella Typhimurium, the cause of salmonellosis in several animal species; S. enteritidis, a cause of food poisoning in humans; S. choleraesuis, a cause of salmonellosis in pigs; Bordetella pertussis, the cause of whooping cough; Haemophilus influenzae, a cause of meningitis; Neisseria gonorrhoeae, the cause of gonorrhoea; and Yersinia, a cause of food poisoning.
  • The heterologous antigen which an attenuated bacterium is capable of expressing may, for example, comprise an antigenic determinant of a pathogenic organism. The antigen may be derived from a virus, bacterium, fungus, yeast, or parasite. The heterologous protein, therefore, typically comprises an antigenic sequence derived from a virus, bacterium, fungus, yeast, or parasite. More especially, the antigenic sequence may be derived from a type of human immunodeficiency virus (HIV) such as HIV-1 or HIV-2, hepatitis A or B virus, human rhinovirus such as type 2 or type 14, herpes simplex virus, poliovirus type 2 or 3, foot-and-mouth disease virus, influenza virus, coxsackie virus, the cell surface antigen CD4 and Chlamydia trachomatis. The antigen may comprise the CD4 receptor binding site from HIV, for example from HIV-1 or -2. Other useful antigens include the protective antigen (PA) of B. anthracis, E. coli heat labile toxin B subunit (LT-B), E. coli K88 antigens, P.69 protein from B. pertussis, tetanus toxin fragment C and antigens of flukes, mycoplasma, roundworms, tapeworms, rabies virus and rotavirus.
  • By deletion and mutational analysis the part of the promoter which responds functionally solely to anaerobisis or host intracellular conditions can be isolated.
  • An attenuated bacterium according to the present invention may be prepared by transforming an attenuated bacterium with a DNA construct comprising a promoter whose activity is induced by anaerobic conditions, such as the promoter sequences identified in FIG. 8 and in SEQ ID NOs:1-8 or functional fractions thereof. Any suitable transformation technique may be employed, such as electroporation. In this way, an attenuated bacterium capable of expressing a protein heterologous to the bacterium may be obtained. A culture of the attenuated bacterium may be grown under aerobic conditions. A sufficient amount of the bacterium is thus prepared for formulation as a vaccine, with minimal expression of the heterologous protein occurring.
  • The DNA construct is typically a replicable expression vector comprising a promoter selected from FIG. 8 and in SEQ ID NOs:1-8, or functional fractions thereof operably linked to a DNA sequence encoding the heterologous protein. The promoter may be inserted in an expression vector, which already incorporates a gene encoding the heterologous protein, in place of the existing promoter controlling expression of the protein. The expression vector should, of course, be compatible with the attenuated bacterium into which the vector is to be inserted.
  • The expression vector is provided with appropriate transcriptional and translational control elements including, besides the promoter, a transcriptional termination site and translational start and stop codons. An appropriate ribosome binding site is provided. The vector typically comprises an origin of replication and, if desired, a selectable marker gene such as an antibiotic resistance gene. The vector may be a plasmid.
  • An attenuated bacterium of the invention can be used as a vaccine. The vaccine comprises a pharmaceutically acceptable carrier or diluent and, as active ingredient, the attenuated bacterium.
  • The vaccine is advantageously presented in a lyophilized form, for example in a capsular form, for oral administration to a patient. Such capsules may be provided with an enteric coating comprising, for example, EUDRAGIT® “S”, EUDRAGIT® “L”, cellulose acetate, cellulose phthalate or hydroxypropylmethyl cellulose. These capsules may be used as such, or alternatively, the lyophilized material may be reconstituted prior to administration, e.g., as a suspension. Reconstitution is advantageously effected in a buffer at a suitable pH to ensure the viability of the organisms. In order to protect the attenuated bacteria and the vaccine from gastric acidity, a sodium bicarbonate preparation is advantageously administered before each administration of the vaccine. Alternatively, the vaccine may be prepared for parenteral administration, intranasal administration, or intramammary.
  • The attenuated bacterium of the invention may be used in the prophylactic treatment of a host, particularly a human host but also possibly an animal host. An infection caused by a microorganism, especially a pathogen, may therefore be prevented by administering an effective dose of an attenuated bacterium according to the invention. The bacterium then expresses a heterologous protein capable of raising antibody to the microorganism. The dosage employed will be dependent on various factors including the size and weight of the host, the type of vaccine formulated, and the nature of the heterologous protein. However, for attenuated Salmonella Typhi a dosage comprising the oral administration of from 109 to 1011 Salmonella Typhi organisms per dose is generally convenient for a 70 kg adult human host.
  • Part II A Anthrax Vaccines
  • Bacillus anthracis is a gram-positive, spore-forming bacterium that causes the disease anthrax. The disease is typically initiated by introduction of Bacillus anthracis endospores into the body, and protection is afforded by an antibody response against the protective antigen (PA) component of anthrax toxin. Recent terrorist activities in Washington, D.C. involving the mailing of anthrax spores have now shown that anthrax can serve as an effective bio-terrorist weapon. The only FDA-approved anthrax vaccine is toxoid-based, requires multiple doses to stimulate immunity, and causes moderate adverse effects. Clearly, there is a need for new anthrax vaccine approaches. We have chosen to test the feasibility of using an attenuated Salmonella Typhi strain expressing PA to induce an immune response to PA, and thus protect against anthrax exposure. The advantages of live attenuated vaccines are: (i) limited multiplication in vivo (aborted infection), thereby inducing an immune response resembling that seen after natural infection; (ii) the need for only one or a few doses to confer long-lasting immunity against certain diseases; (iii) the ability of orally-administered, live, attenuated carrier strains such as Salmonella Typhi to stimulate both humoral and cellular arms of the immune response; and (iv) self-administration of vaccine, eliminating the need/expense of administration by skilled health care personnel. In these studies, the anthrax PA was cloned behind an inducible promoter in a genetically stable low copy plasmid vector. The live attenuated Salmonella vector containing the PA plasmid construct expresses PA intracellularly and under conditions of oxygen limitation. The anthrax PA is expressed at high levels in this system as demonstrated by western blot analysis using a polyclonal anti-PA antibody. Preliminary mouse studies have shown PA-specific immune stimulation. Currently, dosing schedules and administration methods are being optimized. Given the safety record of attenuated Salmonella vaccine vectors in humans, a vaccine construct that induces a strong response to PA is envisioned as forming the basis of a safe and effective vaccine against anthrax.
  • Introduction
  • Bacillus anthracis is a gram-positive, spore-forming bacterium that causes the disease anthrax. Anthrax is typically initiated by introduction of Bacillus anthracis endospores into the body. Endospores have a high affinity for the regional macrophages and are efficiently and rapidly phagocytosed in vivo. After spore germination and local multiplication within the macrophage (i.e. intracellular events), vegetative bacteria kill the macrophage and are released into the blood stream, where they live as extracellular pathogens and reach high numbers. The vegetative bacilli respond to host signals of physiological body temperature and CO2 levels in order to transcriptionally activate the genes for virulence factors (e.g., capsule and toxins). The anthrax toxin is composed of three subunits: (i) lethal factor (LF), a zinc-metalloprotease, is the toxin component thought to kill host cells by disrupting the mitogen-activated protein kinase pathway; (ii) edema factor (EF), an adenylate cyclase that causes edema in the infected host; and (iii) protective antigen (PA), which binds to eukaryotic cell surface proteins, forms homoheptamers, and then binds to and internalizes EF and LF. LF acts upon macrophages in the body and causes the release of pro-inflammatory cytokines responsible for sudden and fatal shock. The first overt sign of disease is often death itself, which can occur as early as 1-7 days post exposure. Considerable evidence exists to show that antibodies to PA alone can protect against anthrax infection.
  • Recent events have shown that anthrax can serve as a weapon of choice for bioterrorists. The only FDA-approved anthrax vaccine is toxoid-based, requires multiple doses to stimulate immunity, and causes moderate adverse effects. Clearly, there is a need for new anthrax vaccine approaches.
  • The majority of available vaccines are composed of: (1) inactivated components, such as formalinized toxoids; (2) inactivated whole virus or bacteria; or (3) purified bacterial antigens, such as capsular polysaccharides. Another class of vaccines consists of live, attenuated strains of bacteria or viruses. The advantages of live attenuated vaccines are: (i) the high levels of protection obtained from limited multiplication in vivo, i.e., an aborted infection), thereby inducing an immune response resembling that seen after natural infection; (ii) the need for only one or a few doses to confer long-lasting immunity against certain diseases; and (iii) the ability of orally-administered live, attenuated carrier strains such as Salmonella Typhi to stimulate the humoral, mucosal, and cellular arms of the immune response. The simplicity of administering oral vaccines (without the need for a skilled health care specialist) and the potential for low cost manufacturing makes this approach very attractive.
  • Construction of Plasmid Vector.
  • Anthrax protective antigen (PA) was cloned under the control of the nirB promoter in the low copy plasmid, pGB-2 and the sequence was verified (FIG. 9).
  • Western Blot of Salmonella Typhi Ty21a Lysates.
  • Western blot of auxotrophic Salmonella Typhi Ty21a cell lysates and culture supernatants separated by SDS-PAGE and probed with polyclonal anti-PA antibody (FIG. 10). Salmonella Typhi and Salmonella Typhi containing the empty vector and vector +PA were cultured separately overnight at 37° C. in Luria Broth (LB) and LB containing spectinomycin, respectively. Then the cultures were grown anaerobically in an airtight jar in presence of GASPAK® (BBL®) catalyst for about 4 hours at 37° C. Harvested cells and supernatants were normalized to similar CFUs per milliliter and lysed in NUPAGE® LDS sample buffer, loaded on a NUPAGE® Bis-Tris gel, transferred to a PVDF membrane, and blotted with polyclonal anti-PA antibody.
  • Plasmid Stability Upon Broth Subculturing.
  • One colony of Salmonella Typhi Ty21a expressing PA was grown in LB without antibiotic for 12 hours and the culture was diluted 100 fold and grown again for another 12 hours and this process was continued up to 72 hours. At each time point of 12, 24, 36, 48, 60, and 72 hours, the culture was serially diluted up to 1×10−6 and plated on LB plates. After 24 hours >100 colonies from each LB plates were replica-plated to LB containing spectinomycin and the percentage of spectinomycin resistant colonies at different time points were calculated (FIG. 11).
  • Humoral Anti-PA Response in Mice Following IP Immunization.
  • Twelve, 6-8 week old, female BALB/c mice were immunized intraperitoneally with a single dose of 5×107 cells (Ty21a-PA) or 0.5 ml of PBS. Blood samples were collected from the tail vein of all animals on days 14 and 28 after immunization and analyzed by ELISA to determine PA-specific IgG antibody titers. The ELISA assay was conducted by standard procedures using 96-well plates coated with 1 μg/well of purified PA. The endpoint titer is defined as the maximum serum dilution having an optical density (405 nm) of greater than 0.2. Each plot point represents an individual mouse (FIG. 12). The horizontal bars represent mean values.
  • Summary
  • Anthrax protective antigen (PA) was cloned under the control of the nirB promoter in the low copy plasmid, pGB-2 and the sequence was verified. The recombinant plasmid containing PA and the empty vector (pGB-2/PnirB) were transformed into E. coli and Salmonella Typhi Ty21a. The cultures were induced anaerobically for about 4 hours at 37° C. Immunoblot of the cultures with PA specific antibody indicated high level expression of PA in Salmonella Typhi Ty21a. This recombinant plasmid containing PA is quite stable during growth in the absence of spectinomycin. Immunization of mice by the IP route with Salmonella Typhi expressing PA resulted in a significant rise in anti-PA antibodies.
  • Part II B Development of a Vaccine Candidate Specific Aims
  • Vaccines represent a proven and effective approach for assuring widespread protection of large populations and can reduce the number of susceptible individuals prior to or immediately following a bioterrorism attack. The goal of this project is to address two significant problems that are raised by current bioterrorism threats: 1) the need for an easy method of mass vaccination and 2) the shortcomings of the current anthrax vaccine which requires injection by health professionals for administration, vaccine refrigeration, an extended vaccination schedule for protection (6 doses over 18 months), and the concern over transient side effects. In this context, we propose the use of technologies to develop a live, attenuated Salmonella enterica serovar Typhi strain Ty21a carrying the recombinant protective antigen (rPA) gene of Bacillus anthracis on a genetically stable bacterial plasmid. A storage-stable vaccine will be processed into a powder that will be suitable for self-administration by oral or nasal delivery and used to protect against anthrax disease.
  • The rationale underlying this approach is to exploit the extensive safety record of the existing live, oral Ty21a vaccine by utilizing it as a vector to develop a live, attenuated vaccine carrier stably expressing rPA. Ty21a is envisioned as the vaccine carrier because of the proven safety profile of the licensed Ty21a vaccine, the ability of Ty21a to express PA, and because Ty21a itself triggers long-term protection against typhoid fever. We propose utilizing existing expertise to formulate this vaccine to be stable without refrigeration and in a form for easy oral or nasal administration.
  • Background and Significance
  • Through the inhalational and gastrointestinal routes, the gram-positive anthrax Bacillus causes a disease that starts with mild generalized symptoms and abruptly develops into a systemic, difficult-to-treat form with massive bacteremia, toxemia, and fatal shock-like symptoms including sepsis and respiratory failure (Dixon, T. C. et al. 1999 New Engl J Med 341:815-826; Mock, M. and Fouet, A. 2001 Annu Rev Microbiol 55:647-671). Since 2001, the primary disease concern has been the use of B. anthracis spores as a bioterrorist weapon, particularly administered via the inhalational route. Anthrax spores exhibit a high degree of physical stability and can be readily processed into an inhalable powder. It is listed as a NIH category A agent indicating the highest priority for developing effective and rapid medical interventions.
  • Vaccination is capable of preventing infectious diseases such as smallpox, and is likely to be one of the most effective counter measures against a weaponized anthrax attack because it is the most efficient way to reduce the number of susceptible individuals prior to or immediately following an attack. Most importantly, for widespread use, a vaccine must be safe and efficacious. Ideally, the vaccine would also be simple and inexpensive to store and distribute, and could be administered easily to large populations over a relatively short time period. One approach is an oral or nasal vaccine delivered without lengthy reconstitution procedures (thus dispensing with the need for syringes/needles and skilled health care professionals) in fewer than the current 6 doses that could withstand storage and distribution for prolonged periods outside the cold chain (i.e., at room temperature and above). Currently, stockpiling sufficient Anthrax vaccine for emergency uses is a major challenge because of its strict temperature requirement (refrigeration) and relatively rapid expiration. The proposed format would facilitate vaccine storage, stockpiling, and mass immunization in a manageable timeframe whether in a civilian biodefense setting or the military.
  • Anthrax vaccine development has focused on the major virulence factors of B. anthracis, which are plasmid encoded toxin production and capsule formation (Mock, M. and Fouet, A. 2001 Annu Rev Microbiol 55:647-671; Dixon, T. C. et al. 1999 New Engl J Med 341:815-826). The toxin-gene complex produces three secreted components: protective antigen (PA), lethal factor (LF), and edema factor (EF). These three factors form two binary toxins: lethal toxin (LT) composed of PA, and LF and edema toxin (ET) consisting of PA and EF. The anthrax vaccine in the United States, which is similar to the vaccine in the United Kingdom, is an aluminum hydroxide adsorbed vaccine consisting of PA-containing supernatant material from fermenter cultures of a non-encapsulated, toxigenic strain of B. anthracis, V770-NP1-R (Anthrax Vaccine Adsorbed, AVA, currently sold as BIOTHRAX®). Although no human clinical efficacy data is available with the current vaccine, a less potent precursor was shown to be protective in placebo-controlled clinical trials (Friedlander, A. M. et al. 2002 Curr Top Microbiol Immunol 271:33-60). One of the drawbacks of this vaccine is that multiple immunizations are required over a prolonged period, e.g., AVA is administered subcutaneously in a 6 dose regimen at 0, 2, and 4 weeks and then at 6, 12, and 18 months. This would clearly not be appropriate for a post-exposure vaccine and is problematic when trying to achieve a high level of compliance in large populations. In addition, compliance is likely to improve simply by developing a more convenient oral dosage form. Although the US vaccine is safe, a less reactogenic vaccine would significantly improve its acceptability in recipients (Larkin, M. 2002 Lancet 359:951).
  • Early cloning and expression of PA in B. subtilis demonstrated that PA alone was sufficient for protective immunity (Ivins, B. E. and Welkos, S. L. 1986 Infect Immun 54:537-542; Ivins, B. E. et al. 1998 Vaccine 16:1141-1148). Since then, various expression systems have been explored as a potential source of purified PA for use as a vaccine including a plasmid-free, asporogenic B. anthracis strain (Farchaus, J. W. et al. 1998 Appl Environ Microbiol 64:982-991). In order to increase the immunogenicity and efficacy of protein vaccines, adjuvants and microsphere-associated rPA have been tested with mixed success (Friedlander, A. M. et al. 2002 Curr Top Microbiol Immunol 271:33-60; Flick-Smith, H. C. et al. 2002 Infect Immun 70:2022-2028). Alternatively, by chemically conjugating PA to capsular poly(γ-D-glutamic acid) a dually active anthrax vaccine that may protect against bacilli and toxins was recently constructed (Rhie, G-E et al. 2003 Proc Natl Acad Sci USA 100:10925-10930; Schneerson, R. et al. 2003 Proc Natl Acad Sci USA 100:8945-8950).
  • One significant advantage of live, attenuated vaccines over purified protein vaccines is the potential to circumvent the use of needles for administration by a trained health care professional. In addition, live, attenuated anthrax vaccines have often demonstrated broader protection in animal models with fewer doses, faster immune response, and longer lived immunity (Friedlander, A. M. et al. 2002 Curr Top Microbiol Immunol 271:33-60). Several vaccine candidates have shown promise in early animal studies, but will require further optimization before human studies can be considered (Welkos, S. L. and Friedlander, A. M. 1988 Microbial Pathogenesis 5:127-139; Zegers, N. D. et al. 1999 J Appl Microbiol 87:309-314).
  • Attenuated strains of Salmonella enterica serovars Typhimurium and Typhi offer a well-tested vehicle for oral presentation of heterologous antigens to stimulate mucosal and cell mediated immunity because of their ability to invade the gut via the lymphoid tissues (Friedlander, A. M. et al. 2002 Curr Top Microbiol Immunol 271:33-60; Garmory, H. S. et al. 2003 Infect Immun 71:3831-3836). In addition to B. anthracis, other bacterial antigens that have been delivered in this way include the following organisms: S. sonnei, S. flexneri 2A, E. coli, V. cholera, F. tularensis, C. tetanus, B. pertussis, P. aeruginosa, N. meningiditis, S. mutans, S. sobrinus, and S. pyogenes (Schodel, F. 1992 Adv Virus Res 41:409-446). Similarly, viral antigens include the following viruses: dengue, hepatitis B virus, human papillomavirus, influenza and measles (Schodel, F. 1992 Adv Virus Res 41:409-446; Baud, D. et al. 2004 Infect Immun 72:750-756; Pasetti, M. F. et al. 2003 J Virol 77: 5209-5217). The current study is aimed at developing a live, attenuated vaccine using S. enterica serovar Typhi strain Ty21a carrying the rPA gene of B. anthracis on a stable bacterial plasmid. This study is based on the prior human efficacy data for Ty21a as a typhoid vaccine and the unrivaled safety record of this commercial vaccine (VIVOTIF® Berna Vaccine). There has never been a reported case of documented bacteremic dissemination of the highly attenuated Ty21a in a human. Also, there are no reports of postinfectious inflammatory arthritis (e.g., Reiter's syndrome) after vaccination with Ty21a, a potential problem with nontyphoid Salmonella, Shigella, and Yersinia vectors. Additionally, Ty21a generates long-lived immunity that does not require a booster vaccination for at least 5 years (Levine, M. M. et al. 1999 Vaccine 17:S22-S27). One research area over the past 20 years has been to develop attenuated Salmonella Typhi strains with defined alterations, which have improved immunogenicity and potentially can be given in fewer doses than Ty21a (Hohmann, E. L. et al. 1996 J Infect Dis 173:1408-1414; Wang, J. Y. 2001 Infect Immun 69:4734-4741). However, these candidates not only lack the substantial clinical safety and efficacy data available for Ty21a, but the clinical development of many of these candidates has been slowed by difficulties in achieving the desired (but often elusive) balance between low reactogenicity and strong immunogenicity (Dilts, D. A. et al. 2000 Vaccine 18:1473-1484).
  • A significant issue with large-scale immunization programs is the stability of the vaccine during storage, shipment, and administration. According to a US Army study, up to 15% of vaccine and immunologic drug shipments were subjected to unacceptable temperature conditions (Frank, K. J. 1999 Am J Health-Syst Pharm 56:2052-2055). Similarly, it is estimated by the WHO that the cost of cold chain failures worldwide is approximately $200M annually. To address this issue, more suitable vaccines for rapid, large-scale distribution and immunization programs are needed with enhanced stability and delivery characteristics. Long-term stabilization of bacteria for storage at elevated temperatures requires the addition of stabilizers followed by a drying step to remove water (Crowe, J. H. et al. 1998 Annu Rev Physiol 60:73-103) and packaging that prevents moisture uptake. Such stabilizers tend to be non-reducing disaccharides, which can be dried to an amorphous glassy state (Carpenter, J. F. et al. 2002 Pharm Biotechnol 13:109-133). The drying processes that have been used for biopreservation include freeze drying (lyophilization) (Franks, F. 1998 Eur J Pharm Biopharm 45:221-229), spray drying (Truong-Le, V. L. 2003 “Stabilization of live virus vaccines” IBC Conference on Formulation Strategies September 23.sup.rd Abstract 116), spray freeze drying (Costantino, H. R. et al. 2000 Pharm. Res 17:1374-1383), air drying (Potts, M. 1994 Microbiol Rev 58:755-805), and foam drying (Annear, D. I. 1970 J Hygiene 68:457-461). Among these, freeze drying has been the process of choice to stabilize a wide range of biologics including proteins (Carpenter, J. F. et al. 2002 Pharm Biotechnol 13:109-133), viruses (Burke, C. et al. 1999 Critical Rev in Therapeutic Drug Carrier Sys 16:1-83), and bacteria (Corbel, M. J. 1996 Dev Biol Stand 87:113-124; Burke, C. 1999 Critical Rev in Therapeutic Drug Carrier Sys 16:1-83). In addition, new aluminum packaging technologies have been developed to avoid problems associated with premature moisture ingress.
  • After stabilization by lyophilization, Ty21a exhibits a shelf life of approximately 18-24 months at 2-8° C. (Burke, C. et al. 1999 Critical Rev in Therapeutic Drug Carrier Sys 16:1-83; Clarke, P. D. and Forrest, B. D. 1993 WO patent 93/11220), which is typical of many stabilized bacterial vaccine preparations. When exposed to 37° C., lyophilized Ty21a exhibited a half-life of only one day (Clarke, P. D. and Forrest, B. D. 1993 WO 93/11220; Cryz, S. J. et al. 1996 Dev Biol Stand 87:277-285), which would not meet WHO requirements for storage outside the cold chain (Milstein, J. B. and Gibson, J. J. 1990 Bull WHO 68:93-108) and, assuming linear Arrhenius-like kinetics, would have a half-life at 25° C. (i.e., room temperature) of ˜2-3 days. Previous experience indicates that an enveloped RNA virus, such as influenza, is equally unstable. For example, lyophilized live PR8 influenza virus loses up to 1 log10 of potency in 1-3 days at 37° C. depending on the residual moisture content (Hone, D. M. et al. 1988 Infect Immun 56:1326-1333) and a live, attenuated influenza virus, when stabilized with sucrose based formulations, loses 1 log10 of infectivity in 2-4 days when stored at room temperature (Truong-Le, V. L. 2003 “Stabilization of live virus vaccines” IBC Conference on Formulation Strategies September 23.sup.rd Abstract 116). However, using appropriate formulations and either freeze dry foaming or spray drying, we have now demonstrated long-term stabilization of live influenza viruses (see below). Given the similar stability profile of Ty21a and influenza virus, we believe that appropriate formulation and drying stabilization strategies should be applicable to Ty21a. More importantly, it is known that bacteria including E. coli, Salmonella ndolo, and Pseudomonas syringae have been stabilized for long-term survival at room temperature using in vacuo foam drying conditions similar to those used with influenza (Annear, D. I. 1970 J Hygiene 68:457-461; Bronshtein, V. 2003 U.S. Pat. No. 6,509,146; Iijima, T. and Sakane, T. A. 1973 Cryobiol 10:379-385; Fry, R. M. and Greaves, R. I. 1951 J Hyg 49:220-246).
  • In summary, we developed a vaccine candidate utilizing the already proven safe and efficacious typhoid vaccine strain Ty21a as a vehicle to deliver plasmid-expressed PA. The final vaccine product will be formulated into a stable dried powder that can be delivered orally or nasally. A vaccine is ultimately provided with an easy to administer single dose unit.
  • EXPERIMENTAL DATA 1. Construction of Multiple Recombinant Plasmids to Optimize Expression of Anthrax PA
  • Our previous studies with pGB-2, a low copy (i.e., 5-7 copies/cell) cloning vector, which contains a selectable spectinomycin resistance gene and a multiple cloning site (MCS) locus, resulted in high level expression of heterologous antigens and increased genetic stability in S. enterica serovar Typhi strain Ty21a compared to multicopy plasmids (Xu, D. Q. et al. 2002 Infect Immun 70:4414-23). The increased stability is likely due to the reduced metabolic load on the host. For this study use specifically regulated genetic promoters to allow PA gene expression under well-defined environmental conditions, which may provide additional genetic stability. These regulated promoters display low-level expression of the heterologous antigen during vaccine manufacture, but have maximal activity following immunization as Salmonella infects intestinal cells. We have designed several plasmid constructs for the expression of anthrax protective antigen under the control of two environmentally inducible promoters. The first is the anaerobically inducible (transcription factor FNR dependent) nirB promoter and the second one is the htrA promoter (sigmaE-RNA polymerase dependent), both of which are fully activated during Salmonella infection of eukaryotic cells. These promoters were shown to drive the expression of heterologous proteins, under inducing conditions, to levels as high as 20-30% of total cell protein (Oxer M. D. et al. 1991 Nucleic Acids Res 19:2889-2892).
  • A third method to optimize expression of protective antigen, previously used in gram-negative bacteria, employs a synthetic PA gene that is codon-optimized for expression in Salmonella Typhi. A codon-modified PA gene (PAcm) was constructed synthetically with terminal Nde1 and BamH1 restriction sites for directional cloning. The htrA promoter region was PCR-amplified from the Ty21a genome using primers that introduced HindIII and NdeI restriction enzyme sites at the 5′ and 3′ ends of the gene respectively (FIG. 13). The 3′-end primer also contains an optimal Shine-Delgarno sequence (AGGAG). The nirB promoter region was generated by combining two complementary synthetic oligo-nucleotides leaving EcoRI and NdeI sticky-ends (FIG. 13). An optimal Shine-Delgarno sequence was also engineered into this promoter region. The plasmid vector was prepared by restriction digest using HindIII/BamHI for htrA constructs or EcoRI/BamHI for nirB constructs (FIG. 13). Typically, three different fragments with compatible ends were combined in a ligation reaction to generate the final expression plasmids.
  • 2. Secretion of PA for Enhanced Immunogenicity
  • In order to enhance the immunogenicity of Salmonella-produced anthrax PA, we have inserted secretion systems that target PA to either the bacterial periplasmic or extracellular spaces. Targeting to the periplasm was achieved by creating an N-terminal genetic fusion between PA and gene III Sec signal sequence from the filamentous phage fd (i.e., this 18 amino acid N-terminal signal sequence is dependent on the bacterial Sec system for secretion to the periplasmic space; Invitrogen, CA). PA can also be secreted extracellularly using the well-studied E. coli haemolysin secretion system (Gentschev I. et al. 2002 Trends Microbiol 10:39-45). We have created in-frame C-terminal fusions of PA with the haemolysin secretion signal HlyAs. The genetic fusion was cloned into pGB-2 containing HlyB and HlyD. Representative constructs, developed separately for both wild type PA and codon-optimized PA, are shown diagrammatically in FIG. 14.
  • 3. Expression of PA Under Inducing Conditions
  • As listed in Table 4, twelve plasmids containing the two PA genes (i.e., PAwt and PAcm) have been constructed to analyze expression of each from two different promoters (phtrA, pnirB) and coupled with or without two different secretion systems (fd and Hly). DNA sequence analyses have, thus far, confirmed the expected sequences in half of these constructs with the remainder to be tested. Expression of protective antigen in these Ty21a strains can be induced, in vitro, by elevating the temperature to 42° C. during growth for htrA constructs, or by growing the strains under anaerobic conditions for nirB constructs. In preliminary experiments with two constructs, htrA-regulated expression of PA results in approximately 0.5 μg/109 cfu of Ty21a expressing wild-type PA (phtrA-PAwt) and approximately 10 μg/109 cfu of Ty21a expressing codon-modified PA (phtrA-PAcm). Thus, the yield of PA in Ty21a can be increased about 20-fold by using a synthetic, codon-optimized gene. These results are shown in FIG. 15.
  • TABLE 4
    Ty21a-PA Vaccine Constructs
    Pawt PAcm Localization
    phtrA phtrA intracellular
    pnirB pnirB intracellular
    phtrA-fd phtrA-fd periplasmic
    pnirB-fd pnirB-fd periplasmic
    phtrA-Hly phtrA-Hly extracellular
    pnirB-Hly pnirB-Hly extracellular
  • 4. Plasmid Stability Upon Sub-Culturing without Selection
  • One of the key requirements for a live attenuated bacterial vector is plasmid stability, both during in vitro growth for manufacture and during in vivo growth within the immunized host. To test for pGB-2 stability, one colony of Ty21a (pnirB-PAwt) was grown in LB broth without spectinomycin for 12 hrs, and the culture was diluted 100-fold and grown for another 12 hrs, and this process was repeated every 12 hrs for a total of 72 hrs. At each time point (12, 24, 36, 48, 60, and 72 hrs) the culture was serially diluted and plated on LB agar plates. After 24 hrs, >100 colonies from each LB agar plate were replicated to LB agar containing 25 μg/ml spectinomycin and the percentage of spectinomycin resistant colonies were calculated. 100% of the resultant colonies were Spc-R, indicating highly stable plasmid maintenance under nonselective growth conditions over 72 hrs, which represents >50 generations.
  • 5. Immune Response and Protection in Mice
  • Our ultimate goal is aimed at producing a formulated vaccine that can be delivered orally or intranasally to humans. We have initially focused on the intraperitoneal route of immunization in mice for simplicity, reproducibility, and to directly compare the responses to those reported by others (Garmory, H. S. et al. 2003 Infect Immun 71:3831-3836). Once the dose level, immunization schedule, and plasmid construct have been optimized for maximum immune stimulation, oral and/or intranasal immunization will be tested. Our experimental data was generated with the non-optimized Ty21a-PAwt construct (non-optimized codon usage, constitutive promoters and intracellular localization) expressing only ˜5% of the optimum PA expression shown above (FIG. 15). Three groups of 12 female BALB/c mice, 6-8 weeks old, were immunized intraperitoneally (i.p.) with a single dose of 5×107 cfu of Ty21a expressing PAwt [Ty21a-PAwt], 5×107 cfu of Ty21a-PAwt lysed by sonication (i.e., to mimic PA secretion), or with 0.5 ml of PBS. Mice were boosted with an identical dose four weeks after the first immunization. This dosing regimen is shown diagrammatically in FIG. 16. Blood samples were collected from the tail vein of all animals on days 14, 28, 48, and 65 after the first immunization. Serum samples were analyzed by ELISA to determine PA-specific IgG antibody titers. Mice vaccinated with a single injection of Ty21a-PAwt elicited a significant humoral response to PA with antibody geometric mean titers (GMT) of 100-200. Following a boost at four weeks the antibody titers increased at least two-fold for mice immunized with either Ty21a-PAwt (500 GMT) or lysed Ty21a-PAwt (210 GMT). These titers were maintained for at least four weeks after boosting (FIG. 17).
  • As an initial test of protective efficacy that can be performed under BSL-2 conditions, mice immunized with Ty21a-PAwt were challenged with a lethal dose of anthrax lethal toxin (LT) 9 weeks after the first immunization. The stringent challenge consisted of LT (50 μg of PA plus 25 μg of LF, i.e., ˜50 LD50's) administered i.v. in the tail in a volume of 100 μL. All 12 mice in the PBS control group and all mice immunized with whole Ty21a-PAwt succumbed to the challenge. However, 2 of 11 mice (18%) immunized with lysed Ty21a-PAwt survived the challenge and the remaining 9 mice had time to death (TTD) prolonged by 1 day. Prolongation in TTD has been noted in other studies (Welkos, S. L. and Friedlander, A. M. 1988 Microbial Pathogenesis 5:127-139). Though preliminary, these data lend support to a recent finding (Garmory, H. S. et al. 2003 Infect Immun 71:3831-3836) that secreted PA is more effective than intracellular PA at triggering protection. In other preliminary studies, 3 vaccine doses of the same construct have stimulated an anti-PA GMT of >1000 in unchallenged mice. At this point, all immunizations have been conducted with PAwt constructs which produce only ˜5% of the PA antigen of PAcm constructs. Immunization studies with optimal PAcm expression will be initiated shortly and we believe that optimal dosing strategies combined with secreted expression of induced PAcm will trigger high levels (i.e., >10,000 GMT) of anti-PA in mice and provide strong protection against challenge.
  • 6. Physical Stabilization of Influenza Virus Dry Formulations
  • One of our goals is to produce a vaccine with optimal physical as well as genetic stability. Our experience in stabilizing thermally labile live organisms has centered on live attenuated influenza virus as a model vaccine. The stability of influenza virus vaccine stabilized in a conventional sucrose-phosphate-glutamate (SPG) buffer is shown in Table 5. Although stable for several months in the frozen state (−20° C.), it loses potency at room temperature (25° C.) in approximately 6 days.
  • TABLE 5
    The Stability of the Influenza Virus Vaccine
    Storage Temperature Time to 1 Log Loss (Log10 TCID50/mL)
    −20° C. 8-12 months (depending on the strain)
    2-8° C. <2 months
    25° C. 6 days
    37° C. <5 days
  • To enhance storage stability, many researchers have employed conventional lyophilization approaches with limited success. An often-mentioned challenge associated with this drying process has been how to minimize protein structural damage that can occur during the freezing step (Anchordoquy, T. J. et al. 2001 Arch Biochem Biophys 390:35-41). Using lyophilization, long-term stability of live influenza could be achieved at refrigerated temperature; however, this stabilized preparation still loses one log10 of infectivity within 1-2 months at room temperature (Greiff, D. and Rightsel, W. A. 1968 Appl Microbiol 16:835-841).
  • Stabilization by Spray Drying
  • In spray drying, a liquid feed is spray atomized into fine droplets under a stream of dry heated gas. The evaporation of the droplets results in powders made of the dissolved solutes. A gentle spray drying process was developed that removed water from influenza vaccine without exposing the virus to extreme temperature cycles. The mild thermal drying process efficiently dries liquid formulations at lower heating temperatures than other spray drying processes. A component of this process is an atomizing nozzle that can generate ultra-fine liquid droplets, thereby increasing the effective surface area-to-volume ratio. The increased surface area facilitates the evaporative process and thus permits drying at lower temperatures and reduced thermal stress. Live attenuated influenza vaccine formulated and dried using a thermally mild spray drying process resulted in the preservation of virus infectivity at room temperature (25° C.) for almost 1 year (FIG. 18). This represents a greater than 50-fold increase in the shelf life of the vaccine.
  • Stabilization by Freeze Dry Foaming
  • A second drying technology to preserve influenza virus infectivity is termed freeze dry foaming. This is essentially a freeze drying process that is done under cake collapse conditions. In contrast to conventional freeze drying, this mode of freeze drying does not subject the product to prolonged potentially damaging deep freeze cycles because sublimation of ice occurs more rapidly over a larger total surface area. A second potential advantage is that the dried foams exhibit significantly lower specific surface area than conventional freeze dried cakes or spray dried powders, which appears to be a preferable solid state for long term storage due to the smaller total surface area available for heat and mass transfer as well as lower total surface tension. This process incorporates the use of a plasticizer formulation strategy to optimize structural retention (Cicerone, T. C. et al. 2003 Bioprocess Int 1:2-9). The resultant dry glassy foam can be reconstituted with a diluent for liquid administration or milled into fine powder for solid dosage form administration. Influenza virus stabilized with the freeze dry foam technology resulted in substantial shelf life during room temperature storage (FIG. 19). During a 22 month real-time stability study at room temperature, three influenza virus strains (H1N1, H3N2 and B) all had shelf lives (≦1 log10 infectivity loss) greater than 2 years and 2 strains had a shelf life of 4 years or greater (FIG. 19 A-C). These stability profiles should be adequate to provide a commercially viable shelf-life which is typically about 18 months.
  • 7. Production of Particle Size for Optimal Nasal Deposition
  • Powder particles that exhibit a size range of approximately 5 to 100 microns are optimal for nasal deposition while those less than ˜3 microns can penetrate to lower lung airways (Heyder J et al. 1986 J Aerosol Sci 17:811-825). We have found that both spray drying and freeze dry foaming processes could be used to manufacture dry powder particles with appropriate size range for nasal deposition (FIGS. 20 A-B). Our data showed that the spray drying process could produce a range of specific powder particle sizes (FIG. 20A). For the freeze dry foaming process, the resultant foam was further processed into fine powder by employing conventional mechanical impact milling equipment. The extent of grinding directly affected the final particle size distribution (FIG. 20B).
  • Part II C Plasmid Construction Strategies
  • Cloning of nirB Promoter Region in Plasmid pGB-2.
  • A synthetic nirB promoter was created by Taq polymerase extension of annealed oligonucleotides S100 and S101 (SEQ ID NOs:19 and 20, respectively, and see Table 6) containing a complementary 20-bp region at their respective 3′ ends. The 90 by product was PCR amplified using oligonucleotide primers S102 and S103 (SEQ ID NOs:21 and 22, respectively, and see Table 6). The PCR product with an EcoRI restriction site at the 5′ end and a SmaI site at the 3′ end was cloned into the EcoRI and SmaI restriction sites of plasmid pGB-2 by digestion with EcoRI and SmaI followed by ligation with T4 DNA ligase. Plasmid pGB-2 is a low copy (i.e., 5-7 copies/cell) cloning vector, which contains a selectable spectinomycin resistance gene and a multiple cloning site (MCS) locus. The ligated products were transformed into an E. coli host (XL-1 Blue) for amplification and Salmonella Typhi Ty21a for protein expression analysis (see FIG. 21).
  • Generation of htrA Promoter.
  • The htrA promoter region was PCR amplified from Salmonella Typhi TY21a genomic DNA using primers M105 and M106 (SEQ ID NOs:29 and 30, respectively, and see Table 6) containing HindIII and NdeI restriction sites, respectively (see FIG. 22). Primer M106 also includes a strong Shine-Dalgarno sequence (AGGAG) just upstream of the ATG codon, which is also part of the NdeI site.
  • Intracellular Expression of Protective Antigen
  • pnirB-PA Expression Systems.
  • The nirB promoter region was PCR amplified from plasmid pGB-2/nirBp with oligonucleotides M100 and M110 (SEQ ID NOs:27 and 31, respectively, and see Table 6) to generate a product having an EcoRI restriction site at the 5′ end and an NdeI site at the 3′ end. Oligonucleotide M101 also contains a strong Shine-Dalgarno sequence (AGGAG) just upstream of the start ATG codon. The gene encoding the mature form of protective antigen (PA) (see FIG. 23) was isolated from plasmid pYS5 (Singh, Y. et al. 1989 J. Biol. Chem. 264:19103-19107) by restriction endonuclease digestion with NdeI and BamHI. The Eco RI-Nde I nirB promoter fragment (109 bp) and the Nde I-Bam HI PA fragment (2202 bp) were then cloned into the EcoRI and BamHI restriction sites of plasmid pGB-2 via a three-way ligation reaction. Similarly, a synthetic codon-modified version of the PA gene (PAcm) (see FIG. 23) was cloned into pGB-2, downstream from the nirB promoter (see FIG. 24).
  • htrA-PA Expression Systems.
  • As before, the gene encoding the mature protective antigen (PA) of B. anthracis was isolated from plasmid pYS5 by restriction endonuclease digestion with NdeI and BamHI. The HindIII-NdeI htrA promoter fragment (116 bp) and the NdeI-BamHI PA fragment (2202 bp) were then cloned into the HindIII and BamHI restriction sites of plasmid pGB-2. The same strategy was used to clone PAcm downstream from the htrA promoter (see FIG. 25).
  • Periplasmic Expression Systems.
  • Targeting to the periplasmic space is achieved by creating an N-terminal genetic fusion between PA and the 18 amino acid geneIII Sec-dependent signal sequence (fds) from the filamentous phage fd. After synthesis in the cytoplasm, the fusion protein is transported through the inner membrane, and the signal sequence is then cleaved off (Ito, K. et al. 1980 J Biol Chem 255:2123-2130).
  • pnirB-fds-PA.
  • The genetic fusion between the geneIII signal sequence and PA was made by a three-step PCR amplification procedure. In the first step, PA was PCR amplified using oligonucleotides S110 and S111 (SEQ ID NOs:23 and 24, respectively, and see Table 6). S110 creates the fusion by encoding the first 5 amino acids of PA downstream of the last 9 amino acids of the geneIII signal sequence. The product of the first PCR reaction was used as the template for the next reaction using oligonucleotides S112 and S111 (SEQ ID NOs:25 and 24, respectively, and see Table 6). S112 encodes the first 9 amino acids of the geneIII signal sequence. The last PCR reaction involves oligonucleotides S113 and S111 (SEQ ID NOs:26 and 24, respectively, and see Table 6) which amplify the fusion product and introduce a BglII restriction site at the 5′ end and a BamHI site at the 3′ end. This final product was restriction endonuclease digested with BglII and BamHI and cloned into the BglII/BamHI sites of plasmid pGB-nirBp (see FIG. 26).
  • pnirB-fds-PAcm.
  • Fusion of the fd signal sequence (fds) to the codon-modified PA gene (PAcm) was done by first amplifying the nirBp-fds region of plasmid pnirB-fds-PA with oligonucleotide primers M101 and M111 (SEQ ID NOs:28 and 32, respectively, and see Table 6). Primer M101 anneals to vector (pGB-2) sequences upstream of the nirB promoter. Primer M111 anneals to the 3′ end of the geneIII signal sequence and is complementary to the first 20 bp of PAcm. The 240 bp PCR product was then used as the 5′-end primer for a subsequent PCR reaction to amplify PAcm. Oligonucleotide M101 was used as the 3′-end primer. The amplified fds-PAcm product was then digested with XbaI and BamHI and used to replace the nirBp-fds-PA region of plasmid pnirkfds-PA which had also been digested with XbaI and BamHI (see FIG. 27).
  • htrA-fds-PA Expression Systems.
  • The fds-PA and fds-PAcm gene fusions were PCR amplified from plasmid pnirB-fds-PA (PAcm) with oligonucleotide primers M112 and M101 (SEQ ID NOs:33 and 28, respectively, and see Table 6). Primer M112 introduces an NdeI site at the ATG start codon of the geneIII signal sequence and M101 anneals to vector sequences just downstream form the BamHI site. The PCR products were restriction enzyme digested with NdeI and BamHI and cloned into vector phtrA-PA replacing the PA gene (see FIG. 28).
  • Expression Systems for PA Secretion
  • htrA-PA-HlyAs.
  • The C-terminal 60 amino acids of the hlyA gene product are sufficient to effect the secretion of HlyA as well as other polypeptides fused to this secretion signal (Gentschev I. et al. 1996 Gene 179:133-140). The C-terminal 183 nucleotides encoding the secretion signal of the hlyA gene product (HlyAs) (60 amino acids+stop codon), and the DNA region encoding the Hly B and Hly D gene products were PCR amplified using oligonucleotide primers M120 and M121 (SEQ ID NOs:34 and 35, respectively, and see Table 6). The resulting PCR product (˜3.9 kb) was restriction enzyme digested with NsiI and BamHI (see FIG. 29A).
  • The gene encoding PA (or PAcm) was PCR amplified with primers M100 and M125 (SEQ ID NOs:27 and 36, respectively, and see Table 6) to remove the stop codon at the 3′ end and instead introduce an NsiI restriction site for in-frame ligation at the NsiI site of the HlyAs-BD cassette. The resulting PCR product was restriction endonuclease digested with NdeI and BamHI (see FIG. 29B).
  • A three-way ligation was performed to ligate both PA (PAcm) and the HlyAs-BD cassette into plasmid pGB-2/htrAp (see FIG. 29C).
  • NirB-PA-Hly.
  • As with the htrA-PA-Hly constructs, the amplified PA genes lacking the stop codon, together with the Hly cassette, were ligated into the NdeI and BamHI sites of plasmid pnirB-PA replacing PA and placing the PA-HlyAs fusion under the control of the nirB promoter (see FIG. 30A). Placement of the PAcm-HlyAs fusion under the control of the nirB promoter was done by restriction enzyme digestion with ClaI, unique, internal site in PAcm, and BamHI (see FIG. 30B). This partial PAcm-HlyAs fusion fragment was then cloned into the ClaI and BamHI restriction sites of plasmid phtrA-PAcm replacing the last 182 nucleotides (ClaI/BamHI fragment) (see FIG. 30C).
  • Summary
  • A total of 12 expression plasmids for Protective Antigen were created:
      • 1. pnirB-PA
      • 2. pnirB-PAcm
      • 3. pnirB-fds-PA
      • 4. pnirB-fds-PAcm
      • 5. pnirB-PA-hlyAs-BD
      • 6. pnirB-PAcm-hlyAs-BD
      • 7. phtrA-PA
      • 8. phtrA-PAcm
      • 9. phtrA-fds-PA
      • 10. phtrA-fds-PAcm
      • 11. phtrA-PA-hlyAs-BD
      • 12. phtrA-PAcm-hlyAs-BD
  • TABLE 6
    Oligonucleotides Used In This Study
    Oligonucleotide SEQ ID No. Nucleotide Sequencea Description
    S100b 19 5′-GGAATTCCGC TCTAGAGCGG Synthetic nirB
    TAAATTTGAT GTACATCAAA promoter, EcoRI
    TGGTACCCCT TGCTGAATCG-3′
    S10lb 20 5′-TCCCCCGGGT TAAGATCTGG Synthetic nirB
    GCCCTACCGC CTACCTTAAC promoter, SmaI
    GATTCAGCAA GGGGTACCA-3′
    S102 21 5′- nirB promoter, 5′
    GGAATTCCGC TCTAGAGCGG-3′ PCR primer,
    EcoRI
    S103 22 5′- nirB promoter, 3′
    TCCCCCGGGA TTAAGATCTG-3′ PCR primer,
    SmaI, BglII
    S110 23 5′-CTGGTGGTGC CGTTCTATAG fds-PA fusion,
    CCATAGCGAA GTTAAACAGG  first PCR, 5′
    AA-3′ primer
    S111 24 5′-CGGGATCCCG TCACCTAGAA PA 3′-end,
    TTACC-3′ BamHI
    S112 25 5′-ATGAAAAAAC TGCTGTTCGC fds-PA fusion,
    GATTCCGCTG GTGGTGCCG-3′ second PCR 5′
    primer
    S113 26 5′-GGAAGATCTT AATCATCCAC fds region
    AGGAGACTTT CTGATGAAAA upstream, 5′ PCR
    AACTGCTG-3′ primer, BglII
    M100 27 5′-GGCTGGCTTT TTCTTGTTAT PGB-2 PCR/
    CGC-3′ sequencing
    primer, upstream
    of HindIII
    M101 28 5′-CTAATGCACC CAGTAAGGCA PGB-2 PCR/
    GCGG-3′ sequencing
    primer
    downstream of
    EcoRI
    M105 29 5′-GCGCAAGCTT TGGACTTTTG htrA promoter
    TAAAGATGG-3′ upstream region,
    HindIII
    M106 30 5′-GGGCATATGT CCTCTCCTTA htrA promoter
    AAATTGCTGT GTACG-3′ region
    downstream,
    NdeI
    M110 31 5′-CGGTTTTCCT GTTTAACTTC fds-PAcm fusion
    GCTATGGCTA TAGAACGGCA  primer
    CC-3′
    M111 32 5′-GGGTGGCATA TGAAAGTCTC nirB promoter 3′-
    CTGTGGATGA TTAAGATCTG  end, NdeI
    G-3′
    M112 33 5′-CCTCCATATG AAAAAACTGC fd signal
    TGTTCGC-3′ sequence 5′-end,
    NdeI
    M120 34 5′-GATAAAGATG GCCGGGTCAT Anneals 94 bp
    CACACCAGAT TCCC-3′ upstream of NsiI
    site of hlyA
    M121 35 5′-CCTCCACCGG ATCCTTAACG hly D 3′-end
    CTCATGTAAA C-3′ region, BamHI
    M125 36 5′-CCTCCGCCGT GATGCATAGC PA 3′-end,
    CAATCTCATA GCC-3′ removes stop
    codon, NsiI
    aRestriction enzyme sites are underlined
    bRegion of complementarity is shown in bold
  • Part II D Vaccines for Immunization Against Anthrax
  • This invention relates broadly to a class of vaccines for the prevention of anthrax disease. A living, non-pathogenic mutant, oral vaccine strain of Salmonella Typhi has already been shown to be safe and effective in protecting against typhoid fever; it is a mutant, galactose epimeraseless strain of Salmonella Typhi designated as Ty21a. Its preparation, safety, and efficacy as a vaccine have already been described in Germanier, R. and Furer 1975 J Infect Dis 131:553-558; Wandan, M. H. et al. 1980 Bull WHO 58:469-474.
  • A particular vaccine of interest according to this invention is a living, attenuated vaccine to be used to protect against Bacillus anthracis.
  • The invention encompasses functional fragments or functional variants of wild type anthrax PA. A “functional” fragment or variant, as used herein, includes a polypeptide that comprises any of a variety of changes (modifications), either naturally occurring or deliberately generated, provided that the polypeptide retains at least one epitope which allows it to be immunogenic. Preferably, the fragment or variant retains the ability to elicit (induce) a protective response against anthrax infection. One of skill in the art can readily determine if a given fragment or variant exhibits the desired property, using conventional methods. Naturally occurring allelic variants of the PA are encompassed by the invention.
  • Antigens used in compositions or methods of the invention can be functional fragments of full-length proteins. Any desirable size (length) polypeptide can be used, ranging from one amino acid shorter than a wild type protein to a small peptide (e.g., about 8-10 amino acids long) bearing only a single epitope and/or antigenic sequence.
  • The antigens can also be functional variants. For example, variant PA polypeptides used in the invention may exhibit substantial identity to comparable portions of wild type PA. The term “substantial identity” or “substantial similarity” as used herein indicates that a polypeptide (or a nucleic acid) comprises a sequence that has at least about 90% sequence identity to a reference sequence, or preferably at least about 95%, or more preferably at least about 98% sequence identity to the reference sequence, over a comparison window of at least about 10 to about 100 or more amino acids residues or nucleotides. Methods to determine sequence identity (between nucleic acids or proteins) are conventional. Alignments can be accomplished by using any effective algorithm. For pairwise alignments of DNA sequences, the methods described by Wilbur-Lipman (e.g., Wilbur et al. 1983 Proc Natl Acad Sci USA 80:726-730) or Martinez/Needleman-Wunsch (Martinez 1983 Nucleic Acid Res 11:4629-4634) can be used. Pairs of protein sequences can be aligned by the Lipman-Pearson method (Lipman et al. 1985 Science 227:1435-1441), e.g., with k-tuple set at 2, gap penalty set at 4, and gap length penalty set at 12. Various commercial and free sources of alignment programs are available, e.g., MEGALIGN™ by DNASTAR, BLAST (National Center for Biotechnology Information), BCM (Baylor College of Medicine) Launcher, etc. Percent sequence identity can also be determined by other conventional methods, e.g., as described in Altschul et al. 1986 Bull Math Bio 48:603-616, and Henikoff et al. 1992 Proc Natl Acad Sci USA 89:10915-10919.
  • Variant antigens of the invention include polypeptides having one or more naturally occurring (e.g., through natural mutation) or non-naturally occurring (e.g., by deliberate modification, such as by site-directed mutagenesis) modifications, e.g., insertions, deletions, additions and/or substitutions, either conservative or non-conservative. By “conservative substitutions” is meant by combinations such as Gly, Ala; Val, Ile, Leu; Asp, Glu; Asn, Gln; Ser, Thr; Lys, Arg; and Phe, Tyr. Variants can include, e.g., homologs, muteins and minietics. The invention also encompasses variants such as polypeptides in which cysteine residues which are nonessential for biological activity are deleted or replaced with other amino acids, thereby preventing the formation of incorrect intramolecular disulfide bridges; naturally occurring variants arising from alternative mRNA splicing events; and altered forms reflecting genetic polymorphism (e.g., allelic variation). Other active variants may comprise added peptide sequences, either naturally occurring or heterologous, such as, e.g., leader, signal, secretory, targeting, enzymatic etc. sequences. Furthermore, the polypeptide can be modified by any of a variety of art-recognized modifications.
  • Another aspect of the invention is a method of treating a patient in need thereof, comprising administering to the patient an effective amount of an immunogenic anthrax composition (e.g., an anthrax vaccine) produced by a method of the invention. By an “effective amount” is meant herein an amount that is effective to elicit a desired response. For example, an effective amount of an immunogenic composition is an amount that is effective to elicit a detectable immune response. An effective dose can be determined empirically, according to conventional procedures, taking into account well known factors such as the age, weight, and/or clinical condition of the patient, the method of and scheduling of administration, and the like. As for other methods disclosed herein, the patient can be any animal, preferably a mammal such as, e.g., a farm or other domestic animal, or a rat, mouse, hamster, guinea pig, rabbit, etc., preferably a human.
  • While the present invention has been described in some detail and form for purposes of clarity and understanding, one skilled in the art will appreciate that various changes in form and detail can be made without departing from the true scope of the invention. All figures, tables, and appendices, as well as patents, applications, and publications, referred to above, are hereby incorporated by reference.

Claims (14)

1. An attenuated bacterium which is capable of expressing a heterologous protein, the expression of the heterologous protein being under the control of a promoter, in which the promoter is selected from the group consisting of the promoters of SEQ ID NOs: 2-8 or a functional fraction thereof.
2. An attenuated bacterium according to claim 1 which is an attenuated strain of Salmonella.
3. An attenuated bacterium according to claim 2, which is an attenuated strain of Salmonella Typhi or Salmonella Typhimurium.
4. An attenuated bacterium according to claim 1, in which the heterologous protein comprises an antigenic sequence derived from a virus, bacterium, fungus, yeast or parasite.
5. An attenuated bacterium according to claim 4 in which the heterologous protein is the protective antigen (PA) of Bacillus anthracis.
6. A process for the preparation of an attenuated bacterium according to claim 1, which process comprises transforming an attenuated bacterium with a DNA construct comprising the promoter operably linked to a DNA sequence encoding the heterologous protein.
7. A composition of matter comprising a promoter, in which the promoter is selected from the group consisting of the promoters of SEQ ID NOs: 1-8 or a functional fraction thereof.
8. A living attenuated vaccine, for the immunization against anthrax disease, comprising as the active component an effective dose of an attenuated galactose epimeraseless mutant strain of S. Typhi and a Bacillus anthracis protective antigen (PA) carried thereby.
9. A vaccine according to claim 8 wherein the Bacillus anthracis protective antigen (PA) is the wild type PA encoded by SEQ ID NO: 9 or an immunogenic fragment thereof.
10. A vaccine according to claim 9, wherein the wild type PA is encoded by SEQ ID NO: 9.
11-15. (canceled)
16. A vaccine according to claim 8 in freeze-dried form.
17. A vaccine according to claim 8 wherein the attenuated galactose epimeraseless mutant strain of S. Typhi is S. Typhi Ty21a.
18. A method of immunizing a susceptible host against B. anthracis disease comprising administering to the host an effective amount of the vaccine according to claim 8 to elicit an immunizing response.
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