Classifications

• • A—HUMAN NECESSITIES
  • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
  • A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
  • A61K39/00—Medicinal preparations containing antigens or antibodies
  • A61K39/12—Viral antigens
• • A—HUMAN NECESSITIES
  • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
  • A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
  • A61K39/00—Medicinal preparations containing antigens or antibodies
  • A61K39/12—Viral antigens
  • A61K39/245—Herpetoviridae, e.g. herpes simplex virus
• • A—HUMAN NECESSITIES
  • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
  • A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
  • A61K39/00—Medicinal preparations containing antigens or antibodies
  • A61K39/39—Medicinal preparations containing antigens or antibodies characterised by the immunostimulating additives, e.g. chemical adjuvants
• • A—HUMAN NECESSITIES
  • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
  • A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
  • A61K39/00—Medicinal preparations containing antigens or antibodies
  • A61K39/395—Antibodies; Immunoglobulins; Immune serum, e.g. antilymphocytic serum
• • A—HUMAN NECESSITIES
  • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
  • A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
  • A61K45/00—Medicinal preparations containing active ingredients not provided for in groups A61K31/00 - A61K41/00
  • A61K45/06—Mixtures of active ingredients without chemical characterisation, e.g. antiphlogistics and cardiaca
• • A—HUMAN NECESSITIES
  • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
  • A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
  • A61P31/00—Antiinfectives, i.e. antibiotics, antiseptics, chemotherapeutics
  • A61P31/12—Antivirals
• • A—HUMAN NECESSITIES
  • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
  • A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
  • A61P31/00—Antiinfectives, i.e. antibiotics, antiseptics, chemotherapeutics
  • A61P31/12—Antivirals
  • A61P31/20—Antivirals for DNA viruses
  • A61P31/22—Antivirals for DNA viruses for herpes viruses
• • A—HUMAN NECESSITIES
  • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
  • A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
  • A61P37/00—Drugs for immunological or allergic disorders
  • A61P37/02—Immunomodulators
  • A61P37/04—Immunostimulants
• • C—CHEMISTRY; METALLURGY
  • C07—ORGANIC CHEMISTRY
  • C07K—PEPTIDES
  • C07K14/00—Peptides having more than 20 amino acids; Gastrins; Somatostatins; Melanotropins; Derivatives thereof
  • C07K14/005—Peptides having more than 20 amino acids; Gastrins; Somatostatins; Melanotropins; Derivatives thereof from viruses
• • A—HUMAN NECESSITIES
  • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
  • A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
  • A61K39/00—Medicinal preparations containing antigens or antibodies
  • A61K2039/555—Medicinal preparations containing antigens or antibodies characterised by a specific combination antigen/adjuvant
• • A—HUMAN NECESSITIES
  • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
  • A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
  • A61K39/00—Medicinal preparations containing antigens or antibodies
  • A61K2039/555—Medicinal preparations containing antigens or antibodies characterised by a specific combination antigen/adjuvant
  • A61K2039/55511—Organic adjuvants
  • A61K2039/55566—Emulsions, e.g. Freund's adjuvant, MF59
• • A—HUMAN NECESSITIES
  • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
  • A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
  • A61K39/00—Medicinal preparations containing antigens or antibodies
  • A61K2039/555—Medicinal preparations containing antigens or antibodies characterised by a specific combination antigen/adjuvant
  • A61K2039/55511—Organic adjuvants
  • A61K2039/55577—Saponins; Quil A; QS21; ISCOMS
• • A—HUMAN NECESSITIES
  • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
  • A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
  • A61K39/00—Medicinal preparations containing antigens or antibodies
  • A61K2039/555—Medicinal preparations containing antigens or antibodies characterised by a specific combination antigen/adjuvant
  • A61K2039/55511—Organic adjuvants
  • A61K2039/55583—Polysaccharides
• • A—HUMAN NECESSITIES
  • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
  • A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
  • A61K39/00—Medicinal preparations containing antigens or antibodies
• • C—CHEMISTRY; METALLURGY
  • C12—BIOCHEMISTRY; BEER; SPIRITS; WINE; VINEGAR; MICROBIOLOGY; ENZYMOLOGY; MUTATION OR GENETIC ENGINEERING
  • C12N—MICROORGANISMS OR ENZYMES; COMPOSITIONS THEREOF; PROPAGATING, PRESERVING, OR MAINTAINING MICROORGANISMS; MUTATION OR GENETIC ENGINEERING; CULTURE MEDIA
  • C12N2710/00—MICROORGANISMS OR ENZYMES; COMPOSITIONS THEREOF; PROPAGATING, PRESERVING, OR MAINTAINING MICROORGANISMS; MUTATION OR GENETIC ENGINEERING; CULTURE MEDIA dsDNA viruses
  • C12N2710/00011—Details
  • C12N2710/16011—Herpesviridae
  • C12N2710/16611—Simplexvirus, e.g. human herpesvirus 1, 2
  • C12N2710/16622—New viral proteins or individual genes, new structural or functional aspects of known viral proteins or genes
• • C—CHEMISTRY; METALLURGY
  • C12—BIOCHEMISTRY; BEER; SPIRITS; WINE; VINEGAR; MICROBIOLOGY; ENZYMOLOGY; MUTATION OR GENETIC ENGINEERING
  • C12N—MICROORGANISMS OR ENZYMES; COMPOSITIONS THEREOF; PROPAGATING, PRESERVING, OR MAINTAINING MICROORGANISMS; MUTATION OR GENETIC ENGINEERING; CULTURE MEDIA
  • C12N2710/00—MICROORGANISMS OR ENZYMES; COMPOSITIONS THEREOF; PROPAGATING, PRESERVING, OR MAINTAINING MICROORGANISMS; MUTATION OR GENETIC ENGINEERING; CULTURE MEDIA dsDNA viruses
  • C12N2710/00011—Details
  • C12N2710/16011—Herpesviridae
  • C12N2710/16611—Simplexvirus, e.g. human herpesvirus 1, 2
  • C12N2710/16634—Use of virus or viral component as vaccine, e.g. live-attenuated or inactivated virus, VLP, viral protein
• • C—CHEMISTRY; METALLURGY
  • C12—BIOCHEMISTRY; BEER; SPIRITS; WINE; VINEGAR; MICROBIOLOGY; ENZYMOLOGY; MUTATION OR GENETIC ENGINEERING
  • C12N—MICROORGANISMS OR ENZYMES; COMPOSITIONS THEREOF; PROPAGATING, PRESERVING, OR MAINTAINING MICROORGANISMS; MUTATION OR GENETIC ENGINEERING; CULTURE MEDIA
  • C12N2710/00—MICROORGANISMS OR ENZYMES; COMPOSITIONS THEREOF; PROPAGATING, PRESERVING, OR MAINTAINING MICROORGANISMS; MUTATION OR GENETIC ENGINEERING; CULTURE MEDIA dsDNA viruses
  • C12N2710/00011—Details
  • C12N2710/16011—Herpesviridae
  • C12N2710/16611—Simplexvirus, e.g. human herpesvirus 1, 2
  • C12N2710/16671—Demonstrated in vivo effect

Definitions

• the present invention relates to methods and compositions for the prevention and treatment of herpes simplex virus infections.
• the herpesviruses include the herpes simplex viruses (HSV), comprising two closely related variants designated types 1 (HSV-1) and 2 (HSV-2).
• HSV-1 and HSV-2 are associated in some individuals with frequent and/or painful recurrences that manifest themselves as cold sores and genital herpes, respectively.
• HSV is a prevalent cause of genital infection in humans, with an estimated annual incidence of 600,000 new cases and with 10 to 20 million individuals experiencing symptomatic chronic recurrent disease.
• Attenuation refers to the production of strains of pathogenic microorganisms which have essentially lost their disease-producing ability. Attenuated pathogens often make good immunogens as they actually replicate in the host cell and elicit long lasting immunity.
• live vaccines the most worrisome being insufficient attenuation and the risk of reversion to virulence.
• live vaccines for herpes viruses, latency may be established, and thus there is the potential for reactivation-associated or other chronic disease.
• An alternative to the above methods is the use of subunit vaccines. This involves immunization only with those components which contain the relevant immunological material.
• subunit vaccines containing purified viral proteins represent a relatively safe alternative.
• previous clinical experience with HSV subunit vaccines has not been encouraging.
• a recent phase III trial of an HSV-2 subunit vaccine developed by the Chiron Vaccine Study Group failed to prevent or delay outbreaks in infected individuals (Corey et al, Journal of the American Medical Association 282:331-340, 1999).
• An effective vaccine that eliminates or decreases the transmission of HSV-1 and HSV-2 from infected to uninfected individuals would be highly desirable.
• Vaccines are often formulated and inoculated with various adjuvants.
• the adjuvants aid in attaining a more durable and higher level of immunity using small amounts of antigen or fewer doses than if the immunogen were administered alone.
• alum aluminum salt-based
• adjuvants are the only immunologic adjuvants used in Unlicensed vaccines.
• a variety of novel adjuvants which may be used to augment or replace alum in human vaccines has been under development and in preclinical and clinical evaluation for decades.
• Adjuvant mechanisms of action include increasing the biological or immunological half-life of vaccine antigens; improving antigen delivery to antigen presenting cells (APCs) and antigen processing and presentation by APCs; and inducing the production of immunomodulatory cytokines.
• HSPs Heat shock proteins
• stress proteins were first identified as proteins synthesized by cells in response to heat shock.
• HSPs have been classified into five families based on molecular weight: HSP100, HSP90, HSP70, HSP60, and smHSP. Many members of these families were found subsequently to be induced in response to other stressful stimuli including nutrient deprivation, metabolic disruption, oxygen radicals, and infection with intracellular pathogens (see Welch, May 1993, Scientific American 56-64; Young, 1990, Annu. Rev. Immunol.
• HSPs are involved not only in cellular protection against these adverse conditions, but are also in essential biochemical and immunological processes in unstressed cells. HSPs accomplish different kinds of chaperoning functions.
• HSP70 members of the HSP70 family, located in the cell cytoplasm, nucleus, mitochondria, or endoplasmic reticulum (Lindquist et al., 1988, Ann. Rev. Genetics 22:631-677), are involved in the presentation of antigens to the cells of the immune system, and are also involved in the transfer, folding and assembly of proteins in normal cells.
• HSPs are capable of binding proteins or peptides, and releasing the bound proteins or peptides in the presence of adenosine triphosphate (ATP) or acidic conditions (Udono and Srivastava, 1993, J. Exp. Med. 178:1391-1396). Srivastava et al.
• mice with gp96 or p84/86 isolated from a particular tumor rendered the mice immune to that particular tumor, but not to antigenically distinct tumors.
• Isolation and characterization of genes encoding gp96 and p84/86 revealed significant homology between them, and showed that gp96 and p84/86 were, respectively, the endoplasmic reticular and cytosolic counterparts of the same heat shock proteins (Srivastava et al, 1988, Irnmunogenetics 28:205-207; Srivastava et al, 1991, Curr. Top. Microbiol. Immunol. 167:109-123).
• hsp70 was shown to elicit immunity to the tumor from which it was isolated but not to antigenically distinct tumors.
• hsp70 depleted of peptides was found to lose its immunogenic activity (Udono and Srivastava, 1993, J. Exp. Med. 178:1391-1396).
• the heat shock proteins are not immunogenic per se, but form noncovalent complexes with antigenic peptides, and the complexes can elicit specific immunity to the antigenic peptides (Srivastava, 1993, Adv. Cancer Res. 62:153-177; Udono et al, 1994, J.
• Noncovalent complexes of HSPs and peptide, purified from cancer cells can be used for the treatment and prevention of cancer and have been described in PCT publications WO 96/10411, dated April 11, 1996, and WO 97/10001, dated March 20, 1997 (U.S. Patent No. 5,750,119 issued May 12, 1998, and U.S. Patent No. 5,837,251 issued November 17, 1998, respectively, each of which is incorporated by reference herein in its entirety).
• HSP-peptide complexes The isolation and purification of HSP-peptide complexes has been described, for example, from pathogen- infected cells, and used for the treatment and prevention of infection caused by the pathogen, such as viruses, and other intracellular pathogens, including bacteria, protozoa, fungi and parasites (see, for example, PCT Publication WO 95/24923, dated September 21, 1995).
• Immunogenic stress protein-antigen complexes can also be prepared by in vitro complexing of stress protein and antigenic peptides, and the uses of such complexes for the treatment and prevention of cancer and infectious diseases has been described in PCT publication WO 97/10000, dated March 20, 1997 (U.S. Patent No. 6,030,618 issued February 29, 2000).
• the use of stress protein-antigen complexes for sensitizing antigen presenting cells in vitro for use in adoptive immunotherapy is described in PCT publication WO 97/10002, dated March 20, 1997 (see also U.S. Patent No. 5,985,270 issued November 16, 1999).
• the present invention relates to antigenic peptides of herpesviruses, and to methods of use of such antigenic peptides in the treatment and prevention of infections by herpesviruses, herpes simplex viruses (HSV) type I and II particularly.
• HSV herpes simplex viruses
• the present invention provides pharmaceutical compositions comprising antigenic peptides of the infectious agent, and adjuvants, which are able to stimulate an immune response in an animal against the infectious agent and cells infected with the infectious agent.
• the present invention also provides methods of preparation of the pharmaceutical compositions of the invention.
• the invention encompasses compositions comprising one or more antigenic peptides, and compositions comprising antigenic peptides combined with or complexed with adjuvants.
• the antigenic peptides are complexed to stress proteins.
• the invention further provides pharmaceutical compositions comprising antigenic peptides combined with or complexed with adjuvants, and a pharmaceutically acceptable carrier or excipient.
• the antigenic peptides of the invention comprise amino acid sequences of viral proteins expressed and/or displayed by HSV-2.
• the amino acid sequences of 102 herpesvirus peptides selected by the inventors are assigned SEQ DD NO: 1 through to SEQ ID NO: 102.
• These 102 herpesvirus peptides, each consisting of 35 amino acids, are selected on the basis of predictions on the number and quality of HLA-binding epitopes present in each of the peptides.
• variations and fragments of these herpesvirus peptides which comprise one or more of the predicted epitopes present in these peptides.
• compositions comprising a mixture of two or more different antigenic peptides; preferably, the antigenic peptides are purified, i various embodiments, the mixture comprises a plurality of different antigenic peptides, wherein only HLA-binding epitopes from one of the 102 herpesvirus peptides or from a selected subset of herpesvirus peptides are present in the antigenic peptides.
• a mixture of a plurality of antigenic peptides comprises epitopes that are present only in the herpesvirus peptides having SEQ JD NOs: 1 to 49.
• the different antigenic peptides can be present in any proportion relative to each other by weight or by molar amounts.
• the antigenic peptides of the mixture are present in approximately equal proportions by weight or by molar amounts.
• the invention provides compositions comprising antigenic peptides mixed with or complexed with adjuvants.
• an antigenic peptide of the invention can form a covalent or non-covalent molecular complex with an adjuvant.
• the antigenic peptides can be mixed with an adjuvant in the same composition without requiring the formation of any complex.
• the antigenic peptides are complexed with heat shock proteins such as members of the heat shock protein families of HSP60, HSP70, HSP90, HSP100, and sHSPs.
• the adjuvant is a stress protein chosen from the group consisting of hsc70, hsp70, hs ⁇ 90, hspllO, gp96, grpl70, and calreticulin.
• the complexes comprise hsc70 non-covalently complexed to the antigenic peptides, preferably a plurality of different antigenic peptides.
• the complexes comprise hsp70 non-covalently complexed to the antigenic peptides, preferably a plurality of different antigenic peptides.
• the complexes comprise hsp70 covalently complexed to the antigenic peptides, for example, by crosslinking with glutaraldehyde or ultraviolet light.
• the complexes comprise peptide-binding fragments of heat shock proteins, or functionally active variants, analogs or derivatives of heat shock proteins complexed to the antigenic peptides.
• the invention provides a composition comprising an adjuvant and a plurality of different antigenic peptides, wherein said different antigenic peptides each comprises at least one HLA-binding epitope that is present in a herpesvirus peptide, where the amino acid sequence of said herpesvirus peptide is selected from the group consisting of SEQ ID NO: 1 to 102.
• the invention provides a composition comprising complexes of a stress protein bound to an antigenic peptide, wherein said complexes differ in the sequence of the antigenic peptide, wherein each antigenic peptide comprises at least one HLA-binding epitope that is present in a herpesvirus peptide, the amino acid sequence of said herpesvirus peptide selected from the group consisting of SEQ ID NO: 1 to 102.
• each antigenic peptide comprises at least one HLA-binding epitope of a different herpesvirus peptide selected from among herpesvirus peptides differing in amino acid sequence, the amino acid sequence of each herpesvirus peptide selected from the group consisting of SEQ ID NO: 1 to 102.
• the number of different antigenic peptides present in a composition of the invention can vary from 2, 3, 4, 5, 10, 15, 20, 25, 30, 35, 40, 45, 49, 50, 55, 60, 65, 70, 75, 80, 85, 90, 95, 100, to 102, or it can be any integer between 2 and 102.
• a plurality of different antigenic peptides are complexed to the stress protein.
• the invention provides a composition comprising 49 different complexes of a stress protein, noncovalently or covalently, bound to an antigenic peptide, wherein said different complexes each comprises a different antigenic peptide, said different antigenic peptide each comprising one or more HLA-binding epitopes of a single herpesvirus peptide, said herpesvirus peptide consisting of an amino acid sequence selected from the group consisting of SEQ ID NO: 1 to 49.
• compositions of the invention comprise a number of different complexes of a stress protein bound to an antigenic peptide, wherein said different complexes each comprises a different antigenic peptide, wherein each one of said different antigenic peptide comprises one or more HLA-binding epitope of one of a selection of herpesvirus peptides.
• compositions of the invention comprise 49 different complexes of a stress protein bound to an antigenic peptide, wherein said 49 different complexes each comprises a different antigenic peptide, wherein each one of said different antigenic peptide comprises at least one HLA-binding epitope of a different herpesvirus peptide selected from among herpesvirus peptides differing in amino acid sequence, the amino acid sequence of each herpesvirus peptide selected from the group consisting of SEQ ID NO: 1 to 49.
• the compositions of the invention comprise different complexes of a stress protein bound to a herpesvirus peptide consisting of an amino acid sequence selected from the group consisting of SEQ ID NO: 1 to 102.
• compositions of the invention comprise 49 different complexes of a stress protein, noncovalently or covalently bound to a herpesvirus peptide, wherein said stress proteins in said complexes are bound to each of the herpesvirus peptides consisting of an amino acid sequence selected from the group consisting of SEQ ID NO: 1 to 49.
• the invention encompasses compositions prepared by a method comprising complexing in vitro stress proteins with a plurality of different antigenic peptides, wherein said different antigenic peptides each comprises at least one HLA-binding epitope that is present in a single herpesvirus peptide, the amino acid sequence of the herpesvirus peptide selected from the group consisting of SEQ ID NO: 1 to 102.
• the invention provides compositions prepared by complexing in vitro stress proteins with 49 different antigenic peptides, wherein each one of said 49 different antigenic peptides comprises one or more HLA-binding epitopes of a different herpesvirus peptide selected from among herpesvirus peptides differing in amino acid sequence, the amino acid sequence of each herpesvirus peptide selected from the group consisting of SEQ ED NO: 1 to 49.
• Such complexes may be prepared, e.g., by complexing a purified HSP or a plurality of different HSPs to one species of antigenic peptide and mixing the individual HSP-peptide complexes together.
• Such complexes may alternatively be prepared by complexing a purified HSP or a plurality of different HSPs to two or more different antigenic peptides in a mixture.
• the compositions of the invention is prepared by a method comprising the steps of complexing in vitro a stress protein with 49 different herpesvirus peptides consisting of an amino acid sequence selected from the group consisting of SEQ ID NO: l to 49.
• the antigenic peptides may comprise a heterologous high affinity heat shock protein binding sequence.
• the invention provides pharmaceutical compositions comprising, in a physiologically acceptable carrier, one or more of the different antigenic peptides of the invention and an adjuvant such as an immunostimulatory nucleotide or a saponin (e.g., QS21).
• an adjuvant such as an immunostimulatory nucleotide or a saponin (e.g., QS21).
• the pharmaceutical composition comprises hsp70 complexed with a plurality of different antigenic peptides of the invention, and QS21.
• the pharmaceutical composition comprises hsp70 complexed with one or more different antigenic peptides of the invention, and at least one immunostimulatory oligonucleotide.
• the pharmaceutical composition comprises hsp70 complexed with one or more different antigenic peptides of the invention, QS21, and at least one immunostimulatory oligonucleotide.
• the invention provides methods for preparing compositions comprising the antigenic peptides, mixtures of peptides and adjuvants, or peptide-adjuvant complexes described supra.
• such a method relates to preparation of a composition for eliciting in a mammal an immune response against HSV-1 or HSV-2, the method comprising complexing in vitro one or more of the antigenic peptides with a stress protein and combining the peptide-stress protein complexes with a pharmaceutically acceptable carrier, thereby generating a noncovalent stress protein-peptide complex.
• the one or more different antigenic peptides are each produced by chemical synthesis.
• the peptides are combined with the one or more adjuvants by covalent complex formation.
• the different peptides are combined with the one or more adjuvants by noncovalent complex formation.
• the invention also provides compositions comprising the pharmaceutical composition and a second treatment modality, such as an additional adjuvant, an antiviral agent, or a biological response modifier.
• a second treatment modality such as an additional adjuvant, an antiviral agent, or a biological response modifier.
• the antiviral agent is chosen from the group consisting of acyclovir, valacyclovir, pencyclovir, famcyclovir, cidofovir, and phosphonoformic acid.
• the biological response modifier is selected from the group consisting of ⁇ -interferon, ⁇ -interferon, interleukin-2, interleukin-4, interleukin-6, tumor necrosis factor and combinations thereof.
• the invention further encompasses kits for use in the treatment or prevention of herpesvirus infection.
• a method of eliciting an immune response against HSV-1 or HSV-2 in an individual comprises administering to the individual an effective amount of an immunogenic complex comprising at least one of the antigenic peptides described supra and at least one adjuvant.
• the invention also provides methods for treatment or prevention of infection by a herpesvirus and of any disease caused by a herpesvirus.
• the methods comprise the step of administering to the individual an immunogenic amount of a pharmaceutical composition comprising one or more of the antigenic peptides of the invention, or antigenic peptides and one or more adjuvants, in a physiologically acceptable carrier.
• the methods are used for preventing an infectious disease caused by a herpesvirus in an individual for whom preventing such an infectious disease is desired.
• the methods are used for treating an infectious disease caused by a herpesvirus in an individual.
• the infectious disease is caused by HSV-1 or HSV-2.
• the invention further encompasses methods for reducing the severity of disease associated with primary HSV infection, reducing the frequency of reactivation of latent HSV virus, limiting the severity of reactivated disease, or restricting the transmission of virus associated with either primary or reactivated infection, comprising the step of administering to the individual an effective amount of an immunogenic pharmaceutical composition comprising one or more of the antigenic peptides described supra and one or more adjuvants in a physiologically acceptable carrier.
• the methods of the invention can also be used in inhibiting HSV-1 or HSV-2 replication in an individual. In various embodiments, the therapeutic methods are repeated until the symptoms are alleviated.
• the adjuvant that is present in the composition include but is not limited to a stress protein, a saponin, or at least one immunostimulatory nucleotide.
• the heat shock protein is non-covalently complexed to at least one antigenic peptide, and the heat shock protein is selected from the group consisting of hsc70, hsp70, hsp90, hspllO, gp96, grpl70, calreticulin, and compositions thereof.
• antigenic peptide-adjuvant complexes are formed in vitro by incubating at least one antigenic peptide with at least one heat shock protein under conditions and for a period of time sufficient for the formation of the complexes.
• Figure 1A, B Complexes of the 49 herpesvirus peptides and hsp70 are immunogenic.
• Figure 1A Splenocytes derived from mice treated with a pharmaceutical composition comprising complexes of hsp70 and the 49 herpesvirus peptides produced approximately 140 spot forming cells (SFCs) per 10 6 splenocytes following stimulation of cultured splenocytes in vitro.
• Splenocytes derived from mice treated with hsp70 without the 49 peptides produced fewer than 5 SFCs per 10 splenocytes.
• Splenocytes derived from mice treated with the 49 peptides without hsp70 produced less than 60 SFCs per 10 6 splenocytes.
• Figure IB Splenocytes derived from mice treated with the 49 peptides without hsp70 produced less than 60 SFCs per 10 6 splenocytes.
• Splenocytes derived from mice treated with a pharmaceutical composition comprising the complexes of hsp70 and the 49 herpesvirus peptides plus QS21 produced approximately 450 SFCs per 10 6 splenocytes.
• Splenocytes derived from mice treated with hsp70 without the 49 peptides produced fewer than 5 SFCs per 10 splenocytes.
• Splenocytes derived from mice treated with the 49 peptides without hsp70 produced over 250 SFCs per 10 6 splenocytes.
• Immune response obtained with complexes of the 49 herpesvirus peptides and hsp70 is long-lasting.
• Splenocytes from mice immunized on day 0 and day 14 with a pharmaceutical composition comprising complexes of the 49 herpesvirus peptides and hsp70 complexes plus adjuvant were harvested on days 28 and 84. These splenocytes produced nearly 400 SFCs per 10 6 splenocytes when harvested at day 28, and nearly 500 SFCs per 10 6 splenocytes when harvested at day 84.
• splenocytes from mice immunized with hsp70 plus adjuvant alone produced background level of SFCs on day 42.
• FIG. 3A-D Complexes of hsp70 and HSV antigenic peptides protect mice from HSV infection in vivo.
• Female Swiss Webster mice were immunized i.d. on Day 0, 7 and 14 with the following formulations: (1) GP/CFA, total glycoprotein from HSV-2 infected cell lysates formulated in Freund's adjuvant (Freund's complete adjuvant for the 1st immunization, thereafter Freund's incomplete adjuvant was used) as an immunization positive control; (2) Saline/CFA, Freund's adjuvant formulated with placebo, immunization negative control; (3) mouse HSP70 (mHSP70), 100 ⁇ g per dose of mHSP70; (4) QS-21, 10 ⁇ g per dose of QS-21; (5) 49 HSV-2 peptides /QS-21, 5.5 ⁇ g of the 49 HSV-2 peptides (equivalent to the amount in the complex preparations)-!- 10 ⁇ g per dose
• FIG. 3A Survival (Kaplan- Meier's) curves (Kaplan and Meier, J Am StatAssoc. 50, 457-481, 1958) for GP/CFA ("Glycoproteins/CFA Control"), Saline/CFA ("Mock/CFA Control”), and QS-21 ("Adjuvant") control groups.
• Figure 3B Survival (Kaplan-Meier's) curves (Kaplan and Meier, J Am StatAssoc.
• the present invention relates to pharmaceutical compositions for the treatment and prevention of infectious diseases, in particular infections by herpes simplex viruses (HSV).
• HSV herpes simplex viruses
• the pharmaceutical compositions of the invention comprise antigenic peptides of infectious agents, and adjuvants, which are able to stimulate an immune response in an animal against the antigenic peptides of infectious agents.
• the present invention provides methods of preparation of the pharmaceutical compositions of the invention.
• the present invention also encompasses methods of use of the pharmaceutical compositions in the treatment and prevention of infections by HSV, including type 1 and type 2 herpes simplex viruses (HSV-1 and HSV-2).
• HSV-1 and HSV-2 herpes simplex viruses
• the invention is based on the inventors' selection of antigenic peptides and adjuvants, and the methods by which antigenic peptides and adjuvants are combined and/or complexed to form pharmaceutical compositions.
• compositions comprising one or more antigenic peptides, compositions comprising antigenic peptides combined with or complexed with adjuvants.
• the antigenic peptides are complexed to heat shock proteins.
• the invention further provides pharmaceutical compositions comprising antigenic peptides combined with or complexed with adjuvants, and a pharmaceutically acceptable carrier or excipient.
• the antigenic peptides of the invention comprise amino acid sequences of viral proteins expressed and/or displayed by HSV-2.
• the amino acid sequences of 102 herpesvirus peptides selected by the inventors are assigned SEQ ID NO: 1 through to 102 and are listed in Table 1. These 102 herpesvirus peptides each consists of 35 amino acids.
• the herpesvirus peptides are selected on the basis of predictions on the number and quality of HLA-binding epitopes present in each of the peptides. Also provided by the invention are variations and fragments of these herpesvirus peptides which comprise one or more of the predicted epitopes in these viral peptides.
• an antigenic peptide of the invention refers to any one of the 102 herpesvirus peptides listed in Table 1 as well as variants and fragments of these herpesvirus peptides that comprise one or more HLA- binding epitopes of the respective herpesvirus peptide.
• an antigenic peptide of the invention comprises only a portion of and not the entire amino acid sequence of a herpes simplex virus type 2 protein from which the herpesvirus peptide of the invention is derived.
• the amino acid sequence of the herpes simplex virus type 2 protein from which each herpesvirus peptide of the invention is derived is identified by its Genbank accession number shown in Table 1.
• the antigenic peptides of the invention can be obtained from natural sources, or produced by chemical synthesis or recombinant DNA technology.
• the antigenic peptides of the invention are purified. Purified antigenic peptides are substantially free of materials that are associated with the peptides in a virus, in a cell, in a cell extract, in a cell culture medium, in an individual, or in a reaction mixture of a peptide synthesis reaction.
• Nucleotide sequences encoding antigenic peptides of the invention, vectors comprising such nucleotide sequences, and expression vectors comprising such nucleotide sequences are also encompassed.
• the invention also encompasses recombinant cells comprising nucleotide sequence(s) encoding one or more different antigenic peptides of the invention, wherein the nucleotide sequence(s) are operatively linked to at least one promoter which facilitates expression of the nucleotide sequence(s) in the cells, resulting in the production of the antigenic peptide(s) of the invention.
• the invention also provides compositions comprising a mixture of the antigenic peptides of the invention. In various embodiments, the mixture comprises two or more different antigenic peptides of the invention.
• the mixture can comprise at least 2, 10, 20, 30, 40, 49, 75, or 100 different antigenic peptides, preferably purified antigenic peptides.
• the mixture comprises a plurality of different antigenic peptides, wherein only epitopes from one of the 102 herpesvirus peptides or from a selected subset of the 102 herpesvirus peptides are present in the antigenic peptides.
• each of the different antigenic peptides in the mixture comprises one or more HLA-binding epitopes that are present in the herpesvirus peptides, the amino acid sequences of which are assigned SEQ ID NOs: 1 to 49.
• each antigenic peptide in a plurality of antigenic peptides does not contain amino acid sequences that are contiguous with the amino acid sequence of any one of the 102 herpesvirus peptide.
• the plurality of antigenic peptides do not include antigenic peptides comprising epitope(s) of HSV2 proteins other than those comprising the amino acid sequence of SEQ ID NO: 1 to 102, or SEQ ID NO: 1 to 49.
• the plurality of antigenic peptides are not obtained or purified from a cell or virus.
• at least 10%, 20%, 30%, 40%, 50%, 60%, 70%, 80%, 90%, or 95% of the antigenic peptides in the plurality of antigenic peptides are different herpesvirus peptides selected from the group consisting of SEQ ID NO: 1 to 102 or SEQ ID NO: 1 to 49.
• compositions comprising a mixture of different antigenic peptides
• the different antigenic peptides can be present in any proportion relative to each other by weight or by molar amounts.
• the antigenic peptides of the mixture are present in approximately equal proportions by weight or by molar amounts.
• the invention provides compositions comprising one or more antigenic peptides mixed with or complexed with adjuvants.
• an antigenic peptide of the invention can form a covalent or non-covalent molecular complex with an adjuvant.
• the antigenic peptides can be mixed with an adjuvant in the same composition without requiring the formation of any complex.
• the antigenic peptides of the invention are complexed non-covalently with heat shock proteins including but not limited to members of the following heat shock protein families: Hsp60, Hsp70, Hsp90, Hs lOO, and sHSPs.
• the adjuvant is chosen from the group of heat shock proteins consisting of hsp70, hsc70, hsp90, gp96, calreticulin, hspllO, grpl70, and combinations of two or more of the foregoing.
• the adjuvant complexed to the antigenic peptides is hsp70 or hsc70 (Genbank accession number Y00371). h other embodiments, a peptide-binding fragment of a heat shock protein is used to form complexes with the antigenic peptides.
• the complexes are covalent molecular complexes comprising antigenic peptides and heat shock proteins.
• the heat shock protein is hsp70.
• the covalent complex can be formed by techniques known in the art such as crosslinking with glutaraldehyde or ultraviolet light.
• the composition comprises complexes of different stress proteins and different antigenic peptides.
• the composition comprises a mixture of hsp70 and hsc70 complexed with a plurality of different antigenic peptides.
• the invention also provides methods for preparing compositions of the invention containing antigenic peptides and adjuvants.
• the method comprises complexing in vitro one or more different antigenic peptides with a heat shock protein, thereby generating a population of immunogenic noncovalent HSP-peptide complexes.
• a fusion protein comprising a proteinaceous adjuvant, such as a stress protein, and an antigenic peptide is contemplated.
• a fusion protein can be produced by recombinant DNA techniques well known in the art (see, e.g., U.S. Patent No. 6,524,825, which is incorporated by reference herein in its entirety).
• a nucleic acid encoding a stress protein can be joined to either end of a nucleic acid sequence encoding the antigenic peptide such that the two protein-coding sequences are sharing a common translational reading frame.
• the joined nucleic acid sequences are inserted into an appropriate vector selected based on the expression features desired and the nature of the host cell.
• the fusion protein can be purified by routine biochemical separation techniques or by immunoaffinity methods using an antibody to a part of the fusion protein.
• the selected vector can add a tag to the fusion protein sequence, e.g., an oligohistidine tag, permitting expression of a tagged fusion protein that can be purified by affinity methods using an antibody or other material having an appropriately high affinity for the tag.
• a tag e.g., an oligohistidine tag
• a fusion protein can also be prepared chemically.
• the fusion protein further comprises a moiety to target the fusion protein to antigen presenting cells.
• the invention provides pharmaceutical compositions comprising antigenic peptides, adjuvants, and a physiologically acceptable carrier.
• the invention further provides pharmaceutical compositions comprising an immunogenic amount of antigenic peptides and adjuvants, said amount being effective in eliciting an immune response against one of the antigenic peptides and/or herpes simplex viruses in a subject.
• the invention also provides methods for treatment or prevention of viral diseases in a subject caused by herpes simplex viruses, preferably by HSV-1 or HSV-2.
• One embodiment provides a method of treating or preventing such an infectious disease in a subject having such an infectious disease or in whom preventing such an infectious disease is desired, comprising the step of administering to the individual an effective amount of a pharmaceutical composition of the invention comprising a plurality of antigenic peptides, or a plurality of antigenic peptides and adjuvants, in a physiologically acceptable carrier.
• a pharmaceutical composition of the invention comprising a plurality of antigenic peptides, or a plurality of antigenic peptides and adjuvants, in a physiologically acceptable carrier.
• the subject is a mammal, and most preferably a human.
• the adjuvant in a separate composition is administered to the subject sequentially or simultaneously with the administration of the antigenic peptides.
• the administration is parenteral, intravenous, intradermal, transdermal, mucosal or oral.
• the methods of the invention can also be used for reducing the severity of disease associated with primary HSV infection, reducing the frequency of reactivation of latent HSV virus, limiting the severity of reactivated disease, or restricting the transmission of virus associated with either primary or reactivated infection.
• the composition is administered to a subject for stimulating in said subject a cytotoxic T cell response against HSV-1 and/or HSV-2. The method can be repeated until the symptoms are alleviated.
• the pharmaceutical compositions of the invention can be used in combination with one or more other treatment modalities.
• treatment modalities include but are not limited to, chemotherapeutic agents such as antiviral agents, antibodies, adjuvants, biological response modifiers, etc.
• the antiviral agent is chosen from the group consisting of acyclovir, valacyclovir, pencyclovir, famcyclovir, cidofovir, and phosphonoformic acid.
• the invention further encompasses kits for the treatment or prevention of HSV infections.
• the present invention provides antigenic peptides that comprise amino acid sequences of viral proteins expressed and/or displayed by HSV-2, especially upon infection of host cells. These antigenic peptides can be prepared synthetically, or by recombinant DNA technology, or isolated from natural sources such as whole viruses. The antigenic peptides of the invention can be used in combination with adjuvants of the invention to create pharmaceutical compositions that are useful for treatment and or prevention of HSV infections. Pharmaceutical compositions comprising the antigenic peptides of the invention are immunogenic and are effective at eliciting a beneficial immune response in a subject.
• the amino acid sequences of 102 herpesvirus peptides selected by the inventors assigned SEQ ID NO: 1-102 are listed in Table 1.
• Each of the herpesvirus peptides consists of 35 amino acids and comprises multiple epitopes which are predicted to be present on the corresponding HSV-2 protein.
• Table 1 lists the protein from which each herpesvirus peptide is derived and the position of the antigenic peptide within the viral protein.
• Table 1 further lists predicted immunogenic HLA-binding epitopes found within each peptide sequence. Amino acid positions for these epitopes are numbered from the first amino acid in the peptide sequence.
• peptide RL02-1 encoded by SEQ ID NO: 1, has a predicted HLA-B702 binding epitope at residues 2-10. This indicates that for the amino acid sequence of RL02-01, residues NPRTAPRSL out of the total amino acid sequence of RL02-01 (GNPRTAPRSLSLGGHTVRALSPTPPWPGTDDEDDD is predicted to bind HLA-B702. Since the proteins of HSV-2 and HSV-1 are highly homologous, many of the epitopes displayed by the herpesvirus peptides of the invention are shared by HSV-1. Accordingly, the pharmaceutical compositions are useful for treatment and/or prevention of HSV-2 as well as HSV-1 infections.
• an “epitope” refers to a region of an antigenic peptide that binds or that is predicted to bind an antibody or major histocompatibility (MHC) molecule of a subject.
• MHC major histocompatibility
• the epitope upon binding to the MHC molecule, stimulates in vivo an immune response to the antigenic peptide.
• the peptides of the present invention contain epitopes that are predicted to be capable of binding selected MHC molecules and inducing an immune response.
• the antigenic peptide epitopes of the invention comprise conserved residues involved in binding proteins encoded by MHC alleles.
• the antigenic peptide epitopes predicted to bind MHC class I molecules are typically between 8 to 10 residues, while antigenic peptide epitopes predicted to bind MHC class II molecules are typically in the range of 10 to 20 residues.
• MHC molecules are classified as either Class I or Class II molecules.
• Class II MHC molecules are expressed primarily on cells involved in initiating and sustaining immune responses, such as dendritic cells, B lymphocytes, macrophages, etc.
• Class II MHC molecules are recognized by helper T lymphocytes and induce proliferation of helper T lymphocytes and amplification of the immune response to the particular immunogenic peptide that is displayed.
• Class I MHC molecules are expressed on almost all nucleated cells and are recognized by cytotoxic T lymphocytes (CTLs), which then destroy the antigen- bearing cells. Cytotoxic T lymphocytes are particularly important in tumor rejection and in fighting viral infections. The CTL recognizes the antigen in the form of a peptide fragment bound to the MHC class I molecules rather than the intact foreign antigen itself.
• CTLs cytotoxic T lymphocytes
• HLA Human Leukocyte Antigen
• HLA-A1 Human Leukocyte Antigen
• HLA-A203 Human Leukocyte Antigen
• HLA-A3, HLA-A2402, HLA-A26 HLA-B702, HLA-B8, HLA- B1510, HLA-B2705, HLA-B2709, HLA-B4402, and HLA-B5101
• the capacity to bind MHC molecules can be measured in a variety of different ways, such as by inhibition of antigen presentation (Sette, et al., J. Immunol.
• HLA-binding epitope/epitopes refers to those epitopes shown to bind an HLA molecule by any of the above assays, or predicted to bind an HLA molecule by a software program (e.g. SYFPEITHI, Rammensee, et al., hnmunogenetics 50, 213-219, 1999).
• the invention encompasses antigenic peptides consisting essentially of the amino acid sequence of any one of SEQ ID NOS: 1-102.
• the peptides can also be modified by the addition or deletion of amino acids.
• peptides of the invention can also be modified by altering the order or composition of certain residues, for example, residues that are located within a HLA- binding epitope. It can readily be appreciated that certain amino acid residues essential for binding to MHC molecules, e.g., those at critical contact sites or conserved residues in an epitope may generally not be altered without an adverse effect on immunogenic activity.
• the invention encompasses antigenic peptides, each comprising a fragment of any of SEQ ID NOS: 1-102, wherein the fragment comprises at least one epitope present in any one of SEQ ID NOS: 1-102.
• the fragment comprises 2, 3, 4, 5, 6, 7, 8, 9, 10 or more epitopes present in any of the SEQ ID NOS: 1-102.
• an antigenic peptide comprises HLA-binding epitopes that are present in only one of the herpesvirus peptides assigned SEQ ID NOS: 1-102.
• an epitope present in a herpesvirus peptide consists essentially of a sequence of between 8 to 10 amino acids.
• an antigenic peptide of the invention comprises a fragment of any one of SEQ ID NOS. 1-102 that is at a minimum eight-amino acid long and that can be up to thirty four- amino acids long. Fragments of herpesvirus peptides of intermediate length, i.e., consisting of 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25, 26, 27, 28, 29, 30, 31, 32, or 33 amino acids are also encompassed.
• the invention provides antigenic peptides that are variants of the viral peptides, wherein the amino acid sequence of an antigenic peptide is at least 50%, 60%, 70%, or 80% similar to one of SEQ ID NOS: 1-102.
• the similarity is 90% and most preferably 95% or higher.
• the variant comprises 2, 3, 4, 5, 6, 7, 8, 9, 10 or more epitopes present in any of the SEQ ID NOS: 1-102.
• the variants comprise mostly or only conservative substitutions of amino acids relative to the amino acid sequence of SEQ ID NO: 1-102. Preferably few if any of the amino acid substitutions occur within an epitope of a herpesvirus peptide.
• the amino acid sequence of any of the antigenic peptides of the invention each begins with methionine.
• Conservative substitutions of amino acids within the sequence may be selected from other members of the class to which the amino acid belongs.
• conservative substitutions is meant replacing an amino acid residue with another which is biologically and/or chemically similar, e.g., one hydrophobic residue for another, or one polar residue for another.
• the nonpolar (hydrophobic) amino acids include alanine, leucine, isoleucine, valine, proline, phenylalanine, tryptophan and methionine.
• the polar neutral amino acids include glycine, serine, threonine, cysteine, tyrosine, asparagine, and glutamine.
• the positively charged (basic) amino acids include arginine, lysine and histidine.
• the negatively charged (acidic) amino acids include aspartic acid and glutamic acid.
• the invention encompasses antigenic peptides that comprise a high affinity heat shock protein binding sequence.
• binding sequences are typically five to fifteen amino acid residues long and are well known in the art.
• binding sequences are exploited in the present invention to facilitate the non-covalent binding of the segment of peptide that comprises the herpesvirus peptide HLA-binding epitopes of the invention to a heat shock protein, in vitro or in vivo.
• Many or such binding sequences are heterologous to the herpesvirus peptide from which the HLA binding epitopes are derived. Heterologous high affinity binding sites present in many herpesvirus proteins can be used.
• a high affinity heat shock protein binding sequence is a heptameric segment having the sequence: Hy(Trp/X)HyXHyXHy , where Hy represents a hydrophobic amino acid residue, particularly tryptophan, leucine, or phenylalanine, and X is any amino acid.
• Such high affinity heat shock protein binding sequence are preferably present at either one of the ends of an amino acid sequence that comprise the herpesvirus peptide HLA- binding epitopes of the invention.
• the high affinity heat shock protein binding sequence can be joined to either one of the ends by a short peptide linker that consists of several amino acids (e.g., a tripeptide linker having the sequence: glycine-serine-glycine).
• antigenic peptides can be synthesized chemically with the amino acid residues of the high affinity heat shock protein binding sequence joined to the rest of the peptide by a peptide bond.
• antigenic peptides can be synthesized by recombinant DNA techniques as a fusion peptide.
• the antigenic peptides of the invention encompass variants or fragments of the 102 herpesvirus peptides that comprise a high affinity heat shock protein binding sequence and an optional peptide linker.
• derivatives or analogs of the antigenic peptides of the invention which are modified during or after translation, e.g., by glycosylation, acetylation, phosphorylation, amidation, or derivatization by known protecting/blocking groups, or proteolytic cleavage.
• any of numerous chemical modifications may be carried out by known techniques, including but not limited to, reagents useful for protection or modification of free NH2- groups, free COOH- groups, OH- groups, side groups of Trp-, Tyr-, Phe-, His-, Arg-, or Lys-; specific chemical cleavage by cyanogen bromide, hydroxylamine, BNPS-Skatole, acid, or alkali hydrolysis; enzymatic cleavage by trypsin, chymotrypsin, papain, V8 protease, NaBH 4 ; acetylation, formylation, oxidation, reduction; metabolic synthesis in the presence of tunicamycin; etc.
• the antigenic peptides of the invention can be synthesized by standard chemical methods including the use of a peptide synthesizer. Conventional peptide synthesis or other synthetic protocols well known in the art can be used. Peptides having the amino acid sequence of an antigenic peptide can be synthesized, for example, by solid-phase peptide synthesis using procedures similar to those described by Merrifield, 1963, J. Am. Chem. Soc, 85:2149. During synthesis, N- ⁇ -protected amino acids having protected side chains are added stepwise to a growing polypeptide chain linked by its C-terminal and to an insoluble polymeric support i.e., polystyrene beads.
• the peptides are synthesized by linking an amino group of an N- ⁇ -deprotected amino acid to an ⁇ -carboxyl group of an N- ⁇ -protected amino acid that has been activated by reacting it with a reagent such as dicyclohexylcarbodiimide.
• a reagent such as dicyclohexylcarbodiimide.
• the attachment of a free amino group to the activated carboxyl leads to peptide bond formation.
• the most commonly used N- ⁇ - protecting groups include Boc which is acid labile and Fmoc which is base labile.
• peptide analogs and derivatives of the antigenic peptides of the invention can be chemically synthesized as described supra. If desired, nonclassical amino acids or chemical amino acid analogs can be introduced as a substitution or addition into the peptide sequence.
• Non-classical amino acids include, but are not limited to, the D-isomers of the common amino acids, ⁇ -amino isobutyric acid, 4-aminobutyric acid, hydroxyproline, sarcosine, citruUine, cysteic acid, t-butylglycine, t-butylalanine, phenylglycine, cyclohexylalanine, ⁇ -alanine, designer amino acids such as ⁇ -methyl amino acids, C ⁇ -methyl amino acids, and N ⁇ -methyl amino acids. Purification of the resulting peptide is accomplished using conventional procedures, such as preparative HPLC using gel permeation, partition and/or ion exchange chromatography. The choice of appropriate matrices and buffers are well known in the art and so are not described in detail herein.
• the antigenic peptides of the invention can also be prepared by recombinant DNA methods known in the art.
• a nucleic acid sequence encoding an antigenic peptide can be obtained by back translation of the amino acid sequence and synthesized by standard chemical methods, such as the use of an oligonucleotide synthesizer.
• coding information for antigenic peptides can be obtained from HSV-2 viral DNA template using specifically designed oligonucleotide primers and PCR methodologies.
• Variations and fragments of the herpesvirus peptides of the invention can be made by altering SEQ ID NOS: 1-102 by substitutions, insertions or deletions that provide for antigenically equivalent molecules.
• DNA sequences which encode the same or a variation of an amino acid sequence as in SEQ ID NOS: 1-102 may be used in the practice of the present invention. These include, but are not limited to, nucleotide sequences which are altered by the substitution of different codons that encode an antigenically equivalent amino acid residue within the sequence, thus producing a silent or conservative change.
• the nucleic acid encoding an antigenic peptide can be inserted into an expression vector for propagation and expression in host cells.
• the coding sequence for peptides of the length contemplated herein can be synthesized by chemical techniques, for example, the phosphotriester method of Matteucci et al., J. Am. Chem.
• modification can be made simply by substituting the appropriate base(s) for those encoding the native peptide sequence.
• the coding sequence can then be provided with appropriate linkers and ligated into expression vectors commonly available in the art, and the vectors used to transform suitable hosts to produce the desired peptide or fusion protein. A number of such vectors and suitable host systems are now available.
• the coding sequence will be provided with operably associated start and stop codons, promoter and terminator regions and usually a replication system to provide an expression vector for expression in the desired cellular host.
• An expression construct refers to a nucleotide sequence encoding an antigenic peptide operably associated with one or more regulatory regions which enables expression of the peptide in an appropriate host cell.
• "Operably-associated” refers to an association in which the regulatory regions and the peptide sequence to be expressed are joined and positioned in such a way as to permit transcription, and ultimately, translation.
• the regulatory regions necessary for transcription of the peptide can be provided by the expression vector.
• a translation initiation codon may also be provided if the peptide gene sequence lacking its cognate initiation codon is to be expressed.
• RNA polymerase a promoter which is capable of binding RNA polymerase and promoting the transcription of an operably-associated nucleic acid sequence.
• a promoter is required which is capable of binding RNA polymerase and promoting the transcription of an operably-associated nucleic acid sequence.
• Such regulatory regions may include those 5' non-coding sequences involved with initiation of transcription and translation, such as the TATA box, capping sequence, CAAT sequence, and the like.
• the non-coding region 3' to the coding sequence may contain transcriptional termination regulatory sequences, such as terminators and polyadenylation sites.
• linkers or adapters providing the appropriate compatible restriction sites may be ligated to the ends of the cDNAs by techniques well known in the art (Wu et al., 1987, Methods in Enzymol 152:343-349). Cleavage with a restriction enzyme can be followed by modification to create blunt ends by digesting back or filling in single-stranded DNA termini before ligation. Alternatively, a desired restriction enzyme site can be introduced into a fragment of DNA by amplification of the DNA by use of PCR with primers containing the desired restriction enzyme site.
• An expression construct comprising an antigenic peptide sequence operably associated with regulatory regions can be directly introduced into appropriate host cells for expression and production of the peptide without further cloning.
• the expression constructs can also contain DNA sequences that facilitate integration of the DNA sequence into the genome of the host cell, e.g., via homologous recombination. In this instance, it is not necessary to employ an expression vector comprising a replication origin suitable for appropriate host cells in order to propagate and express the peptide in the host cells.
• a variety of expression vectors may be used including, but not limited to, plasmids, cosmids, phage, phagemids or modified viruses.
• such expression vectors comprise a functional origin of replication for propagation of the vector in an appropriate host cell, one or more restriction endonuclease sites for insertion of the peptide gene sequence, and one or more selection markers.
• Expression vectors may be constructed to carry nucleotide sequences for one or more of the antigenic peptides of the invention.
• the expression vector must be used with a compatible host cell which may be derived from a prokaryotic or eukaryotic organism including but not limited to bacteria, yeasts, insects, mammals and humans.
• Such host cells can be transformed to express one or more antigenic peptides, such as by transformation of the host cell with a single expression vector containing one or more nucleotide sequences encoding any of the antigenic peptides of the invention, or by transformation of the host cell with multiple expression vectors encoding different antigenic peptides of the invention.
• a number of expression vectors may be advantageously selected to produce the antigenic peptides of the invention.
• vectors that direct the expression of high levels of fusion protein products that are readily purified may be desirable.
• Such vectors include, but are not limited, to the E.
• coli expression vector pUR278 (Ruther et al., 1983, EMBO J. 2, 1791), in which the peptide coding sequence may be ligated individually into the vector in frame with the lac Z coding region so that a fusion protein is produced; pIN vectors (Inouye and Inouye, 1985, Nucleic Acids Res. 13, 3101-3109; Van Heeke and Schuster, 1989, /. Biol. Chem 264, 5503-5509); and the like.
• pGEX vectors may also be used to express these peptides as fusion proteins with glutathione S-transferase (GST).
• fusion proteins are soluble and can easily be purified from lysed cells by adsorption to glutathione-agarose beads followed by elution in the presence of free glutathione.
• the pGEX vectors are designed to include thrombin or factor Xa protease cleavage sites so that the antigenic peptide can be released from the GST moiety.
• stable expression in mammalian cells is preferred.
• Cell lines that stably express peptide complexes may be engineered by using a vector that contains a selectable marker.
• engineered cells may be allowed to grow for 1-2 days in an enriched media, and then are switched to a selective media.
• the selectable marker in the expression construct confers resistance to the selection and optimally allows cells to stably integrate the expression construct into their chromosomes and to grow in culture and to be expanded into cell lines.
• Such cells can be cultured for a long period of time while peptide is expressed continuously.
• the recombinant cells may be cultured under standard conditions of temperature, incubation time, optical density and media composition. However, conditions for growth of recombinant cells may be different from those for expression of the antigenic peptides. Modified culture conditions and media may also be used to enhance production of the peptides.
• recombinant cells containing peptides with their cognate promoters may be exposed to heat or other environmental stress, or chemical stress. Any techniques known in the art may be applied to establish the optimal conditions for producing peptide complexes.
• a codon encoding methionine is added at the 5' end of the nucleotide sequence encoding an antigenic peptide of the invention, to provide a signal for initiation of translation of the peptide. This methionine may remain attached to the antigenic peptide, or the methionine may by removed by the addition of an enzyme or enzymes that can catalyze the cleavage of methionine from the peptide.
• MAP methionine aminopeptidase
• Methionine aminopeptidases have been isolated and cloned from several organisms, including E. coli, yeast, and rat. The peptide may be recovered from the bacterial, mammalian, or other host cell types, or from the culture medium, by methods known to those of skill in the art (see, for example, Current Protocols in Immunology, vol. 2, chapter 8, Coligan et al. (ed.), John Wiley & Sons, hie; Pathogenic and Clinical Microbiology: A Laboratory Manual by Rowland et al., Little Brown & Co., June 1994; which are incorporated herein by reference in their entireties).
• the pharmaceutical compositions of the invention comprise antigenic peptides of the invention, and a pharmaceutically acceptable carrier or excipient.
• the antigenic peptides preferably comprise a high affinity heat shock protein binding site that can facilitate their binding to heat shock proteins in vivo after the pharmaceutical composition is administered to a subject.
• Adjuvant(s) can be administered separately from such antigenic peptides of the invention.
• the pharmceutical compositions comprise antigenic peptides of the invention which form a molecular complex with one or more different adjuvant(s), and a pharmaceutically acceptable carrier or excipient.
• the adjuvant is a heat shock protein which forms a non-covalent complex with an antigenic peptide.
• base buffers include (i) PBS; (ii) lOmM KPO 4 , 150mM NaCl; (iii) lOmM HEPES, 150mM NaCl; (iv) lOmM imidazole, 150rnM NaCl; and (v) 20mM sodium citrate.
• Excipients that can be used include (i) glycerol (10%, 20%); (ii) Tween 50 (0.05%, 0.005%); (iii) 9% sucrose; (iv) 20% sorbitol; (v) lOmM lysine; or (vi) O.OlmM dextran sulfate.
• the antigenic peptides of the invention are present in a composition in admixture with one or more adjuvants. Many different adjuvants can be used with the antigenic peptides of the invention.
• the peptide(s) and adjuvant(s) may be mixed together in the same fluid volume, or complexes of the peptide(s) and adjuvant(s) may be contained within a composition.
• a variety of adjuvants may be used in the practice of the invention, including but not limited to systemic adjuvants and mucosal adjuvants.
• a systemic adjuvant is an adjuvant that can be delivered parenterally.
• Systemic adjuvants include adjuvants that create a depot effect, adjuvants that stimulate the immune system and adjuvants that do both.
• An adjuvant that creates a depot effect as used herein is an adjuvant that causes the antigen to be slowly released in the body, thus prolonging the exposure of immune cells to the antigen.
• This class of adjuvants includes but is not limited to alum (e.g., aluminum hydroxide, aluminum phosphate); or emulsion-based formulations including mineral oil, non-mineral oil, water-in-oil or oil-in- water-in oil emulsion, oil-in-water emulsions such as Seppic ISA series of Montanide adjuvants (e.g., Montanide ISA 720, AirLiquide, Paris, France); MF-59 (a squalene-in-water emulsion stabilized with Span 85 and Tween 80; Chiron Corporation, Emeryville, Calif.; and PRO VAX (an oil-in-water emulsion containing a stabilizing detergent and a micelle-forming agent; IDEC, Pharmaceuticals Corporation, San Diego, Calif.).
• alum e.g., aluminum hydroxide, aluminum phosphate
• emulsion-based formulations including mineral oil, non-mineral oil, water-in-oil or oil
• adjuvants stimulate the immune system, for instance, cause an immune cell to produce and secrete cytokines or IgG.
• This class of adjuvants includes but is not limited to immunostimulatory nucleic acids, such as CpG oligonucleotides; saponins purified from the bark of the Q.
• LPS lipopolysaccharides
• MPL monophosphoryl lipid A
• MDP muramyl dipeptide
• t-MDP threonyl-muramyl dipeptide
• OM-174 a glucosamine disaccharide related to lipid A
• OM Pharma SA Meyrin, Switzerland
• Leishmania elongation factor a purified Leishmania protein; Corixa Corporation, Seattle, Wash.
• systemic adjuvants are adjuvants that create a depot effect and stimulate the immune system. These compounds have both of the above-identified functions of systemic adjuvants.
• This class of adjuvants includes but is not limited to ISCOMs (Immunostimulating complexes which contain mixed saponins, lipids and form virus-sized particles with pores that can hold antigen; CSL, Melbourne, Australia); SB-AS2 (SmithKline Beecham adjuvant system #2 which is an oil-in-water emulsion containing MPL and QS21: SmithKline Beecham Biologicals [SBB], Rixensart, Belgium); SB-AS4 (SmithKline Beecham adjuvant system #4 which contains alum and MPL; SBB, Belgium); non-ionic block copolymers that form micelles such as CRL 1005 (these contain a linear chain of hydrophobic polyoxpropylene flanked by chains of polyoxyethylene; Vaxcel, Inc., Norcross, Ga.); and Syntex Adjuvant Formulation
• the mucosal adjuvants useful according to the invention are adjuvants that are capable of inducing a mucosal immune response in a subject when administered to a mucosal surface in conjunction with complexes of the invention.
• Mucosal adjuvants include but are not limited to CpG nucleic acids (e.g.
• CTB CT B subunit
• CTD53 Val to Asp
• CTK97 Val to Lys
• CTK104 Teyr to Lys
• CTD53/K63 Val to Asp, Ser to Lys
• CTH54 Arg to His
• CTN107 His to Asn
• CTE114 Ser to Glu
• CTE112K Glu to Lys
• the antigenic peptides and adjuvants may be combined in many ways. For example, different peptides may be mixed together first to form a mixture and then complexed with an adjuvant or adjuvants to form a composition. As another example, different antigenic peptides may be complexed individually with an adjuvant or adjuvants, and the resulting batches of peptide-adjuvant complexes may then be mixed to form a composition.
• the adjuvant can be administered prior to, during, or following administration of the antigenic peptides. Administration of the adjuvant and antigenic peptides can be at the same or different administration sites.
• the antigenic peptides of the invention are complexed with heat shock proteins as described in Section 5.3.
• Antigenic peptide-HSP complexes can be covalent or non-covalent; methods of forming such complexes is described in Section 5.3.2. infra.
• additional adjuvant(s) can be added to the composition comprising the complexes of peptides and first adjuvant and administered as a single composition.
• the additional adjuvants can be co-administered in combination with the complexes of peptides and first adjuvant.
• Preferred examples of such additional adjuvants include saponins, and immunostimulatory nucleic acids.
• the second adjuvant added to the composition comprising HSPs and the antigenic peptides is QS-21.
• the invention encompasses pharmaceutical compositions comprising the antigenic peptides of the present invention either by itself as the active ingredient or in combination with one or more adjuvants, for the prevention and treatment of HSV-1 and HSV-2.
• the invention encompasses pharmaceutical compositions comprising the antigenic peptides of the invention mixed or complexed with HSPs.
• the pharmaceutical compositions are prepared using Phosphate Buffered Saline (PBS).
• PBS Phosphate Buffered Saline
• the vaccine formulation of the invention may be prepared by any method that results in a stable, sterile, preferably injectable formulation.
• the concentration of the peptides used in the pharmaceutical compositions of the invention may be at least 10% weight by volume (w/v), at least 15% (w/v), at least 20% (w/v), at least 25% (w/v), or at least 30% (w/v).
• the combined concentration of the peptides and adjuvants used in the pharmaceutical compositions of the invention may be at least 10% (w/v), at least 15% (w/v), at least 20% (w/v), at least 25% (w/v), or at least 30% (w/v).
• the concentration at which the efficacy of a vaccine formulation of the invention is enhanced can be determined using standard methods known to one skilled in the art, e.g., determined by the antibody or T-cell response to the peptide-adjuvant mixture or complex relative to a control formulation, e.g., a formulation comprising the peptide or adjuvant alone.
• a control formulation e.g., a formulation comprising the peptide or adjuvant alone.
• the amount of antigenic peptides and adjuvants used in the pharmaceutical compositions of the invention may vary depending on the chemical nature and the potency of the antigenic peptides and adjuvants.
• the starting concentration of antigenic peptides and adjuvants in the vaccine formulation of the invention is the amount that is conventionally used for eliciting the desired immune response, using the conventional routes of administration, e.g., intramuscular injection.
• concentration of the antigenic peptides and adjuvants is then adjusted, e.g., by dilution using a diluent, in the pharmaceutical compositions of the invention so that an effective protective immune response is achieved as assessed using standard methods known in the art and described herein.
• Pharmaceutical compositions of the invention can be optionally prepared as lyophilized product, which may then be formulated for oral administration or reconstituted to a liquid form for parenteral administration.
• compositions of the invention can additionally be formulated to contain other agents including bulking agents, stabilizing agents, buffering agents, sodium chloride, calcium salts, surfectants, antioxidants, chelating agents, other excipients, and combinations thereof.
• Bulking agents are preferred in the preparation of lyophilized formulations of the vaccine composition.
• Such bulking agents form the crystalline portion of the lyophilized product and may be selected from the group consisting of mannitol, glycine, alanine, and hydroxyethyl starch (HES).
• Mannitol, glycine, or alanine are preferably present in an amount of 4-10%, and HES is preferably present in an amount of 2-6%.
• Stabilizing agents may be selected from the group consisting of sucrose, trehalose, raffinose, and arginine. These agents are preferably present in amounts between 1- 4%.
• Sodium chloride can be included in the present formulations preferably in an amount of 100-300 mM, or if used without the aforementioned bulking agents, can be included in the formulations in an amount of between 300-500 mM NaCl.
• Calcium salts include calcium chloride, calcium gluconate, calcium glubionate, or calcium gluceptate.
• Buffering agents can be any physiologically acceptable chemical entity or combination of chemical entities which have a capacity to act as buffers, including but not limited to histidine, TRIS [tris-(hydroxymethyl)-aminornethane], BIS-Tris Propane (1,3-bis- [tris-(hydroxymethyl)methylamino] -propane), PIPES [piperazine-N,N'-bis-(2-ethanesulfonic acid)], MOPS [3-(N-morpholino) ethanesulfonic acid], HEPES (N-2-hydroxyethyl- piperazine-N'-2-ethanesulfonic acid), MES [2-(N-morpholino) ethanesulfonic acid], and ACES (N-2-acetamido-2-aminoethanesulfonic acid).
• the buffering agent is included in a concentration of 10-50 mM.
• Surfectants if present, are preferably in a concentration of 0.1% or less, and may be chosen from the group including but not limited to polysorbate 20, polysorbate 80, pluronic polyols, and BRET 35 (polyoxyethylene 23 laurel ether).
• Antioxidants if used, must be compatible for use with a pharmaceutical preparation, and are preferably water soluble.
• Suitable antioxidants include homocysteine, glutathione, lipoic acid, 6-hydroxy-2,5,7,8-tetramethylchroman-2-carboxylic acid (Trolox), methionine, sodium thiosulfate, platinum, glycine-glycine-histidine (tripeptide), and butylatedhydroxytoluene (BHT).
• Chelating agents should preferably bind metals such as copper and iron with greater affinity than calcium, if a calcium salt is being used in the composition.
• a preferred chelator is deferoxamine.
• Many formulations known in the art can be used in the present invention. For example, U.S. Pat. No.
• 5,763,401 describes a therapeutic formulation, comprising 15-60 mM sucrose, up to 50 mM NaCl, up to 5 mM calcium chloride, 65-400 mM glycine, and up to 50 mM histidine.
• the following specific formulations were identified as being stable: (1) 150 mM NaCl, 2.5 mM calcium chloride, and 165 mM mannitol; and (2) 1% sucrose, 30 mM sodium chloride, 2.5 mM calcium chloride, 20 mM histidine, and 290 mM glycine.
• U.S. Pat. No. 5,733,873 discloses formulations which include between 0.01-1 mg/ml of a surfactant.
• This patent discloses formulations having the following ranges of excipients: polysorbate 20 or 80 in an amount of at least 0.01 mg/ml, preferably 0.02-1.0 mg/ml; at least 0.1 M NaCl; at least 0.5 mM calcium salt; and at least 1 mM histidine.
• the following specific formulations are also disclosed: (1) 14.7-50-65 mM histidine, 0.31-0.6 M NaCl, 4 mM calcium chloride, 0.001-0.02-0.025% polysorbate 80, with or without 0.1% PEG 4000 or 19.9 mM sucrose; and (2) 20 mg/ml mannitol, 2.67 mg/ml histidine, 18 mg/ml NaCl, 3.7 mM calcium chloride, and 0.23 mg/ml polysorbate 80.
• the use of low or high concentrations of sodium chloride has been described, for example U.S. Pat. No.
• 4,877,608 teaches formulations with relatively low concentrations of sodium chloride, such as formulations comprising 0.5 mM-15 mM NaCl, 5 mM calcium chloride, 0.2 mM-5 mM histidine, 0.01-10 mM lysine hydrochloride and up to 10% maltose, 10% sucrose, or 5% mannitol.
• U.S. Pat. No. 5,605,884 teaches the use of formulations with relatively high concentrations of sodium chloride. These formulations include 0.35 M-1.2 M NaCl, 1.5-40 mM calcium chloride, 1 mM-50 mM histidine, and up to 10% sugar such as mannitol, sucrose, or maltose.
• a formulation comprising 0.45 M NaCl, 2.3 mM calcium chloride, and 1.4 mM histidine is exemplified.
• International Patent Application WO 96/22107 describes formulations which include the sugar trehalose, for example formulations comprising: (1) 0.1 M NaCl, 15 mM calcium chloride, 15 mM histidine, and 1.27 M (48%) trehalose; or (2) 0.011% calcium chloride, 0.12% histidine, 0.002% TRIS, 0.002% Tween 80, 0.004% PEG 3350, 7.5% trehalose; and either 0.13% or 1.03% NaCl.
• 5,328,694 describes a formulation which includes 100-650 mM disaccharide and 100 mM-1.0 M amino acid, for example (1) 0.9 M sucrose, 0.25 M glycine, 0.25 M lysine, and 3 mM calcium chloride; and (2) 0.7 M sucrose, 0.5 M glycine, and 5 mM calcium chloride.
• Heat shock proteins which are also referred to interchangeably herein as stress proteins, useful in the practice of the instant invention can be selected from among any cellular protein that satisfies the following criteria. Stress proteins are capable of binding other proteins or peptides, capable of releasing the bound proteins or peptides in the presence of adenosine triphosphate (ATP) or under acidic conditions; and show at least 35% homology with any protein having the above properties. Preferably, the intracellular concentration of such protein increases when a cell is exposed to a stressful stimulus.
• ATP adenosine triphosphate
• HSP60, HSP70, HSP90, HSP100, sHSPs, and PDI families also include proteins that are related to stress-induced HSPs in sequence similarity, for example, having greater than 35% amino acid identity, but whose expression levels are not altered by stress. Therefore it is contemplated that the definition of stress protein or heat shock protein (HSP) embraces other proteins, mutants, analogs, and variants thereof having at least 35% to 55%, preferably 55% to 75%, and most preferably 75% to 85% amino acid identity with members of these families whose expression levels in a cell are enhanced in response to a stressful stimulus.
• stress protein or heat shock protein HSP
• an endoplasmic reticulum resident protein has also been identified as yet another heat shock protein useful for eliciting an immune response when complexed to antigenic molecules (Basu and Srivastava, 1999, J. Exp. Med. 189:797-202).
• Other stress proteins that can be used in the invention include but are not limited to grp78 (or BiP), protein disulfide isomerase (PDI), hspllO, and grpl70 ( et al, 1993, Mol. Biol. Cell, 4:1109-1119; Wang et al, 2001, J. Immunol., 165:490-497).
• HSPs/stress proteins belonging to all of these families can be used in the practice of the instant invention.
• the major HSPs can accumulate to very high levels in stressed cells, but they occur at low to moderate levels in cells that have not been stressed.
• the highly inducible mammalian hsp70 is hardly detectable at normal temperatures but becomes one of the most actively synthesized proteins in the cell upon heat shock (Welch, et al, 1985, /. Cell. Biol. 101:1198-1211).
• hsp90 and hsp60 proteins are abundant at normal temperatures in most, but not all, mammalian cells and are further induced by heat (Lai, et al, 1984, Mol. Cell. Biol. 4:2802-10; van Bergen en Henegouwen, et al., 1987, Genes Dev.
• nucleotide sequences encoding heat shock protein within a family or variants of a heat shock protein can be identified and obtained by hybridization with a probe comprising nucleotide sequence encoding an HSP under conditions of low to medium stringency.
• procedures using such conditions of low stringency are as follows (see also Shilo and Weinberg, 1981, Proc. Natl. Acad. Sci. USA 78:6789-6792).
• Filters containing DNA are pretreated for 6 h at 4O°C in a solution containing 35% formamide, 5X SSC, 50 mM Tris-HCl (pH 7.5), 5 mM EDTA, 0.1% PVP, 0.1% Ficoll, 1% BSA, and 500 ⁇ g/ml denatured salmon sperm DNA.
• Hybridizations are carried out in the same solution with the following modifications: 0.02*% PVP, 0.02% Ficoll, 0.2% BSA, 100 ⁇ g/ml salmon sperm DNA, 10% (wt vol) dextran sulfate.
• Filters are incubated in hybridization mixture for 18-20 h at 40°C, and then washed for 1.5 h at 55°C in a solution containing 2X SSC, 25 mM Tris-HCl (pH 7.4), 5 mM EDTA, and 0.1% SDS. The wash solution is replaced with fresh solution and incubated an additional 1.5 h at 60°C. Filters are blotted dry and exposed for signal detection. If necessary, filters are washed for a third time at 65-68°C before signal detection. Other conditions of low stringency which may be used are well known in the art (e.g., as employed for cross-species hybridizations).
• HSP peptide-binding fragments of HSPs and functionally active derivatives, analogs, and variants of HSPs can also be used.
• HSP peptide-binding fragment is used to refer to a polypeptide that comprises a domain that is capable of becoming noncovalently associated with a peptide to form a complex and eliciting an immune response, but that is not a full-length HSP.
• variant of HSPs refers to a polypeptide that is capable of becoming noncovalently associated with a peptide to form a complex and eliciting an immune response, but that shares a high degree of sequence similarity with a HSP.
• the sequences are aligned for optimal comparison purposes (e.g., gaps can be introduced in the sequence of a first amino acid or nucleic acid sequence for optimal alignment with a second amino or nucleic acid sequence).
• the amino acid residues or nucleotides at corresponding amino acid positions or nucleotide positions are then compared. When a position in the first sequence is occupied by the same amino acid residue or nucleotide as the corresponding position in the second sequence, then the molecules are identical at that position.
• the two sequences are the same length.
• the determination of percent identity between two sequences can also be accomplished using a mathematical algorithm.
• a preferred, non-limiting example of a mathematical algorithm utilized for the comparison of two sequences is the algorithm of Karlin and Altschul, 1990, Proc. Natl. Acad. Sci. USA 87:2264-2268, modified as in Karlin and Altschul, 1993, Proc. Natl. Acad. Sci. USA 90:5873-5877. Such an algorithm is incorporated into the NBLAST and XBLAST programs of Altschul, et al, 1990, J. Mol. Biol. 215:403-410.
• Gapped BLAST can be utilized as described in Altschul et al, 1997, Nucleic Acids Res.25:3389-3402.
• PSI-Blast can be used to perform an iterated search which detects distant relationships between molecules (Altschul et al, 1997, supra).
• BLAST Gapped BLAST
• PSI-Blast programs the default parameters of the respective programs (e.g., XBLAST and NBLAST) can be used (see http://www.ncbi.nlm.nih.gov).
• Another preferred, non-limiting example of a mathematical algorithm utilized for the comparison of sequences is the algorithm of Myers and Miller, 1988, CABIOS 4:11-17. Such an algorithm is inco ⁇ orated into the ALIGN program (version 2.0) which is part of the GCG sequence alignment software package.
• ALIGN program version 2.0
• the percent identity between two sequences can be determined using techniques similar to those described above, with or without allowing gaps. In calculating percent identity, typically only exact matches are counted.
• hsp70 and hsc70 peptide-binding domain derivatives and analogs can be designed. By computer modeling the three dimensional structure of the Hsp70 peptide-binding site, variants of members of the hsp70 family including hsc70 variants can be designed in which amino acid residues not involved in peptide binding or structurally important determinants may be substituted for the wild-type residues.
• an HSP peptide-binding fragment of the invention comprises a peptide-binding domain that is contiguous on its N-terminal side with a variable number of amino acids that naturally flank the peptide-binding domain on the N-terminal side and that is contiguous on the C-terminal side with a variable number of amino acids that naturally flank the peptide-binding domain on the C-terminal side, See for example, the peptide-binding fragments of HSPs disclosed in United States patent publication US 2001/0034042, which is incorporated herein by reference in its entirety. Amino acid sequences and nucleotide sequences of naturally occurring HSPs are generally available in sequence databases, such as GenBank.
• Computer programs such as Entrez can be used to browse the database, and retrieve any amino acid sequence and genetic sequence data of interest by accession number. These databases can also be searched to identify sequences with various degrees of similarities to a query sequence using programs, such as FASTA and BLAST, which rank the similar sequences by alignment scores and statistics.
• Such nucleotide sequences of non-limiting examples of HSPs that can be used for preparation of the HSP peptide-binding fragments of the invention are as follows: human Hsp70, Genbank Accession No. NM_005345, Sargent et al, 1989, Proc. Natl. Acad. Sci. U.S.A., 86:1968-1972; human Hsc70: Genbank Accession Nos.
• HSP nucleic acid sequence refers not only to the naturally occurring nucleotide sequence but also encompasses all the other degenerate DNA sequences that encode the HSP.
• the HSPs in the pharmaceutical preparations of the invention can be prepared by purification from tissues, or by recombinant DNA techniques. HSPs can be purified from tissues in the presence of ATP or under acidic conditions (pH 1 to pH 6.9), for subsequent in vitro complexing to one or more antigenic peptides. See Peng, et al., 1997, J. Immunol. Methods, 204:13-21; Li and Srivastava, 1993, EMBO J. 12:3143-3151, which are incorporated herein by reference in their activities. Purified heat shock proteins are substantially free of materials that are associated with the proteins in a cell, in a cell extract, in a cell culture medium, or in an individual.
• the recombinant host cells may contain one or more copies of a nucleic acid sequence comprising a sequence that encodes an HSP or a peptide-binding fragment, operably associated with regulatory region(s) that drives the expression of the HSP nucleic acid sequence in the host cell.
• Recombinant DNA techniques can be readily utilized to generate recombinant HSP genes or fragments of HSP genes, and standard techniques can be used to express such HSP gene fragments.
• Any nucleic acid sequence encoding an HSP peptide-binding domain, including cDNA and genomic DNA, can be used to prepare the HSPs or peptide-binding fragments of the invention.
• An HSP gene fragment containing the peptide-binding domain can be inserted into an appropriate cloning vector and introduced into host cells so that many copies of the gene sequence are generated.
• vector-host systems known in the art may be used such as, but not limited to, bacteriophages such as lambda derivatives, or plasmids such as pBR322, pUC plasmid derivatives, the Bluescript vectors (Stratagene) or the pET series of vectors (Novagen).
• HSPs or peptide-binding fragments may be expressed as fusion proteins to facilitate recovery and purification from the cells in which they are expressed.
• the HSP or fragment may contain a signal sequence leader peptide to direct its translocation across the endoplasmic reticulum membrane for secretion into culture medium.
• the HSP or fragment may contain an affinity label, such as a affinity label, fused to any portion of the HSP or fragment not involved in binding antigenic peptide, such as for example, the carboxyl terminal.
• the affinity label can be used to facilitate purification of the protein, by binding to an affinity partner molecule.
• affinity labels known in the art may be used, such as, but not limited to, the immunoglobulin constant regions, polyhistidine sequence (Petty, 1996, Metal-chelate affinity chromatography, in Current Protocols in Molecular Biology, Vol. 2, Ed. Ausubel et al, Greene Publish. Assoc. & Wiley Interscience), glutathione S-transferase (GST; Smith, 1993, Methods Mol. Cell Bio. 4:220- 229), the E. coli maltose binding protein (Guan et al, 1987, Gene 67:21-30), and various cellulose binding domains (U.S. Patent Nos.
• HSPs or fragments can be assayed for antigenic peptide binding activity (see for example, Klappa et /.,1998, EMBO J., 17:927-935) for their ability to elicit an immune response. It is preferred that the recombinant HSP produced in the host cell or library cell is of the same species as the intended recipient of the imniunogenic composition. Recombinant human HSP is most preferred.
• the HSP isolated from tissue is a mixture of different HSPs, for example, hsp70 and hsc70.
• the HSPs used were either hsp70 isolated from murine tissue or recombinant human hsc70.
• the pharmaceutical compositions comprise purified human hsc70 produced by recombinant DNA methods, for example using human hsc70 sequence as described in Dworniczak and Mirault, Nucleic Acids Res. 15:5181-5197 (1987) and Genbank accession no. P11142 and/or Y00371.
• the complexing reaction can result in the formation of a covalent bond between a HSP and a peptide.
• the complexing reaction results in the formation of a non-covalent association between a HSP and a peptide.
• the complexes formed in vitro are optionally purified. Purified complexes of heat shock proteins and antigenic peptides are substantially free of materials that are associated with such complexes in a cell, or in a cell extract.
• purified heat shock proteins and purified antigenic peptides are used in an in vitro complexing reaction
• the term "purified" complexes of heat shock proteins and antigenic peptides do not exclude a composition that also comprises free HSP and peptides not in complexes.
• HSPs Prior to complexing, HSPs can be pretreated with ATP or exposed to acidic conditions to remove any peptides that may be non-covalently associated with the HSP of interest.
• Acidic conditions are any pH levels in the range pH 1 to pH 6.9, including the ranges pH 1- pH 2, pH 2-pH 3, pH 3-pH 4, pH 4-pH 5, pH 5- pH 6, and pH 6- pH 6.9.
• the molar ratio of each or all antigenic peptides to HSP can be any ratio from .01:1 to 102:1, including but not limited to 0.01:1, 0.02:1, 0.05:1. 0.1:1. 0.2:1, 0.5:1, 1:1, 2:1, 3:1, 5:1, 10:1, 20:1, 30:1, 40:1, 49:1, up to 102:1.
• a preferred, exemplary protocol for the noncovalent complexing of a population of peptides to an HSP in vitro is discussed below:
• the population of antigenic peptides (1 ⁇ g) and the pretreated HSP (9 ⁇ g) are admixed to give an approximately 5 peptides (or proteins) : 1 HSP molar ratio.
• the population of antigenic peptides can comprise a mixture of the different antigenic peptide species of the invention.
• the mixture is incubated for 15 minutes to 3 hours at 4° to 50°C in a suitable binding buffer such as phosphate buffered saline pH7.4, or one containing 20mM sodium phosphate, pH 7.2, 350mM NaCl, 3mM MgCl 2 and ImM phenyl methyl sulfonyl fluoride (PMSF).
• a suitable binding buffer such as phosphate buffered saline pH7.4, or one containing 20mM sodium phosphate, pH 7.2, 350mM NaCl, 3mM MgCl 2 and ImM phenyl methyl sulfonyl fluoride (PMSF).
• the preparations are then optionally purified by centrifugation through a Centricon 10 assembly (Millipore) to remove any unbound peptide.
• the noncovalent association of the proteins/peptides with the HSPs can be assayed by High Performance Liquid Chromatography (HPLC) or Mass Spect
• hsp70 in an alternative embodiment of the invention, preferred for producing noncovalent complexes of hsp70 to peptides, 5 to 10 micrograms of purified hsp70 is incubated with equimolar quantities of peptides in 20mM sodium phosphate buffer pH 7.5, 0.5M NTaCl, 3mM MgCl 2 and ImM ADP in a volume of 100 microliter at 37°C for 1 hr.
• This incubation mixture can optionally be centrifuged one or more times if necessary, through a Centricon 10 assembly (Millipore) to remove any unbound peptide.
• gp96 orhsp90 preferred for producing noncovalent complexes of gp96 orhsp90 to peptides
• 5 to 10 micrograms of purified gp96 or hsp90 is incubated with equimolar or excess quantities of the peptides in a suitable buffer such as one containing 20mM sodium phosphate buffer pH 7.5, 0.5M NaCl, 3mM MgCl 2 at 60-65 °C for 5 to 20 min.
• a suitable buffer such as one containing 20mM sodium phosphate buffer pH 7.5, 0.5M NaCl, 3mM MgCl 2 at 60-65 °C for 5 to 20 min.
• This incubation mixture is allowed to cool to room temperature and can be optionally centrifuged one or more times if necessary, through a Centricon 10 assembly (Millipore) to remove any unbound peptide.
• immunogenic HSP complexes can optionally be assayed using, for example, the mixed lymphocyte target cell assay (MLTC) described below.
• the complexes are measured by enzyme-linked immunospot (ELISPOT) assay (Taguchi T, et al, J Immunol Methods 1990; 128: 65-73).
• ELISPOT enzyme-linked immunospot
• HSP-peptide complexes Once HSP-peptide complexes have been isolated and diluted, they can be optionally characterized further in animal models using the preferred administration protocols and excipients discussed below.
• the antigenic peptides can be covalently attached to HSPs.
• HSPs are covalently coupled to peptides by chemical crosslinking.
• Chemical crosslinking methods are well known in the art.
• glutaraldehyde crosslinking may be used. Glutaradehyde crosslinking has been used for formation of covalent complexes of peptides and HSPs (see Barrios et al, 1992, Eur. J. Immunol. 22: 1365-1372).
• 1-2 mg of HSP-peptide complex is crosslinked in the presence of 0.002% glutaraldehyde for 2 hours.
• Glutaraldehyde is removed by dialysis against phosphate buffered saline (PBS) overnight (Lussow et al, 1991, Eur. J. Immunol. 21: 2297-2302).
• PBS phosphate buffered saline
• a HSP and peptides can be crosslinked by ultraviolet (UV) crosslinking under conditions known in the art.
• UV ultraviolet
• Complexes of HSP and antigenic peptides from separate covalent and/or noncovalent complexing reactions can optionally be combined to form a composition before administration to a subject.
• one HSP is complexed to 49 of the antigenic peptides of the invention.
• each antigenic peptide in the plurality of antigenic peptides complexed to HSP does not contain herpesvirus arnino acid sequences contiguous with that of each of the respective herpesvirus peptide.
• the plurality of antigenic peptides complexed to HSP do not include antigenic peptides comprising epitope(s) of HS V2 proteins other than those comprising the amino acid sequence of SEQ ID NO: 1 to 49, respectively.
• the plurality of complexes of heat shock proteins and antigenic peptides are not obtained or purified from a cell.
• At least 10%, 20%, 30%, 40%, 50%, 60%, 70%, 8O%, 90%, or 95% of the antigenic peptides in the complexes are the different herpesvirus peptides selected from the group consisting of SEQ ID NO: 1 to 102 or SEQ ID NO: 1 to 49.
• hsp70 and/or hsc70 is complexed to the herpesvirus peptides having the amino acid sequences of SEQ ID NOS: 1-49.
• the composition comprises 49 different complexes of a stress protein noncovalently bound to an antigenic peptide, wherein said 49 different complexes each comprise a different antigenic peptide, wherein each one of said different antigenic peptide comprises one or more HLA-binding epitope of one of each herpesvirus peptide consisting of an amino acid sequence selected from the group consisting of SEQ ID NO: 1 to 49.
• the stress protein is human hsc70, and most preferably, the antigenic peptides complexed to hsc70 are the herpesvirus peptides SEQ ID NO: 1 to 49.
• the present invention also provides methods of uses of the compositions of the invention.
• the pharmaceutical compositions comprising antigenic peptides, or antigenic peptides and adjuvants, can be used for treating and/or preventing infections by herpesviruses.
• the compositions can be used to make medicaments and vaccines for use by individuals or subjects in whom treatment or prevention of HSV infection is desired.
• such individual or subject is an animal that can be infected by herpesviruses, preferably a mammal, a non-human primate, and most preferably human.
• animal as used herein includes but is not limited to companion animals, such as cats and dogs; zoo animals; wild animals, including deer, foxes and raccoons; farm animals, livestock and fowl, including horses, cattle, sheep, pigs, turkeys, ducks, and chickens, and laboratory animals, such as rodents, rabbits, and guinea pigs.
• compositions of the invention can be used alone or in combination with other therapies for the treatment of acute or chronic (primary or recurrent) HSV infection.
• Infection by HSV-1 and HSV-2 are associated in many individuals with frequent and/or painful recurrences that manifest themselves as eruptions of the skin or mucous membranes, specifically as oral/labial cold sores (in HSV-1 infection) or genital blisters (in HSV-2 infection).
• Live virus can be shed from these vesicles. Transmission is usually by contact. The virus may migrate to nerve cells where it remains in a resting latent state. Frequency and site of recurrence may vary.
• Reactivation of the viruses and recurrence of the infection and symptoms can be set off by a variety of factors including fever, sun exposure, menstrual period, immunosuppression, stress, or physical contact.
• Initial infection with HSV-1 is characterized by oral sores that last approximately 10-14 days, often accompanied by fever, headache, and body aches.
• Initial infection with HSV-2 is characterized by multiple painful blisters and may be accompanied by fever and a general feeling of illness.
• compositions of the invention at the first signs of HSV infection would have the effects of decreasing the severity and/or length of the symptoms, for example decreasing the numbers of sores, decreasing the pain associated with the sores, decreasing fever and feelings of illness, and/or decreasing the length of time the herpetic sores are present from over a week to a few days or less.
• the pharmaceutical compositions of the invention may be administered when a primary infection is detected, or prior to or during an episode of recurrent infection for the amelioration of symptoms.
• the goals of the therapeutic methods include but are not limited to reducing the severity of disease associated with primary infection; reducing the frequency of reactivation of latent virus; limiting the severity of reactivated disease; and restricting the transmission of virus associated with either primary or reactivated infection.
• Recurrent HSV-1 infection is characterized by oral cold sores and redness and swelling of the area, lasting for about one week.
• Recurrent HSV-2 infection begins with symptoms of tingling, discomfort, itching, or aching of d e genital area, followed several hours to several days later by the appearance of painful blisters that break open, leaving sores. A typical episode of genital herpes lasts for about one week.
• Administration of the pharmaceutical compositions of the invention at the first signs of recurrent HSV infection, preferably at the first signs of discomfort or swelling in the oral or genital area, would produce therapeutic benefits such as decreasing the severity and/or length of the symptoms, for example decreasing the numbers of sores, decreasing the pain associated with the sores, and/or decreasing the length of time the herpetic sores are present from a week to a few days or less.
• administration of a pharmaceutical preparation of the peptides and adjuvants of the invention at the initial signs of herpes-related blister formation would have the effect of reducing or eliminating the formation and eruption of such blisters, thereby reducing or eliminating the discomfort associated with the disease and also reducing viral shedding.
• Administration can begin at the first sign of viral infection or reactivation, followed by boosting doses until at least symptoms are substantially abated and for a period thereafter.
• Treatment of an infected individual with the compositions of the invention may hasten resolution of the infection.
• the compositions are particularly useful in methods for reducing the frequency of such recurrent infection.
• the composition may be administered after such infected individuals have been exposed to factors that are known or suspected to set off a recurrent infection, such as sun exposure or fever.
• the pharmaceutical compositions can also be administered to symptomless individuals who are nevertheless infected by HSV, and are carriers of HSV. Such individuals can be identified by the presence of anti-HSV antibodies in their circulation.
• the pharmaceutical compositions of the invention can also be used for immunization against herpesviruses, particularly HSV-1 and HSV-2.
• Prophylactic administration of a pharmaceutical composition to an individual can confer protection against a future infection by HSV-1 or HSV-2.
• the individual may not show any symptoms of HSV infection, and/or the viruses are inactivated before infecting large number of cells and replicating productively in the immunized individual.
• the methods of preventing a primary infection by HSV can be applied to a population generally or to a selected subpopulation, for example, to prevent spreading of the virus within a population or to control an epidemic.
• the methods are particularly applicable to individuals who are immunosuppressed, immunocompromised or at elevated risk for acquiring HSV, such as healthcare providers, HIV-positive individuals or family members and partners of HS V-infected individuals.
• Combination therapy refers to the use of pharmaceutical compositions of the invention with another modality to prevent or treat the infectious disease.
• the administration of the pharmaceutical compositions of the invention can augment the effect of anti-infectives, and vice versa.
• this additional form of modality is a non-HSP modality, i.e., this modality does not comprise HSP as a component.
• This approach is commonly termed combination therapy, adjunctive therapy or conjunctive therapy (the terms are used interchangeably herein).
• combination therapy additive potency or additive therapeutic effect can be observed. Synergistic outcomes where the therapeutic efficacy is greater than additive can also be expected.
• the use of combination therapy can also provide better therapeutic profiles than the administration of the treatment modality, or the pharmaceutical compositions of the invention alone.
• the combination therapy comprises the administration of pharmaceutical compositions of the invention to a subject treated with a treatment modality wherein the treatment modality administered alone is not clinically adequate to treat the subject such that the subject needs additional effective therapy, e.g., a. subject is unresponsive to a treatment modality without administering the pharmaceutical compositions of the invention.
• methods comprising administering the pharmaceutical compositions of the invention to a subject receiving a treatment modality wherein said subject has responded to therapy yet suffers from side effects, relapse, develops resistance, etc.
• Such a subject might be non-responsive or refractory to treatment with the treatment modality alone, i.e., at least some significant portion of pathogens are not inactivated, or the frequency and/or severity of recurrent infection remains unchanged.
• the embodiments provide that the methods of the invention comprising administration of the pharmaceutical compositions of the invention to a subject refractory to a treatment modality alone can improve the therapeutic effectiveness of the treatment modality when administered as contemplated by the methods of the invention.
• the determination of the effectiveness of a treatment modality can be assayed in vivo or in vitro using methods known in the art.
• the pharmaceutical preparations of the invention are administered in combination with a second treatment modality comprising a different HSV vaccine.
• Such an HSV vaccine can be a subunit vaccine, a DNA vaccine, or a attenuated virus vaccine.
• an infectious disease is refractory or non-responsive where the number of lesions and/or pathogens has not been significantly reduced, or has increased.
• a lesser amount of the second treatment modality is required to produce a therapeutic benefit in a subject.
• a reduction of about 10%, 20%, 30%, 40% and 50% of the amount of second treatment modality can be achieved.
• the amount of second treatment modality to be used with the peptides and adjuvants including amounts in a range that does not produce any observable therapeutic benefits, can be determined by dose-response experiments conducted in animal models by methods well known in the art.
• the pharmaceutical composition is used in combination with a second treatment modality, such as a chemotherapeutic agent.
• a second treatment modality such as a chemotherapeutic agent.
• chemotherapeutic agent a second treatment modality
• a second treatment modality such as a chemotherapeutic agent.
• HSV treatments include the acyclic nucleoside analogs acyclovir, valacyclovir, pencyclovir, and famcyclovir, phosphonate analogs such as cidofovir, and pyrophosphate analogs such as foscamet/phosphonoformic acid. These nucleoside analogs target the viral polymerase.
• Additional HSV therapies include protease inhibitors such as N-acyl analogs of 5-methylthieno[2,3-d]oxazinone; helicase inhibitors such as the 2-amino thiazole compound T157602; ribonucleotide reductase inhibitors such as the compound BILD1633; uracil-DNA glycosylase inhibitors such as 6-(4-octylanilino)-uracil; thymidine kinase inhibitors such as 6-azapyrimidine-2'-deoxynucleosides or N 2 -phenylguanine compounds including 9-(4-hydroxybutyl)-N 2 -phenylguanine; and other viral polymerase inhibitors including enantiomeric nucleosides such as D-cyclohexenyl-G and L- cyclohexenyl-C (reviewed in ViUareal EC, Progress in Drug Research 60:263-307, 2003).
• Concurrent administration of antigenic peptides and adjuvants and a second treatment modality means that the peptides and adjuvants are given at reasonably the same time as the second treatment modality.
• This method provides that the two administrations are performed within a time frame of less than one minute to about five minutes, or up to about sixty minutes from each other, for example, at the same doctor's visit.
• the pharmaceutical compositions of the invention are used in combination with one or more antibodies, including but not limited to polyclonal antibodies, monoclonal antibodies, chimeric antibodies, antibody fragments, single chain antibodies, and the like.
• the antibodies bind herpesvirus particles and/or their components.
• the pharmaceutical compositions of the invention are used in combination with one or more biological response modifiers.
• cytokine is administered to a subject receiving the pharmaceutical compositions of the invention.
• pharmaceutical compositions of the invention are administered to a subject receiving a chemotherapeutic agent such as an antiviral agent, antibody, adjuvant, or biological response modifier, in combination with a cytokine.
• one or more cytokine(s) can be used and are selected from the group consisting of IL-l ⁇ , IL- l ⁇ , IL-2, IL-3, IL-4, IL-5, IL-6, IL-7, IL-8, IL-9, IL-10, IL-11, IL-12, IFN ⁇ , IFN ⁇ , IFN ⁇ , TNF ⁇ , TNF ⁇ , G-CSF, GM-CSF, TGF- ⁇ , IL-15, IL-18, GM-CSF, INF- ⁇ , INF- ⁇ , SLC, endothehal monocyte activating protein-2 (EMAP2), MIP-3 ⁇ , MIP-3 ⁇ , or an MHC gene, such as HLA-B7.
• EMF2 endothehal monocyte activating protein-2
• MIP-3 ⁇ MIP-3 ⁇
• MHC gene such as HLA-B7.
• cytokines include other members of the TNF family, including but not limited to TNF- ⁇ -related apoptosis-inducing ligand (TRAIL), TNF- ⁇ -related activation-induced cytokine (TRANCE), TNF- ⁇ -related weak inducer of apoptosis (TWEAK), CD40 ligand (CD40L), lymphotoxin alpha (LT- ⁇ ), lymphotoxin beta (LT- ⁇ ), OX40 ligand (OX40L), Fas ligand (FasL), CD27 ligand (CD27L), CD30 ligand (CD30L), 41BB ligand (41BBL), APRIL, LIGHT, TL1, TNFSF16, TNFSF17, and AITR-L, or a functional portion thereof.
• TNF- ⁇ -related apoptosis-inducing ligand TRAIL
• TRANCE TNF- ⁇ -related activation-induced cytokine
• TWEAK TNF- ⁇ -related weak induce
• compositions of the invention are administered prior to the treatment modalities.
• pharmaceutical compositions of the invention are used in combination with one or more biological response modifiers which are agonists or antagonists of various ligands, receptors and signal transduction molecules of the immune system.
• the biological response modifiers include but are not limited to agonists of Toll-like receptors (TLR-2, TLR-7, TLR-8 and TLR-9); LPS; agonists of 41BB, OX40, ICOS, and CD40; and antagonists of Fas ligand, PDI, and CTLA-4.
• TLR-2, TLR-7, TLR-8 and TLR-9 LPS
• agonists of 41BB, OX40, ICOS, and CD40 and antagonists of Fas ligand, PDI, and CTLA-4.
• agonists and antagonists can be antibodies, antibody fragments, peptides, peptidomimetic compounds, polysaccharides, and small molecules.
• pharmaceutical compositions of the invention are used in combination with one or more additional adjuvants such as saponins and immunostimulatory nucleic acids.
• the adjuvant in the pharmaceutical composition is a stress protein which is complexed with the antigenic peptides of the invention;
• the additional adjuvant used in combination can be a saponin, such as QS21, and the like, including but not limited to those disclosed in United States Patent No. 5,057,540; 5,273,965; 5,443,829; 5,650,398; 6,231,859; and 6,524,584.
• Many immunostimulatory nucleic acids are oligonucleotides comprising an unmethylated CpG motif, are mitogenic to vertebrate lymphocytes, and are known to enhance the immune response. See Woolridge, et ⁇ /., 1997, Blood 89:2994-2998.
• oligonucleotides are described in International Patent Publication Nos. WO 01/22972, WO 01/51083, WO 98/40100 and WO 99/61056, each of which is incorporated herein in its entirety, as well as United States Patent Nos. 6,207,646, 6,194,388, 6,218,371, 6,239,116, 6,429,199, and 6,406,705, each of which is incorporated herein in its entirety.
• Other kinds of immunostimulatory oligonucleotides such as phosphorothioate oligodeoxynucleotides containing YpG- and CpR-motifs have been described by Kandimalla et al.
• the invention provides pharmaceutical compositions comprising, in a physiologically acceptable carrier, one or more of the antigenic peptides of this invention and an adjuvant such as at least one immunostimulatory oligonucleotide or a saponin (e.g., QS21).
• an adjuvant such as at least one immunostimulatory oligonucleotide or a saponin (e.g., QS21).
• the pharmaceutical composition can comprise hsp70 complexed with one or more antigenic peptides of the invention, combined with QS21.
• the pharmaceutical composition comprises hsp70 complexed with one or more antigenic peptides of the invention, combined with immunostimulatory oligonucleotides.
• the pharmaceutical composition comprises hsp70 complexed with one or more antigenic peptides of the invention, combined with QS21 and immunostimulatory oligonucleotides.
• the dosage of antigenic peptides, and the dosage of any additional treatment modality such as an adjuvant if combination therapy is to be administered depends to a large extent on the weight and general state of health of the subject being treated as well as the amount of vaccine composition administered, the frequency of treatment and the route of administration.
• Amounts effective for this use will also depend on the stage and severity of the disease and the judgment of the prescribing physician, but generally range for the initial immunization (that is, for therapeutic administration) from about 1.0 ⁇ g to about 5000 ⁇ g of antigenic peptide for a 70 kg patient, followed by boosting dosages of from about 1.0 ⁇ g to about 1000 ⁇ g of antigenic peptide pursuant to a boosting regimen over weeks to months depending upon the patient's response and condition by measuring specific CTL activity in the patient's blood.
• Regimens for continuing therapy, including site, dose and frequency may be guided by the initial response and clinical judgment.
• Preferred adjuvants include QS21 and CpG oligonucleotides.
• Preferred dosage ranges for QS21 are 1 ⁇ g to 200 ⁇ g per administration. Most preferred dosages for QS21 are 10, 25, and 50 ⁇ g per administration.
• the amount of HSP in the HSP preparation can range, for example, from 0.1 to 1000 ⁇ g per administration.
• the amount of hsp70- and/or gp96 complexes administered is 0.1, 0.2, 0.5, 1, 2, 5, 10, 20, 30, 40, 50, 60, 70, 80, 90, 100, 200, 250, 300, 400, 500 or 600 micrograms.
• the preferred amounts of gp96 or hsp70 are in the range of 10 to 600 ⁇ g per administration and 0.1 to 100 ⁇ g if the HSP preparation is administered intradermally.
• an amount of hsp70- and/or gp96-antigenic peptide complexes is administered that is in the range of about 0.1 microgram to about 600 micrograms, and preferably about 1 micrograms to about 60 micrograms for a human patient. Preferably, the amount is less than 100 micrograms. Most preferably, the amount of hsp70- and/or gp96 complexes administered is 5 micrograms, 25 micrograms, or 50 micrograms. Preferably, the complexes of HSP and the antigenic peptides are purified. The dosage for hsp-90 peptide complexes in a human patient provided by the present invention is in the range of about 5 to 5,000 micrograms.
• the amount of hsp90 complexes administered is 5, 10, 20, 25, 50, 60, 70, 80, 90, 100, 200, 250, 500, 1000, 2000, 2500, or 5000 microgram, the most preferred dosage being 100 microgram.
• the preferred amounts are about 5 to 50 ⁇ g per administration.
• a dosage substantially equivalent to that seen to be effective in smaller non-human animals e.g., mice or guinea pigs
• is effective for human administration optionally subject to a correction factor not exceeding a fifty fold increase, based on the relative lymph node sizes in such mammals and in humans.
• interspecies dose-response equivalence for stress proteins (or HSPs) noncovalently bound to or mixed with antigenic molecules for a human dose is estimated as the product of the therapeutic dosage observed in mice and a single scaling ratio, not exceeding a fifty fold increase.
• the present invention provides dosages of the complexes of antigenic peptides, optionally combined with adjuvants, that are much smaller than the dosages estimated by extrapolation.
• an amount of Hsp70-antigenic peptide complexes and/or gp96-antigenic peptide complexes is administered that is, preferably, in the range of about 2 microgram to about 150 micrograms for a human patient, the preferred human dosage being the same as used in a 25g mouse.
• the dosage for hsp-90 peptide complexes in a human patient provided by the present invention is, preferably, in the range of about 10 to 1,000 micrograms, the preferred dosage being 20 micrograms.
• the doses recited above can be given once or repeatedly, such as daily, every other day, weekly, biweekly, or monthly, for a period up to a year or over a year.
• Doses are preferably given once weekly for a period of about 4-6 weeks, and the mode or site of administration is preferably varied with each administration.
• subcutaneous administrations are given, with each site of administration varied sequentially.
• the first injection may be given subcutaneously on the left arm, the second on the right arm, the third on the left belly, the fourth on the right belly, the fifth on the left thigh, the sixth on the right thigh, etc.
• the same site may be repeated after a gap of one or more injections.
• split injections may be given.
• half the dose may be given in one site and the other half on an other site on the same day.
• the mode of administration is sequentially varied, e.g., weekly injections are given in sequence subcutaneously, intradermally, intramuscularly, intravenously or intraperitoneally. After 4-6 weeks, further injections are preferably given at two- week intervals over a period of time of one month. Later injections may be given monthly. The pace of later injections may be modified, depending upon the patient's clinical progress and responsiveness to the immunotherapy.
• the pharmaceutical composition is administered to a subject at reasonably the same time as an additional treatment modality or modalities. This method provides that the two administrations are performed within a time frame of less than one minute to about five minutes, or up to about sixty minutes from each other, for example, at the same doctor's visit.
• the complexes of antigenic peptides and adjuvants and an additional treatment modality or modalities are administered at exactly the same time.
• the complexes of antigenic peptides and adjuvants and an additional treatment modality or modalities are administered in a sequence and within a time interval such that the complexes of the invention and the additional treatment modality or modalities can act together to provide an increased benefit than if they were administered alone.
• the complexes of the invention and an additional treatment modality or modalities are administered sufficiently close in time so as to provide the desired therapeutic or prophylactic outcome. Each can be administered simultaneously or separately, in any appropriate form and by any suitable route.
• the complexes of the invention and the additional treatment modality or modalities are administered by different routes of administration. In an alternate embodiment, each is administered by the same route of administration.
• the complexes of the invention can be administered at the same or different sites, e.g. arm and leg. When administered simultaneously, the complexes of the invention and an additional treatment modality or modalities may or may not be administered in admixture or at the same site of administration by the same route of administration.
• the complexes of the invention and an additional treatment modality or modalities are administered less than 1 hour apart, at about 1 hour apart, 1 hour to 2 hours apart, 2 hours to 3 hours apart, 3 hours to 4 hours apart, 4 hours to 5 hours apart, 5 hours to 6 hours apart, 6 hours to 7 hours apart, 7 hours to 8 hours apart, 8 hours to 9 hours apart, 9 hours to 10 hours apart, 10 hours to 11 hours apart, 11 hours to 12 hours apart, no more than 24 hours apart or no more than 48 hours apart.
• the complexes of the invention and vaccine composition are administered 2 to 4 days apart, 4 to 6 days apart, 1 week a part, 1 to 2 weeks apart, 2 to 4 weeks apart, one month apart, 1 to 2 months apart, or 2 or more months apart.
• the complexes of the invention and an additional treatment modality or modalities are administered in a time frame where both are still active.
• One skilled in the art would be able to determine such a time frame by determining the half life of each administered component.
• the complexes of the invention and an additional treatment modality or modalities are administered within the same patient visit.
• the complexes of the invention is administered prior to the administration of an additional treatment modality or modalities.
• the complexes of the invention is administered subsequent to the administration of an additional treatment modality or modalities.
• the complexes of the invention and an additional treatment modality or modalities are cyclically administered to a subject.
• Cycling therapy involves the administration of the complexes of the invention for a period of time, followed by the administration of a modality for a period of time and repeating this sequential administration. Cycling therapy can reduce the development of resistance to one or more of the therapies, avoid or reduce the side effects of one of the therapies, and/or improve the efficacy of the treatment.
• the invention contemplates the alternating administration of a complexes of the invention followed by the administration of a modality 4 to 6 days later, preferable 2 to 4 days, later, more preferably 1 to 2 days later, wherein such a cycle may be repeated as many times as desired.
• the complexes of the invention and the modality are alternately administered in a cycle of less than 3 weeks, once every two weeks, once every 10 days or once every week.
• complexes of the invention is administered to a subject within a time frame of one hour to twenty four hours after the administration of a modality. The time frame can be extended further to a few days or more if a slow- or continuous-release type of modality delivery system is used.
• antigenic peptides and adjuvants may be administered using any desired route of administration.
• Non-mucosal routes of administration include, but are not limited to, intradermal and topical administration.
• Mucosal routes of administration include, but are not limited to, oral, rectal and nasal administration.
• Advantages of intradermal administration include use of lower doses and rapid absorption, respectively.
• Advantages of subcutaneous or intramuscular administration include suitability for some insoluble suspensions and oily suspensions, respectively. Preparations for mucosal administrations are suitable in various formulations as described below.
• compositions described above include but are not limited to oral, intradermal, intramuscular, intraperitoneal, intravenous, subcutaneous, and intranasal routes.
• Solubility and the site of the administration are factors which should be considered when choosing the route of administration of the antigenic peptides and adjuvants of the invention.
• the mode of administration can be varied, including, but not limited to, e.g., subcutaneously, intravenously, intraperitoneally, intramuscularly, intradermally or mucosally.
• Mucosal routes can further take the form of oral, rectal and nasal administration.
• the antigenic peptides and adjuvants are water-soluble, then it may be formulated in an appropriate buffer, for example, phosphate buffered saline or other physiologically compatible solutions, preferably sterile. Alternatively, if the resulting complex has poor solubility in aqueous solvents, then it may be formulated with a non-ionic surfactant such as Tween, or polyethylene glycol.
• a non-ionic surfactant such as Tween, or polyethylene glycol.
• the compounds and their physiologically acceptable solvates may be formulated for administration by inhalation or insufflation (either through the mouth or the nose) or oral, buccal, parenteral, or rectal administration.
• the pharmaceutical preparation may be in liquid form, for example, solutions, syrups or suspensions, or may be presented as a drug product for reconstitution with water or other suitable vehicle before use.
• a liquid preparation may be prepared by conventional means with pharmaceutically acceptable additives such as suspending agents (e.g., sorbitol syrup, cellulose derivatives or hydrogenated edible fats); emulsifying agents (e.g., lecithin or acacia); non-aqueous vehicles (e.g., almond oil, oily esters, or fractionated vegetable oils); and preservatives (e.g., methyl or propyl-p- hydroxybenzoates or sorbic acid).
• suspending agents e.g., sorbitol syrup, cellulose derivatives or hydrogenated edible fats
• emulsifying agents e.g., lecithin or acacia
• non-aqueous vehicles e.g., almond oil, oily esters, or fractionated vegetable oils
• preservatives e.
• the pharmaceutical preparation may take the form of, for example, tablets or capsules prepared by conventional means with pharmaceutically acceptable excipients such as binding agents (e.g., pregelatinized maize starch, polyvinyl pyrrolidone or hydroxypropyl methylcellulose); fillers (e.g., lactose, microcrystalline cellulose or calcium hydrogen phosphate); lubricants (e.g., magnesium stearate, talc or silica); disintegrants (e.g., potato starch or sodium starch glycolate); or wetting agents (e.g., sodium lauryl sulphate).
• binding agents e.g., pregelatinized maize starch, polyvinyl pyrrolidone or hydroxypropyl methylcellulose
• fillers e.g., lactose, microcrystalline cellulose or calcium hydrogen phosphate
• lubricants e.g., magnesium stearate, talc or silica
• disintegrants e.g., potato star
• the antigenic peptides and adjuvants for oral administration may be suitably formulated to be released in a controlled and/or timed manner.
• the preparation of antigenic peptides and adjuvants may take the form of tablets or lozenges formulated in conventional manner.
• the preparation may be formulated for parenteral administration by injection, e.g., by bolus injection or continuous infusion.
• Formulations for injection may be presented in unit dosage form, e.g., in ampoules or in multi-dose containers, with an added preservative.
• the preparation may take such forms as suspensions, solutions or emulsions in oily or aqueous vehicles, and may contain formulatory agents such as suspending, stabilizing and/or dispersing agents.
• the active ingredient may be in powder form for constitution with a suitable vehicle, e.g., sterile pyrogen-free water, before use.
• a suitable vehicle e.g., sterile pyrogen-free water
• the preparation may also be formulated in a rectal preparation such as a suppository or retention enema, e.g., containing conventional suppository bases such as cocoa butter or other glycerides.
• the preparation may also be formulated as a depot preparation. Such long acting formulations may be administered by implantation (for example, subcutaneously or intramuscularly) or by intramuscular injection.
• the preparation may be formulated with suitable polymeric or hydrophobic materials (for example, as an emulsion in an acceptable oil) or ion exchange resins, or as sparingly soluble derivatives, for example, as a sparingly soluble salt.
• suitable polymeric or hydrophobic materials for example, as an emulsion in an acceptable oil
• ion exchange resins for example, as an emulsion in an acceptable oil
• sparingly soluble derivatives for example, as a sparingly soluble salt.
• Liposomes and emulsions are well known examples of delivery vehicles or carriers for hydrophilic dmgs.
• the preparation for use according to the present invention are conveniently delivered in the form of an aerosol spray presentation from pressurized packs or a nebulizer, with the use of a suitable propellant, e.g., dichlorodifluoromethane, trichlorofluoromethane, dichlorotetrafluoroethane, carbon dioxide or other suitable gas.
• a suitable propellant e.g., dichlorodifluoromethane, trichlorofluoromethane, dichlorotetrafluoroethane, carbon dioxide or other suitable gas.
• a suitable propellant e.g., dichlorodifluoromethane, trichlorofluoromethane, dichlorotetrafluoroethane, carbon dioxide or other suitable gas.
• a suitable propellant e.g., dichlorodifluoromethane, trichlorofluoromethane, dichlorotetrafluoroethane, carbon dioxide or
• Kits are also provided for carrying out the prophylactic and therapeutic methods of the present invention.
• the kits may optionally be accompanied by instmctions on how to use the various components of the kits.
• a kit comprises a first container containing antigenic peptides of the invention; and a second container containing an adjuvant or adjuvants that, when administered before, concurrently with, or after the administration of the peptides in the first container, is effective to induce an immune response against the antigenic peptides.
• a kit comprises a first container containing antigenic peptides of the invention; a second container containing an adjuvant or adjuvants; and a third container containing a second treatment modality, such as an antiviral agent for oral or topical administration.
• the kit comprises a container containing both the antigenic peptides and adjuvants in one container, and a second container containing a second treatment modality, such as an antiviral agent for oral or topical administration; or an additional adjuvant, such as a saponin, including but not limited to QS21. Additional containers may be present for additional treatment modalities that can be used in combination.
• the antigenic peptides and adjuvants in the container are in the form of complexes, such as HSP-antigenic peptide complexes. More preferably, the antigenic peptides and adjuvants in the container are present in pre-determined amounts effective to treat or prevent HSV infection or an episode of recurrent infection.
• the pharmaceutical compositions can be presented in a pack or dispenser device which may contain one or more unit dosage forms containing the complexes.
• the pack may for example comprise metal or plastic foil, such as a blister pack.
• the pack or dispenser device may be accompanied by instmctions for administration.
• HSV human immunosuppression virus
• animal models for the study of viral latency.
• Such animal models can be used for studies of the efficacy of the pharmaceutical compositions of the invention, or to test, formulate, or determine dosages for various stages of disease progression.
• Murine models of HSV infection have been explored extensively and have yielded a wide array of insights into the mechanisms of antiviral immunity. See Mester JC, Rouse BT, "The mouse model and understanding immunity to herpes simplex vims.”, Rev Infect Dis. 1991 Nov-Dec;13 Suppl ll:S935-45. Rev Infect Dis. 1984 Jan-Feb;6(l):33-50.
• the guinea pig has also been used a model.
• HSV mouse models including: 1) the foot-pad/dorsal root ganglia model; and 2) the mouse eye/trigeminal ganglia model.
• HSV-induced cytopathology can be detected within 4-12 days.
• This explant recovery of HSV from such latently infected spinal ganglia has been an extremely useful and relatively inexpensive means of assaying the presence of viral genomes within the tissue in question.
• a second murine model for HSV-1 and HSV-2 latency involves the infection of the cornea which is followed by vims latency in the trigeminal ganglia.
• latent HSV genomes express LAT in a portion of those neurons maintaining them, and vims can be recovered by co-cultivation of explanted ganglia.
• a number of antigenic peptides of the invention were synthesized by chemical synthesis as described in Section 5.1.1. As seen in Table 2, peptides having amino acid sequences of SEQ ID NOS: 1-49 were successfully synthesized using this method. Peptides synthesized and purified to a purity of greater than 85% by HPLC, and further having peptide identity confirmed by mass spectrometry, were considered to "Pass" these purity and confirmation requirements for synthesis, as indicated in the column heading "Chemical Synthesis” . Table 2 also lists the solubility of these antigenic peptides in water or Dimethyl Sulfoxide (DMSO). Some of the 102 he ⁇ esviras peptides apparently cannot be synthesized efficiently by the method used to yield practical amounts of materials for testing.
• DMSO Dimethyl Sulfoxide
• antigenic peptides of the invention can still be synthesized by recombinant DNA technology using the methods described in Section 5.1.2., or by another different chemical manufacturing method known in the art.
• a turbidity assay was used to assess the solubility of the peptides. Turbidity assays used either a Varian Cary double-beam spectrophotometer, or a Molecular Devices Spectromax absorbance plate reader (for high throughput experiments). The spectrophotometer assay read every 2nm between 340nm and 360nm, and averaged the values. Samples were analyzed in duplicate using a quartz micro-cuvette that holds about 200uL.
• the plate reader assay used a 96-well plate format that read every 4nm between 340nm and 360nm and averaged those values. Samples in this assay were run in triplicate. Prior to administration of the pharmaceutical compositions to animals, water soluble peptides were stored at 2mg/mL, while DMSO soluble peptides were stored at lOmg/mL.
• Human hsc70 was prepared using the methods of recombinant DNA technology. Briefly, the nucleic acid molecules encoding human hsc70 protein (Genbank Accession Y00371) were obtained and subcloned by recombinant DNA methodologies into a suitable bacterial expression vector. The pET-24a(+) expression vector (Novagen) containing the human Hsc70 cDNA (obtained from ATCC , catalog #771252) was transformed into competent E. coli BL21(DE3) strain cells for recombinant protein expression. Mouse HSP-70 was purified by ATP Agarose affinity chromatography.
• the purification process comprised the following steps: (a) homogenization of mouse tissue in Hepes/MgCl buffer; (b) clarification of the homogenate by centrifugation followed by filtration of the supernatant; (c) conditioning of the filtrate with NaCl solution; (d) ATP- affinity chromatography; (e) buffer exchange / de-salting of the ATP-affinity column eluate using dia-filtration procedure; and (f) DEAE-Ion exchange chromatography and elution of the bound HSP-70 with sodium phosphate/ NaCl, pH 7.2 buffer). These hsc70 and hsp70 preparations were then complexed to the antigenic peptides of the invention as follows.
• mHSP70 mouse tissue-derived hsp70
• mHSP70 mouse tissue-derived hsp70
• the HSP-peptide complex was subsequently mixed with 10 ⁇ g QS21 using a stock solution of 10 mg/mL QS21 in PBS. . DETERMINATION OF IMMUNOGENICITY AND EFFICACY OF HSP-PEPTIDE COMPLEXES IN VITRO
• C57BL/6 mice were immunized intradermally on Days 0 and 7 with 100 ⁇ g per dose of pharmaceutical preparation containing (i) complexes of mHSP70 and the 49 HSV-2 peptides (at 1:1 mHSP70:49 peptides molar ratio), (ii) 5.5 ⁇ g of a pool of the 49 peptides alone (equivalent to that in the complex preparation), or (iii) 100 ⁇ g of mHSP70 alone, without (Fig. 1 A) or with (Fig. IB) 10 ⁇ g per dose of QS-21.
• pharmaceutical preparation containing (i) complexes of mHSP70 and the 49 HSV-2 peptides (at 1:1 mHSP70:49 peptides molar ratio), (ii) 5.5 ⁇ g of a pool of the 49 peptides alone (equivalent to that in the complex preparation), or (iii) 100 ⁇ g of mHSP70 alone, without (Fig. 1 A) or with
• mice were euthanized, and their splenocytes were subjected to IFN- ⁇ ELISPOT analysis (Fujihashi et al., /. Immunol. Methods 160:181-189, 1993).
• Shown in Figures 1A and IB are numbers of IFN- ⁇ secreting cells (SFCs) per lxlO 6 bulk splenocytes (pooled from 3 mice) after in vitro restimulation with (i) 10 ⁇ g/ml of the pool of 49 peptides, (ii) 10 ⁇ g/ml of OVA peptide (an irrelevant antigen), or (iii) culture medium only (no antigen) for 40 hours.
• SFCs IFN- ⁇ secreting cells
• splenocytes derived from mice treated with the pharmaceutical composition comprising complexes of hsp70 and the 49 peptides produced approximately 140 SFCs per 10 6 splenocytes.
• Splenocytes derived from mice treated with hsp70 without the 49 peptides produced fewer than 5 SFCs per 10 splenocytes.
• Splenocytes derived from mice treated with the 49 peptides without hsp70 produced less than 60 SFCs per 10 6 splenocytes.
• Splenocytes derived from mice treated with the 49 peptides without hsp70 produced over 250 SFCs per 10 splenocytes.
• ELISPOT immunogenicity
• the pharmaceutical composition was injected intradermally in 100 ⁇ l volume such that each mouse (strain C57BL/6) received 100 ⁇ g hsp70 and 5.5 ⁇ g total peptide pool. The vaccination was repeated 1 week later. Control groups were immunized with (i) peptides alone plus QS21 or (ii) hsp70 alone plus QS21.
• mice were sacrificed and spleens were harvested. lxlO 6 splenocytes were then distributed in each well of a 96 well plate pre-coated with anti- IFN- ⁇ antibody.
• 10 ⁇ g of the 49 peptide pool was added to the wells and the plates were incubated for 40 hours at 37°C, 5% CO 2 . Following the incubation, cells were washed off the plates. The plates were then incubated with secondary biotin-conjugated anti-IFN- ⁇ antibodies and subsequently with Strepavidin- conjugated horseradish peroxidase. The plates were finally developed with AEC (3-amino-9- ethyl-carbazole) as substrate.
• AEC 3-amino-9- ethyl-carbazole
• cytokine spots were then analyzed using a Zellnet ELISPOT reader. The number of spots in each well, representing cytokine-secreting cells on a single cell basis, was enumerated and plotted.
• Splenocytes derived from mice treated with a pharmaceutical composition comprising the complexes of hsp70 plus the 49 peptides produced over 300 SFCs per 10 6 splenocytes.
• Splenocytes derived from mice treated with hsp70 without the 49 peptides produced fewer than 20 SFCs per 10 6 splenocytes.
• Splenocytes derived from mice treated with the 49 peptides without hsp70 produced approximately 80 SFCs per 10 6 splenocytes.
• splenocytes from mice immunized with hsp70 plus adjuvant alone produced fewer than 100 SFCs per 10 splenocytes.
• This data demonstrated that complexes of he ⁇ esvims peptides and stress proteins provide an immune memory response, indicating that vaccines such as the pharmaceutical composition provided herein can provide long term immunization against infection by he ⁇ esvirus.
• mice were immunized intradermally on Days 0, 7 and 14 with the following formulations (Fig. 3A,B,C, or D): 1. GP/CFA, total glycoprotein from HSV-2 infected cell lysates formulated in Freund's adjuvant (Freund's complete adjuvant for the 1st immunization, thereafter Freund's incomplete adjuvant was used) as an immunization positive control; 2.
• FIG. 3 A shows survival curves (Kaplan and Meier, J Am StatAssoc. 50, 457-481, 1958) for GP/CFA ("Glycoproteins/CFA Control"), Saline/CFA ("Mock/CFA Control”), and QS-21 ("Adjuvant”) control groups.
• Figure 3B shows survival curves (Kaplan and Meier, I Am StatAssoc.
• mice immunized with mHSP70/49 at 1:1 mHSP70 to total peptide molar ratio + 10 ⁇ g per dose of QS-21 have significantly improved survival following viral challenge compared to Saline/CFA negative control. Similar results were also obtained for inbred B ALB/c mice.
• Figure 3C shows hair loss and erythema (skin redness) development in GP/CFA ("Glycoproteins/CFA Control"), Saline/CFA ("Mock/CFA Control”), and QS-21 ("Adjuvant”) control groups.
• Figure 3D shows hair loss and erythema (skin redness) development in (i) mHSP70, (ii) 49 HSV-2 peptides /QS-21 ("49 peptides + adjuvant"), and (iii) mHSP70/49 HSV-2 peptides /QS-21 ("mHSP/49 Peptides + adjuvant”) groups.
• the arrow in Figure 3D indicates that the mHSP/49 Peptides + adjuvant curve shows a significant difference (P ⁇ 0.05) by Log-Rank analysis, compared to Saline/CFA group.
• mice immunized with mHSP70/49 HSV-2 peptides (at 1:1 mHSP70 to total peptide molar ratio) + 10 ⁇ g per dose of QS-21 have significantly reduced hair loss and erythema following viral challenge compared to the Saline/CFA negative control.
• All references cited herein are inco ⁇ orated herein by reference in their entirety and for all pu ⁇ oses to the same extent as if each individual publication or patent or patent application was specifically and individually indicated to be inco ⁇ orated by reference in its entirety for all pu ⁇ oses.
• Many modifications and variations of this invention can be made without departing from its spirit and scope, as will be apparent to those skilled in the art.
• the specific embodiments described herein are offered by way of example only, and the invention is to be limited only by the terms of the appended claims along with the full scope of equivalents to which such claims are entitled.

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