WO2011036562A1 - Purification of bacterial vesicles - Google Patents

Purification of bacterial vesicles Download PDF

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Publication number
WO2011036562A1
WO2011036562A1 PCT/IB2010/002556 IB2010002556W WO2011036562A1 WO 2011036562 A1 WO2011036562 A1 WO 2011036562A1 IB 2010002556 W IB2010002556 W IB 2010002556W WO 2011036562 A1 WO2011036562 A1 WO 2011036562A1
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Prior art keywords
vesicles
filtration
emulsion
adjuvants
oil
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PCT/IB2010/002556
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French (fr)
Inventor
Vito Dl Cioccio
Anna Maria Colucci
Allan Saul
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Novartis Vaccines Institute For Global Health Srl
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Application filed by Novartis Vaccines Institute For Global Health Srl filed Critical Novartis Vaccines Institute For Global Health Srl
Priority to EP10769061.2A priority Critical patent/EP2482847B9/en
Priority to ES10769061T priority patent/ES2466816T5/en
Priority to US13/519,000 priority patent/US20130017219A1/en
Publication of WO2011036562A1 publication Critical patent/WO2011036562A1/en
Priority to US14/527,851 priority patent/US20150202274A1/en

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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K39/00Medicinal preparations containing antigens or antibodies
    • A61K39/02Bacterial antigens
    • A61K39/025Enterobacteriales, e.g. Enterobacter
    • A61K39/0283Shigella
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K39/00Medicinal preparations containing antigens or antibodies
    • A61K39/385Haptens or antigens, bound to carriers
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K39/00Medicinal preparations containing antigens or antibodies
    • A61K39/02Bacterial antigens
    • A61K39/025Enterobacteriales, e.g. Enterobacter
    • A61K39/0275Salmonella
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K9/00Medicinal preparations characterised by special physical form
    • A61K9/10Dispersions; Emulsions
    • A61K9/127Liposomes
    • A61K9/1277Processes for preparing; Proliposomes
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P37/00Drugs for immunological or allergic disorders
    • A61P37/02Immunomodulators
    • A61P37/04Immunostimulants
    • BPERFORMING OPERATIONS; TRANSPORTING
    • B01PHYSICAL OR CHEMICAL PROCESSES OR APPARATUS IN GENERAL
    • B01DSEPARATION
    • B01D61/00Processes of separation using semi-permeable membranes, e.g. dialysis, osmosis or ultrafiltration; Apparatus, accessories or auxiliary operations specially adapted therefor
    • B01D61/14Ultrafiltration; Microfiltration
    • B01D61/147Microfiltration
    • BPERFORMING OPERATIONS; TRANSPORTING
    • B01PHYSICAL OR CHEMICAL PROCESSES OR APPARATUS IN GENERAL
    • B01DSEPARATION
    • B01D61/00Processes of separation using semi-permeable membranes, e.g. dialysis, osmosis or ultrafiltration; Apparatus, accessories or auxiliary operations specially adapted therefor
    • B01D61/14Ultrafiltration; Microfiltration
    • B01D61/147Microfiltration
    • B01D61/1471Microfiltration comprising multiple microfiltration steps
    • BPERFORMING OPERATIONS; TRANSPORTING
    • B01PHYSICAL OR CHEMICAL PROCESSES OR APPARATUS IN GENERAL
    • B01DSEPARATION
    • B01D63/00Apparatus in general for separation processes using semi-permeable membranes
    • B01D63/02Hollow fibre modules
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K39/00Medicinal preparations containing antigens or antibodies
    • A61K2039/60Medicinal preparations containing antigens or antibodies characteristics by the carrier linked to the antigen
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K39/00Medicinal preparations containing antigens or antibodies
    • A61K2039/60Medicinal preparations containing antigens or antibodies characteristics by the carrier linked to the antigen
    • A61K2039/6018Lipids, e.g. in lipopeptides
    • BPERFORMING OPERATIONS; TRANSPORTING
    • B01PHYSICAL OR CHEMICAL PROCESSES OR APPARATUS IN GENERAL
    • B01DSEPARATION
    • B01D2315/00Details relating to the membrane module operation
    • B01D2315/10Cross-flow filtration
    • BPERFORMING OPERATIONS; TRANSPORTING
    • B01PHYSICAL OR CHEMICAL PROCESSES OR APPARATUS IN GENERAL
    • B01DSEPARATION
    • B01D2315/00Details relating to the membrane module operation
    • B01D2315/16Diafiltration
    • BPERFORMING OPERATIONS; TRANSPORTING
    • B01PHYSICAL OR CHEMICAL PROCESSES OR APPARATUS IN GENERAL
    • B01DSEPARATION
    • B01D2317/00Membrane module arrangements within a plant or an apparatus
    • B01D2317/02Elements in series
    • B01D2317/025Permeate series
    • YGENERAL TAGGING OF NEW TECHNOLOGICAL DEVELOPMENTS; GENERAL TAGGING OF CROSS-SECTIONAL TECHNOLOGIES SPANNING OVER SEVERAL SECTIONS OF THE IPC; TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
    • Y02TECHNOLOGIES OR APPLICATIONS FOR MITIGATION OR ADAPTATION AGAINST CLIMATE CHANGE
    • Y02ATECHNOLOGIES FOR ADAPTATION TO CLIMATE CHANGE
    • Y02A50/00TECHNOLOGIES FOR ADAPTATION TO CLIMATE CHANGE in human health protection, e.g. against extreme weather
    • Y02A50/30Against vector-borne diseases, e.g. mosquito-borne, fly-borne, tick-borne or waterborne diseases whose impact is exacerbated by climate change

Definitions

  • This invention is in the field of purifying vesicles from Gram-negative bacteria.
  • Gram-negative bacteria can spontaneously release outer membrane blebs during growth due to the turgour pressure of the cell envelope.
  • the formation of such blebs can be facilitated by disruption of certain bacterial components e.g. references 1 and 2 disrupted the MltA enzyme of meningococcus to provide strains which release vesicles into the culture medium during growth, and references 2 and 3 disrupted the E.coli Tol-Pal system for the same purpose.
  • Outer membrane vesicles can also be produced by disruption of whole bacteria.
  • OMV production methods include methods which use detergent treatment (e.g. with deoxycholate) [4 & 5], detergent- free methods [6], or sonication [7], etc.
  • reference 8 reports an ultrafiltration-based method.
  • the invention uses a two-stage size filtration process to purify immunogenic bacterial vesicles.
  • a first step separates the vesicles from intact bacteria based on their different sizes, with the smaller vesicles passing into the filtrate (permeate).
  • a second step then uses a finer filter to remove smaller contaminants (e.g. soluble proteins), with the vesicles remaining in the retentate.
  • This two stage process is extremely simple to operate but gives immunogenic vesicles of high purity.
  • the invention provides a process for purifying immunogenic bacterial vesicles from a composition which includes both whole bacteria and vesicles, comprising: (i) a first filtration step in which the vesicles are separated from the bacteria based on their different sizes, with the vesicles passing into the filtrate; and (ii) a second filtration step in which the vesicles are retained in the retentate.
  • the retained vesicles can be used as an immunogenic component in a vaccine.
  • the invention also provides a vesicle-containing composition obtained or obtainable by this process.
  • the invention also provides a process for preparing a pharmaceutical composition, such as a vaccine, comprising steps: (a) purifying immunogenic bacterial vesicles by a process of the invention; and (b) formulating the purified vesicles with a pharmaceutically acceptable carrier (e.g. a buffer) and/or with an immunological adjuvant and/or with one or more further immunogenic components.
  • a pharmaceutically acceptable carrier e.g. a buffer
  • the invention also provides a process for preparing a pharmaceutical composition, such as a vaccine, comprising a step of formulating vesicles purified by a process of the invention with a pharmaceutically acceptable carrier (e.g. a buffer) and/or with an immunological adjuvant and/or with one or more further immunogenic components.
  • the invention also provides a vesicle-containing pharmaceutical composition obtained or obtainable by these processes.
  • the invention can be used for purifying various types of proteoliposomic vesicles which retain outer membrane proteins from bacteria.
  • proteoliposomic vesicle can be obtained by disruption of or blebbling from the outer membrane of a bacterium to form vesicles therefrom that include protein components of the outer membrane.
  • the term includes OMVs, blebs, microvesicles (MVs [9]) and 'native OMVs' ('NOMVs' [10]). It can also include detergent-extracted OMV (DOMVs) and mutant-derived OMVs (m-OMV).
  • MVs and NOMVs are naturally-occurring membrane vesicles that form spontaneously during bacterial growth and are released into culture medium.
  • MVs can be obtained by culturing bacteria such as Neisseria in broth culture medium, separating whole cells from the smaller MVs in the broth culture medium (e.g. by filtration or by low-speed centrifugation to pellet only the cells and not the smaller vesicles), and then collecting the MVs from the cell-depleted medium (e.g. by filtration, by differential precipitation or aggregation of MVs, by high-speed centrifugation to pellet the MVs).
  • Strains for use in production of MVs can generally be selected on the basis of the amount of MVs produced in culture e.g. refs. 11 & 12 describe Neisseria with high MV production. Hyperblebbing strains are disclosed in reference 13. Disruption of the mltA gene [1 ,2] can also provide meningococcal strains which spontaneously release suitable vesicles during culture. Disruption of the Tol-Pal system can be used to provide E.coli, Shigella and Salmonella strains which spontaneously release suitable vesicles during culture.
  • OMVs are prepared artificially from bacteria, and may be prepared using detergent treatment (e.g. with deoxycholate or sarkosyl), or by non-detergent means (e.g. see reference 14).
  • Techniques for forming OMVs include treating bacteria with a bile acid salt detergent (e.g. salts of lithocholic acid, chenodeoxycholic acid, ursodeoxycholic acid, deoxycholic acid, cholic acid, ursocholic acid, etc., with sodium deoxycholate [15 & 16] being preferred for treating Neisseria) at a pH sufficiently high not to precipitate the detergent [17].
  • a bile acid salt detergent e.g. salts of lithocholic acid, chenodeoxycholic acid, ursodeoxycholic acid, deoxycholic acid, cholic acid, ursocholic acid, etc.
  • sodium deoxycholate [15 & 16] being preferred for treating Neisseria
  • OMV extraction buffer with about 0.5% deoxycholate or lower e.g. about 0.2%, about 0.1%, ⁇ 0.05% or zero.
  • a useful process for OMV preparation is described in reference 18 and involves ultrafiltration on crude OMVs, rather than instead of high speed centrifugation. The process may involve a step of ultracentrifugation after the ultrafiltration takes place.
  • LOS is present in a vesicle it is possible to treat the vesicle so as to link its LOS and protein components ("intra-bleb" conjugation [19]).
  • Preferred vesicles for use with the invention are produced by a Shigella bacterium (e.g. a S.sonnei) which does not express a functional TolR protein.
  • Other vesicles for use with the invention are produced by a Salmonella bacterium (e.g. a S.typhimurium, also known as Salmonella enterica serovar Typhimurium) which does not express a functional TolR protein.
  • Salmonella bacterium e.g. a S.typhimurium, also known as Salmonella enterica serovar Typhimurium
  • the invention can be used to purify vesicles from various Gram negative bacteria, such as species in any of genera Escherichia, Shigella, Neisseria, Moraxella, Bordetella, Borrelia, Brucella, Chlamydia Haemophilus, Legionella, Pseudomonas, Yersinia, Helicobacter, Salmonella, Vibrio, etc.
  • the bacterium may be Bordetella pertussis, Borrelia burgdorferi, Brucella melitensis, Brucella ovis, Chlamydia psittaci, Chlamydia trachomatis, Moraxella catarrhalis, Escherichia coli, Haemophilus influenzae (including non-typeable stains), Legionella pneumophila, Neisseria gonorrhoeae, Neisseria meningitidis, Neisseria lactamica, Pseudomonas aeruginosa, Yersinia enterocolitica, Helicobacter pylori, Salmonella enterica (including serovars typhi and typhimurium, as well as serovars paratyphi and enteritidis), Vibrio cholerae, etc.
  • the invention is particularly suitable for preparing vesicles from Shigella (such as S.dysenteriae, S.flexneri, S.boydii or S.sonnei) and E.coli (including extraintestinal pathogenic strains) and Salmonella (including S.typhimurium).
  • Shigella such as S.dysenteriae, S.flexneri, S.boydii or S.sonnei
  • E.coli including extraintestinal pathogenic strains
  • Salmonella including S.typhimurium
  • the bacterium can be a wild-type bacterium but, more typically, it will have been modified e.g. to inactivate genes which lead to a toxic phenotype.
  • LPS lipopolysaccharide
  • Various modifications of native LPS can be made e.g. these may disrupt the native lipid A structure, the oligosaccharide core, or the outer O antigen. Absence of O antigen in the LPS is useful, as is absence of hexa-acylated lipid A.
  • Inactivation of enterotoxins is also known e.g. to prevent expression of Shiga toxin.
  • a preferred bacterium for use with the invention is a S.sonnei strain with a AtolR genotype, including a strain with a AtolRdgalU genotype.
  • the first filtration step separates the vesicles from intact bacteria based on their different sizes, with the smaller vesicles passing into the filtrate (permeate).
  • the input for the first filtration step can be the product of a vesicle forming method (e.g. an OMV preparation method from meningococci). Usually, though, the input will be the culture medium of a blebbing bacterium. This material may be concentrated prior to the first filtration step so as to remove the volume which requires first filtration.
  • This step can be a typical sterile filtration e.g. using a 0.22 ⁇ filter. The bacteria are retained by the filter but the vesicles pass through into the filtrate.
  • the vesicles can pass through a standard 0.22 ⁇ filter, the filter can rapidly become clogged by other material and so it may be useful to perform pre-filtering through a series of filters of decreasing pore size before the first filtration step.
  • the first filtration step might be preceded by filtration through filters with pore size of 0.8 ⁇ , then 0.45 ⁇ , etc.
  • the pore size for the first filtration will be selected according to the size and characteristics of the bacteria which are to be removed.
  • the goal of the first filtration step is to retain more than 90% (by number) of intact bacteria, ideally >95%, >97%, >98%, >99% or >99.5%, and a pore size can be selected accordingly.
  • the first filtration step may be filtration through a 0.8 ⁇ , 0.65 ⁇ or 0.45 ⁇ pore size membrane, but for other bacteria (e.g. those with small cells) the first filtration step may be through a 0.22 ⁇ or 0.2 ⁇ pore size membrane.
  • the first filtration may include pre-filtration through a 0.45 ⁇ or 0.65 ⁇ membrane followed by filtration through a 0.22 ⁇ or 0.2 ⁇ membrane.
  • Various suitable membranes are commercially available.
  • the first filtration step is advantageously performed with a tangential flow (cross-flow) arrangement. This arrangement helps to avoid clogging which is typical for dead-ended filtration and minimises the need for extensive pre-filtering. Reduced pre-filtering means that a lower volume of liquid remains trapped in the filters.
  • Tangential flow microfiltration cassettes were evaluated in references 20 & 21 , and are commercially available e.g. the MaxCellTM range of hollow fiber cartridges with 0.2 ⁇ pore size, or the MidGeeTM cartridges with 0.2 ⁇ pore size, or ProCellTM hollow fiber cartridges with 0.2 ⁇ pore size (all available from GE Healthcare).
  • Tangential flow filtration in the first step is ideally performed with diafiltration. This permits efficient removal of filtrate components and involves addition of fresh solvent (e.g. a buffer, such as PBS) during the first filtration step. Addition of the fresh solvent can maintain the overall volume if it occurs at the same rate as solvent removal through the tangential flow filter.
  • fresh solvent e.g. a buffer, such as PBS
  • the first filtration step may use a hollow fibre membrane e.g. to reduce shear stress on vesicles.
  • the second filtration step uses a finer filter than the first step. Whereas the vesicles passed into the filtrate in the first filtration step, in the second filtration step they remain in the retentate.
  • the pore size for the second filtration will be selected according to the size and characteristics of the vesicles which are to be retained. Some small vesicles may pass through the filter, but the goal of the second filtration step is to retain more than 50% (by number) of vesicles, ideally >60%, >70%, >80%, >90% or >95%, while removing soluble proteins.
  • a pore size can be selected accordingly, based on the vesicles to be retained and the soluble proteins which are to be removed.
  • Suitable filters are usually quoted in terms of their pore size (e.g. a suitable filter can have a pore size of 0.1 ⁇ ) or molecular weight (e.g. a 300kDa, 500kDa, 750kDa or lOOOkDa membrane can be used).
  • Various suitable membranes are commercially available.
  • the second filtration step is advantageously performed with a tangential flow (cross-flow) arrangement. As discussed above, this arrangement helps to avoid clogging. Tangential flow microfiltration cassettes are commercially available e.g.
  • Tangential flow filtration in the second step is ideally performed with diafiltration (see above).
  • the second filtration step may use a hollow fibre membrane e.g. to reduce shear stress on vesicles.
  • Retentate from the second filtration step contains vesicles and these may be resuspended in any suitable medium (e.g. in a buffer or other pharmaceutically acceptable liquid) ready for formulation into a vaccine.
  • suitable medium e.g. in a buffer or other pharmaceutically acceptable liquid
  • the invention provides a pharmaceutical composition comprising (a) vesicles purified by a process of the invention and (b) a pharmaceutically acceptable carrier.
  • the invention also provides a process for preparing such a composition, comprising the step of admixing vesicles purified by a process of the invention with a pharmaceutically acceptable carrier.
  • the invention also provides a container (e.g. vial) or delivery device (e.g. syringe) pre-filled with a pharmaceutical composition of the invention.
  • the invention also provides a process for providing such a container or device, comprising introducing into the container or device a vesicle-containing composition of the invention.
  • the immunogenic composition may include a pharmaceutically acceptable carrier, which can be any substance that does not itself induce the production of antibodies harmful to the patient receiving the composition, and which can be administered without undue toxicity.
  • Pharmaceutically acceptable carriers can include liquids such as water, saline, glycerol and ethanol. Auxiliary substances, such as wetting or emulsifying agents, pH buffering substances, and the like, can also be present in such vehicles. A thorough discussion of suitable carriers is available in ref. 22. Bacteria can affect various areas of the body and so the compositions of the invention may be prepared in various forms. For example, the compositions may be prepared as injectables, either as liquid solutions or suspensions. Solid forms suitable for solution in, or suspension in, liquid vehicles prior to injection can also be prepared.
  • the composition may be prepared for topical administration e.g. as an ointment, cream or powder.
  • the composition be prepared for oral administration e.g. as a tablet or capsule, or as a syrup (optionally flavoured).
  • the composition may be prepared for pulmonary administration e.g. as an inhaler, using a fine powder or a spray.
  • the composition may be prepared as a suppository or pessary.
  • the composition may be prepared for nasal, aural or ocular administration e.g. as drops.
  • a pharmaceutical carrier may include a temperature protective agent, and this component may be particularly useful in adjuvanted compositions (particularly those containing a mineral adjuvant, such as an aluminium salt).
  • a liquid temperature protective agent may be added to an aqueous vaccine composition to lower its freezing point e.g. to reduce the freezing point to below 0°C.
  • the temperature protective agent also permits freezing of the composition while protecting mineral salt adjuvants against agglomeration or sedimentation after freezing and thawing, and may also protect the composition at elevated temperatures e.g. above 40°C.
  • a starting aqueous vaccine and the liquid temperature protective agent may be mixed such that the liquid temperature protective agent forms from 1-80% by volume of the final mixture.
  • Suitable temperature protective agents should be safe for human administration, readily miscible/soluble in water, and should not damage other components ⁇ e.g. antigen and adjuvant) in the composition.
  • Examples include glycerin, propylene glycol, and/or polyethylene glycol (PEG).
  • PEGs may have an average molecular weight ranging from 200-20,000 Da.
  • the polyethylene glycol can have an average molecular weight of about 300 Da ('PEG-300').
  • the composition is preferably sterile. It is preferably pyrogen-free. It is preferably buffered e.g. at between pH 6 and pH 8, generally around pH 7.
  • Compositions of the invention may be isotonic with respect to humans.
  • Immunogenic compositions comprise an immunologically effective amount of immunogenic vesicles, as well as any other of other specified components, as needed.
  • 'immunologically effective amount' it is meant that the administration of that amount to an individual, either in a single dose or as part of a series, is effective for treatment or prevention. This amount varies depending upon the health and physical condition of the individual to be treated, age, the taxonomic group of individual to be treated ⁇ e.g. non-human primate, primate, etc.), the capacity of the individual's immune system to synthesise antibodies, the degree of protection desired, the formulation of the vaccine, the treating doctor's assessment of the medical situation, and other relevant factors.
  • compositions of the invention will generally be between 10 and 500 ⁇ , preferably between 25 and 200 ⁇ g/ml, and more preferably about 50 ⁇ g/ml or about 100 g/ml (expressed in terms of total protein in the vesicles).
  • a dosage volume of 0.5ml is typical for injection.
  • composition may be administered in conjunction with other immunoregulatory agents.
  • Adjuvants which may be used in compositions of the invention include, but are not limited to:
  • Mineral containing compositions suitable for use as adjuvants in the invention include mineral salts, such as aluminium salts and calcium salts.
  • the invention includes mineral salts such as hydroxides (e.g. oxyhydroxides), phosphates (e.g. hydroxyphosphates, orthophosphates), sulphates, etc. [e.g. see chapters 8 & 9 of ref. 27], or mixtures of different mineral compounds, with the compounds taking any suitable form (e.g. gel, crystalline, amorphous, etc.), and with adsorption being preferred.
  • the mineral containing compositions may also be formulated as a particle of metal salt.
  • aluminium hydroxide typically aluminium oxyhydroxide salts, which are usually at least partially crystalline.
  • Aluminium oxyhydroxide which can be represented by the formula AIO(OH)
  • IR infrared
  • the degree of crystallinity of an alumimum hydroxide adjuvant is reflected by the width of the diffraction band at half height (WHH), with poorly-crystalline particles showing greater line broadening due to smaller crystallite sizes.
  • WHH half height
  • the surface area increases as WHH increases, and adjuvants with higher WHH values have been seen to have greater capacity for antigen adsorption.
  • a fibrous morphology e.g. as seen in transmission electron micrographs
  • the pi of aluminium hydroxide adjuvants is typically about 11 i.e. the adjuvant itself has a positive surface charge at physiological pH. Adsorptive capacities of between 1.8-2.6 mg protein per mg Al ⁇ at pH 7.4 have been reported for aluminium hydroxide adjuvants.
  • the adjuvants known as "alumimum phosphate” are typically aluminium hydroxyphosphates, often also containing a small amount of sulfate (i.e. aluminium hydroxyphosphate sulfate). They may be obtained by precipitation, and the reaction conditions and concentrations during precipitation influence the degree of substitution of phosphate for hydroxyl in the salt. Hydroxyphosphates generally have a PO 4 /AI molar ratio between 0.3 and 1.2. Hydroxyphosphates can be distinguished from strict AIPO 4 by the presence of hydroxyl groups. For example, an IR spectrum band at 3164cm "1 (e.g. at 200°C) indicates the presence of structural hydroxyls [ch. 9 of ref. 27].
  • the PC>4/A1 3+ molar ratio of an aluminium phosphate adjuvant will generally be between 0.3 and 1.2, preferably between 0.8 and 1.2, and more preferably 0.95+0.1.
  • the alumimum phosphate will generally be amorphous, particularly for hydroxyphosphate salts.
  • a typical adjuvant is amorphous aluminium hydroxyphosphate with PO 4 /AI molar ratio between 0.84 and 0.92, included at 0.6mg Al 3+ /ml.
  • the aluminium phosphate will generally be particulate (e.g. plate-like morphology as seen in transmission electron micrographs). Typical diameters of the particles are in the range 0.5- 20 ⁇ (e.g. about 5-10 ⁇ ) after any antigen adsorption.
  • Adsorptive capacities of between 0.7-1.5 mg protein per mg Al "1"1"1" at pH 7.4 have been reported for aluminium phosphate adjuvants.
  • Suspensions of aluminium salts used to prepare compositions of the invention may contain a buffer (e.g. a phosphate or a histidine or a Tris buffer), but this is not always necessary.
  • the suspensions are preferably sterile and pyrogen-free.
  • a suspension may include free aqueous phosphate ions e.g. present at a concentration between 1.0 and 20 mM, preferably between 5 and 15 niM, and more preferably about 10 mM.
  • the suspensions may also comprise sodium chloride.
  • an adjuvant component includes a mixture of both an aluminium hydroxide and an aluminium phosphate.
  • there may be more aluminium phosphate than hydroxide e.g. a weight ratio of at least 2: 1 e.g. >5: 1, >6: 1 , >7: 1 , >8: 1, >9: 1, etc.
  • the concentration of Al ⁇ in a composition for administration to a patient is preferably less than lOmg/ml e.g. ⁇ 5 mg/ml, ⁇ 4 mg/ml, ⁇ 3 mg/ml, ⁇ 2 mg/ml, ⁇ 1 mg ml, etc.
  • a preferred range is between 0.3 and lmg/ml.
  • a maximum of ⁇ 0.85mg/dose is preferred.
  • Oil emulsion compositions suitable for use as adjuvants in the invention include squalene-water emulsions, such as MF59 [Chapter 10 of ref. 27; see also ref. 24] (5% Squalene, 0.5% Tween 80, and
  • Span 85 formulated into submicron particles using a microfluidizer.
  • Complete Freund's adjuvant (CFA) and incomplete Freund's adjuvant (IF A) may also be used.
  • Various suitable oin-in-water emulsions are known, and they typically include at least one oil and at least one surfactant, with the oil(s) and surfactant(s) being biodegradable (metabolisable) and biocompatible.
  • the oil droplets in the emulsion are generally less than 5 ⁇ in diameter, and advantageously the emulsion comprises oil droplets with a sub-micron diameter, with these small sizes being achieved with a microfluidiser to provide stable emulsions.
  • Droplets with a size less than 220nm are preferred as they can be subjected to filter sterilization.
  • the invention can be used with oils such as those from an animal (such as fish) or vegetable source.
  • Sources for vegetable oils include nuts, seeds and grains. Peanut oil, soybean oil, coconut oil, and olive oil, the most commonly available, exemplify the nut oils.
  • Jojoba oil can be used e.g. obtained from the jojoba bean.
  • Seed oils include safflower oil, cottonseed oil, sunflower seed oil, sesame seed oil and the like. In the grain group, corn oil is the most readily available, but the oil of other cereal grains such as wheat, oats, rye, rice, teff, triticale and the like may also be used.
  • 6-10 carbon fatty acid esters of glycerol and 1 ,2-propanediol may be prepared by hydrolysis, separation and esterification of the appropriate materials starting from the nut and seed oils.
  • Fats and oils from mammalian milk are metabolizable and may therefore be used in the practice of this invention.
  • the procedures for separation, purification, saponification and other means necessary for obtaining pure oils from animal sources are well known in the art.
  • Most fish contain metabolizable oils which may be readily recovered. For example, cod liver oil, shark liver oils, and whale oil such as spermaceti exemplify several of the fish oils which may be used herein.
  • a number of branched chain oils are synthesized biochemically in 5-carbon isoprene units and are generally referred to as terpenoids.
  • Shark liver oil contains a branched, unsaturated terpenoid known as squalene, 2,6,10,15, 19,23-hexamethyl-2,6,10,14,18,22-tetracosahexaene.
  • Other preferred oils are the tocopherols (see below). Oil in water emulsions comprising sqlauene are particularly preferred. Mixtures of oils can be used.
  • Surfactants can be classified by their 'HLB' (hydrophile/lipophile balance). Preferred surfactants of the invention have a HLB of at least 10, preferably at least 15, and more preferably at least 16.
  • the invention can be used with surfactants including, but not limited to: the polyoxyethylene sorbitan esters surfactants (commonly referred to as the Tweens), especially polysorbate 20 and polysorbate 80; copolymers of ethylene oxide (EO), propylene oxide (PO), and/or butylene oxide (BO), sold under the DOWFAXTM tradename, such as linear EO/PO block copolymers; octoxynols, which can vary in the number of repeating ethoxy (oxy- 1 ,2-ethanediyl) groups, with octoxynol-9 (Triton X- 100, or t-octylphenoxypolyethoxyethanol) being of particular interest; (octylphenoxy)polye
  • Preferred surfactants for including in the emulsion are Tween 80 (polyoxyethylene sorbitan monooleate), Span 85 (sorbitan trioleate), lecithin and Triton X-100.
  • detergents such as Tween 80 may contribute to the thermal stability seen in the examples below.
  • surfactants can be used e.g. Tween 80/Span 85 mixtures.
  • a combination of a polyoxyethylene sorbitan ester such as polyoxyethylene sorbitan monooleate (Tween 80) and an octoxynol such as t-octylphenoxypolyethoxyethanol (Triton X-100) is also suitable.
  • Another useful combination comprises laureth 9 plus a polyoxyethylene sorbitan ester and/or an octoxynol.
  • Preferred amounts of surfactants are: polyoxyethylene sorbitan esters (such as Tween 80) 0.01 to 1%, in particular about 0.1 %; octyl- or nonylphenoxy polyoxyethanols (such as Triton X-100, or other detergents in the Triton series) 0.001 to 0.1 %, in particular 0.005 to 0.02%; polyoxyethylene ethers (such as laureth 9) 0.1 to 20 %, preferably 0.1 to 10 % and in particular 0.1 to 1 % or about 0.5%.
  • polyoxyethylene sorbitan esters such as Tween 80
  • octyl- or nonylphenoxy polyoxyethanols such as Triton X-100, or other detergents in the Triton series
  • polyoxyethylene ethers such as laureth 9
  • oil-in-water emulsion adjuvants useful with the invention include, but are not limited to:
  • a submicron emulsion of squalene, Tween 80, and Span 85 A submicron emulsion of squalene, Tween 80, and Span 85.
  • the composition of the emulsion by volume can be about 5% squalene, about 0.5% polysorbate 80 and about 0.5% Span 85. In weight terms, these ratios become 4.3% squalene, 0.5% polysorbate 80 and 0.48% Span 85.
  • This adjuvant is known as 'MF59' [24-26], as described in more detail in Chapter 10 of ref. 27 and chapter 12 of ref. 28.
  • the MF59 emulsion advantageously includes citrate ions e.g. lOmM sodium citrate buffer.
  • An emulsion comprising squalene, an a-tocopherol, and polysorbate 80.
  • These emulsions may have from 2 to 10% squalene, from 2 to 10% tocopherol and from 0.3 to 3% Tween 80, and the weight ratio of squalene:tocopherol is preferably ⁇ 1 ⁇ e.g. 0.90) as this provides a more stable emulsion.
  • Squalene and Tween 80 may be present volume ratio of about 5:2, or at a weight ratio of about 1 1 :5.
  • One such emulsion can be made by dissolving Tween 80 in PBS to give a 2% solution, then mixing 90ml of this solution with a mixture of (5g of DL-a-tocopherol and 5ml squalene), then microfluidising the mixture.
  • the resulting emulsion may have submicron oil droplets e.g. with an average diameter of between 100 and 250nm, preferably about 180nm.
  • An emulsion of squalene, a tocopherol, and a Triton detergent e.g. Triton X-100
  • the emulsion may also include a 3d-MPL (see below).
  • the emulsion may contain a phosphate buffer.
  • An emulsion comprising a polysorbate (e.g. polysorbate 80), a Triton detergent (e.g. Triton X-100) and a tocopherol (e.g. an a-tocopherol succinate).
  • the emulsion may include these three components at a mass ratio of about 75: 1 1 : 10 (e.g. 750 ⁇ g/ml polysorbate 80, 110 ⁇ g/ml Triton X-100 and 100 ⁇ g/ml ⁇ -tocopherol succinate), and these concentrations should include any contribution of these components from antigens.
  • the emulsion may also include squalene.
  • the emulsion may also include a 3d-MPL (see below).
  • the aqueous phase may contain a phosphate buffer.
  • An emulsion of squalane, polysorbate 80 and poloxamer 401 (“PluronicTM LI 21").
  • the emulsion can be formulated in phosphate buffered saline, pH 7.4.
  • This emulsion is a useful delivery vehicle for muramyl dipeptides, and has been used with threonyl-MDP in the "SAF-1" adjuvant [29] (0.05-1% Thr-MDP, 5% squalane, 2.5% Pluronic L121 and 0.2% polysorbate 80). It can also be used without the Thr-MDP, as in the "AF” adjuvant [30] (5% squalane, 1.25% Pluronic LI 21 and 0.2% polysorbate 80).
  • Microfluidisation is preferred.
  • An emulsion comprising squalene, an aqueous solvent, a polyoxyethylene alkyl ether hydrophilic nonionic surfactant (e.g. polyoxyethylene (12) cetostearyl ether) and a hydrophobic nonionic surfactant (e.g. a sorbitan ester or mannide ester, such as sorbitan monoleate or 'Span 80').
  • the emulsion is preferably thermoreversible and/or has at least 90% of the oil droplets (by volume) with a size less than 200 ran [31].
  • the emulsion may also include one or more of: alditol; a cryoprotective agent (e.g. a sugar, such as dodecylmaltoside and/or sucrose); and/or an alkylpolyglycoside. Such emulsions may be lyophilized.
  • An emulsion having from 0.5-50% of an oil, 0.1-10% of a phospholipid, and 0.05-5% of a non-ionic surfactant.
  • preferred phospholipid components are phosphatidylcholine, phosphatidylethanolamine, phosphatidylserine, phosphatidylinositol, phosphatidylglycerol, phosphatidic acid, sphingomyelin and cardiolipin. Submicron droplet sizes are advantageous.
  • Additives may be included, such as QuilA saponin, cholesterol, a saponin-lipophile conjugate (such as GPI-0100, described in reference 33, produced by addition of aliphatic amine to desacylsaponin via the carboxyl group of glucuronic acid), dimethyidioctadecylammonium bromide and/or N,N-dioctadecyl-N,N-bis (2-hydroxyethyl)propanediamine.
  • a non-metabolisable oil such as light mineral oil
  • surfactant such as lecithin, Tween 80 or Span 80.
  • Additives may be included, such as QuilA saponin, cholesterol, a saponin-lipophile conjugate (such as GPI-01
  • An emulsion comprising a mineral oil, a non-ionic lipophilic ethoxylated fatty alcohol, and a non-ionic hydrophilic surfactant (e.g. an ethoxylated fatty alcohol and/or polyoxyethylene- polyoxypropylene block copolymer) [34].
  • a non-ionic lipophilic ethoxylated fatty alcohol e.g. an ethoxylated fatty alcohol and/or polyoxyethylene- polyoxypropylene block copolymer
  • An emulsion comprising a mineral oil, a non-ionic hydrophilic ethoxylated fatty alcohol, and a non-ionic lipophilic surfactant (e.g. an ethoxylated fatty alcohol and/or polyoxyethylene- polyoxypropylene block copolymer) [34].
  • An emulsion in which a saponin (e.g. QuilA or QS21) and a sterol (e.g. a cholesterol) are associated as helical micelles [35].
  • a saponin e.g. QuilA or QS21
  • a sterol e.g. a cholesterol
  • Antigens and adjuvants in a composition will typically be in admixture at the time of delivery to a patient.
  • the emulsions may be mixed with antigen during manufacture, or extemporaneously, at the time of delivery.
  • the adjuvant and antigen may be kept separately in a packaged or distributed vaccine, ready for final formulation at the time of use.
  • the antigen will generally be in an aqueous form, such that the vaccine is finally prepared by mixing two liquids.
  • the volume ratio of the two liquids for mixing can vary (e.g. between 5: 1 and 1 :5) but is generally about 1 : 1.
  • Saponin formulations may also be used as adjuvants in the invention.
  • Saponins are a heterogeneous group of sterol glycosides and triterpenoid glycosides that are found in the bark, leaves, stems, roots and even flowers of a wide range of plant species. Saponin from the bark of the Quillaia saponaria Molina tree have been widely studied as adjuvants. Saponin can also be commercially obtained from Smilax ornata (sarsaprilla), Gypsophilla paniculata (brides veil), and Saponaria officianalis (soap root).
  • Saponin adjuvant formulations include purified formulations, such as QS21, as well as lipid formulations, such as ISCOMs.
  • QS21 is marketed as StimulonTM.
  • Saponin compositions have been purified using HPLC and RP-HPLC. Specific purified fractions using these techniques have been identified, including QS7, QS17, QS18, QS21, QH-A, QH-B and QH-C.
  • the saponin is QS21.
  • a method of production of QS21 is disclosed in ref. 36.
  • Saponin formulations may also comprise a sterol, such as cholesterol [37].
  • ISCOMs immunostimulating complexs
  • phospholipid such as phosphatidylethanolamine or phosphatidylcholine.
  • Any known saponin can be used in ISCOMs.
  • the ISCOM includes one or more of QuilA, QHA & QHC.
  • the ISCOMS may be devoid of additional detergent [40].
  • Adjuvants suitable for use in the invention include bacterial or microbial derivatives such as non-toxic derivatives of enterobacterial lipopolysaccharide (LPS), Lipid A derivatives, immunostimulatory oligonucleotides and ADP-ribosylating toxins and detoxified derivatives thereof.
  • LPS enterobacterial lipopolysaccharide
  • Lipid A derivatives Lipid A derivatives
  • immunostimulatory oligonucleotides and ADP-ribosylating toxins and detoxified derivatives thereof.
  • Non-toxic derivatives of LPS include monophosphoryl lipid A (MPL) and 3-O-deacylated MPL (3dMPL).
  • 3dMPL is a mixture of 3 de-O-acylated monophosphoryl lipid A with 4, 5 or 6 acylated chains.
  • a preferred "small particle" form of 3 De-O-acylated monophosphoryl lipid A is disclosed in ref. 43. Such "small particles" of 3dMPL are small enough to be sterile filtered through a 0.22 ⁇ membrane [43].
  • Other non-toxic LPS derivatives include monophosphoryl lipid A mimics, such as aminoalkyl glucosaminide phosphate derivatives e.g. RC-529 [44,45].
  • Lipid A derivatives include derivatives of lipid A from Escherichia coli such as OM-174. OM-174 is described for example in refs. 46 & 47.
  • Immunostimulatory oligonucleotides suitable for use as adjuvants in the invention include nucleotide sequences containing a CpG motif (a dinucleotide sequence containing an unmethylated cytosine linked by a phosphate bond to a guanosine). Double-stranded RNAs and oligonucleotides containing palindromic or poly(dG) sequences have also been shown to be immunostimulatory.
  • the CpG's can include nucleotide modifications/analogs such as phosphorothioate modifications and can be double-stranded or single-stranded.
  • References 48, 49 and 50 disclose possible analog substitutions e.g. replacement of guanosine with 2'-deoxy-7-deazaguanosine.
  • the adjuvant effect of CpG oligonucleotides is further discussed in refs. 51-56.
  • the CpG sequence may be directed to TLR9, such as the motif GTCGTT or TTCGTT [57].
  • the CpG sequence may be specific for inducing a Thl immune response, such as a CpG-A ODN, or it may be more specific for inducing a B cell response, such a CpG-B ODN.
  • CpG-A and CpG-B ODNs are discussed in refs. 58-60.
  • the CpG is a CpG-A ODN.
  • the CpG oligonucleotide is constructed so that the 5' end is accessible for receptor recognition.
  • two CpG oligonucleotide sequences may be attached at their 3' ends to form "immunomers". See, for example, refs. 61 -63.
  • an adjuvant used with the invention may comprise a mixture of (i) an oligonucleotide (e.g. between 15-40 nucleotides) including at least one (and preferably multiple) Cpl motifs (i.e. a cytosine linked to an inosine to form a dinucleotide), and (ii) a polycationic polymer, such as an oligopeptide (e.g. between 5-20 amino acids) including at least one (and preferably multiple) Lys-Arg-Lys tripeptide sequence(s).
  • an oligonucleotide e.g. between 15-40 nucleotides
  • Cpl motifs i.e. a cytosine linked to an inosine to form a dinucleotide
  • a polycationic polymer such as an oligopeptide (e.g. between 5-20 amino acids) including at least one (and preferably multiple) Lys-Arg-Lys tripeptide sequence(s).
  • the oligonucleotide may be a deoxynucleotide comprising 26-mer sequence 5'-(IC)i3-3' (SEQ ID NO: 7).
  • the polycationic polymer may be a peptide comprising 11 -mer amino acid sequence KLKLLLLLKLK (SEQ ID NO: 6). This combination of SEQ ID NOs: 6 and 7 provides the IC-31TM adjuvant.
  • Bacterial ADP-ribosylating toxins and detoxified derivatives thereof may be used as adjuvants in the invention.
  • the protein is derived from E.coli (E.coli heat labile enterotoxin "LT"), cholera ("CT"), or pertussis ("PT").
  • LT E.coli heat labile enterotoxin
  • CT cholera
  • PT pertussis
  • the use of detoxified ADP-ribosylating toxins as mucosal adjuvants is described in ref. 67 and as parenteral adjuvants in ref. 68.
  • the toxin or toxoid is preferably in the form of a holotoxin, comprising both A and B subunits.
  • the A subunit contains a detoxifying mutation; preferably the B subunit is not mutated.
  • the adjuvant is a detoxified LT mutant such as LT-K63, LT-R72, and LT-G192.
  • LT-K63 LT-K63
  • LT-R72 LT-G192.
  • a useful CT mutant is or CT-E29H [77].
  • Numerical reference for amino acid substitutions is preferably based on the alignments of the A and B subunits of ADP-ribosylating toxins set forth in ref. 78, specifically incorporated herein by reference in its entirely.
  • Human immunomodulators suitable for use as adjuvants in the invention include cytokines, such as interleukins (e.g. IL-1 , IL-2, IL-4, IL-5, IL-6, IL-7, IL- 12 [79], etc.) [80], interferons (e.g. interferon- ⁇ ), macrophage colony stimulating factor, and tumor necrosis factor.
  • cytokines such as interleukins (e.g. IL-1 , IL-2, IL-4, IL-5, IL-6, IL-7, IL- 12 [79], etc.) [80], interferons (e.g. interferon- ⁇ ), macrophage colony stimulating factor, and tumor necrosis factor.
  • a preferred immunomodulator is IL-12.
  • Bioadhesives and mucoadhesives may also be used as adjuvants in the invention.
  • Suitable bioadhesives include esterified hyaluronic acid microspheres [81] or mucoadhesives such as cross-linked derivatives of poly(acrylic acid), polyvinyl alcohol, polyvinyl pyrollidone, polysaccharides and carboxymethylcellulose. Chitosan and derivatives thereof may also be used as adjuvants in the invention [82].
  • Microparticles may also be used as adjuvants in the invention.
  • Microparticles i.e. a particle of ⁇ 100nm to ⁇ 150um in diameter, more preferably ⁇ 200nm to ⁇ 30um in diameter, and most preferably ⁇ 500nm to -lOum in diameter
  • materials that are biodegradable and non-toxic e.g. a poly(a-hydroxy acid), a polyhydroxybutyric acid, a polyorthoester, a polyanhydride, a polycaprolactone, etc.
  • a negatively-charged surface e.g. with SDS
  • a positively-charged surface e.g. with a cationic detergent, such as CTAB
  • liposome formulations suitable for use as adjuvants are described in refs. 83-85.
  • imidazoquinolone compounds suitable for use adjuvants in the invention include Imiquamod and its homologues (e.g. "Resiquimod 3M"), described further in refs. 86 and 87.
  • the invention may also comprise combinations of aspects of one or more of the adjuvants identified above.
  • the following adjuvant compositions may be used in the invention: (1) a saponin and an oil-in-water emulsion [88]; (2) a saponin (e.g. QS21) + a non-toxic LPS derivative (e.g. 3dMPL) [89]; (3) a saponin (e.g. QS21) + a non-toxic LPS derivative (e.g. 3dMPL) + a cholesterol; (4) a saponin (e.g.
  • RibiTM adjuvant system (RAS), (Ribi Immunochem) containing 2% squalene, 0.2% Tween 80, and one or more bacterial cell wall components from the group consisting of monophosphorylipid A (MPL), trehalose dimycolate (TDM), and cell wall skeleton (CWS), preferably MPL + CWS (DetoxTM); and (8) one or more mineral salts (such as an aluminum salt) + a non-toxic derivative of LPS (such as 3dMPL).
  • MPL monophosphorylipid A
  • TDM trehalose dimycolate
  • CWS cell wall skeleton
  • LPS such as 3dMPL
  • An aluminium hydroxide adjuvant is useful, and antigens are generally adsorbed to this salt.
  • Oil-in- water emulsions comprising squalene, with submicron oil droplets, are also preferred, particularly in the elderly.
  • Useful adjuvant combinations include combinations of Thl and Th2 adjuvants such as CpG & an aluminium salt, or resiquimod & an aluminium salt.
  • a combination of an aluminium salt and 3dMPL may be used.
  • the invention also provides a method for raising an antibody response in a mammal, comprising administering an immunogenic composition of the invention to the mammal.
  • the antibody response is preferably a protective antibody response.
  • the invention also provides compositions of the invention for use in such methods.
  • the invention also provides a method for protecting a mammal against a bacterial infection and/or disease, comprising administering to the mammal an immunogenic composition of the invention.
  • compositions of the invention for use as medicaments (e.g. as immunogenic compositions or as vaccines). It also provides the use of vesicles of the invention in the manufacture of a medicament for preventing a bacterial infection in a mammal.
  • the mammal is preferably a human.
  • the human may be an adult or, preferably, a child.
  • the vaccine is for prophylactic use, the human is preferably a child (e.g. a toddler or infant); where the vaccine is for therapeutic use, the human is preferably an adult.
  • a vaccine intended for children may also be administered to adults e.g. to assess safety, dosage, immunogenicity, etc.
  • the uses and methods are particularly useful for preventing/treating diseases caused by Shigella including, but not limited to, shigellosis, Reiter's syndrome, and/or hemolytic uremic syndrome. They are also useful for preventing/treating diseases caused by Salmonella including, but not limited to, food poisoning and/or diarrhoea.
  • Efficacy of therapeutic treatment can be tested by monitoring bacterial infection after administration of the composition of the invention.
  • Efficacy of prophylactic treatment can be tested by monitoring immune responses against immunogenic proteins in the vesicles or other antigens after administration of the composition. Immunogenicity of compositions of the invention can be determined by administering them to test subjects (e.g. children 12-16 months age) and then determining standard serological parameters. These immune responses will generally be determined around 4 weeks after administration of the composition, and compared to values determined before administration of the composition. Where more than one dose of the composition is administered, more than one post-administration determination may be made.
  • compositions of the invention will generally be administered directly to a patient.
  • Direct delivery may be accomplished by parenteral injection (e.g. subcutaneously, intraperitoneally, intravenously, intramuscularly, or to the interstitial space of a tissue), or by rectal, oral, vaginal, topical, transdermal, intranasal, ocular, aural, pulmonary or other mucosal administration.
  • Intramuscular administration to the thigh or the upper arm is preferred.
  • Injection may be via a needle (e.g. a hypodermic needle), but needle-free injection may alternatively be used.
  • a typical intramuscular dose is about 0.5 ml.
  • the invention may be used to elicit systemic and/or mucosal immunity.
  • Dosage treatment can be a single dose schedule or a multiple dose schedule. Multiple doses may be used in a primary immunisation schedule and/or in a booster immunisation schedule. A primary dose schedule may be followed by a booster dose schedule. Suitable timing between priming doses (e.g. between 4- 16 weeks), and between priming and boosting, can be routinely determined.
  • the invention also provides a process for culturing a Shigella bacterium, comprising growing the bacteria under agitated and aerated conditions at 37°C and pH 7.1 with dissolved oxygen at 30% saturation.
  • composition comprising X may consist exclusively of X or may include something additional e.g. X + Y.
  • references to a percentage sequence identity between two amino acid sequences means that, when aligned, that percentage of amino acids are the same in comparing the two sequences.
  • This alignment and the percent homology or sequence identity can be determined using software programs known in the art, for example those described in section 7.7.18 of reference 92.
  • a preferred alignment is determined by the Smith- Waterman homology search algorithm using an affine gap search with a gap open penalty of 12 and a gap extension penalty of 2, BLOSUM matrix of 62.
  • the Smith- Waterman homology search algorithm is well known and is disclosed in reference 93.
  • GI numbering is used above.
  • a GI number, or “Genlnfo Identifier” is a series of digits assigned consecutively to each sequence record processed by NCBI when sequences are added to its databases. The GI number bears no resemblance to the accession number of the sequence record.
  • a sequence is updated (e.g. for correction, or to add more annotation or information) then it receives a new GI number.
  • this epitope may be a B-cell epitope and/or a T-cell epitope.
  • Such epitopes can be identified empirically (e.g.
  • Figure 1 shows blebs of the invention purified from culture.
  • Figure 2 shows SDS-PAGE analysis of Shigella samples taken (i) before the first filtration, (ii) after the first filtration, and (iii) after the second filtration. Each panel has three lanes showing, from left to right, total protein, vesicle protein and soluble protein.
  • Figure 5 shows similar results for Salmonella.
  • Figure 3 shows a SEC trace of samples taken after the first and second filtration steps.
  • FIG. 4 illustrates the overall process of the invention.
  • a double knockout strain of S.sonnei was prepared using the ⁇ Red system.
  • the tolR and galU genes were both knocked out to give a AtolRAgalU strain.
  • This double mutant strain releases outer membrane blebs more readily than the wild type strain and has no O antigen in its LPS.
  • Fermentation of S.sonnei AtolRAgalU was run under the following conditions: pH 7.1, 37°C, dissolved oxygen maintained at 30% saturation by controlling agitation and setting maximum aeration.
  • the pH was controlled by addition of 4M ammonium hydroxide.
  • the foam was controlled by addition of 10% PPG during the run.
  • the medium consisted of the following components: KH2PO4, K2HPO4 and yeast extract. After the medium was sterilized by autoclaving, glycerol and MgS0 4 were added prior to inoculation.
  • the culture inoculum was 5% of the fermentor volume. The fermentation process took approximately 13 hours and cell concentration was measured as optical density at 600nm.
  • Vesicles produced in the fermentation broth were purified using two consecutive TFF (tangential flow filtration) steps: micro-filtration at 0.22 ⁇ and then a second micro-filtration at 0.1 ⁇ .
  • the vesicles were separated from biomass by TFF through a 0.22 ⁇ pore size cassette.
  • the biomass was first concentrated 4-fold and, after five diafiltration steps against PBS, the vesicles were collected in the filtrate.
  • the filtrate from the 0.22 ⁇ TFF was further micro-filtered trough a 0.1 ⁇ cut-off cassette, in order to purify the vesicles from soluble proteins. The vesicles could not pass through the filter cassette.
  • the retentate containing the vesicles was collected.
  • samples from each step of the process were ultra-centrifuged (2 hours, 200,000g,) and the pellet (containing vesicles) was resuspended in PBS.
  • the protein contents of te vesicles (the pellet) and the soluble fraction (the supernatant) were quantified by Bradford method and analyzed by SDS-PAGE and size exclusion chromatography (SEC).
  • Figure 2 shows SDS-PAGE of samples taken (i) before the first filtration, (ii) after the first filtration, and (iii) after the second filtration. Samples were normalised to volume. The high purity of the vesicle suspension obtained after the two TFF steps is evident. The right-hand lane is almost empty indicating an almost complete absence of soluble proteins.
  • Figure 3 shows SEC analysis of samples taken after the first filtration step (right-hand peak) and after the second filtration step (left-hand peak).
  • the arrow indicates the chromatographic peak corresponding to the vesicles.
  • the major UV-adsorbing peak is at the bed volume (MW ⁇ 13kDa) whereas after the second filtration step the major peak is at the void volume, with almost no other signal.
  • the yield of vesicles was lOOmg of vesicle proteins per liter of fermentation culture. This would provide 4000 vaccine doses (considering 25 ⁇ g of proteins per dose) per liter of fermentation broth.
  • the final purified product was observed with TEM ( Figure 1).
  • the blebs have a homogenous size of about 50 nm in diameter.
  • blebs are essentially pure outer membranes. Unlike conventional outer membrane vesicles (OMV) derived by disruption of the outer membrane, the blebs conserve lipophilic proteins and are essentially free of cytoplasmic and inner membrane components. Immunogenicity of the purified blebs was confirmed by injecting them into mice and observing specific immune responses against bleb components.
  • OMV outer membrane vesicles
  • a tolR knockout strain of S.typhimurium ⁇ S.typhimurium AtolR was prepared using the ⁇ Red system. This mutant strain releases outer membrane blebs more readily than the wild type strain. Fermentation of the knockout mutant was run under the following conditions: pH 7.1 , 37°C, dissolved oxygen maintained at 30% saturation by controlling agitation and setting maximum aeration. The pH was controlled by addition of 30% ammonium hydroxide. Foam was controlled by addition of 0.25g/L of PPG in the fermentation medium. The culture inoculum was 1% of the fermenter volume.
  • the fermentation process was stopped after 14 hours, when the culture achieved a cell concentration of 29 OD 60 onm- Culture supernatant containing vesicles was separated from the Salmonella biomass by TFF through a 0.22 ⁇ pore size filter cassette with a 0.1m 2 filtration area. The biomass was retained on the cassette and the permeate containing the vesicles was collected. Soluble proteins in the permeate were removed from the blebs by a second microfiltration trough a 0.1 ⁇ pore size filter cassette (200cm 2 filtration area). Following a 10- fold concentration the retentate was subjected to 10 diafiltration steps against PBS and subsequently collected.
  • samples from each step of the process were ultra-centrifuged (2 hours, 200,000g,) and the vesicle-containing pellet was resuspended in PBS.
  • the protein contents of the vesicles (the pellet) and the soluble fraction (the supernatant) were quantified by Bradford method and analyzed by SDS-PAGE ( Figure 5). All the samples were normalized to volume.
  • Vaccine Adjuvants Preparation Methods and Research Protocols (Volume 42 of Methods in Molecular Medicine series). ISBN: 1-59259-083-7. Ed. O'Hagan.

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Abstract

A two stage size filtration process is used to purify immunogenic bacterial vesicles. A first step separates the vesicles from intact bacteria based on their different sizes, with the smaller vesicles passing into the filtrate (permeate). A second step then uses a finer filter to remove smaller contaminants, with the vesicles remaining in the retentate. This two stage process is extremely simple to operate but has been shown to give vesicles of high purity.

Description

PURIFICATION OF BACTERIAL VESICLES
TECHNICAL FIELD
This invention is in the field of purifying vesicles from Gram-negative bacteria.
BACKGROUND ART
Gram-negative bacteria can spontaneously release outer membrane blebs during growth due to the turgour pressure of the cell envelope. The formation of such blebs can be facilitated by disruption of certain bacterial components e.g. references 1 and 2 disrupted the MltA enzyme of meningococcus to provide strains which release vesicles into the culture medium during growth, and references 2 and 3 disrupted the E.coli Tol-Pal system for the same purpose.
Outer membrane vesicles (OMVs) can also be produced by disruption of whole bacteria. Known OMV production methods include methods which use detergent treatment (e.g. with deoxycholate) [4 & 5], detergent- free methods [6], or sonication [7], etc.
Various methods have been used to purify these immunogenic vesicles (i.e. blebs and OMVs). For instance, reference 8 reports an ultrafiltration-based method.
Although effective, these methods are labour intensive and expensive, particularly because of the use of centrifugation. Thus the methods are not suitable for the production of low cost vaccines against diseases which are common in developing countries e.g. against shigellosis. Thus there is a need for a simpler and cheaper process for the purification of immunogenic bacterial vesicles.
DISCLOSURE OF THE INVENTION
The invention uses a two-stage size filtration process to purify immunogenic bacterial vesicles. A first step separates the vesicles from intact bacteria based on their different sizes, with the smaller vesicles passing into the filtrate (permeate). A second step then uses a finer filter to remove smaller contaminants (e.g. soluble proteins), with the vesicles remaining in the retentate. This two stage process is extremely simple to operate but gives immunogenic vesicles of high purity.
Thus the invention provides a process for purifying immunogenic bacterial vesicles from a composition which includes both whole bacteria and vesicles, comprising: (i) a first filtration step in which the vesicles are separated from the bacteria based on their different sizes, with the vesicles passing into the filtrate; and (ii) a second filtration step in which the vesicles are retained in the retentate. The retained vesicles can be used as an immunogenic component in a vaccine.
The invention also provides a vesicle-containing composition obtained or obtainable by this process.
The invention also provides a process for preparing a pharmaceutical composition, such as a vaccine, comprising steps: (a) purifying immunogenic bacterial vesicles by a process of the invention; and (b) formulating the purified vesicles with a pharmaceutically acceptable carrier (e.g. a buffer) and/or with an immunological adjuvant and/or with one or more further immunogenic components. The invention also provides a process for preparing a pharmaceutical composition, such as a vaccine, comprising a step of formulating vesicles purified by a process of the invention with a pharmaceutically acceptable carrier (e.g. a buffer) and/or with an immunological adjuvant and/or with one or more further immunogenic components. The invention also provides a vesicle-containing pharmaceutical composition obtained or obtainable by these processes.
The vesicles
The invention can be used for purifying various types of proteoliposomic vesicles which retain outer membrane proteins from bacteria. These proteoliposomic vesicle can be obtained by disruption of or blebbling from the outer membrane of a bacterium to form vesicles therefrom that include protein components of the outer membrane. Thus the term includes OMVs, blebs, microvesicles (MVs [9]) and 'native OMVs' ('NOMVs' [10]). It can also include detergent-extracted OMV (DOMVs) and mutant-derived OMVs (m-OMV).
Blebs, MVs and NOMVs are naturally-occurring membrane vesicles that form spontaneously during bacterial growth and are released into culture medium. MVs can be obtained by culturing bacteria such as Neisseria in broth culture medium, separating whole cells from the smaller MVs in the broth culture medium (e.g. by filtration or by low-speed centrifugation to pellet only the cells and not the smaller vesicles), and then collecting the MVs from the cell-depleted medium (e.g. by filtration, by differential precipitation or aggregation of MVs, by high-speed centrifugation to pellet the MVs). Strains for use in production of MVs can generally be selected on the basis of the amount of MVs produced in culture e.g. refs. 11 & 12 describe Neisseria with high MV production. Hyperblebbing strains are disclosed in reference 13. Disruption of the mltA gene [1 ,2] can also provide meningococcal strains which spontaneously release suitable vesicles during culture. Disruption of the Tol-Pal system can be used to provide E.coli, Shigella and Salmonella strains which spontaneously release suitable vesicles during culture.
OMVs are prepared artificially from bacteria, and may be prepared using detergent treatment (e.g. with deoxycholate or sarkosyl), or by non-detergent means (e.g. see reference 14). Techniques for forming OMVs include treating bacteria with a bile acid salt detergent (e.g. salts of lithocholic acid, chenodeoxycholic acid, ursodeoxycholic acid, deoxycholic acid, cholic acid, ursocholic acid, etc., with sodium deoxycholate [15 & 16] being preferred for treating Neisseria) at a pH sufficiently high not to precipitate the detergent [17]. Other techniques may be performed substantially in the absence of detergent [14] using techniques such as sonication, homogenisation, microfluidisation, cavitation, osmotic shock, grinding, French press, blending, etc. Methods using no or low detergent can retain useful antigens such as NspA [14]. Thus a method may use an OMV extraction buffer with about 0.5% deoxycholate or lower e.g. about 0.2%, about 0.1%, <0.05% or zero. A useful process for OMV preparation is described in reference 18 and involves ultrafiltration on crude OMVs, rather than instead of high speed centrifugation. The process may involve a step of ultracentrifugation after the ultrafiltration takes place.
If LOS is present in a vesicle it is possible to treat the vesicle so as to link its LOS and protein components ("intra-bleb" conjugation [19]).
Preferred vesicles for use with the invention are produced by a Shigella bacterium (e.g. a S.sonnei) which does not express a functional TolR protein. Other vesicles for use with the invention are produced by a Salmonella bacterium (e.g. a S.typhimurium, also known as Salmonella enterica serovar Typhimurium) which does not express a functional TolR protein. The bacterium
The invention can be used to purify vesicles from various Gram negative bacteria, such as species in any of genera Escherichia, Shigella, Neisseria, Moraxella, Bordetella, Borrelia, Brucella, Chlamydia Haemophilus, Legionella, Pseudomonas, Yersinia, Helicobacter, Salmonella, Vibrio, etc.
For example, the bacterium may be Bordetella pertussis, Borrelia burgdorferi, Brucella melitensis, Brucella ovis, Chlamydia psittaci, Chlamydia trachomatis, Moraxella catarrhalis, Escherichia coli, Haemophilus influenzae (including non-typeable stains), Legionella pneumophila, Neisseria gonorrhoeae, Neisseria meningitidis, Neisseria lactamica, Pseudomonas aeruginosa, Yersinia enterocolitica, Helicobacter pylori, Salmonella enterica (including serovars typhi and typhimurium, as well as serovars paratyphi and enteritidis), Vibrio cholerae, etc. The invention is particularly suitable for preparing vesicles from Shigella (such as S.dysenteriae, S.flexneri, S.boydii or S.sonnei) and E.coli (including extraintestinal pathogenic strains) and Salmonella (including S.typhimurium)..
The bacterium can be a wild-type bacterium but, more typically, it will have been modified e.g. to inactivate genes which lead to a toxic phenotype. For example, it is known to modify bacteria so that they do not express a native lipopolysaccharide (LPS), particularly for E.coli, meningococcus, Shigella, and the like. Various modifications of native LPS can be made e.g. these may disrupt the native lipid A structure, the oligosaccharide core, or the outer O antigen. Absence of O antigen in the LPS is useful, as is absence of hexa-acylated lipid A. Inactivation of enterotoxins is also known e.g. to prevent expression of Shiga toxin. A preferred bacterium for use with the invention is a S.sonnei strain with a AtolR genotype, including a strain with a AtolRdgalU genotype.
The first filtration
The first filtration step separates the vesicles from intact bacteria based on their different sizes, with the smaller vesicles passing into the filtrate (permeate). The input for the first filtration step can be the product of a vesicle forming method (e.g. an OMV preparation method from meningococci). Usually, though, the input will be the culture medium of a blebbing bacterium. This material may be concentrated prior to the first filtration step so as to remove the volume which requires first filtration. This step can be a typical sterile filtration e.g. using a 0.22μπι filter. The bacteria are retained by the filter but the vesicles pass through into the filtrate. Although the vesicles can pass through a standard 0.22μπι filter, the filter can rapidly become clogged by other material and so it may be useful to perform pre-filtering through a series of filters of decreasing pore size before the first filtration step. For example, the first filtration step might be preceded by filtration through filters with pore size of 0.8μιη, then 0.45 μηι, etc.
In general, the pore size for the first filtration will be selected according to the size and characteristics of the bacteria which are to be removed. The goal of the first filtration step is to retain more than 90% (by number) of intact bacteria, ideally >95%, >97%, >98%, >99% or >99.5%, and a pore size can be selected accordingly. For some bacteria (e.g. those with large cells) the first filtration step may be filtration through a 0.8μιη, 0.65μιη or 0.45μηι pore size membrane, but for other bacteria (e.g. those with small cells) the first filtration step may be through a 0.22μπι or 0.2μπι pore size membrane. As discussed above, the first filtration may include pre-filtration through a 0.45μπι or 0.65μιη membrane followed by filtration through a 0.22μιη or 0.2μπι membrane. Various suitable membranes are commercially available. The first filtration step is advantageously performed with a tangential flow (cross-flow) arrangement. This arrangement helps to avoid clogging which is typical for dead-ended filtration and minimises the need for extensive pre-filtering. Reduced pre-filtering means that a lower volume of liquid remains trapped in the filters. Tangential flow microfiltration cassettes were evaluated in references 20 & 21 , and are commercially available e.g. the MaxCell™ range of hollow fiber cartridges with 0.2μπι pore size, or the MidGee™ cartridges with 0.2μηι pore size, or ProCell™ hollow fiber cartridges with 0.2μιη pore size (all available from GE Healthcare).
Tangential flow filtration in the first step is ideally performed with diafiltration. This permits efficient removal of filtrate components and involves addition of fresh solvent (e.g. a buffer, such as PBS) during the first filtration step. Addition of the fresh solvent can maintain the overall volume if it occurs at the same rate as solvent removal through the tangential flow filter.
The first filtration step may use a hollow fibre membrane e.g. to reduce shear stress on vesicles.
The second filtration
The second filtration step uses a finer filter than the first step. Whereas the vesicles passed into the filtrate in the first filtration step, in the second filtration step they remain in the retentate. In general, the pore size for the second filtration will be selected according to the size and characteristics of the vesicles which are to be retained. Some small vesicles may pass through the filter, but the goal of the second filtration step is to retain more than 50% (by number) of vesicles, ideally >60%, >70%, >80%, >90% or >95%, while removing soluble proteins. A pore size can be selected accordingly, based on the vesicles to be retained and the soluble proteins which are to be removed. Ideally, >90% of total protein in the retentate should be part of the vesicles, with <10% as soluble protein. Suitable filters are usually quoted in terms of their pore size (e.g. a suitable filter can have a pore size of 0.1 μπι) or molecular weight (e.g. a 300kDa, 500kDa, 750kDa or lOOOkDa membrane can be used). Various suitable membranes are commercially available. The second filtration step is advantageously performed with a tangential flow (cross-flow) arrangement. As discussed above, this arrangement helps to avoid clogging. Tangential flow microfiltration cassettes are commercially available e.g. the MaxCell™ range of hollow fiber cartridges with 0.1 μπι pore size, or the MidGee™ cartridges with 0.1 μηι pore size, or Xampler™ laboratory cartridges with 0.1 μπι pore size (all available from GE Healthcare). Tangential flow filtration in the second step is ideally performed with diafiltration (see above).
The second filtration step may use a hollow fibre membrane e.g. to reduce shear stress on vesicles.
Retentate from the second filtration step contains vesicles and these may be resuspended in any suitable medium (e.g. in a buffer or other pharmaceutically acceptable liquid) ready for formulation into a vaccine. Pharmaceutical compositions
The invention provides a pharmaceutical composition comprising (a) vesicles purified by a process of the invention and (b) a pharmaceutically acceptable carrier. The invention also provides a process for preparing such a composition, comprising the step of admixing vesicles purified by a process of the invention with a pharmaceutically acceptable carrier. The invention also provides a container (e.g. vial) or delivery device (e.g. syringe) pre-filled with a pharmaceutical composition of the invention. The invention also provides a process for providing such a container or device, comprising introducing into the container or device a vesicle-containing composition of the invention.
The immunogenic composition may include a pharmaceutically acceptable carrier, which can be any substance that does not itself induce the production of antibodies harmful to the patient receiving the composition, and which can be administered without undue toxicity. Pharmaceutically acceptable carriers can include liquids such as water, saline, glycerol and ethanol. Auxiliary substances, such as wetting or emulsifying agents, pH buffering substances, and the like, can also be present in such vehicles. A thorough discussion of suitable carriers is available in ref. 22. Bacteria can affect various areas of the body and so the compositions of the invention may be prepared in various forms. For example, the compositions may be prepared as injectables, either as liquid solutions or suspensions. Solid forms suitable for solution in, or suspension in, liquid vehicles prior to injection can also be prepared. The composition may be prepared for topical administration e.g. as an ointment, cream or powder. The composition be prepared for oral administration e.g. as a tablet or capsule, or as a syrup (optionally flavoured). The composition may be prepared for pulmonary administration e.g. as an inhaler, using a fine powder or a spray. The composition may be prepared as a suppository or pessary. The composition may be prepared for nasal, aural or ocular administration e.g. as drops.
A pharmaceutical carrier may include a temperature protective agent, and this component may be particularly useful in adjuvanted compositions (particularly those containing a mineral adjuvant, such as an aluminium salt). As described in reference 23, a liquid temperature protective agent may be added to an aqueous vaccine composition to lower its freezing point e.g. to reduce the freezing point to below 0°C. Thus the composition can be stored below 0°C, but above its freezing point, to inhibit thermal breakdown. The temperature protective agent also permits freezing of the composition while protecting mineral salt adjuvants against agglomeration or sedimentation after freezing and thawing, and may also protect the composition at elevated temperatures e.g. above 40°C. A starting aqueous vaccine and the liquid temperature protective agent may be mixed such that the liquid temperature protective agent forms from 1-80% by volume of the final mixture. Suitable temperature protective agents should be safe for human administration, readily miscible/soluble in water, and should not damage other components {e.g. antigen and adjuvant) in the composition. Examples include glycerin, propylene glycol, and/or polyethylene glycol (PEG). Suitable PEGs may have an average molecular weight ranging from 200-20,000 Da. In a preferred embodiment, the polyethylene glycol can have an average molecular weight of about 300 Da ('PEG-300'). The composition is preferably sterile. It is preferably pyrogen-free. It is preferably buffered e.g. at between pH 6 and pH 8, generally around pH 7. Compositions of the invention may be isotonic with respect to humans.
Immunogenic compositions comprise an immunologically effective amount of immunogenic vesicles, as well as any other of other specified components, as needed. By 'immunologically effective amount', it is meant that the administration of that amount to an individual, either in a single dose or as part of a series, is effective for treatment or prevention. This amount varies depending upon the health and physical condition of the individual to be treated, age, the taxonomic group of individual to be treated {e.g. non-human primate, primate, etc.), the capacity of the individual's immune system to synthesise antibodies, the degree of protection desired, the formulation of the vaccine, the treating doctor's assessment of the medical situation, and other relevant factors. It is expected that the amount will fall in a relatively broad range that can be determined through routine trials. Previous work with vesicle vaccines (e.g. for meningococcus) offers pharmaceutical, posological and formulation guidance for compositions of the invention. The concentration of vesicles in compositions of the invention will generally be between 10 and 500 μ^πιΐ, preferably between 25 and 200μg/ml, and more preferably about 50μg/ml or about 100 g/ml (expressed in terms of total protein in the vesicles). A dosage volume of 0.5ml is typical for injection.
The composition may be administered in conjunction with other immunoregulatory agents.
Adjuvants which may be used in compositions of the invention include, but are not limited to:
A. Mineral-containing compositions
Mineral containing compositions suitable for use as adjuvants in the invention include mineral salts, such as aluminium salts and calcium salts. The invention includes mineral salts such as hydroxides (e.g. oxyhydroxides), phosphates (e.g. hydroxyphosphates, orthophosphates), sulphates, etc. [e.g. see chapters 8 & 9 of ref. 27], or mixtures of different mineral compounds, with the compounds taking any suitable form (e.g. gel, crystalline, amorphous, etc.), and with adsorption being preferred. The mineral containing compositions may also be formulated as a particle of metal salt.
The adjuvants known as "aluminium hydroxide" are typically aluminium oxyhydroxide salts, which are usually at least partially crystalline. Aluminium oxyhydroxide, which can be represented by the formula AIO(OH), can be distinguished from other aluminium compounds, such as aluminium hydroxide Al(OH)3, by infrared (IR) spectroscopy, in particular by the presence of an adsorption band at 1070cm-1 and a strong shoulder at 3090-3100cm-1 [chapter 9 of ref. 27]. The degree of crystallinity of an alumimum hydroxide adjuvant is reflected by the width of the diffraction band at half height (WHH), with poorly-crystalline particles showing greater line broadening due to smaller crystallite sizes. The surface area increases as WHH increases, and adjuvants with higher WHH values have been seen to have greater capacity for antigen adsorption. A fibrous morphology (e.g. as seen in transmission electron micrographs) is typical for aluminium hydroxide adjuvants. The pi of aluminium hydroxide adjuvants is typically about 11 i.e. the adjuvant itself has a positive surface charge at physiological pH. Adsorptive capacities of between 1.8-2.6 mg protein per mg Al^ at pH 7.4 have been reported for aluminium hydroxide adjuvants.
The adjuvants known as "alumimum phosphate" are typically aluminium hydroxyphosphates, often also containing a small amount of sulfate (i.e. aluminium hydroxyphosphate sulfate). They may be obtained by precipitation, and the reaction conditions and concentrations during precipitation influence the degree of substitution of phosphate for hydroxyl in the salt. Hydroxyphosphates generally have a PO4/AI molar ratio between 0.3 and 1.2. Hydroxyphosphates can be distinguished from strict AIPO4 by the presence of hydroxyl groups. For example, an IR spectrum band at 3164cm"1 (e.g. at 200°C) indicates the presence of structural hydroxyls [ch. 9 of ref. 27]. The PC>4/A13+ molar ratio of an aluminium phosphate adjuvant will generally be between 0.3 and 1.2, preferably between 0.8 and 1.2, and more preferably 0.95+0.1. The alumimum phosphate will generally be amorphous, particularly for hydroxyphosphate salts. A typical adjuvant is amorphous aluminium hydroxyphosphate with PO4/AI molar ratio between 0.84 and 0.92, included at 0.6mg Al3+/ml. The aluminium phosphate will generally be particulate (e.g. plate-like morphology as seen in transmission electron micrographs). Typical diameters of the particles are in the range 0.5- 20μηι (e.g. about 5-10μηι) after any antigen adsorption. Adsorptive capacities of between 0.7-1.5 mg protein per mg Al"1"1"1" at pH 7.4 have been reported for aluminium phosphate adjuvants.
The point of zero charge (PZC) of aluminium phosphate is inversely related to the degree of substitution of phosphate for hydroxyl, and this degree of substitution can vary depending on reaction conditions and concentration of reactants used for preparing the salt by precipitation. PZC is also altered by changing the concentration of free phosphate ions in solution (more phosphate = more acidic PZC) or by adding a buffer such as a histidine buffer (makes PZC more basic). Aluminium phosphates used according to the invention will generally have a PZC of between 4.0 and 7.0, more preferably between 5.0 and 6.5 e.g. about 5.7.
Suspensions of aluminium salts used to prepare compositions of the invention may contain a buffer (e.g. a phosphate or a histidine or a Tris buffer), but this is not always necessary. The suspensions are preferably sterile and pyrogen-free. A suspension may include free aqueous phosphate ions e.g. present at a concentration between 1.0 and 20 mM, preferably between 5 and 15 niM, and more preferably about 10 mM. The suspensions may also comprise sodium chloride.
In one embodiment, an adjuvant component includes a mixture of both an aluminium hydroxide and an aluminium phosphate. In this case there may be more aluminium phosphate than hydroxide e.g. a weight ratio of at least 2: 1 e.g. >5: 1, >6: 1 , >7: 1 , >8: 1, >9: 1, etc.
The concentration of Al^ in a composition for administration to a patient is preferably less than lOmg/ml e.g. <5 mg/ml, <4 mg/ml, <3 mg/ml, <2 mg/ml, <1 mg ml, etc. A preferred range is between 0.3 and lmg/ml. A maximum of <0.85mg/dose is preferred. B. Oil Emulsions
Oil emulsion compositions suitable for use as adjuvants in the invention include squalene-water emulsions, such as MF59 [Chapter 10 of ref. 27; see also ref. 24] (5% Squalene, 0.5% Tween 80, and
0.5% Span 85, formulated into submicron particles using a microfluidizer). Complete Freund's adjuvant (CFA) and incomplete Freund's adjuvant (IF A) may also be used. Various suitable oin-in-water emulsions are known, and they typically include at least one oil and at least one surfactant, with the oil(s) and surfactant(s) being biodegradable (metabolisable) and biocompatible. The oil droplets in the emulsion are generally less than 5μπι in diameter, and advantageously the emulsion comprises oil droplets with a sub-micron diameter, with these small sizes being achieved with a microfluidiser to provide stable emulsions. Droplets with a size less than 220nm are preferred as they can be subjected to filter sterilization. The invention can be used with oils such as those from an animal (such as fish) or vegetable source. Sources for vegetable oils include nuts, seeds and grains. Peanut oil, soybean oil, coconut oil, and olive oil, the most commonly available, exemplify the nut oils. Jojoba oil can be used e.g. obtained from the jojoba bean. Seed oils include safflower oil, cottonseed oil, sunflower seed oil, sesame seed oil and the like. In the grain group, corn oil is the most readily available, but the oil of other cereal grains such as wheat, oats, rye, rice, teff, triticale and the like may also be used. 6-10 carbon fatty acid esters of glycerol and 1 ,2-propanediol, while not occurring naturally in seed oils, may be prepared by hydrolysis, separation and esterification of the appropriate materials starting from the nut and seed oils. Fats and oils from mammalian milk are metabolizable and may therefore be used in the practice of this invention. The procedures for separation, purification, saponification and other means necessary for obtaining pure oils from animal sources are well known in the art. Most fish contain metabolizable oils which may be readily recovered. For example, cod liver oil, shark liver oils, and whale oil such as spermaceti exemplify several of the fish oils which may be used herein. A number of branched chain oils are synthesized biochemically in 5-carbon isoprene units and are generally referred to as terpenoids. Shark liver oil contains a branched, unsaturated terpenoid known as squalene, 2,6,10,15, 19,23-hexamethyl-2,6,10,14,18,22-tetracosahexaene. Other preferred oils are the tocopherols (see below). Oil in water emulsions comprising sqlauene are particularly preferred. Mixtures of oils can be used.
Surfactants can be classified by their 'HLB' (hydrophile/lipophile balance). Preferred surfactants of the invention have a HLB of at least 10, preferably at least 15, and more preferably at least 16. The invention can be used with surfactants including, but not limited to: the polyoxyethylene sorbitan esters surfactants (commonly referred to as the Tweens), especially polysorbate 20 and polysorbate 80; copolymers of ethylene oxide (EO), propylene oxide (PO), and/or butylene oxide (BO), sold under the DOWFAX™ tradename, such as linear EO/PO block copolymers; octoxynols, which can vary in the number of repeating ethoxy (oxy- 1 ,2-ethanediyl) groups, with octoxynol-9 (Triton X- 100, or t-octylphenoxypolyethoxyethanol) being of particular interest; (octylphenoxy)polyethoxyethanol (IGEPAL CA-630/NP-40); phospholipids such as phosphatidylcholine (lecithin); polyoxyethylene fatty ethers derived from lauryl, cetyl, stearyl and oleyl alcohols (known as Brij surfactants), such as triethyleneglycol monolauryl ether (Brij 30); and sorbitan esters (commonly known as the SPANs), such as sorbitan trioleate (Span 85) and sorbitan monolaurate. Preferred surfactants for including in the emulsion are Tween 80 (polyoxyethylene sorbitan monooleate), Span 85 (sorbitan trioleate), lecithin and Triton X-100. As mentioned above, detergents such as Tween 80 may contribute to the thermal stability seen in the examples below.
Mixtures of surfactants can be used e.g. Tween 80/Span 85 mixtures. A combination of a polyoxyethylene sorbitan ester such as polyoxyethylene sorbitan monooleate (Tween 80) and an octoxynol such as t-octylphenoxypolyethoxyethanol (Triton X-100) is also suitable. Another useful combination comprises laureth 9 plus a polyoxyethylene sorbitan ester and/or an octoxynol. Preferred amounts of surfactants (% by weight) are: polyoxyethylene sorbitan esters (such as Tween 80) 0.01 to 1%, in particular about 0.1 %; octyl- or nonylphenoxy polyoxyethanols (such as Triton X-100, or other detergents in the Triton series) 0.001 to 0.1 %, in particular 0.005 to 0.02%; polyoxyethylene ethers (such as laureth 9) 0.1 to 20 %, preferably 0.1 to 10 % and in particular 0.1 to 1 % or about 0.5%.
Specific oil-in-water emulsion adjuvants useful with the invention include, but are not limited to:
• A submicron emulsion of squalene, Tween 80, and Span 85. The composition of the emulsion by volume can be about 5% squalene, about 0.5% polysorbate 80 and about 0.5% Span 85. In weight terms, these ratios become 4.3% squalene, 0.5% polysorbate 80 and 0.48% Span 85. This adjuvant is known as 'MF59' [24-26], as described in more detail in Chapter 10 of ref. 27 and chapter 12 of ref. 28. The MF59 emulsion advantageously includes citrate ions e.g. lOmM sodium citrate buffer.
• An emulsion comprising squalene, an a-tocopherol, and polysorbate 80. These emulsions may have from 2 to 10% squalene, from 2 to 10% tocopherol and from 0.3 to 3% Tween 80, and the weight ratio of squalene:tocopherol is preferably <1 {e.g. 0.90) as this provides a more stable emulsion. Squalene and Tween 80 may be present volume ratio of about 5:2, or at a weight ratio of about 1 1 :5. One such emulsion can be made by dissolving Tween 80 in PBS to give a 2% solution, then mixing 90ml of this solution with a mixture of (5g of DL-a-tocopherol and 5ml squalene), then microfluidising the mixture. The resulting emulsion may have submicron oil droplets e.g. with an average diameter of between 100 and 250nm, preferably about 180nm.
• An emulsion of squalene, a tocopherol, and a Triton detergent (e.g. Triton X-100). The emulsion may also include a 3d-MPL (see below). The emulsion may contain a phosphate buffer.
• An emulsion comprising a polysorbate (e.g. polysorbate 80), a Triton detergent (e.g. Triton X-100) and a tocopherol (e.g. an a-tocopherol succinate). The emulsion may include these three components at a mass ratio of about 75: 1 1 : 10 (e.g. 750μg/ml polysorbate 80, 110μg/ml Triton X-100 and 100μg/ml α-tocopherol succinate), and these concentrations should include any contribution of these components from antigens. The emulsion may also include squalene. The emulsion may also include a 3d-MPL (see below). The aqueous phase may contain a phosphate buffer.
• An emulsion of squalane, polysorbate 80 and poloxamer 401 ("Pluronic™ LI 21"). The emulsion can be formulated in phosphate buffered saline, pH 7.4. This emulsion is a useful delivery vehicle for muramyl dipeptides, and has been used with threonyl-MDP in the "SAF-1" adjuvant [29] (0.05-1% Thr-MDP, 5% squalane, 2.5% Pluronic L121 and 0.2% polysorbate 80). It can also be used without the Thr-MDP, as in the "AF" adjuvant [30] (5% squalane, 1.25% Pluronic LI 21 and 0.2% polysorbate 80). Microfluidisation is preferred. An emulsion comprising squalene, an aqueous solvent, a polyoxyethylene alkyl ether hydrophilic nonionic surfactant (e.g. polyoxyethylene (12) cetostearyl ether) and a hydrophobic nonionic surfactant (e.g. a sorbitan ester or mannide ester, such as sorbitan monoleate or 'Span 80'). The emulsion is preferably thermoreversible and/or has at least 90% of the oil droplets (by volume) with a size less than 200 ran [31]. The emulsion may also include one or more of: alditol; a cryoprotective agent (e.g. a sugar, such as dodecylmaltoside and/or sucrose); and/or an alkylpolyglycoside. Such emulsions may be lyophilized.
• An emulsion having from 0.5-50% of an oil, 0.1-10% of a phospholipid, and 0.05-5% of a non-ionic surfactant. As described in reference 32, preferred phospholipid components are phosphatidylcholine, phosphatidylethanolamine, phosphatidylserine, phosphatidylinositol, phosphatidylglycerol, phosphatidic acid, sphingomyelin and cardiolipin. Submicron droplet sizes are advantageous.
• A submicron oil-in-water emulsion of a non-metabolisable oil (such as light mineral oil) and at least one surfactant (such as lecithin, Tween 80 or Span 80). Additives may be included, such as QuilA saponin, cholesterol, a saponin-lipophile conjugate (such as GPI-0100, described in reference 33, produced by addition of aliphatic amine to desacylsaponin via the carboxyl group of glucuronic acid), dimethyidioctadecylammonium bromide and/or N,N-dioctadecyl-N,N-bis (2-hydroxyethyl)propanediamine.
• An emulsion comprising a mineral oil, a non-ionic lipophilic ethoxylated fatty alcohol, and a non-ionic hydrophilic surfactant (e.g. an ethoxylated fatty alcohol and/or polyoxyethylene- polyoxypropylene block copolymer) [34].
• An emulsion comprising a mineral oil, a non-ionic hydrophilic ethoxylated fatty alcohol, and a non-ionic lipophilic surfactant (e.g. an ethoxylated fatty alcohol and/or polyoxyethylene- polyoxypropylene block copolymer) [34].
· An emulsion in which a saponin (e.g. QuilA or QS21) and a sterol (e.g. a cholesterol) are associated as helical micelles [35].
Antigens and adjuvants in a composition will typically be in admixture at the time of delivery to a patient. The emulsions may be mixed with antigen during manufacture, or extemporaneously, at the time of delivery. Thus the adjuvant and antigen may be kept separately in a packaged or distributed vaccine, ready for final formulation at the time of use. The antigen will generally be in an aqueous form, such that the vaccine is finally prepared by mixing two liquids. The volume ratio of the two liquids for mixing can vary (e.g. between 5: 1 and 1 :5) but is generally about 1 : 1.
C. Saponin formulations [chapter 22 of ref. 27]
Saponin formulations may also be used as adjuvants in the invention. Saponins are a heterogeneous group of sterol glycosides and triterpenoid glycosides that are found in the bark, leaves, stems, roots and even flowers of a wide range of plant species. Saponin from the bark of the Quillaia saponaria Molina tree have been widely studied as adjuvants. Saponin can also be commercially obtained from Smilax ornata (sarsaprilla), Gypsophilla paniculata (brides veil), and Saponaria officianalis (soap root). Saponin adjuvant formulations include purified formulations, such as QS21, as well as lipid formulations, such as ISCOMs. QS21 is marketed as Stimulon™. Saponin compositions have been purified using HPLC and RP-HPLC. Specific purified fractions using these techniques have been identified, including QS7, QS17, QS18, QS21, QH-A, QH-B and QH-C. Preferably, the saponin is QS21. A method of production of QS21 is disclosed in ref. 36. Saponin formulations may also comprise a sterol, such as cholesterol [37].
Combinations of saponins and cholesterols can be used to form unique particles called immunostimulating complexs (ISCOMs; see chapter 23 of ref. 27; also refs 38 & 39). ISCOMs typically also include a phospholipid such as phosphatidylethanolamine or phosphatidylcholine. Any known saponin can be used in ISCOMs. Preferably, the ISCOM includes one or more of QuilA, QHA & QHC. Optionally, the ISCOMS may be devoid of additional detergent [40].
A review of the development of saponin based adjuvants can be found in refs. 41 & 42. D. Bacterial or microbial derivatives
Adjuvants suitable for use in the invention include bacterial or microbial derivatives such as non-toxic derivatives of enterobacterial lipopolysaccharide (LPS), Lipid A derivatives, immunostimulatory oligonucleotides and ADP-ribosylating toxins and detoxified derivatives thereof.
Non-toxic derivatives of LPS include monophosphoryl lipid A (MPL) and 3-O-deacylated MPL (3dMPL). 3dMPL is a mixture of 3 de-O-acylated monophosphoryl lipid A with 4, 5 or 6 acylated chains. A preferred "small particle" form of 3 De-O-acylated monophosphoryl lipid A is disclosed in ref. 43. Such "small particles" of 3dMPL are small enough to be sterile filtered through a 0.22μπι membrane [43]. Other non-toxic LPS derivatives include monophosphoryl lipid A mimics, such as aminoalkyl glucosaminide phosphate derivatives e.g. RC-529 [44,45]. Lipid A derivatives include derivatives of lipid A from Escherichia coli such as OM-174. OM-174 is described for example in refs. 46 & 47.
Immunostimulatory oligonucleotides suitable for use as adjuvants in the invention include nucleotide sequences containing a CpG motif (a dinucleotide sequence containing an unmethylated cytosine linked by a phosphate bond to a guanosine). Double-stranded RNAs and oligonucleotides containing palindromic or poly(dG) sequences have also been shown to be immunostimulatory.
The CpG's can include nucleotide modifications/analogs such as phosphorothioate modifications and can be double-stranded or single-stranded. References 48, 49 and 50 disclose possible analog substitutions e.g. replacement of guanosine with 2'-deoxy-7-deazaguanosine. The adjuvant effect of CpG oligonucleotides is further discussed in refs. 51-56. The CpG sequence may be directed to TLR9, such as the motif GTCGTT or TTCGTT [57]. The CpG sequence may be specific for inducing a Thl immune response, such as a CpG-A ODN, or it may be more specific for inducing a B cell response, such a CpG-B ODN. CpG-A and CpG-B ODNs are discussed in refs. 58-60. Preferably, the CpG is a CpG-A ODN. Preferably, the CpG oligonucleotide is constructed so that the 5' end is accessible for receptor recognition. Optionally, two CpG oligonucleotide sequences may be attached at their 3' ends to form "immunomers". See, for example, refs. 61 -63.
A particularly useful adjuvant based around immunostimulatory oligonucleotides is known as IC-31™ [64-66]. Thus an adjuvant used with the invention may comprise a mixture of (i) an oligonucleotide (e.g. between 15-40 nucleotides) including at least one (and preferably multiple) Cpl motifs (i.e. a cytosine linked to an inosine to form a dinucleotide), and (ii) a polycationic polymer, such as an oligopeptide (e.g. between 5-20 amino acids) including at least one (and preferably multiple) Lys-Arg-Lys tripeptide sequence(s). The oligonucleotide may be a deoxynucleotide comprising 26-mer sequence 5'-(IC)i3-3' (SEQ ID NO: 7). The polycationic polymer may be a peptide comprising 11 -mer amino acid sequence KLKLLLLLKLK (SEQ ID NO: 6). This combination of SEQ ID NOs: 6 and 7 provides the IC-31™ adjuvant.
Bacterial ADP-ribosylating toxins and detoxified derivatives thereof may be used as adjuvants in the invention. Preferably, the protein is derived from E.coli (E.coli heat labile enterotoxin "LT"), cholera ("CT"), or pertussis ("PT"). The use of detoxified ADP-ribosylating toxins as mucosal adjuvants is described in ref. 67 and as parenteral adjuvants in ref. 68. The toxin or toxoid is preferably in the form of a holotoxin, comprising both A and B subunits. Preferably, the A subunit contains a detoxifying mutation; preferably the B subunit is not mutated. Preferably, the adjuvant is a detoxified LT mutant such as LT-K63, LT-R72, and LT-G192. The use of ADP-ribosylating toxins and detoxified derivatives thereof, particularly LT-K63 and LT-R72, as adjuvants can be found in refs. 69-76. A useful CT mutant is or CT-E29H [77]. Numerical reference for amino acid substitutions is preferably based on the alignments of the A and B subunits of ADP-ribosylating toxins set forth in ref. 78, specifically incorporated herein by reference in its entirely.
E. Human immunomodulators
Human immunomodulators suitable for use as adjuvants in the invention include cytokines, such as interleukins (e.g. IL-1 , IL-2, IL-4, IL-5, IL-6, IL-7, IL- 12 [79], etc.) [80], interferons (e.g. interferon-γ), macrophage colony stimulating factor, and tumor necrosis factor. A preferred immunomodulator is IL-12.
F. Bioadhesives and Mucoadhesives
Bioadhesives and mucoadhesives may also be used as adjuvants in the invention. Suitable bioadhesives include esterified hyaluronic acid microspheres [81] or mucoadhesives such as cross-linked derivatives of poly(acrylic acid), polyvinyl alcohol, polyvinyl pyrollidone, polysaccharides and carboxymethylcellulose. Chitosan and derivatives thereof may also be used as adjuvants in the invention [82].
G. Microparticles
Microparticles may also be used as adjuvants in the invention. Microparticles (i.e. a particle of ~100nm to ~150um in diameter, more preferably ~200nm to ~30um in diameter, and most preferably ~500nm to -lOum in diameter) formed from materials that are biodegradable and non-toxic (e.g. a poly(a-hydroxy acid), a polyhydroxybutyric acid, a polyorthoester, a polyanhydride, a polycaprolactone, etc.), with poly(lactide-co-glycolide) are preferred, optionally treated to have a negatively-charged surface (e.g. with SDS) or a positively-charged surface (e.g. with a cationic detergent, such as CTAB).
H. Liposomes (Chapters 13 & 14 of ref. 27)
Examples of liposome formulations suitable for use as adjuvants are described in refs. 83-85.
I. Imidazoquinolone Compounds.
Examples of imidazoquinolone compounds suitable for use adjuvants in the invention include Imiquamod and its homologues (e.g. "Resiquimod 3M"), described further in refs. 86 and 87.
The invention may also comprise combinations of aspects of one or more of the adjuvants identified above. For example, the following adjuvant compositions may be used in the invention: (1) a saponin and an oil-in-water emulsion [88]; (2) a saponin (e.g. QS21) + a non-toxic LPS derivative (e.g. 3dMPL) [89]; (3) a saponin (e.g. QS21) + a non-toxic LPS derivative (e.g. 3dMPL) + a cholesterol; (4) a saponin (e.g. QS21) + 3dMPL + IL-12 (optionally + a sterol) [90]; (5) combinations of 3dMPL with, for example, QS21 and/or oil-in-water emulsions [91]; (6) SAF, containing 10% squalane, 0.4% Tween 80™, 5% pluronic-block polymer L121, and thr-MDP, either microfluidized into a submicron emulsion or vortexed to generate a larger particle size emulsion. (7) Ribi™ adjuvant system (RAS), (Ribi Immunochem) containing 2% squalene, 0.2% Tween 80, and one or more bacterial cell wall components from the group consisting of monophosphorylipid A (MPL), trehalose dimycolate (TDM), and cell wall skeleton (CWS), preferably MPL + CWS (Detox™); and (8) one or more mineral salts (such as an aluminum salt) + a non-toxic derivative of LPS (such as 3dMPL).
Other substances that act as immunostimulating agents are disclosed in chapter 7 of ref. 27.
An aluminium hydroxide adjuvant is useful, and antigens are generally adsorbed to this salt. Oil-in- water emulsions comprising squalene, with submicron oil droplets, are also preferred, particularly in the elderly. Useful adjuvant combinations include combinations of Thl and Th2 adjuvants such as CpG & an aluminium salt, or resiquimod & an aluminium salt. A combination of an aluminium salt and 3dMPL may be used. Immunisation
In addition to providing immunogenic compositions as described above, the invention also provides a method for raising an antibody response in a mammal, comprising administering an immunogenic composition of the invention to the mammal. The antibody response is preferably a protective antibody response. The invention also provides compositions of the invention for use in such methods.
The invention also provides a method for protecting a mammal against a bacterial infection and/or disease, comprising administering to the mammal an immunogenic composition of the invention.
The invention provides compositions of the invention for use as medicaments (e.g. as immunogenic compositions or as vaccines). It also provides the use of vesicles of the invention in the manufacture of a medicament for preventing a bacterial infection in a mammal.
The mammal is preferably a human. The human may be an adult or, preferably, a child. Where the vaccine is for prophylactic use, the human is preferably a child (e.g. a toddler or infant); where the vaccine is for therapeutic use, the human is preferably an adult. A vaccine intended for children may also be administered to adults e.g. to assess safety, dosage, immunogenicity, etc.
The uses and methods are particularly useful for preventing/treating diseases caused by Shigella including, but not limited to, shigellosis, Reiter's syndrome, and/or hemolytic uremic syndrome. They are also useful for preventing/treating diseases caused by Salmonella including, but not limited to, food poisoning and/or diarrhoea. Efficacy of therapeutic treatment can be tested by monitoring bacterial infection after administration of the composition of the invention. Efficacy of prophylactic treatment can be tested by monitoring immune responses against immunogenic proteins in the vesicles or other antigens after administration of the composition. Immunogenicity of compositions of the invention can be determined by administering them to test subjects (e.g. children 12-16 months age) and then determining standard serological parameters. These immune responses will generally be determined around 4 weeks after administration of the composition, and compared to values determined before administration of the composition. Where more than one dose of the composition is administered, more than one post-administration determination may be made.
Compositions of the invention will generally be administered directly to a patient. Direct delivery may be accomplished by parenteral injection (e.g. subcutaneously, intraperitoneally, intravenously, intramuscularly, or to the interstitial space of a tissue), or by rectal, oral, vaginal, topical, transdermal, intranasal, ocular, aural, pulmonary or other mucosal administration. Intramuscular administration to the thigh or the upper arm is preferred. Injection may be via a needle (e.g. a hypodermic needle), but needle-free injection may alternatively be used. A typical intramuscular dose is about 0.5 ml. The invention may be used to elicit systemic and/or mucosal immunity.
Dosage treatment can be a single dose schedule or a multiple dose schedule. Multiple doses may be used in a primary immunisation schedule and/or in a booster immunisation schedule. A primary dose schedule may be followed by a booster dose schedule. Suitable timing between priming doses (e.g. between 4- 16 weeks), and between priming and boosting, can be routinely determined.
Culture methods
The invention also provides a process for culturing a Shigella bacterium, comprising growing the bacteria under agitated and aerated conditions at 37°C and pH 7.1 with dissolved oxygen at 30% saturation. General
The term "comprising" encompasses "including" as well as "consisting" e.g. a composition "comprising" X may consist exclusively of X or may include something additional e.g. X + Y.
The term "about" in relation to a numerical value x is optional and means, for example, +10%.
The word "substantially" does not exclude "completely" e.g. a composition which is "substantially free" from Y may be completely free from Y. Where necessary, the word "substantially" may be omitted from the definition of the invention.
References to a percentage sequence identity between two amino acid sequences means that, when aligned, that percentage of amino acids are the same in comparing the two sequences. This alignment and the percent homology or sequence identity can be determined using software programs known in the art, for example those described in section 7.7.18 of reference 92. A preferred alignment is determined by the Smith- Waterman homology search algorithm using an affine gap search with a gap open penalty of 12 and a gap extension penalty of 2, BLOSUM matrix of 62. The Smith- Waterman homology search algorithm is well known and is disclosed in reference 93.
"GI" numbering is used above. A GI number, or "Genlnfo Identifier", is a series of digits assigned consecutively to each sequence record processed by NCBI when sequences are added to its databases. The GI number bears no resemblance to the accession number of the sequence record. When a sequence is updated (e.g. for correction, or to add more annotation or information) then it receives a new GI number. Thus the sequence associated with a given GI number is never changed. Where the invention concerns an "epitope", this epitope may be a B-cell epitope and/or a T-cell epitope. Such epitopes can be identified empirically (e.g. using PEPSCAN [94,95] or similar methods), or they can be predicted (e.g. using the Jameson- Wolf antigenic index [96], matrix- based approaches [97], MAPITOPE [98], TEPITOPE [99,100], neural networks [101 ], OptiMer & EpiMer [102, 103], ADEPT [104], Tsites [105], hydrophilicity [ 106], antigenic index [107] or the methods disclosed in references 108-109, etc.). Epitopes are the parts of an antigen that are recognised by and bind to the antigen binding sites of antibodies or T-cell receptors, and they may also be referred to as "antigenic determinants".
BRIEF DESCRIPTION OF DRAWINGS
Figure 1 shows blebs of the invention purified from culture.
Figure 2 shows SDS-PAGE analysis of Shigella samples taken (i) before the first filtration, (ii) after the first filtration, and (iii) after the second filtration. Each panel has three lanes showing, from left to right, total protein, vesicle protein and soluble protein. Figure 5 shows similar results for Salmonella.
Figure 3 shows a SEC trace of samples taken after the first and second filtration steps.
Figure 4 illustrates the overall process of the invention.
MODES FOR CARRYING OUT THE INVENTION
Bacterial culture
A double knockout strain of S.sonnei was prepared using the λ Red system. The tolR and galU genes were both knocked out to give a AtolRAgalU strain. This double mutant strain releases outer membrane blebs more readily than the wild type strain and has no O antigen in its LPS.
Fermentation of S.sonnei AtolRAgalU was run under the following conditions: pH 7.1, 37°C, dissolved oxygen maintained at 30% saturation by controlling agitation and setting maximum aeration. The pH was controlled by addition of 4M ammonium hydroxide. The foam was controlled by addition of 10% PPG during the run. The medium consisted of the following components: KH2PO4, K2HPO4 and yeast extract. After the medium was sterilized by autoclaving, glycerol and MgS04 were added prior to inoculation. The culture inoculum was 5% of the fermentor volume. The fermentation process took approximately 13 hours and cell concentration was measured as optical density at 600nm.
Purification of blebs
Vesicles produced in the fermentation broth were purified using two consecutive TFF (tangential flow filtration) steps: micro-filtration at 0.22μπι and then a second micro-filtration at 0.1 μιη.
During the first filtration step the vesicles were separated from biomass by TFF through a 0.22 μηι pore size cassette. The biomass was first concentrated 4-fold and, after five diafiltration steps against PBS, the vesicles were collected in the filtrate. In the second filtration step the filtrate from the 0.22 μηι TFF was further micro-filtered trough a 0.1 μπι cut-off cassette, in order to purify the vesicles from soluble proteins. The vesicles could not pass through the filter cassette. After five diafiltration steps, the retentate containing the vesicles was collected.
To analyze protein contents, samples from each step of the process were ultra-centrifuged (2 hours, 200,000g,) and the pellet (containing vesicles) was resuspended in PBS. The protein contents of te vesicles (the pellet) and the soluble fraction (the supernatant) were quantified by Bradford method and analyzed by SDS-PAGE and size exclusion chromatography (SEC).
Figure 2 shows SDS-PAGE of samples taken (i) before the first filtration, (ii) after the first filtration, and (iii) after the second filtration. Samples were normalised to volume. The high purity of the vesicle suspension obtained after the two TFF steps is evident. The right-hand lane is almost empty indicating an almost complete absence of soluble proteins.
Figure 3 shows SEC analysis of samples taken after the first filtration step (right-hand peak) and after the second filtration step (left-hand peak). The arrow indicates the chromatographic peak corresponding to the vesicles. After the first filtration step the major UV-adsorbing peak is at the bed volume (MW <13kDa) whereas after the second filtration step the major peak is at the void volume, with almost no other signal.
In order to evaluate the efficiency of TFF for vesicles recovery samples were taken from the fermentation broth during the TFF steps and at the end of the each purification step. Before the first filtration the protein concentration was ~lg/l with 14% in vesicles. After the first filtration step there was a similar total protein concentration and 15% was in vesicles. After the second filtration step, however, the protein content dropped 10-fold but the proportion located in the vesicles rose to 90%.
The yield of vesicles was lOOmg of vesicle proteins per liter of fermentation culture. This would provide 4000 vaccine doses (considering 25 μg of proteins per dose) per liter of fermentation broth.
The final purified product was observed with TEM (Figure 1). The blebs have a homogenous size of about 50 nm in diameter.
A proteomic approach confirmed that the blebs are essentially pure outer membranes. Unlike conventional outer membrane vesicles (OMV) derived by disruption of the outer membrane, the blebs conserve lipophilic proteins and are essentially free of cytoplasmic and inner membrane components. Immunogenicity of the purified blebs was confirmed by injecting them into mice and observing specific immune responses against bleb components.
Salmonella
A tolR knockout strain of S.typhimurium {S.typhimurium AtolR) was prepared using the λ Red system. This mutant strain releases outer membrane blebs more readily than the wild type strain. Fermentation of the knockout mutant was run under the following conditions: pH 7.1 , 37°C, dissolved oxygen maintained at 30% saturation by controlling agitation and setting maximum aeration. The pH was controlled by addition of 30% ammonium hydroxide. Foam was controlled by addition of 0.25g/L of PPG in the fermentation medium. The culture inoculum was 1% of the fermenter volume. The fermentation process was stopped after 14 hours, when the culture achieved a cell concentration of 29 OD60onm- Culture supernatant containing vesicles was separated from the Salmonella biomass by TFF through a 0.22μπι pore size filter cassette with a 0.1m2 filtration area. The biomass was retained on the cassette and the permeate containing the vesicles was collected. Soluble proteins in the permeate were removed from the blebs by a second microfiltration trough a 0.1 μπι pore size filter cassette (200cm2 filtration area). Following a 10- fold concentration the retentate was subjected to 10 diafiltration steps against PBS and subsequently collected.
To analyze protein contents, samples from each step of the process were ultra-centrifuged (2 hours, 200,000g,) and the vesicle-containing pellet was resuspended in PBS. The protein contents of the vesicles (the pellet) and the soluble fraction (the supernatant) were quantified by Bradford method and analyzed by SDS-PAGE (Figure 5). All the samples were normalized to volume.
It will be understood that the invention has been described by way of example only and modifications may be made whilst remaining within the scope and spirit of the invention.
REFERENCES
[I] Ferrari et al. (2006) Proteomics 6(6): 1856-66.
[2] WO2006/046143.
[3] Berlanda Scorza et al. (2008) Mol Cell Proteomics 7:473-85.
[4] European patent 001 1243.
[5] Fredriksen et al. (1991) NIPH Ann. 14(2):67-80.
[6] WO2004/019977.
[7] Hozbor et al. (1999) Curr Microbiol 38:273-8.
[8] US-2007/0087017.
[9] WO02/09643.
[10] Katial et al. (2002) Infect. Immun. 70:702-707.
[I I] US patent 6,180,11 1.
[12] WO01/34642.
[ 13] WO02/062378.
[14] WO2004/019977.
[15] European patent 001 1243.
[16] Fredriksen et al. (1991) NIPH Ann. 14(2):67-80.
[17] WO01/91788.
[18] WO2005/004908.
[19] WO2004/014417.
[20] Wickramasinghe et al. (2005) Biotechnol Bioengineer 92: 199-208.
[21] Rouby et al. (2000) Water Res 34:3630-4.
[22] Gennaro (2000) Remington: The Science and Practice of Pharmacy. 20th edition, ISBN: 0683306472.
[23] WO2006/1 10603.
[24] WO90/14837.
[25] Podda & Del Giudice (2003) Expert Rev Vaccines 2: 197-203. [26] Podda (2001) Vaccine 19: 2673-2680.
[27] Vaccine Design: The Subunit and Adjuvant Approach (eds. Powell & Newman) Plenum Press 1995 (ISBN 0-306-44867-X).
[28] Vaccine Adjuvants: Preparation Methods and Research Protocols (Volume 42 of Methods in Molecular Medicine series). ISBN: 1-59259-083-7. Ed. O'Hagan.
[29] Allison & Byars (1992) Res Immunol 143:519-25.
[30] Hariharan et al. (1995) Cancer Res 55:3486-9.
[31] US-2007/014805.
[32] WO95/1 1700.
[33] US patent 6,080,725.
[34] WO2006/1 13373.
[35] WO2005/097181.
[36] US 5,057,540.
[37] W096/33739.
[38] EP-A-0109942.
[39] W096/1 171 1.
[40] WO00/07621.
[41] Ba et al. (1998) Advanced Drug Delivery Reviews 32:247-271.
[42] Sjolanderet et al. (1998) Advanced Drug Delivery Reviews 32:321-338.
[43] EP-A-0689454.
[44] Johnson et al. (1999) Bioorg Med Chem Lett 9:2273-2278.
[45] Evans et al. (2003) Expert Rev Vaccines 2:219-229.
[46] Meraldi et al. (2003) Vaccine 21:2485-2491.
[47] Pajak ei a/. (2003) Vaccine 21 :836-842.
[48] Kandimalla et al. (2003) Nucleic Acids Research 31.2393-2400.
[49] WO02/26757.
[50] W099/62923.
[51] Krieg (2003) Nature Medicine 9:831-835.
[52] McCluskie et al. (2002) FEMS Immunology and Medical Microbiology 32: 179-185.
[53] WO98/40100.
[54] US 6,207,646.
[55] US 6,239,1 16.
[56] US 6,429,199.
[57] Kandimalla et al. (2003) Biochemical Society Transactions 31 (part 3):654-658.
[58] Blackwell et al. (2003) J Immunol 170:4061-4068.
[59] Krieg (2002) Trends Immunol 23:64-65.
[60] WO01/95935.
[61] Kandimalla et al. (2003) BBRC 306:948-953.
[62] Bhagat et a/. (2003) BBRC 300:853-861.
[63] WO03/035836.
[64] Schellack et al. (2006) Vaccine 24:5461 -72.
[65] Lingnau et al. (2007) Expert Rev Vaccines 6:741-6.
[66] WO2004/084938.
[67] W095/1721 1. [68] W098/42375.
[69] Beignon et al. (2002) Infect Immun 70:3012-3019.
[70] Pizza et al (2001) Vaccine 19:2534-2541.
[71] Pizza et al. (2000) Int J Med Microbiol 290:455-461.
[72] Scharton-Kersten et al (2000) Infect Immun 68:5306-5313.
[73] Ryan et al (1999) Infect Immun 67:6270-6280.
[74] Partidos et al (1999) Immunol Lett 67:209-216.
[75] Peppoloni et al. (2003) Expert Rev Vaccines 2:285-293.
[76] Pine et al. (2002) J Control Release 85:263-270.
[77] Tebbey et al. (2000) Vaccine 18:2723-34.
[78] Domenighini et al. (1995) Mol Microbiol 15: 1165-1167.
[79] WO99/40936.
[80] W099/44636.
[81] Singh et al] (2001) J Cont Release 70:267-276.
[82] WO99/27960.
[83] US 6,090,406.
[84] US 5,916,588.
[85] EP-A-0626169.
[86] Stanley (2002) Clin Exp Dermatol 27:571-577.
[87] Jones (2003) Curr Opin Investig Drugs 4:214-218.
[88] W099/1 1241.
[89] WO94/00153.
[90] W098/57659.
[91] European patent applications 0835318, 0735898 and 0761231.
[92] Current Protocols in Molecular Biology (F.M. Ausubel et al., eds., 1987) Supplement 30.
[93] Smith & Waterman (1981) Adv. Appl. Math. 2:482-489.
[94] Geysen et al. (1984) PNAS USA 81 :3998-4002.
[95] Carter (1994) Methods Mol Biol 36:207-23.
[96] Jameson, BA et al. 1988, CABIOS 4(1): 181-186.
[97] Raddrizzani & Hammer (2000) Brief Bioinform 1(2): 179-89.
[98] Bublil et al. (2007) Proteins 68(l):294-304.
[99] De Lalla et al. (1999) J. Immunol. 163: 1725-29.
[100] Kwok et al (2001) Trends Immunol 22:583-88.
[101] Brusic et al. (1998) Bioinformatics 14(2): 121-30
[102] Meister et al. (1995) Vaccine 13(6):581-91.
[103] Roberts et al. (1996) AIDS Res Hum Retroviruses 12(7):593-610.
[104] Maksyutov & Zagrebelnaya (1993) Comput Appl Biosci 9(3):291-7.
[105] Feller & de la Cruz (1991) Nature 349(6311):720-1.
[106] Hopp (1993) Peptide Research 6:183-190.
[107] Welling et al. (1985) FEBS Lett. 188:215-218.
[108] Davenport et al. (1995) Immunogenetics 42:392-297.
[109] Chen et al. (2007) Amino Acids 33(3):423-8.

Claims

1. A process for purifying immunogenic bacterial vesicles from a composition which includes both whole bacteria and vesicles, comprising: (i) a first filtration step in which the vesicles are separated from the bacteria based on their different sizes, with the vesicles passing into the filtrate; and (ii) a second filtration step in which the vesicles are retained in the retentate.
2. The process of claim 1, wherein the first filtration step is a 0.22μπι microfiltration.
3. The process of any preceding claim, wherein the first filtration is a tangential flow filtration.
4. The process of any preceding claim, wherein the second filtration is a 0.1 μηι microfiltration
5. The process of any preceding claim, wherein the second filtration is a tangential flow filtration.
6. The process of any preceding claim, wherein the bacteria are Shigella.
7. The process of any one of claims 1 to 5, wherein the bacteria are Salmonella.
8. The process of any preceding claim, further comprising a step where the purified vesicles are formulated as a vaccine.
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WO2023025815A1 (en) 2021-08-24 2023-03-02 Glaxosmithkline Biologicals S.A. Shigella vaccine
WO2023067031A2 (en) 2021-10-21 2023-04-27 Glaxosmithkline Biologicals Sa Assay
WO2023118457A1 (en) 2021-12-23 2023-06-29 Glaxosmithkline Biologicals Sa Method for preparing outer membrane vesicles
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* Cited by examiner, † Cited by third party
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WO2023229446A1 (en) * 2022-05-27 2023-11-30 (주)로제타엑소좀 Method for constructing gram-negative bacterial outer membrane-derived nanovesicles and use thereof

Citations (46)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP0011243A1 (en) 1978-11-11 1980-05-28 BEHRINGWERKE Aktiengesellschaft Process for preparing membrane proteins from Neisseria meningitidis and vaccines containing them
EP0109942A2 (en) 1982-10-18 1984-05-30 Bror Morein Immunogenic protein or peptide complex, method of producing said complex and the use thereof as an immune stimulant and as a vaccine
WO1989000846A1 (en) * 1987-07-29 1989-02-09 The Liposome Company, Inc. Method for size separation of particles
WO1990014837A1 (en) 1989-05-25 1990-12-13 Chiron Corporation Adjuvant formulation comprising a submicron oil droplet emulsion
US5057540A (en) 1987-05-29 1991-10-15 Cambridge Biotech Corporation Saponin adjuvant
WO1994000153A1 (en) 1992-06-25 1994-01-06 Smithkline Beecham Biologicals (S.A.) Vaccine composition containing adjuvants
EP0626169A2 (en) 1988-08-25 1994-11-30 The Liposome Company, Inc. A dosage form comprising an antigen and a salt form of an organic acid derivative of a sterol
WO1995011700A1 (en) 1993-10-29 1995-05-04 Pharmos Corp. Submicron emulsions as vaccine adjuvants
WO1995017211A1 (en) 1993-12-22 1995-06-29 Biocine S.P.A. Non-toxic mucosal adjuvant
EP0689454A1 (en) 1993-03-23 1996-01-03 Smithkline Beecham Biolog Vaccine compositions containing 3-o deacylated monophosphoryl lipid a
WO1996011711A1 (en) 1994-10-12 1996-04-25 Iscotec Ab Saponin preparations and use thereof in iscoms
EP0735898A1 (en) 1993-12-23 1996-10-09 SMITHKLINE BEECHAM BIOLOGICALS s.a. Vaccines
WO1996033739A1 (en) 1995-04-25 1996-10-31 Smithkline Beecham Biologicals S.A. Vaccines containing a saponin and a sterol
EP0835318A2 (en) 1995-06-29 1998-04-15 SMITHKLINE BEECHAM BIOLOGICALS s.a. Vaccines against hepatitis c
WO1998040100A1 (en) 1997-03-10 1998-09-17 Ottawa Civic Loeb Research Institute USE OF NUCLEIC ACIDS CONTAINING UNMETHYLATED CpG DINUCLEOTIDE AS AN ADJUVANT
WO1998042375A1 (en) 1997-03-21 1998-10-01 Chiron Corporation Detoxified mutants of bacterial adp-ribosylating toxins as parenteral adjuvants
WO1998057659A1 (en) 1997-06-14 1998-12-23 Smithkline Beecham Biologicals S.A. Adjuvant compositions for vaccines
WO1999011241A1 (en) 1997-09-05 1999-03-11 Smithkline Beecham Biologicals S.A. Oil in water emulsions containing saponins
WO1999027960A1 (en) 1997-11-28 1999-06-10 West Pharmaceutical Services Vaccine compositions for mucosal administration comprising chitosan
US5916588A (en) 1984-04-12 1999-06-29 The Liposome Company, Inc. Peptide-containing liposomes, immunogenic liposomes and methods of preparation and use
WO1999040936A2 (en) 1998-02-12 1999-08-19 American Cyanamid Company Pneumococcal and meningococcal vaccines formulated with interleukin-12
WO1999044636A2 (en) 1998-03-05 1999-09-10 The Medical College Of Ohio Il-12 enhancement of immune responses to t-independent antigens
WO1999062923A2 (en) 1998-06-05 1999-12-09 Dynavax Technologies Corporation Immunostimulatory oligonucleotides with modified bases and methods of use thereof
WO2000007621A2 (en) 1998-08-05 2000-02-17 Smithkline Beecham Biologicals S.A. Vaccine comprising an iscom consisting of sterol and saponin which is free of additional detergent
US6080725A (en) 1997-05-20 2000-06-27 Galenica Pharmaceuticals, Inc. Immunostimulating and vaccine compositions employing saponin analog adjuvants and uses thereof
US6090406A (en) 1984-04-12 2000-07-18 The Liposome Company, Inc. Potentiation of immune responses with liposomal adjuvants
US6180111B1 (en) 1995-05-18 2001-01-30 University Of Maryland Vaccine delivery system
US6207646B1 (en) 1994-07-15 2001-03-27 University Of Iowa Research Foundation Immunostimulatory nucleic acid molecules
WO2001034642A2 (en) 1999-11-12 2001-05-17 University Of Iowa Research Foundation Control of neisserial membrane synthesis
US6239116B1 (en) 1994-07-15 2001-05-29 University Of Iowa Research Foundation Immunostimulatory nucleic acid molecules
WO2001091788A1 (en) 2000-06-02 2001-12-06 Statens Institutt For Folkehelse Outer membrane vesicle vaccine against disease caused by neisseria meningitidis serogroup a and process for the production thereof
WO2001095935A1 (en) 2000-01-20 2001-12-20 Ottawa Health Research Institute Immunostimulatory nucleic acids for inducing a th2 immune response
WO2002009643A2 (en) 2000-07-27 2002-02-07 Children's Hospital & Research Center At Oakland Vaccines for broad spectrum protection against diseases caused by neisseria meningitidis
WO2002026757A2 (en) 2000-09-26 2002-04-04 Hybridon, Inc. Modulation of immunostimulatory activity of immunostimulatory oligonucleotide analogs by positional chemical changes
US6429199B1 (en) 1994-07-15 2002-08-06 University Of Iowa Research Foundation Immunostimulatory nucleic acid molecules for activating dendritic cells
WO2002062378A2 (en) 2001-02-08 2002-08-15 Smithkline Beecham Biologicals S.A. Hyperblebbing bacterial strains and use thereof for production of vaccines
WO2003035836A2 (en) 2001-10-24 2003-05-01 Hybridon Inc. Modulation of immunostimulatory properties of oligonucleotide-based compounds by optimal presentation of 5' ends
WO2004014417A2 (en) 2002-08-02 2004-02-19 Glaxosmithkline Biologicals Sa Vaccine compositions comprising l2 and/or l3 immunotype lipooligosaccharides from lgtb- neisseria minigitidis
WO2004019977A2 (en) 2002-08-30 2004-03-11 Chiron Srl Improved bacterial outer membrane vesicles
WO2004084938A1 (en) 2003-03-24 2004-10-07 Intercell Ag Improved vaccines
WO2005004908A1 (en) 2003-07-15 2005-01-20 Chiron Srl Ultrafiltration for preparing outer membrane vesicles
WO2005097181A1 (en) 2004-04-05 2005-10-20 Pfizer Products Inc. Microfluidized oil-in-water emulsions and vaccine compositions
WO2006046143A2 (en) 2004-10-29 2006-05-04 Novartis Vaccines And Diagnostics Srl Immunogenic bacterial vesicles with outer membrane proteins
WO2006110603A1 (en) 2005-04-11 2006-10-19 Program For Appropriate Technology In Health Stabilization and preservation of temperature-sensitive vaccines
WO2006113373A2 (en) 2005-04-15 2006-10-26 Merial Limited Novel vaccine formulations
US20070014805A1 (en) 2005-07-07 2007-01-18 Sanofi Pasteur Immuno-adjuvant emulsion

Family Cites Families (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20020028215A1 (en) * 1999-08-09 2002-03-07 Jagath L. Kadurugamuwa Novel vaccines and pharmaceutical compositions using membrane vesicles of microorganisms, and methods for preparing same

Patent Citations (48)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP0011243A1 (en) 1978-11-11 1980-05-28 BEHRINGWERKE Aktiengesellschaft Process for preparing membrane proteins from Neisseria meningitidis and vaccines containing them
EP0109942A2 (en) 1982-10-18 1984-05-30 Bror Morein Immunogenic protein or peptide complex, method of producing said complex and the use thereof as an immune stimulant and as a vaccine
US5916588A (en) 1984-04-12 1999-06-29 The Liposome Company, Inc. Peptide-containing liposomes, immunogenic liposomes and methods of preparation and use
US6090406A (en) 1984-04-12 2000-07-18 The Liposome Company, Inc. Potentiation of immune responses with liposomal adjuvants
US5057540A (en) 1987-05-29 1991-10-15 Cambridge Biotech Corporation Saponin adjuvant
WO1989000846A1 (en) * 1987-07-29 1989-02-09 The Liposome Company, Inc. Method for size separation of particles
EP0626169A2 (en) 1988-08-25 1994-11-30 The Liposome Company, Inc. A dosage form comprising an antigen and a salt form of an organic acid derivative of a sterol
WO1990014837A1 (en) 1989-05-25 1990-12-13 Chiron Corporation Adjuvant formulation comprising a submicron oil droplet emulsion
WO1994000153A1 (en) 1992-06-25 1994-01-06 Smithkline Beecham Biologicals (S.A.) Vaccine composition containing adjuvants
EP0761231A1 (en) 1992-06-25 1997-03-12 SMITHKLINE BEECHAM BIOLOGICALS s.a. Vaccine composition containing adjuvants
EP0689454A1 (en) 1993-03-23 1996-01-03 Smithkline Beecham Biolog Vaccine compositions containing 3-o deacylated monophosphoryl lipid a
WO1995011700A1 (en) 1993-10-29 1995-05-04 Pharmos Corp. Submicron emulsions as vaccine adjuvants
WO1995017211A1 (en) 1993-12-22 1995-06-29 Biocine S.P.A. Non-toxic mucosal adjuvant
EP0735898A1 (en) 1993-12-23 1996-10-09 SMITHKLINE BEECHAM BIOLOGICALS s.a. Vaccines
US6429199B1 (en) 1994-07-15 2002-08-06 University Of Iowa Research Foundation Immunostimulatory nucleic acid molecules for activating dendritic cells
US6239116B1 (en) 1994-07-15 2001-05-29 University Of Iowa Research Foundation Immunostimulatory nucleic acid molecules
US6207646B1 (en) 1994-07-15 2001-03-27 University Of Iowa Research Foundation Immunostimulatory nucleic acid molecules
WO1996011711A1 (en) 1994-10-12 1996-04-25 Iscotec Ab Saponin preparations and use thereof in iscoms
WO1996033739A1 (en) 1995-04-25 1996-10-31 Smithkline Beecham Biologicals S.A. Vaccines containing a saponin and a sterol
US6180111B1 (en) 1995-05-18 2001-01-30 University Of Maryland Vaccine delivery system
EP0835318A2 (en) 1995-06-29 1998-04-15 SMITHKLINE BEECHAM BIOLOGICALS s.a. Vaccines against hepatitis c
WO1998040100A1 (en) 1997-03-10 1998-09-17 Ottawa Civic Loeb Research Institute USE OF NUCLEIC ACIDS CONTAINING UNMETHYLATED CpG DINUCLEOTIDE AS AN ADJUVANT
WO1998042375A1 (en) 1997-03-21 1998-10-01 Chiron Corporation Detoxified mutants of bacterial adp-ribosylating toxins as parenteral adjuvants
US6080725A (en) 1997-05-20 2000-06-27 Galenica Pharmaceuticals, Inc. Immunostimulating and vaccine compositions employing saponin analog adjuvants and uses thereof
WO1998057659A1 (en) 1997-06-14 1998-12-23 Smithkline Beecham Biologicals S.A. Adjuvant compositions for vaccines
WO1999011241A1 (en) 1997-09-05 1999-03-11 Smithkline Beecham Biologicals S.A. Oil in water emulsions containing saponins
WO1999027960A1 (en) 1997-11-28 1999-06-10 West Pharmaceutical Services Vaccine compositions for mucosal administration comprising chitosan
WO1999040936A2 (en) 1998-02-12 1999-08-19 American Cyanamid Company Pneumococcal and meningococcal vaccines formulated with interleukin-12
WO1999044636A2 (en) 1998-03-05 1999-09-10 The Medical College Of Ohio Il-12 enhancement of immune responses to t-independent antigens
WO1999062923A2 (en) 1998-06-05 1999-12-09 Dynavax Technologies Corporation Immunostimulatory oligonucleotides with modified bases and methods of use thereof
WO2000007621A2 (en) 1998-08-05 2000-02-17 Smithkline Beecham Biologicals S.A. Vaccine comprising an iscom consisting of sterol and saponin which is free of additional detergent
WO2001034642A2 (en) 1999-11-12 2001-05-17 University Of Iowa Research Foundation Control of neisserial membrane synthesis
WO2001095935A1 (en) 2000-01-20 2001-12-20 Ottawa Health Research Institute Immunostimulatory nucleic acids for inducing a th2 immune response
WO2001091788A1 (en) 2000-06-02 2001-12-06 Statens Institutt For Folkehelse Outer membrane vesicle vaccine against disease caused by neisseria meningitidis serogroup a and process for the production thereof
WO2002009643A2 (en) 2000-07-27 2002-02-07 Children's Hospital & Research Center At Oakland Vaccines for broad spectrum protection against diseases caused by neisseria meningitidis
WO2002026757A2 (en) 2000-09-26 2002-04-04 Hybridon, Inc. Modulation of immunostimulatory activity of immunostimulatory oligonucleotide analogs by positional chemical changes
WO2002062378A2 (en) 2001-02-08 2002-08-15 Smithkline Beecham Biologicals S.A. Hyperblebbing bacterial strains and use thereof for production of vaccines
WO2003035836A2 (en) 2001-10-24 2003-05-01 Hybridon Inc. Modulation of immunostimulatory properties of oligonucleotide-based compounds by optimal presentation of 5' ends
WO2004014417A2 (en) 2002-08-02 2004-02-19 Glaxosmithkline Biologicals Sa Vaccine compositions comprising l2 and/or l3 immunotype lipooligosaccharides from lgtb- neisseria minigitidis
WO2004019977A2 (en) 2002-08-30 2004-03-11 Chiron Srl Improved bacterial outer membrane vesicles
WO2004084938A1 (en) 2003-03-24 2004-10-07 Intercell Ag Improved vaccines
US20070087017A1 (en) 2003-07-13 2007-04-19 Robert Olivieri Ultrafiltration for preparing outer membrane vesicles
WO2005004908A1 (en) 2003-07-15 2005-01-20 Chiron Srl Ultrafiltration for preparing outer membrane vesicles
WO2005097181A1 (en) 2004-04-05 2005-10-20 Pfizer Products Inc. Microfluidized oil-in-water emulsions and vaccine compositions
WO2006046143A2 (en) 2004-10-29 2006-05-04 Novartis Vaccines And Diagnostics Srl Immunogenic bacterial vesicles with outer membrane proteins
WO2006110603A1 (en) 2005-04-11 2006-10-19 Program For Appropriate Technology In Health Stabilization and preservation of temperature-sensitive vaccines
WO2006113373A2 (en) 2005-04-15 2006-10-26 Merial Limited Novel vaccine formulations
US20070014805A1 (en) 2005-07-07 2007-01-18 Sanofi Pasteur Immuno-adjuvant emulsion

Non-Patent Citations (62)

* Cited by examiner, † Cited by third party
Title
"Current Protocols in Molecular Biology", 1987
"Methods in Molecular Medicine", vol. 42, article "Vaccine Adjuvants: Preparation Methods and Research Protocols"
"Vaccine Design: The Subunit and Adjuvant Approach", 1995, PLENUM PRESS
ALLISON; BYARS, RES IMMUNOL, vol. 143, 1992, pages 519 - 25
BARR ET AL., ADVANCED DRUG DELIVERY REVIEWS, vol. 32, 1998, pages 247 - 271
BEIGNON ET AL., INFECT IMMUN, vol. 70, 2002, pages 3012 - 3019
BERLANDA SCORZA ET AL., MOL CELL PROTEOMICS, vol. 7, 2008, pages 473 - 85
BHAGAT ET AL., BBRC, vol. 300, 2003, pages 853 - 861
BLACKWELL ET AL., J IMMUNOL, vol. 170, 2003, pages 4061 - 4068
BRUSIC ET AL., BIOINFORMATICS, vol. 14, no. 2, 1998, pages 121 - 30
BUBLIL ET AL., PROTEINS, vol. 68, no. 1, 2007, pages 294 - 304
CARTER, METHODS MOL BIOL, vol. 36, 1994, pages 207 - 23
CHEN ET AL., AMINO ACIDS, vol. 33, no. 3, 2007, pages 423 - 8
DAVENPORT ET AL., IMMUNOGENETICS, vol. 42, 1995, pages 392 - 297
DE LALLA ET AL., J. IMMUNOL., vol. 163, 1999, pages 1725 - 29
DOMENIGHINI ET AL., MOL MICROBIOL, vol. 15, 1995, pages 1165 - 1167
EVANS ET AL., EXPERT REV VACCINES, vol. 2, 2003, pages 219 - 229
FELLER; DE LA CRUZ, NATURE, vol. 349, no. 6311, 1991, pages 720 - 1
FERRARI ET AL., PROTEOMICS, vol. 6, no. 6, 2006, pages 1856 - 66
FREDRIKSEN ET AL., NIPH ANN., vol. 14, no. 2, 1991, pages 67 - 80
FREDRIKSEN ET AL., NIPHANN., vol. 14, no. 2, 1991, pages 67 - 80
GENNARO: "Remington: The Science and Practice of Pharmacy", 2000
GEYSEN ET AL., PNAS USA, vol. 81, 1984, pages 3998 - 4002
HARIHARAN ET AL., CANCER RES, vol. 55, 1995, pages 3486 - 9
HOPP, PEPTIDE RESEARCH, vol. 6, 1993, pages 183 - 190
HOZBOR ET AL., CURR MICROBIOL, vol. 38, 1999, pages 273 - 8
JAMESON, BA ET AL., CABIOS, vol. 4, no. 1, 1988, pages 181 - 186
JOHNSON ET AL., BIOORG MED CHEM LETT, vol. 9, 1999, pages 2273 - 2278
JONES, CURR OPIN INVESTIG DRUGS, vol. 4, 2003, pages 214 - 218
KANDIMALLA ET AL., BBRC, vol. 306, 2003, pages 948 - 953
KANDIMALLA ET AL., BIOCHEMICAL SOCIETY TRANSACTIONS, vol. 31, 2003, pages 654 - 658
KANDIMALLA ET AL., NUCLEIC ACIDS RESEARCH, vol. 31, 2003, pages 2393 - 2400
KATIAL ET AL., INFECT. IMMUN., vol. 70, 2002, pages 702 - 707
KRIEG, NATURE MEDICINE, vol. 9, 2003, pages 831 - 835
KRIEG, TRENDS IMMUNOL, vol. 23, 2002, pages 64 - 65
KWOK ET AL., TRENDS LMMUNOL, vol. 22, 2001, pages 583 - 88
LINGNAU ET AL., EXPERT REV VACCINES, vol. 6, 2007, pages 741 - 6
MAKSYUTOV; ZAGREBELNAYA, COMPUT APPL BIOSCI, vol. 9, no. 3, 1993, pages 291 - 7
MCCLUSKIE ET AL., FEMS IMMUNOLOGY AND MEDICAL MICROBIOLOGY, vol. 32, 2002, pages 179 - 185
MEISTER ET AL., VACCINE, vol. 13, no. 6, 1995, pages 581 - 91
MERALDI ET AL., VACCINE, vol. 21, 2003, pages 2485 - 2491
PAJAK ET AL., VACCINE, vol. 21, 2003, pages 836 - 842
PARTIDOS ET AL., IMMUNOL LETT, vol. 67, 1999, pages 209 - 216
PEPPOLONI ET AL., EXPERT REV VACCINES, vol. 2, 2003, pages 285 - 293
PINE ET AL., J CONTROL RELEASE, vol. 85, 2002, pages 263 - 270
PIZZA ET AL., INT J MED MICROBIOL, vol. 290, 2000, pages 455 - 461
PIZZA ET AL., VACCINE, vol. 19, 2001, pages 2534 - 2541
PODDA, VACCINE, vol. 19, 2001, pages 2673 - 2680
PODDA; DEL GIUDICE, EXPERT REV VACCINES, vol. 2, 2003, pages 197 - 203
RADDRIZZANI; HAMMER, BRIEF BIOINFORM, vol. 1, no. 2, 2000, pages 179 - 89
ROBERTS ET AL., AIDS RES HUM RETROVIRUSES, vol. 12, no. 7, 1996, pages 593 - 610
ROUBY ET AL., WATER RES, vol. 34, 2000, pages 3630 - 4
RYAN ET AL., INFECT IMMUN, vol. 67, 1999, pages 6270 - 6280
SCHARTON-KERSTEN ET AL., INFECT IMMUN, vol. 68, 2000, pages 5306 - 5313
SCHELLACK ET AL., VACCINE, vol. 24, 2006, pages 5461 - 72
SINGH ET AL., J CONT RELEASE, vol. 70, 2001, pages 267 - 276
SJOLANDER ET AL., ADVANCED DRUG DELIVERY REVIEWS, vol. 32, 1998, pages 321 - 338
SMITH; WATERMAN, ADV. APPL. MATH., vol. 2, 1981, pages 482 - 489
STANLEY, CLIN EXP DERMATOL, vol. 27, 2002, pages 571 - 577
TEBBEY ET AL., VACCINE, vol. 18, 2000, pages 2723 - 34
WELLING ET AL., FEBS LETT., vol. 188, 1985, pages 215 - 218
WICKRAMASINGHE ET AL., BIOTECHNOL BIOENGINEER, vol. 92, 2005, pages 199 - 208

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WO2016184860A1 (en) 2015-05-18 2016-11-24 Universita' Degli Studi Di Trento Immunogenic compositions containing bacterial outer membrane vesicles and therapeutic uses thereof
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