WO2012012872A1 - Recombinant bacterium and uses thereof - Google Patents

Recombinant bacterium and uses thereof Download PDF

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Publication number
WO2012012872A1
WO2012012872A1 PCT/CA2011/000848 CA2011000848W WO2012012872A1 WO 2012012872 A1 WO2012012872 A1 WO 2012012872A1 CA 2011000848 W CA2011000848 W CA 2011000848W WO 2012012872 A1 WO2012012872 A1 WO 2012012872A1
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Prior art keywords
ova
antigen
cells
recombinant bacterium
mice
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PCT/CA2011/000848
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English (en)
French (fr)
Inventor
Subash Sad
Lakshmi Krishnan
Fanny Tzelepis
Valeria Alcon
Kevin G. Young
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National Research Council of Canada
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National Research Council of Canada
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Priority to IN1528CHN2013 priority Critical patent/IN2013CN01528A/en
Priority to US13/811,690 priority patent/US20130156809A1/en
Priority to EP11811675.5A priority patent/EP2598631B1/en
Priority to CA2806536A priority patent/CA2806536A1/en
Publication of WO2012012872A1 publication Critical patent/WO2012012872A1/en
Anticipated expiration legal-status Critical
Priority to US14/516,090 priority patent/US9539313B2/en
Priority to US15/369,294 priority patent/US20170174746A1/en
Ceased legal-status Critical Current

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Definitions

  • the present invention relates to recombinant bacterium and uses thereof. More specifically, the invention relates to recombinant bacterium expressing an antigen that is translocated to the cytosol of a host organism, and uses thereof.
  • CD8+ T cells uniquely provide immune- surveillance to the entire body because they recognize targets in the context of MHC class I molecules, which are present in every cell (Bevan, 1995). Furthermore, CD8+ T cells can eliminate infected cells or tumour cells rapidly. Thus, the induction of specific, potent CD8+ T cells is highly desirable for diseases that are caused by intracellular pathogens and tumours.
  • Intracellular pathogens induce CD8+ T cell responses; however, the responses are either highly attenuated or the organism itself is highly toxic.
  • rapid proliferation of pathogens is countered by rapid presentation of antigen to CD8 + T cells within the first few days of infection and activated CD8 + T cells undergo profound expansion (>1000-fold) within the first week of infection, which results in resolution of infection (Kaech and Ahmed, 2001 ).
  • CD8+ T cells play a key role in mediating immune-surveillance against tumours (Smyth et al., 2000).
  • CD8+ T cells play a principal role in controlling intracellular pathogens and tumours.
  • rapid induction of memory CD8+ T cells is essential for developing vaccines against tumours or intracellular pathogens.
  • CD8+ T cells play a key role against various diseases, their induction is highly tedious.
  • Antigenic proteins injected into hosts in the absence or presence of adjuvants does not lead to the induction of CD8+ T cells (Moore et al., 1988). This is mainly because extracelluar proteins do not gain access to the cytoplasm (cytosol) of antigen-presenting cells (APC) (Rock, 1996).
  • helper T cells to aid antibody production.
  • the pathogen or the vaccine has to reside within the cytosol of an antigen-presenting cell (Bahjat et al., 2006).
  • Alternative routes of cross-presentation of non-cytosolic antigens to T cells have been suggested (Schaible et al., 2003; Houde et al., 2003; Yrlid and Wick, 2000), however the efficiency of these pathways in controlling pathogens isn't clear (Freigang et al., 2003).
  • Dendritic cells may pick up antigen from dying APCs and present it to CD8 + T cells (Albert et al., 1998).
  • Salmonella enterica serovar Typhimurium (ST) nduces rapid death of macrophages and dendritic cells (Hersh et al., 1999; van der Velden et al., 2000) and it has been shown that cross-presentation of ST antigens occurs through dendritic cells (Yrlid and Wick, 2000). Phagosomes have themselves been considered to be competent at promoting cross- presentation (Houde et al., 2003). However, these mechanisms are of little protective value since rapid pathogen elimination is not observed. Cells that are cross-presenting ST antigens don't appear to serve as good targets for CD8 + T cells to mediate their function. Thus, target cell accessibility seems to be the critical difference between direct and cross-presentation.
  • Subunit vaccines that consist of purified proteins admixed with adjuvants typically do not induce CD8+ T cell response due to residence of these entities within phagosomes of cells (Bahjat et al., 2006). However, some adjuvants induce CD8+ T cell responses most likely by the cross-presentation pathway (Krishnan et al., 2000). Subunit vaccines are difficult to mass- produce and are faced with numerous technical difficulties including batch to batch variability, quantitation of the antigen-adjuvant ratio, and extensively laborious procedures. To avoid this problem, live vaccines are preferred. However, live vaccines can be either over- or under- attenuated and it is difficult to find the right balance (Raupach and Kaufmann, 2001 ).
  • viral infections such as Lyphochoriomeningitis virus, LCMV
  • LCMV Lyphochoriomeningitis virus
  • Live bacteria can be considered as an alternative option for vaccine development since antibiotics can be used in case they are not controlled by the host.
  • extracellular bacteria do not gain access to the cytosol of infected cells, hence fail to induce CD8+ T cell response (Bevan, 1995).
  • intracellular bacteria induce CD8+ T cell response, albeit poor, despite residing within the phagosomes of infected cells, perhaps by cross-presentation (Kaufmann, 1993) - the caveat being that intracellular bacteria (e.g., Salmonella, Mycobacteria, Leishmania) that reside within the phagosomes of infected cells induce a chronic infection, implying that CD8+ T cells fail to eradicate them from the host (Kaufmann, 1993; Hess and Kaufmann, 1993).
  • intracellular bacteria e.g., Salmonella, Mycobacteria, Leishmania
  • the present invention relates to recombinant bacterium and uses thereof. More specifically, the invention relates to recombinant bacterium expressing an antigen that is translocated to the cytosol of a host organism, and uses thereof.
  • the present invention provides a recombinant bacterium, comprising a nucleic acid encoding an antigen that is translocated to the cytosol of a host cell.
  • the bacterium may be Salmonella, Mycobacteria, Brucella, or Leishmania. In one example, the recombinant bacterium may be Salmonella.
  • the antigen expressed by the recombinant bacteria as just described may be a viral antigen, a bacterial antigen, or a tumour antigen.
  • the antigen may be the nucleoprotein of LCMV, tyrosinase related protein 2 (TRP-2), MART-1 , melanoma associated antigen 1 (MAGE1 ), gp100, or Her-2/neu or other viral or bacterial antigens.
  • the nucleic acid encoding the antigen may encode a fusion protein comprising the antigen and a translocation domain from a type III secretion system.
  • the translocation domain may be YopE, SopE, SptP, or a fragment thereof.
  • the chaperone may be SycE or a fragment thereof (such as, but not limited to MKISSFISTSLPLPTSVS, SEQ ID NO:2).
  • the fusion protein may optionally further comprise a chaperone.
  • the chaperone may be derived from a type III secretion system.
  • the chaperone may be SycE or HSP70.
  • the nucleic acid may be comprised in a vector.
  • the vector may be a pHR vector; in a specific example, the vector may be a modified pHR-241 vector.
  • the vector may be modified to remove the sequence of p60/M45, may be optionally further modified to remove the sequence of SycE.
  • fusion proteins encompassed by the present invention are those of SEQ ID NO:7 to SEQ ID NO: 12.
  • the present invention also provides a method of imparting immunity against naturally- occurring bacterium in a subject, the method comprising administering the recombinant bacterium described above to said subject.
  • the present invention further provides a method of imparting immunity against tumours in a subject, the method comprising administering the recombinant bacterium described above to said subject.
  • the recombinant bacterium may be administered by intravenous, oral, or subcutaneous routes of immunization.
  • the present invention also encompasses a use of the recombinant bacterium described herein as a vaccine.
  • a novel vaccine vector (Salmonella) is presently provided, wherein a key modification makes the bacterium generate rapid, potent CD8+ T cell response, resulting in self-destruction of the vaccine in vivo, making it highly efficacious, safe and cost-effective at the same time.
  • OVA antigen-presentation
  • FIGURE 1A shows a schematic of the fusion protein constructed, where an antigen (OVA) is fused to YopE, which is then incorporated into the plasmid pHR241 containing the SycE chaperone.
  • FIGURE 1 B shows a schematic of the antigen (OVA) translocation into the cytosol for ST-OVA-T, and the lack thereof for ST-OVA-NT.
  • Ag antigen
  • OVA ovalbumin
  • ST Salmonella Typhimurium.
  • FIGURE 1 C shows expression of OVA (by western blot) in the bacterial pellet, supernatant, and the cytosol of spleen cells of mice infected for 24 h with ST- OVA-NT and ST-OVA-T.
  • FIGURE 2A shows a graph representing the doubling times of the ST-OVA-NT (closed circles) and ST-OVA-T (open circles) bacteria in liquid culture, based on the measurement of OD at 600nm. Based on these values, the bacteria were found to be similar.
  • FIGURE 3A shows flow cytometry results of in vitro infection of IC-21 macrophages (H-2 b ) with recombinant bacteria (ST-OVA-NT, ST-OVA-T, or ST).
  • ST-OVA-NT IC-21 macrophages
  • ST-OVA-T recombinant bacteria
  • FIGURE 3B shows flow cytometry results of in vivo infection of B6.129F1 mice infected with ST-OVA-NT or ST-OVA-T (Day 5).
  • ST-OVA-T-infected mice the majority of transferred OT-1 cells displayed reduced expression of CFSE while OT-1 cells in ST-OVA-NT-infected mice maintained high levels of CFSE expression. Results represent the mean of three mice ⁇ SD per group, and are representative of 2-3 independent experiments.
  • FIGURE 3C is a graphical representation of the kinetic evaluation of in vivo antigen-presentation. ST-OVA-NT infected mice displayed muted and delayed activation of CFSE-labelled OT-1 cells.
  • FIGURE 4 shows the numbers of spleen cells (A), spleen size at Day 14 (B) and bacterial burden (C) in resistant (B6.129F1 ) mice infected with ST-OVA-T or ST-OVA-NT, as well as the percentage (D) and numbers (E) of OVA-specific CD8 + T cells in the spleen. Results represent the mean of three to five mice ⁇ SD per group and are representative of three independent experiments. ST-OVA-NT (closed circles); ST-OVA-T (open circles).
  • FIGURE 5A shows the OVA-tetramer profile in the spleens of ST-OVA-T- or ST-OVA-NT- infected resistant (B6.129F1 ) mice at Day 7.
  • the expression of CD62L (FIGURE 5B, 5D) and CD127 (FIGURE 5C, 5D) on OVA-tetramer+CD8+ T cells is also shown. Results are representative of three independent experiments. These results indicate early generation of memory CD8+ T cells in mice infected with ST-OVA-T. ST-OVA-NT (closed circles); ST-OVA- T (open circles).
  • FIGURE 6 shows the bacterial burdens (A) in spleen cells of susceptible (C57BL/6J) mice infected with ST-OVA-T or ST-OVA-NT, along with the percentage (B) and numbers (C) of OVA-specific CD8 + T cells, as well as the frequency of OVA-specific CD8 + T cells evaluated by ELISPOT assay (D).
  • A bacterial burdens
  • B percentage
  • C numbers
  • D the frequency of OVA-specific CD8 + T cells evaluated by ELISPOT assay
  • Results represent the mean of three to four mice ⁇ SD per group, and two independent experiments.
  • ST-OVA-NT closed circles
  • ST-OVA-T open circles
  • FIGURE 7A shows the OVA-tetramer profile in the spleens of susceptible (C57BL/6J) mice infected with ST-OVA-T or ST-OVA-NT at Day 7.
  • FIGURE 7B shows the expression of CD62L versus CD127 on splenic OVA-tetramer + CD8 + T cells in the ST-OVA-T versus ST-OVA-NT infected mice.
  • CD8+ T cells generated with ST-OVA-T infection express high levels of CD127 and CD62L (memory markers). Results are representative of three independent experiments.
  • FIGURE 8A shows the bacterial burden in spleens of C57BL/6J mice treated with anti-CD4 (clone GK1.5), anti-CD8 (clone 2.43) or Rat IgG isotype antibodies following infection with ST- OVA-T. Results represent the mean of three to four mice ⁇ SD per group. Anti-CD4 and anti- CD8 antibody treatment resulted in near complete elimination of CD4 and CD8+ T cells respectively.
  • FIGURE 8B shows the bacterial burden in spleens of WT, MHC-I- or MHC-II- deficient mice following infection with ST-OVA-T. These results indicate that the control of bacterial burden in ST-OVA-T infected mice is mediate exclusively by CD8+ T cells.
  • FIGURE 9 shows the relative numbers of OVA-specific CD8 + T cells in the spleen (FIGURE 9A) and peripheral blood (FIGURE 9B) of B6.129F1 mice infected with wild type (WT) or attenuated (AaroA) ST-OVA expressing non-translocated (NT) or translocated (T) OVA.
  • Results represent the mean of five mice ⁇ SD per group. Results indicate that even attenuated strain of ST can induce potent and rapid CD8 T cell response when antigen is translocated to the cytosol of infected cells.
  • WT-OVA-NT closed circles
  • WT-OVA T open circles
  • AroA- OVA-NT closed inverted triangles
  • AroA-OVA-T open inverted triangles).
  • FIGURE 10A is a graphical representation of the results of prophylactic vaccination with ST- OVA-T in C57BL/6J mice followed by subcutaneous challenge with B16-OVA tumor cells. This protocol resulted in potent protection against tumor challenge.
  • Non-infected closed circles
  • ST-OVA-T open squares
  • FIGURE 10B shows a graph of results of therapeutic vaccination with ST-OVA-T in C57BL/6J mice after subcutaneous challenge with B16-OVA tumor cells. Mice receiving ST-OVA-T displayed the best protection against B16 melanoma cells. Protection induced by ST-OVA-T was far greater than that induced by ST-OVA-NT and the another recombinant bacterium, Listeria expressing OVA (LM-OVA). Results represent the mean of five mice ⁇ SD per group. Non-infected (full circles); ST-OVA-T (open squares); ST- OVA-NT (closed triangles); LM-OVA (open diamonds).
  • FIGURE 1 1A shows the frequency of CD8+ T cells against a tumour antigen (Trp-2) in the spleens of mice infected with wild-type (WT) or attenuated ⁇ aroA) ST-Trp2-T on Day 7.
  • FIGURE 1 1 B shows the bacterial burden in the spleens of mice at various time intervals postinfection with WT ST-Trp2-T (open squares) or ST-Trp2-NT (closed circles).
  • FIGURE 11 C shows the bacterial burden in the spleens of mice infected with aroA mutant of ST-Trp2-T (open squares) or NT (closed circles).
  • FIGURE 12A shows the bacterial burden in the spleens of mice infected with translocated or non-translocated aroA-ST expressing another tumour antigen (gp100).
  • aro ⁇ -gp100-T open squares
  • aro ⁇ -gp100-NT closed circles
  • FIGURE 12 B shows the numbers of gp100- tetramer+ CD8+ T cells in the spleens of infected mice at various time intervals.
  • aroA-ST- gp100-T open squares
  • a O>4-ST-gp100-NT closed circles).
  • FIGURE 13A shows the schematic of the fusion constructs.
  • FIGURE 13B shows the frequency of NP-specific CD8+ T cells in mice infected with ST-NP-T or ST-NP-NT at day 7 post-infection.
  • FIGURE 13C shows the in vivo cytolytic activity of NP-specific CD8+ T cells on NP-pulsed target cells at day 7 post-infection. Cytolytic activity was evaluated after transferring na ' fve spleen cells (pulsed with media or NP peptide) into infected mice at day 7 and evaluated the killing of peptide-pulsed targets at 24 h post-transfer.
  • FIGURE 13D shows the frequency of NP-specific CD8+ T cells in mice infected with aroA-NP-J (black bars) or aro > 4-NP-NT (white bars).
  • FIGURE 13E shows the bacterial burden in the spleens at various time intervals.
  • aroA-NP-T open squares
  • aro>4-NP-NT closed circles
  • FIGGURE 13F shows the influence of antigenic translocation on the induction of inflammation in the spleen.
  • aroA- NP-T open squares
  • aroA-NP-NT closed circles).
  • FIGURE 14 shows that truncated YopE is equally effective at inducing CD8+ T cell response.
  • FIGURE 14A shows the schematic representation of the full length (upper panel) and the truncated YopE (lower panel).
  • FIGURE 14B shows the OVA-specific CD8+ T cell response in the spleens of mice infected with full YopE or truncated YopE.
  • FIGURE 14C shows that both the full length and truncated YopE induce the rapid generation of OVA-specific CD8+ T cells expressing memory marker (CD127).
  • FIGURE 14D shows the inflammation induced (numbers of spleen cells) in mice infected with full length or truncated YopE.
  • FIGURE 14E shows the bacterial burden in the spleens of mice infected with full length or truncated YopE.
  • ST-OVA- NT closed circles
  • ST-OVA-T open circles
  • ST-OVA-tYopE closed triangles.
  • the present invention relates to recombinant bacterium and uses thereof. More specifically, the invention relates to recombinant bacterium expressing an antigen that is translocated to the cytosol of a host organism, and uses thereof.
  • the present invention provides a recombinant bacterium, comprising a nucleic acid encoding an antigen that is translocated to the cytosol of the host organism.
  • the bacterium may be any virulent or attenuated bacterium that resides in the phagosome of macrophages and/or dendritic cells and induces poor T cell activation.
  • a bacterium may be, but is not limited to Salmonella, Mycobacteria, Brucella, Leishmania, and the like, which are all intracellular pathogens that reside in the phagosome and fail to induce rapid T cell activation, hence causing diseases that are not controlled by the immune system.
  • the virulent or attenuated bacterium may be Salmonella. Any suitable strain of Salmonella known in the art may be used; for example, and without wishing to be limiting in any manner, the virulent or attenuated bacterium may be Salmonella enterica, serovar Typhimurium (ST). ST is a highly virulent pathogen that induces gastroenteritis in humans, and typhoid-like disease in mice (Jones and Falkow, 1996).
  • ST resistance-associated macrophage proteins
  • iv 10 2 )
  • ST induces a chronic but non-lethal infection in resistant 129SvJ mice (which express NRAMP).
  • F1 hybrids between susceptible and resistant mice (B6.129F1 ) also harbour a chronic, non fatal, infection (Luu et al., 2006).
  • SPI-1 Salmonella pathogenicity island-1 loci
  • TTSS type III secretion system
  • the two-component regulatory system phoPlphoQ which controls >40 genes (Groisman et al., 1989; Miller et al., 1989), is involved in intracellular survival (Garvis et al., 2001 ).
  • Another pathogenicity island (SPI-2) encodes a second TTSS, mediates resistance to intracellular killing, and is key to virulence (Hensel et al., 1995; Shea et al., 1996).
  • the CD8+ T cell response against ST is delayed, which fails to control the bacterium leading to a chronic infection (Albaghdadi et al., 2009).
  • aroA mutant of ST was developed as a vaccine against Salmonella (Hoiseth and Stacker, 1981 ), which induces minimal inflammation and poor immunogenicity (Albaghdadi et al., 2009; Dudani et al., 2008).
  • the virulent or attenuated bacterium of the present invention may be the aroA mutant of ST, comprising a vaccine vector modified such that the bacterium resides in the phagosome of infected cells, but translocates antigen to the cytosol.
  • Phagosomal localization is considered a major impediment to T cell activation, and the antigenic translocation strategy described herein can be used for other intracellular bacterial vaccine vectors, including Mycobacteria, Brucella or Leishmania.
  • recombinant it is meant that the bacterium has been genetically altered or engineered; such genetic engineering may be the inclusion of a recombinant (or artificial) nucleic acid or vector (comprising a nucleic acid) encoding a foreign protein that is an antigen.
  • the antigen may be any suitable protein or fragment thereof that is processed and presented efficiently by dendritic cells and/or macrophages resulting in efficient T cell activation.
  • the antigen or fragment thereof may be a nascent protein, a bacterial antigen, viral antigen, or a tumour antigen.
  • the antigen may be, but is not limited to tyrosinase related protein 2 (TRP-2), MART-1 , melanoma associated antigen 1
  • MAGE1 gp100, Her-2/neu or other proteins or fragments thereof known in the art.
  • Other proteins may include, but are not limited to ovalbumin, hen egg lysozyme, and myelin basic protein, nuclear protein of LCMV.
  • the antigens may be ovalbumin, TRP-2, gp-100, LCMV-NP, or fragments thereof.
  • the antigen Upon infection, the antigen is translocated into the cytosol of the host cell (for example macrophages and/or dendritic cells).
  • the antigen may naturally translocate to the cytosol, or may be a recombinant protein engineered to do so.
  • the antigen may be comprised in a fusion protein that further comprises a translocation domain from a type III secretion system; optionally, the fusion protein may further comprise a chaperone.
  • the fusion protein also referred to herein as "fused proteins", comprising the antigen may be generated via recombinant methods well-known to those of skill in the art.
  • the antigen and translocation domain, and the optional chaperone may be joined directly or by a linker; appropriate linkers would be well-known to those of skill in the art.
  • translocation domain it is meant a protein domain or fragment thereof that directs translocation of a protein from the phagosome to the cytosol of the host cell.
  • the translocation domain may be any suitable translocation domain from known type III secretion systems of bacteria, which are well-known to those of skill in the art.
  • the translocation domain may be YopE or a fragment thereof.
  • YopE is a 23kDa protein comprising a N-terminal secretion domain of approximately 11 amino acids and a translocation domain of at least 50 aa.
  • the YopE translocation domain may comprise the sequence:
  • the SptP translocation domain may be the SptP protein of ST (Russmann et al., 1998); again, the SptP translocation domain could be the full length protein or a truncated version thereof.
  • the SptP translocation domain may comprise the sequence:
  • the fusion protein may optionally comprise a chaperone.
  • chaperone it is meant a protein that assists in translocation of the immunodominant antigen.
  • the chaperone protein may be any suitable protein known in the art, and must be compatible with translocation domain chosen.
  • the chaperone may also be from a type III secretion system.
  • the chaperone may be SycE.
  • SycE is a YopE-specific chaperone that is required for YopE-mediated translocation of fused proteins to the cytosol (Russmann et al., 2001 ).
  • SycE assists in translocation of the fused protein into the cytosol of infected cells through the type III secretion system of ST.
  • the SycE chaperone may comprise the sequence:
  • the SopE translocation domain has been used in combination with the chaperone protein heat shock protein 70 (Hsp70) to deliver an antigen to the cytosol (Zhu et al., 2010).
  • the chaperone may comprise the sequence:
  • the inclusion of the chaperone is optional, as the translocation domain, or a fragment thereof, alone may be sufficient to cause translocation of the antigen to the cytosol; for example, and without wishing to be limiting, YopE alone, or an 18-amino acid fragment thereof (MKISSFISTSLPLPTSVS, SEQ ID NO:2) are presently shown to produce the desired effect.
  • YopE alone, or an 18-amino acid fragment thereof (MKISSFISTSLPLPTSVS, SEQ ID NO:2) are presently shown to produce the desired effect.
  • expression of the endogenous Salmonella chaperone protein InvB is sufficient to mediate the translocation function of SopE (Lee and Galan, 2003).
  • the recombinant bacterium comprises a nucleic acid encoding an antigen comprising a fusion protein comprising the sequence of SycE, YopE, and ovalbumin:
  • a substantially identical sequence may comprise one or more conservative amino acid mutations. It is known in the art that one or more conservative amino acid mutations to a reference sequence may yield a mutant peptide with no substantial change in physiological, chemical, or functional properties compared to the reference sequence; in such a case, the reference and mutant sequences would be considered "substantially identical" polypeptides.
  • Conservative amino acid mutation may include addition, deletion, or substitution of an amino acid; a conservative amino acid substitution is defined herein as the substitution of an amino acid residue for another amino acid residue with similar chemical properties (e.g. size, charge, or polarity).
  • a conservative mutation may be an amino acid substitution.
  • Such a conservative amino acid substitution may substitute a basic, neutral, hydrophobic, or acidic amino acid for another of the same group.
  • basic amino acid it is meant hydrophilic amino acids having a side chain pK value of greater than 7, which are typically positively charged at physiological pH.
  • Basic amino acids include histidine (His or H), arginine (Arg or R), and lysine (Lys or K).
  • neutral amino acid also “polar amino acid”
  • hydrophilic amino acids having a side chain that is uncharged at physiological pH, but which has at least one bond in which the pair of electrons shared in common by two atoms is held more closely by one of the atoms.
  • Polar amino acids include serine (Ser or S), threonine (Thr or T), cysteine (Cys or C), tyrosine (Tyr or Y), asparagine (Asn or N), and glutamine (Gin or Q).
  • hydrophobic amino acid (also “non-polar amino acid”) is meant to include amino acids exhibiting a hydrophobicity of greater than zero according to the normalized consensus hydrophobicity scale of Eisenberg (1984). Hydrophobic amino acids include proline (Pro or P), isoleucine (lie or I), phenylalanine (Phe or F), valine (Val or V), leucine (Leu or L), tryptophan (Trp or W), methionine (Met or M), alanine (Ala or A), and glycine (Gly or G).
  • “Acidic amino acid” refers to hydrophilic amino acids having a side chain pK value of less than 7, which are typically negatively charged at physiological pH. Acidic amino acids include glutamate (Glu or E), and aspartate (Asp or D).
  • Sequence identity is used to evaluate the similarity of two sequences; it is determined by calculating the percent of residues that are the same when the two sequences are aligned for maximum correspondence between residue positions. Any known method may be used to calculate sequence identity; for example, computer software is available to calculate sequence identity. Without wishing to be limiting, sequence identity can be calculated by software such as NCBI BLAST2 service maintained by the Swiss Institute of Bioinformatics (and as found at http://ca.expasy.org/tools/blast/), BLAST-P, Blast-N, or FASTA-N, or any other appropriate software that is known in the art.
  • the substantially identical sequences of the present invention may be at least 70%, 80%, 90%, or 95% identical; in another example, the substantially identical sequences may be at least 70, 71 , 72, 73, 74, 75, 80, 85, 90, 95, 96, 97, 98, 99, or 100% identical at the amino acid level to sequences described herein. Importantly, the substantially identical sequences retain the activity and specificity of the reference sequence.
  • the present invention also encompasses nucleic acids encoding the antigen as described above, as well as vectors comprising the nucleic acid.
  • the recombinant bacterium of the present invention may comprise a nucleic acid encoding the antigen as described above, or may comprise a vector (also referred to herein as"plasmid") comprising such nucleic acid that is fused with the nucleic acid of a translocation domain and optionally the nucleic acid of a chaperone; for example, and without wishing to be limiting in any manner, the vector in which antigen is translocated to the cytosol of infected cells may be a modified pHR plasmid.
  • the modified pHR construct uses the type III secretion protein to generate fusion proteins that are transported out of the phagosome and through the host bacterial type III secretion system for direct cytosolic antigen presentation.
  • the pHR constructs may comprise sequences encoding a translocation domain and optionally a chaperone protein to aid in proper trafficking of the downstream fusion protein.
  • the vector may be a modified pHR-241 plasmid (Russmann et al., 2001 ); more specifically, the pHR-241 comprising the sequence of SycE-YopE-p60/M45 fusion protein (Russmann et al., 2000) modified to remove the sequence of p60/M45.
  • the pHR241 vector is modified to comprise YopE or a fragment of YopE (for example, but not limited to MKISSFISTSLPLPTSVS, SEQ ID NO:2) with the sequence for the SycE and p60/M45 proteins removed.
  • YopE or a fragment of YopE
  • SEQ ID NO:2 the sequence for the SycE and p60/M45 proteins removed.
  • Replacement of the antigenic sequence by appropriate restriction enzymes and subsequent ligation of other antigens would result in development of the desired CD8+ T cell response against said antigens upon vaccination.
  • the recombinant bacterium that harbors this plasmid need not be a highly virulent bacterium; for example, attenuated Salmonella is presently shown to be effective at inducing the desired response. The response can be accentuated further by vaccination with higher doses of the attenuated strain.
  • the recombinant bacterium as described above may be utilized to impart immunity against other naturally-occurring and virulent bacteria. This may be accomplished by administering an effective amount of the recombinant bacterium of the present invention to a subject, and allowing a CD8 + T cell response to be mounted. Similarly, the recombinant bacterium may be utilized to impart immunity against tumors in a subject, by administering an effective amount of the recombinant bacterium of the present invention to said subject. In both methods, the recombinant bacterium may be administered through intravenous, oral or subcutaneous routes of immunization. This approach avoids the unwanted side-effects of persisting bacteria and undesirable toxicity/inflammation associated with live vaccines.
  • the modified bacterium can be administered through the oral route for induction of the desired CD8+ T cell response.
  • the recombinant bacterium as described above may also be utilized as a vaccine; the vaccine may protect against other naturally-occurring and virulent bacteria, other bacterial pathogens, viral pathogens, or tumors.
  • the antigen is a tumour-antigen
  • the tumour-antigen will be translocated to the host cell cytosol, resulting in rapid activation of tumor-specific CD8 + T cells, which will translate to better tumour control by tumor-specific CD8+ T cells.
  • CD8 + T cells when CD8 + T cells are engaged in this manner, they undergo profound expansion which results in massive pathogen and tumour control as well as abridgment of pathogen chronicity.
  • the present data provide novel insights into the incapacity of the immune system to efficiently control the bacterium, as well as reveal the power of the acquired immune system, wherein engagement of potent antigen-presentation early on may be sufficient to control an otherwise uncontrollable bacterium.
  • the present results provide compelling evidence that modulation of the cell biology of antigen trafficking is a key avenue that is employed by various pathogens for immune evasion.
  • the recombinant bacterium described herein may be used as a novel vaccine, wherein a key modification makes the bacterium generate rapid, potent CD8+ T cell response, resulting in self-destruction of the vaccine in vivo, making it highly efficacious, safe and cost-effective.
  • the utility of the recombinant bacterium described herein is demonstrated using OVA, TRP-2, and gp-100 as antigens.
  • other putative antigens from other pathogens (bacteria, virus) or tumours can be cloned into the recombinant bacterium; these antigens can then be translocated into the host cell cytosol for rapid and potent antigen- presentation using the a translocation domain/chaperone system.
  • Example 1 Preparation of recombinant bacteria
  • Recombinant bacteria comprising Salmonella enterica, serovar Typhimurium (ST) expressing ovalbumin (OVA) were prepared.
  • Construct ST-OVA-NT which does not translocate antigen to the cytosol, was prepared as previously described (Luu et al., 2006).
  • a recombinant construct, ST-OVA-T that produces an OVA fusion protein that is translocated to the cytosol;
  • Figure 1A shows a schematic of the fusion protein, where OVA is fused to YopE and SycE.
  • YopE is a 23kDa protein comprising a N-terminal secretion domain (-1 1 aa) and a translocation domain (at least 50 aa); the latter domain provides the binding site for the YopE-specific chaperone (SycE) that is required for YopE-mediated translocation of fused proteins to the cytosol (R).
  • SycE is a chaperone necessary for translocation of the fused protein into the cytosol of infected cells through the type III secretion system of ST.
  • Figure 1 B A schematic of both ST- OVA-NT and ST-OVA-T constructs and their proposed actions are shown in Figure 1 B.
  • Plasmid pHR-OVA was constructed by the modification of the plasmid pHR-241 (Russmann et al., 2001 ), which contains the sequence of the fusion protein SycE-YopE-p60/M45 (Russmann et al., 2000).
  • the genes of p60/M45 were removed by cutting plasmid pHR-241 with BamHI and Kpnl.
  • the pKK-OVA plasmid was purified from the recombinant ST- OVA-NT bacteria by mid prep kit (Invitrogen, US) according to the manufacturer's instructions.
  • the OVA gene was PCR-amplified using the plasmid pKK-OVA as a template (forward primer BamHI 5'-CGGGATCCAACTTTCAAACAGCTG-3' (SEQ ID NO: 13) and reverse primer Kpnl 5'-GGGGTACCTTAAGGGGAAACACATC-3' (SEQ ID NO: 14). Subsequently, the OVA gene was inserted between the BamHI-Kpnl sites of the cut pHR-241 palsmid, creating new plasmid pHR-OVA.
  • PCR amplification of the inserts was performed with Taq polymerase using the following cycling parameters: 94°C, 5 min; 25 cycles of 94°C, 30 s to 58°C, 1 min to 72°C, 1 min; followed by a 7 min extension time at 72°C.
  • the amplified insert was ligated into the intended vector then sequenced to verify the accuracy of the amplified cDNA.
  • the pHR-OVA plasmid was then transfected into the highly virulent ST (strain SL1344).
  • 50 ⁇ _ of electrocompetent Salmonella (WT or aroA) were mixed with -20 ng plasmid DNA and pulsed in a Bio-Rad micropulser using one pulse of 2.5 kV.
  • ST-OVA-NT and ST-OVA-T constructs of Example 1 were grown and expression and translocation of ovalbumin was evaluated. Pellet and supernatant of ST-OVA-NT and ST- OVA-T growing in liquid cultures were tested for the presence of OVA.
  • C57BL/6J mice were injected intravenously with 10 6 ST-OVA-NT or ST-OVA-T reconstituted in 200 microlitres normal saline. Two days later, spleens were obtained from infected mice; spleen cells were isolated and lysed with Triton X-100 in the presence of protease inhibitor, phenylmethylsulfonyl fluoride. The soluble lysate containing cytosolic proteins was tested for OVA expression by western blotting. Samples were normalized for cell number and were loaded on SDS-10% polyacrylamide gels. SDS-PAGE was performed and proteins were transferred to membranes, which were then blocked with 5% skim milk powder in PBS-Tween.
  • OVA expression was detected using a 1/10,000 dilution of polyclonal anti-OVA antibody (Sigma-Aldrich), followed by incubation with HRP-conjugated goat anti-rabbit Ab (1/5,000 dilution in PBS-Tween) from Roche Applied Science. Immuno-reactive bands were detected with enhanced chemiluminescence substrate (Roche Applied Bioscience). Results show that OVA-expression by ST-OVA-NT and ST-OVA-T (from -5x10 6 ) in the bacterial pellets was similar (Fig. 1 C). However, OVA could only be detected in the supernatant of ST-OVA-T cultures. Expression of OVA was detectable in the cytosol of spleen cells from mice infected with ST-OVA-T- but not ST-OVA-NT (Fig. 1 C).
  • IC-21 macrophages H-2 b
  • gentamicin 50 pg/ml
  • ST-OVA-T ST-OVA-T
  • IC-21 macrophages (H-2 b ) cells (10 /well) were infected with different MOI of ST (Albaghdadi et al., 2009), ST-OVA-NT (Example 1 ), or ST-OVA-T (Example 1 ) for 30 min. Extracellular bacteria were removed after incubation in medium containing gentamicin (50 ⁇ g/ml). At 2 h, cells were cultured in media containing lower levels of gentamicin (10 pg/ml) and incubated with CFSE-labelled OT-1 (CD45.1 + 45.2 " ) TCR transgenic cells (10 6 /well). After 4 days of culture, cells were harvested, stained with anti-CD45.1 and anti-CD8 antibodies, and the reduction in CFSE intensity of OT-1 CD8 + T cells was evaluated by flow cytometry.
  • B6.129F1 mice were used because B6 parents are highly susceptible and die within the first week of infection (Albaghdadi et al., 2009). Briefly, B6129F1 mice were generated in house by mating 129x1 SvJ female mice with C57BL/6J male mice; mice were obtained from The Jackson Laboratory and were maintained at the Institute for Biological Sciences (National Research Council of Canada, Ottawa, Canada) in accordance with the guidelines of the Canadian Council on Animal Care. For immunization, frozen stocks of ST-OVA-NT or ST-OVA-T (Example 1 ) were thawed and diluted in 0.9% NaCI; mice were inoculated (iv) with 10 3 organisms suspended in 200 ⁇ .
  • CFSE-labelled OT-1 cells were injected (5x10 6 , iv).
  • spleens were isolated from recipient mice and spleen cells were stained with OVA-tetramer and anti-CD8 antibody. Reduction in the expression of CFSE intensity was evaluated by flow cytometry, as described above.
  • Results are shown in Figures 3B and 3C; results represent the mean of three mice ⁇ SD per group, and are representative of two-three independent experiments.
  • the majority of transferred OT-1 cells displayed reduced expression of CFSE in mice infected with ST-OVA-T (Fig. 3B).
  • OT-1 cells in ST-OVA-NT-infected mice maintained high levels of CFSE expression.
  • ST- OVA-NT infected mice displayed muted and delayed activation of CFSE-labelled OT-1 cells (Fig. 3C).
  • the massive antigen-presentation that was induced early on in ST- OVA-T infected mice was subsequently reduced to baseline levels as the pathogen was cleared.
  • mice were infected (10 3 , iv) with ST-OVA-T or ST-OVA-NT without any adoptive transfer of OT-1 cells. At various time intervals, the numbers of spleen cells, spleen size and bacterial burden were evaluated. OVA-specific CD8+ T cell response was enumerated by Flow cytometry.
  • spleen cells 5 x 10 6 were incubated in 80 ⁇ of PBS plus 1 % BSA (PBS-BSA) with anti-CD16/32 at 4°C. After 10 min., cells were stained with H- 2K b OVA 25 7-264 tetramer-PE (Beckman Coulter, US) and various antibodies (anti-CD8 PerCP- Cy5, anti-CD62L APC-Cy7, and anti-CD127 (PE-Cy7) for 30 min. All antibodies were obtained from BD Biosciences. Cells were washed with PBS, fixed in 0.5% formaldehyde and acquired on a BD Biosciences FACSCanto analyzer.
  • Results are shown in Figure 4; these results represent the mean of three to five mice ⁇ SD per group and are representative of three independent experiments.
  • Infection of mice with ST- OVA-T resulted in the development of a rapid and potent OVA-specific CD8 + T cell response as evaluated by staining with OVA-tetramers (Fig. 4D, 4E; Fig. 5A); these mice displayed reduced spleen cell numbers and size (Fig. 4A, 4B).
  • Similar bacterial burdens were noted in mice that received ST-OVA-T or ST-OVA-NT (Fig. 4C).
  • the burden of ST-OVA-T were enormously controlled which was reduced to non-detectable levels by day 30.
  • FIG. 5A shows the OVA-tetramer profile in the spleens of infected mice, and the expression (MFI) of CD62L (Fig. 5B, 5D) and CD127 (Fig. 5C, 5D) on OVA- tetramer + CD8 + T cells.
  • MFI MFI
  • OVA-specific CD8 + T cells induced against ST-OVA-T displayed rapid activation (CD62L down-regulation) and rapid progression to the memory state (CD127 up-regulation) (Fig. 5B-D).
  • Example 6 Rapid CD8 + T cells response and survival of susceptible mice.
  • C57BL/6J mice were infected (10 3 , iv) with ST-OVA-T or ST-OVA-NT. At different time points (day 1 , 3, 5, 7 and 14) after infection, spleens were removed and the bacterial burdens were enumerated. Spleen cells were stained with OVA-tetramers and antibodies against CD8, CD62L and CD127. The percentage and numbers of OVA-specific CD8 + T cells were determined, as was the expression of CD62L versus CD127 on OVA-tetramer + CD8 + T cells. Results are shown in Figure 6 and represent the mean of three to four mice ⁇ SD per group; results are representative of two independent experiments.
  • ST-OVA-NT-infected mice displayed little cytolytic activity, as expected (Luu et al., 2006).
  • the kinetics of CD8+ T cells response in ST-OVA-T infected susceptible C57BL/6J was similar to that observed in resistant B6.129 F1 mice, as was their phenotype.
  • Figure 7 shows results of phenotypic analysis of OVA-specific CD8 + T cells induced against ST-OVA-T versus ST-OVA-NT. Similar to the profile in resistant mice, OVA-specific CD8 + T cells induced against ST-OVA-T in susceptible mice displayed rapid down-regulation of CD62L and rapid transition to the memory phenotype (increased CD127 up-regulation; Figure 7).
  • Example 8 Control of bacterial growth
  • Example 6 While the data of Example 6 indicated that rapid emergence of functional CD8 + T cells by antigenic translocation can control ST burden rapidly, it was still correlative.
  • C57BL/6J mice were treated with anti-CD8 or anti-CD4 antibody or isotype control then infected with ST-OVA-T to eliminate those cells specifically.
  • C57BL/6J mice were treated with (100 ⁇ g/injection) anti-CD4 (clone GK1.5), anti-CD8 (clone 2.43), or Rat IgG isotype antibodies on days -3, 0 and 3 after infection with 10 3 ST-OVA-T.
  • MHC-I deficient mice lack CD8 + T cells they should be susceptible to infection. Twenty days after infection, MHC-I deficient mice were moribund, displaying very high bacterial loads (Fig. 8B) whereas control mice had undetectable burden, and MHC class ll-deficient hosts (lacking CD4 + T cells) showed only a minor effect. MHC-I deficient mice were sick due to high bacterial loads, while MHC-ll-deficient and WT mice were healthy. Taken together, these results indicate that antigenic translocation to cytosol in the context of ST infection results in a rapid emergence of a potent CD8 + T cell response which is sufficient to control the burden.
  • Attenuated strains of bacteria are often used to avoid undesirable toxicity that occurs with highly virulent bacteria. It was therefore determined whether translocation of OVA in a highly attenuated strain of ST (AaroA) would induce rapid activation of CD8 + T cells.
  • mice were infected with 10 3 (virulent) wild type (WT; SL1344)) or 10 5 attenuated (avirulent; AaroA) ST-OVA expressing non-translocated or non-translocated OVA.
  • WT wild type
  • AaroA attenuated
  • ST-OVA attenuated
  • spleens and peripheral blood were collected and the relative change in the numbers of OVA-specific CD8 + T cells enumerated after staining with OVA-tetramers and anti-CD8 antibodies as described in Example 5.
  • Results in Figure 9 represent the mean of five mice ⁇ SD per group. Translocation of OVA by avirulent ST also resulted in rapid and profound induction of OVA-specific CD8 + T cell response in the spleen (Fig. 9A) and peripheral blood (Fig. 9B). Thus, these results indicate that antigenic translocation works equally well for virulent and avirulent bacteria.
  • Example 10 Translocation of antigen and tumour control.
  • mice C57BL/6J mice were infected with 10 3 ST-OVA-T; non-infected (na ' ive) mice served as controls.
  • mice On day 60, mice were challenged subcutaneously in the lower dorsal region with 10 6 B16 melanoma cells carrying the OVA gene (B16-OVA). Survival of mice was measured subsequently.
  • prophylactic vaccination with ST-OVA-T resulted in potent protection against tumour challenge. Protection in a therapeutic model, where mice were first challenged with tumours and then vaccinated with immunogens, was also tested.
  • B6.129F1 mice were challenged first with 10 6 B16-OVA tumour cells subcutaneously in the lower dorsal region.
  • mice were vaccinated with ST-OVA-NT or ST-OVA-T.
  • Non-infected mice served as negative controls and LM-OVA infected mice served as positive controls.
  • survival of mice was monitored.
  • Mice receiving ST-OVA-T displayed the best protection against B16 melanoma cells ( Figure 10B). Protection induced by ST-OVA-T was far greater than that induced by ST-OVA-NT and LM- OVA. Results represent the mean of five mice ⁇ SD per group.
  • Example 11 CD8+ T cell response against tumor-antigens.
  • OVA immunodominant antigen
  • tumour-antigen (Trp-2) (Schumacher and Restifo, 2009) was cloned into the WT or aroA mutant of ST, which translocates antigen to the cytosol.
  • PCR was done using pCDNA3-Trp2 as template using the following primers:
  • Reverse primer AGATGGTACCTTTAGTGCCACGTG (SEQ ID NO: 16).
  • the PCR product and pHR-OVA were digested with BamHI and Kpnl and ligated.
  • PCR amplification of the inserts was performed with Taq polymerase using the following cycling parameters: 94°C, 5 min; 25 cycles of 94°C, 30 s to 58°C, 1 min to 72°C, 1 min; followed by a 7 min extension time at 72°C.
  • the amplified insert was ligated into the intended vector, then sequenced to verify the accuracy of the amplified cDNA.
  • the PCR product was digested with Bglll and Kpnl; pHR-241 was digested with BamHI and Kpnl and the digested products were ligated.
  • pHR-Trp2 plasmid was then transfected into the highly virulent ST (SL1344) or aroA mutant of ST.
  • 50 ⁇ _ of electrocompetent Salmonella (WT or aroA) were mixed with -20 ng plasmid DNA and pulsed in a Bio-Rad micropulser using one pulse of 2.5 kV.
  • 1 ml_ of SOC recovery medium was added to the bacteria and they were allowed to recover shaking at 37°C. The bacteria were then plated on LB agar plates with ampicillin for the selection of individual clones.
  • the gene for gp100 tumour-antigen was cloned into a pHR or pKK plasmid. PCR was done using pCDNA3-gp100 as template with the following primers: Forward primer: GAAGATCTGGGAAGAACACAATGG (SEQ ID NO: 17), and
  • Reverse primer GGGGTACCTTAGGTGAGAGGAATGG (SEQ ID NO: 18).
  • the PCR product was digested with Bglll and Kpnl; pHR-241 was digested with BamHI and Kpnl and the digested products were ligated.
  • Infection of B6.129F1 mice with these recombinant nucleic acids resulted in the induction of CD8+ T cell response against Trp-2 (Fig. 1 1 A). This was associated with accelerated control of the bacterium (Fig. 1 1 B.C).
  • infection of mice with the gp100 expressing aroA-ST resulted in accelerated control of the bacterium (FIGURE 12A) and induction of a better CD8+ T cell response against gp100 (FIGURE 12B).
  • Example 12 CD8+ T cell response to a viral antigen.
  • the immunodominant epitope recognized to stimulate a CD8 + T cell response from LCMV nucleoprotein (NP) in C57BI/6 mice was also used as an antigen and cloned into ST, and its effect on T cell response in mice was evaluated.
  • LCMV-NP was encoded over amino acids 396-404 (FQPQNGQFI) of the protein (Basler et al., 2004).
  • cDNA encoding amino acids 288 - 463 of the NP protein was cloned into plasmid pKK to generate pKK-NP (Fig. 13), using PCT methods as described in Example 1 and 1 1.
  • DH5a clones were selected using ampicillin.
  • Ncol and Hindlll restriction sites were added to the oligonucleotides used for amplification of the insert sequence.
  • the oligonucleotide sequences used for the cDNA amplification were:
  • the final insert in the pKK plasmid was truncated prior to the end of the amplified insert due to the presence of an internal Hindlll restriction site, ending at codon 461. After confirmation of the sequence, this plasmid was also transferred into ST wild type and STAAro using a standard electroporation protocol. Briefly, 50 ⁇ _ of electrocompetent Salmonella (WT or aroA) were mixed with -20 ng plasmid DNA and pulsed in a Bio-Rad micropulser using one pulse of 2.5 kV. Immediately afterwards, 1 ml. of SOC recovery medium was added to the bacteria and they were allowed to recover shaking at 37 °C.
  • WT or aroA electrocompetent Salmonella
  • the bacteria were then plated on LB agar plates with ampicillin for the selection of individual clones.
  • PCR amplification of the inserts was performed with Taq polymerase using the following cycling parameters: 94° C, 5 min; 25 cycles of 94°C, 30 s to 58° C, 1 min to 72°C, 1 min; followed by a 7 min extension time at 72°C.
  • the amplified insert was ligated into the intended vector then sequenced to verify the accuracy of the amplified cDNA.
  • mice were infected intravenously with 10 3 recombinant ST expressing NP. Both virulent (Fig. 13B.C) and avirulent (Fig. 13D) ST induced profound NP-specific CD8+ T cell response when NP was translocated to the cytosol. Furthermore, antigenic translocation resulted in decreased bacterial burden (Fig. 13E) and control of vaccine induced inflammation (Fig. 13F).
  • Example 13 Use of truncated YopE as a means to induce potent CD8+ T cell response.
  • PCR product and pHR-OVA were digested with EcoRI and BamHI and ligated.
  • PCR amplification of the inserts was performed with Taq polymerase using the following cycling parameters: 94°C, 5 min; 25 cycles of 94°C, 30 s to 58° C, 1 min to 72°C, 1 min; followed by a 7 min extension time at 72 °C.
  • the amplified insert was ligated into the intended vector, then sequenced to verify the accuracy of the amplified cDNA.
  • Salmonella typhimurium phoP virulence gene is a transcriptional regulator. Proc. Natl. Acad. Sci. U. S. A 86, 7077-7081.
  • S. typhimurium encodes an activator of Rho GTPases that induces membrane ruffling and nuclear responses in host cells.
  • Aromatic-dependent Salmonella typhimurium are non- virulent and effective as live vaccines. Nature 291, 238-239. Houde,M., Bertholet.S., Gagnon.E., Brunet.S., Goyette.G., LaplanteA, Princiotta.M.F., Thibault.P., Sacks, D., and Desjardins.M. (2003). Phagosomes are competent organelles for antigen cross-presentation. Nature 425, 402-406.
  • InvB is a type III secretion-associated chaperone for the Salmonella enterica effector protein SopE. J Bacteriol. 785, 7279-7284. Luu,R.A., Gurnani,K., Dudani.R., Kammara.R., van Faassen.H., Sirard,J.C, Krishnan.L., and Sad,S. (2006). Delayed expansion and contraction of CD8+ T cell response during infection with virulent Salmonella typhimurium. J. Immunol. 177, 1516-1525.
  • Apoptosis facilitates antigen presentation to T lymphocytes through MHC-I and CD1 in tuberculosis. Nat. Med. 9, 1039-1046.

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