WO2013049342A1 - Recombinant nanoparticle rsv f vaccine for respiratory syncytial virus - Google Patents
Recombinant nanoparticle rsv f vaccine for respiratory syncytial virus Download PDFInfo
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- C12N2760/18011—Paramyxoviridae
- C12N2760/18511—Pneumovirus, e.g. human respiratory syncytial virus
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- C12N2760/00011—Details
- C12N2760/18011—Paramyxoviridae
- C12N2760/18511—Pneumovirus, e.g. human respiratory syncytial virus
- C12N2760/18534—Use of virus or viral component as vaccine, e.g. live-attenuated or inactivated virus, VLP, viral protein
Definitions
- the present invention is generally related to modified or mutated respirator ⁇ ' syncytial virus fusion (F) proteins and methods for making and using them, including immunogenic compositions such as vaccines for the treatment and/or prevention of RS V infection.
- F respirator ⁇ ' syncytial virus fusion
- Respirator ⁇ ' syncytial virus is a member of the genus Pneumovirus of the family Paramyxoviridae.
- Human RSV HRSV
- HRSV Human RSV
- This vims has a genome comprised of a single strand negative-sense RNA, which is tightly associated with viral protein to form the nucleocapsid.
- the viral envelope is composed of a plasma membrane derived lipid bilayer that contains virally encoded structural proteins.
- a viral polymerase is packaged with the virion and transcribes genomic RNA into mRNA.
- the RSV genome encodes three transmembrane structural proteins, F, G, and SB, two matrix proteins, M and M2, three nucleocapsid proteins N, P, and L, and two nonstructural proteins, NS1 and NS2.
- Fusion of HRSV and cell membranes is thought to occur at the cell surface and is a necessary step for the transfer of viral ribonucleoprotein into the cell cytoplasm during the early stages of infection. This process is mediated by the fusion (F) protein, which also promotes fusion of the membrane of infected ceils with that of adjacent ceils to form a characteristic syncytia, which is both a prominent cytopathic effect and an additional mechanism of viral spread. Accordingly, neutralization of fusion activity is important in host immunity. Indeed, monoclonal antibodies developed against the F protein have been shown to neutralize virus infectivity and inhibit membrane fusion (Calder et al., 2000, Virology 271 : 122-131).
- the F protein of RSV shares structural features and limited, but significant amino acid sequence identity with F glycoproteins of other paramyxoviruses. It is synthesized as an inactive precursor of 574 amino acids (FO) that is cotranslationally glycosylated on asparagines in the endoplasmic reticulum, where it assembles into homo-oligomers. Before reaching the cell surface, the F0 precursor is cleaved by a protease into F2 from the N terminus and Fl from the C terminus. The F2 and Fl chains remain covalently linked by one or more disulfide bonds.
- FO 574 amino acids
- Electron micrography can be used to distinguish between the prefusion and posttusion (alternatively designated prefusogenic and fusogenic) conformations, as demonstrated by Calder et al., 2000, Virology 271 : 122-131.
- the prefusion conformation can also be distinguished from the fusogenic (postfusion) conformation by liposome association assays.
- prefusion and fusogenic conformations can be distinguished using antibodies (e.g., monoclonal antibodies) that specifically recognize conformation epitopes present on one or the other of the prefusion or fusogenic form of the RSV F protein, but not on the other form.
- Such conformation epitopes can be due to preferential exposure of an antigenic determinant on the surface of the molecule.
- conformational epitopes can arise from the juxtaposition of amino acids that are non-contiguous in the linear polypeptide.
- the present inventors have found that surprisingly high levels of expression of the fusion (F) protein can be achieved when certain modifications are made to the structure of the RSV F protein. Such modifications also unexpectedly reduce the cellular toxicity of the RSV F protein in a host cell.
- the modified F proteins of the present invention demonstrate an improved ability to exhibit the post-fusion "lollipop" morphology as opposed to the pre-fusion "rod” morphology.
- the modified F proteins of the present invention can also exhibit improved immunogenicity as compared to wild-type F proteins.
- These modifications have significant applications to the development of vaccines and methods of using said vaccines for the treatment and/or prevention of RSV.
- the present invention provides recombinant RSV F proteins that demonstrate increased expression, reduced cellular toxicity, and/or enhanced immunogenic properties as compared to wild-type RSV F proteins.
- the invention provides recombinant RSV F proteins comprising modified or mutated amino acid sequences as compared to wild-type RSV F proteins.
- these modifications or mutations increase the expression, reduce the cellular toxicity, and/or enhance the immunogenic properties of the RSV F proteins as compared to wild-type RSV F proteins.
- the RSV F proteins are human RSV F proteins.
- the RSV F protein preferably comprises a modified or mutated amino acid sequence as compared to the wild-type RSV F protein (e.g. as exemplified in SEQ ID NO: 2).
- the RSV F protein contains a modification or mutation at the amino acid corresponding to position P102 of the wild-type RSV F protein (SEQ ID NO: 2).
- the RSV F protein contains a modification or mutation at the amino acid corresponding to position 1379 of the wild-type RSV F protein (SEQ ID NO: 2)
- the RSV F protein contains a modification or mutation at the amino acid corresponding to position M447 of the wild-type RSV F protein (SEQ ID NO: 2).
- the RSV F protein contains two or more modifications or mutations at the amino acids corresponding to the positions described above. In another embodiment, the RSV F protein contains three modifications or mutations at the amino acids corresponding to the positions described above.
- the invention is directed to RSV F proteins wherein the proline at position 102 is replaced with alanine. In another specific embodiment, the invention is directed to RSV F proteins wherein the isoleucine at position 379 is replaced with valine. In yet another specific embodiment, the invention is directed to RSV F proteins wherein the methionine at position 447 is replaced with valine. In certain embodiments, the RSV F protein contains two or more modifications or mutations at the amino acids corresponding to the positions described in these specific embodiments. In certain other embodiments, the RSV F protein contains three modifications or mutations at the amino acids corresponding to the positions described in these specific embodiments. In an exemplary embodiment, the RSV protein has the amino acid sequence described in SEQ ID NO: 4.
- the coding sequence of the RSV F protem is further optimized to enhance its expression in a suitable host cell.
- the host cell is an insect cell.
- the insect cell is an Sf9 cell.
- the coding sequence of the codon optimized RSV F gene is SEQ ID NO: 3.
- the codon optimized RSV F protem has the amino acid sequence described in SEQ ID NO: 4.
- the RSV F protein further comprises at least one modification in the cryptic poly(A) site of F2. In another embodiment, the RSV F protein further comprises one or more amino acid mutations at the primary cleavage site (CS). In one embodiment, the RSV F protein contains a modification or mutation at the amino acid corresponding to position R133 of the wild-type RSV F protein (SEQ ID NO: 2) or the codon optimized RSV F protein (SEQ ID NO: 4). In another embodiment, the RSV F protem contains a modification or mutation at the amino acid corresponding to position R135 of the wild-type RSV F protein (SEQ ID NO: 2) or the codon optimized RSV F protein (SEQ ID NO: 4). In yet another embodiment, the RSV F protein contains a modification or mutation at the amino acid corresponding to position R 136 of the wild-type RS V F protein (SEQ ID NO: 2) or the codon optimized RSV F protein (SEQ ID NO: 4).
- the invention is directed to RSV F proteins wherein the arginine at position 133 is replaced with glutamine. In another specific embodiment, the invention is directed to RSV F proteins wherein the arginine at position 135 is replaced with glutamine. In yet another specific embodiment, the invention is directed to RSV F proteins wherein arginine at position 136 is replaced with glutamine. In certain embodiments, the RSV F protein contains two or more modifications or mutations at the amino acids corresponding to the positions described in these specific embodiments. In certain other embodiments, the RSV F protein contains three modifications or mutations at the amino acids corresponding to the positions described in these specific embodiments. In an exemplary embodiment, the RSV protein has the amino acid sequence described in SEQ ID NO: 6.
- the RSV F protein further comprises a deletion in the N- terminal half of the fusion domain corresponding to amino acids 137-146 of SEQ ID NO: 2, SEQ ID NO: 4, and SEQ ID NO: 6.
- the RSV F protein has the amino acid sequence described in SEQ ID NO: 8.
- the RSV F protein has the amino acid sequence described in SEQ ID NO: 10.
- RSV F proteins other than human RSV F protein (SEQ ID NO: 2), which contain alterations corresponding to those set out above.
- RSV F proteins may include, but are not limited to, the RSV F proteins from A strains of human RSV, B strains of human RSV, strains of bovine RSV, and strains of avian RSV.
- the invention is directed to modified or mutated RSV F proteins that demonstrate increased expression in a host cell as compared to wild-type RSV F proteins, such as the one shown by SEQ ID NO: 2.
- the invention is directed to modified or mutated RSV F proteins that demonstrate reduced cellular toxicity in a host cell as compared to wild-type RSV F proteins, such as the one shown by SEQ ID NO: 2.
- the invention is directed to modified or mutated RSV F proteins that demonstrate enhanced immunogenic properties as compared to wild-type RSV F proteins, such as the one shown by SEQ ID NO: 2.
- the invention provides immunogenic compositions comprising one or more modified or mutated RSV F proteins as described herein.
- the invention provides a micelle comprised of one or more modified or mutated RSV F proteins (e.g. an RSV F micelle).
- the present invention provides a virus-like particle (VLP) comprising a modified or mutated RSV F protein.
- the VLP further comprises one or more additional proteins.
- the VLP further comprises a matrix (M) protein.
- M protein is derived from a human strain of RSV.
- the M protein is derived from a bovine strain of RSV.
- the matrix protein may be an M l protein from an influenza virus strain.
- influenza virus strain is an avian influenza virus strain.
- the M protein may be derived from a Newcastle Disease Virus (NDV) strain.
- NDV Newcastle Disease Virus
- the VLP further comprises the RSV glycoprotein G. In another embodiment, the VLP further comprises the RSV glycoprotein SH. In yet another embodiment, the VLP further comprises the RSV nucleocapsid N protein.
- the modified or mutated RSV F proteins may be used for the prevention and/or treatment of RSV infection.
- the invention provides a method for eliciting an immune response against RSV. The method involves administering an immunological ly effective amount of a composition containing a modified or mutated RSV F protein to a subject, such as a human or animal subject.
- the present invention provides pharmaceutically acceptable vaccine compositions comprising a modified or mutated RSV F protein, an RSV F micelle comprising a modified or mutated RSV F protein, or a VLP comprising a modified or mutated RSV F protein.
- the invention comprises an immunogenic formulation comprising at least one effective dose of a modified or mutated RSV 7 F protein. In another embodiment, the invention comprises an immunogenic formulation comprising at least one effective dose of an RSV F micelle comprising a modified or mutated RSV F protein. In yet another embodiment, the invention comprises an immunogenic formulation comprising at least one effecti ve dose of a VLP comprising a modified or mutated RSV F protein.
- the invention provides for a pharmaceutical pack or kit comprising one or more containers filled with one or more of the ingredients of the vaccine formulations of the invention.
- the invention provides a method of formulating a vaccine or antigenic composition that induces immunity to an infection or at least one disease symptom thereof to a mammal, comprising adding to the formulation an effective dose of a modified or mutated RSV F protein, an RSV F micelle comprising a modified or mutated RSV F protein, or a VLP comprising a modified or mutated RSV F protein.
- the infection is an RSV infection.
- the modified or mutated RSV F proteins of the invention are useful for preparing compositions that stimulate an immune response that confers immunity or substantial immunity to infectious agents.
- the invention provides a method of inducing immunity to infections or at least one disease symptom thereof in a subject, comprising administering at least one effective dose of a modified or mutated RSV F protein, an RSV F micelle comprising a modified or mutated RSV F protein, or a VLP comprising a modified or mutated RSV F protein.
- the invention provides a method of inducing substantial immunity to RSV virus infection or at least one disease symptom in a subject, comprising administering at least one effective dose of a modified or mutated RSV F protein, an RSV F micelle comprising a modified or mutated RSV F protein, or a VLP comprising a modified or mutated RSV F protein,
- compositions of the invention can induce substantial immunity in a vertebrate (e.g. a human) when administered to the vertebrate.
- a vertebrate e.g. a human
- the invention provides a method of inducing substantial immunity to RSV virus infection or at least one disease symptom in a subject, comprising administering at least one effective dose of a modified or mutated RSV F protein, an RSV F micelle comprising a modified or mutated RSV F protein, or a VLP comprising a modified or mutated R SV F protein.
- the mvention provides a method of vaccinating a mammal against RSV comprising administering to the mammal a protection-inducing amount of a modified or mutated RSV F protein, an RSV F micelle comprising a modified or mutated RSV F protein, or a VLP comprising a modified or mutated RSV F protein.
- the invention comprises a method of inducing a protective antibody response to an infection or at least one symptom thereof in a subject, comprising administering at least one effective dose of a modified or mutated RSV F protein, an RSV F micelle comprising a modified or mutated RSV F protein, or a VLP comprising a modified or mutated RSV F protein.
- the invention comprises a method of inducing a protective cellular response to RSV infection or at least one disease symptom in a subject, comprising administering at least one effective dose of a modified or mutated RSV F protein.
- the invention comprises a method of inducing a protective cellular response to RSV infection or at least one disease symptom in a subject, comprising administering at least one effective dose of an RS V F micelle comprising a modified or mutated RSV F protein.
- the invention comprises a method of inducing a protective cellular response to RSV infection or at least one disease symptom in a subject, comprising administering at least one effective dose of a VLP, wherein the VLP comprises a modified or mutated RS V F protein,
- the invention provides an isolated nucleic acid encoding a modified or mutated RSV F protein of the invention.
- the isolated nucleic acid encoding a modified or mutated RSV F protein is selected from the group consisting of SEQ ID NO: 3, SEQ ID NO: 5, SEQ ID NO: 7, or SEQ ID NO: 9.
- the invention provides an isolated cell comprising a nucleic acid encoding a modified or mutated RSV F protein of the invention.
- the isolated nucleic acid encoding a modified or mutated RSV F protein is selected from the group consisting of SEQ ID NO: 3, SEQ ID NO: 5, SEQ ID NO: 7, or SEQ ID NO: 9.
- the invention provides a vector comprising a nucleic acid encoding a modified or mutated RSV F protein of the invention.
- the isolated nucleic acid encoding a modified or mutated RSV F protein is selected from the group consisting of SEQ ID NO: 3, SEQ ID NO: 5, SEQ ID NO: 7, or SEQ ID NO: 9.
- the vector is a baculovirus vector.
- the invention provides a method of making a RSV F protein, comprising (a) transfoniimg a host cell to express a nucleic acid encoding a modified or mutated RSV F protein of the invention; and (b) c alluring said host cell under conditions conducive to the production of said RSV F protein.
- the nucleic acid encoding a modified or mutated RSV F protein is selected from the group consisting of SEQ ID NO: 3, SEQ ID NO: 5, SEQ ID NO: 7, or SEQ ID NO: 9.
- the host cell is an insect cell.
- the host cell is an is an insect cell transfected with a baculovirus vector comprising a modified or mutated RSV F protein of the invention.
- the invention provides a method of making a RSV F protein micelle, comprising (a) transforming a host cell to express a nucleic acid encoding a modified or mutated RSV F protein of the invention; and (b) culturing said host cell under conditions conducive to the production of said RSV F protein micelle.
- the nucleic acid encoding a modified or mutated RSV F protein is selected from the group consisting of SEQ ID NO: 3, SEQ ID NO: 5, SEQ ID NO: 7, or SEQ ID NO: 9.
- the host cell is an insect cell.
- the host ceil is an is an insect cell transfected with a baculovirus vector comprising a modified or mutated RSV F protein of the invention.
- the present invention is directed to an RSV fusion surface glycoprotein (F) nanoparticle vaccine.
- the vaccine comprises full length F protein.
- the full length F protein is cleaved into disulfide linked Fl and F2 trimers.
- the Fl and F2 trimers in one embodiment, are present in micelles having a diameter of about 20 nm to about 40 nm.
- an antibody generated by the vaccine of the invention is provided.
- a method for vaccinating a subject in need thereof comprises administering to the subject a recombinant RSV fusion glycoprotein (F) nanoparticle vaccine, in a further embodiment, the nanoparticle vaccine comprises full length F protein.
- the full length F protein is cleaved into disulfide linked Fl and F2 trimers.
- the Fl and F2 trimers in one embodiment, are present in micelles having a diameter of about 20 nm to about 40 nm.
- the vaccine of the invention is administered at a dose is selected from the group consisting of 5 ⁇ g, 15 t ug, 30 g and 60 ⁇ g,
- a method for vaccinating a subject in need thereof comprises administering to the subject a recombinant RSV fusion glycoprotein (F) nanoparticle vaccine comprising full length F protein and an adjuvant.
- the adjuvant is alum.
- Figure i depicts the structure of wild type i ⁇ R SV F 0 protein and the primary (SEQ ID NO: 32) and secondary (SEQ ID NO: 33) cleavage sites.
- Figure 2 depicts structures of modified RSV F 0 proteins with cleavage site mutations as described in Example 3, corresponding to SEQ ID NOs: 28 (KKQKQQ), 29 (GRRQQR), 30 (RAQQ), and 31 (KKQKRQ).
- Figure 3 depicts conservative substitutions (R133Q, R135Q and R136Q) in the primary cleavage site of modified HRSV F protein BV #541 (SEQ ID NO: 6).
- Figure 4 depicts sequence and structure of modified HRSV F protein BV #541 (SEQ ID NO: 6).
- Figure 5 depicts sequence and structure of modified HRS V F protein B V #622 (SEQ ID NO: 10).
- Figure 6 depicts SDS-PAGE coomassie-stained gel of purified recombinant HRSV F protein BV #622 with or without the presence of ⁇ .
- Figure 7A depicts a Western blot analysis of the RSV F fusion domain mutants.
- Figure 7B depicts cell surface RSV F protein immunostaining of the RSV F fusion domain mutants.
- Figure 7C depicts the structure of modified HRSV F protein BV #683 (SEQ ID NO: 8).
- Figure 7D depicts the parent clone BV#541 ( ⁇ 0) and mutants with ⁇ 2 ⁇ 4, ⁇ 6, ⁇ 8, ⁇ 10 (BV#683), ⁇ 2, ⁇ 14, ⁇ 16, and ⁇ 18 deletions in the fusion domain.
- BV#541 comprises a protein in which the amino acid sequence of the fusion domain comprises position 137 to 154 of SEQ ID NO: 6).
- the amino acid sequences of the fusion domain portions of the deletion mutants comprise position 139 to 154 of SEQ ID NO: 6 ( ⁇ 2), position 141 to 154 of SEQ ID NO: 6 ( ⁇ 4), position 143 to 154 of SEQ ID NO: 6 ( ⁇ 6), position 145 to 154 of SEQ ID NO: 6 ( ⁇ 8), position 147 to 154 of SEQ ID NO: 6 ( ⁇ 10; BV#683), position 149 to 154 of SEQ ID NO: 6 ( ⁇ 2), position 151 to 154 of SEQ ID NO: 6( ⁇ 14), or position 153 to 154 of SEQ ID NO: 6 ( ⁇ 16).
- the entire fusion domain corresponding to position 137-154 in SEQ ID NO: 6 is deleted in the mutant with a ⁇ 18 deletion.
- Figure 8 depicts SDS-PAGE coomassie-stained gels of purified recombinant HRSV F proteins BV #622 and BV #683 with or without the presence of ⁇ (on the left), and their structures.
- Figure 9 depicts SDS-PAGE coomassie-stained gel (on the left) and Western Blot (on the right) analysis of purified recombinant HRSV F protein BV #683 with or without the presence of ⁇ .
- Figure 10 depicts SDS-PAGE coomassie-stained gel used in purity analysis by scanning densitometry (on the left) and Western Blot (on the right) of purified recombinant HRSV F protein BV #683.
- Figure 1 depicts images of purified recombinant HRSV F protein BV #683 micelles (rosettes) taken in negative stain electron microscopy.
- Figure 12A depicts reverse phase HPLC analysis of HRSV F protein BV #683.
- Figure 12B depicts size exclusion HPLC analysis of HRSV F protein BV #683.
- Figure 12C depicts particle size analysis of HRSV F protein BV #683 micelles.
- Figure 13 depicts SDS-PAGE coomassie-stained gel (on the left) and Western Blot (on the right) analysis of moditied HRSV F proteins BV #622 and BV #623 (SEQ ID NO: 21 ) with or without co-expression with HRSV N and BRSV M proteins in the crude cell culture harvests (intracellular) or pelleted samples by 30% sucrose gradient separation, and structures of BV #622 and BV #623.
- Figure 14 depicts SDS-PAGE coomassie-stained gel (on the left) and Western Blot (on the right) analysis of modified HRSV F protein BY #622, double tandem chimeric BY #636 (BV #541 + BRSV M), BV #683, BV #684 (BV #541 with YIAL L-domain), and BV #685 (BV #541 with YKKL L-domain) with or without co-expression with HRSV N and BRSV M proteins in the cnide ceil culture harvests (mtracellular) samples, and structure of each analyzed modified HRSV F protein.
- modified HRSV F protein BY #622 double tandem chimeric BY #636
- BV #683, BV #684 BV #541 with YIAL L-domain
- BV #685 BV #541 with YKKL L-domain
- Figure 15 depicts SDS-PAGE coomassie-stained gel (on the left) and Western Blot (on the right) analysis of modified RSV F protein BV #622 (SEQ ID NO: 10), double tandem chimeric BV #636 (BV #541 BRSV M), BV #683 (SEQ ID NO: 8), BV #684 (BV #541 with YIAL L-domain), and BV #685 (BV #541 with YKKL L-domain) with or without co- expression with HRSV N and BRSV M proteins in the pelleted samples by 30% sucrose gradient separation, and structure of each analyzed modified HRSV F protein.
- modified RSV F protein BV #622 SEQ ID NO: 10
- double tandem chimeric BV #636 BV #541 BRSV M
- BV #683 SEQ ID NO: 8
- BV #684 BV #541 with YIAL L-domain
- BV #685 BV #541 with YKKL L-domain
- Figure 16 A-D depict structure, clone name, description, Western Blot and SDS- PAGE coomassie results, and conclusion for each modified RSV F protein as described in Example 9.
- Figure 17 depicts experimental procedures of the RSV challenge study as described in Example 10.
- Figure 18 depicts results of RSV neutralization assay at day 31 and day 46 of mice immunized with PBS, live RSV, FI-RSV, 1 tig PFP, 1 .ug PFP + Alum, 10 tig PFP, 10 ⁇ 8 PFP + Alum, 30 ( itg PFP, and positive control (anti-F sheep).
- Figure 19 depicts RSV titers in lung tissues of mice immunized with PBS, live RSV, FI-RSV, 1 g PFP, 1 ⁇ g PFP + Alum, 10 ug PFP, 10 gPFP + Alum, and 30 iig PFP, 4 days after challenge of infectious RSV,
- Figure 2 ⁇ depicts SDS-PAGE gel stained with coomassie of purified recombinant RSV F protein BV #683 stored at 2 - 8°C for 0, 1, 2, 4, and 5 weeks.
- FIG. 21 depicts RSV A and RSV B neutralizing antibody responses following immunization with live RSV (RSV), formalin inactivated RSV (FI-RSV), RSV-F protein BV #683 with and without alummum (PFP and PFP + Aluminum Adjuvant), and PBS controls.
- RSV live RSV
- FI-RSV formalin inactivated RSV
- PFP and PFP + Aluminum Adjuvant RSV-F protein BV #683 with and without alummum
- PBS controls PBS controls.
- Figure 22 depicts lung pathology following challenge with RSV in rats immunized with live RSV, formalm inactivated RSV (FI-RSV), RSV-F protein BV #683 with and without aluminum (F-micelle (30 g) and F-micelle (30 ⁇ ) + Aluminum Adjuvant), and PBS controls.
- Figure 23 is a graph showing the neutralizing antibody responses against RSV A in cotton rat (y-axis, expressed as Log2 titers) vs. various vaccination treatment groups (x-axis). The line for each group is the geometric mean of end point titer that neutralized 100%.
- Figure 24 is a graph showing the neutralizing antibody responses against RSV A in cotton rat (y-axis, expressed as Log2 titers) vs. various vaccination treatment groups (x-axis). The line for each group is the geometric mean of end point titer that neutralized 100%.
- Figure 25 is a graph showing the lung viral titers of cotton rats (expressed as loglO pfu/gram of tissue) vs. various vaccination treatment groups (x-axis). The viral titers are shown ⁇ SEM.
- Figure 26A is a graph showing ELISA units vs. vaccination group, and provides a measure for antibody production in animals treated with the RSV F vaccine, FI-RSV, live RSV, or PBS.
- Figure 26 B is a graph showing antibody production in each vaccine group as measured by RSV -F IgG titer.
- Figure 26C is a graph depicting serum neutralizing antibody titers against RSV in each vaccination group.
- Figure 26D is a graph showing palivizumab competitive IgG titers from pooled sera from each vaccination group.
- Figure 27 are representative micrographs of lung tissue harvested from rats after treatment with the nanoparticle vaccine of the invention and a subsequent challenge with RSV.
- Figure 28 is a graph showing the binding competition between the palivizumab epitope (SEQ ID NO: 35) and antibodies produced by the vaccine of the present invention.
- Figure 29A is a graph showing the binding of various concentrations of Synagis® mAb to palivizumab epitope peptide.
- Figure 29B is a graph showing the binding of various concentrations of Synagis ⁇ to recombinant RSV F micelles.
- Figure 30 provides schemes of various assays carried out to test the immimoge icity of the nanoparticle vaccines of the invention.
- Figure 31 is a graph showing the results of an ELISA study using human sera from subjects treated with the vaccine of the present invention.
- Figure 32 is a graph showing anti-RSV F (A) and anti-RSV G (B) IgG detected in human sera from subjects treated with the vaccine of the present invention.
- Figure 33 is a graph showing the geometric mean fold rise in anti-RSV F IgG levels for the alum treatment groups.
- Figure 34 is a graph showing the plague reduction neutralization titers for subjects at various timepoints, before or after treatment with the nanoparticle vaccine of the invention.
- Figure 35 shows the reverse cumulative distribution for Day 0, Day 30 and Day 60 PRNTs in the placebo and 30 g + Alum groups.
- Figure 36A shows the positive assay controls for the BIAcore SPR-based antigen binding assay utilized to assess the avidity of antibodies in the human sera for RSV F.
- Figure 36 B shows a sensorgram for sera from Day 0 and placebo controls, in comparison to the positive control palivizumab,
- Figure 37 shows the binding curve for palivizumab and a representative sample from the vaccine group, as measured using the BIAcore SPR-based antigen binding assay
- Figure 38 is a graph showing the geometric mean rise in antibody titer levels for both
- FIG 39 is a graph showing antibody geometric mean titers (GMT) in patients administered RSV nanoparticle vaccine at various dosages.
- the antibody response is to the antigenic site II peptide 254-278.
- Figure 40A is a graph showing antibodies generated by the RSV F protein nanoparticle vaccine are competitive with Palivizumab.
- Figure 40B is a graph showing palivizumab competitive antibodies post dose 1 and post dose 2 in all vaccine groups,
- Figure 41 is a graph showing the results of a Palivizumab competition assay. The results show that RSV F nanoparticle vaccine induced antibodies correlate with antibodies that compete for the Palivizumab binding site.
- Figure 42 shows the RSV F binding titers of the indicated monoclonal antibodies and the antibody recognition sites for each monoclonal antibody on the full length RSV F antigen.
- Figure 43 is a graph showing the anti-RSV F IgG antibody titer in sera from cotton rats immumzed with FI-RSV, RSV-F nanoparticle vaccine with or without adjuvant, or live RSV at Day 0, 28, and 49 post-immunization.
- Figure 44 is a graph showing neutralizing antibody responses at Day 0, 28, and 49 after immunization of cotton rats with FI-RSV, RSV -F nanoparticle vaccine with or without adjuvant, or live RSV.
- Figure 45 is a graph showing the fusion mhibition titers in sera from cotton rats immunized with FI-RSV, RSV-F nanoparticle vaccine with or without adjuvant, or live RSV.
- Figure 46 is a graph showing competitive ELISA titers in sera from cotton rats immunized with FI-RSV, RSV-F nanoparticle vaccine with or without adjuvant, or live RSV
- Figure 47 shows the titers of vaccine-induced antibodies competitive with the indicated neutralizing RSV F-specific monoclonal antibody in sera from cotton rats immunized with FI-RSV, RSV-F nanoparticle vaccine with or without adjuvant, or live RSV.
- adjuvant refers to a compound that, when used in combination with a specific imr ogen (e.g.
- Modification of the immune response includes intensification or broadening the specificity of either or both antibody and cellular immune responses. Modification of the immune response can also mean decreasing or suppressing certain antigen-specific immune responses.
- antigenic formulation or “antigenic composition” refers to a preparation which, when administered to a vertebrate, especially a bird or a mammal, will induce an immune response.
- avian influenza virus refers to influenza viruses found chiefly in birds but that can also infect humans or other animals. In some instances, avian influenza viruses may be transmitted or spread from one human to another. An avian influenza virus that infects humans has the potential to cause an influenza pandemic, i.e., morbidity and/or mortality in humans. A pandemic occurs when a new strain of influenza virus (a virus against which humans have no natural immunity) emerges, spreading beyond individual localities, possibly around the globe, and infecting many humans at once.
- an "effective dose” generally refers to that amount of a modified or mutated RSV F protein, an RSV F micelle comprising a modified or mutated RSV F protein, or a VLP comprising a modified or mutated RSV F protein of the invention sufficient to induce immunity, to prevent and/or ameliorate an infection or to reduce at least one symptom of an infection or disease, and/or to enhance the efficacy of another dose of a modified or mutated RSV F protein, an RSV F micelle comprising a modified or mutated RSV F protein, or a VLP comprising a modified or mutated RSV F protein.
- An effective dose may refer to the amount of a modified or mutated RSV F protein, an RSV F micelle comprising a modified or mutated RSV F protein, or a VLP comprising a modified or mutated RSV F protein sufficient to delay or minimize the onset of an infection or disease.
- An effective dose may also refer to the amount of a modified or mutated RSV F protein, an R SV F micelle comprising a modified or mutated RSV F protein, or a VLP comprising a modified or mutated RSV F protein that provides a therapeutic benefit in the treatment or management of an infection or disease.
- an effective dose is the amount with respect to a modified or mutated RSV F protein, an RSV F micelle comprising a modified or mutated RSV F protein, or a VLP comprising a modified or mutated RSV F protein of the invention alone, or in combination with other therapies, that provides a therapeutic benefit in the treatment or management of an infection or disease.
- An effective dose may also be the amount sufficient to enhance a subject's (e.g., a human's) own immune response against a subsequent exposure to an infectious agent or disease.
- Levels of immunity can be monitored, e.g., by measuring amounts of neutralizing secretory and/or serum antibodies, e.g., by plaque neutralization, complement fixation, enzyme-linked immunosorbent, or microneutralization assay, or by measuring cellular responses, such as, but not limited to cytotoxic T cells, antigen presenting cells, helper T cells, dendritic cells and/or other cellular responses.
- T cell responses can be monitored, e.g., by measuring, for example, the amount of CD and CD8 + ceils present using specific markers by fluorescent flow cytometry or T cell assays, such as but not limited to T-cell proliferation assay, T-cell cytotoxic assay, TETRAMER assay, and/or ELISPOT assay.
- an "effective dose" is one that prevents disease and/or reduces the severity of symptoms.
- the term "effective amount" refers to an amount of a modified or mutated RS V F protein, an RSV F micelle comprising a modified or mutated RSV F protein, or a VLP comprising a modified or mutated RSV F protem necessary or sufficient to realize a desired biologic effect.
- An effective amount of the composition would be the amount that achieves a selected result, and such an amount could be determined as a matter of routine experimentation by a person skilled in the art.
- an effective amount for preventing, treating and/or ameliorating an infection could be that amount necessary to cause activation of the immune system, resulting in the development of an antigen specific immune response upon exposure to a modified or mutated RSV F protein, an RSV F micelle comprising a modified or mutated RSV F protein, or a VLP comprising a modified or mutated RSV F protein of the invention.
- the term is also synonymous with "sufficient amount.”
- the term "expression” refers to the process by which polynucleic acids are transcribed into mRNA and translated into peptides, polypeptides, or proteins. If the polynucleic acid is derived from genomic DNA, expression may, if an appropriate eukaryotic host cell or organism is selected, include splicing of the mRNA. In the context of the present invention, the term also encompasses the yield of RSV F gene mR A and RSV F proteins achieved following expression thereof,
- F protem or “Fusion protein” or “F protein polypeptide” or “Fusion protein polypeptide” refers to a polypeptide or protein having all or part of an amino acid sequence of an RSV Fusion protein polypeptide.
- G protein or “G protein polypeptide” refers to a polypeptide or protein having all or part of an amino acid sequence of an RSV Attachment protein polypeptide. Numerous RSV Fusion and Attachment proteins have been described and are known to those of skill in the art.
- WO/2008/114149 which is herein incorporated by reference in its entirety, sets out exemplary F and G protein variants (for example, naturally occurring variants).
- immunogens or “antigens” refer to substances such as proteins, peptides, and nucleic acids that are capable of eliciting an immune response. Both terms also encompass epitopes, and are used interchangeably.
- immune stimulator refers to a compound that enhances an immune response via the body's own chemical messengers (cytokines). These molecules comprise various cytokines, iymphokines and chemokin.es with immunostimuiatory, immuiiopotentiating, and pro-inflammatory activities, such as interferons (IFN- ⁇ ), interleukins ⁇ e.g., IL-1, IL-2, 1L-3, IL-4, IL-12, 1L-13); growth factors ⁇ e.g., granulocyte- macrophage (GM)-colony stimulating factor (CSF)); and other immunostimulatory molecules, such as macrophage inflammatory factor, Flt.3 ligand, B7.1; B7.2, etc.
- the immune stimulator molecules can be administered in the same formulation as VLPs of the invention, or can be administered separately. Either the protein or an expression vector encoding the protein can be administered to produce an immunostimulatory effect.
- the term "immunogenic formulation” refers to a preparation which, when administered to a vertebrate, e.g. a mammal, wi ll induce an immune response.
- infectious agent refers to microorganisms that cause an infection in a vertebrate. Usually, the organisms are viruses, bacteria, parasites, protozoa and/or fungi.
- mutated As used herein, the terms "mutated,” “modified,” “mutation,” or “modification” indicate any modification of a nucleic acid and/or polypeptide which results in an altered nucleic acid or polypeptide. Mutations include, for example, point mutations, deletions, or insertions of single or multiple residues in a polynucleotide, which includes alterations arising within a protein-encoding region of a gene as well as alterations in regions outside of a protein-encoding sequence, such as, but not limited to, regulatory or promoter sequences. A genetic alteration may be a mutation of any type.
- the mutation may constitute a point mutation, a frame-shift mutation, an insertion, or a del etion of part or all of a gene.
- the mutations are naturally-occurring, in other embodiments, the mutations are the results of artificial mutation pressure.
- the mutations in the RSV F proteins are the result of genetic engineering.
- multivalent refers to compositions which have one or more antigenic proteins/peptides or immunogens against multiple types or strains of infectious agents or diseases.
- the term "pharmaceutically acceptable vaccine” refers to a formulation which contains a modified or mutated RSV F protem, an RSV F micelle comprising a modified or mutated RSV F protein, or a VLP comprising a modified or mutated RS V F protein of the present mvention, which is in a form that is capable of being administered to a vertebrate and which induces a protective immune response sufficient to induce immunity to prevent and/or ameliorate an infection or disease, and/or to reduce at least one symptom of an infection or disease, and/or to enhance the efficacy of another dose of a modified or mutated RSV F protein, an RSV F micel le comprising a modified or mutated RSV F protein, or a VLP comprising a modified or mutated RSV F protein.
- the vaccine comprises a conventional saline or buffered aqueous solution medium in which the composition of the present invention is suspended or dissolved.
- the composition of the present invention can be used conveniently to prevent, ameliorate, or otherwise treat an infection.
- the vaccine Upon introduction into a host, the vaccine is able to provoke an immune response including, but not limited to, the production of antibodies and/or cytokines and/or the activation of cytotoxic T ceils, antigen presenting cells, helper T cells, dendritic cells and/or other cellular responses.
- the phrase "protective immune response” or “protective response” refers to an immune response mediated by antibodies against an infectious agent or disease, which is exhibited by a vertebrate (e.g., a human), that prevents or ameliorates an infection or reduces at least one disease symptom thereof.
- a vertebrate e.g., a human
- Modified or mutated RSV F proteins, RSV F micelles comprising a modified or mutated RS V F protein, or VLPs comprising a modified or mutated RS V F protein of the invention can stimulate the production of antibodies that, for example, neutralize infectious agents, blocks infectious agents from entering cel ls, blocks replication of the infectious agents, and/or protect host cells from infection and destruction.
- the term can also refer to an immune response that is mediated by T-lymphocytes and/or other white blood cel ls against an infectious agent or disease, exhibited by a vertebrate (e.g., a human), that prevents or ameliorates infection or disease, or reduces at least one symptom thereof,
- a vertebrate e.g., a human
- the term "vertebrate” or “subject” or “patient” refers to any member of the subphylum cordata, including, without limitation, humans and other primates, including non-human primates such as chimpanzees and other apes and monkey species.
- Farm animals such as cattle, sheep, pigs, goats and horses; domestic mammals such as dogs and cats; laborator animals including rodents such as mice, rats (including cotton rats) and guinea pigs; birds, including domestic, wild and game birds such as chickens, turkeys and other gallinaceous birds, ducks, geese, and the like are also non-limiting examples .
- the terms “mammals” and “animals” are included in this definition. Both adult and newborn individuals are intended to be covered. In particular, infants and young children are appropriate subjects or patients for a RSV vaccine.
- virus-like particle refers to a structure that in at least one attribute resembles a virus but which has not been demonstrated to be infectious.
- Viruslike particles in accordance with the invention do not carry genetic information encoding for the proteins of the vims-like particles.
- virus-like particles lack a viral genome and, therefore, are noninfectious.
- virus-like particles can often be produced in large quantities by heterologous expression and can be easily purified.
- chimeric VLP refers to VLPs that contain proteins, or portions thereof, from at least two different infectious agents (heterologous proteins). Usually, one of the proteins is derived from a virus that can drive the formation of VLPs from host cells. Examples, for illustrative purposes, are the BRSV M protein and/or the HRSV G or F proteins. The terms RSV VLPs and chimeric VLPs can be used interchangeably where appropriate.
- the term "vaccine” refers to a preparation of dead or weakened pathogens, or of derived antigenic determinants that is used to induce formation of antibodies or immunity against the pathogen.
- a vaccine is given to provide immunity to the disease, for example, influenza, which is caused by influenza viruses
- the term “vaccine” also refers to a suspension or solution of an immunogen (e.g. a modified or mutated RSV F protein, an RSV F micelle comprising a modified or mutated RSV F protein, or a VLP comprising a modified or mutated RSV F protein) that is administered to a vertebrate to produce protective immunity, i.e., immunity that prevents or reduces the severity of disease associated with infection.
- the present invention provides for vaccine compositions that are immunogenic and may provide protection against a disease associated with infection, RSV F Proteins
- F and G proteins Two structural membrane proteins, F and G proteins, are expressed on the surface of RSV, and have been shown to be targets of neutralizing antibodies (Sullender, W., 2000, Clinical Microbiology Review 13, 1-15). These two proteins are also primarily responsible for viral recognition and entry into target cells; G protein binds to a specific cellular receptor and the F protein promotes fusion of the vims with the cell. The F protein is also expressed on the surface of infected cells and is responsible for subsequent fusion with other cells leading to syncytia formation. Thus, antibodies to the F protein can neutralize virus or block entry of the virus into the cell or prevent syncytia formation.
- the RSV F protein directs penetration of RSV by fusion between the virion's envelope protein and the host cell plasma membrane. Later in infection, the F protein expressed on the cell surface can mediate fusion with neighboring cells to form syncytia.
- the F protein is a type I transmembrane surface protein that has a N-terminal cleaved signal peptide and a membrane anchor near the C-terminus.
- RSV F is synthesized as an inactive Fo precursor that assembles into a homotrimer and is activated by cleavage in the trans-Golgi complex by a cellular endoprotease to yield two disulfide-linked subunits, F ' i and F 2 subunits.
- the N-temiinus of the Fi subunit that is created by cleavage contains a hydrophobic domain (the fusion peptide) that inserts directly into the target membrane to initiate fusion.
- the Fj subunit also contains heptad repeats that associate during fusion, driving a conformational shift that brings the viral and cellular membranes into close proximity (Collins and Crowe, 2007, Fields Virology, 5 ed., D.M ipe et al, Lipincott, Williams and Wilkons, p. 1604).
- SEQ ID NO: 2 (GenBank Accession No. AAB59858) depicts a representative RSV F protein, which is encoded by the gene shown in SEQ ID NO: 1 (GenBank Accession No. Ml 1486).
- the RSV F protein is expressed as a single polypeptide precursor, 574 amino acids in length, designated FO.
- FO oligomerizes in the endoplasmic reticulum and is proteolytically processed by a furin protease at two conserved furin consensus sequences (furin cleavage sites), RARE. (SEQ ID NO: 23) (secondary) and KR E.R (SEQ ID NO: 24) (primary) to generate an oligomer consisting of two disulfide-linked fragments. The smaller of these fragments is termed F2 and originates from the N-terminal. portion of the FO precursor.
- F2 are commonly designated Fo, Fi and F 2 in the scientific literature.
- the larger, C- terminal Fi fragment anchors the F protein in the membrane via a sequence of hydrophobic amino acids, which are adjacent to a 24 amino acid cytoplasmic tail.
- Three F2-F1 dimers associate to form a mature F protein, which adopts a metastable prefusogenic (“prefusion") conformation that is triggered to undergo a conformational change upon contact with a target cell membrane.
- prefusion metastable prefusogenic
- This conformational change exposes a hydrophobic sequence, known as the fusion peptide, which associates with the host cell membrane and promotes fusion of the membrane of the virus, or an infected cell, with the target cell membrane.
- the Fl fragment contains at least two heptad repeat domains, designated HRA and HRB, and is situated in proximity to the fusion peptide and transmembrane anchor domains, respectively.
- HRA and HRB heptad repeat domains
- the F2-F1 dimer forms a globular head and stalk structure, in which the HRA domains are in a segmented (extended) conformation in the globular head.
- the HRB domains form a three-stranded coiled coil stalk extending from the head region.
- the HRA domains collapse and are brought into proximity to the HRB domains to form an anti-parallel six helix bundle.
- the fusion peptide and transmembrane domains are juxtaposed to facili tate membrane fusion.
- prefusion and postfusion conformations can be monitored without resort to crystallography.
- electron micrography can be used to distinguish between the prefusion and postfusion (alternatively designated prefusogenic and fusogenic) conformations, as demonstrated by Caider et al, Virology, 271 :122-131 (2000) and Morton et al. Virology, 311 : 275-288, which are incorporated herein by reference for the purpose of their technological teachings.
- the prefusion conformation can also be distinguished from the fusogenic (post-fusion) conformation by liposome association assays as described by Connolly et al, Proc. Natl.
- prefusion and fusogenic conformations can be d stingu shed using antibodies (e.g., monoclonal antibodies) that specifically recognize conformation epitopes present on one or the other of the prefusion or fusogenic form of the RSV F protein, but not on the other form.
- antibodies e.g., monoclonal antibodies
- conformation epitopes can be due to preferential exposure of an antigenic determinant on the surface of the molecule.
- conformational epitopes can arise from the juxtaposition of amino acids that are non-contiguous in the linear polypeptide.
- the present inventors have found that surprisingly high levels of expression of the fusion (F) protein can be achieved when specific modifications are made to the structure of the RSV F protein. Such modifications also unexpectedly reduce the cellular toxicity of the RSV F protein in a host cell, in addition, the modified F proteins of the present invention demonstrate an improved ability to exhibit the post-fusion "lollipop" morphology as opposed to the pre-fusion "rod” morphology. Thus, in one aspect, the modified F proteins of the present invention can also exhibit improved (e.g. enhanced) immunogenicity as compared to wild-type F proteins (e.g. exemplified by SEQ ID NO: 2, which corresponds to GenBank Accession No. AAB59858). These modifications have significant applications to the development of vaccines and methods of using said vaccines for the treatment and/or prevention of RSV.
- SEQ ID NO: 2 which corresponds to GenBank Accession No. AAB59858
- any number of mutations can be made to native or wild-type RSV F proteins, and in a preferred aspect, multiple mutations can be made to result in improved expression and/or immunogenic properties as compared to native or wild-type RSV F proteins.
- Such mutations include point mutations, frame shift mutations, deletions, and insertions, with one or more (e.g., one, two, three, or four, etc.) mutations preferred.
- the native F protein polypeptide can be selected from any F protein of an RSV A strain, RSV B strain, HRSV A strain, HRSV B strain, BRSV strain, or avian RSV strain, or from variants thereof (as defined above).
- the native F protein polypeptide is the F protein represented by SEQ ID NO: 2 (GenBank Accession No AAB59858).
- SEQ ID NO: 2 GenBank Accession No AAB59858
- Comparable amino acid positions of the F protein from other RSV strains can be determined easily by those of ordinary skill in the art by aligning the amino acid sequences of the selected RSV strain with that of the exemplary sequence using readily available and well-known alignment algorithms (such as BLAST, e.g., using default parameters).
- BLAST e.g., using default parameters.
- Numerous additional examples of F protein polypeptides from different RSV strains are disclosed in WO/2008/114149 (which is incorporated herein by reference in its entirety). Additional variants can arise through genetic drift, or can be produced artificially using site directed or random mutagenesis, or by recombination of two or more preexisting variants. Such additional variants are also suitable in the context of the modified or mutated RSV F proteins disclosed herein.
- Mutations may be introduced into the RSV F proteins of the present invention using any methodology known to those skilled in the art. Mutations may be introduced randomly by, for example, conducting a PCR reaction in the presence of manganese as a divalent metal ion cofactor. Alternatively, oligonucleotide directed mutagenesis may be used to create the mutant or modified RSV F proteins which allows for all possible classes of base pair changes at any determined site along the encoding DNA molecule. In general, this technique involves annealing an oligonucleotide complementary (except for one or more mismatches) to a single stranded nucleotide sequence coding for the RSV F protein of interest.
- the mismatched oligonucleotide is then extended by DNA polymerase, generating a double-stranded DNA molecule which contains the desired change in sequence in one strand.
- the changes in sequence can, for example, result in the deletion, substitution, or insertion of an amino acid.
- the double-stranded polynucleotide can then be inserted into an appropriate expression vector, and a mutant or modified polypeptide can thus be produced.
- the above-described oligonucleotide directed mutagenesis can, for example, be carried out via PCR.
- the invention also encompasses RSV virus- like particles (VLPs) comprising a modified or mutated RSV F protein that can be formulated into vaccines or antigenic formulations for protecting vertebrates (e.g. humans) against RSV infection or at least one disease symptom thereof.
- VLPs RSV virus- like particles
- the VLP comprising a modified or mutated RSV F protein further comprises additional RSV proteins, such as M, N, G, and SH.
- the VLP comprising a modified or mutated RSV F protein further comprises proteins from heterologous strains of virus, such as influenza virus proteins HA, NA, and Ml .
- influenza viras protein Ml is derived from an avian influenza viras strain.
- RSV N protein binds tightly to both genomic RNA and the replicative intermediate anti-genomic RNA to form RNAse resistant nucleocapsid.
- RSV N proteins that are at least about 20%, about 30%, about 40%, about 50%, about 60%, about 70% or about 80%, about 85%, about 90%, about 95%, about 96%, about 97%, about 98% or about 99% identical to SEQ ID NO: 18, and all fragments and variants (including chimeric proteins) thereof.
- RSV M protein is a non-glycosylated internal virion protein that accumulates in the plasma membrane that interacts with RSV F protein and other factors during virus morphogenesis.
- the RSV M protein is a bovine RSV (BRSV) M protein.
- SEQ ID NOs: 12 (wild-type) and 14 (codon-optimized) depict representative amino acid sequences of the BRSV M protein and SEQ ID NOs: 1 1 (wild- type) and 13 (codon-optimized) depict representative nucleic acid sequences encoding the BRSV M protein.
- RSV including, but not limited to, BRSV
- M proteins that are at least about 20%, about 30%, about 40%, about 50%
- RSV G protein is a type II transmembrane glycoprotein with a single hydrophobic region near the N-terminal end that serves as both an uiicleaved signal peptide and a membrane anchor, leaving the C-termmal two-thirds of the molecule oriented externally.
- RSV G is also expressed as a secreted protein that arises from translational initiation at the second AUG in the ORF (at about amino acid 48), which lies within the signal/anchor. Most of the ectodomain of RSV G is highly divergent between RSV strains (Id., p. 1607).
- SEQ ID NO: 26 depicts a representative RSV G protein, which is encoded by the gene sequence shown in SEQ ID NO: 25.
- RSV G proteins that are at least about 20%, about 30%, about 40%, about 50%, about 60%, about 70% or about 80%, about 85%, about 90%, about 95%, about 96%, about 97%, about 98% or about 99% identical to SEQ ID NO: 26, and ail fragments and variants (including chimeric proteins) thereof.
- the SH protein of RSV is a type II transmembrane protein that contains 64 (RSV subgroup A) or 65 amino acid residues (RSV subgroup B).
- SEQ ID NO: 27 depicts a representative amino acid sequence of the RSV SH protein.
- RSV SH proteins that are at least about 20%, about 30%, about 40%, about 50%, about 60%, about 70% or about 80%, about 85%, about 90%, about 95%, about 96%», about 97%, about 98% or about 99% identical to SEQ ID NO: 27, and all fragments and variants (including chimeric proteins) thereof.
- a vaccine comprising a modified or mutated RSV F protein may induce, when administered to a vertebrate, neutralizing antibodies in vivo.
- the modified or mutated RSV F proteins are favorably used for the prevention and/or treatment of RSV infection.
- another aspect of this disclosure concerns a method for eliciting an immune response against RSV. The method involves administering an immunologically effective amount of a composition containing a modified or mutated RSV F protein to a subject (such as a human or animal subject). Administration of an immunologically effective amount of the composition elicits an immune response specific for epitopes present on the modified or mutated RSV F protein.
- Such an immune response can include B cell responses (e.g., the production of neutralizing antibodies) and/or T cell responses (e.g., the production of cytokines).
- the immune response elicited by the modified or mutated RSV F protein includes elements that are specific for at least one conformational epitope present on the modified or mutated RSV F protein.
- the immune response is specific for an epitope present on an RSV F protein found in the "lollipop" post-fusion active state.
- the RSV F proteins and compositions can be administered to a subject without enhancing viral disease following contact with RSV.
- the modified or mutated RSV F proteins disclosed herein and suitably formulated immunogenic compositions elicit a Thl biased immune response that reduces or prevents infection with a RSV and/or reduces or prevents a pathological response following infection with a RSV.
- the RSV F proteins of the present invention are found in the form of micelles (e.g. rosettes).
- the micelles obtainable in accordance with the invention consist of aggregates of the immunogenically active F spike proteins having a rosette-like structure.
- the rosettes are visible in the electron microscope (C alder et a!., 2000, Virology 271 : 122- 131 ).
- the micelles of the present invention comprising modified or mutated RSV F proteins exhibit the "lollipop" morphology indicative of the post-fusion active state.
- the micelles are purified following expression in a host cell.
- the micelles of the present invention preferably induce neutralizing antibodies.
- the micelles may be administered with an adjuvant. In other embodiments, the micelles may be administered without an adjuvant.
- the invention encompasses RSV virus-like particles (VLPs) comprising a modified or mutated RSV F protein that can be formulated into vaccines or antigenic formulations for protecting vertebrates (e.g. humans) against RSV infection or at least one disease symptom thereof.
- VLPs virus-like particles
- the present invention also relates to RSV VLPs and vectors comprising wild-type and mutated RSV genes or a combination thereof derived from different strains of RS V virus, which when transfecte into host cells, will produce virus like particles (VLPs) comprising RSV proteins.
- RSV virus-like particles may further comprise at least one viral matrix protein (e.g. an RSV M protein).
- the protein is derived from a human strain of RSV.
- the M protein is derived from a bovine strain of RSV.
- the matrix protein may be an M l protein from a strain of influenza virus.
- the strain of influenza virus is an avian influenza strain.
- the avian influenza strain is the H5N1 strain A/Indonesia/5/05.
- the matrix protein may be from Newcastle Disease Virus (NDV).
- NDV Newcastle Disease Virus
- the VLPs may further comprise an RSV G protein.
- the G protein may be from HRSV group A.
- the G protein may be from HRSV group B.
- the RSV G may be derived from HRSV group A and/or group B.
- the VLPs may further comprise an RSV SH protein.
- the SH protein may be from HRSV group A.
- the SH protein may be from HRSV group B.
- the RSV SH may be derived from HRSV group A and/or group B.
- VLPs may further comprise an RSV N protein.
- the N protein may be from HRSV group A.
- the N protein may be from HRSV group B.
- the RSV N may be derived from HRSV group A and/or group B.
- VLPs of the invention may comprise one or more heterologous immunogens, such as influenza hemagglutinin (HA) and/or neuraminidase (NA).
- heterologous immunogens such as influenza hemagglutinin (HA) and/or neuraminidase (NA).
- the invention also comprises combinations of different RSV M, F, N, SH, and/or G proteins from the same and/or different strains in one or more VLPs.
- the VLPs can include one or more additional molecules for the enhancement of an immune response.
- the RSV VLPs can carry agents such as nucleic acids, siRNA, mieroRNA, chemotherapeutic agents, imaging agents, and/or other agents that need to be delivered to a patient.
- VLPs of the invention are useful for preparing vaccines and immunogenic compositions.
- One important feature of VLPs is the ability to express surface proteins of interest so that the immune system of a vertebrate induces an immune response against the protein of interest.
- not ail proteins can be expressed on the surface of VLPs. There may be many reasons why certain proteins are not expressed, or are poorly expressed, on the surface of VLPs.
- sequences near the carboxyl terminus of influenza hemagglutinin may be important for incorporation of HA into the lipid bilayer of the mature influenza enveloped nucleocapsids and for the assembly of HA trimer interaction with the influenza matrix protem Ml (Ali, et al, (2000) J. Virol. 74, 8709-19).
- one embodiment of the invention comprises chimeric VLPs comprising a modified or mutated F protein from RSV and at least one immunogen which is not normally efficiently expressed on the cell surface or is not a norma! RSV protein
- the modified or mutated RSV F protein may be fused with an immunogen of interest.
- the modified or mutated RSV F protein associates with the immunogen via the transmembrane domain and cytoplasmic tail of a heterologous viral surface membrane protein, e.g., MMTV envelope protein.
- VLPs of the invention comprise VLPs comprising a modified or mutated RSV F protein and at least one protein from a heterologous infectious agent.
- heterologous infectious agents include but are not limited to a virus, a bacterium, a protozoan, a fungus and/or a parasite.
- the immunogen from another infectious agent is a heterologous viral protein.
- the protem from a heterologous infectious agent is an envelope-associated protein.
- the protein from another heterologous infectious agent is expressed on the surface of VLPs.
- the protein from an infectious agent comprises an epitope that will generate a protective immune response in a vertebrate.
- the protein from another infectious agent is co-expressed with a modified or mutated RSV F protein.
- the protein from another infectious agent is fused to a modified or mutated RSV F protein.
- only a portion of a protein from another infectious agent is fused to a modified or mutated RSV F protein.
- only a portion of a protein from another infectious agent is fused to a portion of a modified or mutated RSV F protein.
- the portion of the protein from another infectious agent is co-expressed with a modified or mutated RSV F protein.
- the protein from another infectious agent is fused to a modified or mutated RSV F protein.
- only a portion of a protein from another infectious agent is fused to a portion of a modified or mutated RSV F protein.
- the invention also encompasses variants of the proteins expressed on or in the VLPs of the invention.
- the variants may contain alterations in the amino acid sequences of the constituent proteins.
- the term "variant" with respect to a protein refers to an amino acid sequence that is altered by one or more amino acids with respect to a reference sequence.
- the variant can have "conservative" changes, wherein a substituted amino acid has similar structural or chemical properties, e.g., replacement of leucine with isoleucine.
- a variant can have "nonconservative" changes, e.g., replacement of a glycine with a tryptophan.
- Analogous minor variations can also include amino acid deletion or insertion, or both. Guidance in determining which amino acid residues can be substituted, inserted, or deleted without eliminating biological or immunological activity can be found using computer programs well known in the art, for example, DNASTAR software.
- Natural variants can occur due to mutations in the proteins. These mutations may lead to antigenic variability within individual groups of infectious agents, for example influenza. Thus, a person infected with, for example, an influenza strain develops antibody against that vims, as newer virus strains appear, the antibodies against the older strains no longer recognize the newer virus and re-infection can occur.
- the invention encompasses all antigenic and genetic variability of proteins from infectious agents for making VLPs.
- the invention also encompasses using known methods of protein engineering and recombinant DNA technology to improve or alter the characteristics of the proteins expressed on or in the VLPs of the invention.
- Various types of mutagenesis can be used to produce and/or isolate variant nucleic acids that encode for protein molecules and/or to further modify/mutate the proteins in or on the VLPs of the invention.
- mutagenesis include but are not limited to site-directed, random point mutagenesis, homologous recombination (DNA shuffling), mutagenesis using uracil containing templates, oligonucleotide-direeted mutagenesis, phosph.orothioate-modifi.ed DNA mutagenesis, mutagenesis using gapped duplex DNA or the like. Additional suitable methods include point mismatch repair, mutagenesis using repair-deficient host strains, restriction-selection and restriction- purification, deletion mutagenesis, mutagenesis by total gene synthesis, double-strand break repair, and the like. Mutagenesis, e.g., involving chimeric constructs, is also included in the present invention. In one embodiment, mutagenesis can be guided by known information of the naturally occurring molecule or altered or mutated naturally occurring molecule, e.g., sequence, sequence comparisons, physical properties, crystal structure or the like.
- the invention further comprises protein variants which show substantial biological activity, e.g., able to elicit an effective antibody response when expressed on or in VLPs of the invention.
- protein variants include deletions, insertions, inversions, repeats, and substitutions selected according to general rules known in the art so as have little effect on activity.
- the gene encoding a specific RSV protein can be isolated by RT-PCR from polyadenylated mRNA extracted from cells which had been infected with a RSV virus.
- the resulting product gene can be cloned as a DNA insert into a vector.
- vector refers to the means by which a nucleic acid can be propagated and/or transferred between organisms, cells, or cellular components.
- Vectors include plasmids, viruses, bacteriophages, pro-viruses, phagemids, transposons, artificial chromosomes, and the like, that replicate autonomously or can integrate into a chromosome of a host cell.
- a vector can also be a naked RNA polynucleotide, a naked DNA polynucleotide, a polynucleotide composed of both DNA and RNA within the same strand, a poly-lysine-coiijugated DNA or RNA, a peptide-conjugated DNA or RNA, a liposome-conjugated DNA, or the like, that is not autonomously replicating.
- the vectors of the present invention are plasmids or bacmids.
- the invention comprises nucleotides that encode proteins, including chimeric molecules, cloned into an expression vector that can be expressed in a cell that induces the formation of VLPs of the invention.
- An "expression vector” is a vector, such as a plasmid that is capable of promoting expression, as well as replication of a nucleic acid incorporated therein.
- the nucleic acid to be expressed is “operably linked" to a promoter and/or enhancer, and is subject to transcription regulatory control by the promoter and/or enhancer.
- the nucleotides encode for a modified or mutated RSV F protein (as discussed above).
- the vector further comprises nucleotides that encode the M and/or G RSV proteins. In another embodiment, the vector further comprises nucleotides that encode the M and/or N RSV proteins, in another embodiment, the vector further comprises nucleotides that encode the M, G and/or N RSV proteins. In another embodiment, the vector further comprises nucleotides that encode a BRSV M protein and/or N RSV proteins. In another embodiment, the vector further comprises nucleotides that encode a BRSV and/or G protein, or influenza HA and/or NA protein. In another embodiment, the nucleotides encode a modified or mutated RSV F and/or RSV G protein with an influenza HA and/or NA protein. In another embodiment, the expression vector is a baculovirus vector.
- proteins may comprise mutations containing alterations which produce silent substitutions, additions, or deletions, but do not alter the properties or activities of the encoded protein or how the proteins are made.
- Nucleotide variants can be produced for a variety of reasons, e.g., to optimize codon expression for a particular host (change codons in the human mRNA to those preferred by insect cells such as Sf9 cells. See U.S. Patent Publication 2005/01 18191, herein incorporated by reference in its entirety for all purposes.
- nucleotides can be sequenced to ensure that the correct coding regions were cloned and do not contain any unwanted mutations.
- the nucleotides can be subcloned into an expression vector (e.g. baculovirus) for expression in any cell.
- an expression vector e.g. baculovirus
- the above is only one example of how the RSV viral proteins can be cloned. A person with skill in the art understands that additional methods are available and are possible.
- the invention also provides for constructs and/or vectors that comprise RSV nucleotides that encode for RSV structural genes, including F, M, G, N, SH, or portions thereof, and/or any chimeric molecule described above.
- the vector may be, for example, a phage, piasmid, viral, or retroviral vector.
- the constructs and/or vectors that comprise RSV structural genes, including F, M, G, N, SH, or portions thereof, and/or any chimeric molecule described above, should be operatively linked to an appropriate promoter, such as the AcMNPV polyhedrin promoter (or other baculovirus), phage lambda PL promoter, the E.
- the expression constructs will further contain sites for transcription initiation, termination, and, in the transcribed region, a ribosome-binding site for translation.
- the coding portion of the transcripts expressed by the constructs will preferably include a translation initiating codon at the beginning and a tennination codon appropriately positioned at the end of the polypeptide to be translated.
- Expression vectors will preferably include at least one selectable marker.
- markers include dihydrofolate reductase, G418 or neomycin resistance for eukaryotic cell culture and tetracycline, kanamycin or ampicillin resistance genes for culturing in E. coli. and other bacteria.
- virus vectors such as baculovirus, poxvirus (e.g., vaccinia virus, avipox virus, canarypox virus, fowlpox virus, raccoonpox vims, swinepox virus, etc.), adenovirus (e.g., canine adenovirus), herpesvirus, and retrovirus.
- vectors for use in bacteria comprise vectors for use in bacteria, which comprise pQE70, pQE60 and pQE-9, pBIuescript vectors, Phagescript vectors, pNH8A, pN H i a. pNHlSA, pNH46A, ptrc99a, pKK223-3, pKK233-3, pDR540, pRIT5.
- preferred eukaryotic vectors are pFastBacl pWINEO, pSV2CAT, pOG44, pXTl and pSG, pSV 3, pBPV, pMSG, and pSVL.
- Other suitable vectors will be readily apparent to the skilled artisan.
- the vector that comprises nucleotides encoding for RSV genes is pFastBac.
- the recombinant constructs mentioned above could be used to transfect, infect, or transform and can express RSV proteins, mcluding a modified or mutated RSV F protein and at least one immunogen.
- the recombinant construct comprises a modified or mutated RS F, M, G, N, SH, or portions thereof, and/or any molecule described above, into eukaryotic cells and/or prokaryotic cells.
- the invention provides for host cells which comprise a vector (or vectors) that contain nucleic acids which code for RSV structural genes, including a modified or mutated RSV F; and at least one immunogen such as but not limited to RSV G, N, and SB, or portions thereof, and/or any molecule described above, and permit the expression of genes, including RSV F, G, N, M, or SH or portions thereof, and/or any molecule described above in the host cell under conditions which allow the formation of VLPs.
- a vector or vectors
- nucleic acids which code for RSV structural genes including a modified or mutated RSV F
- at least one immunogen such as but not limited to RSV G, N, and SB, or portions thereof, and/or any molecule described above, and permit the expression of genes, including RSV F, G, N, M, or SH or portions thereof, and/or any molecule described above in the host cell under conditions which allow the formation of VLPs.
- yeast yeast, insect, avian, plant, C. eiegans (or nematode) and mammalian host cells.
- insect cells are, Spodoptera frugiperda (Si) cells, e.g. 8f9, SGI, Trichoplusia ni cells, e.g. High Five cells, and Drosophila S2 cells.
- fungi mcluding yeast host cells are S. cerevisiae, Kluyveromyces lactis (K. lactis), species of Candida including C. albicans and C. glabrata, Aspergillus nidulans, Schizosacchammyces pombe (S. pombe), Pichia pastoris, and Yarrowia lipolytica. Examples
- j l of mammalian cells are COS cells, baby hamster kidney cells, mouse L cells, LNCaP cells, Chinese hamster ovary (CHO) cells, human embryonic kidney (HE ) cells, and African green monkey cells, CV1 cells, HeLa cells, MDC cells, Vero and Hep-2 cells.
- Xenopus laevis oocytes, or other cells of amphibian origin may also be used.
- prokaryotic host cells include bacterial cells, for example, E. coli, B. suhti!is. Salmonella typhi and mycobacteria,
- Vectors e.g., vectors comprising polynucleotides of a modified or mutated RSV F protein; and at least one immunogen including but not limited to RSV G, N, or SH or portions thereof!, and/or any chimeric molecule described above, can be transfected into host cells according to methods well known in the art.
- introducing nucleic acids into eukaryotic cells can be by calcium phosphate co-precipitation, electroporation, microinjection, lipofection, and transfection employing polyamine trans fection reagents.
- the vector is a recombinant baculo virus.
- the recombinant baculovirus is transfected into a eukaryotic cell.
- the cell is an insect cell.
- the insect ceil is a Sf9 cell.
- This invention also provides for constructs and methods that will increase the efficiency of VLP production.
- the addition of leader sequences to the RSV F, M, G, N, SH, or portions thereof, and/or any chirneric or heterologous molecules described above can improve the efficiency of protein transporting within the ceil.
- a heterologous signal sequence can be fused to the F, M, G, N, SH, or portions thereof!, and/or any chimeric or heterologous molecule described above.
- the signal sequence can be derived from the gene of an insect cell and fused to M, F, G, N, SH, or portions thereof, and/or any chimeric or heterologous molecules described above.
- the signal peptide is the chitinase signal sequence, which works efficiently in baculovirus expression systems.
- Another method to increase efficiency of VLP production is to codon optimize the nucleotides that encode RSV including a modified or mutated RSV F protein, M, G, N, SH or portions thereof, and/or any chimeric or heterologous molecules described above for a specific cell type.
- codon optimizing nucleic acids for expression in Sf cell see SEQ ID Nos: 3, 5, 7, 9, 13, 17, 19, and 25.
- the invention also provides for methods of producing VLPs, the methods comprising expressing RSV genes including a modified or mutated RSV F protein, and at least one additional protein, including but not limited to RSV M, G, N, SH, or portions thereof! and/or any chimeric or heterologous molecules described above under conditions that allow VLP formation.
- the VLPs are produced by growing host cells transformed by an expression vector under conditions whereby the recombinant proteins are expressed and VLPs are formed.
- the invention comprises a method of producing a VLP, comprising transfecting vectors encoding at least one modified or mutated RSV F protein into a suitable host cell and expressing the modified or mutated RSV F protein under conditions that allow VLP formation.
- the eukaryotic cell is selected from the group consisting of, yeast, insect, amphibian, avian or mammalian cells. The selection of the appropriate growth conditions is within the skil l or a person with skill of one of ordinary skill in the art.
- Methods to grow cells engineered to produce VLPs of the invention include, but are not limited to, batch, batch-fed, continuous and perfusion cell culture techniques.
- Cell culture means the growth and propagation of cells in a bioreactor (a fermentation chamber) where ceils propagate and express protein (e.g. recombinant proteins) for purification and isolation.
- protein e.g. recombinant proteins
- cell culture is performed under sterile, controlled temperature and atmospheric conditions in a bioreactor.
- a bioreactor is a chamber used to culture ceils in which environmental conditions such as temperature, atmosphere, agitation and/or pH can be monitored.
- the bioreactor is a stainless steel chamber.
- the bioreactor is a pre-sterilized plastic bag (e.g. Cellbag*, Wave Biotech, Bridgewater, NJ). In other embodiment, the pre-sterilized plastic bags are about 50 L to 1000 L bags.
- VLPs are then isolated using methods that preserve the integrity thereof, such as by gradient centrifugation, e.g., cesium chloride, sucrose and iodixanol, as well as standard purification techniques including, e.g., ion exchange and gel filtration chromatography.
- gradient centrifugation e.g., cesium chloride, sucrose and iodixanol
- standard purification techniques including, e.g., ion exchange and gel filtration chromatography.
- VLPs of the invention can be made, isolated and purified.
- V LPs are produced from recombinant cell lines engineered to create VLPs when the cells are grown in cell culture (see above).
- a person of skill in the art would understand that there are additional methods that can be utilized to make and purify V LPs of the invention, thus the invention is not limited to the method described.
- Production of VLPs of the invention can start by seeding Sf9 cells (non-infected) into shaker flasks, allowing the cells to expand and scaling up as the cells grow and multiply (for example from a 125-ml flask to a 50 L Wave bag).
- the medium used to grow the cell is formulated for the appropriate cell line (preferably serum free media, e.g. insect medium ExCell-420, JRH).
- the ceils are infected with recombinant baculovirus at the most efficient multiplicity of infection (e.g. from about 1 to about 3 plaque forming units per cell).
- the modified or mutated RSV F protein, M, G, N, SH, or portions thereof, and/or any chimeric or heterologous molecule described above are expressed from the virus genome, self assemble into VLPs and are secreted from the cells approximately 2.4 to 72 hours post infection.
- infection is most efficient when the cel ls are in mid-log phase of growth (4-8 x 10° cells/ml) and are at least about 90% viable.
- VLPs of the invention can be harvested approximately 48 to 96 hours post infection, when the levels of VLPs in the cell culture medium are near the maximum but before extensive ceil lysis.
- the Sf9 ceil density and viability at the time of harvest can be about 0.5 x 10° cells/mi to about 1.5 x 10 b cells/ml with at least 20% viability, as shown by dye exclusion assay.
- the medium is removed and clarified. NaCl can be added to the medium to a concentration of about 0.4 to about 1.0 M, preferably to about 0.5 M, to avoid VLP aggregation.
- the removal of cell and cellular debris from the ceil culture medium containing VLPs of the invention can be accomplished by tangential flow filtration (TFF) with a single use, pre-sterilized hollow fiber 0.5 or 1.00 ⁇ /m filter cartridge or a similar device.
- TMF tangential flow filtration
- VLPs in the clarified culture medium can be concentrated by ultra-filtration using a disposable, pre-sterilized 500,000 molecular weight cut off hollow fiber cartridge.
- the concentrated VLPs can be diafiltrated against 10 volumes pH 7.0 to 8.0 phosphate- buffered saline (PBS) containing 0.5 M NaCl to remove residual medium components.
- PBS phosphate- buffered saline
- the concentrated, diafiltered VLPs can be furthered purified on a 20% to 60% discontinuous sucrose gradient in pH 7.2 PBS buffer with 0.5 M NaCl by centrifugation at 6,500 x g for 18 hours at about 4° C to about 10° C.
- VLPs will form a distinctive visible band between about 30% to about 40% sucrose or at the interface (in a 20%s and 60% step gradient) that can be collected from the gradient and stored.
- This product can be diluted to comprise 200 mM of NaCl in preparation for the next step in the purification process.
- This product contains VLPs and may contain intact baculovirus particles.
- VLPs Further purification of VLPs can be achieved by anion exchange chromatography, or 44% isopycnic sucrose cushion centrifugation.
- anion exchange chromatography the sample from the sucrose gradient (see above) is loaded into column containing a medium with an anion (e.g. Matrix Fractogel HMD TMAE) and eluded via a salt gradient (from about 0.2 M to about 1 .0 M of NaCl) that can separate the VLP from other contaminates (e.g. baculovirus and DNA/RNA).
- the sucrose cushion method the sample comprising the VLPs is added to a 44% sucrose cushion and centrifuged for about 18 hours at 30,000 g. VLPs form a band at the top of 44% sucrose, while baculovirus precipitates at the bottom and other contaminating proteins stay in the 0% sucrose layer at the top. The VLP peak or band is collected.
- the intact baculovirus can be inactivated, if desired. Inactivation can be accomplished by chemical methods, for example, formalin or ⁇ -propio lactone (BPL). Removal and/or inactivation of intact baculovirus can also be largely accomplished by using selective precipitation and chromatographic methods known in the art, as exemplified above. Methods of inactivation comprise incubating the sample containing the VLPs in 0.2% of BPL for 3 hours at about 25°C to about 27°C. The baculovirus can also be inactivated by incubating the sample containing the VLPs at 0.05% BPL at 4°C for 3 days, then at 37 °C for one hour.
- BPL ⁇ -propio lactone
- the product comprising VLPs can be run through another diafiltration step to remove any reagent from the inactivation step and/or any residual sucrose, and to place the VLPs into the desired buffer (e.g. PBS).
- the solution comprising VLPs can be sterilized by methods known in the art (e.g. sterile filtration) and stored in the refrigerator or freezer.
- the above techniques can be practiced across a variety of scales. For example, T- flasks, shake-flasks, spinner bottles, up to industrial sized bioreactors.
- the bioreactors can comprise either a stainless steel tank or a pre-sterilized plastic bag (for example, the system sold by Wave Biotech, Bridgewater, NJ).
- a person with skil l in the art wi ll know what is most desirable for their purposes.
- Expansion and production of baculovirus expression vectors and infection of cells with recombinant baculovirus to produce recombinant RSV VLPs can be accomplished in insect cells, for example Sf9 insect cells as previously described.
- the cells are SF9 infected with recombinant baculovirus engineered to produce RSV VLPs.
- compositions useful herein contain a pharmaceutically acceptable carrier, including any suitable diluent or excipient, which includes any pharmaceutical agent that does not itself induce the production of an immune response harmful to the vertebrate receiving the composition and which may be administered without undue toxicity, and a modified or mutated RSV F protein, an RSV F micelle comprising a modified or mutated RSV F protein, or a VLP comprising a modified or mutated RSV F protein of the invention.
- pharmaceutically acceptable means being approved by a regulatory agency of the Federal or a state government or listed in the U.S. Pharmacopia, European Pharmacopia or other generally recognized pharmacopia for use in mammals, and more particularly in humans.
- These compositions can be useful as a vaccine and/or antigenic compositions for inducing a protective immune response in a vertebrate.
- the invention encompasses a pharmaceutically acceptable vaccine composition comprising VLPs comprising at least one modified or mutated RSV F protein, and at least one additional protein, including but not limited to RSV M, G, N, SH, or portions thereof, and/or any chimeric or heterologous molecules described above.
- the pharmaceutically acceptable vaccine composition comprises VLPs comprising at least one modified or mutated RSV F protein and at least one additional immunogen.
- the pharmaceutically acceptable vaccine composition comprises VLPs comprising at least one modified or mutated RSV F protein and at least one RSV M protem.
- the pharmaceutically acceptable vaccine composition comprises VLPs comprising at least one modified or mutated RSV F protein and at least one BRSV M protein.
- the pharmaceutically acceptable vaccine composition comprises VLPs comprising at least one modified or mutated RSV F protein and at least one influenza Ml protein. In another embodiment, the pharmaceutically acceptable vaccine composition comprises VLPs comprising at least one modified or mutated RSV F protein and at least one avian influenza M 1 protein.
- the pharmaceutically acceptable vaccine composition comprises VLPs further comprising an RSV G protein, including but not limited to a HRSV, BRSV or avian RSV G protein.
- the pharmaceutically acceptable vaccine composition comprises VLPs further comprising RSV N protein, including but not limited to a HRSV, BRSV or avian RSV N protein.
- the pharmaceutically acceptable vaccine composition comprises VLPs further comprising RSV SH protein, including but not limited to a HRSV, BRSV or avian RSV SH protein,
- the invention encompasses a pharmaceutically acceptable vaccine composition
- a pharmaceutically acceptable vaccine composition comprising chimeric VLPs such as VLPs comprising BRSV M and a modified or mutated RSV F protein and/or G, H, or SH protein from a RSV and optionally HA or NA protein derived from an influenza virus, wherein the HA or NA protein is a fused to the transmembrane domain and cytoplasmic tail of RSV F and/or G protem.
- the invention also encompasses a pharmaceutically acceptable vaccine composition comprising modified or mutated RSV F protein, an RSV F micelle comprising a modified or mutated RSV F protein, or a VLP comprising a modified or mutated RSV F protein as described above.
- the pharmaceutically acceptable vaccine composition comprises VLPs comprising a modified or mutated RSV F protein and at least one additional protein.
- the pharmaceutically acceptable vaccine composition comprises VLPs further comprising RSV M protein, such as but not limited to a BRSV M protein.
- the phanmceutieaily acceptable vaccine composition comprises VLPs further comprising RSV G protein, including but not limited to a HRSV G protein.
- the pharmaceutically acceptable vaccine composition comprises VLPs further comprising RSV N protein, including but not limited to a HRSV, BRSV or avian RSV N protein.
- the pharmaceutically acceptable vaccine composition comprises VLPs further comprising RSV SH protein, including but not limited to a HRSV, BRSV or avian RSV SH protein.
- the pharmaceutically acceptable vaccine composition comprises VLPs comprising BRSV M protein and F and/or G protein from HRSV group A.
- the pharmaceutically acceptable vaccine composition comprises VLPs comprising BRSV M protein and F and/or G protein from HRSV group B,
- the invention encompasses a pharmaceutically acceptable vaccine composition comprising chimeric VLPs such as VLPs comprising chimeric M protein from a BRSV and optionally HA protein derived from an influenza virus, wherein the M protein is fused to the influenza HA protein.
- the invention encompasses a pharmaceutically acceptable vaccme composition
- a pharmaceutically acceptable vaccme composition comprising chimeric VLPs such as VLPs comprising BRSV M, and a chimeric F and/or G protein from a RSV and optionally HA protein derived from an influenza virus, wherein the chimeric influenza HA protein is fused to the transmembrane domain and cytoplasmic tail of RSV F and/or G protein.
- the invention encompasses a pharmaceutically acceptable vaccine composition
- chimeric VLPs such as VLPs comprising BRSV M and a chimeric F and/or G protein from a RSV and optionally HA or A protein derived from an influenza vims, wherein the HA or NA protein is a fused to the transmembrane domain and cytoplasmic tail of RSV F and/or G protein.
- the invention also encompasses a pharmaceutically acceptable vaccme composition comprising a chimeric VLP that comprises at least one RSV protein.
- the pharmaceutically acceptable vaccme composition comprises VLPs comprising a modified or mutated RSV F protein and at least one immunogen from a heterologous infectious agent or diseased ceil, in another embodiment, the immunogen from a heterologous infectious agent is a viral protein.
- the viral protein from a heterologous infectious agent is an envelope associated protein.
- the viral protein from a heterologous infectious agent is expressed on the surface of VLPs.
- the protein from an infectious agent comprises an epitope that will generate a protective immune response in a vertebrate.
- the invention also encompasses a kit for immunizing a vertebrate, such as a human subject, comprising VLPs that comprise at least one RSV protein.
- the kit comprises VLPs comprising a modified or mutated RSV F protein.
- the kit further comprises a RSV M protein such as a BRSV M protein.
- the kit further comprises a RSV G protein.
- the invention encompasses a kit comprising VLPs which comprises a chimeric M protein from a BRSV and optionally HA protein derived from an influenza vims, wherein the M protein is fused to the BRSV M.
- the invention encompasses a kit comprising VLPs which comprises a chimeric M protein from a BRSV, a RSV F and/or G protein and an immunogen from a heterologous infectious agent.
- the invention encompasses a kit comprising VLPs which comprises a M protein from a BRSV, a chimeric RSV F and/or G protein and optionally HA protein derived from an influenza virus, wherein the HA protein is fused to the transmembrane domain and cytoplasmic tail of RSV F or G protein.
- the invention encompasses a kit comprising VLPs which comprises M protein from a BRSV, a chimeric RSV F and/or G protein and optionally HA or NA protein derived from an influenza virus, wherein the HA protein is fused to the transmembrane domain and cytoplasmic tail of RSV F and/or G protein.
- the invention comprises an immunogenic formulation comprising at least one effective dose of a modified or mutated RSV F protein. In another embodiment, the invention comprises an immunogenic formulation comprising at least one effective dose of an RSV F micelle comprising a modified or mutated RSV F protein. In yet another embodiment, the invention comprises an immunogenic formulation comprising at least one effective dose of a VLP comprising a modified or mutated RSV F protein as described above.
- the immunogenic formulation of the invention comprises a modified or mutated RSV F protein, an RSV F micelle comprising a modified or mutated RSV F protein, or a VLP comprising a modified or mutated RSV F protein, and a pharmaceutically acceptable carrier or excipient.
- Pharmaceutically acceptable carriers include but are not limited to saline, buffered saline, dextrose, water, glycerol, sterile isotonic aqueous buffer, and combinations thereof.
- saline buffered saline
- dextrose dextrose
- water glycerol
- sterile isotonic aqueous buffer and combinations thereof.
- the formulation should suit the mode of administration.
- the formulation is suitable for administration to humans, preferably is sterile, non-particulate and/or non-pyrogenic.
- the composition can also contain minor amounts of wetting or emulsifying agents, or pH buffering agents.
- the composition can be a solid form, such as a lyophilized powder suitable for reconstitution, a liquid solution, suspension, emulsion, tablet, pill, capsule, sustained release formulation, or powder.
- Oral formulation can include standard carriers such as pharmaceutical grades of mannitol, lactose, starch, magnesium stearate, sodium saccharine, cellulose, magnesium carbonate, etc.
- the invention also provides for a pharmaceutical pack or kit comprising one or more containers filled with one or more of the ingredients of the vaccine formulations of the invention.
- the kit comprises two containers, one containing a modified or mutated RSV F protein, an RSV F micelle comprising a modified or mutated RSV F protein, or a VLP comprising a modified or mutated RSV F protein, and the other containing an adjuvant.
- a pharmaceutical pack or kit comprising one or more containers filled with one or more of the ingredients of the vaccine formulations of the invention.
- the kit comprises two containers, one containing a modified or mutated RSV F protein, an RSV F micelle comprising a modified or mutated RSV F protein, or a VLP comprising a modified or mutated RSV F protein, and the other containing an adjuvant.
- Associated with such contamer(s) can be a notice in the form prescribed by a governmental agency regulating the manufacture, use or sale of pharmaceuticals or biological products, which notice
- the invention also provides that the formulation be packaged in a hermetically sealed container such as an ampoule or sachette indicating the quantity of composition.
- a hermetically sealed container such as an ampoule or sachette indicating the quantity of composition.
- the composition is supplied as a liquid, in another embodiment, as a dry sterilized lyophilized powder or water free concentrate in a hermetically sealed container and can be reconstituted, e.g., with water or saline to the appropriate concentration for administration to a subject.
- the composition is supplied in liquid form in a hermetically sealed container indicating the quantity and concentration of the composition.
- the liquid form of the composition is supplied in a hermetically sealed container at least about 50 jig/mi, more preferably at least about 100 p,g/ml, at least about 200 ug/ml, at least 500 ⁇ / ⁇ 1, or at least 1 mg/ ' ml.
- chimeric RSV VLPs comprising a modified or mutated RSV F protein of the invention are administered in an effective amount or quantity (as defined above) sufficient to stimulate an immune response, each a response against one or more strains of RSV.
- Administration of the modified or mutated RSV F protein, an RSV F micelle comprising a modified or mutated RSV F protein, or VLP of the invention elicits immunity against RSV, Typically, the dose can be adjusted within this range based on, e.g., age, physical condition, body weight, sex, diet, time of administration, and other clinical factors.
- the prophylactic vaccine formulation is systemicaliy administered, e.g., by subcutaneous or intramuscular injection using a needle and syringe, or a needle-less injection device.
- the vaccine formulation is administered intranasaily, either by drops, large particle aerosol (greater than about 10 microns), or spray into the upper respiratory tract. While any of the above routes of delivery results in an immune response, intranasal administration confers the added benefit of eliciting mucosal immunity at the site of entry of many viruses, including RSV and influenza.
- the invention also comprises a method of formulating a vaccine or antigenic composition that induces immunity to an infection or at least one disease symptom thereof to a mammal, comprising adding to the formulation an effective dose of a modified or mutated RSV F protein, an RSV F micelle comprising a modified or mutated RSV F protein, or a VLP comprising a modified or mutated RSV F protein.
- the infection is an RSV infection.
- While stimulation of immunity with a single dose is possible, additional dosages can be administered, by the same or different route, to achieve the desired effect.
- multiple administrations may be required to elicit sufficient levels of immunity.
- Administration can continue at intervals throughout childhood, as necessary to maintain sufficient levels of protection against infections, e.g. RSV infection.
- adults who are particularly susceptible to repeated or serious infections such as, for example, health care workers, day care workers, family members of young children, the elderly, and individuals with compromised cardiopulmonary function may require multiple immunizations to establish and/or maintain protective immune responses.
- Levels of induced immunity can be monitored, for example, by measuring amounts of neutralizing secretory and serum antibodies, and dosages adjusted or vaccinations repeated as necessary to elicit and maintain desired levels of protection.
- compositions comprising a modified or mutated RSV F protein, an RSV F micelle comprismg a modified or mutated RSV F protein, or a VLP comprising a modified or mutated RSV F protein (e.g. vaccine and/or antigenic formulations) include, but are not limited to, parenteral administration (e.g., intradermal, intramuscular, intravenous and subcutaneous), epidural, and mucosal (e.g., intranasal and oral or pulmonary routes or by suppositories).
- parenteral administration e.g., intradermal, intramuscular, intravenous and subcutaneous
- epidural e.g., epidural
- mucosal e.g., intranasal and oral or pulmonary routes or by suppositories.
- compositions of the present invention are administered intramuscularly, intravenously, subcutaneously, transdermally or intradermaily.
- compositions may be administered by any convenient route, for example by infusion or bolus injection, by absorption through epithelial or mucocutaneous linings (e.g., oral mucous, colon, conjunctiva, nasopharynx, oropharynx, vagina, urethra, urinary bladder and intestinal mucosa, etc.) and may be administered together with other biological ly active agents.
- intranasal or other mucosal routes of administration of a composition of the invention may induce an antibody or other immune response that is substantially higher than other routes of administration.
- intranasal or other mucosa] routes of administration of a composition of the invention may induce an antibody or other immune response that will induce cross protection against other strains of RSV. Administration can be systemic or local.
- the vaccine and/or immunogenic formulation is administered in such a manner as to target mucosal tissues in order to elicit an immune response at the site of immunization.
- mucosal tissues such as gut associated lymphoid tissue (GALT) can be targeted for immunization by using oral administration of compositions which contain adjuvants with particular mucosal targeting properties.
- Additional mucosal tissues can also be targeted, such as nasopharyngeal lymphoid tissue (NALT) and bronchial-associated lymphoid tissue (B ALT).
- Vaccines and/or immunogenic formulations of the invention may also be administered on a dosage schedule, for example, an initial administration of the vaccine composition with subsequent booster administrations.
- a second dose of the composition is administered anywhere from two weeks to one year, preferably from about 1 , about 2, about 3, about 4, about 5 to about 6 months, after the initial administration.
- a third dose may be administered after the second dose and from about three months to about two years, or even longer, preferably about 4, about 5, or about 6 months, or about 7 months to about one year after the initial administration.
- the third dose may be optionally administered when no or low levels of specific immunoglobulins are detected in the serum and/or urine or mucosal secretions of the subject after the second dose.
- a second dose is administered about one month after the first administration and a third dose is administered about six months after the first administration.
- the second dose is administered about six months after the first administration.
- the compositions of the invention can be administered as part of a combination therapy.
- compositions of the invention can be formulated with other immunogenic compositions, antivirals and/or antibiotics.
- the dosage of the pharmaceutical composition can be determined readily by the skilled artisan, for example, by first identifying doses effective to elicit a prophylactic or therapeutic immune response, e.g., by measuring the serum titer of virus specific immunoglobulins or by measuring the inhibitory ratio of antibodies in serum samples, or urine samples, or mucosal secretions.
- the dosages can be determined from animal studies.
- animals used to study the efficacy of vaccines include the guinea pig, hamster, ferrets, chinchilla, mouse and cotton rat. Most animals are not natural hosts to infectious agents but can still serve in studies of various aspects of the disease.
- any of the above animals can be dosed with a vaccine candidate, e.g. modified or mutated RSV F proteins, an RSV F micelle comprising a modified or mutated RSV F protein, or VLPs of the invention, to partially characterize the immune response induced, and/or to determine if any neutralizing antibodies have been produced.
- a vaccine candidate e.g. modified or mutated RSV F proteins, an RSV F micelle comprising a modified or mutated RSV F protein, or VLPs of the invention.
- many studies have been conducted in the mouse model because mice are small size and their low cost allows researchers to conduct studies on a larger scale.
- the immunogenicity of a particular composition can be enhanced by the use of non-specific stimulators of the immune response, known as adjuvants.
- adjuvants have been used experimentally to promote a generalized increase in immunity against unknown antigens (e.g., U.S. Pat. No. 4,877,611). Immunization protocols have used adjuvants to stimulate responses for many years, and as such, adjuvants are well known to one of ordinary skill in the art. Some adjuvants affect the way in which antigens are presented. For example, the immune response is increased when protein antigens are precipitated by alum. Emulsification of antigens also prolongs the duration of antigen presentation.
- adjuvants include complete Freund's adjuvant (a non-specific stimulator of the immune response containing killed Mycobacterium tuberculosis), incomplete Freund's adjuvants and aluminum hydroxide adjuvant.
- Other adjuvants comprise GMCSP, BCG, aluminum hydroxide, MDP compounds, such as thur-MDP and nor-MDP, CGP (MTP-PE), lipid A, and monophosphoryl lipid A (MPL).
- R1BL which contains three components extracted from bacteria, MPL, trehalose dimycolate (TDM) and cell wall skeleton (CWS) in a 2% squalene/Tween 80 emulsion also is contemplated.
- MF-59, Novasomes*, MHC antigens may also be used.
- the adjuvant is a paucilamellar lipid vesicle having about two to ten biiayers arranged in the form of substantially spherical shells separated by aqueous layers surrounding a large amorphous central cavity free of lipid biiayers.
- Paucilamellar lipid vesicles may act to stimulate the immune response several ways, as non-specific stimulators, as carriers for the antigen, as earners of additional adjuvants, and combinations thereof.
- Paucilamellar lipid vesicles act as non-specific immune stimulators when, for example, a vaccine is prepared by intermixing the antigen with the preformed vesicles such that the antigen remains extracellular to the vesicles.
- the vesicle acts both as an immune stimulator and a carrier for the antigen.
- the vesicles are primarily made of nonphospholipid vesicles.
- the vesicles are Novasomes "8' . Novasomes* are paucilamellar nonphospholipid vesicles ranging from about 100 nm to about 500 nm.
- compositions of the invention can also be formulated with "immune stimulators.” These are the body's own chemical messengers (cytokines) to increase the immune system's response. Immune stimulators include, but are not limited to, various cytokines, lymphokines and chemokines with immunostimulatory, immunopotentiating, and pro-inflammatory activities, such as interleukins (e.g., IL-l, IL-2, IL-3, IL-4, IL-12, 1 L-13); growth factors (e.g., granulocyte-macrophage (GM)-colony stimulating factor (( SI )): and other immunostimulatory molecules, such as macrophage inflammator factor, Flt3 iigand, B7.1 ; B7.2, etc.
- cytokines include, but are not limited to, various cytokines, lymphokines and chemokines with immunostimulatory, immunopotentiating, and pro-inflammatory activities, such as interleukins (e.g., IL-l
- the imniunostimulatory molecules can be administered in the same formulation as the compositions of the invention, or can be administered separately. Either the protein or an expression vector encoding the protein can be administered to produce an immunostimulatory effect.
- the invention comprises antigentic and vaccine formulations comprising an adjuvant and/or an immune stimulator.
- the modified or mutated RSV F proteins, the RSV F micelles comprising a modified or mutated RSV F protem, or the VLPs of the invention are useful for preparing compositions that stimulate an immune response that confers immunity or substantial immunity to infectious agents. Both mucosal and cellular immunity may contribute to immunity to infectious agents and disease. Antibodies secreted locally in the upper respiratory tract are a major factor in resistance to natural infection. Secretory immunoglobulin A (slgA) is involved in the protection of the upper respirator tract and serum IgG in protection of the lower respiratory tract.
- the immune response induced by an infection protects against reinfection with the same virus or an antigenically similar viral strain. For example, RSV undergoes frequent and unpredictable changes; therefore, after natural infection, the effective period of protection provided by the host's immunity may only be effective for a few years against the new strains of virus circulating in the community.
- the invention encompasses a method of inducing immunity to infections or at least one disease symptom thereof in a subject, comprising administering at least one effective dose of a modified or mutated RSV F protein, an RSV F micelle comprising a modified or mutated RSV F protein, or a VLP comprising a modified or mutated RSV F protein.
- the method comprises administering VLPs comprising a modified or mutated RSV F protein and at least one additional protem.
- the method comprises administering VLPs further comprising an RSV M protein, for example, a BRSV M protein.
- the method comprises administering VLPs further comprising a RSV N protein, in another embodiment, the method comprises administermg VLPs further comprising a RSV G protein. In another embodiment, the method comprises administering VLPs further comprising a RSV SH protein. In another embodiment, the method comprises administering VLPs further comprising F and/or G protein from HRSV group A and/or group B.
- the method comprises administering VLPs comprising M protem from BRSV and a chimeric RSV F and/or G protein or M TV envelope protein, for example, HA or NA protein derived from an influenza virus, wherein the HA and/or NA protein is fused to the transmembrane domain and cytoplasmic tail of the RSV F and/or G protein or MMTV envelope protein.
- the method comprises administermg VLPs comprising M protein from BRSV and a chimeric RSV F and/or G protein and optionally HA or NA protein derived from an influenza virus, wherein the HA or NA protein is fused to the transmembrane domain and cytoplasmic tail of RSV F and/or G protein.
- the subject is a mammal.
- the mammal is a human
- RSV VLPs are formulated with an adjuvant or immune stimulator.
- the invention comprises a method to induce immunity to RSV infection or at least one disease symptom thereof in a subject, comprising administering at least one effective dose of a mod fied or mutated RSV F protein.
- the invention comprises a method to induce immunity to RSV infection or at least one disease symptom thereof in a subject, comprising administering at least one effective dose of an RSV F micelle comprising a modified or mutated RSV F protein.
- the invention comprises a method to induce immunity to RSV infection or at least one disease symptom thereof in a subject, comprising administering at least one effective dose of RSV VLPs, wherein the VLPs comprise a modified or mutated RSV F protein, M, G, SH, and/or N proteins.
- a method of inducing immunity to RSV infection or at least one symptom thereof in a subject comprises administermg at least one effective dose of a RSV VLPs, wherein the VLPs consists essentially of BRSV M (including chimeric M), and RSV F, G, and/or N proteins.
- the VLPs may comprise additional RSV proteins and/or protein contaminates in negligible concentrations
- a method of inducing immunity to RSV infection or at least one symptom thereof in a subject comprises administering at least one effective dose of a RSV VLPs, wherein the VLPs consists of BRSV M (including chimeric M), RSV G and/or F.
- a method of inducing immunity to RSV infection or at least one disease symptom in a subject comprises administermg at least one effective dose of a RSV VLPs comprising RSV proteins, wherein the RSV proteins consist of BRSV M (including chimeric M), F, G, and/or N proteins, including chimeric F, G, and/or N proteins.
- VLPs contain BRSV M (including chimeric M), RSV F, G, and/or N proteins and may contain additional cellular constituents such as cellular proteins, baculovirus proteins, lipids, carbohydrates etc., but do not contain additional RSV proteins (other than fragments of BRSV M (including chimeric M), BRSV/RSV F, G, and/or N proteins.
- the subject is a vertebrate.
- the vertebrate is a mammal.
- the mammal is a human.
- the method comprises inducing immunity to RSV infection or at least one disease symptom by administering the formulation in one dose.
- the method comprises inducing immunity to RSV infection or at least one disease symptom by administering the formulation in multiple doses.
- the composition may be administered in a suitable protein dosage range.
- the protein dosage range has an upper limit of about 100 ⁇ g, about 80 ug, about 60 ,ug, about 30 ,ug, about 15 tig, about 10 ⁇ g, or about 5 ⁇ g.
- the dosage range has a lower limit of about 30 g, about 15 ug, about 5 g, or about 1 g.
- suitable ranges include, for example, about 1 ⁇ to about 100 g, about 5 ug to about 80 ug, about 5 g to about 60 p.g, about 15 g to about 60 ig, about 30 g to about 60 p.g, and about 15 ig to about 30 g of protein.
- the invention also encompasses inducing immunity to an infection, or at least one symptom thereof, in a subject caused by an infectious agent, comprising administering at least one effective dose of a modified or mutated RSV F protein, an RSV F micelle comprising a modified or mutated RSV F protem, or a VLP comprising a modified or mutated RSV F protein, in one embodiment, the method comprises administering VLPs comprising a modified or mutated RSV F protein and at least one protein from a heterologous infectious agent, in one embodiment, the method comprises administering VLPs comprising a modified or mutated RSV F protein and at least one protein from the same or a heterologous infectious agent.
- the protein from the heterologous infectious agent is a viral protem.
- the protein from the infectious agent is an envelope associated protein.
- the protein from the infectious agent is expressed on the surface of VLPs.
- the protein from the infectious agent comprises an epitope that will generate a protective immune response in a vertebrate.
- the protein from the infectious agent can associate with RSV M protein such as BRSV M protein, RSV F, G and/or N protein.
- the protein from the infectious agent is fused to a RSV protein such as a BRSV M protein, RSV F, G and/or N protein.
- a protein from the infectious agent is fused to a RSV protein such as a BRSV M protein, RSV F, G and/or N protein.
- a RSV protein such as a BRSV M protein, RSV F, G and/or N protein.
- a portion of a protein from the infectious agent is fused to a portion of a RSV protein such as a BRSV M protein, RSV F, G and/or N protein.
- the portion of the protein from the infectious agent fused to the RSV protein is expressed on the surface of VLPs.
- the RSV protein, or portion thereof, fused to the protem from the infectious agent associates with the RSV M protein.
- the RSV protein, or portion thereof is derived from RSV F, G, N and/or P
- the chimeric VLPs further comprise N and/or P protem from RSV.
- the chimeric V LPs comprise more than one protein from the same and/or a heterologous infectious agent.
- the chimeric VLPs comprise more than one infectious agent protein, thus creating a multivalent VLP.
- compositions of the invention can induce substantial immunity in a vertebrate (e.g. a human) when administered to the vertebrate.
- the substantial immunity results from an immune response against compositions of the invention that protects or ameliorates infection or at least reduces a symptom of infection in the vertebrate.
- the infection will be asymptomatic.
- the response may not be a fully protective response.
- the vertebrate will experience reduced symptoms or a shorter duration of symptoms compared to a non-immunized vertebrate.
- the invention comprises a method of inducing substantial immunity to RSV virus infection or at least one disease symptom in a subject, comprising administering at least one effective dose of a modified or mutated RSV F protein, an RSV F micelle comprising a modified or mutated RSV F protem, or a VLP comprising a modified or mutated RSV F protein.
- the invention comprises a method of vaccinating a mammal against RSV comprising administering to the mammal a protection- inducing amount of a modified or mutated RSV F protein, an RSV F micelle comprising a modified or mutated RSV F protein, or a VLP comprising a modified or mutated RSV F protem.
- the method comprises administering VLPs further comprising an RSV M protein, such as BRSV M protein.
- the method further comprises administering VLPs comprising RSV G protem, for example a HRSV G protein.
- the method further comprises administering VLPs comprising the N protein from HRSV group A.
- the method further comprises administering VLPs comprising the N protein from HRSV group B.
- the method comprises administermg VLPs comprising chimeric M protein from BRSV and F and/or G protein derived from RSV wherein the F and/or G protein is fused to the transmembrane and cytoplasmic tail of the M protein.
- the method comprises administering VLPs comprising M protein from BRSV and chimeric RSV F and/or G protein wherein the F and/or G protein is a fused to the transmembrane domain and cytoplasmic tail of influenza HA and/or NA protein.
- the method comprises administering VLPs comprising M protein from BRSV and chimeric RSV F and/or G protein and optionally an influenza HA and/or NA protein wherein the F and/or G protem is a fused to the transmembrane domain and cytoplasmic tail of the HA protein.
- the method comprises administering VLPs comprising M protein from BRSV and chimeric RSV F and/or G protein, and optionally an influenza HA and/or NA protein wherein the HA and/or NA protein is fused to the transmembrane domain and cytoplasmic tail of RSV F and/or G protein.
- the invention also encompasses a method of inducing substantial immunity to an infection, or at least one disease symptom in a subject caused by an infectious agent, comprising administering at least one effective dose of a modified or mutated RSV F protem, an RSV F micelle comprising a modified or mutated RSV F protein, or a VLP comprising a modified or mutated RSV F protein.
- the method comprises administering VLPs further comprising a RSV M protein, such as BRSV M protein, and at least one protein from another infectious agent.
- the method comprises administering VLPs further comprising a BRSV M protein and at least one protein from the same or a heterologous infectious agent.
- the protein from the infectious agent is a viral protein. In another embodiment, the protein from the infectious agent is an envelope associated protein. In another embodiment, the protein from the infectious agent is expressed on the surface of VLPs, In another embodiment, the protein from the infectious agent comprises an epitope that will generate a protective immune response in a vertebrate. In another embodiment, the protein from the infectious agent can associate with RSV M protein. In another embodiment, the protein from the infectious agent can associate with BRS V M protein. In another embodiment, the protein from the infectious agent is fused to a RSV protem. In another embodiment, only a portion of a protein from the infectious agent is fused to a RSV protein.
- a portion of a protein from the infectious agent is fused to a portion of a RSV protein.
- the portion of the protein from the infectious agent fused to the RSV protein is expressed on the surface of VLPs.
- the RSV protein, or portion thereof, fused to the protein from the infectious agent associates with the RSV M protein.
- the RSV protein, or portion thereof, fused to the protein from the infectious agent associates with the BRSV M protein.
- the RSV protein, or portion thereof is derived from RSV F, G, N and/or P.
- the VLPs further comprise N and/or P protein from RSV.
- the VLPs comprise more than one protein from the infectious agent.
- the VLPs comprise more than one infectious agent protein, thus creating a multivalent VLP.
- the invention comprises a method of inducing a protective antibody response to an infection or at least one symptom thereof in a subject, comprising administering at least one effective dose of a modified or mutated RSV F protein, an RSV F micelle comprising a modified or mutated RSV F protein, or a VLP comprising a modified or mutated RS V F protein as described above.
- an "antibody” is a protein comprising one or more polypeptides substantially or partial!)' encoded by immunoglobulin genes or fragments of immunoglobulin genes.
- the recognized immunoglobulin genes include the kappa, lambda, alpha, gamma, delta, epsilon and mu constant region genes, as well as myriad immunoglobulin variable region genes.
- Light chains are classified as either kappa or lambda.
- Heavy chains are classified as gamma, mu, alpha, delta, or epsilon, which in turn define the immunoglobulin classes, IgG, IgM, IgA, IgD and IgE, respectively.
- a typical immunoglobulin (antibody) structural unit comprises a tetramer.
- Each tetramer is composed of two identical pairs of polypeptide chains, each pair having one "light” (about 25 kD) and one "heavy" chain (about 50-70 kD).
- the N-terminus of each chain defines a variable region of about 100 to 110 or more amino acids primarily responsible for antigen recognition.
- Antibodies exist as intact immunoglobulins or as a number of well-characterized fragments produced by digestion with various peptidases.
- the invention comprises a method of inducing a protective cellular response to RSV infection or at least one disease symptom in a subject, comprising administering at least one effective dose of a modified or mutated RSV F protein.
- the invention comprises a method of inducing a protective cellular response to RSV infection or at least one disease symptom in a subject, comprising administering at least one effective dose an RSV F micelle comprising a modified or mutated RSV F protein.
- the invention comprises a method of inducing a protective cellular response to RSV infection or at least one disease symptom in a subject, comprising administering at least one effective dose a VLP, wherein the VLP comprises a modified or mutated RSV F protein as described above.
- Cell-mediated immunity also plays a role in recovery from RSV infection and may prevent RSV-associated complications.
- RSV-specific cellular lymphocytes have been detected in the blood and the lower respiratory tract secretions of infected subjects. Cytolysis of RSV-infected cells is mediated by CTLs in concert with RSV-specific antibodies and complement.
- the primary cytotoxic response is detectable in blood after 6-14 days and disappears by day 21 in infected or vaccinated individuals (Ennis et a!., 1981).
- Cell-mediated immunity may also play a role in recovery from RSV infection and may prevent RSV-associated complications.
- RSV-specific cellular lymphocytes have been detected in the blood and the lower respirator ⁇ ? tract secretions of infected subjects.
- the immunogenic compositions of the invention prevent or reduce at least one symptom of RSV infection in a subject.
- Symptoms of RSV are well known in the art. They include rhinorrhea, sore throat, headache, hoarseness, cough, sputum, fever, rales, wheezing, and dyspnea.
- the method of the invention comprises the prevention or reduction of at least one symptom associated with RSV infection.
- a reduction in a symptom may be determined subjectively or objectively, e.g., self assessment by a subject, by a clinician's assessment or by conducting an appropriate assay or measurement (e.g.
- the objective assessment comprises both animal and human assessments.
- the viral genes of interest were codon optimized for Sf9 insect ceils expression and cloned into pFastBacTM vectors.
- Recombinant plaques containing viral proteins of interest were picked and confirmed.
- the recombinant vims was then amplified by infection of Sf9 insect cells.
- Sf9 insect cells were co-infected by a recombinant virus expressing modified F protein and another recombinant vims expressing other viral proteins (e.g., BRSV M protein and/or HRSV N protein).
- the culture and supernatant were harvested 48-72 hours post-infection.
- the resulting crude cell harvests containing modified HRSV F protein were purified as described below.
- Modified HRSV F proteins of interest were purified from the infected 8f9 insect cell culture harvests.
- Non-ionic surfactant Tergitol ⁇ NP-9 Nonylphenol Ethoxylate was used in a membrane protein extraction protocol. Crude extraction was further purified by passing through anion exchange chromatography, lentil lectin affinity/HIC, and cation exchange chromato graphy .
- Protein expression was analyzed by SDS-PAGE and stained for total protems by coomassie stain. Equal volumes of cell samples from crude harvest and 2x sample buffer containing ⁇ (beta-mercaptoehtanol) were loaded, approximately 15 to 20 ⁇ (about to 7.5 to 10 ⁇ ! of the culture)/lane, onto an SDS Laemmli gel.
- modified HRSV F proteins in the crude cell harvests were concentrated by 30% sucrose gradient separation method, and then were analyzed by SDS-PAGE stained with coomassie, or Western Blot using anti-RSV F monoclonal antibody.
- Grade cell harvest containing modified recombinant F proteins, purified recombinant F protems, or recombinant F proteins concentrated by sucrose gradient can be further analyzed by Western Blot using anti-RSV F monoclonal antibody and/or anti-RSV F polyclonal antibody.
- the two cleavages sites are at residues 109 and 136, which are preceded by furin-recognition motifs (RARR, aa 106-109 (SEQ ID NO: 23) and KKRKRR, aa 131-136 (SEQ I D NO: 24)).
- the F gene sequence of SEQ ID NO: 1 contains suboptimai codon usage for expression in Sf9 insect cells and harbors 3 errors, producing a protein that can exhibit less than optimal folding (SEQ ID NO: 2, GenBank Accession No. AAB59858).
- a possible Poly (A) adenylation site was identified at the region encoding the F2 subunit.
- the wild type F gene sequence is approximately 65% AT rich, while desired GC-AT ratio of a gene sequence in Sf9 insect cell expression system is approximately 1 : 1.
- the F gene encodes a modified F protein with inactivated primary cleavage site, [0222]
- the three corrected amino acids errors were PI 02 A, 1379V, and M447V.
- the cryptic poly (A) site in the HRSV F gene was corrected without changing the amino acid sequence.
- the codon optimization scheme was based on the following criteria; (!) abundance of aminoacyl-tRNAs for a particular codon in Lepidopteran species of insect cells for a given amino acid as described by Levin, D.B, et al. (Journal of General Virology, 2000, vol. 81, pp. 2313-2325), (2) maintenance of GC-AT ratio in gene sequences at approximately 1 : 1, (3) minimal introduction of palindromic or stem-loop DNA structures, and (4) minimal introduction of transcription and post-transcription repressor element sequences.
- An example of optimized F gene sequence was shown as SEQ ID NO: 19 (RSV-F BV #368).
- FIG. 4 A non-limiting exemplary modified HRSV F gene sequence designed to have all modifications mentioned above is shown in Figure 4.
- This modified F gene (SEQ ID NO: 5, RSV-F BV #541) encodes a modified F protein of SEQ ID NO: 6.
- the gene sequence was synthesized in vitro as overlapping oligonucleotides, cloned and expressed in host cells.
- Modified HRSV F protein BV #541 was purified from the infected Sf9 insect cell culture harvests, and was analyzed by SDS-PAGE stained by coomassie. The method of purification and SDS-PAGE analysis is described in Example 2.
- the expression level of the F protein RSV-F BV #541 (e.g. F protein 541) was improved as compared to the wild type F 0 protein in 8£9 insect cells.
- nucleotide sequences encoding the Fi subunit fusion domain was partially deleted.
- nucleotide sequence encoding the first 10 amino acids of the Fi subunit fusion domain was deleted (corresponding to amino acids 137-146 of SEQ ID NO: 2).
- a non-limiting exemplar modified RSV F gene comprising said modifications is shown in Figure 5, designated as SEQ ID NO: 9 (RSV-F BV #622, e.g. F protein 622), encoding a modified F protein of SEQ ID NO: 10.
- the modified HRSV F protein BV #622 was purified from the infected Sf9 insect cell culture harvests, and was analyzed by SDS- PAGE stained with coomassie. The method of purification and SDS-PAGE analysis is described in Example 2. High expression levels of HRSV F protein BV #622 were observed, as displayed in the SDS-PAGE in Figure 6.
- nucleotide sequence encoding the first 10 amino acids of the Fi subunit fusion domain was deleted (corresponding to amino acids 137-146 of SEQ ID NO: 2).
- FIG. 7 A A non- limiting exemplar ⁇ ' modified RSV F gene in which the first 10 amino acids of the Fi subunit fusion domain were deleted (correspondmg to amino acids 137-146 of SEQ ID NO: 2) is shown in Figure 7 A, designated as SEQ ID NO: 7 (RSV-F BV #683, e.g. F protein 683), encoding the modified F protein of SEQ ID NO: 8.
- the modified RSV F protein BV #683 e.g. F protein 683
- FIG. 7A An non-limiting exemplary modified RSV F gene comprising said in which the first 10 amino acids of the Fi subunit fusion domain were deleted (corresponding to amino acids 137-146 of SEQ ID NO: 2) is shown in Figure 7A, designated as SEQ ID NO: 7 (RSV-F BV #683, e.g. F protein 683), encoding the modified F protein of SEQ ID NO: 8.
- the modified RSV F protein BV #683 (e.g. F protein 683 ) was purified from the infected Sf9 insect cell culture harvests and analyzed by SDS-PAGE stained with coomassie. The method of purification and SDS-PAGE analysis is described in Example 2. Further enhancements in the of expression levels were achieved, as displayed in the SDS-PAGE in Figure 8.
- F protein 683 SEQ ID NO: 8
- HRSV F protein BV #683 was purified from the infected Sf9 insect cell culture harvests.
- Non-ionic surfactant Tergitol® NP-9 Nonylphenol Ethoxvlate was used to in a membrane protein extraction protocol. Crude extraction was further purified by passing through anion exchange chromatography, lentil lectin affinity/HIC and cation exchange chromato graph y .
- RSV F nanoparticles were further analyzed using HPLC size exclusion chromatography (SEC).
- SEC HPLC size exclusion chromatography
- the RS V F nanoparticles consisted primarily of covalently linked Fl and F2 ( Figure 12B; F1+F2) with a low level of free Fl subunits.
- F1+F2 was 95.8%) of the total peak area, and Fl was 3.8% of the total peak area.
- the purity of RSV F particles was estimated to be > 98%.
- the F1+F2 peak was eluted in the void volume of this SEC column and the Fl peak had a mass of about 180 da, as expected for Fl trimers.
- An analytical ultracentrifugation (AUG) study showed that the majority of species in RSV F nanoparticles had a molecular weight between about 1 million Da to about 8 million Da.
- a modified recombinant HRSV F protein (e.g., BV #683) has been designed, expressed, and purified.
- This modified full-length F is glycosylated. Modifications of the primary cleavage site and the fusion domain together greatly enhanced expression level of F protein.
- this modified F protein can be cleaved to Fl and F2 subunits, which are disulfide-linked. Trimers of the Fl and F2 subunits form lollipop-shaped spikes of 19.6 nm and particles of 40.2 nm.
- this modified F protein is highly expressed in Sf9 insect cells. Purity of micelles > 98% is achieved after purification. The fact that the spikes of this modified protein have a lollipop morphology, which can further form micelles particles of 40 nm, indicates that modified F protein BV #683 has correct 3D structure of a native protein.
- the present invention also provides VLPs comprising a modified or mutated RSV F protein.
- VLPs are useful to induce neutralizing antibodies to viral protein antigens and thus can be administered to establish immunity against RSV.
- VLPs may comprise a modified RSV F protein, and a BRSV M and/or HRSV proteins. Codons of genes encoding BRSV M (SEQ ID NO: 14) or HRSV N (SEQ ID NO: 18) proteins can be optimized for expression in insect cells. For example, an optimized BRSV M gene sequence is shown in SEQ ID NO: 13 and an optimized RSV N gene sequence is shown in SEQ ID NO: 17.
- a modified F protein BV #622 and another modified F protein BV #623 (SEQ ID NO: 21, modified such that both cleavage sites are inactivated) were either expressed alone, or co-expressed with HRSV N protein and BRSV M protein.
- Both crude cell harvests containing VLPs (intracellular) and VLPs pellets collected from 30% sucrose gradient separation were analyzed by SDS-PAGE stained with coomassie, and Western Blot using anti-RSV F monoclonal antibody.
- Figure 13 shows the structure of the modified F proteins BV #622 and BV #623, and results of SDS-PAGE and Western Blot analysis.
- BV #622 was highly expressed by itself or co-expressed with HRSV N protein and BRSV M protein, while BV #623 had very poor expression, indicating that inactivation of both cleavage sites inhibits F protein expression.
- modified F protein BV #622 double tandem gene BV #636 ( BV #541 + BRSV M), BV #683, BV #684 (BV #541 with YIAL i .--domain introduced at the C terminus), and BV #685 (BV #541 with YKKL L-domain introduced at the C terminus) were either expressed alone, or co-expressed with HRSV N protein and BRSV M protein.
- L- domain (Late domain) is a conserved sequence in retroviruses, and presents within Gag acting in conjunction with cellular proteins to efficiently release virions from the surface of the ceil (Ott et al leverage 2005, Journal of Virology 79: 9038-9045).
- each modified F protein is shown in Figure 14.
- Figure 14 shows the results of SDS-PAGE and Western Blot analysis of crude cell harvests containing VLPs (intracellular)
- Figure 15 shows results of SDS-PAGE and Western Blot analysis of VLPs pellets collected from 30% sucrose gradient separation.
- BV #622 and BV #683 were highly expressed by themselves or co-expressed with HRSV N protein and BRSV M protein, while BV #636, BV #684, and BV #685 had poor expression.
- Figure 16A to Figure 16D summarize the structure, clone name, description, Western Blot/coomassie analysis results, and conclusion for each chimeric HRSV F clone.
- a triple tandem chimeric gene consisting of BV #541 , BRSV M, and HRSV N had even higher intracellular expression and much better VLP yield compared to above mentioned double tandem chimeric gene or co-infection of BV #541 , BRSV M, and HRSV N proteins. Furthermore, the results suggested that chimeric HRSV F protein BV#683 (e.g. F protein 683, SEQ ID NO: 8) had the best intracellular expression. Expression of a double tandem chimeric gene consisting of BV#683 and BRSV M genes, or a triple tandem chimeric gene consisting of BV#683, BRSV M, and HRSV N genes is also embodied herein. These double and triple tandem chimeric gene should further improve VLP production compared to co- infection.
- mice Groups of mice (n :::: 1.0) were injected intramuscularly (except for live RSV) with placebo (PBS solution), live RSV (given mtranasally), formalin inactivated RSV vaccine (FI-RSV), 1 g purified F particles (PFP, modified F protein BV #683), 1 ( itg purified F particles with Alum (PFP + Alum), 10 ⁇ g purified F particles, 10 ⁇ g purified F particles with Alum (PFP + ⁇ Aium), or 30 ug purified F particles on day 0 and day 21.
- Each immunized group was challenged by live RSV on day 42 (21 days after the second immunization).
- Mouse serum from each group was harvested on day 0, day 31 (10 days after the second immunization), and day 46 (4 days following challenge with live RSV ).
- Mouse serum from each treatment group was assayed for the presence of anti-RSV neutralization antibodies. Dilutions of serum from immunized mice were incubated with infectious RS V in 96-well microliter plates. Serum was diluted from 1 :20 to 1 :2560. 50 ⁇ diluted serum was mixed with 50 ⁇ live RSV virus (400 pfu) in each well . The virus/serum mixture was incubated first for 60 minutes at room temperature, and then mixed with 100 ⁇ HEp-2 cel ls and incubated for 4 days. The number of infectious virus plaques were then counted after staining with crystal violet.
- the neutralization titer for each serum sample defined as the inverse of the highest dilution of serum that produced 100% RSV neutralization (e.g., no plaques), was determined for each animal.
- the geometric mean semm neutralizing antibody titer at day 31 (10 days after the boost) and day 46 (4 days following challenge with live RSV) were graphed for each vaccine group.
- Figure 18 shows the results of the neutralization assays. The results indicated that 10 ⁇ or 30 ⁇ purified F protein produced much higher neutralization titer as compared to live RSV 7 , In addition, neutralization titers of PFP were enhanced with co-administration of Alum adjuvant.
- RSV challenge studies were carried out to determine if immunization could prevent and/or inhibit RSV replication in the lungs of the immunized animals.
- the amount of RSV in the lungs of immunized mice was determined by plaque assay using HEp-2 cells. Immunized groups of mice mentioned above were infected with 1 x 10° pfu of infectious RSV long strain intranasally on day 42 (11 days after the second immunization). On day 46 (4 days after RS V infection), lungs of mice were removed, weighed, and homogenized. Homogenized lung tissue was clarified.
- groups included cotton rats immunized at days 0 and 21 with live RSV (RSV), formalin inactivated RSV (FI-RSV), RSV-F protein BV #683 with and without aluminum (PFP and PFP + Aluminum Adjuvant), and PBS controls.
- the use of the F-micelle vaccine and the F-miceile vaccine with adjuvant produced lower inflammation scores (4.0 and 2,8, respectively) than the primary RSV infection (PBS + RSV challenge) control group (5.8).
- the FI-RSV treated group had a higher inflammation score than the primary RSV infection (PBS + RSV challenge) control group (9.0 versus 5,8).
- the FI-RSV treated group had a significantly higher mean inflammation score (9.0) than the unchallenged placebo controls, live RSV + RSV challenge, F-micelle + RSV challenge, and F-micelle + aluminum + RSV challenge.
- Rats were then bled on day 21 and day 49, Serum from day 49 was tested against RSV-A in neutralizing assays by using a plaque-reduction neutralization test. Results of this experiment are provided in Figure 23.
- Figure 23 is a graph showing neutralizing titers vs. each respective treatment group. The line for each treatment group indicates the geometric mean of end point titer that neutralized the RSV -A virus 100%. The results indicated that the vaccine of the invention neutralized RSV to a greater degree than RSV and FI-RSV.
- Figure 25 shows that neutralizing antibody elicited by RSV F nanoparticles was effective in preventing RSV virus replication in the lungs of challenged animals.
- RS V titers are expressed as log 10 pfu/per gram of lung tissue.
- Figures 26A and 26B as measured by ELISA units (corresponding to the 50% titer on a 4 parameter fit dilution curve; Figure 26A) or RSV-F IgG titer ( Figure 26B).
- Animals treated with the vaccine of the present invention produced a greater number of detectable anti-RSV antibodies than animals treated with RSV or FI-RSV. Additionally, alum increased the antibody response,
- Antigenic site II on the RSV F protein has been shown to be the target of palivizumab, a humanized RSV neutralizing monoclonal antibody used in prophylaxis for the prevention of RSV disease.
- palivizumab a humanized RSV neutralizing monoclonal antibody used in prophylaxis for the prevention of RSV disease.
- a palivizumab competitive ELISA was performed using pooled sera from the individual animals within each group. Sera obtained from either live RSV treated animals, FI-RSV immunized animals, or PBS control animals did not inhibit palivizumab binding (Figure 26D).
- RSV F nanoparticle vaccine (1 _ug , 6 ⁇ , or 30 iig; +/- alum)
- Rats from groups (l)-(4) were subsequently challenged with RSV A strain virus on day forty- nine. Rats from group (5) were not challenged with the virus. Lung tissue was isolated five days after challenge. Tissue were frozen, sectioned and stained with hematoxylin and eosin. Representative micrographs are provided to indicate peribronchiolitis condition in the control animals and 30 g + alum vaccine groups ( Figure 27).
- ELISA plates were coated with RSV F micelle at 2 ⁇ / ⁇ . Pre immune and a pool of day 28 serum from mice immunized on day 0 with 30 p.g RSV F with alum were mixed with 50 ng/mL biotin-Palivizumab epitope peptide. These samples were then serially diluted and incubated with purified RSV F coated ELISA plate. Streptavidm was used to determine Palivizumab bound to the plate.
- a Phase 1 randomized, observer blinded placebo control led trial was carried out to evaluate the safety and immunogenicity of the RSV nanoparticle vaccine in healthy adults in a dose-escalating fashion.
- Tenderness was reported by 10% of patients administered placebo. 20% to 55%) of patients in the vaccine groups reported tenderness. One subject reported severe tenderness (60 ⁇ g + alum treatment). There was no dose response effect.
- the vaccine was well tolerated overall The majority of adverse events were local pain and tenderness and the majority were mild. Local adverse events were higher in the vaccine groups compared to placebo. There was no adverse event trend based on dose of vaccine. Additionally, there were no vaccine related severe adverse events.
- ELISA plates were coated with streptavidin at 5 g mL, Palivizimiab peptide at I ⁇ g/mL was bound to Streptavidin, Human sera from subjects treated with the vaccine of the invention was introduced to the plates. Secondary antibody (anti human HRP) was then added to detect anti -RSV F IgG against the Palivizumab peptide.
- FIG 31 provides the results of this study.
- Each of the nanoparticle vaccine treatment groups produced significantly more RSV IgG than the control group, and the alum groups performed better than the non-alum groups.
- each treatment group includes three measurements: (1) sera at day 1 (left bar), (2) sera at day 30 (middle bar), (3) sera at day 60 (right bar).
- ELISA plates were coated with 2 g mL RSV F or RSV G antigen. Human sera from subjects treated with the vaccine of the invention followed by challenge with RSV was introduced to the plates. Secondary antibody (anti human HRP) w r as then added to detect anti-RSV F or anti-RSV G IgG in the human sera.
- each of the nanoparticle vaccine treatment groups produced IgG antibodies against RSV F at all time points tested ( Figure 32A).
- the vaccine treatment groups induced production of negligible amounts of anti-RSV G antibodies ( Figure 32B).
- each treatment group includes three measurements: (I) sera at day 1 (left bar), (2) sera at day 30 (middle bar), (3) sera at day 60 (right bar).
- Tables 5A and 5B show the results of this experiment.
- Table 5 A shows the geometric mean of IgG levels in all groups.
- the geometric mean fold rise in IgG levels was also plotted for the alum groups ( Figure 33).
- Table 5B shows the results of the ELISA. (expressed as ELISA Units) for individual subjects in the 60 ivg + Alum group.
- PRNTs RSV Plaque Reduction Neutralizing Titers
- Figure 35 shows the reverse cumulative distribution for Day 0, Day 30 and Day 60 PRNTs in the placebo and 30 _ug + Alum groups. Minimum titers at day 0 were 5 log? and minimum titer post-immunization with RSV F recombinant narioparticles at day 60 was 8.5
- the avidity of antibodies in the human sera for RSV F was determined using a BIAcore SPR-based measurement system.
- RSV F protein was immobilized on a sensor surface, and sera were passed over the immobilized RSV F. Binding to the immobilized RSV F was measured based on the molecular mass on the sensor surface. Association and dissociation rates were measured as a function of time and plotted on a sensorgram, and the dissociation constant was calculated from the association and dissociation rates.
- Figure 36 provides the controls for the BIAcore SPR-based assay.
- Figure 36A shows the association rates (k-On), dissociation rates (k-Qff), and dissociation constants (KD) for positive controls palivizumab antibody and RSV reference sera (available from BEI Resources and described in Yang et al, 2007, Biologicals 35; 183-187).
- Figure 36B shows a sensorgram to demonstrate negative results from Day 0 and placebo control sera from the Phase 1 trial, in contrast to positive control palivizumab.
- Figure 37 provides the binding curves for palivizumab antibody and a representative vaccinee (subject ID# 1 1 12, day 30).
- Palivizumab-like IgG antibodies (antibodies that compete with palivizumab epitope peptide for binding RSV F) in the sera from 13 subjects in the 60 ⁇ + adjuvant group were measured via a competitive binding assay.
- the vaccine administered in this example comprised nanoparticles comprising near- full length F protein, assembled into t rimers.
- F protein was produced in Sf9 insect cells infected with a recombinant baculo virus. The cells were lysed and solubilized with detergent, and the F protein was purified chromatographically.
- the antigen was administered by intramuscular injection, with or without adsorption to ALPO 4 .
- RSV F antigen was tested at doses of 5, 15, 30 and 60 p.g adsorbed to AIPO 4 , and 30 and 60 ⁇ without adjuvant. Safety was monitored by soliciting local and systemic symptoms for 7 days after each dose, and ascertamment of unsolicited adverse events for 6 months. Functional antibodies were assessed using the plaque reduction neutralization (PRN) and rmcroneutralization (MN) assays (which gave similar results) and ELISA assays for multiple antigens as below. [0300] The results of the trial indicated that MN responses appeared to lag anti-F responses ( Figure 38).
- MN antibody responses occurred in the active groups, but anti-F responses were much more dynamic
- baseline anti-F IgG titers spanned a more limited range
- baseline microneutralization (MN) titers varied over a >32-foid range.
- the vaccine induced substantial MN responses in subjects with low MN baselines (geometric mean 3.9-fold rises in those in the lowest 1/3 of the population), but overall fold- rises were limited by the 1/3 of subjects with high baseline values (where ⁇ 2-fold responses were noted).
- RSV F Nanoparticle Vaccine Elicited antibody Responses to antigenic site II Peptide 254-278 Figure 39.
- Synthetic RSV-F peptide 254-278 which harbors the palivizumab and motavizumab epitopes, was biotinyiated and immobilized to streptavidin-coated plates. Serial dilutions of sera were incubated with the peptide coated plates. Bound IgG was detected after washing with enzyme -conjugated goat anti-human IgG. Pre -immunization titers were uniformly low, but increased 5- to 15- fold with receipt of RSV-F nanoparticle vaccine.
- Figure 40 and Table 8 show the results of a palivizumab competition ELISA with human semm before and after RSV-F nanoparticle immunization.
- ELISA plates were coated with RSV F protein antigen at 2 Lig/ ' mL.
- Pre- and post-immunization sera were serially diluted, spiked with 50ng/mL biotinyiated palivizumab, and then incubated in the coated plates.
- Enzyme-conjugated streptavidin was used to detect palivizumab bound to the plate.
- a four-parameter fit was generated and the serum dilution yielding 50% palivizumab binding inhibition was interpolated.
- Figure 40 A shows the geometric-mean fold increase in palivizumab binding inhibition post dose I and post dose 2 in all subject groups.
- Adjuvant enhanced the palivizumab inhibition of vaccine -induced sera, and the 60ug + adjuvant group exhibited the highest levels of palivizumab inhibition.
- Serum 4 342 1.1 1.3 1.4
- the anti-F protein immune responses to the insect cell-derived RSV F protein nanoparticle were enriched in antibodies to the highly-conserved and clinically important F protein antigenic site II, which contains the palivizumab and motavizumah binding sites.
- RSV F-specific monoclonal antibodies bind the RSV F nanoparticle vaccine antigen
- FIG. 42 shows a schematic representation of the antibody recognition regions of the RSV F vaccine antigen, which are Site I, Site II, and Site IV/V/IV.
- RSV F vaccine antigen was plated at 2_u.g mL.
- RSV-specific monoclonal antibodies were serially diluted four fold and incubated with the RSV F vaccine antigen, and antibody binding was detected using anti-mouse HRP.
- the vaccine antigen was able to elicit binding of several neutralizing RSV F antibodies, including antibodies that bind at Site I, II, or IV/V/VI of the antigen.
- the efficacy of the RSV F vaccine was further tested in four groups of female cotton rats (5 per group).
- Group I animals received two intramuscular vaccinations, one on Day 0 and one on Day 28, with Formalin Inactivated RSV vims (FI-RSV) adsorbed onto alum at a 1 :25 dilution.
- Animals in Group 2 received intramuscular vaccinations on Day 0 and Day 28 with 30 ⁇ of the recombinant RSV-F nanoparticle vaccine, formulated with adjuvant (2,4 mg/mL AIPO 4 ).
- Animals in Group 3 received the two vaccinations with 30 ⁇ of the recombinant RSV-F nanoparticle vaccme in the absence of adjuvant.
- a Hep-2 cell line fusion inhibition assay was used to test the ability of antibodies induced by FI-RSV, RSV F vaccine with or without adjuvant, or live RSV A2 to inhibit fusion-mediated RSV infection, Hep-2 cells were briefly pre-incubated with live RSV prior to incubation of the cells with serum dilutions from each group. The number of infectious virus plaques were counted, and fusion inhibition was expressed as the inverse of the dilution that resulted in 50% inhibition of plaque formation.
- Figure 45 shows that fusion-mediated infection of Hep-2 cells was inhibited by Day 49 sera from infected rats or rats immunized with RSV F vaccine, with or without adjuvant.
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BR112014007616A BR112014007616A2 (en) | 2011-09-30 | 2012-09-27 | recombinant rsv nanoparticle f vaccine for respiratory syncytial virus |
CN201280059282.1A CN104080476A (en) | 2011-09-30 | 2012-09-27 | Recombinant nanoparticle RSV F vaccine for respiratory syncytial virus |
MX2014003777A MX2014003777A (en) | 2011-09-30 | 2012-09-27 | Recombinant nanoparticle rsv f vaccine for respiratory syncytial virus. |
KR1020147009538A KR20140077169A (en) | 2011-09-30 | 2012-09-27 | Recombinant Nanoparticle RSV F Vaccine for Respiratory Syncytial Virus |
EP12835033.7A EP2760469A4 (en) | 2011-09-30 | 2012-09-27 | Recombinant nanoparticle rsv f vaccine for respiratory syncytial virus |
SG11201400999VA SG11201400999VA (en) | 2011-09-30 | 2012-09-27 | Recombinant nanoparticle rsv f vaccine for respiratory syncytial virus |
RU2014117068/10A RU2014117068A (en) | 2011-09-30 | 2012-09-27 | VACCINE BASED ON RECOMBINANT F NANOPARTICLES FROM RSV AGAINST RESPIRATORY-SYNCITIAL VIRUS |
CA2849471A CA2849471A1 (en) | 2011-09-30 | 2012-09-27 | Recombinant nanoparticle rsv f vaccine for respiratory syncytial virus |
AU2013201495A AU2013201495B2 (en) | 2011-09-30 | 2012-09-27 | Recombinant nanoparticle RSV F vaccine for respiratory syncytial virus |
IL231637A IL231637A0 (en) | 2011-09-30 | 2014-03-20 | Recombinant nanoparticle rsv f vaccine for respiratory syncytial virus |
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SG10201602434UA (en) | 2016-05-30 |
SG11201400999VA (en) | 2014-07-30 |
EP2760469A4 (en) | 2015-03-18 |
CN104080476A (en) | 2014-10-01 |
AU2013201495B2 (en) | 2015-12-03 |
CA2849471A1 (en) | 2013-04-04 |
EP2760469A1 (en) | 2014-08-06 |
AU2013201495A1 (en) | 2013-04-18 |
US20170319682A1 (en) | 2017-11-09 |
IL231637A0 (en) | 2014-05-28 |
JP2014530010A (en) | 2014-11-17 |
RU2014117068A (en) | 2015-11-10 |
KR20140077169A (en) | 2014-06-23 |
CN105381457A (en) | 2016-03-09 |
US20150306207A1 (en) | 2015-10-29 |
MX2014003777A (en) | 2015-05-15 |
BR112014007616A2 (en) | 2017-04-04 |
US20150335730A1 (en) | 2015-11-26 |
HK1222125A1 (en) | 2017-06-23 |
US20130122032A1 (en) | 2013-05-16 |
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