WO2015063708A1 - LENTIVIRAL VECTORS FOR INDUCING CD4+ and CD8+ IMMUNE RESPONSES IN VACCINATION OF HUMANS INFECTED WITH HIV-1 - Google Patents

LENTIVIRAL VECTORS FOR INDUCING CD4+ and CD8+ IMMUNE RESPONSES IN VACCINATION OF HUMANS INFECTED WITH HIV-1 Download PDF

Info

Publication number
WO2015063708A1
WO2015063708A1 PCT/IB2014/065698 IB2014065698W WO2015063708A1 WO 2015063708 A1 WO2015063708 A1 WO 2015063708A1 IB 2014065698 W IB2014065698 W IB 2014065698W WO 2015063708 A1 WO2015063708 A1 WO 2015063708A1
Authority
WO
WIPO (PCT)
Prior art keywords
lentiviral vector
promoter
antigen
cells
hiv
Prior art date
Application number
PCT/IB2014/065698
Other languages
French (fr)
Inventor
Cécile Bauche
Sophie AGAUGUE
Original Assignee
Theravectys
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Priority claimed from EP14306637.1A external-priority patent/EP3009144A1/en
Application filed by Theravectys filed Critical Theravectys
Publication of WO2015063708A1 publication Critical patent/WO2015063708A1/en

Links

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K39/00—Medicinal preparations containing antigens or antibodies
    • C—CHEMISTRY; METALLURGY
    • C12—BIOCHEMISTRY; BEER; SPIRITS; WINE; VINEGAR; MICROBIOLOGY; ENZYMOLOGY; MUTATION OR GENETIC ENGINEERING
    • C12N—MICROORGANISMS OR ENZYMES; COMPOSITIONS THEREOF; PROPAGATING, PRESERVING, OR MAINTAINING MICROORGANISMS; MUTATION OR GENETIC ENGINEERING; CULTURE MEDIA
    • C12N2740/00—Reverse transcribing RNA viruses
    • C12N2740/00011—Details
    • C12N2740/10011—Retroviridae
    • C12N2740/15011—Lentivirus, not HIV, e.g. FIV, SIV
    • C—CHEMISTRY; METALLURGY
    • C12—BIOCHEMISTRY; BEER; SPIRITS; WINE; VINEGAR; MICROBIOLOGY; ENZYMOLOGY; MUTATION OR GENETIC ENGINEERING
    • C12N—MICROORGANISMS OR ENZYMES; COMPOSITIONS THEREOF; PROPAGATING, PRESERVING, OR MAINTAINING MICROORGANISMS; MUTATION OR GENETIC ENGINEERING; CULTURE MEDIA
    • C12N2740/00—Reverse transcribing RNA viruses
    • C12N2740/00011—Details
    • C12N2740/10011—Retroviridae
    • C12N2740/15011—Lentivirus, not HIV, e.g. FIV, SIV
    • C12N2740/15034—Use of virus or viral component as vaccine, e.g. live-attenuated or inactivated virus, VLP, viral protein
    • C—CHEMISTRY; METALLURGY
    • C12—BIOCHEMISTRY; BEER; SPIRITS; WINE; VINEGAR; MICROBIOLOGY; ENZYMOLOGY; MUTATION OR GENETIC ENGINEERING
    • C12N—MICROORGANISMS OR ENZYMES; COMPOSITIONS THEREOF; PROPAGATING, PRESERVING, OR MAINTAINING MICROORGANISMS; MUTATION OR GENETIC ENGINEERING; CULTURE MEDIA
    • C12N2740/00—Reverse transcribing RNA viruses
    • C12N2740/00011—Details
    • C12N2740/10011—Retroviridae
    • C12N2740/15011—Lentivirus, not HIV, e.g. FIV, SIV
    • C12N2740/15041—Use of virus, viral particle or viral elements as a vector
    • C12N2740/15043—Use of virus, viral particle or viral elements as a vector viral genome or elements thereof as genetic vector
    • C—CHEMISTRY; METALLURGY
    • C12—BIOCHEMISTRY; BEER; SPIRITS; WINE; VINEGAR; MICROBIOLOGY; ENZYMOLOGY; MUTATION OR GENETIC ENGINEERING
    • C12N—MICROORGANISMS OR ENZYMES; COMPOSITIONS THEREOF; PROPAGATING, PRESERVING, OR MAINTAINING MICROORGANISMS; MUTATION OR GENETIC ENGINEERING; CULTURE MEDIA
    • C12N2740/00—Reverse transcribing RNA viruses
    • C12N2740/00011—Details
    • C12N2740/10011—Retroviridae
    • C12N2740/15011—Lentivirus, not HIV, e.g. FIV, SIV
    • C12N2740/15071—Demonstrated in vivo effect
    • C—CHEMISTRY; METALLURGY
    • C12—BIOCHEMISTRY; BEER; SPIRITS; WINE; VINEGAR; MICROBIOLOGY; ENZYMOLOGY; MUTATION OR GENETIC ENGINEERING
    • C12N—MICROORGANISMS OR ENZYMES; COMPOSITIONS THEREOF; PROPAGATING, PRESERVING, OR MAINTAINING MICROORGANISMS; MUTATION OR GENETIC ENGINEERING; CULTURE MEDIA
    • C12N2740/00—Reverse transcribing RNA viruses
    • C12N2740/00011—Details
    • C12N2740/10011—Retroviridae
    • C12N2740/16011—Human Immunodeficiency Virus, HIV
    • C—CHEMISTRY; METALLURGY
    • C12—BIOCHEMISTRY; BEER; SPIRITS; WINE; VINEGAR; MICROBIOLOGY; ENZYMOLOGY; MUTATION OR GENETIC ENGINEERING
    • C12N—MICROORGANISMS OR ENZYMES; COMPOSITIONS THEREOF; PROPAGATING, PRESERVING, OR MAINTAINING MICROORGANISMS; MUTATION OR GENETIC ENGINEERING; CULTURE MEDIA
    • C12N2740/00—Reverse transcribing RNA viruses
    • C12N2740/00011—Details
    • C12N2740/10011—Retroviridae
    • C12N2740/16011—Human Immunodeficiency Virus, HIV
    • C12N2740/16034—Use of virus or viral component as vaccine, e.g. live-attenuated or inactivated virus, VLP, viral protein
    • C—CHEMISTRY; METALLURGY
    • C12—BIOCHEMISTRY; BEER; SPIRITS; WINE; VINEGAR; MICROBIOLOGY; ENZYMOLOGY; MUTATION OR GENETIC ENGINEERING
    • C12N—MICROORGANISMS OR ENZYMES; COMPOSITIONS THEREOF; PROPAGATING, PRESERVING, OR MAINTAINING MICROORGANISMS; MUTATION OR GENETIC ENGINEERING; CULTURE MEDIA
    • C12N2740/00—Reverse transcribing RNA viruses
    • C12N2740/00011—Details
    • C12N2740/10011—Retroviridae
    • C12N2740/16011—Human Immunodeficiency Virus, HIV
    • C12N2740/16041—Use of virus, viral particle or viral elements as a vector
    • C12N2740/16043—Use of virus, viral particle or viral elements as a vector viral genome or elements thereof as genetic vector
    • C—CHEMISTRY; METALLURGY
    • C12—BIOCHEMISTRY; BEER; SPIRITS; WINE; VINEGAR; MICROBIOLOGY; ENZYMOLOGY; MUTATION OR GENETIC ENGINEERING
    • C12N—MICROORGANISMS OR ENZYMES; COMPOSITIONS THEREOF; PROPAGATING, PRESERVING, OR MAINTAINING MICROORGANISMS; MUTATION OR GENETIC ENGINEERING; CULTURE MEDIA
    • C12N2740/00—Reverse transcribing RNA viruses
    • C12N2740/00011—Details
    • C12N2740/10011—Retroviridae
    • C12N2740/16011—Human Immunodeficiency Virus, HIV
    • C12N2740/16071—Demonstrated in vivo effect

Definitions

  • the present invention is in the field of recombinant vaccine technology and relates to improvements of lentiviral vectors, which can be used as therapeutic and prophylactic vaccines.
  • the vectors provide improved immune responses over other vectors.
  • LTRs long terminal repeats
  • IR or att sites the inverted repeats required for integration
  • packaging sequence ⁇ the packaging sequence ⁇
  • transport RNA-binding site primer binding site, PBS
  • some additional sequences involved in reverse transcription the repeat R within the LTRs, and the polypurine tracts, PPT, necessary for plus strand initiation.
  • the gag, pol, and env genes are generally entirely deleted and replaced with an expression cassette.
  • lentiviral vectors themselves are not toxic and, unlike other retroviruses, lentiviruses are capable of transducing non-dividing cells, in particular dendritic cells (He et a/. 2007, Expert Rev vaccines, 6(6):913-24), allowing antigen presentation through the endogenous pathway.
  • Lentiviruses are linked by similarities in genetic composition, molecular mechanisms of replication and biological interactions with their hosts. They are best known as agents of slow disease syndromes that begin insidiously after prolonged periods of subclinical infection and progress slowly; thus, they are referred to as the "slow" viruses (Narayan et al., 1989, J Gen Virol, 70(7): 1617-39). They have the same basic organization as all retroviruses but are more complex due to the presence of accessory genes (e.g. , vif, vpr, vpu, nef, tat, and rev), which play key roles in lentiviral replication in vivo.
  • accessory genes e.g. , vif, vpr, vpu, nef, tat, and rev
  • Lentiviruses represent a genus of slow viruses of the Retroviridae family, which includes the human immunodeficiency viruses (HIV), the simian
  • Lentiviruses can persist indefinitely in their hosts and replicate continuously at variable rates during the course of the lifelong infection. Persistent replication of the viruses in their hosts depends on their ability to circumvent host defenses.
  • Dendritic cells are of primary importance for antigen presentation because they constitute the main class of antigen presenting cells (APCs) whose primary function is to present antigens and initiate an immune response.
  • MHCs major histocompatibility complex proteins
  • the vectors routinely contain strong constitutive promoters containing enhancers, such as the CMV promoter. Michelini et al. , Vaccine 27(34):4622-29 (2009); Karwacz et al., J. Virol. 83(7):30943103 (2009); Negri et al., Molecular Therapy
  • Lentiviral vectors have been improved in their safety by removal of the LTR U3 sequence, resulting in "self-inactivating" vectors that are entirely devoid of viral promoter and enhancer sequences originally present within the LTRs.
  • the lentiviral particles which contain lentiviral vectors, can be produced by recombinant technology upon transient transfection of cells, for example HEK 293T human cultured cells, by different DNA plasmids:
  • a packaging plasmid which expresses at least the Gag, Pol Rev, Tat and, in some cases, structural and enzymatic proteins necessary for the packaging of the transfer construct;
  • VSV.G vesicular stomatitis virus
  • lentiviral particle vectors that can target a wide variety of cells, especially major histocompatibility (MHC) antigen-presenting cells (APCs), including DCs.
  • MHC major histocompatibility
  • APCs major histocompatibility antigen-presenting cells
  • DCs including DCs.
  • This procedure allows obtaining transient production of lentiviral particle vectors by the transfected cells.
  • the lentiviral particle vectors may also be continuously produced by cells by stably inserting the packaging genes, the proviral coding DNA, and the envelope gene into the cellular genome. This allows the continuous production of lentiviral particle vectors by the cells without the need for transient transfection.
  • a combination of these procedures can be used, with some of the DNAs/plasmids integrated into the cellular genome and others provided by transient transfection.
  • Non-integrating lentiviral vectors have been designed to mitigate the risks of potential oncogenesis linked to insertional mutagenesis events, particularly for vaccination purposes.
  • Examples of non-integrating lentiviral vectors are provided in Coutant et al., PLOS ONE 7(1 1 ):e48644 (2102), Karwacz et al. , J. Virol. 83(7):3094- 3103 (2009), Negri et al., Molecular Therapy 15(9): 1716-1723 (2007); Hu et al., Vaccine 28:6675-6683 (2010). Consequently, it has been reported that a non-integrating lentiviral vector system greatly mitigates the potential risk of insertional mutagenesis as compared to an integrating system.
  • IDLVs DC-directed integration-defective lentiviral vectors
  • Enhancers are cis-acting sequences, which can act as transcriptional activators at a distance. They have been widely employed in viral derived vectors because they appear to be the most efficient for obtaining transgene strong expression in a variety of cell types, in particular DCs (Chinnasamy et al. , 2000, Hum Gene Ther 1 1 (13): 1 901 -9; Rouas et al. , 2008, Cancer Gene 777er 9(9):715-24; Kimura et al. , 2007, Mol Ther 15(7): 1390-9; Gruh et al. , 2008, J Gene Med 10(1 ) 21 -32).
  • transcriptional enhancer sequences should be deleted from the lentiviral vector constructs to abolish the risk of insertional mutagenesis by enhancer proximity effect.
  • This enhancer proximity effect is by far the most frequent mechanism of insertional mutagenesis and is the only effect described in human or animal cases of tumorigenic events after gene transfer.
  • MHC class I I promoter was found not to provide sufficient transgene expression in DCs, when administered intravenously.
  • lentiviral vectors including MHC class I I promoters did not provoke an immune reaction in immunocompetent C57BL/6 mice, in contrast to the immune responses observed with CMV promoters/enhancers.
  • integration and persistent transgene expression were observed after injection in mice, the lentiviral vectors transcribed through MHC class II promoters failed to stimulate an antigen- specific CD8+ cytotoxic T-lymphocyte response, even after vaccination boost.
  • MHC class I I promoters were of interest only for applications where persistence of expression is sought as in gene replacement therapy, but not in the context of immunotherapy.
  • MHC class I I promoters are expressed poorly in most cell types.
  • the MHC class I I promoter is not an adequate promoter for lentiviral vectors for induction of an immune response against an antigen via IV injection.
  • the dectin-2 promoter is expressed poorly in most cell types and appears to contain an enhancer. Thus, the dectin-2 promoter is not a good promoter for lentiviral vectors for safety reasons.
  • lentiviral vectors provide effective expression of the transgene that elicits a desired specific immune response. This requires that the expression is at a high level in APCs, such as dendritic cells.
  • the cells transduced by the lentiviral vectors are eliminated by the immune response to provide a higher degree of safety. That is, the transgene can elicit an immune response in the host sufficient to eliminate the cells that are transduced by the lentiviral vectors.
  • the elimination of transduced cells eliminates the persistence of the lentiviral vector in the host, and possible secondary effects of the vector. In order for the transduced cells to be eliminated, expression is required in non- dendritic cells at a level that allows elimination by the immune response. Thus, appropriate expression of an antigen is desirable.
  • the promoter should maximize immune stimulation through the key cells (i.e. , dendritic cells) involved in the activation of naive and memory T cells, and should minimize the risk of insertional mutagenesis and genotoxicity in stem cells, leading to malignancies.
  • the promoter should have sufficiently high activity in dendritic and other cells, but not contain an enhancer.
  • viral promoters such as the CMV promoter, are not ideal because of the presence of strong enhancers.
  • the invention encompasses compositions comprising lentiviral vectors and methods of using the vectors.
  • the invention encompasses methods for inducing an immune response in a human. In one embodiment, the method comprises
  • the intramuscular administration is in a priming dose and a boosting dose.
  • compositions comprising a dose of 5 x 10 6 to
  • the treatment is by repetitive intramuscular administration to a human,
  • the lentiviral vector particles can comprise a functional integrase protein and a lentiviral vector.
  • the DNA of the lentiviral vector can comprise a ⁇ 2 ⁇ or MHC class I promoter directing expression of a microbial or tumor antigen, wherein the promoter does not contain an enhancer.
  • the repetitive intramuscular administration induces CD4+ and/or CD8 ⁇ T-specific responses against the antigen.
  • the lentiviral vector encodes a viral antigen, preferably a human immunodeficiency virus type I antigen, a bacterial antigen, or a tumor antigen, preferably a human telomerase antigen.
  • the method comprises injecting at least 10 7 or 5 x 10 7 lentiviral vector particles.
  • the invention further encompasses compositions comprising a lentiviral vector or lentiviral vector particle according to the invention for use as a medicament or vaccine.
  • the invention encompasses a composition or use, wherein the lentiviral vector comprises a viral antigen, particularly a human immunodeficiency virus type I antigen, a bacterial antigen, or a tumor antigen, particularly a human teiomerase antigen.
  • a viral antigen particularly a human immunodeficiency virus type I antigen, a bacterial antigen, or a tumor antigen, particularly a human teiomerase antigen.
  • the invention encompasses a composition or use comprising at least 10 7 or 5 x 1 0' lentiviral vector particles.
  • the invention encompasses nucleic acid molecules and vectors encoding a polypeptide comprising the amino acid sequence of SEQ ID NO:30 and methods of using the nucleic acid molecules and vectors.
  • the vector is a lentiviral vector.
  • the vector comprises a p2-microgiobuiin promoter.
  • the vector comprises a Woodchuck PostTranscriptional Regulatory Element (WPRE).
  • the vector encodes an HIV-1 (e.g., Gag, Pol, or Nef) polypeptide.
  • HIV-1 e.g., Gag, Pol, or Nef
  • the vector is a DNA.
  • the vector comprises or encodes the nucleic acid sequence of SEQ I D NO:31 , SEQ I D NO:32, SEQ ID NO:33, SEQ I D NO:34, SEQ ID NO:35, SEQ ID NO:36, SEQ ID NO:37, SEQ I D NO:38, SEQ ID NO:39, or SEQ ID NO:40.
  • the invention encompasses a lentiviral vector particle encoding a polypeptide comprising the amino acid sequence of SEQ ID NO:30.
  • the lentiviral vector particle comprises the nucleic acid sequence of SEQ I D NO:31 or SEQ ID NO:32.
  • the lentiviral vector particle comprises a functional lentiviral integrase protein. In one embodiment, the lentiviral vector particle comprises a vesicular stomatitis virus glycoprotein. In one embodiment, the lentiviral vector particle comprises HIV-1 subtype D Gag and Pol proteins.
  • the invention encompasses an isolated cell comprising a vector of the invention.
  • the invention encompasses the use of a vector of the invention for inducing an immune response in a human by intramuscular administration.
  • the invention encompasses a method for inducing an immune response in a human comprising intramuscularly administering a lentiviral vector particle of the invention to a human.
  • FIG. 1 Evaluation of the GFP expression driven by various internal promoters. Lentivector constructions encompassing various promoters were used to transduce HEK293T (a fibroblast ceil line) and BDCM (a dendritic-like cell line) cells, and the promoters' ability to drive the GFP expression was evaluated by flow cytometry.
  • FI Magnetic Fluorescence intensity
  • CMV cytomegalovirus
  • P2m p2 ⁇ microglobulin
  • UBC Ubiquitin C
  • Figure 3 in vivo evaluation of the GFP expression in DCs isolated from muscle or draining lymph node three days after mice intramuscular immunization with 10 s TU of lentiviral vector encompassing the CMV or the ⁇ 2 ⁇ promoter.
  • FIG. 4 Specific CD4+ and CD8 ⁇ response elicited against the P24 and Nef part of the HIV-1 antigen, after intramuscular injection of 2 10' TU of the lentivector (p2m-HIV) in Sprague Dawiey rats (ELISpot IFN- ⁇ ).
  • Figure 8 Diversified specific T-ceil response elicited after intramuscular injection of 2.68 10 7 TU of the vaccine candidate (p2m-H IV) in C57BI/6j mice (ELISpot !FN- ⁇ , cumulative response). [50] Figure 7. Evaluation of the cross neutralization of lentivectors
  • ELISpot IFN- ⁇ cumulative response
  • ELISpot IFN- ⁇ cumulative response
  • FIG. 12 Schematic depiction of GLP preclinical studies performed in Sprague-Dawley rats.
  • b Design of the vector shedding in urines: urines were collected in GMP conditions in animal participating in the acute single dose study, c.
  • organs (brain, ovaries or testes, heart, iung, liver, spleen, adrenal, kidneys, bone marrow, skeletal muscle -dorsal-, lymph node -iliac-, subcutis -injection site-, skeletal muscle -injection site-) and 3 body fluids (blood, urines and feces) were collected, and the presence of provirai sequence was evaluated with specific qPCR.
  • THV01 -1 corresponding to 1.08 10 s TU
  • THV01 -2 corresponding to 1 ,88.10 8 TU
  • Group A THV01 -1 alone, Group B THV01-1 and THV01 -2 injected 6 weeks apart (sacrifice day 49, 6 days post THV01 -2 boost injection), Group C: Group B that received a second boost injection at day 637 (day 599 post THV01 -2 boost) with THV01 -3, the HIV-1 vaccine candidate pseudotyped with Cocai, a third VSV-G serotype, MAD corresponding to 5,3.10' TU), Group D: THV01-3 aione injected at day 628 (MAD, corresponding to 5,3.10 7 ) and Group E : control (PBS-Lactose).
  • FIG. 14 GLP biodistribution (qPCR) of the ientivirai provira! sequences after MAD intramuscular injections of THV01 -1 (A) and THV01 -2 (B). Variations between animals (males and females) can be observed, as the Ientivirai vector diffusion is reduced after intramuscular administration and the injection sites were sometimes hard to localize and sample precisely at necropsy.
  • FIG. 15 Bioiuminescence monitoring of LV after IM injections of 1 10 s TU of the Ientivirai vector in C57BI/8j mice.
  • Ientivirai vector ⁇ 2 ⁇ - HiV
  • a Ientivirai vector p2m- HIV
  • p2m-HiV ientivirai vector
  • FIG. 1 Dose-response in respect of the immunogenicity of a non- integrating vector (p2m-HIV integrase mutant), compared to the effective dose of the corresponding integrating vector (p2m-HIV).
  • Mice (5 per group) were inoculated by intramuscular injection with the indicated doses of viral particles. Splenocytes were isolated from the mice after 12 days and stimulated for 18 h with pools of peptides. All reactions were performed in triplicate.
  • Adenovector (Ad5- p2m-HIV adenoviral vector), compared to an effective dose of the corresponding integrating lentiviral vector (p2m-HIV). Mice (5 per group) were inoculated by intramuscular injection with the indicated doses of viral particles.
  • Splenocytes were isolated from the mice after 12 days and stimulated for 18 h with pools of peptides. All reactions were performed in triplicate.
  • FIG. 21 Clinical trial regimen. Schematically, four steps can be defined: i. the screening phase; ii. HAART alleviation: patient is enrolled at his baseline visit and stops taking aii antiretroviral treatments except a boosted protease inhibitor. Baseline visit takes place 2 weeks before the injection of THV01 -1 except for patients taking Tenofovir for whom it must take place 7 weeks before the injection because of a longer intracellular half-life. Patient receives THV01 -1 then 8 weeks later THV01 -2 at the same dose; iii. HAART resumption: 1 week after the vaccination with THV01 -2, patient resumes its full antiretroviral therapy and iv. Patient stops all antiretroviral treatments 16 weeks after the second vaccination. Stringent monitoring is implemented to guaranty patient's safety: patient will resume HAART as soon as HAART resumption criteria are met.
  • FIG. 22 A: Kinetics of in vivo expression of (CMV-Luciferase) after direct IM injection into C57BI/6J mice (left flank exposure) - mean.
  • B Kinetics of in vivo expression of (p2-m HIV antigen IRES luciferase) after direct IM injection into C56bl/- mice (left flank exposure -mean).
  • Figure 23 Long-term biodistribution of integrated ientiviral vector sequence following direct !M injection of MAD in rats (muscle, lymphnode and subcutis) were evaluated.
  • ELISpot IFN- ⁇ T-cell specific immune response
  • FIG. 26 A-D Depiction of constructs expressing HIV antigens.
  • FIG. 27 A-U Depiction of stimulations with peptides from the antigens included in the vaccine (GAG, POL and Nef pools). Patients 103-001 , 103-003, 202- 004, 105-003, 106-001 , and 201 -006 were given placebo.
  • FIG. 29 A-D Patient RNA and CD4+ T ceil levels at various time points during the study for four different patients. The week at which the patient left the study is indicated within the box at the upper right. The P within the darkened circle indicates the patient given the placebo. These patients were given 2 doses of 5 x 10 6 of the lentivector or the piacebo.
  • Figure 30 A-D Patient RNA and CD4+ T ceil levels at various time points during the study for four different patients. The week at which the patient left the study is indicated within the box at the upper right. The P within the darkened circle indicates the patient given the piacebo. These patients were given 2 doses of 5 x 10 6 of the lentivector or the piacebo.
  • Figure 31 A-D Patient RNA and CD4+- T ceil levels at various time points during the study for four different patients. The week at which the patient left the study is indicated within the box at the upper right. The P within the darkened circle indicates the patient given the placebo. These patients were given 2 doses of 5 x 10 6 of the lentivector or the piacebo.
  • FIG. 32 A-D Patient RNA and CD4+ T cell levels at various time points during the study for four different patients. The week at which the patient left the study is indicated within the box at the upper right. The P within the darkened circle indicates the patient given the placebo. These patients were given 2 doses of 5 x 10 7 of the lentivector or the piacebo.
  • FIG. 33 A-D Patient RNA and CD4 ⁇ T cell levels at various time points during the study for four different patients. The week at which the patient left the study is indicated within the box at the upper right. The P within the darkened circle indicates the patient given the piacebo. These patients were given 2 doses of 5 x 10 7 of the lentivector or the placebo.
  • FIG. 34 A-D Patient RNA and CD4+ T DCi levels at various time points during the study for four different patients. The week at which the patient left the study is indicated within the box at the upper right. The P within the darkened circle indicates the patient given the piacebo. These patients were given 2 doses of 5 x 10' of the lentivector or the piacebo.
  • FIG. 35 A ⁇ D Patient RNA and CD4 ⁇ T ceil levels at various time points during the study for four different patients. The week at which the patient left the study is indicated within the box at the upper right. These patients were given 2 doses of 5 x 10 8 of the lentivector or the placebo.
  • FIG. 36 A-D Patient RNA and CD4+ T cell levels at various time points during the study for four different patients. These patients were given 2 doses of 5 x 10 s of the ientivector or the piacebo.
  • Figure 37 A-D Patient RNA and CD4+ T ceil levels at various time points during the study for four different patients. These patients were given 2 doses of 5 x 10 8 of the lentivector or the placebo.
  • Figure 38 A-B Patient RNA and CD4+- T ceil levels at various time points during the study for two different patients. These patients were given 2 doses of 5 x 10 8 of the lentivector or the placebo.
  • Figure 39 A-B Summary of pre-week 24 CD4+ and CD8+ immune responses for dose 1 (A) and dose 2 (B).
  • Figure 40 A-B Summary of pre- and post-week 24 CD4+ and CD8+ immune responses for dose 1 (A) and dose 2 (B).
  • the inventors have discovered that the intramuscular administration to an animal, including a human, of an integrating lentivector with specialized promoters driving expression of an immunogenic protein results in an unexpectedly high and prolonged immune response against the protein that leads to elimination of the integrated vector from the animal, including a human.
  • a clinical study in humans has shown that the intramuscular administration of a lentivector to a human is safe.
  • the invention provides for new lentivectors having high and prolonged immune responses and increased safety for human administration.
  • MHC Class I and 2-microglobulin (p2m) promoters show conservation of NF-Kb binding sites, an interferon stimulated response element (ISRE), and an SXY regulatory module (SXY).
  • the human 2-microglobulin ( ⁇ 2 ⁇ ) promoter shows some similarity to the MHC Class I promoters, as it contains an ISRE, albeit upstream of a single NF-Kb binding site.
  • MHC Class I I promoters are considered to be antigen presenting cell
  • MHC class II promoters contain an SXY module, they do not contain NF-Kb binding sites or an ISRE (Van den Helsen et al, 1998, Immunogenetics, 48:208-221 ). Thus, MHC Class II promoters are quite different from MHC Class I promoters. As a result, they also have very different cell expression patterns (Fig. 24).
  • dectin-2 contains an interferon stimulated response element (ISRE); but does not contain an SXY module (Bonkabara et al., 2001 , J. Immunology, 167:6893-6900).
  • ISRE interferon stimulated response element
  • HLA-A2 (MHC I):
  • HLA-Cw5 (MHC I):
  • a sequence of the human p2-microglobulin promoter is shown below: aacatcacgagactctaagaaaaggaaactgaaaacgggaaagtccctctctaacctggcac tgcgtcgctggcttggagacaggtgacggtccctgcgggccttgtcctgattggctgggcacgc gtttaatataagtggaggcgtcgcgctggcgggcattcctgaagctgacagcattcgggccgag (SEQ ID NO: 6) .
  • the MHC I and p2m promoters do not contain an enhancer. Moreover, these promoters are dendritic-specific in that expression of the promoter in BDCA+ dendritic cells is higher than the expression in kidney, smooth muscle, liver, and heart cells (http://biogps.org; Fig. 24). They also have relatively high expression in other transduced cell types, for example, expression of the promoter in BDCA+ dendritic cells is only 12-100 times the expression of that promoter in skeletal muscle cells, in contrast to 900 times with the MHCI I HLA-DRa promoter. Id. Consequently, the MHCI and ⁇ 2 ⁇ promoters were assessed to determine their utility in a lentiviral vector.
  • MHCI promoters HLA-A2, HLA-B7 or HLA-E
  • a p2m promoter were inserted into a lentiviral vector.
  • the promoters of the ubiquitously expressed EF1 a and Ubiquitin (UBC) genes were also inserted into the lentiviral vector.
  • EF1 a and Ubiquitin promoters do not contain any identified enhancers, and do not contain an SXY module, NF-Kb binding sites or an ISRE. Rather, the EF1 a and
  • Ubiquitin (UBC) promoters instead contain Sp1 and Ap1 binding sites.
  • the EF1 a promoter does not have high expression in dendritic cells (http://biogps.org; Fig. 24). In fact, expression in smooth muscle is greater than expression in BDCA+ DCs.
  • the UBC promoter does not have expression in BDCA+ dendritic cells that is 12-100 times the expression of that promoter in skeletal muscle cells (http://biogps.org; Fig. 24). Rather, the expression in skeletal muscle is similar to that in BDCA+ DCs.
  • a vector containing the CMV promoter/enhancer was also generated.
  • a vector containing an MHCII promoter (HLA-DRa) was also generated. This promoter has extremely high expression in dendritic cells, but not in other cells, such as kidney, smooth muscle, liver, heart and skeletal muscle (http://biogps.org). In these vectors, the promoters drive expression of green fluorescent protein (GF
  • the lentivectors were packaged by cotransfection in HEK 293 T cells with an encapsidation plasmid and a plasmid providing VSV. G envelope, essentially as described in Naldini et al, 1996, Science 272:263-7. Both HEK 293 T and BDCM cells (a dendritic-like cell line) were then transduced with particles of the different vectors. Expression was detected in HEK 293 T cells with all vectors.
  • HLA-DRa MHCI I promoter
  • HLA-A2 HLA- B7 or HLA-E
  • P2m ⁇ 2 microglobulin promoter
  • mice were immunized with lentivectors in which HIV antigen expression is driven by various promoters. 12 days after immunization, the specific T- cell responses were monitored in mice splenocytes by IFN- ⁇ ELISPOT. As shown in Figure 2, immunization with a lentivector with an MHCI promoter gave the highest specific T-cell response.
  • the T-specific response with the MHCI promoters was higher than with CMV, EF1 a, Ubiquitin, or MHC I I promoters, and more than 3 fold higher than that with EF1 a or CMV promoters.
  • the T-specific response with the p2m promoter was similar to the MHCI promoters.
  • Group A THV01 -1 alone, Group B THV01 -1 and THV01 -2 injected 6 weeks apart (sacrifice day 49, 6 days post THV01 -2 boost injection), Group C: Group B that received a second boost injection at day 837 (day 599 post THV01 -2 boost) with THV01 -3, the HIV-1 vaccine candidate ( ⁇ 2 ⁇ - ⁇ ) pseudotyped with Cocal, a third VSV-G serotype, MAD corresponding to 5,3.10 7 TU), Group D: THV01 -3 alone injected at day 628 (MAD, corresponding to 5,3.10 7 ) and Group E : control (PBS-Lactose)( Figure 13).
  • the ELISA P24 detection kit is calibrated to measure the presence of P24 in patient ' s blood.
  • the P24 protein is far more concentrated in lentivira! batches, strong dilutions need to be applied before performing the titration (up to 10 "7 ), increasing the inaccuracy of the method.
  • ientivirai batches can show great variability when P24 measurements are performed at different times.
  • a new method of titration based on qPCR detection of non-integrating ientivirai vectors was implemented. This method was used in the present study to determine precisely and reliably the titer of non-integrating lentivira! vectors over time, and to evaluate more precisely the immunogenicity after direct injection into animals.
  • mice were intramuscularly
  • mice immunization with the lentivector coding for the H IV antigen After mice immunization with the lentivector coding for the H IV antigen, the number of mice T-cells responding to a GAG peptide stimulation appeared to be larger than expected from previously published studies using either lentiviral vectors (Yang et al, PNAS 2006) or other clinically used viral vectors (Chen X. et al, J. Virol 2005;
  • the intramuscular administration to a human of a lentiviral vector comprising a p2m promoter can induce dose-dependent CD4+ and CD8+ T cell responses against each of the encoded antigens.
  • 5 x 10 6 TU of the lentiviral vector is sufficient to observe responses, 5 x 10 7 TU demonstrated better responses. 5 x 10 8 TU can demonstrate even better responses.
  • the present invention encompasses lentiviral vectors comprising MHCI and p2m promoters, and their use for the induction of immune responses in a host by intramuscular administration to a human.
  • the present invention encompasses a lentiviral vector comprising a promoter sequence from a class I MHC or p2m gene promoter that directs the transcription of a transgene, which preferably encodes an immunogenic polypeptide, in a cell of a host, preferably in dendritic cells .
  • the lentiviral vector encodes at least one HIV-1 antigen, preferably an HIV-1 Nef, Pol, NC, or CA antigen or
  • immunogenic polypeptide most preferably comprising the amino acid sequence of SEQ ID NO:30.
  • the invention encompasses proteins comprising the amino acid sequence of SEQ ID NO:30.
  • the protein consists of the amino acid sequence of SEQ ID NO:30.
  • FDSRLAFHHMARELHPEYY (SEQ ID NO:30). This sequence comprises Gag, Pol, and Nef sequences, in that order. The Pol sequences are in bold.
  • the protein can be purified.
  • the purified protein is more than 50%, 75%, 85%, 90%, 95%, 97%, 98%, or 99% pure.
  • a purified protein that is more than 50% (etc.) pure means a purified protein sample containing less than 50% (etc.) other proteins not comprising SEQ ID NO:30.
  • a sample of a protein comprising SEQ ID NO:30 can be 99% pure if it contains less than 1 % contaminating host cell proteins.
  • the invention encompasses nucleic acids encoding the amino acid sequence of SEQ ID NO:30.
  • the nucleic acid can be single-stranded or double- stranded.
  • the nucleic acid can be an RNA or DNA molecule.
  • Preferred nucleic acids comprise, or encode the nucleic acid sequence of any of the sequences disclosed herein.
  • Preferred nucleic acids comprise or encode any of the following nucleic acid sequences.
  • WPRE ACCUUCCCGAUUAAGUGAGGGUUUCUUCUGUUCUAUAGGAACUAGACACCUAGAUGGUG UGUGUUCCGAUGAAGGGACUAAUCGUCUUGAUGUGUGGUCCCGGUCCCCAGUCUAUAGGUGACU GGAAACCUACCACGAUGUUCGAUCAUGGUCAACUCGGUCUAUUCCAUCUUCUCCGGUUAUUUCC UCUCUUGUGGUCGAACAAUGUGGGACACUCGGACGUACCCUACCUACUGGGCCUCUCUCUUCAC AAUCUCACCUCCAAACUGUCGGCGGAUCGUAAAGUAGUGCACCGGGCUCUCGACGUAGGCCUCA UGAAGUUCUUGACGACUAUAGCUCGAACGAUGUUCCCUGAAAGGCGACCCCUGAAAGGUCCCUC CGCACCGGACCCGCCCUGACCCCUCACCGCUCGGGAGUCUAGGACGUAUAUUCGUCGACGAAAAAC G G AC AU G AC C C AG AG AG AG AC C AAU C
  • the WPRE in this sequence is in bold. This sequence is shorter than the WPRE sequences previously used in lentiviral constructs.
  • Antigen RNA sequence from integrated provirus with WPRE UACGGGUAGCACGUCUUGGACGUCCCGGUCUACCACGUGGUCCGGUAGUCGGGGGCCUG GGACUUGCGGACCCACUUCCACCACCUCCUUUUCCGGAAGUCGGGGCUCCACUAGGGGUACAAG UCGCGGGACUCGCUCCCGCGGUGUGGGGUCCUGGACUUGUGGUACGACUUGUGGCACCCGCCGG UGGUCCGGCGGUACGUCUACGACUUUCUCUGUUAGUUGCUCCUUCGGCGGCUCACCCUGGCCGA CGUGGGACACGUGCGGCCUGGAUAGCGGGGACCGGUCUACGCCCUCGGGUCCCCGUCGCUAUAG CGGCCGUGGUGGAGGUGUGACGUCCUUGUCUAGCCGACCUACUGGUUGUUGGGGGGGUAGGGGC ACCCGCUCUAGAUGUUCGCCACCUAGUAGGACCCGGACUUGUUCUAGCACGCCUACAUGUCGGG GUGGAGGUAGGACCCGACCCG
  • AAATcTcTAGcAG (SEQ ID NO:37).
  • the nucleic acid comprises a DNA or RNA sequence recited herein, preferably selected from SEQ ID NOs 31 -40.
  • the nucleic acid is a DNA sequence of any of SEQ ID NO: 1
  • the invention encompasses an isolated nucleic acid of the invention inserted into a vector.
  • the nucleic acid can be purified.
  • the purified nucleic acid is more than 50%, 75%, 85%, 90%, 95%, 97%, 98%, or 99% pure.
  • a purified nucleic acid that is at least 50% pure means a purified nucleic acid sample containing less than 50% other nucleic acids not encoding SEQ ID NO:30.
  • a sample of a plasmid encoding SEQ ID NO:30 can be at least 99% pure if it contains less than 1 % contaminating bacterial DNA.
  • the invention encompasses vectors encoding at least one HIV-1 antigen, preferably an H IV-1 Nef, Pol, NC, or CA antigen or immunogenic polypeptide, most preferably comprising the amino acid sequence of SEQ I D NO:30.
  • Preferred vectors comprise or encode the nucleic acid sequence of any of SEQ ID NOs 31 -40.
  • the vector can be an expression vector.
  • the vector can be a plasmid vector.
  • the vector is a lentiviral vector.
  • the vector has the order, 5' to 3', of LTR, Splice donor, 5' Gag (including ⁇ ), RRE, cPPT/CTS, promoter (preferably ⁇ 2 ⁇ ), H IV antigen (comprising SEQ ID NO:30), LTR ( ⁇ 3). More preferably, the vector has a structure shown in Figure 26. Most preferably, the vector comprises the nucleic acid sequence of SEQ ID NO:37 or SEQ ID NO:38.
  • the invention encompasses methods for generating a vector comprising inserting an nucleic acid encoding SEQ ID NO:30 into a vector, preferably a lentiviral vector.
  • the invention encompasses cells comprising vectors and lentiviral vector particles encoding at least one HIV-1 antigen, preferably an HIV-1 Nef, Pol, NC, or CA antigen or immunogenic polypeptide, most preferably comprising the amino acid sequence of SEQ ID NO:30.
  • the cells comprise or encode the nucleic acid sequence of any of SEQ I D NOs 31 -40.
  • the cell contains the vector integrated into the cellular genome.
  • the cell contains the vector transiently expressing the HIV-1 antigen, preferably an HIV-1 Nef, Pol, NC, or CA antigen or immunogenic polypeptide, most preferably comprising the amino acid sequence of SEQ ID NO:30.
  • the cell produces lentiviral vector particles encoding the HIV-1 antigen, preferably an HIV-1 Nef, Pol, NC, or CA antigen or immunogenic polypeptide, most preferably comprising the amino acid sequence of SEQ ID NO:30.
  • the invention encompasses a cell line, a population of cells, or a cell culture comprising vectors and lentiviral vector particles encoding the HIV-1 antigen, preferably an HIV-1 Nef, Pol, NC, or CA antigen or immunogenic polypeptide, most preferably comprising the amino acid sequence of SEQ ID NO:30.
  • a "lentiviral vector” means a non- replicating vector for the transduction of a host cell with a transgene comprising cis- acting lentiviral RNA or DNA sequences, and requiring lentiviral proteins (e.g., Gag, Pol, and/or Env) that are provided in trans.
  • the lentiviral vector lacks expression of functional Gag, Pol, and Env proteins.
  • the lentiviral vector may be present in the form of an RNA or DNA molecule, depending on the stage of production or development of said retroviral vectors.
  • the lentiviral vector can be in the form of a recombinant DNA molecule, such as a plasmid.
  • the lentiviral vector can be in the form of a lentiviral particle vector, such as an RNA molecule(s) within a complex of lentiviral and other proteins.
  • lentiviral particle vectors which correspond to modified or recombinant lentivirus particles, comprise a genome which is composed of two copies of single-stranded RNA. These RNA sequences can be obtained by transcription from a double-stranded DNA sequence inserted into a host cell genome (proviral vector DNA) or can be obtained from the transient expression of plasmid DNA (plasmid vector DNA) in a transformed host cell.
  • the lentiviral vector particles have the capacity for integration.
  • they contain a functional integrase protein.
  • Non-integrating vector particles have one or more mutations that eliminate most or all of the integrating capacity of the lentiviral vector particles.
  • a non-integrating vector particle can contain mutations in the integrase encoded by the lentiviral pol gene that cause a reduction in integrating capacity.
  • an integrating vector particle comprises a functional integrase protein that does not contain any mutations that eliminate most or all of the integrating capacity of the lentiviral vector particles.
  • Lentiviral vectors derive from lentiviruses, in particular human
  • HIV-1 or HIV-2 immunodeficiency virus
  • SIV simian immunodeficiency virus
  • EIAV equine infectious encephalitis virus
  • CAEV caprine arthritis encephalitis virus
  • BIV bovine immunodeficiency virus
  • FV feline immunodeficiency virus
  • trans-acting sequences e.g., gag, pol, tat, rev, and env genes
  • the trans-acting sequences can be deleted and replaced by an expression cassette encoding a transgene.
  • Efficient integration and replication in non-dividing cells generally requires the presence of two c/s-acting sequences at the center of the lentiviral genome, the central polypurine tract (cPPT) and the central termination sequence (CTS). These lead to the formation of a triple-stranded DNA structure called the central DNA "flap", which acts as a signal for uncoating of the pre-integration complex at the nuclear pore and efficient importation of the expression cassette into the nucleus of non-dividing cells, such as dendritic cells.
  • cPPT central polypurine tract
  • CTS central termination sequence
  • the invention encompasses a lentiviral vector comprising a central polypurine tract and central termination sequence referred to as cPPT/CTS sequence as described, in particular, in the European patent application EP 2 169 073.
  • LTRs long terminal repeats
  • Vectors may be obtained by mutating the LTR sequences, for instance, in domain U3 of said LTR (AU3) (Miyoshi H et al, 1998, J Virol. 72(10):8150-7; Zufferey et al., 1998, J Virol 72(12):9873-80) .
  • the vector does not contain an enhancer.
  • the invention encompasses a lentiviral vector comprising LTR sequences, preferably with a mutated U3 region ( ⁇ 3) removing promoter and enhancer sequences in the 3' LTR.
  • the packaging sequence ⁇ (psi) can also be incorporated to help the encapsidation of the polynucleotide sequence into the vector particles (Kessler et ai , 2007, Leukemia, 21 (9): 1859-74; Paschen et al. , 2004, Cancer Immunol Immunother 12(6): 196-203).
  • the invention encompasses a lentiviral vector comprising a lentiviral packaging sequence ⁇ (psi).
  • lentiviral vector polynucleotide sequence of the present invention can also be advantageously included in the lentiviral vector polynucleotide sequence of the present invention, to obtain a more stable expression of the transgene in vivo.
  • PBS primer binding site
  • WPRE Woodchuck PostTranscriptional Regulatory Element
  • the invention encompasses a lentiviral vector comprising a PBS. In one embodiment, the invention encompasses a lentiviral vector comprising a WPRE and/or an IRES.
  • the lentiviral vector comprises at least one cPPT/CTS sequence, one ⁇ sequence, one (preferably 2) LTR sequence, and an expression cassette including a transgene under the transcriptional control of a ⁇ 2 ⁇ or class I MHC promoter.
  • the promoter drives high expression in antigen presenting cells, including dendritic cells, to induce maximal immune responses.
  • the promoter drives expression in other transduced cell types sufficient for elimination by the induced immune response.
  • the promoter lacks an enhancer element to avoid insertional effects.
  • the promoter is not a CMV promoter/enhancer.
  • the promoter is not a dectin-2 or MHCI I promoter.
  • the lentiviral vector comprises a p2m or MHC class I promoter.
  • the MHC class I promoter is an HLA-A2 promoter, an HLA-B7 promoter, an HLA-Cw5 promoter, an HLA-F, or an HLA-E promoter.
  • the promoter sequence comprises a polynucleotide sequence that shares more than 90%, preferably more than 95%, more preferably more than 99% identity with the promoter sequence of SEQ ID NO: 1 , SEQ ID NO:2, SEQ ID NO:3, SEQ ID NO:4, SEQ ID NO:5, or SEQ ID NO:6.
  • the invention encompasses dendritic cell-specific promoters.
  • a "dendritic cell-specific promoter” is one in which expression of the promoter in BDCA+ dendritic cells is higher than the expression in kidney, smooth muscle, liver, and heart cells.
  • expression of the promoter in BDCA+ dendritic cells is at least 2X, 3X, or 4X higher than the expression in kidney, smooth muscle, liver, and/or heart cells.
  • a promoter is "(2X, 3X, or 4X) higher than the expression in kidney, smooth muscle, liver, and/or heart cells" can be determined by reference to the data sets at
  • the 2m, HLA-A2, HLA-B7, HLA-Cw5, HLA-F, and HLA-E promoters are "dendritic cell-specific promoters.”
  • the EF1 a promoter is not. Thus, preferably the promoter is not an EF1 a promoter.
  • the promoter drives expression in other transduced cell types, such as kidney, smooth muscle, liver, and/or heart cells, and skeletal muscle.
  • the expression of the promoter in BDCA+ dendritic cells is 12-100 times the expression of that promoter in skeletal muscle cells.
  • the expression of the promoter in BDCA+ dendritic cells is 12-100 times the expression of that promoter in skeletal muscle cells.
  • the expression of the promoter in BDCA+ dendritic cells is 12-100 times the expression of that promoter in skeletal muscle cells and expression of the promoter in BDCA+ dendritic cells is higher than the expression in kidney, smooth muscle, liver, and heart cells.
  • the ⁇ 2 ⁇ , HLA-A2, HLA-B7, HLA-Cw5, HLA-F, and HLA-E promoters are promoters where expression in BDCA+ dendritic cells is 12-100 times the expression of that promoter in skeletal muscle cells.
  • the HLA-DRa promoter and UBC promoter are not.
  • the promoter is not an HLA-DRa (MHCII) promoter or UBC (Ubiquitin) promoter.
  • the expression of the promoter in BDCA+ dendritic cells is at least 10, 12, 15, 20, 25, 30, 35, 40, 50, or 60 times the expression of that promoter in skeletal muscle cells.
  • the invention encompasses lentiviral vector particles comprising a lentiviral vector that comprises a dendritic cell-specific promoter directing expression of a microbial or tumor antigen, wherein the lentiviral vector particles exhibit higher expression of the antigen in BDCM cells than in HEK 293 T cells.
  • the lentiviral vector encodes at least one HIV-1 antigen, preferably an HIV-1 Nef, Pol, NC, or CA antigen or immunogenic polypeptide, most preferably comprising the amino acid sequence of SEQ ID NO:30.
  • the lentiviral vector comprising the promoter induces a greater CTL response in vivo against the encoded immunogenic polypeptide than a vector in which the transgene sequence is under the transcriptional control of a CMV promoter.
  • whether a vector "induces a greater CTL response in vivo against the encoded immunogenic polypeptide than a vector in which the transgene sequence is under the transcriptional control of a CMV promoter" can be determined using the assay set forth in the examples. Other assays that provide similar results can also be used.
  • the lentiviral vector comprising the promoter induces a greater CTL response in vivo against the encoded immunogenic polypeptide than a vector in which the transgene sequence is under the transcriptional control of an EF1 a promoter.
  • the CTL response with the promoter is at least 2-fold or 3- fold higher than with the EF1 a promoter.
  • whether a vector "induces a greater CTL response in vivo against the encoded immunogenic polypeptide than a vector in which the transgene sequence is under the transcriptional control of an EF1 a promoter" can be determined using the assay set forth in the examples. Other assays that provide similar results can also be used.
  • the lentiviral vector comprising the promoter induces a greater CTL response in vivo against the encoded immunogenic polypeptide than a vector in which the transgene sequence is under the transcriptional control of an Ubiquitin promoter.
  • a vector in which the transgene sequence is under the transcriptional control of an Ubiquitin promoter
  • whether a vector "induces a greater CTL response in vivo against the encoded immunogenic polypeptide than a vector in which the transgene sequence is under the transcriptional control of an Ubiquitin promoter” can be determined using the assay set forth in the examples. Other assays that provide similar results can also be used.
  • the invention encompasses lentiviral vectors containing a promoter that does not contain an enhancer.
  • the invention encompasses the insertion of an MHC Class I (MHCI) or ⁇ 2 microglobulin(p2m) promoter into a lentiviral vector.
  • an MHC Class I (MHCI) promoter or " ⁇ 2 microglobulin promoter” includes a naturally occurring or synthetic MHC Class I promoter or ⁇ 2 microglobulin promoter.
  • MHC Class I promoter does not include a p2m promoter.
  • the lentiviral vector particles comprising the promoter exhibit higher expression of the antigen in BDCM cells than in HEK 293 T cells.
  • the promoter can be a naturally occurring promoter.
  • naturally occurring promoters are the human ⁇ 2 ⁇ , HLA-A2, HLA-B7, HLA-Cw5, HLA-E, HLA-F gene promoters.
  • These naturally occurring MHCI promoters are generally cloned or reproduced from the promoter region of a gene encoding the MHC class I protein, or referred to as putatively encoding such proteins in genome databases (ex: NCBI polynucleotide database http://www.ncbi.nlm.nih.gov/guide/dna-rna). Both p2m and class I MHC proteins enter the Major Histocompatibility Complex (MHC).
  • MHC Major Histocompatibility Complex
  • MHCI proteins are generally present at the surface of the membrane of leucocytes, where they are associated with the p2-microglobulin ( ⁇ 2 ⁇ ). The role of these associated proteins is to present peptides from endogenous sources to CD8+ T cells. They thus play a central role to the generation of the antigen-specific immune response. Because MHC class I proteins have been widely studied and described for many years, their genes are well characterized and detectable using sequence comparison tools, such as the BLAST method (Altschul, S.F. et a/. (1990). Basic local alignment search tool. J. Mol. Biol. 215(3):403-410).
  • sequence comparison tools such as the BLAST method (Altschul, S.F. et a/. (1990). Basic local alignment search tool. J. Mol. Biol. 215(3):403-410).
  • MHC class I promoters share the ability to be strongly activated in antigen presenting cells, including dendritic cells, as well as, to lower intensity, in the majority of the other human body tissues.
  • the promoters of the invention can contain further regulatory elements, such as one or more Sp1 and ETs binding sites.
  • the MHC class I promoter contains 2 Sp1 binding sites and 1 Ets binding site.
  • Ap1 and/or Ap2 sites are further contained in the promoter.
  • Preferred promoters are naturally occurring human p2m, HLA-A2, HLA-B7,
  • HLA-Cw5 HLA-E and HLA-F promoters.
  • Promoters can also be synthetic. Synthetic promoters include promoters that are synthesized using molecular biological techniques to assemble the individual components of a promoter or that are derived from naturally occurring promoters using molecular biological techniques.
  • the synthetic promoter comprises a
  • polynucleotide sequence that shares more than 90%, preferably more than 95%, more preferably more than 99% identity, or 100% with the promoter sequence of a p2m or MHC class I gene promoter (e.g. , SEQ ID NOs: 1 -6 and 19).
  • MHC I class genes are usually mediated by two major regulatory elements: Interferon stimulated response element (ISRE) and the SXY module (encompassing the W/S, X1X2/Site a and Y/enhancer B regulatory elements) (see figure 1 ). See also Van den Elsen, Immunogenetics (1998) 48:208-21 1.
  • ISRE Interferon stimulated response element
  • SXY module encompassing the W/S, X1X2/Site a and Y/enhancer B regulatory elements
  • These regulatory promoter elements are localized in a region extending approximately from nucleotides -220 to -95 upstream of the transcription initiation site. They mediate tissue-specific and cytokine-induced transcription of MHC class I genes.
  • the ISRE of MHC class I gene promoters generally contains binding sites for interferon regulatory factor (IRF) family members. It is thus a property of MHC class I promoters to bind to interferon regulatory factor (IRF) family members. This may be verified, for example, by gel shift assays.
  • Another regulatory element, the enhancer A (containing binding sites for nuclear transcription factor ⁇ (NF- ⁇ )) is present in most cases. It is thus a property of MHC class I promoters to bind to nuclear transcription factor ⁇ (NF- ⁇ ). This may be verified, for example, by gel shift assays.
  • MHC class I promoters In addition to ISRE, MHC class I promoters generally share another set of conserved upstream sequence motifs, consisting of three regulatory elements: the S or W box, the X1 /CREX2 boxes or site a, and the Y box or enhancer B, which together are termed the SXY module.
  • This SXY module is generally cooperatively bound by a multiprotein complex containing regulatory factor X (RFX; consisting of RFX5,
  • RFXB/ANK and RFXAP cAMP response element binding protein
  • ATF activating transcription factor
  • NFY nuclear factor Y
  • MHC class I I promoters do not display enhancer A nor ISRE elements (Van den Elsen, P.J. et al, 1998, Immunogenetics. 48:208-221 ).
  • RFX and C I ITA in MHC class I I gene regulation have been found of crucial importance as illustrated by studies with cell lines established from patients with the bare lymphocyte syndrome (BLS), a severe combined immunodeficiency due to mutations in one of the RFX subunits or CI ITA (DeSandro, A. et al. , 1999, Am J Hum Genet, 65:279- 286).
  • the invention encompasses a method comprising inserting a promoter of the invention, particularly a p2m or MHC class I promoter, into a lentiviral vector to direct expression of a transgene, which preferably encodes an immunogenic polypeptide, most preferably encoding a microbial or a tumor antigen or therapeutic protein.
  • the method can further comprise inserting any of the other nucleic acid elements mentioned herein, such as a DNA flap sequence.
  • a "transgene” is a nucleic acid sequence within a lentiviral vector that is not normally present in a cell to be transduced with the lentiviral vector.
  • the lentiviral vector serves to introduce this sequence into the transduced cell.
  • the term "transgene” does not include those sequences of the vector that facilitate transduction of the transgene.
  • the transgene may be a nucleic acid sequence from another organism. Alternatively, the transgene may be a nucleic acid sequence from the same organism, but having different regulatory sequences controlling its expression.
  • the transgene may be a sense or antisense nucleic acid molecule. According to a preferred embodiment of the invention, the transgene sequence encodes an antigen or immunogenic polypeptide.
  • the antigen or immunogenic polypeptide is a microbial or tumor antigen or immunogenic polypeptide. More preferably, the antigen or immunogenic polypeptide is viral, bacterial, or fungal. In one embodiment, the antigen or
  • immunogenic polypeptide is a tumor antigen or immunogenic polypeptide. In one embodiment, the antigen or immunogenic polypeptide is an allergen. In one
  • the antigen or immunogenic polypeptide is an HIV-1 antigen or immunogenic polypeptide, preferably an HIV-1 Nef, Pol, NC, or CA antigen or immunogenic polypeptide.
  • the antigen or immunogenic polypeptide preferably comprises one or several epitope(s) from agents of infectious diseases, for example a human
  • immunodeficiency type 1 virus such as antigen(s) from Gag, Pol, and/or Nef proteins.
  • such epitope is derived from target antigens identified in tumors (i.e. , tumor antigen), and can be chosen in such a way that a cell- mediated immune response is obtained against it.
  • Target antigens are well documented in the art, which can be selected with respect to several types of tumors and in particular in melanomas or in carcinomas, including renal carcinomas, bladder carcinomas, colon carcinomas, lung carcinomas, breast cancers, leukemias, myelomas and lymphomas.
  • Both B and T cell-based immune responses can be induced by the same antigen.
  • a lentiviral vector particle (or lentiviral particle vector) comprises a lentiviral vector in association with viral proteins.
  • the vector is preferably an integrating vector.
  • the lentiviral vector particles encode an H IV-1 antigen, preferably an H IV-1 Nef, Pol, NC, or CA antigen or immunogenic polypeptide, most preferably comprising the amino acid sequence of SEQ I D NO:30.
  • the lentiviral vector particles comprise the nucleic acid sequence of any of SEQ ID NOs 31 - 36.
  • the lentiviral vector particle comprises H IV-1 Gag and Pol proteins.
  • the lentiviral vector particle comprises subtype D, especially H IV-1 NDK, Gag and Pol proteins.
  • the lentivector particles are obtained in a host cell transformed with a DNA plasmid.
  • Such a DNA plasmid can comprise:
  • KanR antibiotic resistance gene
  • lentiviral vector comprising at least one transgene transcriptionally linked to a
  • DNA sequences encoding at least structural and polymerase (+ integrase) activities of a retrovirus preferably lentivirus
  • a retrovirus preferably lentivirus
  • packaging plasmids are described in the art (Dull et al. , 1998, J Virol, 72(1 1 ):8463-71 ; Zufferey et al., 1998, J Virol 72(12) :9873-80).
  • iii) culturing said transfected host cell in order to obtain expression and packaging of said lentiviral vector into lentiviral vector particles; and iv) harvesting the lentiviral vector particles resulting from the expression and packaging of step iii) in said cultured host cells.
  • pseudotype the obtained retroviral particles i.e. to add or replace specific particle envelope proteins.
  • this may be advantageous to have different envelope proteins in order to distinguish the recombinant particle from natural particles or from other recombinant particles.
  • pseudotyped particle vectors are more likely to escape the immune system, when this latter already developed immunity against lentiviruses. This is particularly helpful when successive injections of similar particle vectors are required for immunizing a patient against a disease.
  • the host cell can be further transfected with one or several envelope DNA plasmid(s) encoding viral envelope protein(s), preferably a VSV-G envelope protein, most preferably a VSV Indiana, New Jersey, or Cocal VSV-G envelope protein.
  • envelope DNA plasmid(s) encoding viral envelope protein(s), preferably a VSV-G envelope protein, most preferably a VSV Indiana, New Jersey, or Cocal VSV-G envelope protein.
  • An appropriate host cell is preferably a human cultured cell line as, for example, a HEK cell line.
  • the method for producing the vector particle is carried out in a host cell, which genome has been stably transformed with one or more of the following components: a lentiviral vector DNA sequence, the packaging genes, and the envelope gene.
  • a lentiviral vector DNA sequence may be regarded as being similar to a proviral vector according to the invention, comprising an additional promoter to allow the transcription of the vector sequence and improve the particle production rate.
  • the host cell is further modified to be able to produce viral particle in a culture medium in a continuous manner, without the entire cells swelling or dying.
  • One may refer to Strang et al. , 2005, J Virol 79(3): 1 165-71 ;
  • An object of the present invention consists of a host cell transformed with a lentiviral particle vector.
  • the lentiviral particle vectors can comprise the following elements, as previously defined:
  • transgene sequence under control of a promoter of the invention, and optionally one of the additional elements described above.
  • the lentiviral vector comprises a p2m or MHC class I promoter.
  • the lentivector particles are in a dose of, at least, 1 0 6 , 2 x 10 6 , 5x 10 6 , 10 7 , 2 x 10 7 , 5 x 10 7 , 10 8 , 2 x 1 0 8 , 5 x 10 8 , or 10 9 TU .
  • the present invention encompasses methods for expressing a transgene in a cell, preferably a non-dividing cell.
  • the method comprises transducing a cell with a lentiviral vector or lentiviral particle vector of the invention under conditions that allow the expression of the transgene.
  • the vector encodes an HIV-1 antigen, preferably an H IV-1 Nef, Pol, NC, or CA antigen or immunogenic polypeptide, most preferably comprising the amino acid sequence of SEQ I D NO:30.
  • the lentiviral vector or lentiviral particle vector comprises or encodes the nucleic acid sequence of any of SEQ I D NOs 31 -40.
  • the cells are preferably mammalian cells, particularly human cells.
  • the lentiviral vector comprises a p2m or MHC class I promoter.
  • the transgene preferably encodes an immunogenic polypeptide, preferably an H IV-1 antigen, more preferably an H IV-1 Nef, Pol, NC, or CA antigen or immunogenic polypeptide, most preferably comprising the amino acid sequence of SEQ ID NO:30.
  • the method can further comprise harvesting or isolating the polypeptide.
  • the lentiviral vector or lentiviral particle vector preferably comprises a promoter of the invention.
  • the invention encompasses a method for expressing a transgene comprising inserting promoter of the invention into a lentiviral vector such that it direct the expression of a transgene and transducing a cell with the vector containing the promoter.
  • the present invention further relates to the use of the lentiviral vectors according to the invention, especially in the form of lentiviral vector particles, for the preparation of immunogenic and/or therapeutic compositions and/or vaccines which are capable of inducing or contributing to the occurrence or improvement of an
  • an immunological reaction against a polypeptide comprising an H IV-1 antigen preferably an HIV-1 Nef, Pol, NC, or CA antigen or immunogenic polypeptide, most preferably comprising the amino acid sequence of SEQ ID NO:30.
  • the invention encompasses methods for expressing a protein comprising the amino acid sequence SEQ ID NO:30.
  • the method comprises
  • nucleic acid can be any of the vectors of the invention, preferably a lentiviral vector.
  • the method comprises contacting a cell with a lentiviral vector comprising a nucleic acid encoding SEQ ID NO: 30 under conditions that allow entry and reverse transcription of the lentiviral vector and expression of the protein.
  • the invention encompasses methods of administration of a lentiviral vector (or "lentivector") to a human.
  • the lentivector contains a promoter that drives high expression of an antigen in antigen presenting cells, including dendritic cells, and drives expression in other transduced cell types sufficient for elimination by the induced immune response.
  • the promoter lacks an enhancer element to avoid insertional effects.
  • the administration is intramuscular.
  • the lentivector is injected into the muscle using a needle.
  • the antigen is a microbial antigen or tumor antigen.
  • the antigen is an HIV-1 antigen, more preferably an HIV-1 Nef, Pol, NC, or CA antigen or immunogenic polypeptide, most preferably comprising the amino acid sequence of SEQ ID NO:30.
  • the lentivector particle is an integrating lentivector particle, comprising a functional integrase protein.
  • the administration eliminates at least 95%, 99%, 99.9%, or 99.99% of the lentiviral DNA integrated in the muscle cells of an animal model at day 4 after administration by day 21 after administration.
  • the invention comprises a method for inducing an immune response in a human comprising intramuscularly administering lentiviral vector particles comprising a functional integrase protein and a lentiviral vector to a human; wherein the integrating lentiviral vector comprises a promoter directing expression of a microbial or tumor antigen, wherein the promoter does not contain an enhancer, and wherein the lentiviral vector particles exhibit higher expression of the antigen in BDCM cells than in HEK 293 T cells; integrating the DNA of the lentiviral vector into cells of the human; expressing the microbial or tumor antigen in the cells of the human; and generating an immune response against the microbial or tumor antigen.
  • the invention comprises a method for inducing an immune response in a human comprising intramuscularly administering lentiviral vector particles comprising a functional integrase protein and a lentiviral vector to a human; wherein the integrating lentiviral vector comprises a promoter directing expression of a microbial or tumor antigen, wherein the promoter does not contain an enhancer, wherein expression of the promoter in BDCA+ dendritic cells is higher than the expression in kidney, smooth muscle, liver, and heart cells; integrating the DNA of the lentiviral vector into cells of the human; expressing the microbial or tumor antigen in the cells of the human; and generating an immune response against the microbial or tumor antigen.
  • the invention comprises a method for inducing an immune response in a human comprising intramuscularly administering lentiviral vector particles comprising a functional integrase protein and a lentiviral vector to a human; wherein the integrating lentiviral vector comprises a promoter directing expression of a microbial or tumor antigen, wherein the promoter does not contain an enhancer, wherein the expression of the promoter in BDCA+ dendritic cells is 12-100 times the expression of that promoter in skeletal muscle cells; integrating the DNA of the lentiviral vector into cells of the human; expressing the microbial or tumor antigen in the cells of the human; and generating an immune response against the microbial or tumor antigen.
  • the invention comprises a method for inducing an immune response in a human comprising intramuscularly administering lentiviral vector particles comprising a functional integrase protein and a lentiviral vector to a human; wherein the integrating lentiviral vector comprises a promoter directing expression of a microbial or tumor antigen, wherein the promoter does not contain an enhancer, wherein expression of the promoter in BDCA+ dendritic cells is higher than the expression in kidney, smooth muscle, liver, and heart cells, and wherein the expression of the promoter in BDCA+ dendritic cells is 12-100 times the expression of that promoter in skeletal muscle cells; integrating the DNA of the lentiviral vector into cells of the human; expressing the microbial or tumor antigen in the cells of the human; and generating an immune response against the microbial or tumor antigen.
  • the method comprises eliminating at least 95%, 99%, 99.9% or 99.99% of the lentiviral DNA integrated in the muscle cells of an animal model at day 4 after administration by day 21 , day 25, day 33, or day 66 after administration.
  • Elimination of integrated lentiviral vector particles in muscle cells can be measured as described in the examples and by other similar techniques. For example, a biopsy can be taken at the site of the injection of a mouse or rat at 4 days and at 21 days after injection and the amount of integrated DNA in the cells determined at these timepoints by qPCR.
  • the invention comprises a method for inducing an immune response in a human comprising intramuscularly administering lentiviral vector particles comprising a functional integrase protein and a lentiviral vector to a human; wherein the integrating lentiviral vector comprises a promoter directing expression of a microbial or tumor antigen, wherein the promoter does not contain an enhancer;
  • the administration induces T-specific responses against the antigen at 100, 200, 300, 400, 420, 500, or 600 days after administration that are more than 10%, 20%, 25%, 30%, 40%, 50%, 60%, 70%, 75%, 80%, 90% or 100% of the responses at 1 1 , 28, 42, or 105 days after administration.
  • T-specific responses can be measured as set forth in the exam pies.
  • the lentivector particles are in a dose of, at least, 10 6 , 2 x 10 6 ,
  • the lentiviral vector particles are in a dose of 5x 10 6 to 5 x
  • the immune response induced by the lentiviral vector can be a B cell response, an NK response, a dendritic cell (e.g., pDC) response, a CD4+ T cell response, and/or a CD8+ T cell response.
  • a dendritic cell e.g., pDC
  • the lentivector particles can be administered to the subject in a single dosage, or in multiple (i. e., 2, 3, 4, etc.) dosages.
  • the lentivector particles can be administered in a first (priming) and second (boosting) administration. In one
  • the first dosage comprises 10 7 to 10 8 TU of lentivector particles and the second dosage comprises 10 7 to 10 8 TU of lentivector particles.
  • the first dosage comprises a dose of 5x 10 6 to 5 x 10 7 , 5 x 10 7 to 5 x 10 8 , or 5 x 10 8 to 10 9 TU of lentivector particles and the second dosage comprises a dose of 5x 10 6 to 5 x 10 7 , 5 x 10 7 to 5 x 10 8 , or 5 x 10 8 to 10 9 TU of lentivector particles.
  • the first dosage comprises 10 8 to 10 9 TU of lentivector particles and the second dosage comprises 10 8 to 10 9 TU of lentivector particles.
  • the lentiviral vector particles are in a dose of at least 5x 10 6 , 10 7 , 5 x 10 7 , 10 8 , 5 x 10 8 , or 10 9 TU.
  • the time between the first and second administrations and between an administration and a subsequent administration can vary. In one embodiment, the time between administrations is two to six weeks. In various embodiments, the time between administrations is at least 2, 4, 6, 8, 10, 12, 15, 30, or 52 weeks. In various
  • the time between administrations is at least 1 , 3, 6, 9, 12, 24, 36, or 48 months. In various embodiments, the time between administrations is at least 1 , 2, 3, 4, 5, 6, 7, 8, 9, or 10 years.
  • the invention comprises method for inducing a long term immune response in a human comprising intramuscularly administering in a priming dose and a boosting dose lentiviral vector particles comprising a functional integrase protein and a lentiviral vector to a human; wherein the DNA of the lentiviral vector comprises a promoter directing expression of a microbial or tumor antigen, wherein the promoter does not contain an enhancer, wherein expression of the promoter in BDCA+ dendritic cells is higher than the expression in kidney, smooth muscle, liver, and heart cells, and wherein the expression of the promoter in BDCA+ dendritic cells is 12-100 times the expression of that promoter in skeletal muscle cells; integrating the DNA of the lentiviral vector into cells of the human; expressing the microbial or tumor antigen in the cells of the human; and generating an immune response against the microbial or tumor antigen.
  • the antigen is an HIV-1 antigen, more preferably an HIV-1 antigen, more preferably an
  • the lentiviral vector comprises a p2m or MHC class I promoter.
  • the present invention further relates to the use of the lentiviral vectors according to the invention, especially in the form of lentiviral vector particles, for the preparation of therapeutic compositions or vaccines which are capable of inducing or contributing to the occurrence or improvement of an immunogical reaction against epitopes, more particularly those encoded by the transgene present in the vectors under the transcriptional control of any of the promoters of the invention.
  • the present invention thus provides vectors that are useful as a
  • medicament or vaccine particularly for intramuscular administration.
  • the lentiviral vector comprises a p2m or MHC class I promoter.
  • These vectors are preferentially used for the treatment or prophylaxis of infectious diseases, especially diseases associated with virus infection and more particularly, with retrovirus infection, such as AIDS and other immunodeficiencies.
  • the invention can also be used in treatment protocols against tumors and cancers and especially could be used in protocols for immunotherapy or vaccination therapy against tumors.
  • the vectors of the invention more specifically target dendritic cells to obtain a cell-mediated immune response and especially the CTL response associated with the antigen expressed by the transgene in these cells, they are particularly useful as vaccines targeting slow or endogenous pathogenic microorganisms such as
  • the invention relates to an immunogenic composition
  • a lentiviral vector as previously defined.
  • the immunogenic compositions of the invention preferably contain cPPT and CTS sequences in the vector and vector particles to induce or to stimulate the nuclear import of the vector genome in the target cells.
  • the vector comprises a transgene and regulatory signals of retrotranscription, expression and encapsidation of retroviral or retroviral-like origin, wherein the composition is capable of inducing or of stimulating a CTL and/or a CD4 response against one or several epitopes encoded by the transgene sequence present in the vector.
  • the expression of the transgene is greatly improved by inclusion of a promoter of the invention in the vector.
  • the lentiviral vectors according to the invention have the ability to induce, improve, or in general be associated with the occurrence of a memory CTL response.
  • they can be used for the preparation of therapeutic composition for the treatment of allergies, autoimmune diseases, tumor diseases, or infectious diseases, by induction of, stimulation of, or participation in the occurrence of a cell-mediated immune response, especially a CTL response or a memory response.
  • the lentiviral vectors of the invention can be used in methods of treatment and methods of inducing an immune response comprising administering the lentiviral vector to a host and generating a specific immune response against the transgene in the host.
  • the cells and antibodies generated in these hosts can be used as diagnostic reagents.
  • the lentiviral vectors according to the invention are preferably for intramuscular administration, most preferably by injection with a needle.
  • the immunogenic composition according to the invention can be directly administered to the patient, in such a way that it will induce, improve, or participate in vivo in the occurrence of a cell-mediated immune response, especially a CTL-mediated immune response.
  • the immunogenic compositions are used once or upon repeated administration so that they can enable the occurrence of a long-term memory cell mediated response.
  • a particular advantage of the immunogenic compositions of the invention is that they can be used to elicit or stimulate a cell-mediated immune response against multiple epitopes encoded by the nucleotide sequence of interest or transgene present in the vector or vector particles, and they can also be used to elicit or stimulate a cell- mediated immune response against the product of the entire sequence of a gene, for instance a gene of a pathogenic agent or fragments of said gene capable to encode at least 8 to 15 amino acids preferably 9 to 12 amino acids.
  • the invention also encompasses a lentiviral vector comprising a nucleotide sequence encoding a multiple repeat (at least 2 identical sequences) of said amino acid sequence inducing a cellular response and/or an amino acid sequence containing at least 2 different sequences corresponding to 2 epitopes of different pathogens or tumoral antigens.
  • the invention encompasses a composition that could be used in prophylactic and/or therapeutic vaccination protocols, for the treatment of tumors and especially as anti-cancer or anti-infectious diseases treatment.
  • the invention encompasses a composition for intramuscular
  • lentiviral vector particles comprising a functional integrase protein and a lentiviral vector; wherein the DNA of the lentiviral vector comprises a promoter of the invention directing expression of a microbial or tumor antigen.
  • the invention encompasses a composition for intramuscular administration to a human comprising lentiviral vector particles comprising a functional integrase protein and a lentiviral vector; wherein the DNA of the lentiviral vector comprises a promoter directing expression of a microbial or tumor antigen, wherein the promoter does not contain an enhancer, and wherein the expression of the promoter in BDCA+ dendritic cells is 12-100 times the expression of that promoter in skeletal muscle cells and expression of the promoter in BDCA+ dendritic cells is higher than the expression in kidney, smooth muscle, liver, and heart cells.
  • the invention encompasses use of a composition comprising lentiviral vector particles for intramuscular administration to a human, wherein the lentiviral vector particles comprise a functional integrase protein and a lentiviral vector; wherein the DNA of the lentiviral vector comprises a promoter of the invention directing expression of a microbial or tumor antigen.
  • the invention encompasses use of a composition comprising lentiviral vector particles for intramuscular administration to a human, wherein the lentiviral vector particles comprise a functional integrase protein and a lentiviral vector; wherein the DNA of the lentiviral vector comprises a promoter directing expression of a microbial or tumor antigen, wherein the promoter does not contain an enhancer, and wherein the expression of the promoter in BDCA+ dendritic cells is 12- 100 times the expression of that promoter in skeletal muscle cells and expression of the promoter in BDCA+ dendritic cells is higher than the expression in kidney, smooth muscle, liver, and heart cells.
  • the composition induces T-specific responses against the antigen at 100, 200, 300, 400, 420, 500, or 600 days after administration that are more than 10%, 20%, 25%, 30%, 40%, 50%, 60%, 70%, 75%, 80%, 90% or 100% of the responses at 1 1 , 28, 42, or 105 days after administration.
  • T-specific responses can be measured as set forth in the examples,
  • the invention encompasses compositions comprising a dose of 5 x 10 6 to 5 x 10 8 TU of lentiviral vector particles for use in the treatment of a microbial infection or a cancer by induction of a CD4+ and/or CD8+ T ceil response against an antigen encoded by the lentiviral vector.
  • the treatment is by repetitive intramuscular administration to a human.
  • the lentiviral vector particles can comprise a functional integrase protein and a lentiviral vector.
  • the DNA of the lentiviral vector can comprise a p2m or MHC class I promoter directing expression of a microbial or tumor antigen, wherein the promoter does not contain an enhancer.
  • the repetitive intramuscular administration induces CD4+ and/or CD8 ⁇ T-specific responses against the antigen.
  • the invention encompasses uses of a composition comprising a dose of 5 x 10 6 to 5 x 10 8 TU of lentiviral vector particles to induce CD4+ and/or CD8+ T cell responses against an antigen encoded by the lentiviral vector by repetitive
  • the lentiviral vector particles comprise a functional integrase protein and a lentiviral vector; wherein the DNA of the lentiviral vector comprises a p2m or MHC class I promoter directing expression of a microbial or tumor antigen, wherein the promoter does not contain an enhancer, and wherein the repetitive intramuscular administration induces CD4+ and/or CD8+ T- specific responses against the antigen.
  • the invention encompasses methods for inducing a CD4+ and/or CD8+T cell response in a human comprising intramuscularly administering in a priming dose5 x 10 6 to 5 x 10 8 TU of lentiviral vector particles and a boosting dose of 5 x 10 s to 5 x 10 8 TU of lentiviral vector particles.
  • the lentiviral vector particles comprise a functional integrase protein and a lentiviral vector to a human.
  • the DNA of the lentiviral vector comprises a p2m or MHC class I promoter directing expression of a microbial or tumor antigen, wherein the promoter does not contain an enhancer.
  • the method can comprise integrating the DNA of the lentiviral vector into cells of the human, expressing the microbial or tumor antigen in the cells of the human; and generating a CD4+ and/or CD8+ T cell response against the microbial or tumor antigen.
  • the lentivector contains a promoter that drives high expression of a polypeptide comprising an HIV-1 Nef, Pol, NC, or CA antigen or immunogenic polypeptide, most preferably comprising the amino acid sequence of SEQ ID NO:30, in antigen presenting cells, including dendritic cells, and drives expression in other transduced cell types sufficient for elimination by the induced immune response.
  • the promoter lacks an enhancer element to avoid insertional effects.
  • Ex vivo administration for instance ex vivo transduction of target cells followed by administration of the treated cells to the patient to be treated, is also encompassed by the invention
  • the administration is intramuscular.
  • the lentivector is injected into the muscle using a needle.
  • the lentivector particle is an integrating lentivector particle, comprising a functional integrase protein.
  • the lentiviral vector or lentiviral vector particle comprises or encodes the nucleic acid sequence of any of SEQ ID NOs 31 -40.
  • the administration eliminates at least 95%, 99%, 99.9%, or 99.99% of the lentiviral DNA integrated in the muscle cells of an animal model at day 4 after administration by day 21 after administration.
  • the invention comprises a method for inducing an immune response in a human comprising intramuscularly administering lentiviral vector particles comprising a functional integrase protein and a lentiviral vector to a human; wherein the integrating lentiviral vector comprises a promoter directing expression of an HIV-1 (e.g. , Gag, Pol, or Nef) polypeptide, most preferably comprising the amino acid sequence of SEQ ID NO:30, wherein the promoter does not contain an enhancer;
  • HIV-1 e.g. , Gag, Pol, or Nef
  • the HIV-1 Gag, Pol, or Nef polypeptide comprises the Gag sequence AA 132-496, the Pol sequence AA 258-355 and/or AA 463-473, and/or the Nef sequence AA 106-148 and/or AA 175-203.
  • the lentiviral vector comprises a p2m or MHC class I promoter.
  • the invention comprises a method for inducing an immune response in a human comprising intramuscularly administering lentiviral vector particles comprising a functional integrase protein and a lentiviral vector to a human; wherein the integrating lentiviral vector comprises a promoter directing expression of a polypeptide comprising a microbial or tumor antigen, preferably a polypeptide comprising an HIV-1 Nef, Pol, NC, or CA antigen or immunogenic polypeptide, most preferably comprising the amino acid sequence of SEQ I D NO:30, wherein the promoter does not contain an enhancer, and wherein the lentiviral vector particles exhibit higher expression of the antigen in BDCM cells than in HEK 293 T cells; integrating the DNA of the lentiviral vector into cells of the human; expressing the polypeptide in the cells of the human; and generating an immune response against the polypeptide.
  • a promoter directing expression of a polypeptide comprising a microbial or tumor antigen,
  • the invention comprises a method for inducing an immune response in a human comprising intramuscularly administering lentiviral vector particles comprising a functional integrase protein and a lentiviral vector to a human; wherein the integrating lentiviral vector comprises a promoter directing expression of a polypeptide comprising a microbial or tumor antigen, preferably a polypeptide comprising an HIV-1 Nef, Pol, NC, or CA antigen or immunogenic polypeptide, most preferably comprising the amino acid sequence of SEQ I D NO:30, wherein the promoter does not contain an enhancer, wherein expression of the promoter in BDCA+ dendritic cells is higher than the expression in kidney, smooth muscle, liver, and heart cells; integrating the DNA of the lentiviral vector into cells of the human; expressing the polypeptide in the cells of the human; and generating an immune response against the polypeptide.
  • a promoter directing expression of a polypeptide comprising a microbial or tumor antigen
  • the invention comprises a method for inducing an immune response in a human comprising intramuscularly administering lentiviral vector particles comprising a functional integrase protein and a lentiviral vector to a human; wherein the integrating lentiviral vector comprises a promoter directing expression of a polypeptide comprising a microbial or tumor antigen, preferably a polypeptide comprising an HIV-1 Nef, Pol, NC, or CA antigen or immunogenic polypeptide, most preferably comprising the amino acid sequence of SEQ I D NO:30, wherein the promoter does not contain an enhancer, wherein the expression of the promoter in BDCA+ dendritic cells is 12-100 times the expression of that promoter in skeletal muscle cells; integrating the DNA of the lentiviral vector into cells of the human; expressing the polypeptide in the cells of the human; and generating an immune response against the polypeptide.
  • a promoter directing expression of a polypeptide comprising a microbial or tumor antigen
  • the invention comprises a method for inducing an immune response in a human comprising intramuscularly administering lentiviral vector particles comprising a functional integrase protein and a lentiviral vector to a human; wherein the integrating lentiviral vector comprises a promoter directing expression of a polypeptide comprising a microbial or tumor antigen, preferably a polypeptide comprising an HIV-1 Nef, Pol, NC, or CA antigen or immunogenic polypeptide, most preferably comprising the amino acid sequence of SEQ ID NO:30, wherein the promoter does not contain an enhancer, wherein expression of the promoter in BDCA+ dendritic cells is higher than the expression in kidney, smooth muscle, liver, and heart cells, and wherein the expression of the promoter in BDCA+ dendritic cells is 12-100 times the expression of that promoter in skeletal muscle cells; integrating the DNA of the lentiviral vector into cells of the human; expressing the polypeptide in the cells of the cells of the cells of the
  • the method comprises eliminating at least 95%, 99%, 99.9% or 99.99% of the lentiviral DNA integrated in the muscle cells of an animal model at day 4 after administration by day 21 , day 25, day 33, or day 66 after administration.
  • Elimination of integrated lentiviral in muscle cells can be measured as described in the examples and by other similar techniques. For example, a biopsy can be taken at the site of the injection of a mouse or rat at 4 days and at 21 days after administration and the amount of integrated DNA in the cells determined at these timepoints by PCR.
  • the invention comprises a method for inducing an immune response in a human comprising intramuscularly administering lentiviral vector particles comprising a functional integrase protein and a lentiviral vector to a human; wherein the integrating lentiviral vector comprises a promoter directing expression a polypeptide comprising a microbial or tumor antigen, preferably a polypeptide comprising an HIV-1 Nef, Pol, NC, or CA antigen or immunogenic polypeptide, most preferably comprising the amino acid sequence of SEQ ID NO:30, the promoter does not contain an enhancer; integrating the DNA of the lentiviral vector into cells of the human; expressing the polypeptide in the cells of the human; and generating an immune response.
  • the integrating lentiviral vector comprises a promoter directing expression a polypeptide comprising a microbial or tumor antigen, preferably a polypeptide comprising an HIV-1 Nef, Pol, NC, or CA antigen or immunogenic polypeptide, most preferably
  • the lentivector particles are in a dose of, at least, 10 6 , 2 x 10 6 , 5x 10 6 , 10 7 , 2 x 10 7 , 5 x 10 7 , 10 8 , 2 x 10 8 , 5 x 10 8 , or 10 9 TU.
  • the immune response induced by the lentiviral vector can be a B cell response, a CD4+ T cell response, and/or a CD8+ T cell response.
  • the present invention thus provides vectors that are useful as a medicament or vaccine, particularly for intramuscular administration.
  • vectors are preferentially used for the treatment or prophylaxis of infectious diseases, especially diseases associated with virus infection and more particularly, with retrovirus infection, such as AIDS and other immunodeficiencies.
  • the vectors of the invention more specifically target dendritic cells to obtain a cell-mediated immune response and especially the CTL response associated with the antigen expressed by the transgene in these cells, they are particularly useful as vaccines targeting slow or endogenous pathogenic microorganisms such as HIV virus.
  • the invention relates to an immunogenic composition
  • a lentiviral vector as previously defined.
  • the immunogenic compositions of the invention preferably contain cPPT and CTS sequences in the vector and vector particles to induce or to stimulate the nuclear import of the vector genome in the target cells.
  • the vector comprises a transgene and regulatory signals of retrotranscription, expression and encapsidation of retroviral or retroviral-like origin, wherein the composition is capable of inducing or of stimulating a CTL and/or a CD4 response against one or several epitopes encoded by the transgene sequence present in the vector.
  • the expression of the transgene is greatly improved by inclusion of a promoter of the invention in the vector.
  • the lentiviral vectors according to the invention have the ability to induce, improve, or in general be associated with the occurrence of a memory CTL response.
  • they can be used for the preparation of therapeutic composition for induction of, stimulation of, or participation in the occurrence of a cell- mediated immune response, especially a CTL response or a memory response.
  • the lentiviral vectors of the invention can be used in methods of treatment and methods of inducing an immune response comprising administering the lentiviral vector to a host and generating a specific immune response against the transgene in the host.
  • the cells and antibodies generated in these hosts can be used as diagnostic reagents.
  • the lentiviral vectors according to the invention are preferably for intramuscular administration, most preferably by injection with a needle.
  • the immunogenic composition according to the invention can be directly administered to the patient, in such a way that it will induce, improve, or participate in vivo in the occurrence of a cell-mediated immune response, especially a CTL-mediated immune response.
  • the immunogenic compositions are used once or upon repeated administration so that they can enable the occurrence of a long-term memory cell mediated response.
  • a particular advantage of the immunogenic compositions of the invention is that they can be used to elicit or stimulate a cell-mediated immune response against multiple epitopes encoded by the nucleotides sequence of interest or transgene present in the vector or vector particles, and they can also be used to elicit or stimulate a cell- mediated immune response against the product of the entire sequence of a gene.
  • the invention also encompasses a lentiviral vector comprising a nucleotide sequence encoding a multiple repeat (at least 2 identical sequences) of said amino acid sequence inducing a cellular response and/or an amino acid sequence containing at least 2 different sequences.
  • the invention encompasses a composition that could be used in prophylactic and/or therapeutic vaccination protocols. [300] In particular, it can be used in combination with adjuvants, other immunogenic compositions, chemotherapy, or any other therapeutic treatment.
  • the invention encompasses a composition for intramuscular
  • lentiviral vector particles comprising a functional integrase protein and a lentiviral vector; wherein the DNA of the lentiviral vector comprises a promoter directing expression of an amino acid comprising or consisting of SEQ ID NO:30.
  • the invention encompasses a composition for intramuscular administration to a human comprising lentiviral vector particles comprising a functional integrase protein and a lentiviral vector; wherein the DNA of the lentiviral vector comprises a promoter directing expression of an amino acid comprising or consisting of SEQ ID NO:30, wherein the promoter does not contain an enhancer, and wherein the expression of the promoter in BDCA+ dendritic cells is 12-100 times the expression of that promoter in skeletal muscle cells and expression of the promoter in BDCA+ dendritic cells is higher than the expression in kidney, smooth muscle, liver, and heart cells.
  • the invention encompasses use of a composition comprising lentiviral vector particles for intramuscular administration to a human, wherein the lentiviral vector particles comprise a functional integrase protein and a lentiviral vector; wherein the DNA of the lentiviral vector comprises a promoter directing expression of a microbial or tumor antigen, preferably a polypeptide comprising an HIV-1 Nef, Pol, NC, or CA antigen or immunogenic polypeptide, most preferably an amino acid comprising or consisting of SEQ ID NO:30.
  • the invention encompasses use of a composition comprising lentiviral vector particles for intramuscular administration to a human, wherein the lentiviral vector particles comprise a functional integrase protein and a lentiviral vector; wherein the DNA of the lentiviral vector comprises a promoter directing expression of a microbial or tumor antigen, preferably polypeptide comprising an HIV-1 Nef, Pol, NC, or CA antigen or immunogenic polypeptide, most preferably comprising the amino acid sequence of SEQ ID NO:30, wherein the promoter does not contain an enhancer, and wherein the expression of the promoter in BDCA+ dendritic cells is 12- 100 times the expression of that promoter in skeletal muscle cells and expression of the promoter in BDCA+ dendritic cells is higher than the expression in kidney, smooth muscle, liver, and heart cells.
  • a promoter directing expression of a microbial or tumor antigen preferably polypeptide comprising an HIV-1 Nef, Pol, NC, or CA antigen or immuno
  • the administration to a human comprises administering the composition comprising lentiviral vector particles to a patient infected with HIV-1.
  • PCR amplification of the proviral region of the pTRIPAU3-CMV-GFP(15) was performed using direct (5'-CTTACTAGTTGGAAGGGCTAATTCACTCCCAAC-3'; SEQ ID NO:7) and reverse (5'-CATTCTAGAACTGCTAGAGATTTTCCACACTG-3'; SEQ ID NO:8) oligonucleotides encompassing respectively the Spel and Xbal restriction sites.
  • the resulting fragment was digested and cloned between the Spel and Xbal sites of the pVAX-1 plasmid (Invitrogen, Lifetech) from which the Mlul site have been deleted.
  • the resulting plasmid was named pFLAP-CMV-GFP.
  • the SV40 sequence was amplified by PCR from the pTRIPAU3-CMV-GFP plasmid (using the 5'- TACCCCGGGCCATGGCCTCCAAAAAAGCCTCCTCACTACTTC-3' (SEQ ID NO:9) and 5'-ACTCCCGGGTAATTTTTTTTATTTATGCAGAGGCCGAGGCCGCC-3' (SEQ ID NO: 10) oligonucleotides), and cloned into the Pml1 site of the pFLAP-CMV-GFP, the resulting plasmid being then named pFLAP-CMV-GFP-SV.
  • the CMV promoter was amplified with direct (5'-TACACGCGTGGAGTTCCGCGTTACATAACTTACGG-3'; SEQ ID NO: 1 1 ) and reverse (5'--
  • the various promoters were then amplified by PCR from HEK 293T cells DNA (with 5'- TACACGCGTGGCCTCCGCGCCGGGTTTTGGCGCCTCC-3' (SEQ ID NO: 13) and 5'- CGTGGATCCGATCGGTCTAACAAAAAAGCCAAAAACGGCC-3' (SEQ ID NO:14) for the UBC promoter; 5'-TACACGCGTTGCGTGAGGCTCCGGTGCCCGTCAGTGG-3' (SEQ ID NO: 15) and 5'-CGTGGATCCGATCGTCACGACACCTGAAATGGAAG-3' (SEQ ID NO: 16) for the EF1 a1 promoter and 5'-
  • the amplified p2m promoter sequence is the following :
  • the HIV antigen (Gag sequence AA 132-496, Pol sequence AA 258-355 and AA 463-473 and Nef sequence AA 106-148 and AA 175-203) was synthetized by GeneArt (Lifetech) and cloned between the BamHI and Xhol sites of the pFlap-p2m-SV, in place of the GFP gene, giving the pFLAP- DeltaU3-p2m-HIV(P24-NC-Frag) SV. This vector is referred to as "p2m-HIV.” .
  • the p2m-HIV vector expresses the following amino acid sequence :
  • MARELHPEYY (SEQ ID NO:30). This sequence comprises Gag, Pol, and Nef sequences, in that order.
  • Mock vector pFlap-p2m-GFP-SVwas digested by BamHI and Xhol, and a DNA linker containing a Mutiple Cloning Site (MCS, carrying Sail, Sacl l, Ndel, AscI and Nhel restriction sites) was cloned between those sites, in place of the GFP gene.
  • MCS Mutiple Cloning Site
  • the packaging plasmid pTHV-GP-N was constructed by amplifying the HIV-1 NDK genome by PCR (using the following oligonucleotides with 5'- atgcatgcgtcgacctcgagttaatcctcatcctgtctacttgccac-3' (SEQ ID NO:20) and 5'- gcatgcatcggccggggcggcgactgGTgagagGCCACCatgggtgcgagagcgtcagtattaag-3' (SEQ ID NO:21 )).
  • the resulting fragment has been digested by Eagl and Sail restriction enzymes and inserted in the p8.74 packaging plasmid(15) from which the Eag1 -Sall fragment had been previously removed.
  • CAX62731.1 CAX62731.1 ) strains. Those genes were then digested with EcoR1 and BamHI and cloned between the corresponding restriction sites of the pVAX1 plasmid (Invitrogen, Lifetech).
  • pFlap-p2m-HIV-IRES-Luc an IRES sequence (pQCXIX, Clontech) has been cloned between Ndel and AscI sites in the mock vector. Then, the HIV antigen is cloned between BamHI and Sail sites and the luciferase gene (pGL3-promoter vector, Promega) was amplified by PCR (with 5'-
  • the plasmids were produced using Nucleobond Xtra Maxi EF column according to manufacturer's instructions (Macherey Nagel).
  • GMP productions high-quality grade plasmids manufactured by Plasmid Factory (Germany) were used.
  • culture medium was changed with production medium corresponding to Dulbecco's modified Eagle's medium (DMEM/ High modified, Hyclone) supplemented with 2% heat-inactivated fetal calf serum (FCS, PAA), 1 % L-Glutamine (Gibco by Life technologies), 1 % Penicillin-Streptomycin (Gibco by Life technologies), 1 % Sodium Pyruvate (Gibco by Life technologies), BENZONASE® (pharma grade I , 100 000U, Merck Millipore) and MgCL2 1 M. Minimum 24 hours after medium renewal, supernatant of the 24 CF-10 is harvested and pooled.
  • DMEM/ High modified, Hyclone Dulbecco's modified Eagle's medium
  • FCS heat-inactivated fetal calf serum
  • FCS heat-inactivated fetal calf serum
  • 1 % L-Glutamine Gibco by Life technologies
  • Penicillin-Streptomycin Gib
  • Purified bulk (Drug substance) was finally filtered through a 0.2 ⁇ Sartobran H5 filter, 300cm 2 (Sartorius Stedim) and aseptically distributed on 2R 3mL-glass vials with a target filling volume of 650pL (1200 L for pilot batches). After visual inspection of all the vials (about 350 vials by clinical batch), drug product was stored at -70°C ⁇ 10°C.
  • EMA/CHMP/141697/2009 the "guideline on development and manufacture of lentiviral vectors"
  • CHMP/BWP/2458/03 regulatory text on gene therapy medicinal products: the quality controls required for gene transfer medicinal products for human use as per the European Pharmacopeia (section 5.14), the quality controls specific to gene therapy products as defined in the "note for guidance on the quality, preclinical and clinical aspects of gene transfer medicinal products” (CHMP/BWP/3088/99); regulatory texts on biotechnological products (ICH Q5A to ICH Q5E); regulatory texts on specifications (ICH Q6A and ICH Q6B) and the quality controls required for parenteral preparations as per the European Pharmacopeia (section 7.0).
  • HEK 293T cells were seeded in 6-well plates (BD Falcon) in culture medium and incubated for 4 h at 37°C, 5% C02 in moist atmosphere. Cells were transduced with 3 successive dilutions of lentiviral vector. 72h post-incubation, cells are harvested and transduced HEK 293T cell pellets are produced. Total genomic DNA from transduced cell-pellets is extracted using a method based on QIAGEN QIAamp DNA mini kit handbook. Proviral quantification is performed using Taqman qPCR. The amplification is performed with the Master Mix (Fermentas Thermo
  • Flap A CCCAAGAACCCAAGGAACA; SEQ ID NO:24
  • Flap S AGACAA GATAGAGGAAGAGCAAAAC; SEQ ID NO:25
  • LENTI TM probe 6FAM-AACCATTAGGAGTAGCACCCACCAAGG-BBQ; SEQ ID NO:26).
  • Example 4 GFP expression driven by various promoters in two different cell types.
  • HEK293T a fibroblast eel! line
  • BDCM a dendritic-like cell line
  • Viral (CMV) and ubiquitous (UBC and EF1 a) promoters appear to be repressed in BDCM, while MHC I (HLA-A2, HLA-B7 and HLA-E) and MHC II (HLA-DRa) promoters are overexpressed in this cell type.
  • the 2m promoter was also provided.
  • mice were immunized with 1 x 10 6 TU of lentivectors in which a HIV antigen expression is driven by various promoters (viral, ubiquitous, MHCI and MHCII). 12 days after immunization, the specific T-cell responses were monitored in mice splenocytes by IFN- ⁇ ELISPOT. As shown in figure 2, immunization with lentivectors encompassing a MHCI promoter give higher specific T-cell responses than any other lentivectors used, even when a viral promoter is driving the antigen expression.
  • Splenocytes were isolated from the mice spleens immunized with lentivectors. 12 days after immunization and were used for the ELISPOT assays.
  • Splenocytes were added to the plates in triplicate at 2.5, 4.1 , or 5.1 x 10 5 cells/well and stimulated with 2 pg/ml of stimulatory peptides (specific to the antigen), concanavalin A (5 pg/ml; source), or culture medium alone.
  • the plates were incubated for 18 h at 37°C and then rinsed three times with 200 ⁇ /well of DPBS/0.05 % Tween 20 and three times with 200 ⁇ /well of DPBS.
  • 50 ⁇ /well of 2 ⁇ g/ml anti-mouse IFNv-biotinylated monoclonal antibody (BD Pharmingen) were added for 2 h at room temperature.
  • mice C57BI/6j mice.
  • Viable mononuclear cells were isolated from muscle suspensions underlying them on Histopaque 1077 (Sigma, United Kingdom) before centrifugation at 1 ,000 x g for 10 min at RT. Cells at the interface were collected, washed two times with PBS and resuspended into RPMI 1640 medium containing 10% FBS. Finally lymph node and muscle cells were automatically counted using Nucleocounter Chemometec cells.
  • ELISPOT Assay Multiscreen HTS 96 microplates (MSIPS4W10, Millipore) were coated with capture antibody (Mouse and Rat IFNg Elispot Pair, BD Biosciences) and blocked with complete medium. Cells were cultured at the concentration of 0,2 million/well for rat studies and 0, 1 million/well for mice studies. Subsequently they were incubated with 2 ⁇ g/mL of peptides (pool stimulation) and with 2.5 ⁇ g/mL of
  • concanavaline A used as positive control. Eighteen hours later, spots were revealed with the biotine-conjugated antibody (Mouse and Rat IFNg Elispot pair, BD Biosciences) followed by streptavidin-AP (Roche) and BCI P/NBT substrate solution (Sigma Aldrich). Spots were counted using an AID reader (Autoimmun Diagnostika GmbH, Germany). Mean number of IFNg spots-forming-cells (SFC) per million was calculated from triplicate wells after subtracting the one from control wells (cultured in medium without peptides).
  • Imaging and quantification of bioluminescence in vivo Measurements were performed with an ultrasensitive cooled CDD camera mounted with in a light-tight camera box (MS 200, Xenogen). Images and measurements of bioluminescent signals were acquired and analyzed using Living image software 2.5 (Xenogen). To image, mice were anesthetized by isoflurane inhalation and given 150 ⁇ _ of 15mg/mL D- luciferin (Caliper Lifesciences) via intraperitoneal injection. Images were taken between 2 to 5 minutes after D-luciferin injection.
  • Example 6 T cell responses of integrating and non-integrating vectors
  • Lentiviral vectors are produced as previously described. Zennou, V. et al. HIV-1 genome nuclear import is mediated by a central DNA flap. Cell. 101 , 173-185 (2000).
  • the packaging plasmid used is an integrase defective pNDKD64-V.
  • ELISPOT Assay MultiScreen HTS 96 microplates (MSIPS4W10, Millipore) were coated with capture antibody (Mouse IFNg Elispot Pair, BD Biosciences) and blocked with complete medium. Cells were cultured at the concentration of 0,2 million/well. Subsequently they were incubated with 2pg/mL of peptides (pool stimulation) and with 2.5 ⁇ g/mL of concanavaline A used as positive control. Eighteen hours later, spots were revealed with the biotine-conjugated antibody (Mouse IFNg Elispot pair, BD Biosciences) followed by streptavidin-AP (Roche) and BCIP/NBT substrate solution (Sigma Aldrich). Spots were counted using an AID reader
  • Tissue samples were collected in Qiagen collection plates in dry ice and stored at approximately -80°C until analyzed.
  • Genomic DNA was isolated and extracted from tissues using Qiagen DNeasy 96 blood and Tissues kit handbook on a robotic station (Biorobot 8000 Universal, Qiagen) using reagents and protocols recommended by the manufacturer. Multifuge 3SR, Heraeus was used in the centrifugation steps. DNA quantification was based on Quant-iTTM PICOGREEN® dsDNA kit (Molecular Probes) user manual. The concentration of the eluted DNA was determined using the Fluostar OPTIMA (BMG) fluorescence reader.
  • BMG Fluostar OPTIMA
  • Concentrations of the total DNA isolates are interpolated from the standard curve and multiplied by the sample dilution factor.
  • a real-time quantitative modification of the TaqMan PCR technique in which the amplicon is detected by a sequence-specific fluorogenic probe was used.
  • Amplification of the target sequence was performed in the ABI PRISM 7900HT sequence detection system and qPCR was realized as following: adjustment of primers at a final concentration of 900nM and the Taqman probe at: 200nM. Cycling conditions were 50°C for 2 min, 95°C for 10 minutes for the Taq polymerase activating step, a denaturation step of 0.15 minutes at 95°C and 45 cycles of combined annealing/extension step of 1 minute at 63°C.
  • the qPCR TaqMan assay is the same than the one used for vector titration, without actin normalization.
  • mice were anesthetized by isoflurane inhalation and given 150pL of 15mg/mL D-luciferin (Caliper Lifesciences) via intraperitoneal injection. Images were taken between 2 to 5 minutes after D-luciferin injection.
  • Example 9 Persistence of immune response
  • the concentrated lentiviral vectors CMV.GFPbis and p2m.GFP.WThV
  • Viable mononuclear cells were isolated from muscle suspensions underlying them on Histopaque 1077 (Sigma, United Kingdom) before centrifugation at 1 ,000 ⁇ g for 10 min at RT. Cells at the interface were collected, washed two times with PBS and resuspended into RPM I 1640 medium containing 10% FBS. Finally lymph node and muscle cells were automatically counted using Nucleocounter Chemometec cells.
  • Urine samples were collected using metabolic cages. RNA extraction was achieved according to the Qiagen kit "QiaAmp Viral RNA Mini”. The Reverse
  • MASTERCYCLERTM Eppendorf
  • RT-qPCR RT-qPCR was realized as following: First a DNase treatment has been performed, to remove eventual DNA contamination, using DNase I Recombinant (Roche) during 30min at 37°C followed by an inactivation step at 75°C during 5min in presence of EDTA (30mM). Then, a first incubation step of the RNA sample with DNTP mix (10mM each) and Oligo(dT)18mers (1 00 ⁇ ) at 65°C during 5min allows the disruption of secondary structures. The reverse transcription was achieved using the reverse transcriptase kit "REVERTAIDTM Premium" (Fermentas,
  • Thermo Scientific and an RNase inhibitor RI BOLOCKTM (Fermentas, Thermo Scientific) by an incubation of 30min at 50°C. A last incubation step at 85°C during 5min allows the reverse transcriptase inactivation.
  • the qPCR TaqMan assay is the same than the one used for vector titration, without actin normalization.
  • mice C57BI/6j female mice of four weeks were purchased from Janvier Laboratories (France). The animals were housed in Institute Pasteur animal facility in accordance with Institute regulations on the respect of animal experimentation ethical procedures. (5 mice/group of vaccinated animals and 8 mice/group of PBS- lactose). Vectors and administration. Animals: C57BI/6j female mice of four weeks were purchased from Janvier Laboratories (France). The animals were housed in Institute Pasteur animal facility in accordance with Institute regulations on the respect of animal experimentation ethical procedures. (5 mice/group of vaccinated animals and 8 mice/group of PBS-lactose).
  • mice were intramuscularly immunized with 5 x 10 6 TU in prime and 3 x 10 6 TU in boost of lentivectors in which a M1 NP antigen expression is driven by a B2m promoter. 12 days after prime immunization, 54 days after prime and 8 days before boost immunization, 69 days after prime and 7 days after boost
  • mice splenocytes were monitored in mice splenocytes by IFN- ⁇ ELISPOT.
  • Sample collection and cell isolation Splenocytes were isolated from the mice spleens on days of analyses. Sample collection and cell isolation: after C02 euthanasia, mice' spleens were gently squished on a 100 pm cell stainer. Lysis Buffer was used to lyse red blood cells. Following three further washes splenocytes were resuspended into FBS 10% media and were used for the ELISPOT assays.
  • ELISPOT assay Ninety -six-well tissue culture plates (Millipore) were coated overnight at 4 °C with 50 ⁇ /well of 5 pg/ml anti-mouse IFNy mAb (Mouse IFNy Elispot pair; BD Biosciences Pharmingen). The plates were washed three times with 200 ⁇ DPBS/well and blocked with 200 ⁇ /well of DPBS/10% fetal bovine serum for 2 h at 37°C. The plates were washed three times with 200 ⁇ DPBS/well.
  • Splenocytes were added to the plates in duplicate at 2x 10 5 cells/well and stimulated with 2 pg/ml of stimulatory peptides (specific to the antigen), concanavalin A (5 pg/ml; source), or culture medium alone.
  • the plates were incubated for 18 h at 37°C and then rinsed three times with 200 ⁇ /well of DPBS/0.05 % Tween 20 and three times with 200 ⁇ /well of DPBS.
  • 50 ⁇ /well of 2 pg/ml anti-mouse IFNy-biotinylated monoclonal antibody (BD Pharmingen) were added for 2 h at room temperature.
  • THV01 -1 p2m-H IV pseudotyped with Indiana VSV-G and THV01 -2: p2m- H IV pseudotyped with New Jersey VSV-G were injected into humans as depicted in Figure 21 .
  • THV01 treatment administrated to patients enrolled in this Phase l/l I study was composed of two vaccines: THV01 -1 and THV01 -2. They have been injected 8 weeks apart, intramuscularly.
  • THV01 -1 and THV01 -2 are !entiviral vectored vaccines derived from the NL4-3 strain of the HIV-1 . They are non-replicative and self-inactivating vectors. They both encode the same HIV antigen (SEQ ID NO:30), composed of clustered epitopes of the H IV-1 clade B, Gag, Pol and Nef proteins under the regulation of a human ⁇ 2 ⁇ promoter.
  • THV01 -1 p2m-HIV pseudotyped with Indiana VSV-G
  • THV01 -2 p2m- H IV pseudotyped with New Jersey VSV-G
  • VSV.G vesicular stomatitis virus
  • Enrolled patients were randomized in a 3: 1 ratio (vaccine:placebo) for each dose group.
  • Eligible patients for this first-in human were HIV-1 infected patients, treated with HAART (2 nucleosidic reverse transcriptase inhibitors plus 1 boosted protease inhibitor or 2 nucleosidic reverse transcriptase inhibitors plus 1 non nucleosidic inhibitor) for more than 12 months at baseline and treated with 2 nucleosidic reverse transcriptase inhibitors plus a ritonavir boosted protease inhibitor among
  • darunavir+ritonavir or iopinavir+ritonavir who have CD4+ T cells count ⁇ 600 cells mm-3 at baseline with a nadir >300 cells mm-3 and who had CD4+ T cells count ⁇ 500 cells mm-3 at least once from diagnosis to initiation of treatment.
  • This trial is a randomized, placebo-controlled, 4-parallel groups trial to compare the safety, tolerability and immunogenicity of the THV01 vaccination versus placebo.
  • ⁇ H IV viral load > 15,000 copies mL-1 from confirmed twice respectively 14 and 28 days later.
  • Adverse events are described by SOC and preferred term according to the MedDRA classification and by treatment/dose group.
  • Table 3 displays the percentage of patients experiencing at least one Adverse Event of mild intensity by SOC and preferred term and treatment groups.
  • Table 3 Adverse Events of Mild Intensity
  • Diarrhoea 0 (0.0%) 3 (33.3%) 2 (22.2%)
  • Herpes virus infection 0 (0.0%) 0 (0.0%) 1 (11.1%)
  • Oral herpes 0 (0.0%) 0 (0.0%) 1 (11.1%)
  • CD4 lymphocytes decreased 1 (16.7%) 2 (22.2%) 2 (22.2%)
  • Oropharyngeal pain 0 (0.0%) 2 (22.2%) 0 (0.0%)
  • Table 4 displays the percentage of patients experiencing at least one
  • Acute HIV infection 0 (0.0%) 0 (0.0%) 1 (11.1%)
  • Urinary tract infection 1 (16.7%) 0 (0.0%) 0 (0.0%)
  • Table 5 displays the percentage of patients experiencing at least one Adverse Event of Severe intensity by SOC and preferred term and treatment groups.
  • immunogenicity is « long-lasting »
  • immunogenicity is « late» and « early » if appearing from the prime
  • Multispecific » means immunogenicity against more than one peptide pool at one timepoint
  • Polyfunctional » means immunogenicity with cells secreting two or three cytokines

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Chemical & Material Sciences (AREA)
  • Immunology (AREA)
  • Medicinal Chemistry (AREA)
  • Microbiology (AREA)
  • Mycology (AREA)
  • Pharmacology & Pharmacy (AREA)
  • Epidemiology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Medicines That Contain Protein Lipid Enzymes And Other Medicines (AREA)
  • Medicines Containing Antibodies Or Antigens For Use As Internal Diagnostic Agents (AREA)
  • Medicines Containing Material From Animals Or Micro-Organisms (AREA)

Abstract

The present invention relates to the intramuscular injection of a lentiviral vector into a human. The lentiviral vector contains a promoter directingthe transcription of a transgene, which preferably encodes a microbial or tumor antigen to be expressed in a mammalian cell host, preferably APC(DCs).The invention encompasses these vectors, methods of making the vectors, and methods of using them, including medicinal uses.

Description

LENTIVIRAL VECTORS FOR INDUCING CD4+ and CD8+ IMMUNE RESPONSES IN VACCINATION OF HUMANS INFECTED WITH HIV-1
TECHNICAL FIELD
[1 ] The present invention is in the field of recombinant vaccine technology and relates to improvements of lentiviral vectors, which can be used as therapeutic and prophylactic vaccines. The vectors provide improved immune responses over other vectors.
BACKGROUND
[2] Recombinant vaccines have been developed with the progress of recombinant DNA technology, allowing the modification of viral genomes to produce modified viruses. In this manner, it has been possible to introduce genetic sequences into non-pathogenic viruses, so that they encode immunogenic proteins to be expressed in target cells upon infection or transduction, in order to develop a specific immune response in their host.
[3] Such vaccines constitute a major advance in vaccine technology (Kutzler et al., Nat Rev Genet, 9(10): 776-788, 2008). In particular, they have the advantage over traditional vaccines of avoiding live (attenuated) virus and eliminating risks associated with the manufacture of inactivated vaccines.
[4] Gene delivery using modified retroviruses (retroviral vectors) was introduced in the early 1980s by Mann et al. {Cell, 33(1 ): 153-9, 1983). The most commonly used oncogenic retroviral vectors are based on the Moloney murine leukemia virus (MLV). They have a simple genome from which the polyproteins Gag, Pol and Env are produced and are required in trans for viral replication (Breckpot et al. , 2007, Gene Ther, 14(1 1 ):847-62; He er a/. 2007, Expert Rev vaccines, 6(6):913-24). Sequences generally required in cis are the long terminal repeats (LTRs) and its vicinity: the inverted repeats (IR or att sites) required for integration, the packaging sequence Ψ, the transport RNA-binding site (primer binding site, PBS), and some additional sequences involved in reverse transcription (the repeat R within the LTRs, and the polypurine tracts, PPT, necessary for plus strand initiation). To generate replication-defective retroviral vectors, the gag, pol, and env genes are generally entirely deleted and replaced with an expression cassette. [5] Retroviral vectors deriving from lentivirus genomes (i.e. lentiviral vectors) have emerged as promising tools for both gene therapy and immunotherapy purposes, because they exhibit several advantages over other viral systems. In particular, lentiviral vectors themselves are not toxic and, unlike other retroviruses, lentiviruses are capable of transducing non-dividing cells, in particular dendritic cells (He et a/. 2007, Expert Rev vaccines, 6(6):913-24), allowing antigen presentation through the endogenous pathway.
[6] Lentiviruses are linked by similarities in genetic composition, molecular mechanisms of replication and biological interactions with their hosts. They are best known as agents of slow disease syndromes that begin insidiously after prolonged periods of subclinical infection and progress slowly; thus, they are referred to as the "slow" viruses (Narayan et al., 1989, J Gen Virol, 70(7): 1617-39). They have the same basic organization as all retroviruses but are more complex due to the presence of accessory genes (e.g. , vif, vpr, vpu, nef, tat, and rev), which play key roles in lentiviral replication in vivo.
[7] Lentiviruses represent a genus of slow viruses of the Retroviridae family, which includes the human immunodeficiency viruses (HIV), the simian
immunodeficiency virus (SIV), the equine infectious encephalitis virus (EIAV), the caprine arthritis encephalitis virus (CAEV), the bovine immunodeficiency virus (BIV) and the feline immunodeficiency virus (FIV). Lentiviruses can persist indefinitely in their hosts and replicate continuously at variable rates during the course of the lifelong infection. Persistent replication of the viruses in their hosts depends on their ability to circumvent host defenses.
[8] The design of recombinant integrating lentiviral vectors is based on the separation of the cis- and frans-acting sequences of the lentivirus. Efficient transduction in non-dividing cells requires the presence of two c/s-acting sequences in the lentiviral genome, the central polypurine tract (cPPT) and the central termination sequence (CTS). These lead to the formation of a triple-stranded DNA structure called the central DNA "flap", which maximizes the efficiency of gene import into the nuclei of non-dividing cells, including dendritic cells (DCs) (Zennou et al., 2000, Cell, 101 (2) 173-85; Arhel ef al., 2007, EMBO J, 26(12):3025-37). [9] Dendritic cells are of primary importance for antigen presentation because they constitute the main class of antigen presenting cells (APCs) whose primary function is to present antigens and initiate an immune response.
[10] To generate an immune response, antigenic proteins must be processed by cells into peptides that are displayed on the cell surface by major histocompatibility complex proteins (MHCs). Circulating APCs present the peptide-MHC complexes to T cells in the draining lymph nodes, where they interact with T cell receptors, and, in conjunction with co-stimulatory signals, activate the T cells.
[1 1 ] A variety of studies have shown that inoculation with lentiviral vectors leads to antigen presentation by DCs and strong activation of antigen specific cytotoxic T lymphocytes (CTLs; CD8+ T cells). Therefore, lentiviral vectors have been engineered for the last 10 years for gene transfer and immunotherapy applications.
[12] The vectors routinely contain strong constitutive promoters containing enhancers, such as the CMV promoter. Michelini et al. , Vaccine 27(34):4622-29 (2009); Karwacz et al., J. Virol. 83(7):30943103 (2009); Negri et al., Molecular Therapy
15(9): 1716-23 (2007); and Buffa et al., J. General Virology 87: 1625-1634 (2006).
[13] Lentiviral vectors have been improved in their safety by removal of the LTR U3 sequence, resulting in "self-inactivating" vectors that are entirely devoid of viral promoter and enhancer sequences originally present within the LTRs.
[14] The lentiviral particles, which contain lentiviral vectors, can be produced by recombinant technology upon transient transfection of cells, for example HEK 293T human cultured cells, by different DNA plasmids:
(i) a packaging plasmid, which expresses at least the Gag, Pol Rev, Tat and, in some cases, structural and enzymatic proteins necessary for the packaging of the transfer construct;
(ii) a proviral transfer plasmid, containing an expression cassette and HIV cis- acting factors necessary for packaging, reverse transcription, and integration; and
(iii) an envelope-encoding plasmid, in most cases the glycoprotein of vesicular stomatitis virus (VSV.G), a protein that allows the formation of mixed particles
(pseudotypes) that can target a wide variety of cells, especially major histocompatibility (MHC) antigen-presenting cells (APCs), including DCs. [15] This procedure allows obtaining transient production of lentiviral particle vectors by the transfected cells. However, the lentiviral particle vectors may also be continuously produced by cells by stably inserting the packaging genes, the proviral coding DNA, and the envelope gene into the cellular genome. This allows the continuous production of lentiviral particle vectors by the cells without the need for transient transfection. Of course, a combination of these procedures can be used, with some of the DNAs/plasmids integrated into the cellular genome and others provided by transient transfection.
[16] Non-integrating lentiviral vectors have been designed to mitigate the risks of potential oncogenesis linked to insertional mutagenesis events, particularly for vaccination purposes. Examples of non-integrating lentiviral vectors are provided in Coutant et al., PLOS ONE 7(1 1 ):e48644 (2102), Karwacz et al. , J. Virol. 83(7):3094- 3103 (2009), Negri et al., Molecular Therapy 15(9): 1716-1723 (2007); Hu et al., Vaccine 28:6675-6683 (2010). Consequently, it has been reported that a non-integrating lentiviral vector system greatly mitigates the potential risk of insertional mutagenesis as compared to an integrating system. Hu et al. , Vaccine 28:6675-6683 (2010). It has been further reported that functional analysis indicates that both the magnitude and quality of the immune responses elicited by DC-directed integration-defective lentiviral vectors (IDLVs) are comparable to that of its integrating counterpart. Id. Thus, integration-defective lentiviral vectors (IDLVs) have been considered safer vectors than integrating vectors for human administration, with comparable effectiveness.
[17] In addition, deletion in the U3 region of the 3' LTR of the viral promoter and enhancer sequences in self-inactivating lentiviral vectors limits the likelihood of endogenous promoter activation. These concerns with safety directly address the experiences gained from the SCID-X1 gene therapy trial carried out in 1998-1999, performed with Moloney virus-based retroviral vectors on children suffering from a rare form of X-linked (SCID-X1 gene) severe immunodeficiency disease (Cavazzana-Calvo et al., 2000, Science., 288(5466):669-72). During this trial, four of nine children developed leukemia as a result of the integration of the Moloney-derived retroviral vector at close proximity to the human LM02 proto-oncogene (Hacein-Bey-Abina et al., 2008, J. Clin. Invest. , 118(9):3132-3142). It was demonstrated that malignancy was the consequence of the proximity of the viral U3 promoter/enhancer to the LM02 proto- oncogene. As a result, safety is a major concern for the administration of lentivectors to humans.
[18] Enhancers are cis-acting sequences, which can act as transcriptional activators at a distance. They have been widely employed in viral derived vectors because they appear to be the most efficient for obtaining transgene strong expression in a variety of cell types, in particular DCs (Chinnasamy et al. , 2000, Hum Gene Ther 1 1 (13): 1 901 -9; Rouas et al. , 2008, Cancer Gene 777er 9(9):715-24; Kimura et al. , 2007, Mol Ther 15(7): 1390-9; Gruh et al. , 2008, J Gene Med 10(1 ) 21 -32). However, given the safety issue of insertional mutagenesis, such transcriptional enhancer sequences should be deleted from the lentiviral vector constructs to abolish the risk of insertional mutagenesis by enhancer proximity effect. This enhancer proximity effect is by far the most frequent mechanism of insertional mutagenesis and is the only effect described in human or animal cases of tumorigenic events after gene transfer.
[19] Thus, there is a need to develop retroviral, particularly lentiviral vectors, which do not include viral enhancers, but still allow sufficient expression of transgenes encoding immunogenic peptides, if possible, as much expression as that observed when using the CMV promoter.
[20] Recent studies has reported on the replacement of viral promoters by DC- specific promoters deriving from major histocompatibility complex class I I genes (MHC class I I) (Kimura et al. , 2007, Mol Ther 15(7): 1390-9) and dectin-2 genes (Lopes et al., 2008, J Virol 82(1 ):86-95). The dectin-2 gene promoter used in Lopes et al. contains a putative enhancer and an adenoviral conserved sequence (inverted terminal repeats in adenovirus promoter) (Bonkabara et al. , 2001 , J. Immunology, 167:6893-6900). The MHC class I I gene promoter used by Kimura et al. does not contain any known enhancer.
[21 ] Yet, without an enhancer, the MHC class I I promoter was found not to provide sufficient transgene expression in DCs, when administered intravenously. In particular, lentiviral vectors including MHC class I I promoters did not provoke an immune reaction in immunocompetent C57BL/6 mice, in contrast to the immune responses observed with CMV promoters/enhancers. Although integration and persistent transgene expression were observed after injection in mice, the lentiviral vectors transcribed through MHC class II promoters failed to stimulate an antigen- specific CD8+ cytotoxic T-lymphocyte response, even after vaccination boost. The authors of these studies therefore concluded that the use of MHC class I I promoters was of interest only for applications where persistence of expression is sought as in gene replacement therapy, but not in the context of immunotherapy. Of note, MHC class I I promoters are expressed poorly in most cell types.
[22] Thus, the MHC class I I promoter is not an adequate promoter for lentiviral vectors for induction of an immune response against an antigen via IV injection.
Moreover, the dectin-2 promoter is expressed poorly in most cell types and appears to contain an enhancer. Thus, the dectin-2 promoter is not a good promoter for lentiviral vectors for safety reasons.
[23] Preferably, in immunotherapy, lentiviral vectors provide effective expression of the transgene that elicits a desired specific immune response. This requires that the expression is at a high level in APCs, such as dendritic cells.
[24] It is also preferable that the cells transduced by the lentiviral vectors are eliminated by the immune response to provide a higher degree of safety. That is, the transgene can elicit an immune response in the host sufficient to eliminate the cells that are transduced by the lentiviral vectors. The elimination of transduced cells eliminates the persistence of the lentiviral vector in the host, and possible secondary effects of the vector. In order for the transduced cells to be eliminated, expression is required in non- dendritic cells at a level that allows elimination by the immune response. Thus, appropriate expression of an antigen is desirable.
[25] At the same time, the promoter should maximize immune stimulation through the key cells (i.e. , dendritic cells) involved in the activation of naive and memory T cells, and should minimize the risk of insertional mutagenesis and genotoxicity in stem cells, leading to malignancies. Thus, the promoter should have sufficiently high activity in dendritic and other cells, but not contain an enhancer. Based on these criteria, viral promoters, such as the CMV promoter, are not ideal because of the presence of strong enhancers. These criteria are summarized as follows: 1 . high expression in antigen presenting cells, including dendritic cells, to induce maximal immune responses;
2. expression in other transduced cell types sufficient for elimination by the induced immune response; and
3. lack of an enhancer element to avoid insertional effects.
[26] Thus, a need exists in the art for improved vectors and methods for immunizing humans. The present invention fulfills these needs in the art.
SUMMARY OF THE INVENTION
[27] The invention encompasses compositions comprising lentiviral vectors and methods of using the vectors. The invention encompasses methods for inducing an immune response in a human. In one embodiment, the method comprises
intramuscularly administering integrating lentiviral vector particles comprising a lentiviral vector to a human. In one embodiment, the intramuscular administration is in a priming dose and a boosting dose.
[28] The invention encompasses compositions comprising a dose of 5 x 106 to
5 x 10s TU of lentiviral vector particles for use in the treatment of a microbial infection or a cancer by induction of a CD4+ and/or CD8+ T eel! response against an antigen encoded by the lentiviral vector. Preferably, the treatment is by repetitive intramuscular administration to a human,
[29] The lentiviral vector particles can comprise a functional integrase protein and a lentiviral vector. The DNA of the lentiviral vector can comprise a β2ηι or MHC class I promoter directing expression of a microbial or tumor antigen, wherein the promoter does not contain an enhancer. Preferably, the repetitive intramuscular administration induces CD4+ and/or CD8÷ T-specific responses against the antigen.
[30] Preferably, the lentiviral vector encodes a viral antigen, preferably a human immunodeficiency virus type I antigen, a bacterial antigen, or a tumor antigen, preferably a human telomerase antigen.
[31 ] In various embodiments, the method comprises injecting at least 107 or 5 x 107 lentiviral vector particles. [32] The invention further encompasses compositions comprising a lentiviral vector or lentiviral vector particle according to the invention for use as a medicament or vaccine.
[33] The invention encompasses a composition or use, wherein the lentiviral vector comprises a viral antigen, particularly a human immunodeficiency virus type I antigen, a bacterial antigen, or a tumor antigen, particularly a human teiomerase antigen.
[34] The invention encompasses a composition or use comprising at least 107 or 5 x 1 0' lentiviral vector particles.
[35] The invention encompasses nucleic acid molecules and vectors encoding a polypeptide comprising the amino acid sequence of SEQ ID NO:30 and methods of using the nucleic acid molecules and vectors.
[36] Preferably, the vector is a lentiviral vector. In one embodiment, the vector comprises a p2-microgiobuiin promoter. In one embodiment, the vector comprises a Woodchuck PostTranscriptional Regulatory Element (WPRE).
[37] Preferably, the vector encodes an HIV-1 (e.g., Gag, Pol, or Nef) polypeptide.
[38] In one embodiment, the vector is a DNA. Preferably, the vector comprises or encodes the nucleic acid sequence of SEQ I D NO:31 , SEQ I D NO:32, SEQ ID NO:33, SEQ I D NO:34, SEQ ID NO:35, SEQ ID NO:36, SEQ ID NO:37, SEQ I D NO:38, SEQ ID NO:39, or SEQ ID NO:40.
[39] The invention encompasses a lentiviral vector particle encoding a polypeptide comprising the amino acid sequence of SEQ ID NO:30. Preferably, the lentiviral vector particle comprises the nucleic acid sequence of SEQ I D NO:31 or SEQ ID NO:32.
[40] In one embodiment, the lentiviral vector particle comprises a functional lentiviral integrase protein. In one embodiment, the lentiviral vector particle comprises a vesicular stomatitis virus glycoprotein. In one embodiment, the lentiviral vector particle comprises HIV-1 subtype D Gag and Pol proteins.
[41 ] The invention encompasses an isolated cell comprising a vector of the invention. [42] The invention encompasses the use of a vector of the invention for inducing an immune response in a human by intramuscular administration.
[43] The invention encompasses a method for inducing an immune response in a human comprising intramuscularly administering a lentiviral vector particle of the invention to a human.
BRIEF DESCRIPTION OF THE DRAWINGS
[44] Figure 1. Evaluation of the GFP expression driven by various internal promoters. Lentivector constructions encompassing various promoters were used to transduce HEK293T (a fibroblast ceil line) and BDCM (a dendritic-like cell line) cells, and the promoters' ability to drive the GFP expression was evaluated by flow cytometry. FI (Mean Fluorescence intensity) in BDCM cells are represented in % of the MFI obtained in 293T ceils. CMV: cytomegalovirus, P2m: p2~microglobulin, UBC: Ubiquitin C and EF1 a: Elongating factor 1 a. See bttp://biogps,org/#goto=we!come for their corresponding expression profiles in human tissues.
[45] Figure 2. T-ce!l specific immune response (ELISpot IFN-γ) elicited in
C57BI/6J mice by lentiviral vectors wherein the antigen (HIV-1 ) expression is driven by various promoters (1 106TU/mouse, cumu!ative response, median).
[46] Figure 3. in vivo evaluation of the GFP expression in DCs isolated from muscle or draining lymph node three days after mice intramuscular immunization with 10s TU of lentiviral vector encompassing the CMV or the β2ηι promoter.
[47] Figure 4. Specific CD4+ and CD8÷ response elicited against the P24 and Nef part of the HIV-1 antigen, after intramuscular injection of 2 10' TU of the lentivector (p2m-HIV) in Sprague Dawiey rats (ELISpot IFN-γ).
[48] Figure 6. Long lasting specific T-cel! response elicited after intramuscular injection of 2.68 107 TU of the vaccine candidate (p2m-H IV) in C57BI/6j mice (ELISpot !FN-γ, cumulative response).
[49] Figure 8. Diversified specific T-ceil response elicited after intramuscular injection of 2.68 107 TU of the vaccine candidate (p2m-H IV) in C57BI/6j mice (ELISpot !FN-γ, cumulative response). [50] Figure 7. Evaluation of the cross neutralization of lentivectors
pseudotyped with New jersey or Indiana VSV-G glycoprotein using serum from mice injected with vectors pseudotyped with Indiana VSV-G glycoprotein,
[51 ] Figure 8. Evaluation of the cross neutralization of lentivectors
pseudotyped with New Jersey or Indiana VSV glycoprotein using serum from mice injected with vectors pseudotyped with New Jersey VSV glycoprotein.
[52] Figure 9. Specific T-cell response (ELI Spot IFN-γ) after intramuscular injection of (2 106 TU) in Sprague-Dawley rats (n=6) in a prime-boost regimen (THV01 -1 and THV01 -2 injected 6 weeks apart).
[53] Figure 10. Specific T-cell response (ELISpot IFN-γ, cumulative response) elicited in Sprague-Dawley rats after injection of 3 different lentiviral doses (2 105, 2 106 and 2 107 TU) displayed in 2 different volumes (n=20 and 40GpL).
[54] Figure 11. Specific T-cell response (ELISpot IFN-γ, cumulative response) elicited in SD rats (n=6) after intramuscular injection of 2 1 O6 TU of lentiviral vector displayed in 1 , 2, 3 or 4 injection sites.
[55] Figure 12. Schematic depiction of GLP preclinical studies performed in Sprague-Dawley rats. a. Design of the acute single dose study: MAD injection of the preclinical batches of THV01 -1 and THV01 -2, intramuscularly as it is clinical route and intravenously to evaluate worst case scenario. Sacrifices were performed at day 4 for !M group only to evaluate microscopic and macroscopic toxicity and the local tolerance and at day 15 for iM and IV groups to evaluate the immunogenicity and the recovery after injection, b. Design of the vector shedding in urines: urines were collected in GMP conditions in animal participating in the acute single dose study, c. Design of the treatment toxicity study: clinical treatment was mimicked in rats, with MAD and ½ MAD THV01 -1 prime injection followed by THV01 -2 boost injection 6 weeks later. Sacrifices for toxicology studies were performed before and after the boost injection, and 17 weeks post prime. During this study, biood was collected before and after injections and samples were used to evaluate the cytokines levels, d. GLP biodistribution study design: Rats were injected with THV01-1 or THV01 -2 (MAD) and sacrifices were performed at day 4, 21 , 33 and 56. 13 organs (brain, ovaries or testes, heart, iung, liver, spleen, adrenal, kidneys, bone marrow, skeletal muscle -dorsal-, lymph node -iliac-, subcutis -injection site-, skeletal muscle -injection site-) and 3 body fluids (blood, urines and feces) were collected, and the presence of provirai sequence was evaluated with specific qPCR.
[56] Figure 13. Specific T-ce!i response elicited after MAD (400μΙ_)
intramuscular injections of THV01 -1 (corresponding to 1.08 10s TU) and THV01 -2 (corresponding to 1 ,88.108 TU) !entiviral vectors in Sprague Dawley rats (ELISPot !FN- Y). Group A: THV01 -1 alone, Group B THV01-1 and THV01 -2 injected 6 weeks apart (sacrifice day 49, 6 days post THV01 -2 boost injection), Group C: Group B that received a second boost injection at day 637 (day 599 post THV01 -2 boost) with THV01 -3, the HIV-1 vaccine candidate pseudotyped with Cocai, a third VSV-G serotype, MAD corresponding to 5,3.10' TU), Group D: THV01-3 aione injected at day 628 (MAD, corresponding to 5,3.107) and Group E : control (PBS-Lactose).
[57] Figure 14. GLP biodistribution (qPCR) of the ientivirai provira! sequences after MAD intramuscular injections of THV01 -1 (A) and THV01 -2 (B). Variations between animals (males and females) can be observed, as the Ientivirai vector diffusion is reduced after intramuscular administration and the injection sites were sometimes hard to localize and sample precisely at necropsy.
[58] Figure 15. Bioiuminescence monitoring of LV after IM injections of 1 10s TU of the Ientivirai vector in C57BI/8j mice.
[59] Figure 16. Comparison of the specific T-ce II specific immune responses
(ELiSpot IFN-γ, cumulative response) elicited by the injection of a Ientivirai vector (β2ηη- HiV) following 3 administration routes (intramuscular, subcutaneous and intranasal) in Sprague Dawley rat (2 106 TU/rat, n=4/6).
[60] Figure 17. Evaluation of the specific T-cell specific immune responses (ELISpot IFN-γ, cumulative response) elicited by the injection of a Ientivirai vector (p2m- HIV) following 5 administration routes (intramuscular, subcutaneous, intranasal, intravaginai and intrarectal) in Sprague Dawley rat (2 07 TU/rat, n=2/8).
[61 ] Figure 18. Evaluation of the specific T-cell specific immune responses (ELiSpot IFN-γ, median of responses against p24, NC, POL and NEF) elicited by the injection of a ientivirai vector (p2m-HiV) injected following 5 administration routes (intramuscular, subcutaneous, intranasal, intravaginai and Intrarectal) in Sprague Dawley rat (2 107 TU/rat, n=2/8).
[62] Figure 19. Dose-response in respect of the immunogenicity of a non- integrating vector (p2m-HIV integrase mutant), compared to the effective dose of the corresponding integrating vector (p2m-HIV). Mice (5 per group) were inoculated by intramuscular injection with the indicated doses of viral particles. Splenocytes were isolated from the mice after 12 days and stimulated for 18 h with pools of peptides. All reactions were performed in triplicate.
[63] Figure 20. Dose-response in respect of the immunogenicity of an
Adenovector (Ad5- p2m-HIV adenoviral vector), compared to an effective dose of the corresponding integrating lentiviral vector (p2m-HIV). Mice (5 per group) were inoculated by intramuscular injection with the indicated doses of viral particles.
Splenocytes were isolated from the mice after 12 days and stimulated for 18 h with pools of peptides. All reactions were performed in triplicate.
[64] Figure 21. Clinical trial regimen. Schematically, four steps can be defined: i. the screening phase; ii. HAART alleviation: patient is enrolled at his baseline visit and stops taking aii antiretroviral treatments except a boosted protease inhibitor. Baseline visit takes place 2 weeks before the injection of THV01 -1 except for patients taking Tenofovir for whom it must take place 7 weeks before the injection because of a longer intracellular half-life. Patient receives THV01 -1 then 8 weeks later THV01 -2 at the same dose; iii. HAART resumption: 1 week after the vaccination with THV01 -2, patient resumes its full antiretroviral therapy and iv. Patient stops all antiretroviral treatments 16 weeks after the second vaccination. Stringent monitoring is implemented to guaranty patient's safety: patient will resume HAART as soon as HAART resumption criteria are met.
[65] Figure 22. A: Kinetics of in vivo expression of (CMV-Luciferase) after direct IM injection into C57BI/6J mice (left flank exposure) - mean. B: Kinetics of in vivo expression of (p2-m HIV antigen IRES luciferase) after direct IM injection into C56bl/- mice (left flank exposure -mean). [66] Figure 23. Long-term biodistribution of integrated ientiviral vector sequence following direct !M injection of MAD in rats (muscle, lymphnode and subcutis) were evaluated.
[67] Figure 24. Cell-specific expression of various promoters was analyzed using the data sets at biogps.org. The expression levels were normalized to expression in skeletal muscle (=1.0).
[68] Figure 25. Kinetics of prime-boost immunization (influenza vaccine) was evaluated. Evaluation of specific T-cell specific immune response (ELISpot IFN-γ, cumulative response) of a ientiviral vector with an influenza antigen in a kinetic evaluation, in C57B!/6j mouse (5 106 TU/mouse in prime and 3 106 TU/mouse in boost, n=5/8).
[69] Figure 26 A-D. Depiction of constructs expressing HIV antigens. A) Proviral RNA sequence from production plasmid (5'LTR to 3'-LTR) with WPRE (SEQ ID NO:37). B) Proviral RNA sequence from production plasmid (5'LTR to 3'-LTR) without WPRE (SEQ ID NO:38). C) Antigen RNA sequence from integrated provirus with WPRE (SEQ ID NO:39). D) Antigen RNA sequence from integrated provirus without WPRE (SEQ ID NO:40).
[70] Figure 27 A-U. Depiction of stimulations with peptides from the antigens included in the vaccine (GAG, POL and Nef pools). Patients 103-001 , 103-003, 202- 004, 105-003, 106-001 , and 201 -006 were given placebo.
[71 ] Figure 28. Depiction of clinical study design.
[72] Figure 29 A-D. Patient RNA and CD4+ T ceil levels at various time points during the study for four different patients. The week at which the patient left the study is indicated within the box at the upper right. The P within the darkened circle indicates the patient given the placebo. These patients were given 2 doses of 5 x 106 of the lentivector or the piacebo.
[73] Figure 30 A-D. Patient RNA and CD4+ T ceil levels at various time points during the study for four different patients. The week at which the patient left the study is indicated within the box at the upper right. The P within the darkened circle indicates the patient given the piacebo. These patients were given 2 doses of 5 x 106 of the lentivector or the piacebo. [74] Figure 31 A-D. Patient RNA and CD4+- T ceil levels at various time points during the study for four different patients. The week at which the patient left the study is indicated within the box at the upper right. The P within the darkened circle indicates the patient given the placebo. These patients were given 2 doses of 5 x 106 of the lentivector or the piacebo.
[75] Figure 32 A-D. Patient RNA and CD4+ T cell levels at various time points during the study for four different patients. The week at which the patient left the study is indicated within the box at the upper right. The P within the darkened circle indicates the patient given the placebo. These patients were given 2 doses of 5 x 107 of the lentivector or the piacebo.
[76] Figure 33 A-D. Patient RNA and CD4÷ T cell levels at various time points during the study for four different patients. The week at which the patient left the study is indicated within the box at the upper right. The P within the darkened circle indicates the patient given the piacebo. These patients were given 2 doses of 5 x 107 of the lentivector or the placebo.
[77] Figure 34 A-D. Patient RNA and CD4+ T ceii levels at various time points during the study for four different patients. The week at which the patient left the study is indicated within the box at the upper right. The P within the darkened circle indicates the patient given the piacebo. These patients were given 2 doses of 5 x 10' of the lentivector or the piacebo.
[78] Figure 35 A~D. Patient RNA and CD4÷ T ceil levels at various time points during the study for four different patients. The week at which the patient left the study is indicated within the box at the upper right. These patients were given 2 doses of 5 x 108 of the lentivector or the placebo.
[79] Figure 36 A-D. Patient RNA and CD4+ T cell levels at various time points during the study for four different patients. These patients were given 2 doses of 5 x 10s of the ientivector or the piacebo.
[80] Figure 37 A-D. Patient RNA and CD4+ T ceil levels at various time points during the study for four different patients. These patients were given 2 doses of 5 x 108 of the lentivector or the placebo. [81 ] Figure 38 A-B. Patient RNA and CD4+- T ceil levels at various time points during the study for two different patients. These patients were given 2 doses of 5 x 108 of the lentivector or the placebo.
[82] Figure 39 A-B. Summary of pre-week 24 CD4+ and CD8+ immune responses for dose 1 (A) and dose 2 (B).
[83] Figure 40 A-B Summary of pre- and post-week 24 CD4+ and CD8+ immune responses for dose 1 (A) and dose 2 (B).
DETAILED DESCRIPTION OF THE INVENTION
[84] The inventors have discovered that the intramuscular administration to an animal, including a human, of an integrating lentivector with specialized promoters driving expression of an immunogenic protein results in an unexpectedly high and prolonged immune response against the protein that leads to elimination of the integrated vector from the animal, including a human. A clinical study in humans has shown that the intramuscular administration of a lentivector to a human is safe. Thus, the invention provides for new lentivectors having high and prolonged immune responses and increased safety for human administration.
[85] In order to determine if promoters existed that might meet the criteria of high expression in dendritic cells to induce maximal immune responses; expression in other transduced cell types sufficient for elimination by the induced immune response; and lack of an enhancer element to avoid insertional effects, human gene promoters were investigated for their utility in lentiviral vectors (Fig. 24). Human promoters were analyzed for their expression levels in dendritic cells and in other tissues. Id. Promoters with expected high levels of dendritic cell expression and relatively high mean expression in all tissues were selected. The promoters were further selected for lack of enhancer sequences.
[86] The selection of promoters was initially for those with high expression in dendritic cells. Desirable promoters were selected to have greater expression in BDCA+ dendritic cells than in other cell types, such as kidney, smooth muscle, liver, heart and skeletal muscle. Desirable promoters were further selected to have some residual expression in other cell types. One group of promoters that meets these criteria is MHC Class I and 2-microglobulin (p2m) promoters (Fig. 24). [87] The MHC Class I promoters show conservation of NF-Kb binding sites, an interferon stimulated response element (ISRE), and an SXY regulatory module (SXY). The human 2-microglobulin (β2ηι) promoter shows some similarity to the MHC Class I promoters, as it contains an ISRE, albeit upstream of a single NF-Kb binding site.
[88] MHC Class I I promoters are considered to be antigen presenting cell
(including dendritic cell)-specific promoters. Although MHC class II promoters contain an SXY module, they do not contain NF-Kb binding sites or an ISRE (Van den Helsen et al, 1998, Immunogenetics, 48:208-221 ). Thus, MHC Class II promoters are quite different from MHC Class I promoters. As a result, they also have very different cell expression patterns (Fig. 24).
[89] Another antigen presenting cell-specific promoter, dectin-2, contains an interferon stimulated response element (ISRE); but does not contain an SXY module (Bonkabara et al., 2001 , J. Immunology, 167:6893-6900).
[90] The sequences of various mammalian (human) MHC class I promoters are shown below:
HLA-A2 (MHC I):
attggggagtcccagccttggggattccccaactccgcagtttcttttctccctctcccaacct atgtagggtccttcttcctggatactcacgacgcggacccagttctcactcccattgggtgtcg ggtttccagagaagccaatcagtgtcgtcgcggtcgcggttctaaagtccgcacgcacccaccg ggactcagattctccccagacgccgagg
(SEQ ID NO: 1)
HLA-B7 (MHC I):
ggggaggcgcagcgttggggattccccactcccctgagtttcacttcttctcccaacttgtgtc gggtccttcttccaggatactcgtgacgcgtccccacttcccactcccattgggtattggatat ctagagaagccaatcagcgtcgccgcggtcccagttctaaagtccccacgcacccacccggact cagag (SEQ ID NO: 2)
HLA-Cw5 (MHC I):
cactggggaggcgccgcgttgaggattctccactcccctcagtttcacttcttctcccaacctg cgtcgggtccttcttcctgaatactcatgacgcgtccccaattcccactcccattgggtgtcgg gttctagagaagccaatcagcgtctccgcagtcccggtctaaagtccccagtcacccacccgga ctcagattctccccagacgccgag (SEQ ID NO: 3)
HLA-E (MHC I):
taagaactgctgattgctgggaaactctgcagtttcccgttcctctcgtaacctggtcatgtgt ccttcttcctggatactcatgacgcagactcagttctcattcccaatgggtgtcgggtttctag agaagccaatcagcgtcgccacgactcccgactataaagtccccatccggactcaagaagttct caggactcagagg (SEQ ID NO: 4)
HLA-F (MHC I):
aggccccgaggcggtgtctggggttggaaggctcagtattgagaattccccatctccccagagt ttctctttctctcccaacccgtgtcaggtccttcatcctggatactcataacgcggccccattt ctcactcccattgggcgtcgcgtttctagagaagccaatcagtgtcgccgcagttcccaggttc taaagtcccacgcaccccgcgggactcatatttttcccagacgcggaggttggggtcatg (SEQ ID NO: 5)
[91 ] A sequence of the human p2-microglobulin promoter is shown below: aacatcacgagactctaagaaaaggaaactgaaaacgggaaagtccctctctctaacctggcac tgcgtcgctggcttggagacaggtgacggtccctgcgggccttgtcctgattggctgggcacgc gtttaatataagtggaggcgtcgcgctggcgggcattcctgaagctgacagcattcgggccgag (SEQ ID NO: 6) .
[92] The MHC I and p2m promoters do not contain an enhancer. Moreover, these promoters are dendritic-specific in that expression of the promoter in BDCA+ dendritic cells is higher than the expression in kidney, smooth muscle, liver, and heart cells (http://biogps.org; Fig. 24). They also have relatively high expression in other transduced cell types, for example, expression of the promoter in BDCA+ dendritic cells is only 12-100 times the expression of that promoter in skeletal muscle cells, in contrast to 900 times with the MHCI I HLA-DRa promoter. Id. Consequently, the MHCI and β2ηι promoters were assessed to determine their utility in a lentiviral vector.
[93] MHCI promoters (HLA-A2, HLA-B7 or HLA-E) or a p2m promoter were inserted into a lentiviral vector. For comparison, the promoters of the ubiquitously expressed EF1 a and Ubiquitin (UBC) genes were also inserted into the lentiviral vector. EF1 a and Ubiquitin promoters do not contain any identified enhancers, and do not contain an SXY module, NF-Kb binding sites or an ISRE. Rather, the EF1 a and
Ubiquitin (UBC) promoters instead contain Sp1 and Ap1 binding sites. The EF1 a promoter does not have high expression in dendritic cells (http://biogps.org; Fig. 24). In fact, expression in smooth muscle is greater than expression in BDCA+ DCs. Id. The UBC promoter does not have expression in BDCA+ dendritic cells that is 12-100 times the expression of that promoter in skeletal muscle cells (http://biogps.org; Fig. 24). Rather, the expression in skeletal muscle is similar to that in BDCA+ DCs. Id. A vector containing the CMV promoter/enhancer was also generated. A vector containing an MHCII promoter (HLA-DRa) was also generated. This promoter has extremely high expression in dendritic cells, but not in other cells, such as kidney, smooth muscle, liver, heart and skeletal muscle (http://biogps.org). In these vectors, the promoters drive expression of green fluorescent protein (GFP).
[94] To look for dendritic cell-specific expression, the lentivectors were packaged by cotransfection in HEK 293 T cells with an encapsidation plasmid and a plasmid providing VSV. G envelope, essentially as described in Naldini et al, 1996, Science 272:263-7. Both HEK 293 T and BDCM cells (a dendritic-like cell line) were then transduced with particles of the different vectors. Expression was detected in HEK 293 T cells with all vectors.
[95] Vectors with a CMV promoter, an UBC promoter, or an EF1 a promoter demonstrated higher expression in HEK 293 T cells than in BDCM cells (Fig. 1 ).
However, vectors with an MHCI I promoter (HLA-DRa), MHCI promoter (HLA-A2, HLA- B7 or HLA-E), or β2 microglobulin promoter (P2m) showed higher expression in BDCM cells than in HEK 293 T cells. Thus, these promoters all exhibited a dendritic cell- specific overexpression.
[96] The ability of these vectors to produce specific immune responses was then determined. Mice were immunized with lentivectors in which HIV antigen expression is driven by various promoters. 12 days after immunization, the specific T- cell responses were monitored in mice splenocytes by IFN-γ ELISPOT. As shown in Figure 2, immunization with a lentivector with an MHCI promoter gave the highest specific T-cell response.
[97] As seen in Figure 2, the T-specific response with the MHCI promoters was higher than with CMV, EF1 a, Ubiquitin, or MHC I I promoters, and more than 3 fold higher than that with EF1 a or CMV promoters. The T-specific response with the p2m promoter was similar to the MHCI promoters. These results indicate that the MHCI and β2ιτι promoters are unexpectedly superior to the EF1 a, Ubiquitin, CMV, or MHCI I promoters for use in lentivectors for maximizing the T-specific response in vivo.
[98] The in vivo GFP expression in DCs isolated from muscle or draining !ymph node, three days after mice were intramuscularly administered 108 TU of ientiviral vector with the CMV or the β2νη promoter driving GFP expression was analyzed. Figure 3 shows FACS analysis of DCs isolated from muscle or draining lymph node, three days after administration. Compared to the CMV promoter, the 2m promoter showed substantially higher expression of GFP in DCs, in both muscle and draining lymph node.
[99] Specific CD4÷ and CD8+ responses elicited against the P24 and Nef part of the anti-HiV-1 antigen, were analyzed after injection of 2 x 107 TU of the lentivector p2m-HIV in Sprague Dawley rats. As can be seen in Figure 4, both CD4 and CD8 responses were induced using the p2m promoter. Long lasting and diversified specific T-ceil response was elicited after intramuscular injection of 2.68 x 10' TU of the lentivector p2m-H IV in C57B1/6] mice (Figures 5 and 6). The T-specific responses at 420 days after administration achieved levels of more than 25% of the responses at 1 1 days after administration and more than 75% of the responses at 42 days after administration.
[100] The ability of antibodies generated against lentivectors pseudotyped with Indiana and New Jersey VSV-G glycoproteins to interfere with a second administration of a lentivector pseudotyped with the same, but not a different, VSV glycoprotein was shown (Figures 7 and 8).
[101 ] Specific T-cell responses were shown after intramuscular injection of (2 x 106 TU) in Sprague-Dawley rats (n=6) in a prime-boost regimen (THV01 -1 : β2ηι-Ηΐν pseudotyped with Indiana VSV-G and THV01 -2: p2m-HiV pseudotyped with New Jersey VSV-G) injected 6 weeks apart)(Figure 9). Specific T-cell responses were elicited in Sprague-Dawley rats after injection of 3 different Ientiviral doses (2 x 105, 2 x 106 and 2 x 107 TU) displayed in 2 different volumes (n=20 and 400 L)(Figure 0). Specific T-ceil responses were elicited in SD rats (n=6) after intramuscular injection of 2 106 TU of Ientiviral vector displayed in 1 , 2, 3 or 4 injection sites (Figure 1 1 ). [102] Specific T-cell responses were elicited after MAD (400pL) intramuscular injections of THV01 -1 (corresponding to 1 .06 x 108 TU) and THV01 -2 (corresponding to 1.88 x 108 TU) lentivira! vectors in Sprague Dawiey rats (Figure 12). Group A: THV01 -1 alone, Group B THV01 -1 and THV01 -2 injected 6 weeks apart (sacrifice day 49, 6 days post THV01 -2 boost injection), Group C: Group B that received a second boost injection at day 837 (day 599 post THV01 -2 boost) with THV01 -3, the HIV-1 vaccine candidate (β2ίϊί-Ηΐν ) pseudotyped with Cocal, a third VSV-G serotype, MAD corresponding to 5,3.107 TU), Group D: THV01 -3 alone injected at day 628 (MAD, corresponding to 5,3.107) and Group E : control (PBS-Lactose)(Figure 13). GLP biodistribution (qPCR) of the lentivira! provirai sequences after MAD intramuscular injections of THV01 -1 and THV01 -2 was determined (Figure 14). Variations between animals (males and females) can be observed, as the lentiviral vector diffusion is reduced after intramuscular administration and the injection sites were sometimes hard to localize and sample precisely at necropsy. Bioluminescence monitoring of LV after IM injections of 106 TU of the lentiviral vector in C57BI/6] mice was performed (Figure 15). As can be seen in Figures 14 and 15, the expression of the ientivectors in vivo was seen soon after transduction, and decreased quickiy to nearly undetectable levels. Thus, even though the vectors are integrating, they are being eliminated rapidly in vivo.
[103] Specific T-cell responses induced by various routes of administration were compared (Figures 16-18). Unexpectedly, intramuscular administration was shown to be substantially better than other routes of administration.
[104] It has been reported that non-integrating vectors have comparable efficiency as integrating vectors, and have improved safety due to their lack of integration. Specific T-cel! responses induced by integrating and non-integrating Ientivectors were compared (Figure 19). 100 times as much of the non-integrating vector was required to induce a similar level of specific T-cell response.
[105] in contrast to the present results, other groups have demonstrated similar levels of immunogenicity elicited after direct injections of integrating and non-integrating lentiviral vectors in animals, in the prior studies, the lentivector doses used to perform these experiments were quantified with the ELISA P24 detection kit; and the injected doses are expressed in ng of P24 protein per ml. This method of titration is poorly representative of viral titer, as it doesn't discriminate the functional lentivira! particles from the non-functional ones and from the free P24 protein present in the solution.
Furthermore, the ELISA P24 detection kit is calibrated to measure the presence of P24 in patient's blood. As the P24 protein is far more concentrated in lentivira! batches, strong dilutions need to be applied before performing the titration (up to 10"7), increasing the inaccuracy of the method. Hence ientivirai batches can show great variability when P24 measurements are performed at different times. To overcome this problem, a new method of titration based on qPCR detection of non-integrating ientivirai vectors was implemented. This method was used in the present study to determine precisely and reliably the titer of non-integrating lentivira! vectors over time, and to evaluate more precisely the immunogenicity after direct injection into animals.
[106] Specific T-cell responses induced by an integrating lentivector were compared to a comparable adenovirus (non-integrating) vector (Figure 20). 100 times as much of the non-integrating adenovirus vector did not even induce a similar level of specific T-cell response. Thus, an integrating lentivector is unexpectedly superior to a non-integrating vector.
[107] A clinical trial plan was developed and implemented in humans (Figure
21 ).
[108] To determine the effect of expression of a poorly immunogenic protein on elimination of expression of integrated lentivector, mice were intramuscularly
administered a CMV-luciferase lentivector (Figure 22). The expression of the CMV- luciferase lentivector was expressed at higher levels for longer than the p2m-HIV vector.
[109] Integrated DNA persistence in injected mice was also measured (Figure 23). Although detectable at day 4 post-administration, (for THV01 -1 : 2, 13 10"5% of the injected particles can be found in the draining lymph nodes, 2,98 10"6% in the subcutis and 3,02 10"5% in the muscle; and for THV01-2, 1 ,35 10"5% of the injected particles can be found in the draining lymph nodes, 1 ,60 10"6% in the subcutis and 4,04 10"5% in the muscle), the bulk of the integrated DNA was eliminated by 21 days post-administration (for THV01 -1 : 7,55 10"7% of the injected particles can be found in the draining lymph nodes, 1 ,89 10"8% in the subcutis and 1 ,61 10"6% in the muscle; and for THV01 -2, 7,55 10"7 % of the injected particles can be found in the draining lymph nodes, 3,72 10"8% in the subcutis and 0% in the muscle).
[1 10] To evaluate long term expression of another antigen, a lentiviral vector expressing influenza M1 and NP antigens was administered intramuscularly to mice in priming and boosting doses. Long term specific T cell responses against influenza antigens were observed (Figure 25).
[1 1 1 ] After mice immunization with the lentivector coding for the H IV antigen, the number of mice T-cells responding to a GAG peptide stimulation appeared to be larger than expected from previously published studies using either lentiviral vectors (Yang et al, PNAS 2006) or other clinically used viral vectors (Chen X. et al, J. Virol 2005;
Gherardi M M et al. J. Virol. 2003; Maamary J et al. J. Virol. 201 1 ; Xin KQ et al. Gene Therapy 2005; Rodriguez A.M. et al, PLOS one 2012). Furthermore, this immune response appears to be sustainable in time in immunized animals, compared to the one observed in animals immunized with other clinically used viral vectors (Xin KQ et al. Gene Therapy 2005, Lin SW et al, J. Clin. Invest 2007).
[1 12] Similar results have been seen in mice immunized with the lentivector coding for the influenza M1 and NP antigen, as it elicited a stronger (Chen et al, J. Virol 2005; Vitelli A. et al, PLOS one 2013) and a more sustainable T cell response compared to other clinically used viral vectors (Zhou D et al, Mol. Ther 2010).
[1 13] The patients in the clinical trial plan (Figures 21 & 28) were analysed for adverse effects to determine the safety of the lentiviral administration. The safety profile of patients treated with the lentiviral vector was comparable to patients that received the Placebo. In addition, neither Serious Adverse Event nor additional severe Adverse Events were seen among the patients treated with the third dose. Thus, the lentiviral vector is safe for use in humans.
[1 14] The patients in the clinical trial plan (Figures 21 & 28) were analysed for viral load (PGR) and CD4+ T ceil counts. The results are depicted in Figures 29-38. Control of viral replication and stabilization of CD4+ T cell counts was observed after HAART removal in many patients. The viral rebound was delayed with dose 3 relative to dose 2 and with dose 2 relative to dose 1 . The viral rebound with dose 1 was the same as with the placebo. [1 15] Samples taken from patients in the clinical trial plan (Figures 21 & 28) were analysed for specific immune responses. The results are depicted in Figure 27 and summarized in Figures 39 and 40.
[1 16] The analysis of the Immunogenicity profile distinguishes between placebo vs vaccinated patients. Only 1 of 6 placebo patients demonstrated an immune response pre-week 24; whereas 6 of 9 of the dose 1 patients (Dose 1 : 5 x 106) and 7 of 8 (one patient couldn't be analyzed) of the dose 2 patients (Dose 2: 5 x 107) demonstrated an immune response pre-week 24.
[1 17] The immunogenicity profile of the vaccine is good. Multispecific polyfunctional CD4 and CD8 T cell responses are induced in many patients. Dose 2 was found to be more efficient than dose 1 , especially in CD8 T cell responses where it induces higher and longer responses. Analyses are ongoing to correlate this
immunogenicity profile to viral load post week 24.
[1 18] Consequently, the intramuscular administration to a human of a lentiviral vector comprising a p2m promoter can induce dose-dependent CD4+ and CD8+ T cell responses against each of the encoded antigens. Although 5 x 106 TU of the lentiviral vector is sufficient to observe responses, 5 x 107 TU demonstrated better responses. 5 x 108 TU can demonstrate even better responses.
[1 19] The present invention encompasses lentiviral vectors comprising MHCI and p2m promoters, and their use for the induction of immune responses in a host by intramuscular administration to a human.
[120] The present invention encompasses a lentiviral vector comprising a promoter sequence from a class I MHC or p2m gene promoter that directs the transcription of a transgene, which preferably encodes an immunogenic polypeptide, in a cell of a host, preferably in dendritic cells . Preferably, the lentiviral vector encodes at least one HIV-1 antigen, preferably an HIV-1 Nef, Pol, NC, or CA antigen or
immunogenic polypeptide, most preferably comprising the amino acid sequence of SEQ ID NO:30. PROTEINS
[121 ] The invention encompasses proteins comprising the amino acid sequence of SEQ ID NO:30. Preferably, the protein consists of the amino acid sequence of SEQ ID NO:30.
[122] MPIVQNLQGQMVHQAISPRTLNAWVKWEEKAFSPEVIPMFSALSEGATPQDLNT
MLNTVGGHQAAMQMLKETINEEAAEWDRLHPVHAGPIAPGQMREPRGSDIAGTTSTLQEQIG M TNNPPIPVGEIYKRWI ILGLNKIVRMYSPTSILDIRQGPKEPFRDYVDRFYKTLRAEQASQEVK NWMTETLLVQNANPDCKTILKALGPAATLEENMTACQGVGGPGHKARVLAEAMSQVTNSA IMM QRGNFRNQRKTVKCFNCGKEGHIAKNCRAPRKKGC KCGKEGHQMKDCTERQANFLGKIWPSHK GRPGNFLQSRPEPTAPPEESFRFGEETTTPSQKQEPIDKELYPLASLRSLFGNDKKSVTVLDVG DAYFSVPLDKDFRKYTAF IPSINNE PGIRYQYNVLPQG KGSPAIFQSSMTKILEPFRKQNP DIVIYQYMDDLYVGSDLEIGQHRTEILKEPVHGVYVGFPVRPQVPLRPMTYKAAVDLSHFLKEK GGLEGLIYSQKRQDILDLWVYHTQGYFPDWQNYTPGPGIRYPLTFGWCFKLVPVDPEKEVLVWK
FDSRLAFHHMARELHPEYY (SEQ ID NO:30). This sequence comprises Gag, Pol, and Nef sequences, in that order. The Pol sequences are in bold.
[123] The protein can be purified. Preferably, the purified protein is more than 50%, 75%, 85%, 90%, 95%, 97%, 98%, or 99% pure. Within the context of this invention, a purified protein that is more than 50% (etc.) pure means a purified protein sample containing less than 50% (etc.) other proteins not comprising SEQ ID NO:30. For example, a sample of a protein comprising SEQ ID NO:30 can be 99% pure if it contains less than 1 % contaminating host cell proteins.
NUCLEIC ACIDS
[124] The invention encompasses nucleic acids encoding the amino acid sequence of SEQ ID NO:30. The nucleic acid can be single-stranded or double- stranded. The nucleic acid can be an RNA or DNA molecule. Preferred nucleic acids comprise, or encode the nucleic acid sequence of any of the sequences disclosed herein.
[125] Preferred nucleic acids comprise or encode any of the following nucleic acid sequences.
[126] Proviral RNA sequence from production plasmid (5'LTR to 3'-LTR) without
WPRE: ACCUUCCCGAUUAAGUGAGGGUUUCUUCUGUUCUAUAGGAACUAGACACCUAGAUGGUG UGUGUUCCGAUGAAGGGACUAAUCGUCUUGAUGUGUGGUCCCGGUCCCCAGUCUAUAGGUGACU GGAAACCUACCACGAUGUUCGAUCAUGGUCAACUCGGUCUAUUCCAUCUUCUCCGGUUAUUUCC UCUCUUGUGGUCGAACAAUGUGGGACACUCGGACGUACCCUACCUACUGGGCCUCUCUCUUCAC AAUCUCACCUCCAAACUGUCGGCGGAUCGUAAAGUAGUGCACCGGGCUCUCGACGUAGGCCUCA UGAAGUUCUUGACGACUAUAGCUCGAACGAUGUUCCCUGAAAGGCGACCCCUGAAAGGUCCCUC CGCACCGGACCCGCCCUGACCCCUCACCGCUCGGGAGUCUAGGACGUAUAUUCGUCGACGAAAA AC G G AC AU G AC C C AG AG AG AC C AAU C UG GU C UAG AC UCGGACCCUC GAG AG AC C G AUU G AU C C C UUGGGUGACGAAUUCGGAGUUAUUUCGAACGGAACUCACGAAGUUCAUCACACACGGGCAGACA ACACACUGAGACCAUUGAUCUCUAGGGAGUCUGGGAAAAUCAGUCACACCUUUUAGAGAUCGUC ACCGCGGGCUUGUCCCUGAACUUUCGCUUUCCCUUUGGUCUCCUCGAGAGAGCUGCGUCCUGAG CCGAACGACUUCGCGCGUGCCGUUCUCCGCUCCCCGCCGCUGACCACUCAUGCGGUUUUUAAAA CUGAUCGCCUCCGAUCUUCCUCUCUCUACCCACGCUCUCGCAGUCAUAAUUCGCCCCCUCUUAA UCUAGCGCUACCCUUUUUUAAGCCAAUUCCGGUCCCCCUUUCUUUUUUAUAUUUAAUUUUGUAU AUCAUACCCGUUCGUCCCUCGAUCUUGCUAAGCGUCAAUUAGGACCGGACAAUCUUUGUAGUCU UCCGACAUCUGUUUAUGACCCUGUCGAUGUUGGUAGGGAAGUCUGUCCUAGUCUUCUUGAAUCU AGUAAUAUAUUAUGUCAUCGUUGGGAGAUAACACACGUAGUUUCCUAUCUCUAUUUUCUGUGGU UCCUUCGAAAUCUGUUCUAUCUCCUUCUCGUUUUGUUUUCAUUCUGGUGGCGUGUCGUUCGCCG GCGACUAGAAGUCUGGACCUCCUCCUCUAUACUCCCUGUUAACCUCUUCACUUAAUAUAUUUAU AUUUCAUCAUUUUUAACUUGGUAAUCCUCAUCGUGGGUGGUUCCGUUUCUCUUCUCACCACGUC UCUCUUUUUUCUCGUCACCCUUAUCCUCGAAACAAGGAACCCAAGAACCCUCGUCGUCCUUCGU GAUACCCGCGUCGCAGUUACUGCGACUGCCAUGUCCGGUCUGUUAAUAACAGACCAUAUCACGU CGUCGUCUUGUUAAACGACUCCCGAUAACUCCGCGUUGUCGUAGACAACGUUGAGUGUCAGACC CCGUAGUUCGUCGAGGUCCGUUCUUAGGACCGACACCUUUCUAUGGAUUUCCUAGUUGUCGAGG ACCCCUAAACCCCAACGAGACCUUUUGAGUAAACGUGGUGACGACACGGAACCUUACGAUCAAC CUCAUUAUUUAGAGACCUUGUCUAAACCUUAGUGUGCUGGACCUACCUCACCCUGUCUCUUUAA UUGUUAAUGUGUUCGAAUUAUGUGAGGAAUUAACUUCUUAGCGUUUUGGUCGUUCUUUUCUUAC UUGUUCUUAAUAAC CUUAAUCUAUUUAC C C GUUC AAACAC CUUAAC CAAAUUGUAUUGUUUAAC CGACACCAUAUAUUUUAAUAAGUAUUACUAUCAUCCUCCGAACCAUCCAAAUUCUUAUCAAAAA CGACAUGAAAGAUAUCACUUAUCUCAAUCCGUCCCUAUAAGUGGUAAUAGCAAAGUCUGGGUGG AGGGUUGGGGCUCCCCUGGGCUGUCCGGGCUUCCUUAUCUUCUUCUUCCACCUCUCUCUCUGUC UCUGUCUAGGUAAGCUAAUCACUUGCCUAGAGCUGCCAUAGCGGCUUAAGUGUUUACCGUCAUA AGUAGGUGUUAAAAUUUUCUUUUCCCCCCUAACCCCCCAUGUCACGUCCCCUUUCUUAUCAUCU GUAUUAUCGUUGUCUGUAUGUUUGAUUUCUUAAUGUUUUUGUUUAAUGUUUUUAAGUUUUAAAA GCCCAAAUAAUGUCCCUGUCGUCUCUAGGUGAAACCGACUAUGCGCGGCUCUUUGGGACGUCCC UUAAGGGGUCGACAUCAAUAUUUGUCUUCAAGAGGAAGACGAUCCAUCGUAAGUUUCUAGAAUU AGAAGACCCAAAGGCAAAAGAGCUUACUUUUUACGUCCAGGCUCGUCAAUUGACCGCCCCCGUG GUAAUCGUUCAGUGAAUCGUAGAGACCCCGGUCAGACGUUUCGCUCCCCCGUCGGAAUUACACG GAGGUCGGACUUCAGGAUCUUACUCGCGGGCCACAGGGUUCGACCCCGCGCGUGGGGUCUAGCC UCCCGCGGCUACAUGUCUGUCGUUUGAGUGGGUCAGAUCACGUACGGAAGAAUUUGUAGUGCUC UGAGAUUCUUUUCCUUUGACUUUUGCCCUUUCAGGGAGAGAGAUUGGACCGUGACGCAGCGACC GAACCUCUGUCCACUGCCAGGGACGCCCGGAACAGGACUAACCGACCCGUGCGCAAAUUAUAUU CACCUCCGCAGCGCGACCGCCCGUAAGGACUUCGACUGUCGUAAGCCCGGCUCGCGAGCCUAGG CGGUGGUACGGGUAGCACGUCUUGGACGUCCCGGUCUACCACGUGGUCCGGUAGUCGGGGGCCU GGGACUUGCGGACCCACUUCCACCACCUCCUUUUCCGGAAGUCGGGGCUCCACUAGGGGUACAA GUCGCGGGACUCGCUCCCGCGGUGUGGGGUCCUGGACUUGUGGUACGACUUGUGGCACCCGCCG GUGGUCCGGCGGUACGUCUACGACUUUCUCUGUUAGUUGCUCCUUCGGCGGCUCACCCUGGCCG ACGUGGGACACGUGCGGCCUGGAUAGCGGGGACCGGUCUACGCCCUCGGGUCCCCGUCGCUAUA GCGGCCGUGGUGGAGGUGUGACGUCCUUGUCUAGCCGACCUACUGGUUGUUGGGGGGGUAGGGG CACCCGCUCUAGAUGUUCGCCACCUAGUAGGACCCGGACUUGUUCUAGCACGCCUACAUGUCGG GGUGGAGGUAGGACCUGUAGGCCGUCCCGGGGUUUCUCGGGAAGGCCCUGAUGCACCUGGCCAA GAUGUUCUGGGACGCCCGGCUCGUCCGGUCGGUCCUUCACUUCUUGACCUACUGGCUCUGUGAC GACCACGUCUUGCGGUUGGGGCUGACGUUCUGGUAGGACUUCCGGGACCCGGGACGGCGGUGGG ACCUUCUCUACUACUGGCGGACGGUCCCGCACCCGCCUGGACCGGUGUUCCGGGCCCACGACCG GCUCCGGUACUCGGUCCACUGGUUGUCGCGGUGGUAGUACUACGUCGCCCCGUUGAAGGCCUUG GUCUCUUUCUGGCACUUCACGAAGUUGACGCCGUUUCUCCCGGUGUAACGGUUCUUGACGUCUC GGGGGUCCUUCUUCCCGACGACCUUCACACCGUUUCUUCCCGUGGUCUACUUCCUGACGUGGCU CGCCGUCCGGUUGAAGGACCCUUUUUAAACCGGAAGGGUGUUCCCGUCCGGGCCGUUGAAGGAC GUCUCGUCCGGGCUCGGGUGGCGGGGAGGGCUCCUUUCGAAGGCCAAGCCGCUCCUUUGGUGGU GGGGGUCGGUCUUCGUCCUUGGGUAGCUGUUUCUCGACAUGGGGGACCGGAGGGACUCUUCGGA CAAGCCGUUGCUGUUCUUUUCGCACUGGCACGACCUGCACCCGCUGCGGAUGAAGUCGCACGGG GACCUAUUCCUGAAGGCCUUCAUGUGGCGGAAGUGGUAGGGGUCGUAGUUGUUGCUCUGUGGGC CGUAGUCUAUGGUCAUGUUGCACGACGGGGUCCCGACCUUCCCGUCGGGGCGGUAGAAGGUCUC GUCGUACUGGUUCUAGGACCUUGGGAAGGCCUUCGUCUUGGGGCUGUAGCACUAGAUGGUCAUG UACCUGCUGGACAUGCACCCGUCGCUGGACCUUUAGCCGGUCGUGGCCUGUCUCUAGGACUUUC UUGGGCACGUGCCGCACAUGCACCCGAAGGGGCACUCUGGUGUCCACGGUGACUCUGGGUACUG GAUGUUCCGGCGGCACCUGGACUCGGUGAAGGACUUCCUCUUCCCGCCGGACCUUCCGGACUAG AUGUCGGUCUUCUCCGUCCUGUAGGACCUGGACACCCACAUGGUGUGGGUCCCGAUGAAGGGGC UGACCGUCUUGAUGUGGGGACCGGGACCGUAGGCGAUGGGGGACUGGAAGCCGACCACGAAGUU CGACCACGGGCACCUGGGGCUCUUCCUUCACGACCACACCUUCAAGCUGUCGGCCGACCGGAAG GUGGUGUACCGGUCUCUCGACGUGGGGCUCAUGAUGACUACUGAGCUCUCCAUGGAAAUUCUGG UUACUGAAUGUUCCGUCGACAUCUAGAAUCGGUGAAAAAUUUUCUUUUCCCCCCUGACCUUCCC GAUUAAGUGAGGGUUGCUUCUGUUUUAGCAGCUCUCUACGACGUAUAUUCGUCGACGAAAAACG AACAUGACCCAGAGAGACCAAUCUGGUCUAGACUCGGACCCUCGAGAGACCGAUUGAUCCCUUG GGUGACGAAUUCGGAGUUAUUUCGAACGGAACUCACGAAGUUCAUCACACACGGGCAGACAACA CACUGAGAC CAUUGAUCUCUAGGGAGUCUGGGAAAAUCAGUCACACCUUUUAGAGAUCGUC
(SEQ ID NO:31 ).
[127] Proviral RNA sequence from production plasmid (5'LTR to 3'-LTR) with WPRE:
ACCUUCCCGAUUAAGUGAGGGUUUCUUCUGUUCUAUAGGAACUAGACACCUAGAUGGUG UGUGUUCCGAUGAAGGGACUAAUCGUCUUGAUGUGUGGUCCCGGUCCCCAGUCUAUAGGUGACU GGAAACCUACCACGAUGUUCGAUCAUGGUCAACUCGGUCUAUUCCAUCUUCUCCGGUUAUUUCC UCUCUUGUGGUCGAACAAUGUGGGACACUCGGACGUACCCUACCUACUGGGCCUCUCUCUUCAC AAUCUCACCUCCAAACUGUCGGCGGAUCGUAAAGUAGUGCACCGGGCUCUCGACGUAGGCCUCA UGAAGUUCUUGACGACUAUAGCUCGAACGAUGUUCCCUGAAAGGCGACCCCUGAAAGGUCCCUC CGCACCGGACCCGCCCUGACCCCUCACCGCUCGGGAGUCUAGGACGUAUAUUCGUCGACGAAAA AC G G AC AU G AC C C AG AG AG AC C AAU C UG GU C UAG AC UCGGACCCUC GAG AG AC C G AUU G AU C C C UUGG GUGAC GAAUUC GGAGUUAUUUC GAAC GGAACUCAC G AAGUU C AUC ACAC AC G GG C AGAC A ACACACUGAGACCAUUGAUCUCUAGGGAGUCUGGGAAAAUCAGUCACACCUUUUAGAGAUCGUC ACCGCGGGCUUGUCCCUGAACUUUCGCUUUCCCUUUGGUCUCCUCGAGAGAGCUGCGUCCUGAG CCGAACGACUUCGCGCGUGCCGUUCUCCGCUCCCCGCCGCUGACCACUCAUGCGGUUUUUAAAA CUGAUCGCCUCCGAUCUUCCUCUCUCUACCCACGCUCUCGCAGUCAUAAUUCGCCCCCUCUUAA UCUAGC GCUAC CCUUUUUUAAGC C AAUUC C GGUC C C C CUUUCUUUUUUAUAUUUAAUUUUGUAU AUCAUACCCGUUCGUCCCUCGAUCUUGCUAAGCGUCAAUUAGGACCGGACAAUCUUUGUAGUCU UCCGACAUCUGUUUAUGACCCUGUCGAUGUUGGUAGGGAAGUCUGUCCUAGUCUUCUUGAAUCU AGUAAUAUAUUAUGUCAUCGUUGGGAGAUAACACACGUAGUUUCCUAUCUCUAUUUUCUGUGGU UCCUUCGAAAUCUGUUCUAUCUCCUUCUCGUUUUGUUUUCAUUCUGGUGGCGUGUCGUUCGCCG GCGACUAGAAGUCUGGACCUCCUCCUCUAUACUCCCUGUUAACCUCUUCACUUAAUAUAUUUAU AUUUCAUCAUUUUUAACUUGGUAAUCCUCAUCGUGGGUGGUUCCGUUUCUCUUCUCACCACGUC UCUCUUUUUUCUC GUCAC C CUUAUCCUC GAAAC AAG GAAC C CAAGAAC C CUC GUC GUC CUUC GU GAUACCCGCGUCGCAGUUACUGCGACUGCCAUGUCCGGUCUGUUAAUAACAGACCAUAUCACGU CGUCGUCUUGUUAAACGACUCCCGAUAACUCCGCGUUGUCGUAGACAACGUUGAGUGUCAGACC CCGUAGUUCGUCGAGGUCCGUUCUUAGGACCGACACCUUUCUAUGGAUUUCCUAGUUGUCGAGG ACCCCUAAACCCCAACGAGACCUUUUGAGUAAACGUGGUGACGACACGGAACCUUACGAUCAAC CUCAUUAUUUAGAGACCUUGUCUAAACCUUAGUGUGCUGGACCUACCUCACCCUGUCUCUUUAA UUGUUAAUGUGUUCGAAUUAUGUGAGGAAUUAACUUCUUAGCGUUUUGGUCGUUCUUUUCUUAC UUGUUCUUAAUAAC CUUAAUCUAUUUAC C C GUUC AAACAC CUUAAC CAAAUUGUAUUGUUUAAC CGACACCAUAUAUUUUAAUAAGUAUUACUAUCAUCCUCCGAACCAUCCAAAUUCUUAUCAAAAA CGACAUGAAAGAUAUCACUUAUCUCAAUCCGUCCCUAUAAGUGGUAAUAGCAAAGUCUGGGUGG AGGGUUGGGGCUCCCCUGGGCUGUCCGGGCUUCCUUAUCUUCUUCUUCCACCUCUCUCUCUGUC UCUGUCUAGGUAAGCUAAUCACUUGCCUAGAGCUGCCAUAGCGGCUUAAGUGUUUACCGUCAUA AGUAGGUGUUAAAAUUUUCUUUUCCCCCCUAACCCCCCAUGUCACGUCCCCUUUCUUAUCAUCU GUAUUAUCGUUGUCUGUAUGUUUGAUUUCUUAAUGUUUUUGUUUAAUGUUUUUAAGUUUUAAAA GCCCAAAUAAUGUCCCUGUCGUCUCUAGGUGAAACCGACUAUGCGCGGCUCUUUGGGACGUCCC UUAAGGGGUCGACAUCAAUAUUUGUCUUCAAGAGGAAGACGAUCCAUCGUAAGUUUCUAGAAUU AGAAGACCCAAAGGCAAAAGAGCUUACUUUUUACGUCCAGGCUCGUCAAUUGACCGCCCCCGUG GUAAUCGUUCAGUGAAUCGUAGAGACCCCGGUCAGACGUUUCGCUCCCCCGUCGGAAUUACACG GAGGUCGGACUUCAGGAUCUUACUCGCGGGCCACAGGGUUCGACCCCGCGCGUGGGGUCUAGCC UCCCGCGGCUACAUGUCUGUCGUUUGAGUGGGUCAGAUCACGUACGGAAGAAUUUGUAGUGCUC UGAGAUUCUUUUCCUUUGACUUUUGCCCUUUCAGGGAGAGAGAUUGGACCGUGACGCAGCGACC GAACCUCUGUCCACUGCCAGGGACGCCCGGAACAGGACUAACCGACCCGUGCGCAAAUUAUAUU CACCUCCGCAGCGCGACCGCCCGUAAGGACUUCGACUGUCGUAAGCCCGGCUCGCGAGCCUAGG CGGUGGUACGGGUAGCACGUCUUGGACGUCCCGGUCUACCACGUGGUCCGGUAGUCGGGGGCCU GGGACUUGCGGACCCACUUCCACCACCUCCUUUUCCGGAAGUCGGGGCUCCACUAGGGGUACAA GUCGCGGGACUCGCUCCCGCGGUGUGGGGUCCUGGACUUGUGGUACGACUUGUGGCACCCGCCG GUGGUCCGGCGGUACGUCUACGACUUUCUCUGUUAGUUGCUCCUUCGGCGGCUCACCCUGGCCG ACGUGGGACACGUGCGGCCUGGAUAGCGGGGACCGGUCUACGCCCUCGGGUCCCCGUCGCUAUA GCGGCCGUGGUGGAGGUGUGACGUCCUUGUCUAGCCGACCUACUGGUUGUUGGGGGGGUAGGGG CACCCGCUCUAGAUGUUCGCCACCUAGUAGGACCCGGACUUGUUCUAGCACGCCUACAUGUCGG GGUGGAGGUAGGACCUGUAGGCCGUCCCGGGGUUUCUCGGGAAGGCCCUGAUGCACCUGGCCAA GAUGUUCUGGGACGCCCGGCUCGUCCGGUCGGUCCUUCACUUCUUGACCUACUGGCUCUGUGAC GACCACGUCUUGCGGUUGGGGCUGACGUUCUGGUAGGACUUCCGGGACCCGGGACGGCGGUGGG ACCUUCUCUACUACUGGCGGACGGUCCCGCACCCGCCUGGACCGGUGUUCCGGGCCCACGACCG GCUCCGGUACUCGGUCCACUGGUUGUCGCGGUGGUAGUACUACGUCGCCCCGUUGAAGGCCUUG GUCUCUUUCUGGCACUUCACGAAGUUGACGCCGUUUCUCCCGGUGUAACGGUUCUUGACGUCUC GGGGGUCCUUCUUCCCGACGACCUUCACACCGUUUCUUCCCGUGGUCUACUUCCUGACGUGGCU CGCCGUCCGGUUGAAGGACCCUUUUUAAACCGGAAGGGUGUUCCCGUCCGGGCCGUUGAAGGAC GUCUCGUCCGGGCUCGGGUGGCGGGGAGGGCUCCUUUCGAAGGCCAAGCCGCUCCUUUGGUGGU GGGGGUCGGUCUUCGUCCUUGGGUAGCUGUUUCUCGACAUGGGGGACCGGAGGGACUCUUCGGA CAAGCCGUUGCUGUUCUUUUCGCACUGGCACGACCUGCACCCGCUGCGGAUGAAGUCGCACGGG GACCUAUUCCUGAAGGCCUUCAUGUGGCGGAAGUGGUAGGGGUCGUAGUUGUUGCUCUGUGGGC CGUAGUCUAUGGUCAUGUUGCACGACGGGGUCCCGACCUUCCCGUCGGGGCGGUAGAAGGUCUC GUCGUACUGGUUCUAGGACCUUGGGAAGGCCUUCGUCUUGGGGCUGUAGCACUAGAUGGUCAUG UACCUGCUGGACAUGCACCCGUCGCUGGACCUUUAGCCGGUCGUGGCCUGUCUCUAGGACUUUC UUGGGCACGUGCCGCACAUGCACCCGAAGGGGCACUCUGGUGUCCACGGUGACUCUGGGUACUG GAUGUUCCGGCGGCACCUGGACUCGGUGAAGGACUUCCUCUUCCCGCCGGACCUUCCGGACUAG AUGUCGGUCUUCUCCGUCCUGUAGGACCUGGACACCCACAUGGUGUGGGUCCCGAUGAAGGGGC UGACCGUCUUGAUGUGGGGACCGGGACCGUAGGCGAUGGGGGACUGGAAGCCGACCACGAAGUU CGACCACGGGCACCUGGGGCUCUUCCUUCACGACCACACCUUCAAGCUGUCGGCCGACCGGAAG GUGGUGUACCGGUCUCUCGACGUGGGGCUCAUGAUGACUACUGAGCUCUUUAAGGGCUAUUAGU UGGAGACCUAAUGUUUUAAACACUUUCUAACUGACCAUAAGAAUUGAUACAACGAGGAAAAUGC GAUACAC CUAUGC GACGAAAUUAC GGAAAC AUAGUAC GAUAAC GAAGGGC AUAC C GAAAGUAAA AGAGGAGGAACAUAUUUAGGAC CAAC GAC AGAGAAAUACUC CUCAACAC C GGGCAACAGUC C GU UGCACC GCAC CACAC GUGACACAAAC GACUGC GUUGGGGGUGAC C AAC C C C GUAAC GGUGGUGG ACAGUCGAGGAAAGGCCCUGAAAGCGAAAGGGGGAGGGAUAACGGUGCCGCCUUGAGUAGCGGC GGACGGAACGGGCGACGACCUGUCCCCGAGCCGACAACCCGUGACUGUUAAGGCACCACCAACA GCCAUGGAAAUUCUGGUUACUGAAUGUUCCGUCGACAUCUAGAAUCGGUGAAAAAUUUUCUUUU CCCCCCUGACCUUCCCGAUUAAGUGAGGGUUGCUUCUGUUUUAGCAGCUCUCUACGACGUAUAU U C GU C G AC G AAAAAC G AAC AU G AC C C AG AG AG AC C AAU C U G GU C U AG AC U C G G AC C C U C GAG AG ACCGAUUGAUCCCUUGGGUGACGAAUUCGGAGUUAUUUCGAACGGAACUCACGAAGUUCAUCAC ACACGGGCAGACAACACACUGAGACCAUUGAUCUCUAGGGAGUCUGGGAAAAUCAGUCACACCU
uuuAGAGAUCGUC (SEQ ID NO:32).
[128] The WPRE in this sequence is in bold. This sequence is shorter than the WPRE sequences previously used in lentiviral constructs.
[129] Antigen RNA sequence from integrated provirus with WPRE: UACGGGUAGCACGUCUUGGACGUCCCGGUCUACCACGUGGUCCGGUAGUCGGGGGCCUG GGACUUGCGGACCCACUUCCACCACCUCCUUUUCCGGAAGUCGGGGCUCCACUAGGGGUACAAG UCGCGGGACUCGCUCCCGCGGUGUGGGGUCCUGGACUUGUGGUACGACUUGUGGCACCCGCCGG UGGUCCGGCGGUACGUCUACGACUUUCUCUGUUAGUUGCUCCUUCGGCGGCUCACCCUGGCCGA CGUGGGACACGUGCGGCCUGGAUAGCGGGGACCGGUCUACGCCCUCGGGUCCCCGUCGCUAUAG CGGCCGUGGUGGAGGUGUGACGUCCUUGUCUAGCCGACCUACUGGUUGUUGGGGGGGUAGGGGC ACCCGCUCUAGAUGUUCGCCACCUAGUAGGACCCGGACUUGUUCUAGCACGCCUACAUGUCGGG GUGGAGGUAGGACCUGUAGGCCGUCCCGGGGUUUCUCGGGAAGGCCCUGAUGCACCUGGCCAAG AUGUUCUGGGACGCCCGGCUCGUCCGGUCGGUCCUUCACUUCUUGACCUACUGGCUCUGUGACG ACCACGUCUUGCGGUUGGGGCUGACGUUCUGGUAGGACUUCCGGGACCCGGGACGGCGGUGGGA CCUUCUCUACUACUGGCGGACGGUCCCGCACCCGCCUGGACCGGUGUUCCGGGCCCACGACCGG CUCCGGUACUCGGUCCACUGGUUGUCGCGGUGGUAGUACUACGUCGCCCCGUUGAAGGCCUUGG UCUCUUUCUGGCACUUCACGAAGUUGACGCCGUUUCUCCCGGUGUAACGGUUCUUGACGUCUCG GGGGUCCUUCUUCCCGACGACCUUCACACCGUUUCUUCCCGUGGUCUACUUCCUGACGUGGCUC GCCGUCCGGUUGAAGGACCCUUUUUAAACCGGAAGGGUGUUCCCGUCCGGGCCGUUGAAGGACG UCUCGUCCGGGCUCGGGUGGCGGGGAGGGCUCCUUUCGAAGGCCAAGCCGCUCCUUUGGUGGUG GGGGUCGGUCUUCGUCCUUGGGUAGCUGUUUCUCGACAUGGGGGACCGGAGGGACUCUUCGGAC AAGCCGUUGCUGUUCUUUUCGCACUGGCACGACCUGCACCCGCUGCGGAUGAAGUCGCACGGGG ACCUAUUCCUGAAGGCCUUCAUGUGGCGGAAGUGGUAGGGGUCGUAGUUGUUGCUCUGUGGGCC GUAGUCUAUGGUCAUGUUGCACGACGGGGUCCCGACCUUCCCGUCGGGGCGGUAGAAGGUCUCG UCGUACUGGUUCUAGGACCUUGGGAAGGCCUUCGUCUUGGGGCUGUAGCACUAGAUGGUCAUGU ACCUGCUGGACAUGCACCCGUCGCUGGACCUUUAGCCGGUCGUGGCCUGUCUCUAGGACUUUCU UGGGCACGUGCCGCACAUGCACCCGAAGGGGCACUCUGGUGUCCACGGUGACUCUGGGUACUGG AUGUUCCGGCGGCACCUGGACUCGGUGAAGGACUUCCUCUUCCCGCCGGACCUUCCGGACUAGA UGUCGGUCUUCUCCGUCCUGUAGGACCUGGACACCCACAUGGUGUGGGUCCCGAUGAAGGGGCU GACCGUCUUGAUGUGGGGACCGGGACCGUAGGCGAUGGGGGACUGGAAGCCGACCACGAAGUUC GACCACGGGCACCUGGGGCUCUUCCUUCACGACCACACCUUCAAGCUGUCGGCCGACCGGAAGG UGGUGUACCGGUCUCUCGACGUGGGGCUCAUGAUGACUACUGAGCUCUUUAAGGGCUAUUAGUU GGAGACCUAAUGUUUUAAACACUUUCUAACUGAC CAUAAGAAUUGAUACAACGAGGAAAAUGCG AUAC AC CUAUG C GAC GAAAUUAC G GAAAC AUAGUAC GAUAAC GAAG G G C AUAC C G AAAGUAAAA GAG GAG G AAC AUAUUUAG GAC CAACGACAGAGAAAUACUC CUCAACAC C G GGCAACAGUC C GUU GCACCGCACCACACGUGACACAAACGACUGCGUUGGGGGUGACCAACCCCGUAACGGUGGUGGA CAGUCGAGGAAAGGCCCUGAAAGCGAAAGGGGGAGGGAUAACGGUGCCGCCUUGAGUAGCGGCG GAC G GAAC G G G C GAC GAC CUGUCCCC GAG C C GAC AAC C C GUGACU GUUAAG G C AC C AC C AAC AG
(SEQ ID NO:33).
[130] Antigen RNA sequence from integrated provirus up to the U5 region, without WPRE:
UACGGGUAGCACGUCUUGGACGUCCCGGUCUACCACGUGGUCCGGUAGUCGGGGGCCUG GGACUUGCGGACCCACUUCCACCACCUCCUUUUCCGGAAGUCGGGGCUCCACUAGGGGUACAAG UCGCGGGACUCGCUCCCGCGGUGUGGGGUCCUGGACUUGUGGUACGACUUGUGGCACCCGCCGG UGGUCCGGCGGUACGUCUACGACUUUCUCUGUUAGUUGCUCCUUCGGCGGCUCACCCUGGCCGA CGUGGGACACGUGCGGCCUGGAUAGCGGGGACCGGUCUACGCCCUCGGGUCCCCGUCGCUAUAG CGGCCGUGGUGGAGGUGUGACGUCCUUGUCUAGCCGACCUACUGGUUGUUGGGGGGGUAGGGGC ACCCGCUCUAGAUGUUCGCCACCUAGUAGGACCCGGACUUGUUCUAGCACGCCUACAUGUCGGG GUGGAGGUAGGACCUGUAGGCCGUCCCGGGGUUUCUCGGGAAGGCCCUGAUGCACCUGGCCAAG AUGUUCUGGGACGCCCGGCUCGUCCGGUCGGUCCUUCACUUCUUGACCUACUGGCUCUGUGACG ACCACGUCUUGCGGUUGGGGCUGACGUUCUGGUAGGACUUCCGGGACCCGGGACGGCGGUGGGA CCUUCUCUACUACUGGCGGACGGUCCCGCACCCGCCUGGACCGGUGUUCCGGGCCCACGACCGG CUCCGGUACUCGGUCCACUGGUUGUCGCGGUGGUAGUACUACGUCGCCCCGUUGAAGGCCUUGG UCUCUUUCUGGCACUUCACGAAGUUGACGCCGUUUCUCCCGGUGUAACGGUUCUUGACGUCUCG GGGGUCCUUCUUCCCGACGACCUUCACACCGUUUCUUCCCGUGGUCUACUUCCUGACGUGGCUC GCCGUCCGGUUGAAGGACCCUUUUUAAACCGGAAGGGUGUUCCCGUCCGGGCCGUUGAAGGACG UCUCGUCCGGGCUCGGGUGGCGGGGAGGGCUCCUUUCGAAGGCCAAGCCGCUCCUUUGGUGGUG GGGGUCGGUCUUCGUCCUUGGGUAGCUGUUUCUCGACAUGGGGGACCGGAGGGACUCUUCGGAC AAGCCGUUGCUGUUCUUUUCGCACUGGCACGACCUGCACCCGCUGCGGAUGAAGUCGCACGGGG ACCUAUUCCUGAAGGCCUUCAUGUGGCGGAAGUGGUAGGGGUCGUAGUUGUUGCUCUGUGGGCC GUAGUCUAUGGUCAUGUUGCACGACGGGGUCCCGACCUUCCCGUCGGGGCGGUAGAAGGUCUCG UCGUACUGGUUCUAGGACCUUGGGAAGGCCUUCGUCUUGGGGCUGUAGCACUAGAUGGUCAUGU ACCUGCUGGACAUGCACCCGUCGCUGGACCUUUAGCCGGUCGUGGCCUGUCUCUAGGACUUUCU UGGGCACGUGCCGCACAUGCACCCGAAGGGGCACUCUGGUGUCCACGGUGACUCUGGGUACUGG AUGUUCCGGCGGCACCUGGACUCGGUGAAGGACUUCCUCUUCCCGCCGGACCUUCCGGACUAGA UGUCGGUCUUCUCCGUCCUGUAGGACCUGGACACCCACAUGGUGUGGGUCCCGAUGAAGGGGCU GACCGUCUUGAUGUGGGGACCGGGACCGUAGGCGAUGGGGGACUGGAAGCCGACCACGAAGUUC GACCACGGGCACCUGGGGCUCUUCCUUCACGACCACACCUUCAAGCUGUCGGCCGACCGGAAGG UGGUGUACCGGUCUCUCGACGUGGGGCUCAUGAUGACUACUGAGCUCUCCAUGGAAAUUCUGGU UACUGAAUGUUCCGUCGACAUCUAGAAUCGGUGAAAAAUUUUCUUUUCCCCCCUGACCUUCCCG AUUAAGUGAGGGUUGCUUCUGUUUUAGCAGCUCUCUACGACGUAUAUUCGUCGACGAAAAACGA ACAUGACCCAGAGAGACCAAUCUGGUCUAGACUCGGACCCUCGAGAGACCGAUUGAUCCCUUGG GUGACGAAUUCGGAGUUAUUUCGAACGGAACUCACGAAGUUCAUCACACACGGGCAGACAACAC ACUGAGACCAUUGAUCUCUAGGGAGUCUGGGAAAAUCAGUCACACCUUUUAGAGAUCGUCA
(SEQ ID NO:34). [131 ] Antigen RNA sequence from integrated provirus up to the U5 region, with
WPRE:
UACGGGUAGCACGUCUUGGACGUCCCGGUCUACCACGUGGUCCGGUAGUCGGGGGCCUG GGACUUGCGGACCCACUUCCACCACCUCCUUUUCCGGAAGUCGGGGCUCCACUAGGGGUACAAG UCGCGGGACUCGCUCCCGCGGUGUGGGGUCCUGGACUUGUGGUACGACUUGUGGCACCCGCCGG UGGUCCGGCGGUACGUCUACGACUUUCUCUGUUAGUUGCUCCUUCGGCGGCUCACCCUGGCCGA CGUGGGACACGUGCGGCCUGGAUAGCGGGGACCGGUCUACGCCCUCGGGUCCCCGUCGCUAUAG CGGCCGUGGUGGAGGUGUGACGUCCUUGUCUAGCCGACCUACUGGUUGUUGGGGGGGUAGGGGC ACCCGCUCUAGAUGUUCGCCACCUAGUAGGACCCGGACUUGUUCUAGCACGCCUACAUGUCGGG GUGGAGGUAGGACCUGUAGGCCGUCCCGGGGUUUCUCGGGAAGGCCCUGAUGCACCUGGCCAAG AUGUUCUGGGACGCCCGGCUCGUCCGGUCGGUCCUUCACUUCUUGACCUACUGGCUCUGUGACG ACCACGUCUUGCGGUUGGGGCUGACGUUCUGGUAGGACUUCCGGGACCCGGGACGGCGGUGGGA CCUUCUCUACUACUGGCGGACGGUCCCGCACCCGCCUGGACCGGUGUUCCGGGCCCACGACCGG CUCCGGUACUCGGUCCACUGGUUGUCGCGGUGGUAGUACUACGUCGCCCCGUUGAAGGCCUUGG UCUCUUUCUGGCACUUCACGAAGUUGACGCCGUUUCUCCCGGUGUAACGGUUCUUGACGUCUCG GGGGUCCUUCUUCCCGACGACCUUCACACCGUUUCUUCCCGUGGUCUACUUCCUGACGUGGCUC GCCGUCCGGUUGAAGGACCCUUUUUAAACCGGAAGGGUGUUCCCGUCCGGGCCGUUGAAGGACG UCUCGUCCGGGCUCGGGUGGCGGGGAGGGCUCCUUUCGAAGGCCAAGCCGCUCCUUUGGUGGUG GGGGUCGGUCUUCGUCCUUGGGUAGCUGUUUCUCGACAUGGGGGACCGGAGGGACUCUUCGGAC AAGCCGUUGCUGUUCUUUUCGCACUGGCACGACCUGCACCCGCUGCGGAUGAAGUCGCACGGGG ACCUAUUCCUGAAGGCCUUCAUGUGGCGGAAGUGGUAGGGGUCGUAGUUGUUGCUCUGUGGGCC GUAGUCUAUGGUCAUGUUGCACGACGGGGUCCCGACCUUCCCGUCGGGGCGGUAGAAGGUCUCG UCGUACUGGUUCUAGGACCUUGGGAAGGCCUUCGUCUUGGGGCUGUAGCACUAGAUGGUCAUGU ACCUGCUGGACAUGCACCCGUCGCUGGACCUUUAGCCGGUCGUGGCCUGUCUCUAGGACUUUCU UGGGCACGUGCCGCACAUGCACCCGAAGGGGCACUCUGGUGUCCACGGUGACUCUGGGUACUGG AUGUUCCGGCGGCACCUGGACUCGGUGAAGGACUUCCUCUUCCCGCCGGACCUUCCGGACUAGA UGUCGGUCUUCUCCGUCCUGUAGGACCUGGACACCCACAUGGUGUGGGUCCCGAUGAAGGGGCU GACCGUCUUGAUGUGGGGACCGGGACCGUAGGCGAUGGGGGACUGGAAGCCGACCACGAAGUUC GACCACGGGCACCUGGGGCUCUUCCUUCACGACCACACCUUCAAGCUGUCGGCCGACCGGAAGG UGGUGUACCGGUCUCUCGACGUGGGGCUCAUGAUGACUACUGAGCUCUUUAAGGGCUAUUAGUU GGAGACCUAAUGUUUUAAACACUUUCUAACUGACCAUAAGAAUUGAUACAACGAGGAAAAUGCG AUACACCUAUGCGACGAAAUUACGGAAACAUAGUACGAUAACGAAGGGCAUACCGAAAGUAAAA GAGGAGGAACAUAUUUAGGACCAACGACAGAGAAAUACUCCUCAACACCGGGCAACAGUCCGUU GCACCGCACCACACGUGACACAAACGACUGCGUUGGGGGUGACCAACCCCGUAACGGUGGUGGA CAGUCGAGGAAAGGCCCUGAAAGCGAAAGGGGGAGGGAUAACGGUGCCGCCUUGAGUAGCGGCG GACGGAACGGGCGACGACCUGUCCCCGAGCCGACAACCCGUGACUGUUAAGGCACCACCAACAG CCAUGGAAAUUCUGGUUACUGAAUGUUCCGUCGACAUCUAGAAUCGGUGAAAAAUUUUCUUUUC CCCCCUGACCUUCCCGAUUAAGUGAGGGUUGCUUCUGUUUUAGCAGCUCUCUACGACGUAUAUU CGUCGACGAAAAACGAACAUGACCCAGAGAGACCAAUCUGGUCUAGACUCGGACCCUCGAGAGA CCGAUUGAUCCCUUGGGUGACGAAUUCGGAGUUAUUUCGAACGGAACUCACGAAGUUCAUCACA CACGGGCAGACAACACACUGAGACCAUUGAUCUCUAGGGAGUCUGGGAAAAUCAGUCACACCUU UUAGAGAUCGUCA (SEQ ID NO:35).
[132] Antigen RNA sequence from integrated provirus UACGGGUAGCACGUCUUGGACGUCCCGGUCUACCACGUGGUCCGGUAGUCGGGGGCCUG GGACUUGCGGACCCACUUCCACCACCUCCUUUUCCGGAAGUCGGGGCUCCACUAGGGGUACAAG UCGCGGGACUCGCUCCCGCGGUGUGGGGUCCUGGACUUGUGGUACGACUUGUGGCACCCGCCGG UGGUCCGGCGGUACGUCUACGACUUUCUCUGUUAGUUGCUCCUUCGGCGGCUCACCCUGGCCGA CGUGGGACACGUGCGGCCUGGAUAGCGGGGACCGGUCUACGCCCUCGGGUCCCCGUCGCUAUAG CGGCCGUGGUGGAGGUGUGACGUCCUUGUCUAGCCGACCUACUGGUUGUUGGGGGGGUAGGGGC ACCCGCUCUAGAUGUUCGCCACCUAGUAGGACCCGGACUUGUUCUAGCACGCCUACAUGUCGGG GUGGAGGUAGGACCUGUAGGCCGUCCCGGGGUUUCUCGGGAAGGCCCUGAUGCACCUGGCCAAG AUGUUCUGGGACGCCCGGCUCGUCCGGUCGGUCCUUCACUUCUUGACCUACUGGCUCUGUGACG AC CACGUCUUGCGGUUGGGGCUGACGUUCUGGUAGGACUUCCGGGACCCGGGACGGCGGUGGGA CCUUCUCUACUACUGGCGGACGGUCCCGCACCCGCCUGGACCGGUGUUCCGGGCCCACGACCGG CUCCGGUACUCGGUCCACUGGUUGUCGCGGUGGUAGUACUACGUCGCCCCGUUGAAGGCCUUGG UCUCUUUCUGGCACUUCACGAAGUUGACGCCGUUUCUCCCGGUGUAACGGUUCUUGACGUCUCG GGGGUCCUUCUUCCCGACGACCUUCACACCGUUUCUUCCCGUGGUCUACUUCCUGACGUGGCUC GCCGUCCGGUUGAAGGACCCUUUUUAAACCGGAAGGGUGUUCCCGUCCGGGCCGUUGAAGGACG UCUCGUCCGGGCUCGGGUGGCGGGGAGGGCUCCUUUCGAAGGCCAAGCCGCUCCUUUGGUGGUG GGGGUCGGUCUUCGUCCUUGGGUAGCUGUUUCUCGACAUGGGGGACCGGAGGGACUCUUCGGAC AAGCCGUUGCUGUUCUUUUCGCACUGGCACGACCUGCACCCGCUGCGGAUGAAGUCGCACGGGG ACCUAUUCCUGAAGGCCUUCAUGUGGCGGAAGUGGUAGGGGUCGUAGUUGUUGCUCUGUGGGCC GUAGUCUAUGGUCAUGUUGCACGACGGGGUCCCGACCUUCCCGUCGGGGCGGUAGAAGGUCUCG UCGUACUGGUUCUAGGACCUUGGGAAGGCCUUCGUCUUGGGGCUGUAGCACUAGAUGGUCAUGU ACCUGCUGGACAUGCACCCGUCGCUGGACCUUUAGCCGGUCGUGGCCUGUCUCUAGGACUUUCU UGGGCACGUGCCGCACAUGCACCCGAAGGGGCACUCUGGUGUCCACGGUGACUCUGGGUACUGG AUGUUCCGGCGGCACCUGGACUCGGUGAAGGACUUCCUCUUCCCGCCGGACCUUCCGGACUAGA UGUCGGUCUUCUCCGUCCUGUAGGACCUGGACACCCACAUGGUGUGGGUCCCGAUGAAGGGGCU GACCGUCUUGAUGUGGGGACCGGGACCGUAGGCGAUGGGGGACUGGAAGCCGAC CACGAAGUUC GACCACGGGCACCUGGGGCUCUUCCUUCACGACCACACCUUCAAGCUGUCGGCCGACCGGAAGG UGGUGUACCGGUCUCUCGACGUGGGGCUCAUGAUGACUACU (SEQ ID NO:36).
[133] Production plasmid proviral sequence (5'LTR to 3'-LTR) with WPRE: T G G AAG G G C AAT T C AC T C C C AAAGAAGAC AAGAT AT C C T T GAT C T G T G GAT C AC C AC AC AC AAG G C T AC T C C C T GAT AG CAGAAC AC AC AC CAG G GC C AG G G G CAGA AT C C AC T GA C C T T T G GAT G G T G C AC AAG C AG T AC C AG T T GAG C C AGA AAGG T AGAAGAGG C C AA AAAG G AGAG AAC AC CAG C T T GT T AC AC C C T G T GAG C C T G CAT GG G AT G GAT GAC C C G GAG AGAGAAG G TTAGAGTGGAGGTTTGACAGCCGCCTAGCATTTCATCACGTGGCCCGAGAGCTGCATCCGGAGT ACTT CAAGAACTGCTGATATCGAGCTTGCTACAAGGGACTTTCCGCTGGGGACTTTCCAGGGAG GCGT GGCCT GGGCGGGACT GGGGAGTGGCGAGCCCTCAGATCCTGCATATAAGCAGCTGCTTTT TGCCTGTACTGGGTCTCTCTGGTTAGAC CAGAT CTGAGCCTGGGAGCTCT CTGGCTAACTAGGG AACCCACT GCTTAAGCCTCAATAAAGCTTGCCTT GAGTGCTTCAAGTAGTGTGTGCCCGT CTGT TGTGTGACT CTGGTAACTAGAGAT CCCTCAGACCCTTTTAGTCAGTGTGGAAAATCTCTAGCAG TGGCGCCC G AAC AG G GAC T T G AAAG C G AAAG G G AAAC CAG AG GAG C T C T C T C GAC GCAGGACTC GGCT TGCTGAAGCGCGCACGGCAAGAGGCGAGGGGCGGCGACTGGTGAGTACGCCAAAAATTTT GAC T AG C G GAG G C TAGAAG GAGAG AGAT G G GT G C GAGAG C G T CAG TAT T AAG C G G G GGAG AAT T AGAT C G C GAT G G GAAAAAAT T C G G T T AAG G C CAG G G G GAAAGAAAAAAT AT AAAT T AAAAC AT A T AGT AT G G G C AAG C AGG GAG C TAG AAC GAT T C G C AG T T AAT CCTGGCCTGT T AGAAAC AT C AGA AG GC T G TAG AC AAAT AC T G G GAC AG C T AC AAC CAT C C C T T C AGAC AG GAT CAGAAGAAC T T AGA T CAT TAT AT AAT AC AGT AG C AAC C C T C TAT T G T G T G CAT C AAAG GAT AG AGAT AAAAGAC AC C A AG GAAG C T T T AGAC AAGAT AGAG G AAGAG C AAAAC AAAAG T AAGAC C AC C G C AC AG C AAG C G G C C G C T GAT C T T C AGAC C T GGAG GAG GAGAT AT GAG G GACAAT T G GAGAAG T GAAT TAT AT AAAT A T AAAGT AG T AAAAAT T GAAC CAT TAG GAG T AG C AC C C AC C AAG GC AAAGAGAAGAG T G G T G CAG AG AG AAAAAAG AG C AG T G G GAAT AG GAGCTTTGT TCCTT GGGTTCTTGGGAGCAGCAG GAAG C A CTAT GGGCGCAGCGTCAAT GACGCTGACGGTACAGGCCAGACAAT TATTGTCTGGTATAGTGCA G C AG CAG AAC AAT TTGCTGAGGGCTATTGAGGCG C AAC AG CATCT GTTG C AAC TCACAGT CTGG GG C AT C AAG CAG C T C C AGG C AAGAAT CCTGGCTGTG GAAAGAT AC C T AAAG GAT C AAC AG C T C C TGGGGATT TGGGGTTGCTCTGGAAAACTCATTTGCACCACTGCTGTGCCTTGGAATGCTAGTTG GAG T AAT AAAT C T C T G GAAC AG AT T T G GAAT C AC AC GAC C T G GAT G GAG T G G GAC AG AG AAAT T AAC AAT T AC AC AAG C T T AAT AC AC T C C T T AAT T G AAGAAT C GC AAAAC CAG C AAG AAAAG AAT G AAC AAG AAT T AT T G GAAT T AG AT AAAT GGGCAAGTTTGTG GAAT T GGTTTAACAT AAC AAAT T G GC T G T G G T AT AT AAAAT T AT T CAT AAT GAT AG TAG GAGG C TTGGTAGGTT T AAGAAT AG T T T T T GC T G T AC T T T C TAT AGT GAAT AGAG T TAG G CAG G GAT AT T C AC CAT TAT C G T T T C AGAC C C AC C T C C C AAC C C C GAG G G GAC C C GAC AG G C C C GAAG GAAT AGAAGAAG AAG G T G GAGAGAGAG AC AG AGAC AGAT C CAT T C GAT T AG T GAAC G GAT C T C GAC G G TAT C GC C GAAT T C AC AAAT GG C AG TAT T C AT C C AC AAT T T T AAAAG AAAAG G G GG G AT TGGGG G GT AC AG T G C AG G G GAAAG AAT AG AGA CAT AAT AGC AACAGACAT ACAAAC TAAAGAAT T ACAAAAACAAAT T ACAAAAAT T CAAAAT T T T CGGGTTTAT TACAGGGACAGCAGAGATCCACTTT GGCTGATACGCGCCGAGAAACCCTGCAGGG AATT CCCCAGCTGTAGTTATAAACAGAAGTTCTCCTTCTGCTAGGTAGCATTCAAAGATCTTAA TCTTCTGGGTTTCCGTTTT CTCGAATGAAAAATGCAGGT CCGAGCAGTTAACTGGCGGGGGCAC CATTAGCAAGTCACTTAGCATCTCTGGGGCCAGT CTGCAAAGCGAGGGGGCAGCCTTAAT GTGC CTCCAGCCT GAAGTCCTAGAATGAGCGCCCGGTGTCCCAAGCTGGGGCGCGCACCCCAGATCGG AG GG C G C C GAT G T AC AGAC AG C AAAC T C AC C C AG T C T AG T G CAT G C C T T C T T AAAC AT C AC GAG ACTCTAAGAAAAGGAAACT GAAAACGGGAAAGTCCCTCT CTCTAACCTGGCACTGCGTCGCTGG CTTGGAGACAGGTGACGGT CCCTGCGGGCCTTGT CCTGATTGGCT GGGCACGCGTTTAATATAA GTGGAGGCGTCGCGCTGGCGGGCATTCCTGAAGCTGACAGCATTCGGGCCGAGCGCTCGGATCC GCCACCATGCCCATCGTGCAGAACCTGCAGGGCCAGATGGTGCACCAGGCCATCAGCCCCCGGA CCCTGAACGCCTGGGTGAAGGTGGTGGAGGAAAAGGCCT TCAGCCCCGAGGTGATCCCCATGTT CAGCGCCCT GAGCGAGGGCGCCACACCCCAGGACCTGAACACCAT GCTGAACACCGTGGGCGGC CAC C AG G C C G C CAT G C AGAT G C T G AAAGAGAC AAT C AAC G AGGAAG C C G C C GAG T G GGAC C G G C TGCACCCTGTGCACGCCGGACCTATCGCCCCTGGCCAGATGCGGGAGCCCAGGGGCAGCGATAT CGCCGGCACCACCTCCACACTGCAGGAACAGATCGGCTGGATGACCAACAACCCCCCCAT CCCC GTGGGCGAGATCTACAAGCGGTGGAT CATCCTGGGCCTGAACAAGATCGT GCGGATGTACAGCC CCACCTCCATCCTGGACAT CCGGCAGGGCCCCAAAGAGCCCTTCCGGGAC TACGTGGACCGGTT C T AC AAGAC CCTGCGGGCC GAG C AG G C C AG C C AG GAAGT GAAGAAC T G GAT GAC C GAGAC AC T G CTGGTGCAGAACGCCAACCCCGACTGCAAGACCATCCTGAAGGCCCTGGGCCCTGCCGCCACCC TGGAAGAGATGATGACCGCCTGCCAGGGCGTGGGCGGACCTGGCCACAAGGCCCGGGTGCTGGC CGAGGCCA GAGCCAGGTGACCAACAGCGCCACCATCA GATGCAGCGGGGCAAC TCCGGAAC CAGA GAAAG AC C G T GAAGT G C T T C AAC T G C GG C AAAGAG G G C CAC AT T G C CAAGAAC T G C AGAG C C C C C AG G AAG AAG GGCTGCTG G AAG T G T G G C AAAG AAG G G C AC C AG AT G AAG GAC T G C AC C G A GCGGCAGGCCAACTTCCTGGGAAAAATTTGGCCT TCCCACAAGGGCAGGCCCGGCAACTT CCTG CAGAGCAGGCCCGAGCCCACCGCCCCTCCCGAGGAAAGCTTCCGGTTCGGCGAGGAAACCACCA CCCCCAGCCAGAAGCAGGAACCCATCGACAAAGAGCTGTACCCCCTGGCCTCCCTGAGAAGCCT GTTCGGCAACGACAAGAAAAGCGT GACCGTGCTGGACGT GGGCGACGCCTACTTCAGCGT GCCC C T GG AT AAG GAC T T C C G GAAG AC AC C G C C T T CAC CAT C C C C AGC AT C AACAAC GAGAC AC C C G GCAT CAGA ACCAGTACAACGTGCTGCCCCAGGGCTGGAAGGGCAGCCCCGCCATCTTCCAGAG CAGC AT GAC C AAGAT C C T G GAAC C C T T C C G GAAG C AGAAC C C C GAC AT C G T GAT C T AC C AG T AC ATGGACGACCTGTACGTGGGCAGCGACCTGGAAATCGGCCAGCACCGGACAGAGATCCTGAAAG AACCCGTGCACGGCGTGTACGTGGGCTTCCCCGTGAGACCACAGGTGCCACTGAGACCCATGAC CTACAAGGCCGCCGTGGACCTGAGCCACTTCCTGAAGGAGAAGGGCGGCCTGGAAGGCCTGATC TACAGCCAGAAGAGGCAGGACATCCTGGACCTGTGGGTGTACCACACCCAGGGCTACTTCCCCG ACTGGCAGAACTACACCCCTGGCCCTGGCATCCGCTACCCCCTGACCTTCGGCTGGTGCTTCAA GCTGGTGCCCGTGGACCCCGAGAAGGAAGTGCTGGTGTGGAAGTTCGACAGCCGGCTGGCCTTC CACCACATGGCCAGAGAGCTGCACCCCGAGTACTACTGATGACTCGAGAAA TCCCGATAATCA ACCTCTGGATTACAAAATTTGTGAAAGATTGACTGGTATTCTTAACTATGTTGCTCCTTTTACG CTATGTGGATACGCTGCTTTAATGCCTTTGTATCATGCTATTGCTTCCCGTATGGCTTTCATTT TCTCCTCCTTGTATAAATCCTGGTTGCTGTCTCTTTATGAGGAGTTGTGGCCCGTTGTCAGGCA ACGTGGCGTGGTGTGCACTGTGTTTGCTGACGCAACCCCCACTGGTTGGGGCATTGCCACCACC TGTCAGCTCCTTTCCGGGACTTTCGCTTTCCCCCTCCCTATTGCCACGGCGGAACTCATCGCCG CCTGCCTTGCCCGCTGCTGGACAGGGGCTCGGCTGTTGGGCACTGACAATTCCGTGGTGGTTGT CGG ACCTTTAAGACCAATGACT ACAAGGCAGCTG AGATC TAGCCACTTTTTAAAAGAAAA GGGGGGACTGGAAGGGCTAATTCACTCCCAACGAAGACAAAATCGTCGAGAGATGCTGCATATA AGCAGCTGCTTTTTGCTTGTACTGGGTCTCTCTGGTTAGACCAGATCTGAGCCTGGGAGCTCTC TGGCTAACTAGGGAACCCACTGCTTAAGCCTCAATAAAGCTTGCCTTGAGTGCTTCAAGTAGTG TGTGCCCGTCTGTTGTGTGACTCTGGTAACTAGAGATCCCTCAGACCCTTTTAGTCAGTGTGGA
AAATcTcTAGcAG (SEQ ID NO:37).
[134] Production plasmid proviral sequence (5'LTR to 3'-LTR) without WPRE:
TGGAAGGGCTAATTCACTCCCAAAGAAGACAAGATATCCTTGATCTGTGGATCTACCAC ACACAAGGCTACTTCCCTGATTAGCAGAACTACACACCAGGGCCAGGGGTCAGATATCCACTGA CCTTTGGAT GGTGCTACAAGCTAGTACCAGTTGAGCCAGATAAGGTAGAAGAGGCCAATAAAGG AGAGAACACCAGCTTGTTACACCCTGTGAGCCTGCATGGGATGGATGACCCGGAGAGAGAAGTG TTAGAGTGGAGGTTTGACAGCCGCCTAGCATTTCATCACGTGGCCCGAGAGCTGCATCCGGAGT ACTTCAAGAACTGCTGATATCGAGCTTGCTACAAGGGACTTTCCGCTGGGGACTTTCCAGGGAG GCGTGGCCTGGGCGGGACTGGGGAGTGGCGAGCCCTCAGATCCTGCATATAAGCAGCTGCTTTT TGCCTGTACTGGGTCTCTCTGGTTAGACCAGATCTGAGCCTGGGAGCTCTCTGGCTAACTAGGG AACCCACTGCTTAAGCCTCAATAAAGCTTGCCTTGAGTGCTTCAAGTAGTGTGTGCCCGTCTGT TGTGTGACTCTGGTAACTAGAGATCCCTCAGACCCTTTTAGTCAGTGTGGAAAATCTCTAGCAG TGGCGCCCGAACAGGGACT T GAAAG C GAAAG G GAAAC C AG AG GAG CTCTCTCGACGCAGGACTC GGCT TGCTGAAGCGCGCACGGCAAGAGGCGAGGGGCGGCGACTGGTGAGTACGCCAAAAATTTT GAC T AG C G G AG G C AG AAG GAG AG AG AT G G G T G C GAG AG C G T C AG AT AAG C G G G G G AG AAT T AGAT C G C GAT G G GAAAAAAT T C G G T T AAG G C C AG G G G GAAAGAAAAAA A AAAT T AAAAC AT A T AGT AT G G G C AAG C AGG GAG C TAG AAC GAT T C G C AG T T AAT CCTGGCCTGT T AGAAAC AT C AGA AG GC T G TAG AC AAAT AC T G G GAC AG C T AC AAC C AT C C C T T C AGAC AG GAT CAGAAGAAC T T AGA T CAT TAT AT AAT AC AGT AG C AAC CCTCTATTGTGTG CAT C AAAGGAT AGAGAT AAAAGAC AC C A AG GAAG C T T T AGAC AAGAT AGAG GAAGAG C AAAAC AAAAG TAAGAC C AC C G C AC AG C AAG C G G C C G C T GAT C T T C AGAC C T GG AG GAG GAGAT AT GAG G GACAAT T G GAGAAG T GAAT TAT AT AAAT A T AAAGT AG T AAAAAT T GAAC CAT TAG GAG TAG C AC C C AC C AAG GCAAAGA GAAGAG T G G T G C AG AGAGAAAAAAGAGCAGTGGGAATAGGAGCTTTGT TCCTTGGGTTCTT GGGAGCAGCAGGAAGCA CTAT GGGCGCAGCGTCAAT GACGCTGACGGTACAGGCCAGACAAT TATTGTCTGGTATAGTGCA G C AG C AG AAC AAT TTGCTGAGGGCTATTGAGGCGCAACAGCATCT GTTGCAACTCACAGT CTGG GG C AT C AAG C AG C T C C AGG C AAGAAT CCTGGCTGTG GAAAGAT AC C TAAAG GAT C AAC AG C T C C TGGGGATTT GGGGTTGCTCTGGAAAACTCATTTGCACCACTGCTGTGCCTTGGAAT GCTAGTTG GAG T AAT AAAT C T C T G GAAC AG AT T T G GAAT C AC AC GAC C T G GAT G GAG T G G GAC AG AG AAAT T AAC AAT T AC AC AAG C T T AAT AC AC T C C T T AAT T G AAGAAT C GC AAAAC C AG C AAG AAAAG AAT G AAC AAG AAT T AT T G GAAT T AG AT AAAT G G G C AAG T T T G T G GAAT T G G T T T AAC AT AAC AAAT T G GC T G T G G T AT AT AAAAT T AT T CAT AAT GAT AG TAG GAGG C T T G GT AG G T T T AAGAAT AG τ T T T T GCTGTACTT TC TAT AGT GAAT AGAG T T AG G C AG G GAT AT T C AC CATTATCGTTT C AGAC C C AC C T C C C AAC C C C GAG G G GAC C C GAC AG G C C C GAAG GAAT AGAAGAAG AAG GT G GAGAGAGAG AC AG AGAC AGAT C CAT T C GAT T AG T GAAC G GAT C T C GAC G G TAT C GC C GAAT T C AC AAAT GG C AG TAT T CAT C C AC AAT T T T AAAAG AAAAG G G GG G AT T G G G G G GT ACAG T G C AG G G GAAAGAAT AG T AGA CAT AAT AGC AACAGACAT ACAAAC TAAAGAAT T ACAAAAACAAAT T ACAAAAAT T C AAAAT T T T CGGGTTTAT TACAGGGACAGCAGAGATCCACTTT GGCTGATACGCGCCGAGAAACCCTGCAGGG AATT CCCCAGCTGTAGTTATAAACAGAAGTTCTCCTTCTGCTAGGTAGCATTCAAAGATCTTAA TCTT CTGGGTTTCCGTTTT CTCGAATGAAAAATGCAGGTCCGAGCAGTTAACTGGCGGGGGCAC CATTAGCAAGTCACTTAGCATCTCTGGGGCCAGT CTGCAAAGCGAGGGGGCAGCCTTAAT GTGC CTCCAGCCT GAAGTCCTAGAATGAGCGCCCGGTGTCCCAAGCTGGGGCGCGCACCCCAGATCGG AG GG C G C C GAT G T AC AGAC AG C AAAC T C AC C C AG T C TAG T G CAT G C C T T C T T AAAC AT C AC GAG ACTCTAAGAAAAGGAAACT GAAAACGGGAAAGTCCCTCTCTCTAACCTGGCACTGCGTCGCTGG CTTGGAGACAGGTGACGGT CCCTGCGGGCCTTGT CCTGATTGGCT GGGCACGCGTTTAATATAA GTGGAGGCGTCGCGCTGGCGGGCATTCCTGAAGCTGACAGCATTCGGGCCGAGCGCTCGGATCC GCCACCATGCCCATCGTGCAGAACCTGCAGGGCCAGATGGTGCACCAGGCCATCAGCCCCCGGA CCCT GAACGCCTGGGTGAAGGTGGTGGAGGAAAAGGCCTTCAGCCCCGAGGT GATCCCCAT GTT CAGCGCCCT GAGCGAGGGCGCCACACCCCAGGACCTGAACACCAT GCTGAACACCGTGGGCGGC CAC C AG G C C G C CAT G C AGAT G C T G AAAGAGAC AAT C AAC G AGGAAG C C G C C GAG T G GGAC C G G C TGCACCCTGTGCACGCCGGACCTATCGCCCCTGGCCAGATGCGGGAGCCCAGGGGCAGCGATAT CGCCGGCAC CACCTCCACACTGCAGGAACAGA CGGCTGGATGACCAACAACCCCCCCATCCCC GTGGGCGAGATCTACAAGCGGTGGAT CATCCTGGGCCTGAACAAGATCGT GCGGATGTACAGCC CCACCTCCATCCTGGACAT CCGGCAGGGCCCCAAAGAGCCCTTCCGGGAC ACG GGACCGG C AC AAGAC CCTGCGGGCC GAG C AG G C C AG C C AG GAAGT G AAGAAC T G GAT GAC C GAGAC AC T G CTGGTGCAGAACGCCAACCCCGACTGCAAGACCATCCTGAAGGCCCT GGGCCCTGCCGCCACCC TGGAAGAGATGATGACCGCCTGCCAGGGCGTGGGCGGACCTGGCCACAAGGCCCGGGTGCTGGC CGAGGCCA GAGCCAGGTGACCAACAGCGCCACCATCA GATGCAGCGGGGCAAC TCCGGAAC CAGAGAAAG AC C G T GAAGT G C T T C AAC T G C GG C AAAGAG G G C CAC AT T G C CAAGAAC T G C AGAG C C C C C AG G AAG AAG GGCTGCTG G AAG T G T G G C AAAG AAG GGCACCAGAT G AAG G AC T G C AC C G A GCGGCAGGCCAACTTCCTGGGAAAAATTTGGCCT TCCCACAAGGGCAGGCCCGGCAACTT CCTG CAGAGCAGGCCCGAGCCCACCGCCCCTCCCGAGGAAAGCTTCCGGTTCGGCGAGGAAACCACCA CCCCCAGCCAGAAGCAGGAACCCATCGACAAAGAGCTGTACCCCCTGGCCTCCCTGAGAAGCCT GTTCGGCAACGACAAGAAAAGCGT GACCGTGCTGGACGTGGGCGACGCCTACTTCAGCGTGCCC C T GG AT AAG GAC T T C C G GAAG AC AC C G C C T T C AC CAT C C C C AGC AT C AACAAC GAGAC AC C C G GCAT CAGA ACCAGTACAACG GCTGCCCCAGGGCTGGAAGGGCAGCCCCGCCATCTTCCAGAG CAGC AT GAC C AAGAT C C T G GAAC C C T T C C G GAAG C AGAAC C C C GAC AT C G T GAT C T AC C AG T AC AT G GAC GAC CTGTACGTGGGCAGC GAC C T G G AAAT C G G C C AG CAC C G GAC AG AG AT C C T G AAAG AACCCGTGCACGGCGTGTACGTGGGCTTCCCCGT GAGAC CACAGGTGCCACTGAGACCCA GAC CTACAAGGCCGCCGT GGAC CTGAGCCACTTCCTGAAGGAGAAGGGCGGCCTGGAAGGCCT GAT C TACAGCCAGAAGAGGCAGGACATCCTGGACCTGT GGGTGTACCACACCCAGGGCTACTTCCCCG ACTGGCAGAACTACACCCCTGGCCCTGGCATCCGCTACCCCCTGACCTTCGGCTGGTGCTT CAA GCTGGTGCCCGTGGACCCCGAGAAGGAAGTGC GGTGTGGAAGTT CGACAGCCGGCTGGCCTTC CAC CAC AT GGC C AG AG AGC T G CAC C C C GAG T AC TACT GAT GAC T C GAGAG G T AC C T T T AAGAC C AATGACTTACAAGGCAGCT GTAGATCTTAGCCACTTTTTAAAAGAAAAGGGGGGACTGGAAGGG CTAATTCACTCCCAACGAAGACAAAATCGTCGAGAGATGCTGCATATAAGCAGCTGCTTTT TGC TTGTACTGGGTCTCTCTGGTTAGACCAGATCTGAGCCTGGGAGCT CTCTGGCTAACTAGGGAAC CCACTGCTTAAGCCTCAATAAAGCTTGCCTTGAGTGCTTCAAGTAGTGTGTGCCCGTCTGTTGT GTGACTCTGGTAACTAGAGATCCCTCAGACCCTT TTAGTCAGTGT GGAAAATCTCTAGCAG
(SEQ ID NO:38).
[135] Integrated proviral sequence (5'LTR to 3'-LTR) with WPRE:
TGTACTGGGTCTCT CTGGT TAGACCAGATCTGAGCCTGGGAGCTCTCTGGCTAACTAGG GAACCCACT GCTTAAGCCT CAATAAAGCTTGCCT TGAGTGCTTCAAGTAGTGTGTGCCCGTCTG TTGT GTGACTCTGGTAACTAGAGATCCCTCAGACCCTTTTAGTCAGTGTGGAAAATCTCTAGCA GTGGCGCCCGAACAGGGACTTGAAAGCGAAAGGGAAACCAGAGGAGCTCTCTCGACGCAGGACT CGGCTTGCT GAAGCGCGCACGGCAAGAGGCGAGGGGCGGCGACTGGTGAGTACGCCAAAAATTT TGACTAGCGGAGGCTAGAAGGAGAGAGATGGGTGCGAGAGCGTCAGTATTAAGCGGGGGAGAAT T AGAT C G C GAT G G GAAAAAAT T C G G T T AAG GC C AG G G GGAAAGAAAAAAT AT AAAT T AAAAC AT AT AG T AT G G G C AAG C AG GG AG C T AGAAC GAT TCG C AG T T AAT CCTGGCCTGT T AGAAAC AT C AG AAGG C T G T AGACAAA AC T G G GAC AG C AC AAC CAT C C C T T C AGAC AG GAT C AGAAGAAC T AG AT CAT TAT AT AA AC AG AG C AAC C C T C AT T G T G T G CAT C AAAG GA AG AGA AAAAGAC AC C AAGG AAG C T T AGAC AAGA AGAG GAAGAG C AAAAC AAAAG AAG AC CAC C G C AC AGC AAG C G G C C GC T GAT C T T CAGAC C T G GAG GAG GAGAT AT GAG GG AC AAT T GGAG AAG T GAAT T AT AT AAAT AT AAAG TAG T AAAAAT T GAAC CAT T AGGAG TAG CAC C CAC C AAGG C AAAG AGAAG AG T G G T G C A GAGAGAAAAAAGAGCAGTGGGAATAGGAGCTTTGTTCCTTGGGTT CTTGGGAGCAGCAGGAAGC ACTATGGGCGCAGCGTCAATGACGCTGACGGTACAGGCCAGACAATTATT GTCTGGTATAGTGC AGCAGCAGAACAATTTGCT GAGGGCTATTGAGGCGCAACAGCATCTGTTGCAACTCACAGT CTG GG GC AT C AAG C AG C T C C AG G C AAG AAT CCTGGCT GTG GAAAGA AC C AAAG GAT C AAC AG C T C CTGGGGATT TGGGGTTGCT CTGGAAAACTCATTT GCACCACTGCT GTGCCTTGGAATGCTAGTT GGAG AAT AAAT C T C T G GAAC AGAT T T G GAAT CAC AC GAC C T G GAT G GAG T G GGAC AGAG AAAT T AAC AAT T AC ACAAG C T T AAT AC AC T C C T T AAT T GAAGAAT C G C AAAAC C AG C AAG AAAAG AAT GAAC AAGAAT T AT T G GAAT T AGAT AAAT G G GC AAG T T T G T G GAAT T G G T T T AAC AT AAC AAAT T GGC GTGG A A AAAATTAT CATAA GATAGTAGGAGGCT GGTAGG TAAGAATAG T G C T G AC T T T C A AG T GAA AG AG T AG GC AG G GA AT T CAC CAT AT C G T T T CAGAC C CAC C T C C C AAC C C C GAG G GGAC C C GAC AG GC C C GAAG GAA AGAAGAAGAAG G T G GAGAGAGAG AC A GAGAC AGAT C CAT T C GAT TAG T GAAC GGAT C T C GAC GGTATCGCC GAAT T CAC AAAT G G C AG T A T T CAT C CAC AAT T T T AAAAGAAAAG G GG G GAT T G G G G GG T AC AGT G C AG G G GAAAGAAT AG TAG ACATAATAG CAACAGACAT ACAAAC AAAGAAT T ACAAAAACAAAT T ACAAAAAT T CAAAAT T T TCGGGTTTATTACAGGGACAGCAGAGATCCACTT TGGCTGATACGCGCCGAGAAACCCTGCAGG GAAT TCCCCAGCTGTAGTTATAAACAGAAGTTCT CCTTCTGCTAGGTAGCATTCAAAGAT CTTA ATCT TCTGGGTTTCCGTTT TCTCGAATGAAAAAT GCAGGTCCGAGCAGTTAACTGGCGGGGGCA CCAT TAGCAAGTCACTTAGCATCT CTGGGGCCAGTCTGCAAAGCGAGGGGGCAGCCTTAATGTG CCTCCAGCCTGAAGTCCTAGAATGAGCGCCCGGT GTCCCAAGCTGGGGCGCGCACCCCAGATCG GAGG GC G C C GAT G T AC AGAC AG CAAAC C AC C C AG T C TAG GC AT G C C T T C T T AAAC AT C AC GA GACT CTAAGAAAAGGAAACTGAAAACGGGAAAGT CCCTCTCTCTAACCTGGCACTGCGTCGCTG GCTT GGAGACAGGTGACGGTCCCT GCGGGCCTTGTCCTGATTGGCTGGGCACGCGTTTAATATA AGTGGAGGCGTCGCGCTGGCGGGCATTCCTGAAGCTGACAGCATTCGGGCCGAGCGATCGGATC CGCCACCAT GCCCATCGTGCAGAACCTGCAGGGCCAGATGGTGCACCAGGCCATCAGCCCCCGG ACCCTGAACGCCTGGGTGAAGGTGGTGGAGGAAAAGGCCTTCAGCCCCGAGGTGATCCCCATGT TCAGCGCCCTGAGCGAGGGCGCCACACCCCAGGACCTGAACACCATGCTGAACACCGTGGGCGG CCACCAGGCCGCCATG C AG AT G C T G AAAG AG AC AAT C AAC G AG GAAG CCGCCGAGT GGGACCGG CTGCACCCT GTGCACGCCGGACCTATCGCCCCTGGCCAGATGCGGGAGCCCAGGGGCAGCGATA TCGCCGGCACCACCTCCACACTGCAGGAACAGAT CGGCTGGATGACCAACAACCCCCCCATCCC CGTGGGCGAGATCTACAAGCGGTGGATCATCCTGGGCCTGAACAAGATCGTGCGGATGTACAGC CCCACCTCCATCCTGGACATCCGGCAGGGCCCCAAAGAGCCCTTCCGGGACTACGT GGACCGGT T C T AC AAGAC CCTGCGGGCC GAG C AG GC C AGC C AG GAAG T GAAGAAC T G GAT GAC C GAGAC AC T GCTGGTGCAGAACGCCAACCCCGACTGCAAGACCATCCTGAAGGCCCTGGGCCCTGCCGCCACC CTGGAAGAGATGATGACCGCCTGCCAGGGCGTGGGCGGACCTGGCCACAAGGCCCGGGTGCTGG C C G AG G C C AT GAG C C AG G T GAC C AAC AG C G C C AC CAT CAT GAT GCAGCGGGG C AAC T T C C G G AA C C AG AGAAAGAC C G T GAAG T G C T T CAAC T G C G G C AAAGAG G GC C AC AT T G C C AAG AAC T G C AGA GCCCCCAG G AAG AAG GGCT GCTG GAAG T G T G G C AAAG AAG G G C AC C AG AT GAAG GACTGCACCG AGCGGCAGGCCAACTTCCT GGGAAAAATTTGGCCTTCCCACAAGGGCAGGCCCGGCAACT TCCT GCAGAGCAGGCCCGAGCCCACCGCCCCTCCCGAGGAAAGCTTCCGGT TCGGCGAGGAAACCACC ACCCCCAGCCAGAAGCAGGAACCCATCGACAAAGAGCTGTACCCCCTGGCCTCCCTGAGAAGCC TGTT CGGCAACGACAAGAAAAGCGTGACCGTGCT GGACGTGGGCGACGCCTACTTCAGCGTGCC C C T G GAT AAG GAC T T C C GG AAG T ACAC CGCCTTCAC CAT C C C C AG CAT CAAC AAC GAGAC AC C C GGCATCAGATACCAGTACAACGTGCTGCCCCAGGGCT GGAAGGGCAGCCCCGCCAT CTTCCAGA GC AG CAT GAC C AAGAT C C T G GAAC C C T T C C GGAAG C AGAAC C C C GAC AT C G T GAT C T AC C AG T A CATGGACGACCTGTACGTGGGCAGCGACCTGGAAATCGGCCAGCACCGGACAGAGATCCT GAAA GAACCCGTGCACGGCGTGTACGTGGGCTTCCCCGTGAGACCACAGGTGCCACTGAGACCCATGA CCTACAAGGCCGCCGTGGACCTGAGCCACTTCCTGAAGGAGAAGGGCGGCCTGGAAGGCCTGAT CTACAGCCAGAAGAGGCAGGACATCCTGGACCTGTGGGTGTACCACACCCAGGGCTACTTCCCC GACTGGCAGAACTACACCCCTGGCCCTGGCATCCGCTACCCCCTGACCTTCGGCTGGTGCTTCA AGCTGGTGCCCGTGGACCCCGAGAAGGAAGTGCTGGTGTGGAAGTTCGACAGCCGGCTGGCCTT C C AC C AC AT G G C C AGAGAG CTGCACCCC G AG AC AC T GAT G AC T C GAGAAA T C C C GAT AAT C AACCTCTGGAT TACAAAATTTGTGAAAGATTGACTGGTATTCTTAACTATGTTGCTCCTTTTAC GCTATGTGGATACGCTGCTTTAATGCCTTTGTAT CATGCTATTGCTTCCCGTATGGCTTTCATT TTCTCCTCCTTGTATAAATCCTGGTTGCTGTCTCTTTAT GAGGAG TGTGGCCCGT G CAGGC AACGTGGCGTGGTGTGCACTGTGT TGCTGACGCAACCCCCACTGGT GGGGCATTGCCAC CAC CTGTCAGCTCCTTTCCGGGACTTTCGCTTTCCCCCTCCCTATTGCCACGGCGGAACTCATCGCC GCCTGCCTTGCCCGCTGCTGGACAGGGGCTCGGCTGTTGGGCACTGACAATTCCGTGGTGGTTG TCGGTACCTT TAAGAC C AAT GAC T T AC AAG GC AG C T G TAG AT CTTAGCCACTTTT T AAAAGAAA AGGGGGGACTG G AAG GGCTAATTCACTCCCAAC G AAG AC AAG AT C G T C GAGAGAT G C T G CAT AT AAGCAGCTGCTTTTTGCTTGTACTGGGTCTCTCTGGTTAGACCAGATCTGAGCCTGGGAGCTCT CTGGCTAACTAGGGAACCCACTGCTTAAGCCTCAATAAAGCTTGCCTTGAGTGCTTCAAGTAGT GTGTGCCCGTCTGTTGTGTGACTCTGGTAACTAGAGATCCCTCAGACCCTTTTAGTCAGTGTGG AAAATCTCTAGCAGT (SEQ ID NO:39).
[136] Integrated proviral sequence (5'LTR to 3'-LTR) without WPRE:
TGTACTGGGTCTCTCTGGTTAGACCAGATCTGAGCCTGGGAGCTCTCTGGCTAACTAGG GAACCCACTGCTTAAGCCTCAATAAAGCTTGCCTTGAGTGCTTCAAGTAGTGTGTGCCCGTCTG TTGTGTGACTCTGGTAACTAGAGATCCCTCAGACCCTTTTAGTCAGTGTGGAAAATCTCTAGCA GTGGCGCCCGAACAGGGACTTGAAAGCGAAAGGGAAACCAGAGGAGCTCTCTCGACGCAGGACT CGGCTTGCTGAAGCGCGCACGGCAAGAGGCGAGGGGCGGCGACTGGTGAGTACGCCAAAAATTT TGACTAGCGGAGGCTAGAAGGAGAGAGATGGGTGCGAGAGCGTCAGTATTAAGCGGGGGAGAAT T AGAT C G C GAT G G GAAAAAAT T C G G T T AAG GC C AG G G GGAAAGAAAAAA A AAAT T AAAAC AT AT AG TAT G G G C AAGC AG G GAG C T AGAAC GAT T C G C AG T T AAT CCTGGCCTGT T AGAAAC AT C AG AAGG C T G T AGACAAAT AC T G G GAC AG C T AC AAC CAT C C C T T C AGAC AG GAT C AGAAGAAC T TAG AT CAT TAT AT AAT AC AG TAG C AAC CCTCTATTGTGTG CAT CAAAG GA AG AGAT AAAAGAC AC C AAGG AAG C T T T AGAC AAGAT AGAG GAAGAG C AAAAC AAAAG TAAGAC CAC C G CAC AGC AAG C G G C C G C T GAT C T T CAGAC C T G GAG GAG GAGA AT GAG G GACAAT T G GAGAAG T GAAT T AT AT AAAT A AAAG AG T AAAAAT T GAAC CAT AGGAG AG C AC C CAC C AAGG C AAAG AGAAG AG G G T G C A GAGAGAAAAAAGAGCAGTGGGAATAGGAGCTTTGTTCCTTGGGTT CTTGGGAGCAGCAGGAAGC ACTATGGGCGCAGCGTCAATGACGCTGACGGTACAGGCCAGACAATTATT GTCTGGTATAGTGC AGCAGCAGAACAATTTGCTGAGGGCTATTGAGGCGCAACAGCATCTGTTGCAACTCACAGTCTG GG GC AT CAAG C AG C T C C AG G CAAGAAT CCTGGCT GTG GAAAGAT AC C AAAG GAT CAACAG C T C CTGGGGAT TTGGGGTTGCT CTGGAAAACTCATTT GCACCACTGCTGTGCCTTGGAATGCTAGTT GGAG TAATAAAT C T C T G GAAC AGAT T T G GAAT CAC AC GAC C T G GAT G GAG T G GGAC AGAG AAAT TAACAAT TACACAAGCT T AATACACT CCT TAA T GAAGAAT CGCAAAAC CAGCAAGAAAAGAAT GAAC AAGAAT TAT T G GAAT T AGAT AAAT G G GC AAG T T T G T G GAAT T G G T T T AAC AT AAC AAAT T GGCT GTGG ATATAAAATTAT CATAAT GATAGTAGGAGGCTTGGTAGGT TTAAGAATAG TTT T G C T GT AC T T T C TAT AG T GAAT AG AG T T AG GC AG G GAT AT T CAC CAT TAT C G T T T CAGAC C CAC C T C C C AAC C C C GAGG GGAC C C GAC AG GC C C GAAG GAAT AGAAGAAGAAG G T G GAGAGAG AGAC A GAGAC AGAT C CAT T C GAT TAG T GAAC GGAT C T C GAC GGTATCGCC GAAT T CAC AAAT G G C AG T A T T CAT C C AC AAT T T T AAAAGAAAAG G GG G GAT T G G G G GG T AC AGT G C AG G G GAAAGAAT AG TAG ACAT AAT AG CAACAGACAT ACAAACT AAAGAAT T ACAAAAACAAAT T ACAAAAAT T CAAAAT T T T C G G GT T TAT T AC AG GGAC AG C AG AGAT C CAC T T T G G C T GAT AC G C G C C GAGAAAC C C T G C AG G GAAT TCCCCAGCTGTAGTTATAAACAGAAGTTCT CCT TCTGCTAGGTAGCATTCAAAGAT CTTA ATCT TCTGGGTTTCCGTTT TCTCGAATGAAAAAT GCAGGTCCGAGCAGTTAACTGGCGGGGGCA CCAT TAGCAAGTCACTTAGCATCT CTGGGGCCAGTCTGCAAAGCGAGGGGGCAGCCTTAATGTG CCTCCAGCCTGAAGTCCTAGAATGAGCGCCCGGT GTCCCAAGCTGGGGCGCGCACCCCAGATCG GAGG GC G C C GAT G T AC AGAC AG C AAAC T CAC C C AG T C TAG T GC AT G C C T T C T T AAAC AT CAC GA GACT CTAAGAAAAGGAAACTGAAAACGGGAAAGT CCCTCTCTCTAACCTGGCACTGCGTCGCTG GCTT GGAGACAGGTGACGGTCCCT GCGGGCCTTGTCCTGATTGGCTGGGCACGCGTTTAATATA AGT GGAGGCGTCGCGCTGGCGGGCATTCCTGAAGCTGACAGCATTCGGGCCGAGCGATC GGAT C CGCCACCAT GCCCATCGTGCAGAACCTGCAGGGCCAGATGGTGCACCAGGCCATCAGCCCCCGG ACCCTGAACGCCTGGGTGAAGGTGGTGGAGGAAAAGGCCTTCAGCCCCGAGGTGATCCCCATGT TCAGCGCCCTGAGCGAGGGCGCCACACCCCAGGACCTGAACACCATGCTGAACACCGTGGGCGG C C AC C AG G C C G C C AT GC AGAT G C T GAAAG AGAC AAT C AAC GAG GAAG CCGCCGAGT GG G AC C G G CTGCACCCT GTGCACGCCGGACCTATCGCCCCTGGCCAGATGCGGGAGCCCAGGGGCAGCGATA TCGCCGGCACCACCTCCACACTGCAGGAACAGAT CGGCTGGATGACCAACAACCCCCCCATCCC CGTGGGCGAGATCTACAAGCGGTGGATCATCCTGGGCCTGAACAAGATCGTGCGGATGTACAGC CCCACCTCCATCCTGGACATCCGGCAGGGCCCCAAAGAGCCCTTCCGGGACTACGTGGACCGGT T C AC AAGAC CCTGCGGGCC GAG C AG GC C AGC C AG GAAG T GAAGAAC T G GAT GAC C GAGAC AC T GCTGGTGCAGAACGCCAACCCCGACTGCAAGACCATCCTGAAGGCCCTGGGCCCTGCCGCCACC CTGGAAGAGATGATGACCGCCTGCCAGGGCGTGGGCGGACCTGGCCACAAGGCCCGGGTGCTGG CCGAGGCCATGAGCCAGG GACCAACAGCGCCAC CA CATGA GCAGCGGGGCAACTTCCGGAA C C AG AGAAAGAC C G T GAAG T G C T T CAAC T G C G G CAAAGAG G GC C AC AT T G C C AAG AAC T G C AGA GCCCCCAG G AAG AAG GGCT GCTG GAAG T G T G G C AAAG AAG G G C AC C AG AT GAAG GACTGCACCG AGCGGCAGGCCAACTTCCT GGGAAAAATTTGGCCTTCCCACAAGGGCAGGCCCGGCAACT TCCT GCAGAGCAGGCCCGAGCCCACCGCCCCTCCCGAGGAAAGCTTCCGGTTCGGCGAGGAAACCACC ACCCCCAGCCAGAAGCAGGAACCCATCGACAAAGAGCTGTACCCCCTGGCCTCCCTGAGAAGCC TGTT CGGCAACGACAAGAAAAGCGTGACCGTGCT GGACGTGGGCGACGCCTACTTCAGCGTGCC C C T G GAT AAG GAC T T C C GGAAG T ACAC C G C C T T C AC CAT C C C C AG CAT CAAC AAC GAGAC AC C C GGCATCAGATACCAGTACAACGTGCTGCCCCAGGGCTGGAAGGGCAGCCCCGCCATCTT CCAGA GC AG CAT GAC C AAGAT C C T G GAAC C C T T C C GGAAG C AGAAC C C C GAC AT C G T GAT C T AC C AG T A CATGGACGACCTGTACGTGGGCAGCGACCTGGAAATCGGCCAGCACCGGACAGAGATCCT GAAA GAAC CCGTGCACGGCGTGTACGTGGGCTTCCCCG GAGAC CACAGGTGCCACTGAGACCCATGA CCTACAAGGCCGCCGTGGACCTGAGCCACTTCCT GAAGGAGAAGGGCGGCCTGGAAGGCCTGAT CTACAGCCAGAAGAGGCAGGACAT CCTGGACCTGTGGGTGTACCACACCCAGGGCTACTT CCCC GACT GGCAGAACTACACCCCTGGCCCTGGCATCCGCTACCCCCTGACCTT CGGCTGGTGCTTCA AGCT GGTGCCCGTGGACCCCGAGAAGGAAGTGCT GGTGTGGAAGT TCGACAGCCGGCTGGCCTT C C AC C AC AT G G C C AGAGAG CTGCACCCC G AGT AC T AC T GAT GAC T C GAG AG G T AC C T T T AAGAC C AAT GAC T T AC AAG GCAGCTGTAGATCTTAGCCACTTTTT AAAAG AAAAG GGGGGACTG GAAG G GC T AAT T C AC T C C CAAC GAAGAC AAGAT C G T C GAGAGAT G C T G CAT A AAG C AG CTGCTT TTTG CTTGTACTGGGTCTCTCTGGTTAGACCAGATCTGAGCCTGGGAGCTCTCT GGCTAACTAGGGAA CCCACTGCTTAAGCCTCAATAAAGCTTGCCTTGAGTGCT TCAAGTAGTGTGTGCCCGTCTGTTG TGTGACTCT GGTAACTAGAGATCCCTCAGACCCTTTTAGTCAGTGTGGAAAATCTCTAGCAGT
(SEQ ID NO:40).
[137] In some embodiments, the nucleic acid comprises a DNA or RNA sequence recited herein, preferably selected from SEQ ID NOs 31 -40.
[138] In some embodiments, the nucleic acid is a DNA sequence of any of SEQ
ID NOs 37-40 that encodes an RNA sequence, preferably of any of SEQ ID NOs 31 -36. [139] The invention encompasses an isolated nucleic acid of the invention inserted into a vector.
[140] The nucleic acid can be purified. Preferably, the purified nucleic acid is more than 50%, 75%, 85%, 90%, 95%, 97%, 98%, or 99% pure. Within the context of this invention, a purified nucleic acid that is at least 50% pure means a purified nucleic acid sample containing less than 50% other nucleic acids not encoding SEQ ID NO:30. For example, a sample of a plasmid encoding SEQ ID NO:30 can be at least 99% pure if it contains less than 1 % contaminating bacterial DNA.
VECTORS
[141 ] The invention encompasses vectors encoding at least one HIV-1 antigen, preferably an H IV-1 Nef, Pol, NC, or CA antigen or immunogenic polypeptide, most preferably comprising the amino acid sequence of SEQ I D NO:30. Preferred vectors comprise or encode the nucleic acid sequence of any of SEQ ID NOs 31 -40.
[142] The vector can be an expression vector. The vector can be a plasmid vector. Preferably, the vector is a lentiviral vector.
[143] Preferably, the vector has the order, 5' to 3', of LTR, Splice donor, 5' Gag (including ψ), RRE, cPPT/CTS, promoter (preferably β2ηι), H IV antigen (comprising SEQ ID NO:30), LTR (ΔΙΙ3). More preferably, the vector has a structure shown in Figure 26. Most preferably, the vector comprises the nucleic acid sequence of SEQ ID NO:37 or SEQ ID NO:38.
[144] The invention encompasses methods for generating a vector comprising inserting an nucleic acid encoding SEQ ID NO:30 into a vector, preferably a lentiviral vector.
ISOLATED CELLS
[145] The invention encompasses cells comprising vectors and lentiviral vector particles encoding at least one HIV-1 antigen, preferably an HIV-1 Nef, Pol, NC, or CA antigen or immunogenic polypeptide, most preferably comprising the amino acid sequence of SEQ ID NO:30. Preferably, the cells comprise or encode the nucleic acid sequence of any of SEQ I D NOs 31 -40.
[146] In one embodiment, the cell contains the vector integrated into the cellular genome. In one embodiment, the cell contains the vector transiently expressing the HIV-1 antigen, preferably an HIV-1 Nef, Pol, NC, or CA antigen or immunogenic polypeptide, most preferably comprising the amino acid sequence of SEQ ID NO:30. In one embodiment, the cell produces lentiviral vector particles encoding the HIV-1 antigen, preferably an HIV-1 Nef, Pol, NC, or CA antigen or immunogenic polypeptide, most preferably comprising the amino acid sequence of SEQ ID NO:30.
[147] In various embodiments, the invention encompasses a cell line, a population of cells, or a cell culture comprising vectors and lentiviral vector particles encoding the HIV-1 antigen, preferably an HIV-1 Nef, Pol, NC, or CA antigen or immunogenic polypeptide, most preferably comprising the amino acid sequence of SEQ ID NO:30.
LENTIVIRAL VECTOR
[148] Within the context of this invention, a "lentiviral vector" means a non- replicating vector for the transduction of a host cell with a transgene comprising cis- acting lentiviral RNA or DNA sequences, and requiring lentiviral proteins (e.g., Gag, Pol, and/or Env) that are provided in trans. The lentiviral vector lacks expression of functional Gag, Pol, and Env proteins. The lentiviral vector may be present in the form of an RNA or DNA molecule, depending on the stage of production or development of said retroviral vectors.
[149] The lentiviral vector can be in the form of a recombinant DNA molecule, such as a plasmid. The lentiviral vector can be in the form of a lentiviral particle vector, such as an RNA molecule(s) within a complex of lentiviral and other proteins. Typically, lentiviral particle vectors, which correspond to modified or recombinant lentivirus particles, comprise a genome which is composed of two copies of single-stranded RNA. These RNA sequences can be obtained by transcription from a double-stranded DNA sequence inserted into a host cell genome (proviral vector DNA) or can be obtained from the transient expression of plasmid DNA (plasmid vector DNA) in a transformed host cell.
[150] Preferably the lentiviral vector particles have the capacity for integration. As such, they contain a functional integrase protein. Non-integrating vector particles have one or more mutations that eliminate most or all of the integrating capacity of the lentiviral vector particles. For, example, a non-integrating vector particle can contain mutations in the integrase encoded by the lentiviral pol gene that cause a reduction in integrating capacity. In contrast, an integrating vector particle comprises a functional integrase protein that does not contain any mutations that eliminate most or all of the integrating capacity of the lentiviral vector particles.
[151 ] Lentiviral vectors derive from lentiviruses, in particular human
immunodeficiency virus (HIV-1 or HIV-2), simian immunodeficiency virus (SIV), equine infectious encephalitis virus (EIAV), caprine arthritis encephalitis virus (CAEV), bovine immunodeficiency virus (BIV) and feline immunodeficiency virus (FIV), which are modified to remove genetic determinants involved in pathogenicity and introduce new determinants useful for obtaining therapeutic effects.
[152] Such vectors are based on the separation of the cis- and frans-acting sequences. In order to generate replication-defective vectors, the trans-acting sequences (e.g., gag, pol, tat, rev, and env genes) can be deleted and replaced by an expression cassette encoding a transgene.
[153] Efficient integration and replication in non-dividing cells generally requires the presence of two c/s-acting sequences at the center of the lentiviral genome, the central polypurine tract (cPPT) and the central termination sequence (CTS). These lead to the formation of a triple-stranded DNA structure called the central DNA "flap", which acts as a signal for uncoating of the pre-integration complex at the nuclear pore and efficient importation of the expression cassette into the nucleus of non-dividing cells, such as dendritic cells.
[154] In one embodiment, the invention encompasses a lentiviral vector comprising a central polypurine tract and central termination sequence referred to as cPPT/CTS sequence as described, in particular, in the European patent application EP 2 169 073.
[155] Further sequences are usually present in cis, such as the long terminal repeats (LTRs) that are involved in integration of the vector proviral DNA sequence into a host cell genome. Vectors may be obtained by mutating the LTR sequences, for instance, in domain U3 of said LTR (AU3) (Miyoshi H et al, 1998, J Virol. 72(10):8150-7; Zufferey et al., 1998, J Virol 72(12):9873-80) . [156] Preferably, the vector does not contain an enhancer. In one embodiment, the invention encompasses a lentiviral vector comprising LTR sequences, preferably with a mutated U3 region (ΔΙΙ3) removing promoter and enhancer sequences in the 3' LTR.
[157] The packaging sequence Ψ (psi) can also be incorporated to help the encapsidation of the polynucleotide sequence into the vector particles (Kessler et ai , 2007, Leukemia, 21 (9): 1859-74; Paschen et al. , 2004, Cancer Immunol Immunother 12(6): 196-203).
[158] In one embodiment, the invention encompasses a lentiviral vector comprising a lentiviral packaging sequence Ψ (psi).
[159] Further additional functional sequences, such as a transport RNA-binding site or primer binding site (PBS) or a Woodchuck PostTranscriptional Regulatory Element (WPRE), can also be advantageously included in the lentiviral vector polynucleotide sequence of the present invention, to obtain a more stable expression of the transgene in vivo.
[160] In one embodiment, the invention encompasses a lentiviral vector comprising a PBS. In one embodiment, the invention encompasses a lentiviral vector comprising a WPRE and/or an IRES.
[161 ] Thus, in a preferred embodiment, the lentiviral vector comprises at least one cPPT/CTS sequence, one Ψ sequence, one (preferably 2) LTR sequence, and an expression cassette including a transgene under the transcriptional control of a β2ηι or class I MHC promoter.
PROMOTER
[162] In various embodiments, the promoter drives high expression in antigen presenting cells, including dendritic cells, to induce maximal immune responses.
Preferably, the promoter drives expression in other transduced cell types sufficient for elimination by the induced immune response. Most preferably, the promoter lacks an enhancer element to avoid insertional effects.
[163] Most preferably, the promoter is not a CMV promoter/enhancer.
Preferably, the promoter is not a dectin-2 or MHCI I promoter. [164] In various embodiments, the lentiviral vector comprises a p2m or MHC class I promoter. Preferably, the MHC class I promoter is an HLA-A2 promoter, an HLA-B7 promoter, an HLA-Cw5 promoter, an HLA-F, or an HLA-E promoter. In various embodiments, the promoter sequence comprises a polynucleotide sequence that shares more than 90%, preferably more than 95%, more preferably more than 99% identity with the promoter sequence of SEQ ID NO: 1 , SEQ ID NO:2, SEQ ID NO:3, SEQ ID NO:4, SEQ ID NO:5, or SEQ ID NO:6.
[165] The invention encompasses dendritic cell-specific promoters. A "dendritic cell-specific promoter" is one in which expression of the promoter in BDCA+ dendritic cells is higher than the expression in kidney, smooth muscle, liver, and heart cells.
Preferably, expression of the promoter in BDCA+ dendritic cells is at least 2X, 3X, or 4X higher than the expression in kidney, smooth muscle, liver, and/or heart cells. Whether a promoter is "(2X, 3X, or 4X) higher than the expression in kidney, smooth muscle, liver, and/or heart cells" can be determined by reference to the data sets at
http://biogps.org (see, e.g., Fig. 24), which are hereby incorporated by reference or by the use of the Affimetrix probes, chips, and methods used to generate these data sets (particularly HG-U133 set). The 2m, HLA-A2, HLA-B7, HLA-Cw5, HLA-F, and HLA-E promoters are "dendritic cell-specific promoters." The EF1 a promoter is not. Thus, preferably the promoter is not an EF1 a promoter.
[166] Preferably, the promoter drives expression in other transduced cell types, such as kidney, smooth muscle, liver, and/or heart cells, and skeletal muscle.
Preferably, the expression of the promoter in BDCA+ dendritic cells is 12-100 times the expression of that promoter in skeletal muscle cells. Whether "the expression of the promoter in BDCA+ dendritic cells is 12-100 times the expression of that promoter in skeletal muscle cells" can be determine by reference to the data sets at http://biogps.org {see, e.g., Fig. 24), which are hereby incorporated by reference or by the use of the Affimetrix probes, chips, and methods used to generate these data sets (particularly HG-U133 set). Most preferably, the expression of the promoter in BDCA+ dendritic cells is 12-100 times the expression of that promoter in skeletal muscle cells and expression of the promoter in BDCA+ dendritic cells is higher than the expression in kidney, smooth muscle, liver, and heart cells. The β2Γη, HLA-A2, HLA-B7, HLA-Cw5, HLA-F, and HLA-E promoters are promoters where expression in BDCA+ dendritic cells is 12-100 times the expression of that promoter in skeletal muscle cells. The HLA-DRa promoter and UBC promoter are not. Thus, preferably the promoter is not an HLA-DRa (MHCII) promoter or UBC (Ubiquitin) promoter.
[167] In some embodiments, the expression of the promoter in BDCA+ dendritic cells is at least 10, 12, 15, 20, 25, 30, 35, 40, 50, or 60 times the expression of that promoter in skeletal muscle cells.
[168] In one embodiment, the invention encompasses lentiviral vector particles comprising a lentiviral vector that comprises a dendritic cell-specific promoter directing expression of a microbial or tumor antigen, wherein the lentiviral vector particles exhibit higher expression of the antigen in BDCM cells than in HEK 293 T cells. Preferably, the lentiviral vector encodes at least one HIV-1 antigen, preferably an HIV-1 Nef, Pol, NC, or CA antigen or immunogenic polypeptide, most preferably comprising the amino acid sequence of SEQ ID NO:30.
[169] In various embodiments, the lentiviral vector comprising the promoter induces a greater CTL response in vivo against the encoded immunogenic polypeptide than a vector in which the transgene sequence is under the transcriptional control of a CMV promoter. Within the context of this invention, whether a vector "induces a greater CTL response in vivo against the encoded immunogenic polypeptide than a vector in which the transgene sequence is under the transcriptional control of a CMV promoter" can be determined using the assay set forth in the examples. Other assays that provide similar results can also be used.
[170] In various embodiments, the lentiviral vector comprising the promoter induces a greater CTL response in vivo against the encoded immunogenic polypeptide than a vector in which the transgene sequence is under the transcriptional control of an EF1 a promoter. Preferably, the CTL response with the promoter is at least 2-fold or 3- fold higher than with the EF1 a promoter. Within the context of this invention, whether a vector "induces a greater CTL response in vivo against the encoded immunogenic polypeptide than a vector in which the transgene sequence is under the transcriptional control of an EF1 a promoter" can be determined using the assay set forth in the examples. Other assays that provide similar results can also be used. [171 ] In various embodiments, the lentiviral vector comprising the promoter induces a greater CTL response in vivo against the encoded immunogenic polypeptide than a vector in which the transgene sequence is under the transcriptional control of an Ubiquitin promoter. Within the context of this invention, whether a vector "induces a greater CTL response in vivo against the encoded immunogenic polypeptide than a vector in which the transgene sequence is under the transcriptional control of an Ubiquitin promoter" can be determined using the assay set forth in the examples. Other assays that provide similar results can also be used.
[172] The invention encompasses lentiviral vectors containing a promoter that does not contain an enhancer.
[173] The invention encompasses the insertion of an MHC Class I (MHCI) or β2 microglobulin(p2m) promoter into a lentiviral vector. As used herein, an "MHC Class I (MHCI) promoter" or "β2 microglobulin promoter" includes a naturally occurring or synthetic MHC Class I promoter or β2 microglobulin promoter. The term "MHC Class I promoter" does not include a p2m promoter.
[174] In one embodiment, the lentiviral vector particles comprising the promoter exhibit higher expression of the antigen in BDCM cells than in HEK 293 T cells.
[175] The promoter can be a naturally occurring promoter. Examples of naturally occurring promoters are the human β2ιτι, HLA-A2, HLA-B7, HLA-Cw5, HLA-E, HLA-F gene promoters. These naturally occurring MHCI promoters are generally cloned or reproduced from the promoter region of a gene encoding the MHC class I protein, or referred to as putatively encoding such proteins in genome databases (ex: NCBI polynucleotide database http://www.ncbi.nlm.nih.gov/guide/dna-rna). Both p2m and class I MHC proteins enter the Major Histocompatibility Complex (MHC).
[176] The proteins encoded by these genes are found in almost all cell types.
MHCI proteins are generally present at the surface of the membrane of leucocytes, where they are associated with the p2-microglobulin (β2ηη). The role of these associated proteins is to present peptides from endogenous sources to CD8+ T cells. They thus play a central role to the generation of the antigen-specific immune response. Because MHC class I proteins have been widely studied and described for many years, their genes are well characterized and detectable using sequence comparison tools, such as the BLAST method (Altschul, S.F. et a/. (1990). Basic local alignment search tool. J. Mol. Biol. 215(3):403-410).
[177] MHC class I promoters share the ability to be strongly activated in antigen presenting cells, including dendritic cells, as well as, to lower intensity, in the majority of the other human body tissues.
[178] The promoters of the invention can contain further regulatory elements, such as one or more Sp1 and ETs binding sites. In a preferred embodiment, the MHC class I promoter contains 2 Sp1 binding sites and 1 Ets binding site. In other
embodiments, Ap1 and/or Ap2 sites are further contained in the promoter.
[179] Preferred promoters are naturally occurring human p2m, HLA-A2, HLA-B7,
HLA-Cw5, HLA-E and HLA-F promoters.
[180] Promoters can also be synthetic. Synthetic promoters include promoters that are synthesized using molecular biological techniques to assemble the individual components of a promoter or that are derived from naturally occurring promoters using molecular biological techniques.
[181 ] In various embodiments, the synthetic promoter comprises a
polynucleotide sequence that shares more than 90%, preferably more than 95%, more preferably more than 99% identity, or 100% with the promoter sequence of a p2m or MHC class I gene promoter (e.g. , SEQ ID NOs: 1 -6 and 19).
[182] The transcription of MHC I class genes are usually mediated by two major regulatory elements: Interferon stimulated response element (ISRE) and the SXY module (encompassing the W/S, X1X2/Site a and Y/enhancer B regulatory elements) (see figure 1 ). See also Van den Elsen, Immunogenetics (1998) 48:208-21 1.
[183] These regulatory promoter elements are localized in a region extending approximately from nucleotides -220 to -95 upstream of the transcription initiation site. They mediate tissue-specific and cytokine-induced transcription of MHC class I genes.
[184] The ISRE of MHC class I gene promoters generally contains binding sites for interferon regulatory factor (IRF) family members. It is thus a property of MHC class I promoters to bind to interferon regulatory factor (IRF) family members. This may be verified, for example, by gel shift assays. [185] Another regulatory element, the enhancer A (containing binding sites for nuclear transcription factor κΒ (NF-κΒ)) is present in most cases. It is thus a property of MHC class I promoters to bind to nuclear transcription factor κΒ (NF-κΒ). This may be verified, for example, by gel shift assays.
[186] In addition to ISRE, MHC class I promoters generally share another set of conserved upstream sequence motifs, consisting of three regulatory elements: the S or W box, the X1 /CREX2 boxes or site a, and the Y box or enhancer B, which together are termed the SXY module. This SXY module is generally cooperatively bound by a multiprotein complex containing regulatory factor X (RFX; consisting of RFX5,
RFXB/ANK and RFXAP), cAMP response element binding protein (CREB)/activating transcription factor (ATF), and nuclear factor Y (NFY), which acts as an enhanceosome driving transactivation of these genes. It is thus a property of MHC class I promoters to bind to these factors. This may be verified, for example, by gel shift assays.
[187] In contrast, MHC class I I promoters do not display enhancer A nor ISRE elements (Van den Elsen, P.J. et al, 1998, Immunogenetics. 48:208-221 ). Furthermore, RFX and C I ITA in MHC class I I gene regulation have been found of crucial importance as illustrated by studies with cell lines established from patients with the bare lymphocyte syndrome (BLS), a severe combined immunodeficiency due to mutations in one of the RFX subunits or CI ITA (DeSandro, A. et al. , 1999, Am J Hum Genet, 65:279- 286). Also, lack of either CI ITA or one of the RFX subunits affects the functioning and assembly of the MHC enhanceosome, respectively, leading to a lack of MHC class I I and reduced levels of MHC class I transcription (Van den Elsen, P.J. et al. 2004, Current Opinion in Immunology, 16:67-75).
[188] In one embodiment, the invention encompasses a method comprising inserting a promoter of the invention, particularly a p2m or MHC class I promoter, into a lentiviral vector to direct expression of a transgene, which preferably encodes an immunogenic polypeptide, most preferably encoding a microbial or a tumor antigen or therapeutic protein. The method can further comprise inserting any of the other nucleic acid elements mentioned herein, such as a DNA flap sequence. TRANSGENE
[189] Within the context of this invention, a "transgene" is a nucleic acid sequence within a lentiviral vector that is not normally present in a cell to be transduced with the lentiviral vector. The lentiviral vector serves to introduce this sequence into the transduced cell. The term "transgene" does not include those sequences of the vector that facilitate transduction of the transgene. The transgene may be a nucleic acid sequence from another organism. Alternatively, the transgene may be a nucleic acid sequence from the same organism, but having different regulatory sequences controlling its expression. The transgene may be a sense or antisense nucleic acid molecule. According to a preferred embodiment of the invention, the transgene sequence encodes an antigen or immunogenic polypeptide.
[190] Preferably, the antigen or immunogenic polypeptide is a microbial or tumor antigen or immunogenic polypeptide. More preferably, the antigen or immunogenic polypeptide is viral, bacterial, or fungal. In one embodiment, the antigen or
immunogenic polypeptide is a tumor antigen or immunogenic polypeptide. In one embodiment, the antigen or immunogenic polypeptide is an allergen. In one
embodiment, the antigen or immunogenic polypeptide is an HIV-1 antigen or immunogenic polypeptide, preferably an HIV-1 Nef, Pol, NC, or CA antigen or immunogenic polypeptide.
[191 ] The antigen or immunogenic polypeptide preferably comprises one or several epitope(s) from agents of infectious diseases, for example a human
immunodeficiency type 1 virus, such as antigen(s) from Gag, Pol, and/or Nef proteins.
[192] Several epitopes forming a polyepitope may also be encoded by the transgene of the invention.
[193] In a particular embodiment, such epitope is derived from target antigens identified in tumors (i.e. , tumor antigen), and can be chosen in such a way that a cell- mediated immune response is obtained against it. Target antigens are well documented in the art, which can be selected with respect to several types of tumors and in particular in melanomas or in carcinomas, including renal carcinomas, bladder carcinomas, colon carcinomas, lung carcinomas, breast cancers, leukemias, myelomas and lymphomas. [194] Both B and T cell-based immune responses can be induced by the same antigen.
LENTIVIRAL VECTOR PARTICLES
[195] The present invention provides a method for producing a lentiviral vector particle. A lentiviral vector particle (or lentiviral particle vector) comprises a lentiviral vector in association with viral proteins. The vector is preferably an integrating vector.
[196] In one embodiment, the lentiviral vector particles encode an H IV-1 antigen, preferably an H IV-1 Nef, Pol, NC, or CA antigen or immunogenic polypeptide, most preferably comprising the amino acid sequence of SEQ I D NO:30. Preferably, the lentiviral vector particles comprise the nucleic acid sequence of any of SEQ ID NOs 31 - 36.
[197] In one embodiment, the lentiviral vector particle comprises H IV-1 Gag and Pol proteins. Preferably, the lentiviral vector particle comprises subtype D, especially H IV-1 NDK, Gag and Pol proteins.
[198] According to one embodiment of this method, the lentivector particles are obtained in a host cell transformed with a DNA plasmid.
Such a DNA plasmid can comprise:
- bacterial origin of replication (ex: pUC ori);
- antibiotic resistance gene (ex: KanR) for selection; and more particularly:
- a lentiviral vector comprising at least one transgene transcriptionally linked to a
MHC class I promoter.
[199] Such a method allows producing a recombinant vector particle according to the invention, comprising the following steps of:
i) transfecting a suitable host cell with a lentiviral vector;
ii) transfecting said host cell with a packaging plasmid vector, containing viral
DNA sequences encoding at least structural and polymerase (+ integrase) activities of a retrovirus (preferably lentivirus); Such packaging plasmids are described in the art (Dull et al. , 1998, J Virol, 72(1 1 ):8463-71 ; Zufferey et al., 1998, J Virol 72(12) :9873-80).
iii) culturing said transfected host cell in order to obtain expression and packaging of said lentiviral vector into lentiviral vector particles; and iv) harvesting the lentiviral vector particles resulting from the expression and packaging of step iii) in said cultured host cells.
[200] For different reasons, it may be helpful to pseudotype the obtained retroviral particles, i.e. to add or replace specific particle envelope proteins. For instance, this may be advantageous to have different envelope proteins in order to distinguish the recombinant particle from natural particles or from other recombinant particles. In matter of vaccination strategy, pseudotyped particle vectors are more likely to escape the immune system, when this latter already developed immunity against lentiviruses. This is particularly helpful when successive injections of similar particle vectors are required for immunizing a patient against a disease.
[201 ] In order to pseudotype the retroviral particles of the invention, the host cell can be further transfected with one or several envelope DNA plasmid(s) encoding viral envelope protein(s), preferably a VSV-G envelope protein, most preferably a VSV Indiana, New Jersey, or Cocal VSV-G envelope protein.
[202] An appropriate host cell is preferably a human cultured cell line as, for example, a HEK cell line.
[203] Alternatively, the method for producing the vector particle is carried out in a host cell, which genome has been stably transformed with one or more of the following components: a lentiviral vector DNA sequence, the packaging genes, and the envelope gene. Such a DNA sequence may be regarded as being similar to a proviral vector according to the invention, comprising an additional promoter to allow the transcription of the vector sequence and improve the particle production rate.
[204] In a preferred embodiment, the host cell is further modified to be able to produce viral particle in a culture medium in a continuous manner, without the entire cells swelling or dying. One may refer to Strang et al. , 2005, J Virol 79(3): 1 165-71 ;
Relander ef a/. , 2005, Mol T77er 1 1 (3):452-9; Stewart ei al. , 2009, Gene Ther, 16(6):805- 14; and Stuart ei al., 201 1 , Hum gene Ther. , with respect to such techniques for producing viral particles.
[205] An object of the present invention consists of a host cell transformed with a lentiviral particle vector. [206] The lentiviral particle vectors can comprise the following elements, as previously defined:
- cPPT/CTS polynucleotide sequence; and
- a transgene sequence under control of a promoter of the invention, and optionally one of the additional elements described above.
[207] Preferably, the lentiviral vector comprises a p2m or MHC class I promoter.
[208] Preferably, the lentivector particles are in a dose of, at least, 1 06, 2 x 106, 5x 106, 107, 2 x 107, 5 x 107, 108, 2 x 1 08, 5 x 108, or 109 TU .
METHODS FOR EXPRESSING A TRANSGENE IN A CELL
[209] The present invention encompasses methods for expressing a transgene in a cell, preferably a non-dividing cell. The method comprises transducing a cell with a lentiviral vector or lentiviral particle vector of the invention under conditions that allow the expression of the transgene. Preferably, the vector encodes an HIV-1 antigen, preferably an H IV-1 Nef, Pol, NC, or CA antigen or immunogenic polypeptide, most preferably comprising the amino acid sequence of SEQ I D NO:30.
[210] Preferably, the lentiviral vector or lentiviral particle vector comprises or encodes the nucleic acid sequence of any of SEQ I D NOs 31 -40.
[21 1 ] The cells are preferably mammalian cells, particularly human cells.
Particularly preferred are human non-dividing cells.
[212] Preferably, the lentiviral vector comprises a p2m or MHC class I promoter.
[213] The transgene preferably encodes an immunogenic polypeptide, preferably an H IV-1 antigen, more preferably an H IV-1 Nef, Pol, NC, or CA antigen or immunogenic polypeptide, most preferably comprising the amino acid sequence of SEQ ID NO:30. The method can further comprise harvesting or isolating the polypeptide.
[214] The lentiviral vector or lentiviral particle vector preferably comprises a promoter of the invention.
[215] In one embodiment, the invention encompasses a method for expressing a transgene comprising inserting promoter of the invention into a lentiviral vector such that it direct the expression of a transgene and transducing a cell with the vector containing the promoter. USE OF LENTIVIRAL VECTORS
[216] The present invention further relates to the use of the lentiviral vectors according to the invention, especially in the form of lentiviral vector particles, for the preparation of immunogenic and/or therapeutic compositions and/or vaccines which are capable of inducing or contributing to the occurrence or improvement of an
immunological reaction against a polypeptide comprising an H IV-1 antigen, preferably an HIV-1 Nef, Pol, NC, or CA antigen or immunogenic polypeptide, most preferably comprising the amino acid sequence of SEQ ID NO:30.
[217] The invention encompasses methods for expressing a protein comprising the amino acid sequence SEQ ID NO:30. Preferably, the method comprises
administering a nucleic acid encoding SEQ ID NO:30 into a cell under conditions that allow expression of the protein. The nucleic acid can be any of the vectors of the invention, preferably a lentiviral vector. In a preferred embodiment, the method comprises contacting a cell with a lentiviral vector comprising a nucleic acid encoding SEQ ID NO: 30 under conditions that allow entry and reverse transcription of the lentiviral vector and expression of the protein.
METHODS OF ADMINISTRATION
[218] The invention encompasses methods of administration of a lentiviral vector (or "lentivector") to a human. Preferably, the lentivector contains a promoter that drives high expression of an antigen in antigen presenting cells, including dendritic cells, and drives expression in other transduced cell types sufficient for elimination by the induced immune response. Most preferably, the promoter lacks an enhancer element to avoid insertional effects.
[219] Preferably, the administration is intramuscular. In one embodiment, the lentivector is injected into the muscle using a needle.
[220] Preferably, the antigen is a microbial antigen or tumor antigen. Preferably, the antigen is an HIV-1 antigen, more preferably an HIV-1 Nef, Pol, NC, or CA antigen or immunogenic polypeptide, most preferably comprising the amino acid sequence of SEQ ID NO:30.
[221 ] Preferably, the lentivector particle is an integrating lentivector particle, comprising a functional integrase protein. [222] Most preferably, the administration eliminates at least 95%, 99%, 99.9%, or 99.99% of the lentiviral DNA integrated in the muscle cells of an animal model at day 4 after administration by day 21 after administration.
[223] In one embodiment, the invention comprises a method for inducing an immune response in a human comprising intramuscularly administering lentiviral vector particles comprising a functional integrase protein and a lentiviral vector to a human; wherein the integrating lentiviral vector comprises a promoter directing expression of a microbial or tumor antigen, wherein the promoter does not contain an enhancer, and wherein the lentiviral vector particles exhibit higher expression of the antigen in BDCM cells than in HEK 293 T cells; integrating the DNA of the lentiviral vector into cells of the human; expressing the microbial or tumor antigen in the cells of the human; and generating an immune response against the microbial or tumor antigen.
[224] In one embodiment, the invention comprises a method for inducing an immune response in a human comprising intramuscularly administering lentiviral vector particles comprising a functional integrase protein and a lentiviral vector to a human; wherein the integrating lentiviral vector comprises a promoter directing expression of a microbial or tumor antigen, wherein the promoter does not contain an enhancer, wherein expression of the promoter in BDCA+ dendritic cells is higher than the expression in kidney, smooth muscle, liver, and heart cells; integrating the DNA of the lentiviral vector into cells of the human; expressing the microbial or tumor antigen in the cells of the human; and generating an immune response against the microbial or tumor antigen.
[225] In one embodiment, the invention comprises a method for inducing an immune response in a human comprising intramuscularly administering lentiviral vector particles comprising a functional integrase protein and a lentiviral vector to a human; wherein the integrating lentiviral vector comprises a promoter directing expression of a microbial or tumor antigen, wherein the promoter does not contain an enhancer, wherein the expression of the promoter in BDCA+ dendritic cells is 12-100 times the expression of that promoter in skeletal muscle cells; integrating the DNA of the lentiviral vector into cells of the human; expressing the microbial or tumor antigen in the cells of the human; and generating an immune response against the microbial or tumor antigen. [226] In one embodiment, the invention comprises a method for inducing an immune response in a human comprising intramuscularly administering lentiviral vector particles comprising a functional integrase protein and a lentiviral vector to a human; wherein the integrating lentiviral vector comprises a promoter directing expression of a microbial or tumor antigen, wherein the promoter does not contain an enhancer, wherein expression of the promoter in BDCA+ dendritic cells is higher than the expression in kidney, smooth muscle, liver, and heart cells, and wherein the expression of the promoter in BDCA+ dendritic cells is 12-100 times the expression of that promoter in skeletal muscle cells; integrating the DNA of the lentiviral vector into cells of the human; expressing the microbial or tumor antigen in the cells of the human; and generating an immune response against the microbial or tumor antigen.
[227] In some embodiments, the method comprises eliminating at least 95%, 99%, 99.9% or 99.99% of the lentiviral DNA integrated in the muscle cells of an animal model at day 4 after administration by day 21 , day 25, day 33, or day 66 after administration. Elimination of integrated lentiviral vector particles in muscle cells can be measured as described in the examples and by other similar techniques. For example, a biopsy can be taken at the site of the injection of a mouse or rat at 4 days and at 21 days after injection and the amount of integrated DNA in the cells determined at these timepoints by qPCR.
[228] In one embodiment, the invention comprises a method for inducing an immune response in a human comprising intramuscularly administering lentiviral vector particles comprising a functional integrase protein and a lentiviral vector to a human; wherein the integrating lentiviral vector comprises a promoter directing expression of a microbial or tumor antigen, wherein the promoter does not contain an enhancer;
integrating the DNA of the lentiviral vector into cells of the human; expressing the microbial or tumor antigen in the cells of the human; and generating an immune response.
[229] In various embodiments, the administration induces T-specific responses against the antigen at 100, 200, 300, 400, 420, 500, or 600 days after administration that are more than 10%, 20%, 25%, 30%, 40%, 50%, 60%, 70%, 75%, 80%, 90% or 100% of the responses at 1 1 , 28, 42, or 105 days after administration. T-specific responses can be measured as set forth in the exam pies.
[230] Preferably, the lentivector particles are in a dose of, at least, 106, 2 x 106,
5x 106, 107, 2 x 107, 5 x 107, 108, 2 x 108, 5 x 108, or 109 TU.
[231 ] Most preferably, the lentiviral vector particles are in a dose of 5x 106 to 5 x
107, 5 x 107 to 5 x 108, or 5 x 108 to 109 TU.
[232] The immune response induced by the lentiviral vector can be a B cell response, an NK response, a dendritic cell (e.g., pDC) response, a CD4+ T cell response, and/or a CD8+ T cell response.
[233] The lentivector particles can be administered to the subject in a single dosage, or in multiple (i. e., 2, 3, 4, etc.) dosages. The lentivector particles can be administered in a first (priming) and second (boosting) administration. In one
embodiment, the first dosage comprises 107 to 108 TU of lentivector particles and the second dosage comprises 107 to 108 TU of lentivector particles.
[234] Preferably, the first dosage comprises a dose of 5x 106 to 5 x 107, 5 x 107 to 5 x 108, or 5 x 108 to 109 TU of lentivector particles and the second dosage comprises a dose of 5x 106 to 5 x 107, 5 x 107 to 5 x 108, or 5 x 108 to 109 TU of lentivector particles.
[235] In one embodiment, the first dosage comprises 108 to 109 TU of lentivector particles and the second dosage comprises 108 to 109 TU of lentivector particles.
[236] In one embodiment, the lentiviral vector particles are in a dose of at least 5x 106, 107, 5 x 107, 108, 5 x 108, or 109 TU.
[237] The time between the first and second administrations and between an administration and a subsequent administration can vary. In one embodiment, the time between administrations is two to six weeks. In various embodiments, the time between administrations is at least 2, 4, 6, 8, 10, 12, 15, 30, or 52 weeks. In various
embodiments, the time between administrations is at least 1 , 3, 6, 9, 12, 24, 36, or 48 months. In various embodiments, the time between administrations is at least 1 , 2, 3, 4, 5, 6, 7, 8, 9, or 10 years.
[238] In one embodiment, the invention comprises method for inducing a long term immune response in a human comprising intramuscularly administering in a priming dose and a boosting dose lentiviral vector particles comprising a functional integrase protein and a lentiviral vector to a human; wherein the DNA of the lentiviral vector comprises a promoter directing expression of a microbial or tumor antigen, wherein the promoter does not contain an enhancer, wherein expression of the promoter in BDCA+ dendritic cells is higher than the expression in kidney, smooth muscle, liver, and heart cells, and wherein the expression of the promoter in BDCA+ dendritic cells is 12-100 times the expression of that promoter in skeletal muscle cells; integrating the DNA of the lentiviral vector into cells of the human; expressing the microbial or tumor antigen in the cells of the human; and generating an immune response against the microbial or tumor antigen. Preferably, the antigen is an HIV-1 antigen, more preferably an HIV-1 Nef, Pol, NC, or CA antigen or immunogenic polypeptide, most preferably comprising the amino acid sequence of SEQ ID NO:30
[239] Preferably, the lentiviral vector comprises a p2m or MHC class I promoter.
THERAPEUTIC USE OF LENTIVIRAL VECTORS
[240] The present invention further relates to the use of the lentiviral vectors according to the invention, especially in the form of lentiviral vector particles, for the preparation of therapeutic compositions or vaccines which are capable of inducing or contributing to the occurrence or improvement of an immunogical reaction against epitopes, more particularly those encoded by the transgene present in the vectors under the transcriptional control of any of the promoters of the invention.
[241 ] The present invention thus provides vectors that are useful as a
medicament or vaccine, particularly for intramuscular administration.
[242] Preferably, the lentiviral vector comprises a p2m or MHC class I promoter.
[243] These vectors are preferentially used for the treatment or prophylaxis of infectious diseases, especially diseases associated with virus infection and more particularly, with retrovirus infection, such as AIDS and other immunodeficiencies.
[244] The invention can also be used in treatment protocols against tumors and cancers and especially could be used in protocols for immunotherapy or vaccination therapy against tumors.
[245] As the vectors of the invention more specifically target dendritic cells to obtain a cell-mediated immune response and especially the CTL response associated with the antigen expressed by the transgene in these cells, they are particularly useful as vaccines targeting slow or endogenous pathogenic microorganisms such as
Mycobacteria or H IV virus.
[246] Accordingly, the invention relates to an immunogenic composition comprising a lentiviral vector as previously defined.
[247] The immunogenic compositions of the invention preferably contain cPPT and CTS sequences in the vector and vector particles to induce or to stimulate the nuclear import of the vector genome in the target cells.
[248] During reverse transcription, cPPT and CTS sequences induce the formation of a three stranded DNA structure referred as DNA triplex, which stimulates the nuclear import of DNA vector sequence. Preferably, the vector comprises a transgene and regulatory signals of retrotranscription, expression and encapsidation of retroviral or retroviral-like origin, wherein the composition is capable of inducing or of stimulating a CTL and/or a CD4 response against one or several epitopes encoded by the transgene sequence present in the vector.
[249] The expression of the transgene is greatly improved by inclusion of a promoter of the invention in the vector.
[250] Thus, the lentiviral vectors according to the invention have the ability to induce, improve, or in general be associated with the occurrence of a memory CTL response. In other words, they can be used for the preparation of therapeutic composition for the treatment of allergies, autoimmune diseases, tumor diseases, or infectious diseases, by induction of, stimulation of, or participation in the occurrence of a cell-mediated immune response, especially a CTL response or a memory response.
[251 ] The lentiviral vectors of the invention can be used in methods of treatment and methods of inducing an immune response comprising administering the lentiviral vector to a host and generating a specific immune response against the transgene in the host. The cells and antibodies generated in these hosts can be used as diagnostic reagents.
[252] The lentiviral vectors according to the invention are preferably for intramuscular administration, most preferably by injection with a needle. [253] In a particular embodiment, the immunogenic composition according to the invention can be directly administered to the patient, in such a way that it will induce, improve, or participate in vivo in the occurrence of a cell-mediated immune response, especially a CTL-mediated immune response.
[254] In another embodiment, the immunogenic compositions are used once or upon repeated administration so that they can enable the occurrence of a long-term memory cell mediated response.
[255] A particular advantage of the immunogenic compositions of the invention is that they can be used to elicit or stimulate a cell-mediated immune response against multiple epitopes encoded by the nucleotide sequence of interest or transgene present in the vector or vector particles, and they can also be used to elicit or stimulate a cell- mediated immune response against the product of the entire sequence of a gene, for instance a gene of a pathogenic agent or fragments of said gene capable to encode at least 8 to 15 amino acids preferably 9 to 12 amino acids.
[256] The invention also encompasses a lentiviral vector comprising a nucleotide sequence encoding a multiple repeat (at least 2 identical sequences) of said amino acid sequence inducing a cellular response and/or an amino acid sequence containing at least 2 different sequences corresponding to 2 epitopes of different pathogens or tumoral antigens.
[257] As a result, the invention encompasses a composition that could be used in prophylactic and/or therapeutic vaccination protocols, for the treatment of tumors and especially as anti-cancer or anti-infectious diseases treatment.
[258] In particular, it can be used in combination with adjuvants, other immunogenic compositions, chemotherapy, or any other therapeutic treatment.
[259] The invention encompasses a composition for intramuscular
administration to a human comprising lentiviral vector particles comprising a functional integrase protein and a lentiviral vector; wherein the DNA of the lentiviral vector comprises a promoter of the invention directing expression of a microbial or tumor antigen.
[260] In one embodiment, the invention encompasses a composition for intramuscular administration to a human comprising lentiviral vector particles comprising a functional integrase protein and a lentiviral vector; wherein the DNA of the lentiviral vector comprises a promoter directing expression of a microbial or tumor antigen, wherein the promoter does not contain an enhancer, and wherein the expression of the promoter in BDCA+ dendritic cells is 12-100 times the expression of that promoter in skeletal muscle cells and expression of the promoter in BDCA+ dendritic cells is higher than the expression in kidney, smooth muscle, liver, and heart cells.
[261 ] The invention encompasses use of a composition comprising lentiviral vector particles for intramuscular administration to a human, wherein the lentiviral vector particles comprise a functional integrase protein and a lentiviral vector; wherein the DNA of the lentiviral vector comprises a promoter of the invention directing expression of a microbial or tumor antigen.
[262] In one embodiment, the invention encompasses use of a composition comprising lentiviral vector particles for intramuscular administration to a human, wherein the lentiviral vector particles comprise a functional integrase protein and a lentiviral vector; wherein the DNA of the lentiviral vector comprises a promoter directing expression of a microbial or tumor antigen, wherein the promoter does not contain an enhancer, and wherein the expression of the promoter in BDCA+ dendritic cells is 12- 100 times the expression of that promoter in skeletal muscle cells and expression of the promoter in BDCA+ dendritic cells is higher than the expression in kidney, smooth muscle, liver, and heart cells.
[263] Preferably, the composition induces T-specific responses against the antigen at 100, 200, 300, 400, 420, 500, or 600 days after administration that are more than 10%, 20%, 25%, 30%, 40%, 50%, 60%, 70%, 75%, 80%, 90% or 100% of the responses at 1 1 , 28, 42, or 105 days after administration. T-specific responses can be measured as set forth in the examples,
[264] The invention encompasses compositions comprising a dose of 5 x 106 to 5 x 108 TU of lentiviral vector particles for use in the treatment of a microbial infection or a cancer by induction of a CD4+ and/or CD8+ T ceil response against an antigen encoded by the lentiviral vector. Preferably, the treatment is by repetitive intramuscular administration to a human, [265] The lentiviral vector particles can comprise a functional integrase protein and a lentiviral vector. The DNA of the lentiviral vector can comprise a p2m or MHC class I promoter directing expression of a microbial or tumor antigen, wherein the promoter does not contain an enhancer. Preferably, the repetitive intramuscular administration induces CD4+ and/or CD8÷ T-specific responses against the antigen.
[266] The invention encompasses uses of a composition comprising a dose of 5 x 106 to 5 x 108 TU of lentiviral vector particles to induce CD4+ and/or CD8+ T cell responses against an antigen encoded by the lentiviral vector by repetitive
intramuscular administration to a human. Preferably, the lentiviral vector particles comprise a functional integrase protein and a lentiviral vector; wherein the DNA of the lentiviral vector comprises a p2m or MHC class I promoter directing expression of a microbial or tumor antigen, wherein the promoter does not contain an enhancer, and wherein the repetitive intramuscular administration induces CD4+ and/or CD8+ T- specific responses against the antigen.
[267] The invention encompasses methods for inducing a CD4+ and/or CD8+T cell response in a human comprising intramuscularly administering in a priming dose5 x 106 to 5 x 108 TU of lentiviral vector particles and a boosting dose of 5 x 10s to 5 x 108 TU of lentiviral vector particles. Preferably, the lentiviral vector particles comprise a functional integrase protein and a lentiviral vector to a human. Preferably, the DNA of the lentiviral vector comprises a p2m or MHC class I promoter directing expression of a microbial or tumor antigen, wherein the promoter does not contain an enhancer. The method can comprise integrating the DNA of the lentiviral vector into cells of the human, expressing the microbial or tumor antigen in the cells of the human; and generating a CD4+ and/or CD8+ T cell response against the microbial or tumor antigen.
[268] Preferably, the lentivector contains a promoter that drives high expression of a polypeptide comprising an HIV-1 Nef, Pol, NC, or CA antigen or immunogenic polypeptide, most preferably comprising the amino acid sequence of SEQ ID NO:30, in antigen presenting cells, including dendritic cells, and drives expression in other transduced cell types sufficient for elimination by the induced immune response. Most preferably, the promoter lacks an enhancer element to avoid insertional effects. [269] The lentiviral vectors according to the invention can be directly
administered to a patient through known routes of administration, including systemic, local, or cutaneous, intradermal, for instance intramuscular, subcutaneous, intranasal, intravagina! and intrarectai administration routes. Ex vivo administration, for instance ex vivo transduction of target cells followed by administration of the treated cells to the patient to be treated, is also encompassed by the invention
[270] Preferably, the administration is intramuscular. In one embodiment, the lentivector is injected into the muscle using a needle.
[271 ] Preferably, the lentivector particle is an integrating lentivector particle, comprising a functional integrase protein.
[272] Preferably, the lentiviral vector or lentiviral vector particle comprises or encodes the nucleic acid sequence of any of SEQ ID NOs 31 -40.
[273] Most preferably, the administration eliminates at least 95%, 99%, 99.9%, or 99.99% of the lentiviral DNA integrated in the muscle cells of an animal model at day 4 after administration by day 21 after administration.
[274] In one embodiment, the invention comprises a method for inducing an immune response in a human comprising intramuscularly administering lentiviral vector particles comprising a functional integrase protein and a lentiviral vector to a human; wherein the integrating lentiviral vector comprises a promoter directing expression of an HIV-1 (e.g. , Gag, Pol, or Nef) polypeptide, most preferably comprising the amino acid sequence of SEQ ID NO:30, wherein the promoter does not contain an enhancer;
integrating the DNA of the lentiviral vector into cells of the human; expressing the polypeptide in the cells of the human; and generating an immune response against the HIV-1 polypeptide.
[275] Preferably, the HIV-1 Gag, Pol, or Nef polypeptide comprises the Gag sequence AA 132-496, the Pol sequence AA 258-355 and/or AA 463-473, and/or the Nef sequence AA 106-148 and/or AA 175-203.
[276] Preferably, the lentiviral vector comprises a p2m or MHC class I promoter.
[277] In one embodiment, the invention comprises a method for inducing an immune response in a human comprising intramuscularly administering lentiviral vector particles comprising a functional integrase protein and a lentiviral vector to a human; wherein the integrating lentiviral vector comprises a promoter directing expression of a polypeptide comprising a microbial or tumor antigen, preferably a polypeptide comprising an HIV-1 Nef, Pol, NC, or CA antigen or immunogenic polypeptide, most preferably comprising the amino acid sequence of SEQ I D NO:30, wherein the promoter does not contain an enhancer, and wherein the lentiviral vector particles exhibit higher expression of the antigen in BDCM cells than in HEK 293 T cells; integrating the DNA of the lentiviral vector into cells of the human; expressing the polypeptide in the cells of the human; and generating an immune response against the polypeptide.
[278] In one embodiment, the invention comprises a method for inducing an immune response in a human comprising intramuscularly administering lentiviral vector particles comprising a functional integrase protein and a lentiviral vector to a human; wherein the integrating lentiviral vector comprises a promoter directing expression of a polypeptide comprising a microbial or tumor antigen, preferably a polypeptide comprising an HIV-1 Nef, Pol, NC, or CA antigen or immunogenic polypeptide, most preferably comprising the amino acid sequence of SEQ I D NO:30, wherein the promoter does not contain an enhancer, wherein expression of the promoter in BDCA+ dendritic cells is higher than the expression in kidney, smooth muscle, liver, and heart cells; integrating the DNA of the lentiviral vector into cells of the human; expressing the polypeptide in the cells of the human; and generating an immune response against the polypeptide.
[279] In one embodiment, the invention comprises a method for inducing an immune response in a human comprising intramuscularly administering lentiviral vector particles comprising a functional integrase protein and a lentiviral vector to a human; wherein the integrating lentiviral vector comprises a promoter directing expression of a polypeptide comprising a microbial or tumor antigen, preferably a polypeptide comprising an HIV-1 Nef, Pol, NC, or CA antigen or immunogenic polypeptide, most preferably comprising the amino acid sequence of SEQ I D NO:30, wherein the promoter does not contain an enhancer, wherein the expression of the promoter in BDCA+ dendritic cells is 12-100 times the expression of that promoter in skeletal muscle cells; integrating the DNA of the lentiviral vector into cells of the human; expressing the polypeptide in the cells of the human; and generating an immune response against the polypeptide.
[280] In one embodiment, the invention comprises a method for inducing an immune response in a human comprising intramuscularly administering lentiviral vector particles comprising a functional integrase protein and a lentiviral vector to a human; wherein the integrating lentiviral vector comprises a promoter directing expression of a polypeptide comprising a microbial or tumor antigen, preferably a polypeptide comprising an HIV-1 Nef, Pol, NC, or CA antigen or immunogenic polypeptide, most preferably comprising the amino acid sequence of SEQ ID NO:30, wherein the promoter does not contain an enhancer, wherein expression of the promoter in BDCA+ dendritic cells is higher than the expression in kidney, smooth muscle, liver, and heart cells, and wherein the expression of the promoter in BDCA+ dendritic cells is 12-100 times the expression of that promoter in skeletal muscle cells; integrating the DNA of the lentiviral vector into cells of the human; expressing the polypeptide in the cells of the human; and generating an immune response against the polypeptide.
[281 ] In some embodiments, the method comprises eliminating at least 95%, 99%, 99.9% or 99.99% of the lentiviral DNA integrated in the muscle cells of an animal model at day 4 after administration by day 21 , day 25, day 33, or day 66 after administration. Elimination of integrated lentiviral in muscle cells can be measured as described in the examples and by other similar techniques. For example, a biopsy can be taken at the site of the injection of a mouse or rat at 4 days and at 21 days after administration and the amount of integrated DNA in the cells determined at these timepoints by PCR.
[282] In one embodiment, the invention comprises a method for inducing an immune response in a human comprising intramuscularly administering lentiviral vector particles comprising a functional integrase protein and a lentiviral vector to a human; wherein the integrating lentiviral vector comprises a promoter directing expression a polypeptide comprising a microbial or tumor antigen, preferably a polypeptide comprising an HIV-1 Nef, Pol, NC, or CA antigen or immunogenic polypeptide, most preferably comprising the amino acid sequence of SEQ ID NO:30, the promoter does not contain an enhancer; integrating the DNA of the lentiviral vector into cells of the human; expressing the polypeptide in the cells of the human; and generating an immune response.
[283] Preferably, the lentivector particles are in a dose of, at least, 106, 2 x 106, 5x 106, 107, 2 x 107, 5 x 107, 108, 2 x 108, 5 x 108, or 109 TU.
[284] The immune response induced by the lentiviral vector can be a B cell response, a CD4+ T cell response, and/or a CD8+ T cell response.
[285] The present invention thus provides vectors that are useful as a medicament or vaccine, particularly for intramuscular administration.
[286] These vectors are preferentially used for the treatment or prophylaxis of infectious diseases, especially diseases associated with virus infection and more particularly, with retrovirus infection, such as AIDS and other immunodeficiencies.
[287] As the vectors of the invention more specifically target dendritic cells to obtain a cell-mediated immune response and especially the CTL response associated with the antigen expressed by the transgene in these cells, they are particularly useful as vaccines targeting slow or endogenous pathogenic microorganisms such as HIV virus.
[288] Accordingly, the invention relates to an immunogenic composition comprising a lentiviral vector as previously defined.
[289] The immunogenic compositions of the invention preferably contain cPPT and CTS sequences in the vector and vector particles to induce or to stimulate the nuclear import of the vector genome in the target cells.
[290] During reverse transcription, cPPT and CTS sequences induce the formation of a three stranded DNA structure referred as DNA triplex, which stimulates the nuclear import of DNA vector sequence. Preferably, the vector comprises a transgene and regulatory signals of retrotranscription, expression and encapsidation of retroviral or retroviral-like origin, wherein the composition is capable of inducing or of stimulating a CTL and/or a CD4 response against one or several epitopes encoded by the transgene sequence present in the vector.
[291 ] The expression of the transgene is greatly improved by inclusion of a promoter of the invention in the vector. [292] Thus, the lentiviral vectors according to the invention have the ability to induce, improve, or in general be associated with the occurrence of a memory CTL response. In other words, they can be used for the preparation of therapeutic composition for induction of, stimulation of, or participation in the occurrence of a cell- mediated immune response, especially a CTL response or a memory response.
[293] The lentiviral vectors of the invention can be used in methods of treatment and methods of inducing an immune response comprising administering the lentiviral vector to a host and generating a specific immune response against the transgene in the host. The cells and antibodies generated in these hosts can be used as diagnostic reagents.
[294] The lentiviral vectors according to the invention are preferably for intramuscular administration, most preferably by injection with a needle.
[295] In a particular embodiment, the immunogenic composition according to the invention can be directly administered to the patient, in such a way that it will induce, improve, or participate in vivo in the occurrence of a cell-mediated immune response, especially a CTL-mediated immune response.
[296] In another embodiment, the immunogenic compositions are used once or upon repeated administration so that they can enable the occurrence of a long-term memory cell mediated response.
[297] A particular advantage of the immunogenic compositions of the invention is that they can be used to elicit or stimulate a cell-mediated immune response against multiple epitopes encoded by the nucleotides sequence of interest or transgene present in the vector or vector particles, and they can also be used to elicit or stimulate a cell- mediated immune response against the product of the entire sequence of a gene.
[298] The invention also encompasses a lentiviral vector comprising a nucleotide sequence encoding a multiple repeat (at least 2 identical sequences) of said amino acid sequence inducing a cellular response and/or an amino acid sequence containing at least 2 different sequences.
[299] As a result, the invention encompasses a composition that could be used in prophylactic and/or therapeutic vaccination protocols. [300] In particular, it can be used in combination with adjuvants, other immunogenic compositions, chemotherapy, or any other therapeutic treatment.
[301 ] The invention encompasses a composition for intramuscular
administration to a human comprising lentiviral vector particles comprising a functional integrase protein and a lentiviral vector; wherein the DNA of the lentiviral vector comprises a promoter directing expression of an amino acid comprising or consisting of SEQ ID NO:30.
[302] In one embodiment, the invention encompasses a composition for intramuscular administration to a human comprising lentiviral vector particles comprising a functional integrase protein and a lentiviral vector; wherein the DNA of the lentiviral vector comprises a promoter directing expression of an amino acid comprising or consisting of SEQ ID NO:30, wherein the promoter does not contain an enhancer, and wherein the expression of the promoter in BDCA+ dendritic cells is 12-100 times the expression of that promoter in skeletal muscle cells and expression of the promoter in BDCA+ dendritic cells is higher than the expression in kidney, smooth muscle, liver, and heart cells.
[303] The invention encompasses use of a composition comprising lentiviral vector particles for intramuscular administration to a human, wherein the lentiviral vector particles comprise a functional integrase protein and a lentiviral vector; wherein the DNA of the lentiviral vector comprises a promoter directing expression of a microbial or tumor antigen, preferably a polypeptide comprising an HIV-1 Nef, Pol, NC, or CA antigen or immunogenic polypeptide, most preferably an amino acid comprising or consisting of SEQ ID NO:30.
[304] In one embodiment, the invention encompasses use of a composition comprising lentiviral vector particles for intramuscular administration to a human, wherein the lentiviral vector particles comprise a functional integrase protein and a lentiviral vector; wherein the DNA of the lentiviral vector comprises a promoter directing expression of a microbial or tumor antigen, preferably polypeptide comprising an HIV-1 Nef, Pol, NC, or CA antigen or immunogenic polypeptide, most preferably comprising the amino acid sequence of SEQ ID NO:30, wherein the promoter does not contain an enhancer, and wherein the expression of the promoter in BDCA+ dendritic cells is 12- 100 times the expression of that promoter in skeletal muscle cells and expression of the promoter in BDCA+ dendritic cells is higher than the expression in kidney, smooth muscle, liver, and heart cells.
[305] In some embodiments, the administration to a human comprises administering the composition comprising lentiviral vector particles to a patient infected with HIV-1.
[306] Having thus described different embodiments of the present invention, it should be noted by those skilled in the art that the disclosures herein are exemplary only and that various other alternatives, adaptations, and modifications may be made within the scope of the present invention. Accordingly, the present invention is not limited to the specific embodiments as illustrated herein.
EXAMPLES
Example 1. Molecular constructions
[307] PCR amplification of the proviral region of the pTRIPAU3-CMV-GFP(15) was performed using direct (5'-CTTACTAGTTGGAAGGGCTAATTCACTCCCAAC-3'; SEQ ID NO:7) and reverse (5'-CATTCTAGAACTGCTAGAGATTTTCCACACTG-3'; SEQ ID NO:8) oligonucleotides encompassing respectively the Spel and Xbal restriction sites. The resulting fragment was digested and cloned between the Spel and Xbal sites of the pVAX-1 plasmid (Invitrogen, Lifetech) from which the Mlul site have been deleted. The resulting plasmid was named pFLAP-CMV-GFP. The SV40 sequence was amplified by PCR from the pTRIPAU3-CMV-GFP plasmid (using the 5'- TACCCCGGGCCATGGCCTCCAAAAAAGCCTCCTCACTACTTC-3' (SEQ ID NO:9) and 5'-ACTCCCGGGTAATTTTTTTTATTTATGCAGAGGCCGAGGCCGCC-3' (SEQ ID NO: 10) oligonucleotides), and cloned into the Pml1 site of the pFLAP-CMV-GFP, the resulting plasmid being then named pFLAP-CMV-GFP-SV. The CMV promoter was amplified with direct (5'-TACACGCGTGGAGTTCCGCGTTACATAACTTACGG-3'; SEQ ID NO: 1 1 ) and reverse (5'-
CGTGGATCCGATCGCGGTGTCTTCTATGGAGGTCAAAAC-3'; SEQ ID NO: 12) oligonucleotides encompassing the Mlul and BamHI sites, respectively. The resulting fragment was cloned back between the Mlul and BamHI sites of the pFlap-CMV-GFP- SV allowing the easy replacement of the promoters inside the lentiviral vectors. The various promoters were then amplified by PCR from HEK 293T cells DNA (with 5'- TACACGCGTGGCCTCCGCGCCGGGTTTTGGCGCCTCC-3' (SEQ ID NO: 13) and 5'- CGTGGATCCGATCGGTCTAACAAAAAAGCCAAAAACGGCC-3' (SEQ ID NO:14) for the UBC promoter; 5'-TACACGCGTTGCGTGAGGCTCCGGTGCCCGTCAGTGG-3' (SEQ ID NO: 15) and 5'-CGTGGATCCGATCGTCACGACACCTGAAATGGAAG-3' (SEQ ID NO: 16) for the EF1 a1 promoter and 5'-
GCCGGCGCGCCGAGAAACCCTGCAGGGAATTCCC-3' (SEQ ID NO: 17) and 5'- CGTGGATCCGATCGCTCGGCCCGAATGCTGTCAGCTTCAGG-3' (SEQ ID NO: 18) for the p2m promoter and cloned between the Mlul and BamHI sites of the pFLAP- CMV-GFP. The amplified p2m promoter sequence is the following :
GAGAAACCCTGCAGGGAATTCCCCAGCTGTAGTTATAAACAGAAGTTCTCCTTCTG CTAGGTAGCATTCAAAGATCTTAATCTTCTGGGTTTCCGTTTTCTCGAATGAAAAAT GCAGGTCCGAGCAGTTAACTGGCGGGGGCACCATTAGCAAGTCACTTAGCATCTC TGGGGCCAGTCTGCAAAGCGAGGGGGCAGCCTTAATGTGCCTCCAGCCTGAAGT CCTAGAATGAGCGCCCGGTGTCCCAAGCTGGGGCGCGCACCCCAGATCGGAGGG CGCCGATGTACAGACAGCAAACTCACCCAGTCTAGTGCATGCCTTCTTAAACATCA CGAGACTCTAAGAAAAGGAAACTGAAAACGGGAAAGTCCCTCTCTCTAACCTGGCA CTGCGTCGCTGGCTTGGAGACAGGTGACGGTCCCTGCGGGCCTTGTCCTGATTG GCTGGGCACGCGTTTAATATAAGTGGAGGCGTCGCGCTGGCGGGCATTCCTGAA GCTGACAGCATTCGGGCCGAG (SEQ ID NO: 19). The HIV antigen (Gag sequence AA 132-496, Pol sequence AA 258-355 and AA 463-473 and Nef sequence AA 106-148 and AA 175-203) was synthetized by GeneArt (Lifetech) and cloned between the BamHI and Xhol sites of the pFlap-p2m-SV, in place of the GFP gene, giving the pFLAP- DeltaU3-p2m-HIV(P24-NC-Frag) SV. This vector is referred to as "p2m-HIV." .
[308] The p2m-HIV vector expresses the following amino acid sequence :
MPIVQNLQGQMVHQAISPRTLNAWVKWEEKAFSPEVIPMFSALSEGATPQDLNTMLNTVGGHQ AAMQMLKETINEEAAEWDRLHPVHAGPIAPGQMREPRGSDIAGTTSTLQEQIGWMTNNPPIPVG EIYKRWIILGLNKIVRMYSPTSILDIRQGPKEPFRDYVDRFYKTLRAEQASQEVKN MTETLLV QNANPDCK ILKALGPAATLEEMMTACQGVGGPGHKARVLAEAMSQVTNSATIMMQRGNFRNQR KTVKCFNCGKEGHIAKNCRAPRKKGCWKCGKEGHQMKDCTERQANFLGKI PSHKGRPGNFLQS RPEPTAPPEESFRFGEETTTPSQKQEPIDKELYPLASLRSL FGNDKKSVTVLDVGDAYFSVPLD KDFRKYTAFTIPSINNETPGIRYQYNVLPQGWKGSPAIFQSSMTKILEPFRKQNPDIVIYQYMD DLYVGSDLEIGQHRTEILKEPVHGVYVGFPVRPQVPLRPMTYKAAVDLSHFLKEKGGLEGLIYS QKRQDILDLWVYHTQGYFPDWQNYTPGPGIRYPLTFG CFKLVPVDPEKEVLVWKFDSRLAFHH
MARELHPEYY (SEQ ID NO:30). This sequence comprises Gag, Pol, and Nef sequences, in that order.
[309] Mock vector: pFlap-p2m-GFP-SVwas digested by BamHI and Xhol, and a DNA linker containing a Mutiple Cloning Site (MCS, carrying Sail, Sacl l, Ndel, AscI and Nhel restriction sites) was cloned between those sites, in place of the GFP gene.
[310] The packaging plasmid pTHV-GP-N was constructed by amplifying the HIV-1 NDK genome by PCR (using the following oligonucleotides with 5'- atgcatgcgtcgacctcgagttaatcctcatcctgtctacttgccac-3' (SEQ ID NO:20) and 5'- gcatgcatcggccggggcggcgactgGTgagagGCCACCatgggtgcgagagcgtcagtattaag-3' (SEQ ID NO:21 )). The resulting fragment has been digested by Eagl and Sail restriction enzymes and inserted in the p8.74 packaging plasmid(15) from which the Eag1 -Sall fragment had been previously removed.
[31 1 ] Pseudotyping plasmids were generated by synthesizing the codon optimized genes corresponding to the vesiculo stomatitis virus Indiana (GenBank #CAX62728.1 ), New Jersey GenBank #CAX62729.1 ) and Cocal (GenBank #
CAX62731.1 ) strains. Those genes were then digested with EcoR1 and BamHI and cloned between the corresponding restriction sites of the pVAX1 plasmid (Invitrogen, Lifetech).
[312] pFlap-p2m-HIV-IRES-Luc, an IRES sequence (pQCXIX, Clontech) has been cloned between Ndel and AscI sites in the mock vector. Then, the HIV antigen is cloned between BamHI and Sail sites and the luciferase gene (pGL3-promoter vector, Promega) was amplified by PCR (with 5'-
GCCGGCGCGCCGAGAAACCCTGCAGGGAATTCCC-3' (SEQ ID NO:22) and 5'- TTCTCGAGCATTACACGGCGATCTTTCCGC-3' (SEQ ID NO:23)) and cloned between Nhel and Xhol sites.
[313] For R&D and pilot vector productions, the plasmids were produced using Nucleobond Xtra Maxi EF column according to manufacturer's instructions (Macherey Nagel). For GMP productions, high-quality grade plasmids manufactured by Plasmid Factory (Germany) were used.
Example 2. Lentiviral production
[314] R&D productions: Vectors were produced by transient calcium-phosphate transfection of HEK 293T as previously describe (25).
[315] Preclinical and GMP productions: The day before transfection, HEK 293T cells were seeded in culture medium on 24 units of Cell Factory 10 (CF-10, Nunc). Cells were transfected by a calcium-phosphate method as reported previously (25). 18 to 24 hours post-transfection, culture medium was changed with production medium corresponding to Dulbecco's modified Eagle's medium (DMEM/ High modified, Hyclone) supplemented with 2% heat-inactivated fetal calf serum (FCS, PAA), 1 % L-Glutamine (Gibco by Life technologies), 1 % Penicillin-Streptomycin (Gibco by Life technologies), 1 % Sodium Pyruvate (Gibco by Life technologies), BENZONASE® (pharma grade I , 100 000U, Merck Millipore) and MgCL2 1 M. Minimum 24 hours after medium renewal, supernatant of the 24 CF-10 is harvested and pooled. After a second BENZONASE® treatment, supernatant is clarified by filtration on Kleenpak Nova Profile I I cartridge (Pall). After clarification, a third BENZONASE® treatment was applied overnight at +2/+8°C. Viral vector were purified using Anion exchange chromatography on Mustang- Q XT cassette (Pall). Lentiviral particles were eluted in two steps with 0,5M and 1 ,2M NaCI. Both fractions were diluted to decrease NaCI concentration up to ± 150mM before pooling. IEX eluate was further concentrated approximately 40 fold by ultrafiltration using a 100KDa Omega T series filter, 0, 1 m2 (Pall) and diafiltrated with PBS-Lactose 40 mg. L-1 . Purified bulk (Drug substance) was finally filtered through a 0.2 μΜ Sartobran H5 filter, 300cm2 (Sartorius Stedim) and aseptically distributed on 2R 3mL-glass vials with a target filling volume of 650pL (1200 L for pilot batches). After visual inspection of all the vials (about 350 vials by clinical batch), drug product was stored at -70°C±10°C.
[316] For product characterization and pharmaceutical release, quality tests were performed according to regulatory texts on vaccines: the quality control required for vaccines as per the European Pharmacopeia (section 6.16), the "guideline on quality, non-clinical and clinical aspects of live recombinant viral vectored vaccines"
(EMA/CHMP/141697/2009), the "guideline on development and manufacture of lentiviral vectors" (CHMP/BWP/2458/03); regulatory text on gene therapy medicinal products: the quality controls required for gene transfer medicinal products for human use as per the European Pharmacopeia (section 5.14), the quality controls specific to gene therapy products as defined in the "note for guidance on the quality, preclinical and clinical aspects of gene transfer medicinal products" (CHMP/BWP/3088/99); regulatory texts on biotechnological products (ICH Q5A to ICH Q5E); regulatory texts on specifications (ICH Q6A and ICH Q6B) and the quality controls required for parenteral preparations as per the European Pharmacopeia (section 7.0).
Example 3. Lentiviral vector titration
[317] qPCR reactions: HEK 293T cells were seeded in 6-well plates (BD Falcon) in culture medium and incubated for 4 h at 37°C, 5% C02 in moist atmosphere. Cells were transduced with 3 successive dilutions of lentiviral vector. 72h post-incubation, cells are harvested and transduced HEK 293T cell pellets are produced. Total genomic DNA from transduced cell-pellets is extracted using a method based on QIAGEN QIAamp DNA mini kit handbook. Proviral quantification is performed using Taqman qPCR. The amplification is performed with the Master Mix (Fermentas Thermo
Scientific), the Flap A (CCCAAGAACCCAAGGAACA; SEQ ID NO:24) and Flap S (AGACAA GATAGAGGAAGAGCAAAAC; SEQ ID NO:25) primers and LENTI TM probe (6FAM-AACCATTAGGAGTAGCACCCACCAAGG-BBQ; SEQ ID NO:26). Normalization is performed with the quantification of the actin gene (same Mix, Actine A - CGGTGAGGATCTTCATGAGGTAGT- (SEQ ID NO:27), Actine S - AACACCCCAGCCATGTACGT-(SEQ ID NO:28) primers and HUMURA ACT TM probe -6FAM-CCAGCCAGGTCCAGACGCAGGA-BBQ-(SEQ ID NO:29). Both reactions are achieved on MasterCycler Ep Realplex S (Eppendorf, 2 min at 50°C, 10 min at 95°C and 40 cycles of 15 seconds at 95°C and 1 min at 63°C). The analysis is performed on MasterCycler Ep Realplex Software.
[318] FACS analyses were performed as described elsewhere (20).
[319] Animals: For non-GLP studies, C57BL/6J Rj (C57BI/6J) female mice of four weeks or Sprague Dawley RjHan:SD (Sprague Dawley) female mice of eight weeks were purchased from Janvier Laboratories (France). The animals were housed in
Institute Pasteur animal facility in accordance with Institute regulations on the respect of animal experimentation ethical procedures. For GLP studies males and females of CRL: CD strain of rats were purchased from Charles River Italia, Calco (LC), Italy (aged of at least 10 weeks). Rats were housed in our CRO (APTUIT) facilities.
[320] Sample collection and cell isolation: after C02 euthanasia, rats' spleens were perfused and chopped into small pieces before being gently squished on a 100 pm cell stainer whilst mice spleens were directly squished on the cell stainer. Red Blood Cell Lysing Buffer Hybri-Max (Sigma Aldrich) was used to lyse red blood cells. Following three further washes splenocytes were resuspended into RPMI 1640 medium containing 10% FBS and automatically counted using Nucleocounter Chemometec cells counter.
Example 4. GFP expression driven by various promoters in two different cell types.
[321 j Lentivector constructions encompassing various promoters were used to transduce HEK293T (a fibroblast eel! line) and BDCM (a dendritic-like cell line) cells, and the promoters' ability to drive the GFP expression was evaluated by flow cytometry. MFI (Mean Fluorescence intensity) in BDCM cells are represented in % of the MFI obtained in 293T cells.
[322] Viral (CMV) and ubiquitous (UBC and EF1 a) promoters appear to be repressed in BDCM, while MHC I (HLA-A2, HLA-B7 and HLA-E) and MHC II (HLA-DRa) promoters are overexpressed in this cell type. The 2m promoter was also
overexpressed in this cell type.
[323] Cells were seeded in 24-well plates at a density of 1 *105 cells per well in complete medium containing 10% FBS. For each cell type, 3 wells of 1 χ105 ceils were transduced by replacing the culture medium with 300 μΙ of the dilution of viral samples which allowed a percentage of transduced cells included between 5 and 30%. The cells were then incubated 2h at 37°C, 5% CO2 and 1 ml of complete medium was added per well. 72h post transduction, the cells were trypsinized and resuspended, and the GFP MFI was measured with a FACScaiibur flow cytometer, using the FL1 channel.
Example 5. T-specific response (median) in C57BI/6j mice
[324] C57BI/6j mice were immunized with 1 x 106TU of lentivectors in which a HIV antigen expression is driven by various promoters (viral, ubiquitous, MHCI and MHCII). 12 days after immunization, the specific T-cell responses were monitored in mice splenocytes by IFN-γ ELISPOT. As shown in figure 2, immunization with lentivectors encompassing a MHCI promoter give higher specific T-cell responses than any other lentivectors used, even when a viral promoter is driving the antigen expression.
[325] Splenocytes were isolated from the mice spleens immunized with lentivectors. 12 days after immunization and were used for the ELISPOT assays.
Ninety-six-well tissue culture plates (Millipore) were coated overnight at 4 °C with 50 μΙ/well of 5 pg/ml anti-mouse IFNy mAb (Mouse IFNy Elispot pair; BD Biosciences Pharmingen). The plates were washed three times with 200 μΙ DPBS/well and blocked with 200 μ l/we 11 of DPBS/10% fetal bovine serum for 2 h at 37°C. The plates were washed three times with 200 μΙ DPBS/well. Splenocytes were added to the plates in triplicate at 2.5, 4.1 , or 5.1 x 105 cells/well and stimulated with 2 pg/ml of stimulatory peptides (specific to the antigen), concanavalin A (5 pg/ml; source), or culture medium alone. The plates were incubated for 18 h at 37°C and then rinsed three times with 200 μΙ/well of DPBS/0.05 % Tween 20 and three times with 200 μΙ/well of DPBS. For detection, 50 μΙ/well of 2 μg/ml anti-mouse IFNv-biotinylated monoclonal antibody (BD Pharmingen) were added for 2 h at room temperature. Plates were washed and 100 μΙ/well of streptavidin-alkaline phosphatase (Roche) diluted 1 :2000 in Dulbecco's PBS for 90 min at room temperature. After washing the plates, spots (IFNy -secreting cells) were visualized by adding 60 μΙ/well of BCIP/NBT solution (Sigma). Plates were incubated for 15-30 min at room temperature until blue spots developed and then thoroughly washed with running tap water and air-dried for 24 h. Finally, the spots were counted using a Bioreader 2000 (Biosys).
[326] Depletion of CD4+ and CD8+ T cells: Rats spleen cells were mixed with washed magnetic beads coated with either anti-rat CD4 or anti-CD8 using the Deplete S program (IVIACS, Miltenyi Biotec). Negative and positive CD4 and CD8 cellular fractions were obtained in separated tubes. Untreated and CD4 and CD8 depleted cells were stained with anti-rat CD3-FITC, CD4-APC and CD8-PerCP BD Biosciences antibodies to confirm the complete depletion. Cells were analyzed by FACS using a FACSCalibur with FlowJO package (BD Biosciences). [327] In vivo assay of targeting cells by lentiviral vectors: The concentrated lentiviral vectors: CMV. GFPbis and 2m.GFP.WThV (1 .10e8 TU/mouse resuspended in 50μΙ_ PBS-lactose) were injected intramuscularly into the left caudal thigh of the
C57BI/6j mice. The inguinal lymph nodes and the muscles corresponding to the injection sites as well as the ones from a naive mouse were isolated for cells harvesting. Lymph nodes and muscles were digested into RPMI 1640 media containing 10% collagenase and 0,5% DNA-se, chopped into small pieces before being gently squished on a 100 m cell stainer. Collagenase action was reduced adding RPMI1640, 10% FBS. Following two further washes cells were resuspended into RPMI 1640 medium
containing 10% FBS. Viable mononuclear cells were isolated from muscle suspensions underlying them on Histopaque 1077 (Sigma, United Kingdom) before centrifugation at 1 ,000 x g for 10 min at RT. Cells at the interface were collected, washed two times with PBS and resuspended into RPMI 1640 medium containing 10% FBS. Finally lymph node and muscle cells were automatically counted using Nucleocounter Chemometec cells.
[328] ELISPOT Assay. Multiscreen HTS 96 microplates (MSIPS4W10, Millipore) were coated with capture antibody (Mouse and Rat IFNg Elispot Pair, BD Biosciences) and blocked with complete medium. Cells were cultured at the concentration of 0,2 million/well for rat studies and 0, 1 million/well for mice studies. Subsequently they were incubated with 2μg/mL of peptides (pool stimulation) and with 2.5 μg/mL of
concanavaline A used as positive control. Eighteen hours later, spots were revealed with the biotine-conjugated antibody (Mouse and Rat IFNg Elispot pair, BD Biosciences) followed by streptavidin-AP (Roche) and BCI P/NBT substrate solution (Sigma Aldrich). Spots were counted using an AID reader (Autoimmun Diagnostika GmbH, Germany). Mean number of IFNg spots-forming-cells (SFC) per million was calculated from triplicate wells after subtracting the one from control wells (cultured in medium without peptides).
[329] H IV-1 consensus B subtype Gag, Pol and Nef complete sets of
overlapping synthetic peptides were kindly provided by NI H AI DS Reagent Program.
[330] Imaging and quantification of bioluminescence in vivo: Measurements were performed with an ultrasensitive cooled CDD camera mounted with in a light-tight camera box (MS 200, Xenogen). Images and measurements of bioluminescent signals were acquired and analyzed using Living image software 2.5 (Xenogen). To image, mice were anesthetized by isoflurane inhalation and given 150μΙ_ of 15mg/mL D- luciferin (Caliper Lifesciences) via intraperitoneal injection. Images were taken between 2 to 5 minutes after D-luciferin injection.
Example 6. T cell responses of integrating and non-integrating vectors
[331 ] Lentiviral vectors are produced as previously described. Zennou, V. et al. HIV-1 genome nuclear import is mediated by a central DNA flap. Cell. 101 , 173-185 (2000). For non-integrating lentiviral vector, the packaging plasmid used is an integrase defective pNDKD64-V.
[332] Animals: C57BL/6J Rj (C57BI/6J) female mice of four weeks were purchased from Janvier Laboratories (France). The animals were housed in Institute Pasteur animal facility in accordance with Institute regulations on the respect of animal experimentation ethical procedures.
[333] Sample collection and cell isolation: after C02 euthanasia, mice spleens were directly squished on the cell stainer. Red Blood Cell Lysing Buffer Hybri-Max (Sigma Aldrich) was used to lyse red blood cells. Following three further washes splenocytes were resuspended into RPMI 1640 medium containing 10% FBS and automatically counted using Nucleocounter Chemometec cells counter.
[334] ELISPOT Assay. MultiScreen HTS 96 microplates (MSIPS4W10, Millipore) were coated with capture antibody (Mouse IFNg Elispot Pair, BD Biosciences) and blocked with complete medium. Cells were cultured at the concentration of 0,2 million/well. Subsequently they were incubated with 2pg/mL of peptides (pool stimulation) and with 2.5 μg/mL of concanavaline A used as positive control. Eighteen hours later, spots were revealed with the biotine-conjugated antibody (Mouse IFNg Elispot pair, BD Biosciences) followed by streptavidin-AP (Roche) and BCIP/NBT substrate solution (Sigma Aldrich). Spots were counted using an AID reader
(Autoimmun Diagnostika GmbH, Germany). Mean number of IFNg spots-forming-cells (SFC) per million was calculated from triplicate wells after subtracting the one from control wells (cultured in medium without peptides).
[335] Four individual peptides synthesized by Genscript and identified as immunogenic in C57BL/6J mice were used in this test. [336] Statistical analysis: Data are expressed as median ± confidence interval. Example 7. GLP biodistribution
[337] The titration qPCR method was used for GLP biodistribution (without the actin normalization), the method being analytically validated by our CRO APTUIT.
[338] Tissue samples were collected in Qiagen collection plates in dry ice and stored at approximately -80°C until analyzed. Genomic DNA was isolated and extracted from tissues using Qiagen DNeasy 96 blood and Tissues kit handbook on a robotic station (Biorobot 8000 Universal, Qiagen) using reagents and protocols recommended by the manufacturer. Multifuge 3SR, Heraeus was used in the centrifugation steps. DNA quantification was based on Quant-iT™ PICOGREEN® dsDNA kit (Molecular Probes) user manual. The concentration of the eluted DNA was determined using the Fluostar OPTIMA (BMG) fluorescence reader. Concentrations of the total DNA isolates (pg/rnL) are interpolated from the standard curve and multiplied by the sample dilution factor. A real-time quantitative modification of the TaqMan PCR technique in which the amplicon is detected by a sequence-specific fluorogenic probe was used. Amplification of the target sequence was performed in the ABI PRISM 7900HT sequence detection system and qPCR was realized as following: adjustment of primers at a final concentration of 900nM and the Taqman probe at: 200nM. Cycling conditions were 50°C for 2 min, 95°C for 10 minutes for the Taq polymerase activating step, a denaturation step of 0.15 minutes at 95°C and 45 cycles of combined annealing/extension step of 1 minute at 63°C. The qPCR TaqMan assay is the same than the one used for vector titration, without actin normalization.
Example 8. Persistence of antigen expression
[339] Measurements were performed with an ultrasensitive cooled CDD camera mounted with in a light-tight camera box (MS 200, Xenogen). Images and
measurements of bioluminescent signals were acquired and analyzed using Living image software 2.5 (Xenogen). To image, mice were anesthetized by isoflurane inhalation and given 150pL of 15mg/mL D-luciferin (Caliper Lifesciences) via intraperitoneal injection. Images were taken between 2 to 5 minutes after D-luciferin injection. Example 9. Persistence of immune response
[340] The persistence of the immune response was measured by ELISPOT INF- gamma as previously described (Example 5).
Example 10. Transduction of DCs
[341 ] The concentrated lentiviral vectors: CMV.GFPbis and p2m.GFP.WThV
(1 .10e8 TU/mouse resuspended in 50μΙ_ PBS-lactose) were injected intramuscularly into the left caudal thigh of the C57BI/6j mice. The inguinal lymph nodes and the muscles corresponding to the injection sites as well as the ones from a naive mouse were isolated for cells harvesting. Lymph nodes and muscles were digested into RPMI 1640 media containing 10% collagenase and 0,5% DNAse, chopped into small pieces before being gently squished on a 100 pm cell stainer. Collagenase action was reduced adding RPM I1640, 10% FBS. Following two further washes cells were resuspended into RPM I1640 medium containing 10% FBS. Viable mononuclear cells were isolated from muscle suspensions underlying them on Histopaque 1077 (Sigma, United Kingdom) before centrifugation at 1 ,000 χ g for 10 min at RT. Cells at the interface were collected, washed two times with PBS and resuspended into RPM I 1640 medium containing 10% FBS. Finally lymph node and muscle cells were automatically counted using Nucleocounter Chemometec cells.
Example 11. Shedding Studies
[342] Urine samples were collected using metabolic cages. RNA extraction was achieved according to the Qiagen kit "QiaAmp Viral RNA Mini". The Reverse
transcription reactions have been realized in 96-Well plates placed on a refrigerated rack and all incubation steps have been performed using a THERMOCYCLER
MASTERCYCLER™ (Eppendorf) and RT-qPCR was realized as following: First a DNase treatment has been performed, to remove eventual DNA contamination, using DNase I Recombinant (Roche) during 30min at 37°C followed by an inactivation step at 75°C during 5min in presence of EDTA (30mM). Then, a first incubation step of the RNA sample with DNTP mix (10mM each) and Oligo(dT)18mers (1 00μΜ) at 65°C during 5min allows the disruption of secondary structures. The reverse transcription was achieved using the reverse transcriptase kit "REVERTAID™ Premium" (Fermentas,
Thermo Scientific) and an RNase inhibitor RI BOLOCK™ (Fermentas, Thermo Scientific) by an incubation of 30min at 50°C. A last incubation step at 85°C during 5min allows the reverse transcriptase inactivation. The qPCR TaqMan assay is the same than the one used for vector titration, without actin normalization.
[343] Statistical analysis: Data are expressed as means ± standard deviation or as median ± confidence interval.
Example 12. Kinetics of prime-boost immunization (influenza vaccine)
[344] Animals: C57BI/6j female mice of four weeks were purchased from Janvier Laboratories (France). The animals were housed in Institute Pasteur animal facility in accordance with Institute regulations on the respect of animal experimentation ethical procedures. (5 mice/group of vaccinated animals and 8 mice/group of PBS- lactose). Vectors and administration. Animals: C57BI/6j female mice of four weeks were purchased from Janvier Laboratories (France). The animals were housed in Institute Pasteur animal facility in accordance with Institute regulations on the respect of animal experimentation ethical procedures. (5 mice/group of vaccinated animals and 8 mice/group of PBS-lactose). Mice were intramuscularly immunized with 5 x 106TU in prime and 3 x 106TU in boost of lentivectors in which a M1 NP antigen expression is driven by a B2m promoter. 12 days after prime immunization, 54 days after prime and 8 days before boost immunization, 69 days after prime and 7 days after boost
immunization and 88 days after prime and 26 days after boost immunization the specific T-cell responses were monitored in mice splenocytes by IFN-γ ELISPOT.
[345] Sample collection and cell isolation: Splenocytes were isolated from the mice spleens on days of analyses. Sample collection and cell isolation: after C02 euthanasia, mice' spleens were gently squished on a 100 pm cell stainer. Lysis Buffer was used to lyse red blood cells. Following three further washes splenocytes were resuspended into FBS 10% media and were used for the ELISPOT assays.
[346] ELISPOT assay: Ninety -six-well tissue culture plates (Millipore) were coated overnight at 4 °C with 50 μΙ/well of 5 pg/ml anti-mouse IFNy mAb (Mouse IFNy Elispot pair; BD Biosciences Pharmingen). The plates were washed three times with 200 μΙ DPBS/well and blocked with 200 μΙ/well of DPBS/10% fetal bovine serum for 2 h at 37°C. The plates were washed three times with 200 μΙ DPBS/well. Splenocytes were added to the plates in duplicate at 2x 105 cells/well and stimulated with 2 pg/ml of stimulatory peptides (specific to the antigen), concanavalin A (5 pg/ml; source), or culture medium alone. The plates were incubated for 18 h at 37°C and then rinsed three times with 200 μΙ/well of DPBS/0.05 % Tween 20 and three times with 200 μΙ/well of DPBS. For detection, 50 μΙ/well of 2 pg/ml anti-mouse IFNy-biotinylated monoclonal antibody (BD Pharmingen) were added for 2 h at room temperature. Plates were washed and 100 μΙ/well of streptavidin-alkaline phosphatase (Roche) diluted 1 :2000 in Dulbecco's PBS for 90 min at room temperature. After washing the plates, spots (IFNy - secreting cells) were visualized by adding 60 μΙ/well of BCI P/N BT solution (Sigma). Plates were incubated for 15-30 min at room temperature until blue spots developed and then thoroughly washed with running tap water and air-dried for 24 h. Spots were counted using an AID reader (Autoimmun Diagnostika GmbH , Germany). Mean number of IFNg spots-forming-cells (SFC) per million was calculated from duplicate wells after subtracting the one from control wells (cultured in medium without peptides).
Overlapping synthetic peptides covering influenza complete sequence used for vaccination were used (Eurogentec). Statistical analysis: Data are expressed as median + confidence interval.
Example 13. Human Administration
[347] THV01 -1 : p2m-H IV pseudotyped with Indiana VSV-G and THV01 -2: p2m- H IV pseudotyped with New Jersey VSV-G were injected into humans as depicted in Figure 21 .
[348] The THV01 treatment administrated to patients enrolled in this Phase l/l I study was composed of two vaccines: THV01 -1 and THV01 -2. They have been injected 8 weeks apart, intramuscularly.
[349] THV01 -1 and THV01 -2 are !entiviral vectored vaccines derived from the NL4-3 strain of the HIV-1 . They are non-replicative and self-inactivating vectors. They both encode the same HIV antigen (SEQ ID NO:30), composed of clustered epitopes of the H IV-1 clade B, Gag, Pol and Nef proteins under the regulation of a human β2ίτι promoter. THV01 -1 (p2m-HIV pseudotyped with Indiana VSV-G ) and THV01 -2 (p2m- H IV pseudotyped with New Jersey VSV-G) are pseudotyped by the G protein of the vesicular stomatitis virus (VSV.G). This allows the production of more robust ientiviral particles and induces a broader tropism of the vectors. Since THV01 -1 and THV01 -2 are however pseudotyped by two different serotypes of the VSV.G (Indiana & New jersey), successive injections of them occurs without a reduction in the induced immunogenicity due to antibodies generated against the envelope of the previously injected vectored vaccine.
[350] Enrolled patients were randomized in a 3: 1 ratio (vaccine:placebo) for each dose group. Eligible patients for this first-in human were HIV-1 infected patients, treated with HAART (2 nucleosidic reverse transcriptase inhibitors plus 1 boosted protease inhibitor or 2 nucleosidic reverse transcriptase inhibitors plus 1 non nucleosidic inhibitor) for more than 12 months at baseline and treated with 2 nucleosidic reverse transcriptase inhibitors plus a ritonavir boosted protease inhibitor among
darunavir+ritonavir or iopinavir+ritonavir, who have CD4+ T cells count≥600 cells mm-3 at baseline with a nadir >300 cells mm-3 and who had CD4+ T cells count < 500 cells mm-3 at least once from diagnosis to initiation of treatment.
[351 ] This trial is a randomized, placebo-controlled, 4-parallel groups trial to compare the safety, tolerability and immunogenicity of the THV01 vaccination versus placebo.
[352] Study enrollment design is detailed in Figure 28.
[353] Twelve patients were randomized in a 3: 1 ratio (vaccine: placebo) for each dose group, with four groups (three doses to be assessed and a placebo group):
- Patients randomized in group 1 have received intramuscular injections of THV01 - 1 and THV01 -2, 8 weeks apart, at 5.106 TU, or matching placebo;
- Patients randomized in group 2 have received intramuscular injections of THV01 - 1 and THV01 -2, 8 weeks apart, at 5.107 TU or matching placebo;
- Patients randomized in group 3 have received intramuscular injections THV01 -1 and THV01 -2, 8 weeks apart, at 5.108 TU or matching placebo.
[354] 2 or 7 weeks before the first vaccine injection, patients had to stop reverse transcriptase inhibitors:
Patients taking Tenofovir had to stop it 7 weeks before the first vaccination (W-7); Patients not taking Tenofovir will had to stop taking reverse transcriptase inhibitors 2 weeks before the first vaccination (W-2). [355] During this treatment alleviation, patients had to continue being treated by their ritonavir boosted protease inhibitor. Patients had to resume their initial HAART 1 week after the second injection. [356] HAART have been reintroduced in case of:
■ CD4+ T cell count < 500 cells mm-3 confirmed by a second measurement 14 days later or,
■ H IV viral load > 15,000 copies mL-1 from confirmed twice respectively 14 and 28 days later.
[357] As per study protocol, an interim analysis has been performed upon week 36 of the last patient of second treatment group.
Example 14. Safety of Lentiviral Administration in Humans
EXTENT OF EXPOSURE
[358] All patients (n=24) from Group 1 &2 have adequately received their prime
(W0) and boost (W8) injections except one patient - #102-001 (THV01/Group 1 ) - that has been treated at Week 8 with a vaccine dose of 600μΙ_ instead of 1000μΙ_.
DISPLAY OF ADVERSE EVENTS
[359] Adverse events are described by SOC and preferred term according to the MedDRA classification and by treatment/dose group.
[360] All AE are presented hereafter regardless of the causal relationship rated by the Principal Investigator.
Serious Adverse Events / Deaths
[361 ] To date (July 22nd 2014), neither Serious Adverse Event nor death has been reported to THERAVECTYS regarding patients treated with THV01 regardless of the dose. Of note, the last patient of the third dose group has been vaccinated (i.e. boost injection) on March 23rd 2014.
Adverse Events of Mild Intensity
[362] Table 3 displays the percentage of patients experiencing at least one Adverse Event of mild intensity by SOC and preferred term and treatment groups. Table 3 : Adverse Events of Mild Intensity
System Organ Class/Preferred THVOl- Dose 1 THVOl- Dose 2
P lacebo (N = 6)
Term (N = 9) CN=9)
At least one AE 6 (100.0%) 9 (100.0%) 8 (88.9%)
Blood and lymphatic system disorders 1 (16.7%) 1 (11.1%) 1 (11.1%)
Lymphadenopathy 1 (16.7%) 1 (11.1%) 1 (11.1%)
Gastrointestinal disorders 1 (16.7%) 4 (44.4%) 3 (33.3%)
Abdominal distension 0 (0.0%) 1 (11.1%) 0 (0.0%)
Diarrhoea 0 (0.0%) 3 (33.3%) 2 (22.2%)
Haemorrhoids 0 (0.0%) 0 (0.0%) 1 (11.1%)
Nausea 1 (16.7%) 0 (0.0%) 0 (0.0%)
Toothache 0 (0.0%) 1 (11.1%) 0 (0.0%)
General disorders and administration site
3 (50.0%) 0 (0.0%) 4 (44.4%) conditions
Asthenia 1 (16.7%) 0 (0.0%) 1 (11.1%)
Chest pain 2 (33.3%) 0 (0.0%) 0 (0.0%)
Fatigue 2 (33.3%) 0 (0.0%) 1 (11.1%)
Injection site pain 0 (0.0%) 0 (0.0%) 1 (11.1%)
Pain 0 (0.0%) 0 (0.0%) 2 (22.2%)
Infections and infestations 3 (50.0%) 1 (11.1%) 5 (55.6%)
Bronchitis 1 (16.7%) 1 (11.1%) 0 (0.0%)
Gastroenteritis 0 (0.0%) 0 (0.0%) 1 (11.1%)
Herpes pharyngitis 0 (0.0%) 0 (0.0%) 1 (11.1%)
Herpes simplex 0 (0.0%) 0 (0.0%) 1 (11.1%)
Herpes virus infection 0 (0.0%) 0 (0.0%) 1 (11.1%)
Nasopharyngitis 1 (16.7%) 0 (0.0%) 0 (0.0%)
Oral herpes 0 (0.0%) 0 (0.0%) 1 (11.1%)
Pharyngitis 1 (16.7%) 0 (0.0%) 0 (0.0%)
Rhinitis 1 (16.7%) 0 (0.0%) 0 (0.0%)
Tooth infection 0 (0.0%) 0 (0.0%) 1 (11.1%)
Tracheitis 1 (16.7%) 0 (0.0%) 0 (0.0%)
Investigations 6 (100.0%) 8 (88.9%) 8 (88.9%)
Blood HIV RNA increased 6 (100.0%) 8 (88.9%) 8 (88.9%)
CD4 lymphocytes decreased 1 (16.7%) 2 (22.2%) 2 (22.2%)
Platelet count decreased 1 (16.7%) 0 (0.0%) 0 (0.0%)
Weight increased 0 (0.0%) 3 (33.3%) 1 (11.1%)
Musculoskeletal and connective tissue 2 (33.3%) 3 (33.3%) 0 (0.0%) disorders
Arthralgia 0 (0.0%) 2 (22.2%) 0 (0.0%)
Back pain 0 (0.0%) 1 (11.1%) 0 (0.0%)
Myalgia 0 (0.0%) 1 (11.1%) 0 (0.0%)
Neck pain 1 (16.7%) 0 (0.0%) 0 (0.0%)
Sacroiliitis 1 (16.7%) 0 (0.0%) 0 (0.0%)
Spinal osteoarthritis 1 (16.7%) 0 (0.0%) 0 (0.0%)
Neoplasms benign, malignant and
0 (0.0%) 1 (11.1%) 0 (0.0%) unspecified (incl cysts and polyps) Anogenital warts 0 (0.0%) 1 (11.1%) 0 (0.0%)
Nervous system disorders 2 (33.3%) 2 (22.2%) 1 (11.1%)
Headache 1 (16.7%) 2 (22.2%) 1 (11.1%)
Presyncope 1 (16.7%) 0 (0.0%) 0 (0.0%)
Psychiatric disorders 0 (0.0%) 0 (0.0%) 2 (22.2%)
Anxiety 0 (0.0%) 0 (0.0%) 1 (11.1%)
Insomnia 0 (0.0%) 0 (0.0%) 1 (11.1%)
Respiratory, thoracic and mediastinal 1 (16 7%) 3 (33.3%) 0 (0.0%) disorders
Asthma exercise induced 0 (0.0%) 1 (11.1%) 0 (0.0%)
Cough 1 (16.7%) 0 (0.0%) 0 (0.0%)
Nasal obstruction 1 (16.7%) 0 (0.0%) 0 (0.0%)
Oropharyngeal pain 0 (0.0%) 2 (22.2%) 0 (0.0%)
Skin and subcutaneous tissue disorders 0 (0.0%) 1 (11.1%) 0 (0.0%)
Eczema 0 (0.0%) 1 (11.1%) 0 (0.0%)
Surgical and medical procedures 0 (0.0%) 0 (0.0%) 1 (11.1%)
Lesion excision 0 (0.0%) 0 (0.0%) 1 (11.1%)
Vascular disorders 1 (16.7%) 0 (0.0%) 0 (0.0%)
Hot flush 1 (16.7%) 0 (0.0%) 0 (0.0%)
Hypotension 1 (16.7%) 0 (0.0%) 0 (0.0%)
[363] Nearly all patients (95,9%) have experienced at least one Adverse Event of Mild intensity during the course of the study. Neither a clinically meaningful Adverse
Event nor a significant imbalance over the treatment groups can be observed.
Adverse Events of Moderate Intensity
[364] Table 4 displays the percentage of patients experiencing at least one
Adverse Event of moderate intensity by SOC and preferred term and treatment groups.
Table 4: Adverse Events of Moderate Intensity
THVOl- Dose 1 THVOl- Dose 2
System Organ Class/Preferred Term Placebo (N = 6)
(N = 9) (N=9)
At least one AE 4 (66.7%) 3 (33.3%) 6 (66.7%)
General disorders and administration site . ... ,„. .
.... 1 (16.7%) 2 (22.2%) 3 (33.3%) conditions
Asthenia 0 (0.0%) 0 (0.0%) 3 (33.3%)
Fatigue 1 (16.7%) 2 (22.2%) 0 (0.0%)
Infections and infestations 2 (33.3%) 2 (22.2%) 2 (22.2%)
Acute HIV infection 0 (0.0%) 0 (0.0%) 1 (11.1%)
Bronchitis 1 (16.7%) 0 (0.0%) 0 (0.0%)
Gingivitis 1 (16.7%) 0 (0.0%) 0 (0.0%)
Influenza 0 (0.0%) 1 (11.1%) 0 (0.0%) Laryngitis 0 (0.0%) 1 (11.1%) 0 (0.0%)
Nasopharyngitis 0 (0.0%) 0 (0.0%) 1 (11.1%)
Upper respiratory tract infection 0 (0.0%) 1 (11.1%) 0 (0.0%)
Urinary tract infection 1 (16.7%) 0 (0.0%) 0 (0.0%)
Injury, poisoning and procedural complications 1 (16.7%) 0 (0.0%) 1 (11.1%)
Hand fracture 0 (0.0%) 0 (0.0%) 1 (11.1%)
Ligament sprain 1 (16.7%) 0 (0.0%) 0 (0.0%)
Investigations 2 (33.3%) 3 (33.3%) 4 (44.4%)
Blood HIV RNA increased 2 (33.3%) 3 (33.3%) 4 (44.4%)
Musculoskeletal and connective tissue
1 (16.7%) 0 (0.0%) 0 (0.0%) disorders
Tendonitis 1 (16.7%) 0 (0.0%) 0 (0.0%)
Nervous system disorders 1 (16.7%) 0 (0.0%) 0 (0.0%)
Paresthesia 1 (16.7%) 0 (0.0%) 0 (0.0%)
Reproductive system and breast disorders 0 (0.0%) 1 (11.1%) 0 (0.0%)
Prostatitis 0 (0.0%) 1 (11.1%) 0 (0.0%)
[365] 54,2 % of the patients have experienced at least one Adverse Event of Moderate intensity during the course of the study. No significant imbalance in Adverse Event incidence over the treatment groups can be observed. Of note, fatigue/asthenia, which is often reported as an Adverse Event in vaccination trials, tends to increase according to the treatment and the dose group.
Adverse Events of Severe Intensity
[366] Table 5 displays the percentage of patients experiencing at least one Adverse Event of Severe intensity by SOC and preferred term and treatment groups.
Table 5: Adverse Events of Severe Intensity
THV01- Dose 1 THVOl- Dose 2
System Organ Class/Preferred Term Placebo (N = 6)
(N = 9) (N=9)
At least one AE 0 (0.0%) 1 (11.1%) 1 (11.1%)
General disorders and administration site
O (0.0%) 1 (11.1%) 1 (11.1%) conditions
Asthenia 0 (0.0%) 0 (0.0%) 1 (11.1%)
Pyrexia 0 (0.0%) 1 (11.1%) 0 (0.0%)
[367] Two Adverse Events of severe intensity have been reported among patients treated with dose 1 &2. The two cases are detailed hereafter:
• Patient #0202-001 (THV01 Dose 1 ): Pyrexia episode occurred from December
3rd 2013 to December 4th 2013. The Adverse Event has been assessed as not related to the study vaccine by the investigator. The patient has been treated by THV01 respectively on May 21 st 2013 for the prime injection and on July 19th for the boost injection. The pyrexia has been treated with Aspirin and resolved on December 4th without sequelae. • Patient #105-001 (THV01 Dose 2): Asthenia episode occurred from June 10th 2014 and was still on-going upon the database lock. This episode occurred far after the boost injection (October 28th 2013). It has been assessed as definitively related to the study treatment by the investigator. According to the delay between the last vaccine injection and the date of the event, the sponsor does not share this opinion.
Laboratory Findings
[368] Based on laboratory workups results (Detailed in Table 6), no significant change in lab parameters has been observed in both treatment groups.
Table 6: List of Lab parameters studied
Figure imgf000092_0001
Conclusions
[369] According to these results from dose 1 and 2 patients, the safety profile of THV01 appears comparable to patients that have received the Placebo.
[370] Moreover, neither Serious Adverse Event nor additional severe Adverse Events have been reported to date among the patients treated with the third dose. We therefore anticipate that the Primary endpoints of this study will be met.
Example 15. Effects on Viral Replication of Lentiviral Administration in Humans
[371 ] Samples were collected from patients at various timepoints and subjected to quantitation of viral load (PGR) and CD4+ T cell counts. The results are depicted in Figures 29-38.
Example 16. Effects on Human Immune Response of Lentiviral
Administration in Humans
[372] For each patient, the immunogenicity from baseline(s) to week 24 was evaluated and the % of cells was calculated from the global cell population.
[373] The following graphs were generated for each patients, and for the CD4+ and CD8+:
CD4+/CD69+; CD8+/CD69+; CD4+/CD69+/IFN+; CD8+/CD69+/IFN+;
CD4+/CD69+/IL2+ ; CD8+/CD69+/IL2+ ; CD4+/CD69+/TNF+; CD8+/CD69+/TNF+; CD4+/CD69+/IFN+/IL2+; CD8+/CD69+/IFN+/IL2+; CD4+/CD69+/TNF+/IL2+;
CD8+/CD69+/TNF+/IL2+ ; CD4+/CD69+/IFN+/TNF+; CD8+/CD69+/IFN+/TNF+;
CD4+/CD69+/IFN+/TNF+/IL2+; and CD8+/CD69+/IFN+ TNF+/IL2+ .
[374] The stimulations with peptides from the antigens included in the vaccine (GAG, POL and Nef pools) were measured, and the analysis also included ENV pools from W0 to W24.
[375] The following evaluation criteria were used:
• For each timepoint, all the peptide pools were analyzed independently
• Absolute % values of positive cells were considered
• Positivity: ratio between the % of positive cells detected after peptide stimulation and the % of cells non stimulated (negative). If >2, it is considered as « positive » (it allows the normalization as variations between the neg values can be observed)
• General immunogenicity profile:
If only one timepoint is positive, immunogenicity is « punctual »
If it is detectable up to 24 weeks and for more than one timepoint, immunogenicity is « long-lasting »
If it appears after the boost, immunogenicity is « late» and « early » if appearing from the prime
Immunogenicity is « intense » or « weak » depending on the absolute percentage of positive cells
« Multispecific » means immunogenicity against more than one peptide pool at one timepoint
« Polyfunctional » means immunogenicity with cells secreting two or three cytokines
] The results are depicted in Fig. 27A-U and summarized in Fig. 39 and 40..

Claims

[1 ]
We claim: 1. A composition comprising a dose of 5 x 106 to 5 x 10s TU of lentiviral vector particles for use in the treatment of an HIV-1 infection by induction of a CD4+ and/or CD8+ T cell response against an HIV-1 antigen encoded by the lentiviral vector by repetitive intramuscular administration to a human infected with HIV-1 ,
wherein the lentiviral vector particles comprise a functional integrase protein and a lentiviral vector;
wherein the DNA of the lentiviral vector comprises a p2m or MHC class I promoter directing expression of an HIV-1 antigen,
wherein the promoter does not contain an enhancer, and
wherein the repetitive intramuscular administration induces CD4+ and/or CD8+ T-specific responses against the HIV-1 antigen.
2. The composition of claim 1 , wherein the lentiviral vector comprises a β2ηι promoter.
3. The composition of claim 1 , wherein the lentiviral vector comprises an MHC class I promoter.
4. The composition of any of claims 1 -3, wherein the lentiviral vector encodes a polypeptide comprising Gag, Pol, and Nef antigens.
5. The composition of any of claims 1 -3, wherein the lentiviral vector encodes a Gag antigen.
6. The composition of any of claims 1 -3, wherein the lentiviral vector encodes a Pol antigen.
7. The composition of any of claims 1 -3, wherein the lentiviral vector encodes a Nef antigen.
8. The composition of any of claims 1 -7, comprising at least 107 TU of lentiviral vector particles.
9. The composition of any of claims 1 -7, comprising at least 5 x 107 TU of lentiviral vector particles.
10. Use of a composition comprising a dose of 5 x 106 to 5 x 108 TU of lentiviral vector particles to induce CD4+ and/or CD8+ T cell responses against an HIV-1 antigen encoded by the lentiviral vector by repetitive intramuscular administration to a human infected with HIV-1 ,
wherein the lentiviral vector particles comprise a functional integrase protein and a lentiviral vector;
wherein the DNA of the lentiviral vector comprises a β2ηι or MHC class I promoter directing expression of an HIV-1 antigen,
wherein the promoter does not contain an enhancer, and
wherein the repetitive intramuscular administration induces CD4÷ and/or CD8+ T-specific responses against the HIV-1 antigen.
1 1 . The use of claim 10, wherein the lentiviral vector comprises a 2m promoter.
12. The use of claim 10, wherein the lentiviral vector comprises an MHC class I promoter.
13. The use of any of claims 10-12, wherein the lentiviral vector encodes a polypeptide comprising Gag, Pol, and Nef antigens.
14. The use of any of claims 10-12, wherein the lentiviral vector encodes a Gag antigen.
15. The use of any of claims 10-12, wherein the lentiviral vector encodes a Pol antigen.
16. The use of any of claims 10-12, wherein the lentiviral vector encodes a Nef antigen.
17. The use of any of claims 10-16, comprising at least 107 TU of lentiviral vector particles.
18. The use of any of claims 10-16, comprising at least 5 x 107 TU of lentiviral vector particles.
19. A method for inducing a CD4+ and/or CD8+T cell response in a human infected with HIV-1 comprising:
intramuscularly administering in a priming dose and a boosting dose a dose of 5 x 106 to 5 x 108 TU of lentiviral vector particles comprising a functional integrase protein and a lentiviral vector to a human infected with HIV-1 ;
wherein the DNA of the lentiviral vector comprises a 2m or MHC class I promoter directing expression of an HIV-1 antigen,
wherein the promoter does not contain an enhancer,
integrating the DNA of the lentiviral vector into cells of the human;
expressing the HIV-1 antigen in the cells of the human; and
generating a CD4÷ and/or CD8+ T cell response against the HIV-1 antigen.
20. The method of claim 19, comprising administering a priming dose comprising 107 to 5 x 108 TU of lentivector particles and a boosting dose comprising 107 to 5 x 108 TU of lentivector particles.
21. The method of claim 19 or 20, comprising administering the boosting dose at least 1 year after the priming dose.
PCT/IB2014/065698 2013-10-31 2014-10-29 LENTIVIRAL VECTORS FOR INDUCING CD4+ and CD8+ IMMUNE RESPONSES IN VACCINATION OF HUMANS INFECTED WITH HIV-1 WO2015063708A1 (en)

Applications Claiming Priority (8)

Application Number Priority Date Filing Date Title
EP13306503.7 2013-10-31
EP13306503 2013-10-31
US201361908375P 2013-11-25 2013-11-25
US61/908,375 2013-11-25
EP14305623.2 2014-04-28
EP14305623 2014-04-28
EP14306637.1 2014-10-15
EP14306637.1A EP3009144A1 (en) 2014-10-15 2014-10-15 Lentiviral vectors for inducing CD4+ and CD8+ immune responses in vaccination of humans

Publications (1)

Publication Number Publication Date
WO2015063708A1 true WO2015063708A1 (en) 2015-05-07

Family

ID=53003438

Family Applications (3)

Application Number Title Priority Date Filing Date
PCT/IB2014/065697 WO2015063707A1 (en) 2013-10-31 2014-10-29 LENTIVIRAL VECTORS FOR INDUCING CD4+ and CD8+ IMMUNE RESPONSES IN VACCINATION OF HUMANS
PCT/IB2014/065696 WO2015063706A1 (en) 2013-10-31 2014-10-29 Lentiviral vectors for expression of hiv-1 antigens
PCT/IB2014/065698 WO2015063708A1 (en) 2013-10-31 2014-10-29 LENTIVIRAL VECTORS FOR INDUCING CD4+ and CD8+ IMMUNE RESPONSES IN VACCINATION OF HUMANS INFECTED WITH HIV-1

Family Applications Before (2)

Application Number Title Priority Date Filing Date
PCT/IB2014/065697 WO2015063707A1 (en) 2013-10-31 2014-10-29 LENTIVIRAL VECTORS FOR INDUCING CD4+ and CD8+ IMMUNE RESPONSES IN VACCINATION OF HUMANS
PCT/IB2014/065696 WO2015063706A1 (en) 2013-10-31 2014-10-29 Lentiviral vectors for expression of hiv-1 antigens

Country Status (1)

Country Link
WO (3) WO2015063707A1 (en)

Families Citing this family (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
KR20160011645A (en) * 2013-06-03 2016-02-01 떼라벡띠스 LENTIVIRAL VECTORS CONTAINING AN MHC CLASS I, MHC CLASS II OR β2 MICROGLOBULIN UPSTREAM PROMOTER SEQUENCE

Citations (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP2169073A1 (en) 1999-10-11 2010-03-31 Institut Pasteur Vector for the preparation of immunotherapeutical compositions
WO2013019612A1 (en) * 2011-07-29 2013-02-07 American Power Conversion Corporation Heat sink assembly for electronic components
WO2013046034A2 (en) * 2011-09-26 2013-04-04 Theravectys Use of non-subtype b gag proteins for lentiviral packaging

Family Cites Families (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN102083462B (en) * 2007-08-03 2015-02-18 巴斯德研究院 Lentiviral gene transfer vectors and their medicinal applications

Patent Citations (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP2169073A1 (en) 1999-10-11 2010-03-31 Institut Pasteur Vector for the preparation of immunotherapeutical compositions
WO2013019612A1 (en) * 2011-07-29 2013-02-07 American Power Conversion Corporation Heat sink assembly for electronic components
WO2013046034A2 (en) * 2011-09-26 2013-04-04 Theravectys Use of non-subtype b gag proteins for lentiviral packaging

Non-Patent Citations (53)

* Cited by examiner, † Cited by third party
Title
ALTSCHUL, S.F. ET AL.: "Basic local alignment search tool", J. MOL. BIOL., vol. 215, no. 3, 1990, pages 403 - 410
ANA BEJANARU ET AL: "GLP DESIGN AND DEVELOPMENT OF A NEW LENTIVIRAL BASED ANTI-HIV THERAPEUTIC VACCINE", 2012, XP055173863, Retrieved from the Internet <URL:http://epostersonline.s3.amazonaws.com/aids2012/aids2012.13c0b28.NORMAL.pdf> [retrieved on 20150304] *
ARHEL ET AL., EMBO J, vol. 26, no. 12, 2007, pages 3025 - 37
BONKABARA ET AL., J. IMMUNOLOGY, vol. 167, 2001, pages 6893 - 6900
BRECKPOT ET AL., GENE THER, vol. 14, no. 11, 2007, pages 847 - 62
BUFFA ET AL., J. GENERAL VIROLOGY, vol. 87, 2006, pages 1625 - 1634
CAVAZZANA-CALVO, SCIENCE, vol. 288, no. 5466, 2000, pages 669 - 72
CHEN X. ET AL., J. VIROL, 2005
CHEN, J. VIROL, 2005
CHINNASAMY ET AL., HUM GENE THER, vol. 11, no. 13, 2000, pages 1901 - 9
COUTANT ET AL., PLOS ONE, vol. 7, no. 11, pages E48644
DESANDRO, A, AM J HUM GENET, vol. 65, 1999, pages 279 - 286
DI NUNZIO F ET AL: "HIV-derived vectors for therapy and vaccination against HIV", VACCINE, ELSEVIER LTD, UNITED KINGDOM, vol. 30, no. 15, 28 March 2012 (2012-03-28), pages 2499 - 2509, XP008165763, ISSN: 1873-2518 *
DULL ET AL., J VIROL, vol. 72, no. 11, 1998, pages 8463 - 71
GHERARDI M M ET AL., J. VIROL., 2003
GRUH, J GENE MED, vol. 10, no. 1, 2008, pages 21 - 32
HACEIN-BEY-ABINA, J.CLIN.LNVEST., vol. 118, no. 9, 2008, pages 3132 - 3142
HE ET AL., EXPERT REV VACCINES, vol. 6, no. 6, 2007, pages 913 - 24
HE; 2007 ET AL., EXPERT REV VACCINES, vol. 6, no. 6, pages 913 - 24
HU ET AL., VACCINE, vol. 28, 2010, pages 6675 - 6683
KARWACZ ET AL., J. VIROL., vol. 83, 2009, pages 7
KARWACZ ET AL., J. VIROL., vol. 83, no. 7, 2009, pages 3094 - 3103
KESSLER ET AL., LEUKEMIA, vol. 21, no. 9, 2007, pages 1859 - 74
KIMURA ET AL., MOL THER, vol. 15, no. 7, 2007, pages 1390 - 9
KUTZLER ET AL., NAT REV GENET, vol. 9, no. 10, 2008, pages 776 - 788
LIN SW ET AL., J. CLIN. INVEST, 2007
LOPES ET AL., J VIROL, vol. 82, no. 1, 2008, pages 86 - 95
MAAMARY J ET AL., J. VIROL., 2011
MANN ET AL., CELL, vol. 33, no. 1, 1983, pages 153 - 9
MICHELINI ET AL., VACCINE, vol. 27, no. 34, 2009, pages 4622 - 29
MIYOSHI H ET AL., J VIROL., vol. 72, no. 10, 1998, pages 8150 - 7
NALDINI ET AL., SCIENCE, vol. 272, 1996, pages 263 - 7
NARAYAN ET AL., J GEN VIROL, vol. 70, no. 7, 1989, pages 1617 - 39
NEGRI ET AL., MOLECULAR THERAPY, vol. 15, no. 9, 2007, pages 1716 - 1723
NEGRI ET AL., MOLECULAR THERAPY, vol. 15, no. 9, 2007, pages 1716 - 23
PASCHEN ET AL., CANCER IMMUNOL IMMUNOTHER, vol. 12, no. 6, 2004, pages 196 - 203
RELANDER ET AL., MOL THER, vol. 11, no. 3, 2005, pages 452 - 9
RODRIGUEZ A.M. ET AL., PLOS ONE, 2012
ROUAS ET AL., CANCER GENE THER, vol. 9, no. 9, 2008, pages 71 - 24
STEWART ET AL., GENE THER, vol. 16, no. 6, 2009, pages 805 - 14
STRANG ET AL., J VIRAL, vol. 79, no. 3, 2005, pages 1165 - 71
STUART ET AL., HUM GENE THER., 2011
VAN DEN ELSEN, IMMUNOGENETICS, vol. 48, 1998, pages 208 - 211
VAN DEN ELSEN, P.J. ET AL., CURRENT OPINION IN IMMUNOLOGY, vol. 16, 2004, pages 67 - 75
VAN DEN ELSEN, P.J. ET AL., IMMUNOGENETICS, vol. 48, 1998, pages 208 - 221
VAN DEN HELSEN ET AL., IMMUNOGENETICS, vol. 48, 1998, pages 208 - 221
VITELLI A. ET AL., PLOS ONE, 2013
XIN KQ ET AL., GENE THERAPY, 2005
YANG ET AL., PNAS, 2006
ZENNOU ET AL., CELL, vol. 101, no. 2, 2000, pages 173 - 85
ZENNOU, V. ET AL.: "HIV-1 genome nuclear import is mediated by a central DNA flap", CELL, vol. 101, 2000, pages 173 - 185
ZHOU D ET AL., MOL. THER, 2010
ZUFFEREY ET AL., J VIROL, vol. 72, no. 12, 1998, pages 9873 - 80

Also Published As

Publication number Publication date
WO2015063706A1 (en) 2015-05-07
WO2015063707A1 (en) 2015-05-07

Similar Documents

Publication Publication Date Title
US8349606B2 (en) Lentiviral vectors for the preparation of immunotherapeutical compositions
CN105683383B (en) Lentiviral vectors containing MHC class I, MHC class II or beta 2 microglobulin upstream promoter sequences
US8951535B2 (en) Lentiviral vectors containing an MHC class I promoter
US9987351B2 (en) Lentiviral vectors for generating immune responses against human T Lymphotrophic Virus Type 1
WO2015063708A1 (en) LENTIVIRAL VECTORS FOR INDUCING CD4+ and CD8+ IMMUNE RESPONSES IN VACCINATION OF HUMANS INFECTED WITH HIV-1
CN109923212B (en) Lentiviral vector for expression of Hepatitis B Virus (HBV) antigen
WO2016120489A2 (en) Lentiviral vectors for expression of mycobacterium tuberculosis antigens
EP3009144A1 (en) Lentiviral vectors for inducing CD4+ and CD8+ immune responses in vaccination of humans
WO2016120492A1 (en) Lentiviral vectors for expression of hepatitis b virus (hbv) antigens

Legal Events

Date Code Title Description
121 Ep: the epo has been informed by wipo that ep was designated in this application

Ref document number: 14808720

Country of ref document: EP

Kind code of ref document: A1

NENP Non-entry into the national phase

Ref country code: DE

122 Ep: pct application non-entry in european phase

Ref document number: 14808720

Country of ref document: EP

Kind code of ref document: A1