Classifications

• • A—HUMAN NECESSITIES
  • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
  • A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
  • A61K39/00—Medicinal preparations containing antigens or antibodies
  • A61K39/12—Viral antigens
• • A—HUMAN NECESSITIES
  • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
  • A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
  • A61K39/00—Medicinal preparations containing antigens or antibodies
  • A61K39/0005—Vertebrate antigens
  • A61K39/0011—Cancer antigens
  • A61K39/001102—Receptors, cell surface antigens or cell surface determinants
  • A61K39/001129—Molecules with a "CD" designation not provided for elsewhere
• • A—HUMAN NECESSITIES
  • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
  • A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
  • A61K40/00—Cellular immunotherapy
  • A61K40/10—Cellular immunotherapy characterised by the cell type used
  • A61K40/11—T-cells, e.g. tumour infiltrating lymphocytes [TIL] or regulatory T [Treg] cells; Lymphokine-activated killer [LAK] cells
• • A—HUMAN NECESSITIES
  • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
  • A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
  • A61K40/00—Cellular immunotherapy
  • A61K40/40—Cellular immunotherapy characterised by antigens that are targeted or presented by cells of the immune system
  • A61K40/46—Viral antigens
• • A—HUMAN NECESSITIES
  • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
  • A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
  • A61K47/00—Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient
  • A61K47/30—Macromolecular organic or inorganic compounds, e.g. inorganic polyphosphates
• • A—HUMAN NECESSITIES
  • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
  • A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
  • A61P31/00—Antiinfectives, i.e. antibiotics, antiseptics, chemotherapeutics
  • A61P31/12—Antivirals
• • A—HUMAN NECESSITIES
  • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
  • A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
  • A61K39/00—Medicinal preparations containing antigens or antibodies
  • A61K2039/51—Medicinal preparations containing antigens or antibodies comprising whole cells, viruses or DNA/RNA
  • A61K2039/525—Virus
  • A61K2039/5256—Virus expressing foreign proteins
• • A—HUMAN NECESSITIES
  • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
  • A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
  • A61K39/00—Medicinal preparations containing antigens or antibodies
  • A61K2039/57—Medicinal preparations containing antigens or antibodies characterised by the type of response, e.g. Th1, Th2
  • A61K2039/572—Medicinal preparations containing antigens or antibodies characterised by the type of response, e.g. Th1, Th2 cytotoxic response
• • A—HUMAN NECESSITIES
  • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
  • A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
  • A61K39/00—Medicinal preparations containing antigens or antibodies
  • A61K2039/70—Multivalent vaccine
• • C—CHEMISTRY; METALLURGY
  • C12—BIOCHEMISTRY; BEER; SPIRITS; WINE; VINEGAR; MICROBIOLOGY; ENZYMOLOGY; MUTATION OR GENETIC ENGINEERING
  • C12N—MICROORGANISMS OR ENZYMES; COMPOSITIONS THEREOF; PROPAGATING, PRESERVING, OR MAINTAINING MICROORGANISMS; MUTATION OR GENETIC ENGINEERING; CULTURE MEDIA
  • C12N2710/00—MICROORGANISMS OR ENZYMES; COMPOSITIONS THEREOF; PROPAGATING, PRESERVING, OR MAINTAINING MICROORGANISMS; MUTATION OR GENETIC ENGINEERING; CULTURE MEDIA dsDNA viruses
  • C12N2710/00011—Details
  • C12N2710/16011—Herpesviridae
  • C12N2710/16111—Cytomegalovirus, e.g. human herpesvirus 5
  • C12N2710/16141—Use of virus, viral particle or viral elements as a vector
  • C12N2710/16143—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
  • C12N2730/00—Reverse transcribing DNA viruses
  • C12N2730/00011—Details
  • C12N2730/10011—Hepadnaviridae
  • C12N2730/10111—Orthohepadnavirus, e.g. hepatitis B virus
  • C12N2730/10134—Use of virus or viral component as vaccine, e.g. live-attenuated or inactivated virus, VLP, viral protein

Definitions

• CHB chronic hepatitis B virus infection
• CHB hepatitis B virus
• immune system to better target HBV infected hepatocytes and include immune stimulation with pattern recognition receptor agonists, check point inhibitor blockades, therapeutic vaccines, and adoptive T cell therapy (Gill, U. S., and P. T. F. Kennedy. 2017. Current therapeutic approaches for HBV infected patients. J. Hepatology 67: 412-414.).
• T cell immunotolerance Zong et al. 2019. Breakdown of adaptive immunotolerance induces hepatocellular carcinoma in HBsAg-tg mice. Nature Communications 10: 221; Kong et al. 2014. gdT cells drive myeloid-derived suppressor cell-mediated CD8+ T cell exhaustion in hepatitis B virus- induced immunotolerance. J. Immunol. 193: 1645-1653; Milich, D. R. 2016. The
• T cell-based immunotherapies for CHB must provide lasting reversal of T cell exhaustion or sustained viral suppression. Given the difficulty in reversing the
• HBV-specific T cell immunity may be to engender or impart a completely unique set of T cell responses through therapeutic vaccination or adoptive T cell therapy.
• generating such de novo responses is limited by patient-specific HLA expression and the HBV peptides that these molecules present on the hepatocyte surface.
• unconventional MHC-Ib T cell restriction elements that do not contribute to the natural, acute HBV-specific immune response could present HBV antigen on the hepatocyte surface, they could be targeted to elicit a totally distinct set of T cell responses not typically found in HBV infection.
• the present disclosure relates to a method of generating an immune response to a hepatitis B virus (HBV) in a subject, the method comprising administering to the subject a CMV vector expressing a HBV antigen in an amount effective to elicit a CD8+ T cell response to the HBV antigen, wherein the CMV vector does not express an active UL128, UL130, UL146 and UL147 protein or orthologs thereof.
• the HBV antigen is PSVRDLLDTASALYR (SEQ ID NO: 17) or T ALRQ AILC W GELMT (SEQ ID NO: 18).
• the present disclosure also relates to a method of treating chronic HBV infection in a subject, the method comprising administering to the subject a CMV vector expressing a HBV antigen in an amount effective to elicit a CD8+ T cell response to the HBV antigen, wherein the CMV vector does not express an active UL128, UL130, UL146 and UL147 protein or orthologs thereof.
• the HBV antigen is
• PSVRDLLDTASALYR SEQ ID NO: 17
• T ALRQ AILC W GELMT SEQ ID NO: 18
• the present disclosure also relates to a CMV vector expressing a HBV antigen for use in generating an immune response to a HBV in a subject, wherein the CMV vector does not express an active UL128, UL130, UL146, and UL147 protein or orthologs thereof.
• the HBV antigen is PSVRDLLDTASALYR (SEQ ID NO: 17) or T ALRQ AILC W GELMT (SEQ ID NO: 18).
• the present disclosure also relates to a CMV vector expressing a HBV antigen for use in the treatment of a chronic HBV infection in a subject, wherein the CMV vector does not express an active UL128, UL130, UL146, and UL147 protein or orthologs thereof.
• the HBV antigen is PSVRDLLDTASALYR (SEQ ID NO: 17) or T ALRQ AILC W GELMT (SEQ ID NO: 18).
• the present disclosure also relates to use of a CMV vector expressing a HBV
• the HBV antigen in the manufacture of a medicament for use in generating an immune response to a HBV in a subject, wherein the CMV vector does not express an active UL128, UL130, UL146, and UL147 protein or orthologs thereof.
• the HBV antigen is PSVRDLLDTASALYR (SEQ ID NO: 17) or T ALRQ AILC W GELMT (SEQ ID NO: 18).
• the present disclosure also relates to use of a CMV vector expressing a HBV
• the HBV antigen in the manufacture of a medicament for the treatment of a chronic HBV infection, wherein the CMV vector does not express an active UL128, UL130, UL146, and UL147 protein or orthologs thereof.
• the HBV antigen is
• PSVRDLLDTASALYR SEQ ID NO: 17
• T ALRQ AILC W GELMT SEQ ID NO: 18
• the hepatitis B virus antigens are hepatitis B virus core
• the hepatitis B virus antigen has at least 50%, at least 60%, at least 70%, at least 75%, at least 80%, at least 85%, at least 90%, at least 95%, or 100% identity to PSVRDLLDTASALYR (SEQ ID NO: 17). In some embodiments, the hepatitis B virus antigen has at least 50%, at least 60%, at least 70%, at least 75%, at least 80%, at least 85%, at least 90%, at least 95%, or 100% identity to TALRQAILCWGELMT (SEQ ID NO: 18).
• At least 10% of the CD8+ T cells elicited by the CMV vector are restricted by MHC-E or an ortholog thereof, or MHC-II or an ortholog thereof.
• at least 20%, at least 30%, at least 40%, at least 50%, at least 60% or at least 75% of the CD8+ T cells elicited by the CMV vector are restricted by MHC-E or an ortholog thereof, or MHC-II or an ortholog thereof.
• fewer than 10% of the CD8+ T cells elicited by the CMV vector are restricted by MHC-class la or an ortholog thereof.
• some of the CD8+ T cells restricted by MHC-E recognize peptides shared by at least 90% of other subjects immunized with the vector.
• the CD8+ T cells restricted by MHC-E recognize a MHC-E supertope.
• the MHC-E supertope has at least 50%, at least 60%, at least 70%, at least 75%, at least 80%, at least 85%, at least 90%, at least 95%, or 100% identity to PSVRDLLDTASALYR (SEQ ID NO: 17).
• the MHC-E supertope has at least 50%, at least 60%, at least 70%, at least 75%, at least 80%, at least 85%, at least 90%, at least 95%, or 100% identity to T ALRQ AILCW GELMT (SEQ ID NO: 18).
• the present disclosure also relates to a method of generating CD8+ T cells that recognize MHC-E-HBV antigen peptide complexes, the method comprising: (a) administering to a first subject a recombinant CMV vector comprising a nucleic acid that expresses a HBV antigen, in an amount effective to generate a set of CD8+ T cells that recognize MHC -E/peptide complexes, wherein the CMV vector does not express an active UL128, UL130, UL146 and UL147 protein or orthologs thereof; (b) identifying a first CD8+ TCR from the set of CD8+ T cells, wherein the first CD8+ TCR recognizes a MHC-E/HBV antigen-derived peptide complex; (c) isolating one or more CD8+ T cells from a second subject; and (d) transfecting the one or more CD8+ T cells with an expression vector, wherein the expression vector comprises a nucleic acid sequence en
• the present disclosure also relates to a method of generating CD8+ T cells that recognize MHC-E-HBV antigen peptide complexes, the method comprising: (a) isolating from a first subject a first set of CD8+ T cells, wherein the first subject has been administered a recombinant CMV vector comprising a nucleic acid that expresses a HBV antigen, in an amount effective to generate a set of CD8+ T cells that recognize MHC- E/peptide complexes, wherein the CMV vector does not express an active UL128,
• TCR from the first set of CD8+ T cells, wherein the first CD8+ TCR recognizes a MHC- E/HBV antigen-derived peptide complex; (c) isolating a second set of CD8+ T cells from a second subject; and (d) transfecting the second set of CD8+ T cells with an expression vector, wherein the expression vector comprises a nucleic acid sequence encoding a second CD8+ TCR and a promoter operably linked to the nucleic acid sequence encoding the second CD8+ TCR, wherein the second CD8+ TCR comprises CDR3a and CDR3P of the first CD8+ TCR, thereby generating CD8+ T cells that recognize a MHC-E/HBV antigen peptide complex.
• the expression vector comprises a nucleic acid sequence encoding a second CD8+ TCR and a promoter operably linked to the nucleic acid sequence encoding the second CD8+ TCR, wherein the second CD8+ TCR comprises CDR3
• the recombinant CMV vector is a recombinant human CMV vector or a recombinant rhesus macaque CMV vector.
• the hepatitis B virus antigens are hepatitis B virus core, envelope, surface, or polymerase antigens.
• the hepatitis B virus antigen has at least 50%, at least 60%, at least 70%, at least 75%, at least 80%, at least 85%, at least 90%, at least 95%, or 100% identity to PSVRDLLDTASALYR (SEQ ID NO: 17).
• the hepatitis B virus antigen has at least 50%, at least 60%, at least 70%, at least 75%, at least 80%, at least 85%, at least 90%, at least 95%, or 100% identity to
• the first CD8+ T cell recognizes specific MHC-E supertopes.
• the second CD8+ T cell recognizes specific MHC-E supertopes.
• the MHC-E supertope is PSVRDLLDTASALYR (SEQ ID NO: 17) or T ALRQ AILCW GELMT (SEQ ID NO: 18).
• the MHC-E supertope is PSVRDLLDTASALYR (SEQ ID NO: 17).
• the MHC-E supertope is T ALRQ AILCW GELMT (SEQ ID NO: 18).
• the first CD8+ TCR is identified by DNA or RNA
• nucleic acid sequence encoding the second CD8+ TCR is identical to the nucleic acid sequence encoding the first CD8+ TCR.
• the first subject is a human or nonhuman primate.
• the subject is a nonhuman primate and the second subject is a human, and wherein the second CD8+ TCR is a chimeric nonhuman primate-human CD8+ TCR comprising the non-human primate CDR3a and CDR3P of the first CD8+ TCR.
• the second CD8+ TCR comprises the non-human primate CDRla, CDR2a, CDR3a, CDRlp, CDR2p, and CDR3p of the first CD8+ TCR.
• the second CD8+ TCR comprises CDRla, CDR2a, CDR3a, CDR 1 b, CDR2P, and CDR3P of the first CD8+ TCR.
• the nucleic acid sequence encoding the second CD8+ TCR is identical to the nucleic acid sequence encoding the first CD8+ TCR.
• the second CD8+ TCR is a chimeric CD8+ TCR.
• the second CD8+ TCR comprises CDRla, CDR2a, CDR3a, CDRlp, CDR2p, and CDR3p of the first CD8+ TCR.
• administering the CMV vector to the first subject comprises intravenous, intramuscular, intraperitoneal, or oral administration of the CMV vector to the first subject.
• the transfected CD8+ T cells are further administered to the second subject to treat or prevent HBV infection.
• the present disclosure also relates to a CD8+ T cell generated by the methods described herein.
• the present disclosure also relates to a method of treating or preventing a hepatitis
• the present disclosure also relates to a CD8+ T cell for use in a method of treating or preventing a hepatitis B infection in a subject in need thereof.
• the present disclosure also relates to the use of a CD8+ T cell in the
• Figure 1A shows the frequency of HBV-antigen specific CD8+ T cell responses of four Rhesus macaques (RM) inoculated with strain 68-1 RhCMV expressing HBV core, surface, and polymerase antigens (RhCMV/HBV 68-1).
• Figure IB shows CD8+ T cell response against individual peptides of HBV core antigens (HBcAg) Each HBcAg 15-mer is indicated by a box, color coded as shown to indicate MHC restriction.
• Figure 1C shows response of CD8+ T cells isolated from inoculated RM to K562 cells transfected with either HLA-E or Mamu-E upon addition of HBcAg peptides.
• Figure 2A shows staining with MHC-E specific antibody 4D12 of MHC- transfected cell lines. 4D12 staining was compared to match IgG-isotype control. In addition, cells were stained with the pan-MHC-I-specific antibody W6/32.
• Figure 2B shows 4D12 staining of human and RM primary hepatocytes one day after liver perfusion and plating. Mouse IgGl isotype was used to control for non-specific antibody binding by primary hepatocytes.
• Figure 2C shows the quantification of the percent of MHC-E+ primary hepatocytes from Fig. 2B.
• Figure 2D shows co-staining of surface MHC -I, MHC-E, or MHC-II and intracellular HBcAg of human donor primary hepatocytes at four days post-infection with HBV.
• Figure 2E shows quantification of the percent of HBV+ primary hepatocytes from Fig. 2D.
• Figure 3 A shows the percent of HBV-specific CD8+ T cells restricted by MHC-I,
• MHC-II, and MHC-E in splenocytes and CD8P-sorted effectors from RM1 and RM2 upon incubation with HBV-naive or HBV-infected PH from two unrelated RM donors (RM8 and RM9).
• Responding T cells were identified by staining for CD3, CD8, and IFN- g.
• MHC restriction of the responding CD8+ T cells was identified with the following MHC blocking agents: W6/32 antibody (pan MHC-I), VL9 peptide (MHC-E), CLIP (MHC-II), or HLA-DR antibody (MHC-II).
• Figure 3B shows the percent of HBV-specific CD8+ T cells restricted by MHC-I, MHC-II, and MHC-E from splenocytes or E ⁇ 8b- sorted effectors from RMl and RM2 that were incubated with HBV-naive or HBV- infected primary hepatocytes from human donors (HDl and HD2).
• Responding CD8+ T cells were identified by CD3, Cd8, and IFN-g.
• T cells was also identified with the following MHC blocking agents: W6/32 antibody (pan MHC-I), VL9 peptide (MHC-E), CLIP (MHC-II), or HLA-DR antibody (MHC-II).
• W6/32 antibody pan MHC-I
• VL9 peptide MHC-E
• CLIP MHC-II
• HLA-DR antibody MHC-II
• Figure 4 is a bar graph showing the conservation of MHC -E-bound supertopes in
• compositions consisting essentially of the elements as defined herein would not exclude trace contaminants from the isolation and purification method and pharmaceutically acceptable carriers, such as phosphate buffered saline, preservatives, and the like.
• a protein consists essentially of a particular amino acid sequence when the protein includes additional amino acids that contribute to at most 20% of the length of the protein and do not substantially affect the activity of the protein (e.g., alters the activity of the protein by no more than 50%).
• additional amino acids that contribute to at most 20% of the length of the protein and do not substantially affect the activity of the protein (e.g., alters the activity of the protein by no more than 50%).
• Antigen As used herein, the terms "antigen” or “immunogen” are used
• a substance typically a protein, which is capable of inducing an immune response in a subject.
• the term also refers to proteins that are
• immunologically active in the sense that once administered to a subject (either directly or by administering to the subject a nucleotide sequence or vector that encodes the protein) the protein is able to evoke an immune response of the humoral and/or cellular type directed against that protein.
• Antigen-specific T cell A CD8+ or CD4+ lymphocyte that recognizes a
• antigen-specific T cells specifically bind to a particular antigen presented by MHC molecules, but not other antigens presented by the same MHC.
• Administration means to provide or give a subject an agent, such as a composition comprising an effective amount of a CMV vector comprising an exogenous antigen by any effective route.
• routes of administration include, but are not limited to, injection (such as subcutaneous, intramuscular, intradermal, intraperitoneal, and intravenous), oral, sublingual, rectal, transdermal, intranasal, vaginal, and inhalation routes.
• Effective amount refers to an amount of an agent, such as a CMV vector comprising a heterologous antigen or a transfected CD8+ T cell that recognizes a MHC -E/heterologous antigen-derived peptide complex, a MHC-II/heterologous antigen-derived peptide complex, or a MHC- I/heterologous antigen-derived peptide complex, that is sufficient to generate a desired response, such as reduce or eliminate a sign or symptom of a condition or disease or induce an immune response to an antigen.
• an agent such as a CMV vector comprising a heterologous antigen or a transfected CD8+ T cell that recognizes a MHC -E/heterologous antigen-derived peptide complex, a MHC-II/heterologous antigen-derived peptide complex, or a MHC- I/heterologous antigen-derived peptide complex
• an "effective amount" is one that treats (including prophylaxis) one or more symptoms and/or underlying causes of any of a disorder or disease.
• An effective amount may be a therapeutically effective amount, including an amount that prevents one or more signs or symptoms of a particular disease or condition from developing, such as one or more signs or symptoms associated with an infectious disease.
• Heterologous antigen refers to any protein or fragment thereof that is not derived from CMV. Heterologous antigens may be any antigen derived from HBV.
• Immunogenic peptide A peptide which comprises an allele-specific motif or other sequence, such as an N-terminal repeat, such that the peptide will bind an MHC molecule and induce a cytotoxic T lymphocyte ("CTL”) response, or a B cell response (for example antibody production) against the antigen from which the immunogenic peptide is derived.
• CTL cytotoxic T lymphocyte
• B cell response for example antibody production
• immunogenic peptides are identified using sequence motifs or other methods, such as neural net or polynomial determinations known in the art.
• algorithms are used to determine the "binding threshold" of peptides to select those with scores that give them a high probability of binding at a certain affinity and will be immunogenic.
• the algorithms are based either on the effects on MHC binding of a particular amino acid at a particular position, the effects on antibody binding of a particular amino acid at a particular position, or the effects on binding of a particular substitution in a motif-containing peptide.
• a "conserved residue" is one which appears in a significantly higher frequency than would be expected by random distribution at a particular position in a peptide.
• a conserved residue is one where the MHC structure may provide a contact point with the immunogenic peptide.
• Mutation refers to any difference in a nucleic acid or polypeptide sequence from a normal, consensus, or "wild type" sequence.
• a mutant is any protein or nucleic acid sequence comprising a mutation.
• a cell or an organism with a mutation may also be referred to as a mutant.
• coding sequence mutations include point mutations (differences in individual nucleotides or amino acids); silent mutations (differences in nucleotides that do not result in an amino acid changes); deletions (differences in which one or more nucleotides or amino acids are missing, up to and including a deletion of the entire coding sequence of a gene);
• frameshift mutations differences in which deletion of a number of nucleotides indivisible by 3 results in an alteration of the amino acid sequence.
• a mutation that results in a difference in an amino acid may also be called an amino acid substitution mutation.
• Amino acid substitution mutations may be described by the amino acid change relative to wild type at a particular position in the amino acid sequence.
• nucleotide sequences or nucleic acid sequences The terms "nucleotide
• nucleic acid sequences refer to deoxyribonucleic acid (DNA) or ribonucleic acid (RNA) sequences, including, without limitation, messenger RNA (mRNA), DNA/RNA hybrids, or synthetic nucleic acids.
• the nucleic acid may be single- stranded, or partially or completely double stranded (duplex).
• Duplex nucleic acids may be homoduplex or heteroduplex.
• Operably linked As the term "operably linked” is used herein, a first nucleic acid sequence is operably linked with a second nucleic acid sequence when the first nucleic acid sequence is placed in such a way that it has an effect upon the second nucleic acid sequence. Operably linked DNA sequences may be contiguous, or they may operate at a distance.
• promoter may refer to any of a number of nucleic acid control sequences that directs transcription of a nucleic acid.
• a eukaryotic promoter includes necessary nucleic acid sequences near the start site of transcription, such as, in the case of a polymerase II type promoter, a TATA element or any other specific DNA sequence that is recognized by one or more transcription factors. Expression by a promoter may be further modulated by enhancer or repressor elements. Numerous examples of promoters are available and well known to those of ordinary skill in the art.
• a nucleic acid comprising a promoter operably linked to a nucleic acid sequence that codes for a particular polypeptide may be termed an expression vector.
• Recombinant As used herein, the term "recombinant" with reference to a nucleic acid or polypeptide refers to one that has a sequence that is not naturally occurring or has a sequence that is made by an artificial combination of two or more otherwise separated segments of sequence, for example a CMV vector comprising a heterologous antigen.
• a recombinant polypeptide may also refer to a polypeptide that has been made using recombinant nucleic acids, including recombinant nucleic acids transferred to a host organism that is not the natural source of the polypeptide (for example, nucleic acids encoding polypeptides that form a CMV vector comprising a heterologous antigen).
• compositions and formulations suitable for pharmaceutical delivery of the compositions disclosed herein are conventional.
• the nature of the carrier will depend on the particular mode of administration being employed.
• parenteral formulations usually comprise injectable fluids that include pharmaceutically and physiologically acceptable fluids such as water, physiological saline, balanced salt solutions, aqueous dextrose, glycerol, or the like as a vehicle.
• non-toxic solid carriers may include, for example, pharmaceutical grades of mannitol, lactose, starch, or magnesium stearate.
• pharmaceutical compositions to be administered may contain minor amounts of non-toxic auxiliary substances, such as wetting or emulsifying agents, preservatives, and pH buffering agents and the like, for example sodium acetate or sorbitan monolaurate.
• Polynucleotide refers to a polymer of ribonucleic acid (RNA) or deoxyribonucleic acid (DNA).
• RNA ribonucleic acid
• DNA deoxyribonucleic acid
• a polynucleotide is made up of four bases; adenine, cytosine, guanine, and thymine/uracil (uracil is used in RNA).
• a coding sequence from a nucleic acid is indicative of the sequence of the protein encoded by the nucleic acid.
• Polypeptide The terms “protein”, “peptide”, “polypeptide”, and “amino acid sequence” are used interchangeably herein to refer to polymers of amino acid residues of any length.
• the polymer may be linear or branched, it may comprise modified amino acids or amino acid analogs, and it may be interrupted by chemical moieties other than amino acids.
• the terms also encompass an amino acid polymer that has been modified naturally or by intervention; for example, disulfide bond formation, glycosylation, lipidation, acetylation, phosphorylation, or any other manipulation or modification, such as conjugation with a labeling or bioactive component.
• Orthologs of proteins are typically characterized by possession of greater than 75% sequence identity counted over the full-length alignment with the amino acid sequence of specific protein using ALIGN set to default parameters. Proteins with even greater similarity to a reference sequence will show increasing percentage identities when assessed by this method, such as at least 80%, at least 85%, at least 90%, at least 92%, at least 95%, or at least 98% sequence identity. In addition, sequence identity can be compared over the full length of particular domains of the disclosed peptides.
• Sequence identity/similarity As used herein, the identity/similarity between two or more nucleic acid sequences, or two or more amino acid sequences, is expressed in terms of the identity or similarity between the sequences. Sequence identity may be measured in terms of percentage identity; the higher the percentage, the more identical the sequences are. Sequence similarity may be measured in terms of percentage identity or similarity (which takes into account conservative amino acid substitutions); the higher the percentage, the more similar the sequences are. Polypeptides or protein domains thereof that have a significant amount of sequence identity and also function the same or similarly to one another (for example, proteins that serve the same functions in different species or mutant forms of a protein that do not change the function of the protein or the magnitude thereof) may be called "homologs.”
• NCBI Basic Local Alignment Search Tool (Altschul et al. , (1990) supra) is available from several sources, including the National Center for Biological Information (NCBI, National Library of Medicine, Building 38 A, Room 8N805,
• BLASTN is used to compare nucleic acid sequences
• BLASTP is used to compare amino acid sequences. If the two compared sequences share homology, then the designated output file will present those regions of homology as aligned sequences. If the two compared sequences do not share homology, then the designated output file will not present aligned sequences.
• the number of matches is determined by counting the number of positions where an identical nucleotide or amino acid residue is presented in both sequences.
• 75.11, 75.12, 75.13, and 75.14 are rounded down to 75.1, while 75.15, 75.16, 75.17, 75.18, and 75.19 are rounded up to 75.2.
• the length value will always be an integer.
• the Blast 2 sequences function is employed using the default BLOSUM62 matrix set to default parameters, (gap existence cost of 11, and a per residue gap cost of 1). Homologs are typically characterized by possession of at least 70% sequence identity counted over the full-length alignment with an amino acid sequence using the NCBI Basic Blast 2.0, gapped blastp with databases such as the nr database, swissprot database, and patented sequences database. Queries searched with the blastn program are filtered with DUST (Hancock & Armstrong, Comput Appl Biosci 10, 67-70 (1994.) Other programs use SEG. In addition, a manual alignment may be performed. Proteins with even greater similarity will show increasing percentage identities when assessed by this method, such as at least about 75%, 80%, 85%, 90%, 95%, 98%, or 99% sequence identity to a protein.
• nucleic acid sequences that do not show a high degree of identity may nevertheless encode identical or similar (conserved) amino acid sequences, due to the degeneracy of the genetic code. Changes in a nucleic acid sequence may be made using this degeneracy to produce multiple nucleic acid molecules that all encode substantially the same protein.
• homologous nucleic acid sequences can, for example, possess at least about 50%, 60%, 70%, 80%, 90%, 95%, 98%, or 99% sequence identity to a nucleic acid that encodes a protein.
• Subject refers to a living multi-cellular
• vertebrate organism a category that includes both human and non-human mammals.
• Supertope As used herein, the term “supertope” or “supertope peptide” refers to a epitope or peptide that is recognized by T cells in greater than about 90% of the human population regardless of MHC haplotype, /. e. , in the presence or absence of given MHC-I, MHC-II, or MHC-E alleles.
• treatment refers to an intervention that ameliorates a sign or symptom of a disease or pathological condition.
• treatment refers to any observable beneficial effect of the treatment.
• the beneficial effect may be evidenced, for example, by a delayed onset of clinical symptoms of the disease in a susceptible subject, a reduction in severity of some or all clinical symptoms of the disease, a slower progression of the disease, a reduction in the number of relapses of the disease, an improvement in the overall health or well-being of the subject, or by other parameters well known in the art that are specific to the particular disease.
• a prophylactic treatment is a treatment administered to a subject who does not exhibit signs of a disease or exhibits only early signs, for the purpose of decreasing the risk of developing pathology.
• a therapeutic treatment is a treatment administered to a subject after signs and symptoms of the disease have developed.
• Vaccine An immunogenic composition that can be administered to a mammal, such as a human, to confer immunity, such as active immunity, to a disease or other pathological condition.
• Vaccines can be used prophylactically or therapeutically.
• vaccines can be used reduce the likelihood of developing a disease (such as a tumor or pathological infection) or to reduce the severity of symptoms of a disease or condition, limit the progression of the disease or condition (such as a tumor or a pathological infection), or limit the recurrence of a disease or condition (such as a tumor).
• a vaccine is a replication-deficient CMV expressing a HB V antigen.
• Vector Nucleic acid molecules of particular sequence can be incorporated into a vector that is then introduced into a host cell, thereby producing a transformed host cell.
• a vector may include nucleic acid sequences that permit it to replicate in a host cell, such as an origin of replication.
• a vector may also include one or more selectable marker genes and other genetic elements known in the art, including promoter elements that direct nucleic acid expression.
• Vectors can be viral vectors, such as CMV vectors. Viral vectors may be constructed from wild type or attenuated virus, including replication deficient virus.
• the methods involve administering an effective amount of at least one recombinant CMV vector comprising at least one heterologous antigen to a subject, wherein the at least one heterologous antigen comprises an antigen derived from the hepatitis B virus.
• the antigen derived from the hepatitis B virus may be derived from any portion of the viral pathogen.
• Hepatitis B antigens include, but are not limited to, the core protein, envelope protein, surface proteins, X protein, and polymerase protein.
• the CMV vector does not express an active UL128,
• UL130, UL146, and UL147 protein due to the presence of a mutation in the nucleic acid sequence encoding UL128, UL130, UL146, and UL147 or homologs thereof, or orthologs thereof (homologous genes of CMV that infect other species).
• the mutation may be any mutation that results in a lack of expression of active proteins. Such mutations may include point mutations, frameshift mutations, deletions of less than all of the sequence that encodes the protein (truncation mutations), or deletions of all of the nucleic acid sequence that encodes the protein, or any other mutations.
• the CMV vector does not express an active UL128, UL130,
• RNAi sequence an antisense or RNAi sequence that inhibits the expression of the UL128, UL130, UL146, and UL147 proteins. Mutations and/or antisense and/or RNAi may be used in any combination to generate a CMV vector lacking active UL128, UL130, UL146, and UL147.
• the CD8+ T cell response elicited by this vector is
• the CD8+ T cells are characterized by having at least 10% of the CD8+ T cells directed against HBV epitopes presented by MHC-E. In further examples, at least 15%, at least 20%, at least 30%, at least 40%, at least 50%, at least 60%, at least 75%, at least 90%, or at least 95% of the CD8+ T cells are restricted by MHC-E. In some embodiments, the HBV-specific CD8+ T cells restricted by MHC-E recognize peptides shared by at least 90% of other subjects immunized with the vector. In some embodiments, the CD8+ T cells are directed against a HBV supertope presented by MHC-E.
• the CD8+ T cell response elicited by this vector is characterized by having at least 10% of the CD8+ T cells directed against epitopes presented by MHC-II. In further examples, at least 15%, at least 20%, at least 30%, at least 40%, at least 50%, at least 60%, at least 75%, at least 90%, or at least 95% of the CD8+ T cells are restricted by MHC-II. In some embodiments, the HBV-specific CD8+ T cells restricted by MHC-II recognize HBV peptides shared by at least 90% of other subjects immunized with the vector. In some embodiments, the HBV- specific CD8+ T cells are directed against a HBV supertope presented by MHC-II.
• the method further comprises identifying a CD8+ T cell receptor from the CD8+ T cells elicited by the CMV vector, wherein the CD8+ T cell receptor recognizes a MHC-E/HB V antigen-derived peptide complex.
• the CD8+ T cell receptor is identified by RNA or DNA sequencing.
• the method further comprises a CD8+ T cell receptor that recognizes MHC-E supertopes of HBV.
• the method further comprises identifying a CD8+ T cell receptor from the CD8+ T cells elicited by the CMV vector, wherein the CD8+ T cell receptor recognizes a MHC-II/HB V antigen-derived peptide complex.
• the CD8+ T cell receptor is identified by RNA or DNA sequencing.
• the method further comprises a CD8+ T cell receptor that recognizes MHC-II supertopes of HBV.
• Also disclosed herein is a method of generating CD8+ T cells that recognize
• MHC-E-HBV peptide complexes involves administering to a first subject (or animal) a CMV vector in an amount effective to generate a set of CD8+ T cells that recognize MHC-E/HBV peptide complexes.
• the CMV vector comprises a first nucleic acid sequence encoding at least one HBV antigen and does not express an active UL128, UL130, UL146, and UL147 proteins or orthologs thereof.
• the HBV antigens can be hepatitis B virus core, envelope, surface, or polymerase antigens.
• This method further comprises: identifying a first CD8+ T cell receptor from the set of CD8+ T cells, wherein the first CD8+ T cell receptor recognizes an MHC-E/HBV antigen-derived peptide complex.
• the first CD8+ T cell receptor is identified by DNA or RNA sequencing.
• this method can further comprise transfecting the one or more CD8+ T cells with an expression vector, wherein the expression vector comprises a nucleic acid sequence encoding a second CD8+ T cell receptor and a promoter operably linked to the nucleic acid sequence encoding the T cell receptor, wherein the second CD8+ T cell receptor comprises CDR3a and CDR3P of the first CD8+ T cell receptor, thereby generating one or more transfected CD8+ T cells that recognize a MHC-E/HBV antigen-derived peptide complex.
• the one or more CD8+ T cells for transfection with the expression vector may be isolated from the first subject or a second subject.
• the method further comprises identifying a CD8+ T cell receptor from the CD8+ T cells elicited by the CMV vector, wherein the CD8+ T cell receptor recognizes an MHC-E/HBV antigen-derived peptide complex.
• the CD8+ T cell receptor is identified by RNA or DNA sequencing.
• the method further comprises an HBV-specific CD8+ T cell receptor that recognizes MHC-E supertopes.
• transfected CD8+ T cell that recognizes MHC-E-HBV peptide complexes prepared by a process comprising the steps of: (1) administering to a first subject a CMV vector in an amount effective to generate a set of CD8+ T cells that recognize MHC-E/HBV peptide complexes, wherein the recombinant CMV vector comprises at least one HBV antigen; (2) identifying a first CD8+ T cell receptor from the set of CD8+ T cells, wherein the first CD8+ T cell receptor recognizes a MHC-E/HBV antigen-derived peptide complex; (3) isolating one or more CD8+ T cells from the first subject or a second subject; and (4) transfecting the one or more CD8+T cells isolated from the first or second subject with an expression vector, thereby creating a transfected T cell that recognizes MHC-E-HBV peptide complexes.
• the CMV vector comprises a first nucleic acid sequence encoding at least one HBV antigen and does not express an active UL128, UL130, UL146, and UL147 protein or ortholog thereof.
• the expression vector comprises a nucleic acid sequence encoding a second CD8+ T cell receptor and a promoter operably linked to the nucleic acid sequence encoding the second CD8+ T cell receptor, wherein the second CD8+ T cell receptor comprises CDR3a and CDR3P of the first CD8+ T cell receptor.
• the hepatitis B antigens may be hepatitis B virus core, envelope, surface, or polymerase antigens.
• the CD8+ T cell response elicited by the CMV vector is characterized by having at least 10% of the CD8+ T cells directed against HBV epitopes presented by MHC-II. In further examples, at least 15%, at least 20%, at least 30%, at least 40%, at least 50%, at least 60%, at least 75%, at least 90%, at least 95% or at least 95% of the CD8+ T cells are restricted by MHC-II. In some embodiments, the CD8+ T cells restricted by MHC-II recognize HBV peptides shared by at least 90% of other subjects immunized with the vector. In some embodiments, the CD8+ T cells are directed against a HBV supertope presented by MHC-II.
• the method further comprises identifying a CD8+ T cell receptor from the CD8+ T cells elicited by the CMV/HBV vector, wherein the CD8+ T cell receptor recognizes a MHC-II/HBV antigen-derived peptide complex.
• the CD8+ T cell receptor is identified by RNA or DNA sequencing.
• the method further comprises a CD8+ T cell receptor that recognizes MHC-II-restricted HB V supertopes.
• Human or animal CMV vectors when used as expression vectors, are innately non-pathogenic in the selected subjects such as humans.
• the CMV vectors have been modified to render them non-pathogenic (incapable of within host or host-to-host spread) in the selected subjects.
• a HBV antigen as described herein, may be any HBV protein or fragment
• the recombinant CMV vectors disclosed herein may be derived from human
• cytomegalovirus vectors rhesus macaque cytomegalovirus vectors, or cynomolgus macaque vectors.
• the recombinant CMV vectors disclosed herein may be used as an immunogenic, immunological or vaccine composition containing the recombinant CMV virus or vector, and a pharmaceutically acceptable carrier or diluent.
• An immunological composition containing the recombinant CMV virus or vector (or an expression product thereof) elicits an immunological response— local or systemic. The response can, but need not be, protective.
• An immunogenic composition containing the recombinant CMV virus or vector (or an expression product thereof) likewise elicits a local or systemic
• immunological response which can, but need not be, protective.
• a vaccine composition elicits a local or systemic protective response.
• immunological composition and “immunogenic composition” include a “vaccine composition” (as the two former terms may be protective compositions).
• the recombinant CMV vectors disclosed herein may be used in methods of
• inducing an immunological response in a subject comprising administering to the subject an immunogenic, immunological or vaccine composition comprising the recombinant CMV virus or vector and a pharmaceutically acceptable carrier or diluent.
• CMV vectors disclosed herein may be used in therapeutic compositions.
• the CMV vectors disclosed herein may be prepared by inserting DNA comprising a sequence that encodes the HBV antigen into an essential or non-essential region of the CMV genome.
• the method may further comprise deleting one or more regions from the CMV genome.
• the method may comprise in vivo recombination.
• the method may comprise transfecting a cell with CMV DNA in a cell-compatible medium in the presence of donor DNA comprising the heterologous DNA flanked by DNA sequences homologous with portions of the CMV genome, whereby the
• heterologous DNA is introduced into the genome of the CMV, and optionally then recovering CMV modified by the in vivo recombination.
• the method may also comprise cleaving CMV DNA to obtain cleaved CMV DNA, ligating the heterologous DNA to the cleaved CMV DNA to obtain hybrid CMV-heterologous DNA, transfecting a cell with the hybrid CMV -heterologous DNA, and optionally then recovering CMV modified by the presence of the HBV DNA.
• the method accordingly also provides a plasmid comprising donor DNA not naturally occurring in CMV encoding a polypeptide foreign to CMV, the donor DNA is within a segment of CMV DNA that would otherwise be co-linear with an essential or non-essential region of the CMV genome such that DNA from an essential or nonessential region of CMV is flanking the donor DNA
• the HBV DNA may be inserted into CMV to generate the recombinant CMV in any orientation that yields stable integration of that DNA, and expression thereof, when desired.
• the DNA encoding the HBV antigen in the recombinant CMV vector may also include a promoter.
• the promoter may be from any source such as a herpes virus, including an endogenous cytomegalovirus (CMV) promoter, such as a human CMV (HCMV), rhesus macaque CMV (RhCMV), murine, or other CMV promoter.
• CMV cytomegalovirus
• the promoter may also be a nonviral promoter such as the EFla promoter.
• the promoter may be a truncated transcriptionally active promoter which comprises a region transactivated with a transactivating protein provided by the virus and the minimal promoter region of the full-length promoter from which the truncated transcriptionally active promoter is derived.
• the promoter may be composed of an association of DNA sequences
• a minimal promoter is composed of the CAP site plus ATA box (minimum sequences for basic level of transcription; unregulated level of transcription); "upstream regulatory sequences" are composed of the upstream element(s) and enhancer sequence(s). Further, the term
• truncated indicates that the full-length promoter is not completely present, i.e., that some portion of the full-length promoter has been removed.
• the truncated promoter may be derived from a herpesvirus such as MCMV or HCMV, e.g., HCMV-IE or MCMV-IE. There may be up to a 40% and even up to a 90% reduction in size, from a full-length promoter, based upon base pairs.
• the promoter may also be a modified non- viral promoter.
• HCMV promoters reference is made to U.S. Pat. Nos. 5,168,062 and 5,385,839.
• transfecting cells with plasmid DNA for expression therefrom reference is made to Feigner et al. (1994), J Biol. Chem. 269, 2550-2561. And, as to direct injection of plasmid DNA as a simple and effective method of vaccination against a variety of infectious diseases reference is made to Science, 259: 1745-49, 1993. It is therefore within the scope of this disclosure that the vector may be used by the direct injection of vector DNA.
• an expression cassette that may be inserted into a recombinant virus or plasmid comprising the truncated transcriptionally active promoter.
• the expression cassette may further include a functional truncated polyadenylation signal; for instance an SV40 polyadenylation signal which is truncated, yet functional. Considering that nature provided a larger signal, it is indeed surprising that a truncated
• polyadenylation signal is functional.
• a truncated polyadenylation signal addresses the insert size limit problems of recombinant viruses such as CMV.
• the expression cassette may also include HBV DNA with respect to the virus or system into which it is inserted; and that DNA may be HBV DNA as described herein.
• HBV antigens for use in vaccine or immunological compositions, see also
• HBV antigens Stedman's Medical Dictionary (24th edition, 1982, e.g., definition of vaccine (for a list of antigens used in vaccine formulations); such antigens or epitopes of interest from those antigens may be used.
• antigens or epitopes of interest from those antigens may be used.
• HBV antigens one skilled in the art may select an antigen and the coding DNA therefor from the knowledge of the amino acid and corresponding DNA sequences of the peptide or polypeptide, as well as from the nature of particular amino acids (e.g., size, charge, etc.) and the codon dictionary, without undue
• antigens include, but are not limited to, a hepatitis B virus core, envelope, surface, X, or polymerase antigen.
• One method to determine T epitopes of a HBV antigen involves epitope mapping.
• Overlapping peptides of the heterologous antigen are generated by oligo-peptide synthesis. The individual peptides are then tested for their ability to bind to an antibody elicited by the native protein or to induce T cell or B cell activation. This approach has been particularly useful in mapping T cell epitopes since the T cell recognizes short linear peptides complexed with MHC molecules.
• An immune response to a HBV antigen is generated, in general, as follows: T cells recognize proteins only when the protein has been cleaved into smaller peptides and is presented in a complex called the "major histocompatibility complex (MHC)" located on another cell's surface.
• MHC major histocompatibility complex
• MHC complexes There are two classes of MHC complexes— class I and class II, and each class is made up of many different alleles. Different species, and individual subjects have different types of MHC complex alleles; they are said to have a different MHC type.
• MHC-E HLA-E in humans, Mamu-E in RM, Qa-lb in mice.
• the DNA comprising the sequence encoding the HBV antigen may itself include a promoter for driving expression in the CMV vector or the DNA may be limited to the coding DNA of the heterologous antigen.
• This construct may be placed in such an orientation relative to an endogenous CMV promoter that it is operably linked to the promoter and is thereby expressed.
• multiple copies of DNA encoding the heterologous antigen or use of a strong or early promoter or early and late promoter, or any combination thereof, may be done so as to amplify or increase expression.
• the DNA encoding the heterologous antigen may be suitably positioned with respect to a CMV endogenous promoter, or those promoters may be translocated to be inserted at another location together with the DNA encoding the heterologous antigen.
• Nucleic acids encoding more than one heterologous antigen may be packaged in the CMV vector.
• Such pharmaceutical and other compositions may be formulated so as to be used in any administration procedure known in the art.
• Such pharmaceutical compositions may be via a parenteral route (intradermal, intramuscular, subcutaneous, intravenous, or others).
• the administration may also be via a mucosal route, e.g., oral, nasal, genital, etc.
• compositions may be prepared in accordance with standard techniques well known to those skilled in the pharmaceutical arts. Such compositions may be administered in dosages and by techniques well known to those skilled in the medical arts taking into consideration such factors as the breed or species, age, sex, weight, and condition of the particular patient, and the route of administration.
• the compositions may be administered alone, or may be co-administered or sequentially administered with other CMV vectors or with other immunological, antigenic or vaccine or therapeutic compositions.
• Such other compositions may include purified native antigens or epitopes or antigens or epitopes from the expression by a recombinant CMV or another vector system; and are administered taking into account the aforementioned factors.
• compositions include liquid preparations for orifice, e.g., oral, nasal, anal, genital, e.g, vaginal, etc., administration such as suspensions, syrups, or elixirs; and, preparations for parenteral, subcutaneous, intradermal, intramuscular, or intravenous administration (e.g, injectable administration) such as sterile suspensions or emulsions.
• the recombinant may be in admixture with a suitable carrier, diluent, or excipient such as sterile water, physiological saline, glucose or the like.
• Antigenic, immunological or vaccine compositions typically may contain an
• alum aluminum phosphate or aluminum hydroxide
• Saponin and its purified component Quil A, Freund's complete adjuvant and other adjuvants used in research and veterinary applications have toxicities which limit their potential use in human vaccines.
• Chemically defined preparations such as muramyl dipeptide, monophosphoryllipid A, phospholipid conjugates such as those described by Goodman-Snitkoff et al, J Immunol. 147:410-415 (1991), encapsulation of the protein within a proteoliposome as described by Miller et al, J Exp. Med.
• lipid vesicles such as Novasome lipid vesicles (Micro Vescular Systems, Inc., Nashua, N.H.) may also be used.
• the composition may be packaged in a single dosage form for immunization by parenteral (e.g., intramuscular, intradermal or subcutaneous) administration or orifice administration, e.g, perlingual (e.g, oral), intragastric, mucosal including intraoral, intraanal, intravaginal, and the like administration.
• parenteral e.g., intramuscular, intradermal or subcutaneous
• orifice administration e.g, perlingual (e.g, oral), intragastric, mucosal including intraoral, intraanal, intravaginal, and the like administration.
• the effective dosage and route of administration are determined by the nature of the composition, by the nature of the expression product, by expression level if recombinant CMV is directly used, and by known factors, such as breed or species, age, sex, weight, condition and nature of host, as well as LDso and other screening procedures which are known and do not require undue experimentation.
• Dosages of expressed product may range from a few to a few hundred micrograms, e.g, 5 to 500 pg.
• the CMV vector may be administered in any suitable amount to achieve expression at these dosage levels.
• CMV vectors may be administered in an amount of at least 10 2 pfu; thus, CMV vectors may be administered in at least this amount; or in a range from about 10 2 pfu to about 10 7 pfu.
• Other suitable carriers or diluents may be water or a buffered saline, with or without a preservative.
• the CMV vector may be lyophilized for resuspension at the time of administration or may be in solution. "About" may mean within 1%, 5%, 10% or 20% of a defined value.
• substitutions to the sequences shown, so long as the sequences function in accordance with the methods of the disclosure.
• substitutions will generally be conservative in nature, i.e., those substitutions that take place within a family of amino acids.
• amino acids are generally divided into four families: (1) acidic- aspartate and glutamate; (2) basic— lysine, arginine, and histidine; (3) nonpolar— alanine, valine, leucine, isoleucine, proline, phenylalanine, methionine, and tryptophan; and (4) uncharged polar— glycine, asparagine, glutamine, cysteine, serine threonine, and tyrosine.
• Phenylalanine, tryptophan, and tyrosine are sometimes classified as aromatic amino acids. It is reasonably predictable that an isolated replacement of leucine with isoleucine or valine, or vice versa; an aspartate with a glutamate or vice versa; a threonine with a serine or vice versa; or a similar conservative replacement of an amino acid with a structurally related amino acid, will not have a major effect on the biological activity. Proteins having substantially the same amino acid sequence as the proteins described but possessing minor amino acid substitutions that do not substantially affect the immunogenicity of the protein are, therefore, within the scope of the disclosure.
• the nucleotide sequences of the present disclosure may be codon optimized, for example the codons may be optimized for use in human cells. For example, any viral or bacterial sequence may be so altered. Many viruses, including HIV and other lentiviruses, use a large number of rare codons and, by altering these codons to correspond to codons commonly used in the desired subject, enhanced expression of the heterologous antigen may be achieved as described in Andreetal., J Virol. 72: 1497-1503,1998.
• variants and derivatives of the CMV vectors and the glycoproteins included therein are contemplated. These functionally equivalent variants, derivatives, and fragments display the ability to retain antigenic activity. For instance, changes in a DNA sequence that do not change the encoded amino acid sequence, as well as those that result in conservative substitutions of amino acid residues, one or a few amino acid deletions or additions, and substitution of amino acid residues by amino acid analogs are those which will not significantly affect properties of the encoded polypeptide. Conservative amino acid substitutions are glycine/alanine; valine/isoleucine/leucine; asparagine/glutamine; aspartic acid/glutamic acid; serine/threonine/methionine; lysine/arginine; and
• the variants have at least 50%, at least 55%, at least 60%, at least 65%, at least 70%, at least 75%, at least 80%, at least 85%, at least 86%, at least 87%, at least 88%, at least 89%, at least 90%, at least 91%, at least 92%, at least 93%, at least 94%, at least 95%, at least 96%, at least 97%, at least 98%, or at least 99% homology or identity to the antigen, epitope, immunogen, peptide, or polypeptide of interest.
• Sequence identity or homology is determined by comparing the sequences when aligned so as to maximize overlap and identity while minimizing sequence gaps.
• sequence identity may be determined using any of a number of mathematical algorithms.
• a nonlimiting example of a mathematical algorithm used for comparison of two sequences is the algorithm of Karlin & Altschul, Proc. Natl. Acad. Sci. USA 1990;
• Another example of a mathematical algorithm used for comparison of sequences is the algorithm of Myers & Miller, CABIOS 1988;4: 11-17. Such an algorithm is incorporated into the ALIGN program (version 2.0) which is part of the GCG sequence alignment software package. When utilizing the ALIGN program for comparing amino acid sequences, a PAM 120 weight residue table, a gap length penalty of 12, and a gap penalty of 4 may be used. Yet another useful algorithm for identifying regions of local sequence similarity and alignment is the FASTA algorithm as described in Pearson & Lipman, Proc. Natl. Acad. Sci. USA 1988; 85: 2444-2448.
• WU -BLAST Woodington University BLAST
• WU-BLAST version 2.0 executable programs for several UNIX platforms may be downloaded from
• vectors The nucleotide sequences of the present disclosure may be inserted into “vectors.”
• vehicle The term “vector” is widely used and understood by those of skill in the art, and as used herein the term “vector” is used consistent with its meaning to those of skill in the art.
• vector is commonly used by those skilled in the art to refer to a vehicle that allows or facilitates the transfer of nucleic acid molecules from one environment to another or that allows or facilitates the manipulation of a nucleic acid molecule.
• any vector that allows expression of the viruses of the present disclosure may be used in accordance with the present disclosure.
• the disclosed viruses may be used in vitro (such as using cell-free expression systems) and/or in cultured cells grown in vitro in order to produce the encoded heterologous antigen (e.g, pathogen-specific antigens, HIV antigens, hepatitis B antigens, and antibodies) which may then be used for various applications such as in the production of proteinaceous vaccines.
• heterologous antigen e.g, pathogen-specific antigens, HIV antigens, hepatitis B antigens, and antibodies
• any vector that allows expression of the virus in vitro and/or in cultured cells may be used.
• sequence of the heterologous antigen should be "operably linked” to regulatory or nucleic acid control sequences that direct transcription and translation of the protein.
• a coding sequence and a nucleic acid control sequence or promoter are said to be “operably linked” when they are covalently linked in such a way as to place the expression or transcription and/or translation of the coding sequence under the influence or control of the nucleic acid control sequence.
• the "nucleic acid control sequence” may be any nucleic acid element, such as, but not limited to promoters, enhancers, IRES, introns, and other elements described herein that direct the expression of a nucleic acid sequence or coding sequence that is operably linked thereto.
• promoter will be used herein to refer to a group of transcriptional control modules that are clustered around the initiation site for RNA polymerase II and that when operationally linked to the protein coding sequences of the disclosure lead to the expression of the encoded protein.
• the expression of the transgenes of the present disclosure may be under the control of a constitutive promoter or of an inducible promoter, which initiates transcription only when exposed to some particular external stimulus, such as, without limitation, antibiotics such as tetracycline, hormones such as ecdysone, or heavy metals.
• the promoter may also be specific to a particular cell-type, tissue, or organ.
• suitable promoters and enhancers are known in the art, and any such suitable promoter or enhancer may be used for expression of the transgenes of the disclosure.
• suitable promoters and/or enhancers may be selected from the Eukaryotic Promoter Database (EPDB).
• EPDB Eukaryotic Promoter Database
• the vectors used in accordance with the present disclosure may contain a suitable gene regulatory region, such as a promoter or enhancer, such that the antigens of the disclosure may be expressed.
• the CMV vectors described herein may contain mutations that may prevent host to host spread, thereby rendering the virus unable to infect immunocompromised or other subjects that could face complications as a result of CMV infection.
• the CMV vectors described herein may also contain mutations that result in the presentation of
• CMV vectors described herein do not affect the ability of the vector to reinfect a subject that has been previously infected with CMV.
• CMV mutations are described in, for example, US Patent Publications 2013- 013676S; 2010-0142S23; 2014-014103S; and PCT application publication WO
• the disclosed CMV vectors may be administered in vivo, for example where the aim is to produce an immunogenic response, including a CD8+ immune response, including an immune response characterized by a high percentage of the CD8+ T cell response being restricted by MHC-E or MHC-II(or a homolog or ortholog thereof).
• an immunogenic response including a CD8+ immune response, including an immune response characterized by a high percentage of the CD8+ T cell response being restricted by MHC-E or MHC-II(or a homolog or ortholog thereof).
• a laboratory animal such as rhesus macaques for preclinical testing of immunogenic compositions and vaccines using RhCMV.
• the disclosed CMV vectors are administered as a component of an immunogenic composition further comprising a pharmaceutically acceptable carrier.
• the immunogenic compositions of the disclosure are useful to stimulate an immune response against the heterologous antigen, including a pathogen-specific antigen and may be used as one or more components of a prophylactic or therapeutic vaccine against pathogen-specific antigens for the prevention, amelioration, or treatment of a pathogenic infection.
• the nucleic acids and vectors of the disclosure are particularly useful for providing genetic vaccines, i.e., vaccines for delivering the nucleic acids encoding the antigens of the disclosure to a subject, such as a human, such that the antigens are then expressed in the subject to elicit an immune response.
• genetic vaccines i.e., vaccines for delivering the nucleic acids encoding the antigens of the disclosure to a subject, such as a human, such that the antigens are then expressed in the subject to elicit an immune response.
• Immunization schedules are well known for animals (including humans) and may be readily determined for the particular subject and immunogenic composition. Hence, the immunogens may be administered one or more times to the subject. Preferably, there is a set time interval between separate administrations of the immunogenic composition. While this interval varies for every subject, typically it ranges from 10 days to several weeks, [and is often 2, 4, 6, or 8 weeks. For humans, the interval is typically from 2 to 6 weeks.
• the interval is longer, advantageously about 10 weeks, 12 weeks, 14 weeks, 16 weeks, 18 weeks, 20 weeks, 22 weeks, 24 weeks, 26 weeks, 28 weeks, 30 weeks, 32 weeks, 34 weeks, 36 weeks, 38 weeks, 40 weeks, 42 weeks, 44 weeks, 46 weeks, 48 weeks, 50 weeks, 52 weeks, 54 weeks, 56 weeks, 58 weeks, 60 weeks, 62 weeks, 64 weeks, 66 weeks, 68 weeks, or 70 weeks.
• the immunization regimes typically have from
• administrations of the immunogenic composition may have as few as one or two or four.
• the methods of inducing an immune response may also include
• the present methods also include a variety of prime-boost regimens. In these methods, one or more priming immunizations are followed by one or more boosting immunizations.
• the actual immunogenic composition may be the same or different for each immunization and the type of immunogenic composition (e.g ., containing protein or expression vector), the route, and formulation of the immunogens may also be varied. For example, if an expression vector is used for the priming and boosting steps, it may either be of the same or different type (e.g., DNA or bacterial or viral expression vector).
• One useful prime-boost regimen provides for two priming immunizations, four weeks apart, followed by two boosting immunizations at 4 and 8 weeks after the last priming immunization. It should also be readily apparent to one of skill in the art that there are several permutations and combinations that are encompassed using the DNA, bacterial and viral expression vectors of the disclosure to provide priming and boosting regimens. CMV vectors may be used repeatedly while expressing different antigens derived from different pathogens.
• EXAMPLE 1 RHCMV/HB V INOCULATED RHESUS MACAQUES MOUNT MHC-E RESTRICTED CD8+ T CELL RESPONSES AGAINST HB V ANTIGENS
• RhCMV strain 68-1 vectors engineered to express antigenic targets elicit broad, effector-memory CD8+ T cell responses restricted either by the non-classical molecule MHC-E, a monomorphic MHC class lb molecule normally involved in NK cell signaling, or MHC-II.
• RhCMV vaccine vectors expressing simian immunodeficiency virus (SIV) antigens protect 50% of RM following repeated low-dose intrarectal and intravaginal challenge with the highly pathogenic strain SIVmac239.
• HBV genotype D serotype ayw core, surface, and/or polymerase antigens were isolated by PCR from previously described plasmids (Frank Chisari, Scripps Research Institute).
• the N- terminal 333 amino acids of polymerase obtained from plasmid pCDNA3-POL/ENV (Kakimi, K. et al. 2002. Immunogenicity and tolerogenicity of hepatitis B virus structural and nonstructural proteins: implications for immunotherapy of persistent viral infections.
• J. Virol. 76: 8609-8620 were C-terminally HA-epitope tagged and fused by PCR- mediated mutagenesis to the C-terminal 228 amino acids of the S Ag obtained from plasmid pCMV-S2/S (Michel, M. L., et al. 1995. DNA-mediated immunization to the hepatitis B surface antigen in mice: aspects of the humoral response mimic hepatitis B viral infection in humans. Proc. Natl. Acad. Sci. USA 92: 5307-531 1.) to generate fusion S/PolN (left forward primer:
• 59-CATCGAGCTAGCACCATGGAGAACATCACATCAGG-39 (SEQ ID NO: 1)
• left reverse primer 59-GTGTTGAT AGGAT AGGGGAAT GT AT ACCC AAAGAC-39 (SEQ ID NO: 2); right forward primer: 59-
• GGAATCGTCGACTCAAGCGTAATCTGGAACATCGTATGGGTAAAGATTGACG ATAAGGGAGAGGCAG-39 (SEQ ID NO: 4)).
• the final PCR product was blunt-end cloned into either pJet vector (Thermo Fisher Scientific) to be a template for bacterial artificial chromosome (B AC) recombineering or into pORI to evaluate expression.
• the C- terminal 416 amino acids of polymerase obtained from plasmid pCDNA3-POL/ENV (Kakimi, K. et al. 2002. Immunogenicity and tolerogenicity of hepatitis B virus structural and nonstructural proteins: implications for immunotherapy of persistent viral infections.
• J. Virol. 76: 8609-8620 was HA-epitope tagged by PCR-mediated mutagenesis and inserted into pORI (forward primer: 59-
• Rhl 10 can be used to elicit robust Ag responses while attenuating the 68- 1 RhCMV vector (Marshall, E. E., et al. 2019. Enhancing safety of cytomegalovirus- based vaccine vectors by engaging host intrinsic immunity. Sci. Transl. Med. 11 :
• PCR product containing the HB V S-PolN fusion or HBV Core-PolC fusion with the same flanking homology to Rhl 10 was electroporated, and the bacteria were plated on 2-deoxy -galactose (DOG) chloramphenicol minimal media plates with glycerol as the carbon source for negative selection.
• DOG 2-deoxy -galactose
• Rhl 10 S/PolN reverse 59- CAAAATATTATTACATGGTACGCAATTTATTGTCTATTTTCGTTATTTGTTTAT TCAAGCGTAATCTGGAACATCGTAT-39 (SEQ ID NO: 10) and Rhl 10 Core/PolC forward: 59-
• the PCR fragment was electroporated into EL250 bacteria containing the RhCMV 68-1 BAC for in vivo recombination and recombinants selected for Kan resistance.
• the Kan resistance cassette was removed by temperature-inducible flippase recombination.
• the resulting BACs were analyzed by restriction digest, PCR analysis of recombination sites, and next- generation sequencing on an Illumina MiSeq sequencer.
• BAC DNA was purified using alkaline lysis, phenol/chloroform extraction, and isopropanol precipitation, and virus was reconstituted by transfection of BAC DNA using Lipofectamine 2000 (following manufacturer’s protocol; Thermo Fisher Scientific) of telomerized pp71 expressing rhesus fibroblasts (Warming, S. et al. 2005. Simple and highly efficient BAC
• 68-1 RhCMV/Core/PolC vectors and two additional RM (RM3, RM4) were innoculated with a 68-1 RhCMV-based vector that expressed HBV Core under the EF la promoter.
• the CD8+ T cell response against each of the Ags was longitudinally monitored by ICS, using pools of overlapping 15-mer peptides corresponding to each Ag. Longitudinal CD8+ T cell responses against these antigens in the blood of vaccinated RM were observed (Fig. 1 A).
• HBV core (HBcAg)-specific CD8+ T cell responses in these animals was characterized via intracellular cytokine staining with reagents that specifically block presentation by MHC-I, MHC-II, and MHC-E as previously described (Hansen et al. 2016. Broadly targeted CD8 + T cell responses restricted by major histocompatibility complex E. Science 351 : 714-720; Hansen, et al. 2013.
• splenocytes from a RhCMV/HBV-vaccinated RM were stimulated with K562 cells (MHC-null) transduced to express either a single human (HLA) or rhesus macaque (Mamu) MHC-E allele and pulsed with one of three individual HBcAg 15-mer peptides identified as MHC-E restricted via blocking in Figure IB. Only cells expressing MHC-E can present HBcAg 15-mers to these CD8+ T cells.
• HBcAg-specific CD8+ T cells recognized their cognate antigen presented in the context of both HLA-E and Mamu-E (Fig. 1C). These results demonstrate the presence of MHC- E-restricted, HBV-specific CD8+ T cells in RhCMV/HBV-vaccinated RM, and further support the high functional conservation primate MHC-E molecules.
• hepatocytes were isolated from three unrelated RM and three unrelated human donors (HD).
• a single lobe of RM liver was perfused with 200 mL pre-perfusion media (0.5 mM EGTA (Bio-World, cat#:40120128-l), 10 IU/mL heparin (Fresenius Kabi, cat#:C504730), HBSS with calcium and magnesium (Fisher Scientific, cat#:24-020-l 17)), followed by 200 mL HBSS without calcium and magnesium (Fisher Scientific, cat#:SH3003 103) to remove remaining EGTA.
• the liver was filleted with scalpels, washed over with remaining collagenase media, and media was filtered through a tea strainer.
• PH were washed three times in wash media (DMEM/F12, 2% bovine growth serum (HyClone, cat#:SH3054103), 23 mM HEPES buffer, 0.6 mg/ml glucose, 2mM L-glutamine (HyClone, cat#:SH3003401), lx antibiotic/antimycotic (HyClone, cat# :SV3007901), and 0.1 mg/mL Gentamicin (Life Technologies, cat#: 15750-060)) at room temperature, with centrifugation between each wash at 50 x g for 3 minutes.
• wash media DMEM/F12, 2% bovine growth serum (HyClone, cat#:SH3054103), 23 mM HEPES buffer, 0.6 mg/ml glucose, 2mM L-glutamine (HyClone, cat#:SH
• PH Prior to the third wash spin, PH were passed through a 70 mM filter to ensure single-cell suspension. PH were then suspended in 20ml of 36% isotonic percoll (GE Healthcare, cat#: 17-0891-01) in a 50ml conical using PH media as a diluent (DMEM/F12, 10% bovine growth serum, 23 mM HEPES buffer, 0.6 mg/ml glucose, 2mM L-glutamine, lx antibiotic/antimycotic, and 0.1 mg/mL Gentamicin), and centrifuged at 200 x g for 7 minutes. The purified PH pellet was then resuspended in room temperature PH media and counted.
• DMEM/F12 10% bovine growth serum
• 23 mM HEPES buffer 0.6 mg/ml glucose, 2mM L-glutamine, lx antibiotic/antimycotic, and 0.1 mg/mL Gentamicin
• Collagenized plates for the hepatocytes were prepared using 0.2 mg/mL collagen R in 0.01% acetic acid (Serva, cat#:47254), left on the plate for at least 20 min prior to washing with 1 mL HBSS immediately prior to plating at 2 x 10 5 PH per well in a 12-well plate. Plates were placed at 37°C, 5% C02. The next day, wells were washed twice with HBSS and cultured in 1 ml PH media supplemented with 1.8% DMSO (primary hepatocyte media containing DMSO ; PH- DMSO) for the remainder of the experiment.
• DMSO primary hepatocyte media containing DMSO ; PH- DMSO
• HBV naive humanized livers and purchased from Yecuris, Inc. Humanized mice were generated with cryopreserved primary hepatocytes collected from deceased patients with the following demographics: HDl (13 year old, female, Hispanic, HBV naive); HD2 (13 year old, female, Caucasian, HBV naive); HD3 (27 year old, male, Caucasian, HBV naive).
• MHC-I via the W6/32 clone MHC -II via HLA-DR staining
• MHC-E MHC-E via the 4D12 clone. It was previously demonstrated that 4D12 specifically stains Mamu-E and not classical Mamu-Ia molecules. All three human donors shared one HLA-A and one HLA- C allele (Table 1). Thus, before proceeding it was confirmed that the MHC-E-specific 4D12 clone stains only HLA-E and not the HLA-A or -C molecules shared between the three HD ( Figure 2A). Expression of MHC-E was examined by staining and majority of primary hepatocytes from both species expressed MHC-E (Figs. 2B and 2C).
• XX* denotes an undetermined allele
• primary hepatocytes were collected from the same HBV infected human donor. One day after plating isolated rhesus macaque primary
• hepatocytes replication-incompetent adenovirus serotype 5 expressing human NTCP (MOI 10) under the liver-specific TTR promoter was added to the culture for 2 days. On the second day, cells were re-fed with 1ml PH-DMSO media. On the fourth day following adenovirus transduction, primary hepatocytes were washed twice in 1 ml HBSS and overlaid with HBV-containing media at an MOI of 100 (PH-DMSO containing 4% PEG6000, Sigma-Aldrich, cat#:81253-250G) and incubated overnight. The next morning, wells were washed three times with 1 ml HBSS and then cultured in 1 ml primary hepatocytes -DMSO for the remainder of the experiment.
• MOI 10 human NTCP
• HBV-containing media at an MOI of 100 (PH-DMSO containing 4% PEG6000, Sigma-Aldrich, cat#:81253-250G) and incubated overnight. The next morning, wells were washed three times with 1 ml HBSS and then cultured in 1 ml primary hepatocytes -DMSO for the remainder of the experiment.
• HBV infection of human donor primary hepatocytes was confirmed by measuring the level of HBV envelope antigen (HBeAg) in the supernatant prior to staining of the cells.
• Primary hepatocytes were co-stained with MHC markers (MHC-I, MHC-E, and MHC-II) along with intracellular HBeAg on day 4 post-HBV infection, since this was the first time point where intracellular HBeAg was detectable. Strong staining with the 4D12 antibody was observed on both HBV-infected and HBV-naive PH, indicating high levels of MHC-E expression (Figs. 2D and 2E).
• HLA-DR expression was minimal or absent in all three human donor primary hepatocytes samples, in line with previously published results (Senaldi et al. 1991. Class I and class II major histocompatibility complex antigens on hepatocytes: importance of the method of detection and expression in histologically normal and diseased livers. J. Clin. Pathol. 44: 107-114.). It is possible that ex vivo manipulation of the primary hepatocytes prior to assessing surface MHC levels induced a fraction of these cells to lose MHC-E expression. Nevertheless, taken together, these results showed that HBV-infected primary hepatocytes express MHC-E and that MHC-E could represent a potential HBV-specific CD8+ T cell restriction element.
• EXAMPLE 3 MHC-E-RESTRICTED CD8+ T CELLS FROM RHCMV/HBV- INOCULATED RHESUS MACAQUES RECOGNIZE HBV-INFECTED ALLOGENIC AND XENOGENIC PRIMARY HEPATOCYTES
• CD8+ T cells (bulk splenocytes and purified CD8 + T cells) from RMl and RM2 recognized HBV-infected primary hepatocytes from two unrelated rhesus macaque donors, but did not respond to HBV-naive primary hepatocytes (Fig. 3 A).
• HBV-infected and HBV- naive primary hepatocytes were collected and stained as a baseline. Starting on day two post-infection, a well each of HBV-infected and HBV- naive primary hepatocytes was collected with 0.5% trypsin-EDTA (Fisher Scientific, cat#: SH30236.01) and washed twice in ice cold FACS buffer (PBS, Fisher Scientific, cat#:SH30256FS, with 10% fetal bovine serum).
• permeabilization buffer eBioscience, cat#: 00-8333-56. All wash spins after fixation were performed at 830 x g for 3 minutes. Primary hepatocytes were incubated for one hour at 4°C with Hepatitis B Virus Core Antigen Antibody (clone: 13A9, Fisher Scientific, cat#: MAI -7606) conjugated to R-phycoerythrin (PE) using the Lightning-Link R-PE kit (Innova Biosciences, cat#: 703-0005). Cells were washed three times in permeabilization buffer and then collected on a Becton-Dickenson LSR-II.
• splenocytes or isolated CD8P+ T cells were incubated with HBV-infected or HBV naive primary hepatocytes targets and the co-stimulatory molecules CD28 and CD49d (BD Biosciences) for 1 hour, followed by addition of brefeldin A (Sigma- Aldrich) for an additional 8 hours.
• Co-stimulation without primary hepatocytes target co-culture served as a background control.
• the MHC-restriction of a response was determined by pre-incubating PH targets for 1 hour at room temperature in the presence of pan anti- MHC-I antibody (25 pg/ml; clone: W6-32), VL9 peptide (20uM), CLIP peptide (MHC- II-associated in- variant chain, amino acids 89 to 100; 10 mg/ml), or anti-HLA-DR antibody (10mg/ml; clone: L243) before co-culturing with target primary hepatocytes cells. Stimulated cells were fixed, permeabilized, and stained, and flow cytometric analysis was performed on an LSR-II instrument (BD Biosciences).
• HBV-infected or HBV-naive targets were collected at day 6 post-HBV infection
• HBV which paves the way for development of innovative HBV therapeutics.
• MHC-E-restricted CD8+ T cell responses have been identified in natural viral infections with CMV, EBV, and HCV (Joosten et al. 2016. Characteristics of HLA-E Restricted T- Cell Responses and Their Role in Infectious Diseases. Journal of Immunology Research 2016: 1-11)
• no reports of MHC-E-restricted CD8+ T cells responses against HBV have been published. Therefore, it was unclear whether HBV-infected hepatocytes presented HBV antigens in the context of MHC-E.
• Mycobacterium tuberculosis , and malaria it may be particularly efficacious against HBV, since the vast majority of the HBV genome is comprised almost exclusively of non plastic overlapping reading frames. Together, these results show for the first time that MHC-E-restricted CD8+ T cells can be harnessed for the treatment of chronic HBV infection, either through therapeutic vaccination or adoptive immunotherapy.

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