U.S. patent application number 11/578124 was filed with the patent office on 2010-02-25 for recombinant bcg strains with enhanced ability to escape the endosome.
This patent application is currently assigned to AERAS GLOBAL TB VACCINE FOUNDATION. Invention is credited to David M. Hone, Jerald C. Sadoff, Ronggai Sun.
Application Number | 20100047286 11/578124 |
Document ID | / |
Family ID | 38049094 |
Filed Date | 2010-02-25 |
United States Patent
Application |
20100047286 |
Kind Code |
A1 |
Sun; Ronggai ; et
al. |
February 25, 2010 |
Recombinant BCG strains with enhanced ability to escape the
endosome
Abstract
Mycobacterium strains that have an enhanced ability to elicit a
Histocompatibility-Class I-restricted CD8.sup.+ T cell immune
response are provided. The Mycobacterium strains are genetically
engineered to express a endosomalytic protein that is active at
neutral pH (e.g. Perfringolysin O), permitting escape of the
Mycobacterium from endosomes into the cytoplasm of the cell. The
invention also provides vaccine preparations containing the
Mycobacterium strains.
Inventors: |
Sun; Ronggai; (Ellicott
City, MD) ; Hone; David M.; (Rockville, MD) ;
Sadoff; Jerald C.; (Washington, DC) |
Correspondence
Address: |
WHITHAM, CURTIS & CHRISTOFFERSON & COOK, P.C.
11491 SUNSET HILLS ROAD, SUITE 340
RESTON
VA
20190
US
|
Assignee: |
AERAS GLOBAL TB VACCINE
FOUNDATION
Bethesda
MD
|
Family ID: |
38049094 |
Appl. No.: |
11/578124 |
Filed: |
November 23, 2005 |
PCT Filed: |
November 23, 2005 |
PCT NO: |
PCT/US05/42602 |
371 Date: |
February 21, 2009 |
Related U.S. Patent Documents
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Application
Number |
Filing Date |
Patent Number |
|
|
60631973 |
Dec 1, 2004 |
|
|
|
Current U.S.
Class: |
424/248.1 ;
435/252.3 |
Current CPC
Class: |
A61K 39/04 20130101;
A61P 31/04 20180101; C07K 14/33 20130101; Y02A 50/412 20180101;
A61P 43/00 20180101; Y02A 50/30 20180101; A61P 31/06 20180101; A61K
2039/522 20130101; A61P 37/04 20180101; A61K 2039/523 20130101 |
Class at
Publication: |
424/248.1 ;
435/252.3 |
International
Class: |
A61K 39/04 20060101
A61K039/04; C12N 1/21 20060101 C12N001/21; A61P 31/04 20060101
A61P031/04 |
Claims
1. A Mycobacterium that is genetically engineered to include an
expressable and secretable functional endosomalytic protein that is
active at a pH of 6-8.
2. The Mycobacterium of claim 1 wherein said expressable and
secretable functional endosomalytic protein is perfringolysin or a
functional variant thereof.
3. The Mycobacterium of claim 1 wherein an amino acid sequence of
said expressable and secretable functional endosomalytic protein is
represented by SEQ ID NO. 2.
4. The Mycobacterium of claim 1 wherein said expressable and
secretable functional endosomalytic protein is encoded by a gene
sequence specific for perfringolysin or a mutant thereof.
5. The Mycobacterium of claim 4 wherein said, gene sequence is
selected from the group consisting of SEQ ID NO. 1 and SEQ ID NO.
3.
6. The Mycobacterium of claim 1, wherein said mycobacterium is
genetically engineered to express an apoptotic protein or a
functional enhancer of apoptosis.
7. The Mycobacterium of claim 6, wherein said apoptotic protein or
said functional enhancer of apoptosis is selected from the group
consisting of caspase 8, death-receptor-5, Fas and Fas cytoplasmic
domain/CD4 ectodomain fusion protein.
8. The Mycobacterium of claim 1, wherein said mycobacterium is
genetically engineered to functionally express a gene of
interest.
9. The Mycobacterium of claim 1, wherein said mycobacterium is
genetically engineered to functionally express an apoptotic protein
or a functional enhancer of apoptosis; and a gene of interest.
10. A Mycobacterium which is genetically engineered to include an
expressable and secretable functional endosomalytic protein that is
active at a pH present in endosomes of cells infected by said
mycobacterium.
11. The Mycobacterium of claim 10 wherein said expressable and
secretable functional endosomalytic protein is perfringolysin or a
functional variant thereof.
12. The Mycobacterium of claim 10 wherein an amino acid sequence of
said expressable and secretable functional endosomalytic protein is
represented by SEQ ID NO. 2.
13. The Mycobacterium of claim 10 wherein said expressable and
secretable functional endosomalytic protein is encoded by a gene
sequence specific for perfringolysin or a mutant thereof.
14. The Mycobacterium of claim 13 wherein said gene sequence is
selected from the group consisting of SEQ ID NO. 1 and SEQ ID NO.
3.
15. The Mycobacterium of claim 10 wherein said mycobacterium is
BCG.
16. The Mycobacterium of claim 10, wherein said mycobacterium is
genetically engineered to express an apoptotic protein or a
functional enhancer of apoptosis.
17. The Mycobacterium of claim 16, wherein said apoptotic protein
or said functional enhancer of apoptosis is selected from the group
consisting of caspase 8, death-receptor-5, Fas and Fas cytoplasmic
domain/CD4 ectodomain fusion protein.
18. The Mycobacterium of claim 10, wherein said mycobacterium is
genetically engineered to functionally express a gene of
interest.
19. The Mycobacterium of claim 10, wherein said mycobacterium is
genetically engineered to functionally express an apoptotic protein
or a functional enhancer of apoptosis; and a gene of interest.
20. A method of enabling a Mycobacterium to escape from endosomes,
comprising the step of genetically engineering said Mycobacterium
to contain, express and secrete a functional endosomalytic
protein.
21. The method of claim 20, wherein said functional endosomalytic
protein is perfringolysin O or a mutant thereof.
22. The method of claim 21, wherein said functional endosomalytic
protein is a mutant perfringolysin O encoded by SEQ ID NO: 3.
23. The method of claim 20, wherein said Mycobacterium is an
attenuated Mycobacterium.
24. The method of claim 23, wherein said attenuated Mycobacterium
is BCG.
25. The method of claim 20, wherein said Mycobacterium is
genetically engineered to express an apoptotic protein or a
functional enhancer of apoptosis.
26. The method of claim 25, wherein said apoptotic protein or said
functional enhancer of apoptosis is selected from the group
consisting of caspase 8, death-receptor-5, Fas and Fas cytoplasmic
domain/CD4 ectodomain fusion protein.
27. The method of claim 20, wherein said Mycobacterium is
genetically engineered to functionally express a gene of
interest.
28. The method of claim 20, wherein said Mycobacterium is
genetically engineered to functionally express van apoptotic
protein or a functional enhancer of apoptosis; and a gene of
interest.
29. A vaccine preparation, comprising a Mycobacterium genetically
engineered to express and secrete a functional endosomalytic
protein, wherein said functional endosomalytic protein is active at
neutral pH.
30. The vaccine preparation of claim 29, wherein said functional
endosomalytic protein is perfringolysin O.
31. The vaccine preparation of claim 30, wherein said functional
endosomalytic protein is a mutant perfringolysin O encoded by SEQ
ID NO: 3.
32. The vaccine preparation of claim 29, wherein expression of said
functional endosomalytic protein expressed by said Mycobacterium
permits escape of said recombinant Mycobacterium from
endosomes.
33. The vaccine preparation of claim 29, wherein said Mycobacterium
is an attenuated Mycobacterium.
34. The vaccine preparation of claim 33, wherein said attenuated
Mycobacterium is BCG.
35. The vaccine preparation of claim 29, wherein said Mycobacterium
is genetically engineered to express an apoptotic protein or a
functional enhancer of apoptosis.
36. The vaccine preparation of claim 35, wherein said apoptotic
protein or said functional enhancer of apoptosis is selected from
the group consisting of caspase 8, death-receptor-5, Fas and Fas
cytoplasmic domain/CD4 ectodomain fusion protein.
37. The vaccine preparation of claim 29, wherein said Mycobacterium
is genetically engineered to functionally express a gene of
interest.
38. The vaccine preparation of claim 29, wherein said Mycobacterium
is genetically engineered to functionally express an apoptotic
protein or a functional enhancer of apoptosis; and a gene of
interest.
Description
BACKGROUND OF THE INVENTION
[0001] 1. Field of the Invention
[0002] The invention provides Mycobacterium strains that have an
enhanced ability to elicit an immune response. In vivo experiments
have demonstrated, for example, a Major Histocompatibility--Class
I-restricted CD8.sup.+ T cell immune response. In particular, the
invention provides Mycobacterium strains that express a
Perfringolysin O (PfoA) protein that permits escape of the
Mycobacterium from endosomes, and vaccine preparations containing
the Mycobacterium strains.
[0003] 2. Background
[0004] Mycobacterium tuberculosis (M. tb) has infected one-third of
the world's population, causing active disease in 8 million and
killing 1.6-2.2 million individuals every year, most of whom live
in the developing world. Tuberculosis (TB) is an epidemic of global
proportions that is growing and becoming even more deadly as it
intersects with the spread of HIV. TB is the number one killer of
people with AIDS.
[0005] Bacille Calmette Guerin (BCG), an attenuated strain of
Mycobacterium bovis and the current widely used TB vaccine, was
developed over 80 years ago and when tested has had widely variable
rates of efficacy against pulmonary tuberculosis, including no
efficacy in the last large field trial conducted in India (Fine et
al., Vaccine, 16(20):1923-1928; 1998; Anonymous, Indian J Med Res.,
August; 110:56-69; 1999. Nonetheless, The World Health Organization
currently recommends BCG at birth or first contact with health
services for all children (except those with symptoms of HIV
disease/AIDS) in high TB prevalent countries. This policy is based
on evidence that BCG protects against serious childhood forms of TB
(Lanckriet et al., Int J Epidemiol, 24(5):1042-1049; 1995;
Rodrigues et al., J Epidemiol Community Health 45(1): 78-80; 1991.
Protection by BCG against TB beyond early childhood is a
controversial subject with limited data giving mixed results. The
high incidence of pediatric and adult TB in developing countries
where infant BCG immunization is widely practiced, however,
indicates that BCG as currently administered is not highly
efficacious over the many years when people are at risk of TB
disease. Thus, BCG is considered to be an inadequate public health
tool for the intervention and control of TB.
[0006] Approximately 70 percent of humans exposed to TB organisms,
and who have normal immune systems, do not become infected, and of
those that do become infected only about 5 percent develop disease
within the first two years. The majority of infected individuals
suppress the infection, which is associated with the development of
robust cellular immune responses to M. tb antigens. An additional 5
percent later reactivate when immunity declines. Both primary and
reactivation disease are much more common in people with HIV/AIDS,
again emphasizing the role of immunity in preventing and
controlling infection.
[0007] Because most humans are able to control TB, there is good
reason to hope that by inducing long lasting immunity of the
appropriate kind, it should be possible to develop effective
vaccines that prevent initial infection after exposure, prevent
early progression to disease, prevent reactivation from the latent
state, and prevent relapse after treatment. Ultimately, it is the
combination of systematic vaccine use plus chemotherapeutic
intervention that will eventually eliminate M. tb as a human
pathogen.
[0008] In light of the critical role childhood BCG vaccination is
thought to play in preventing acute TB, it is difficult to replace
BCG in trials to evaluate candidate TB vaccines without
overwhelming evidence that the new TB vaccine is a superior
product. The problem is that M. tb is a human-specific pathogen and
animal models only mimic parts of the host-pathogen interaction.
Thus, definitive evidence that a new TB vaccine possesses improved
potency can only be obtained from controlled field trials in
humans. This reality has led many investigators to conclude that a
key step toward an improved TB vaccine will be to enhance the
immunogenicity of BCG.
[0009] One example of such a strategy is to improve the capacity of
BCG to induce or activate T cells for enhancing the immune
response. The pivotal role of major histocompatibility complex
class I-restricted CD8.sup.+ T cells in immunity to M. tb is
demonstrated by the failure of .beta.2-microglobulin
(.beta.2m)-deficient mice to control experimental M. tb infection
(Flynn et al., PNAS USA, 89(24): 12013-12017; 1992). The pivotal
role of Histocompatibility class I-restricted CD8.sup.+ T cells was
convincingly demonstrated by the failure of .beta.2-microglobulin
(.beta.2m) deficient mice to control experimental M. tuberculosis
infection (Flynn et al., supra, 1992). Because these mutant mice
lack Histocompatibility class I, functional CD8.sup.+ T cells
cannot develop. In contrast to M. tuberculosis infection,
.beta.2m-deficient mice are capable of controlling certain
infectious doses of the BCG vaccine strain (Flynn et al., supra,
1992; Ladel C. H., et al., Eur J Immunol, 25:377-384; 1995).
Furthermore, BCG vaccination of .beta.2m-deficient mice only
prolonged survival after M. tuberculosis infection, whereas
BCG-immunized C57BU6 resisted M. tuberculosis (Flynn et al., supra,
1992).
[0010] This differential CD8.sup.+ T cell dependency between M.
tuberculosis and BCG may be explained as follows: M. tuberculosis
antigens gain better access to the cytoplasm than antigens from BCG
leading to more pronounced Histocompatibility class I presentation
(Hess and Kaufmann, FEMS Microbiol. Immunol 7:95-103; 1993).
Consequently, a more effective CD8 T cell response is generated by
M. tuberculosis. This notion was recently supported by increased
Histocompatibility class I presentation of an irrelevant antigen,
ovalbumin, by simultaneous M. tuberculosis, rather than BCG,
infection of antigen presenting cells (APC) (Mazzaccaro et al.,
Proc Nad Acad Sci USA, October 15:93(21):11786-91; 1996).
[0011] Thus, M. tb antigens access the host cell cytoplasm better
than antigens from BCG, leading to increased Histocompatibility
class I presentation (Hess et al., supra, 1993) and an elevated
CD8.sup.+ T cell response to M. tb. Further, M. tb stimulates
antigen-specific Histocompatibility class II-restricted CD4.sup.+ T
helper cells as well as Histocompatibility class I-restricted
CD8.sup.+ cytotoxic T cells in mice and humans (Kaufmann, Annu Rev
Immunol 11:129-163; 1993). By extension, this fact indicates that
M. tb infected cells are susceptible to recognition by
Histocompatibility class I-restricted CD8.sup.+ cytotoxic T cells.
Given that 70 percent of immunocompetent humans exposed to TB
organisms do not become infected, immunity induced by M. tb
infection is highly effective in controlling this organism in the
vast majority of instances. It is believed, therefore, that the
efficacy of existing TB vaccine strain BCG will be improved by
increasing the capacity of BCG to induce Histocompatibility class
I-restricted CD8.sup.+ cytotoxic T cell responses (Kaufmann,
Fundamental Immunology, 1997).
[0012] As a rule, antigens expressed by pathogens that remain
phagosome-bound are primarily presented by Histocompatibility class
II molecules to CD4.sup.+ T cells but are poorly recognized by
CD8.sup.+ T cells, which normally recognize antigens presented in
the context of Histocompatibility class I molecules (Kaufmann,
supra, 1997). In contrast, intracellular bacteria, such as Listeria
monocytogenes (e.g. ATCC # 13932), that escape the phagosome and
replicate in the cytoplasm of host cells are effective at accessing
the Histocompatibility class I antigen presentation pathway and at
eliciting CD8.sup.+ T cell responses (Berche et al., J Immunol,
138:2266-2276; 1987). This endosome escape function of Listeria
monocytogenes was recently transferred into attenuated Salmonella,
which normally resides in the phagosome, by introducing the
sequences encoding listeriolysin (Llo); the resultant strains were
shown to escape the endosome and were more effective at inducing
CD8.sup.+ T cell responses (Bielecki et al., Nature (London),
354:175-176; 1990; Gentschev et al., Infect Immun 63(10):4202-4205;
1995; Hess et al., Host Response to Intracellular Pathogens, 75-90;
1997). More recently this approach was applied to BCG; thus rBCG
strains secreting Llo were constructed to improve the capacity of
BCG to induce Histocompatibility class I-restricted immune
responses (Hess et al., PNAS USA, 95(9):5299-5304; 1998. Although
early evidence suggested that a rBCG-Llo.sup.+ strain was more
adept at eliciting CD8.sup.+ T cells, the strain proved to be
incapable of escaping the endosome. Thus, a limitation of this
approach is that the hemolytic function of Llo, which is required
for endosome escape, is only fully active at pH 5.5 and almost
inactive at pH 7.0. Since Mycobacteria maintain the pH of the
endosome at a value of ca. 7.0, it is logical to surmise that Llo
in rBCG-Llo strains thus far reported are dysfunctional because the
environment in which they are expressed is suboptimal for hemolytic
activity magnitude (Geoffroy et al., Infect Immun 55(7): 1641-1646;
1987). Thus, the immune-enhancing benefit of this approach will not
be realized until a strategy is developed that enables Llo to
function in BCG-manipulated endosomes.
[0013] The prior art has thus far failed to provide a rBCG with an
increased capacity for endosomal escape, and which can thereby
increase induction of, for example, Major Histocompatibility class
I-restricted CD8.sup.+ cytotoxic T cell responses.
SUMMARY OF THE INVENTION
[0014] An exemplary aspect of the present invention provides
recombinant BCG (rBCG) strains that have an enhanced ability to
elicit a Major Histocompatibility-Class (MHC)-1-restricted
CD8.sup.+ T-cell immune response. These novel rBCG strains have
been genetically engineered to express a functional endosomalytic
protein that is bioactive at pH values near neutrality (e.g. about
pH 6-8 or about 6.5 to 7.5). The endosomalytic protein is therefore
active within Mycobacteria-containing endosomes, which typically
have an internal pH near neutrality. The activity of the
endosomalytic protein produced by the rBCG results in disruption of
the endosome, permitting the rBCG to escape from the endosome and
into the cytoplasm of the cell. The rBCG are thus exposed to the
cytoplasm, and elicit a strong T-cell response, particularly a
strong MHC-1-restricted CD8.sup.+ cytotoxic T cell response. In one
embodiment of the invention, the endosomalytic protein that is
introduced into the rBCG by genetic engineering is Perfringolysin I
(PfoA) from Clostridium perfringens.
[0015] The invention thus provides a Mycobacterium that is
genetically engineered to express and secrete a functional
endosomalytic protein that is active at neutral pH. In some
embodiments, the functional endosomalytic pore-forming protein is
PfoA or the mutant PfoA encoded by SEQ ID NO: 3 (herein referred to
as PfoA.sub.G137Q). Expression of the functional endosomalytic
protein by the Mycobacterium permits escape of the rBCG from
endosomes. The Mycobacterium that is so genetically engineered may
be an attenuated Mycobacterium such as BCG. The invention also
provides: a Mycobacterium that is genetically engineered to express
and secrete PfoA; and, a Mycobacterium that is genetically
engineered to express and secrete a PfoA.sub.G137Q encoded by SEQ
ID NO: 3.
[0016] The present invention further provides a method of enabling
a Mycobacterium derivative to escape from endosomes. The method
comprises the step of genetically engineering the Mycobacterium to
contain, express and secrete a functional endosomalytic protein
such as PfoA or PfoA.sub.G137Q such as that encoded by SEQ ID NO:
3. In some embodiments, the Mycobacterium is an attenuated
Mycobacterium such as BCG.
[0017] The invention further provides a vaccine preparation,
comprising a Mycobacterium that is genetically engineered to
express and secrete a functional endosomalytic protein that is
active at neutral pH. The functional endosomalytic protein may be,
for example, PfoA or PfoA.sub.G137Q as encoded by SEQ ID NO:3.
Expression of the functional endosomalytic enzyme by the
Mycobacterium permits escape of the recombinant Mycobacterium from
endosomes. In some embodiments, the Mycobacterium is an attenuated
Mycobacterium such as BCG.
BRIEF DESCRIPTION OF THE DRAWINGS
[0018] FIG. 1. The map for suicide vector pAF102. The denotation
for each of the DNA segments as follow: L-flank and R-flank: left
and right flanks of ureC gene respectively; pfoA is the gene
encoding the mutant form of perfringolysin O (gene back accession
number: BA000016) with a single amino acid change at 137G(Q);
LP.sub.PAg85B is the DNA sequence encoding antigen 85B(i.e.
Rv1886c) leader peptide; P.sub.Ag85A is the promoter sequence of
antigen 85A gene (i.e. Rv3804c); aph is aminoglycoside
phosphotransferase gene (gene bank accession number X06402), which
confers Kanamycin resistance for the plasmid; OriE is the pUC
origin of replication (gene bank accession number: AY234331); Ble
is the gene (gene bank accession number: L36850), which confers
resistance to Zeocin for the plasmid; SacB is the gene (gene bank
accession number: Y489048) encoding levansucrase, which confers the
bacteria sensitivity to sucrose; P.sub.hsp60 is the promoter
sequence of heat shock protein gene (i.e. Rv0440); MCS is the
multiple cloning sites for the indicated restriction enzymes. Note
that the cassette between two PacI sites can be replaced with other
endosomalytic enzyme genes when applicable.
[0019] FIGS. 2A and B. A, The gene sequence of PfoA from
Clostridium perfringens (SEQ ID NO: 1); B, the protein sequence of
PfoA from Clostridium perfringens (SEQ ID NO: 2).
[0020] FIG. 3. The gene sequence of a preferred mutant,
PfoA.sub.G137Q (SEQ ID NO: 3).
[0021] FIG. 4. Flow chart for the main steps of allele
exchange.
[0022] FIG. 5. Restriction enzyme digestion for the allele exchange
plasmid pAF102.
[0023] Lane 1:1 kb plus DNA ladder; Lane 2: Plasmid pAF102 digested
by restriction enzyme EcoRI; Lane 3: Plasmid pAF102 undigested
control; Lane 4: Vector plasmid pAF100 without PFO cassette insert
digested by restriction enzyme EcoRI. Lane 5: Vector plasmid pAF100
without PFO cassette insert undigested control. From this figure,
the plasmid pAF100 is linearlized to produce a single band of 4.4
kb in size by the restriction enzyme EcoRI as expected. The plasmid
pAF102 produced two bands with size of 2.3 kb and 6.0 kb
respectively by restriction enzyme EcoRI as expected.
[0024] FIG. 6. PCR analysis of the selected colonies for the
genotype of .DELTA.ureC::pfoA. The PCR was carried as descried in
Materials and Methods. The PCR product was analyzed by gel
electrophoresis in 1.2% agrose gel. The DNA ladder used was a 1 Kb
plus DNA standard purchased from Invitrogen. Lanes 1-6: PCR for
colonies Numbered 105-1 through 105-6 respectively; lane 7 and lane
8: PCR for colonies numbered 142-7 and 142-10, respectively. Lane
9: PCR for BCG Danish1331 strain.
[0025] FIG. 7. Growth and kanamycin sensitivity of AFV102. Bacteria
from AFV102, BCG Danish 1331 and PfoA construct merodiploid (Pfo105
MI) were inoculated into 7H9 growth media and the growth of each
strain was compared by measuring the optical density at 600 nm at
different time points. For the kanamycin sensitivity test,
antibiotic was added to a final concentration of 50 ug/ml and the
growth was measured as above. Abbreviations in the legend: Ctrl:
control medium without any bacterial inoculation; +Kan or -Kan:
with or without kanamycin in the medium.
[0026] FIG. 8. Cytotoxicity test for AFV102 in J774A.1 cells. The
cells were infected with either AFV102 or BCG Danish 1331. At the
indicated time points post infection, cell viability was measured
as described in the Materials and Methods by comparison to the
uninfected control.
[0027] FIG. 9. Testing AFV102 for its survival ability in
macrophages. J774A.1 monolayer cells were infected with AFV102 or
BCG Danish 1331, and at the indicated time points post infection
the intracellular bacteria were enumerated as described in
Materials and Methods.
[0028] FIG. 10. Test of AFV102 for its ability to secrete Pfo
protein with pH independent hemolytic activity. The AFV102 culture
was prepared as described previously and the supernatant was tested
for its ability to lyse red cells at pH 7.0 and 5.5. The hemolysin
activity was measured as described in Materials and Methods.
[0029] FIG. 11A-D. Schematic illustration of results for Example 3.
A, The bacterium (darkened oval) invades a macrophage (gray oval)
within a cell (hexagon) which stimulates formation of early
endosomes; B, BCG halts endosome maturation and BCG is protected
inside the early endosome; C, AFV102 bacteria expressing PfoA are
initially found in early endosomes after invasion; however, they
will start to secrete PfoA and escape the endosome; D, AFV102
bacteria expressing PfoA can be seen emerging from the endosome or
free in the cell.
[0030] FIG. 12. The map for antigen over expression vector pAF105.
The denotation for each of the DNA segments is as follows:
P.sub.Rv3130 is the promoter sequence of antigen Rv3130c;
P.sub.Ag85B is the promoter sequence of antigen Rv1886c. The genes
in the expression cassette are Rv0288; Rv1886c and Rv3804c; aph is
the aminoglycoside phosphotransferase gene (Gene bank accession
number: X06402), which confers kanamycin resistance; OriE is the
pUC origin of replication (Gene bank accession number AY234331);
leuD is the gene encoding 3-isopropylmalate dehydratase (i.e.
Rv2987c); OriM is the origin of replication in Mycobacterium (Gene
bank accession no: M23557).
DETAILED DESCRIPTION OF THE PREFERRED EMBODIMENTS OF THE
INVENTION
[0031] The present invention provides a rBCG that is capable of
escaping from endosomes and accessing the host cell cytoplasm of
cells that it infects. As a result, a superior CD8.sup.+ T-cell
response to the rBCG is elicited in the cells.
[0032] The rBCG is genetically engineered to contain a functional
endosomalysin that is expressed and secreted by the rBCG, and that
mediates endosomal escape of the rBCG. The term endosomalysin
herein refers to a protein that is capable of rupturing the
endosomal membrane sufficiently to enable a bacterial cell to pass
from the endosome into the cytosol. The term endosomalytic herein
refers to a protein that has said rupturing activity. The term
endosomalysis herein refers to the process of rupturing the
endosomal membrane sufficiently to enable a bacterial cell to pass
from the endosome into the cytosol. The endosomalytic protein is
active in environments with pH values near neutrality, such as
within the endosomes of cells infected with mycobacteria, and thus
mediates escape of the bacteria into the cytoplasm.
[0033] In one embodiment of the present invention, the functional
endosomalytic protein that is introduced into the rBCG strains of
the present invention is PfoA from Clostridium perfrigens, or a
functional variant thereof. PfoA is a cytolysin secreted by
Clostridium pefringens that is encoded by the pfoA gene (Genebank
Accession # CPE0163). The gene and its protein sequence are shown
in FIGS. 2 A and B, respectively. PfoA mediates bacterial escape
from phagosomes, both in Clostridium and when expressed by B.
subtilis (Portnoy et al., Infect Immun. July; 60(7): 2710-7; 1992).
Unlike Llo, PfoA is active at both pH 5.0 and pH 7.0 and thus
remains active in the cytosol and causes damage to infected host
cells (Portnoy et al. supra, 1992). Thus, when PfoA was expressed
in L. monocytogenes in place of Llo, it enabled the strain to
escape from phagosomes (Jones and Portnoy, Infect Immun. December;
62(12): 5608-13; 1994). However, its expression also caused damage
to the host cells. Llo displays similar properties to PfoA, except
that Llo is optimally active at pH 5.5 and displays little activity
at pH 7.0. Thus, Llo mediates endosome escape once the pH of the
endosome drops to pH 5.5 but does not affect the host cell because
the pH of the cytosol, which is near neutrality, impedes Llo
activity.
[0034] Portnoy et al. has further demonstrated that when PfoA is
expressed in L. monocytogenes in a mutant form with a single amino
acid change, the mutant form of PfoA is no longer toxic to the host
cells, yet is still capable of mediating bacterial escape from a
vacuole, and of carrying out intracellular growth (Portnoy et al.,
supra, 1992). The particular strain DP-12791, with a mutation that
changes Gly137 to Gln137 in Pfo (i.e. PfoA.sub.G137Q), is able to
escape from the phagosome in a manner similar to wild type, but
without producing a toxic effect on host cells. In addition,
PfoA.sub.G137Q is active at both pH 5.6 and pH 7.4 with a reduced
cytosolic half-life. The gene sequence of PfoA.sub.G137Q is shown
in FIG. 3 (SEQ ID NO: 3).
[0035] The expression of PfoA allows escape from endosomes because
the pore-forming activity of PfoA leads to eukaryotic cell membrane
damage. PfoA forms pores in cholesterol-containing membranes by the
spontaneous insertion of its domains into the bilayer. This happens
via binding to cholesterol, which acts as a receptor. After
binding, the toxin then forms a monomer-monomer interface (which is
required for oligomer assembly), oligomerizes and partitions into
the membrane by changing its structure, which is membrane
binding-dependent. Formation of the membrane-bound oligomers leads
to membrane damage and eventual lysis (Ramachandran et al., Nature
Structure and Molecular Biology, 11(8), 697-705 (1995).
PfoA.sub.G137Q is capable of mediating lysis of the vacuole in this
manner. The preferable PfoA.sub.G137Q has limited activity in the
cytoplasm of the infected host cell, because of its sensitivity to
host proteases.
[0036] In one embodiment of the invention, the functional
endosomalytic enzyme that is expressed by the rBCG is PfoA that is
derived or isolated from C. perfringens. However, those of skill in
the art will recognize that other endosomalytic proteins that are
active at or near neutrality also exist that would be suitable for
use in the present invention. Examples of such endosomalytic
proteins include but are not limited to Pneumolysin (produced by
Streptococcus pneumoniae), Streptolysin O (produced by
Streptococcus pyogenes), Cerolysin (produced by Bacilus cereus),
.alpha.-hemolysin (produced by Staphylococcus aureus), etc., and
functional variants thereof.
[0037] By "functional endosomalytic protein" or "functional form"
of a protein (or the gene product of a gene that is "functionally
expressed"), we mean that the form of the protein that is produced
by the rBCG bacterium exhibits the characteristic magnitude of
activity for which the native or natural ("wild-type") protein is
known in its native organism. The magnitude of activity of the
functional form of the protein produced by the rBCG is, in general,
at least about 50 percent of the usual activity of the wild-type
protein when assayed under standard conditions as recognized by
those of skill in the art. The magnitude of activity of the protein
may be determined by measuring any physical observable, such
binding to a ligand, or production of an effect, such as escape of
rBCG from endosomes. Preferably, the activity magnitude is at least
about 50%, 60%, 70%, 80%, 90%, 100%, or more of the standard
magnitude of activity of the wild type protein when assayed under
standard conditions as recognized by those of skill in the art.
[0038] By "functional variant" of a protein, we mean a polypeptide
whose amino acid sequence is at least about 70% homologous to that
of a wild type "reference" protein, and which retains the
functional magnitude of activity (as described above) of the wild
type protein. The amino acid sequence of the reference wild type
protein is typically used as a starting point for mutations and
alterations that are carried out by genetic engineering.
[0039] Preferably, a functional variant is a polypeptide with an
amino acid sequence that displays about 75%, 80%, 85%, 90%, 95% or
more identity to the reference amino acid sequence. Such functional
variants include but are not limited to polypeptide sequences in
which one or more conservative amino acid substitutions have been
made. Conservative amino acid substitutions are well known to those
of skill in the art, and include, for example, the substitution of
one positively charged amino acid for another, one negatively
charged amino acid for another, one hydrophobic amino acid for
another, etc. Variant polypeptides may contain one or more of such
substitutions, provided the resulting variant polypeptide retains
the functional magnitude of activity as defined herein. "Functional
variants" also encompass other changes to the primary sequence of
the polypeptide of interest. Examples of changes include but are
not limited to deletions and additions of amino acids, or the
modification of amino acids (e.g. chemical modifications such as
sulfonation, deamidation, phosphorylation, hydroxylation, etc.).
Such changes may be the result of genetic engineering of a
reference amino acid sequence, or may be the result of
post-translational modifications of the protein, or both. Further,
functional variants of an enzyme may be the result of natural
mutations such as those that occur between analogous proteins with
the same or similar activities that are isolated from different
strains of a species, or from different species, or from different
individual organisms within a species. Proteins from such naturally
occurring variants may also serve as the reference protein, and the
amino acid sequence of such a natural variant may serve as the
reference sequence. In any case, all such functional variants of a
reference protein retain the activity magnitude of the protein, as
described herein.
[0040] Sequence homologies and identities as described herein are
not intended to include heterologous amino acid sequences that are
derived from sources other than the reference sequence and which
are attached to or included in the polypeptide sequence of a
protein for various other purposes. Examples of such heterologous
sequences include but are not limited to sequences that facilitate
polypeptide isolation (e.g. histidine tags), sequences that
facilitate secretion or localization of the polypeptide within the
cell, (e.g., various leader or targeting sequences), and sequences
that code for glycosylation sites (glycosylation sequences),
etc.
[0041] In any case, the functional variant will retain the activity
magnitude of the protein of which it is a variant to the degree
that the functional variant exhibits at least about 50 percent, and
preferably about 60%, 70%, 80%, 90%, 100% or more, of the activity
magnitude of the protein of which it is a variant, when assayed
under standard conditions as recognized by those of skill in the
art.
[0042] Further, the present invention also includes nucleic acid
sequences encoding proteins and functional variants of proteins
utilized in the present invention. The nucleic acid sequences may
be deooxyribonucleotides, ribonucleotides, or modified forms of
either, and may be single- or double-stranded. The nucleic acid
sequences of the present invention include any that are listed
herein, and are also intended to encompass variants thereof. For
example, variants of the nucleic acids may not be identical to the
listed sequences but may still encode an identical amino acid
sequence due to the redundancy of the genetic code. Alternatively,
some changes in the sequences of the present invention may be made
(e.g. substitutions, deletions or additions) that result in changes
in the encoded amino acid sequence, so long as the encoded amino
acid sequence is a functional variant of the reference amino acid
sequence as described above. Examples include but are not limited
to: changes that cause conservative amino acid substitutions in the
enzyme; and changes that result in non-conservative substitutions,
or deletion or additions in the amino acid sequences. Such changes
may be introduced for any reason, e.g. in order to alter
post-translational modifications of the enzyme; to increase or
decrease solubility; to prevent or introduce steric interactions in
the translated polypeptide, etc. In general, variants of the
nucleic acid sequences of the present invention will exhibit at
least about 50 percent, and preferably about 60%, 70%, 80%, 90%,
95%, or 100% homology to the reference sequences, as determined by
comparative procedures that are well known to those of skill in the
art. Such variants are also characterized by exhibiting the ability
to bind to the sequences utilized the present invention under
conditions of high stringency. High stringency binding assays are
well-known to those of skill it the art and can readily be applied
to test potential variants of sequences of the present
invention.
[0043] Sequence homologies as described herein are not intended to
refer to nucleic acid sequences encoding heterologous amino acid
sequences that are derived from sources other than the reference
amino acid sequence, and which are attached to or included in the
polypeptide sequence of a protein for various other purposes. For
example, such nucleic acid sequences may encode heterologous amino
acid sequences including but not limited to: sequences that
facilitate polypeptide isolation (e.g. histidine tags), sequences
that facilitate secretion or localization of the polypeptide within
the cell, (e.g., various leader sequences or targeting sequences),
and sequences that code for glycosylation sites (glycosylation
sequences), etc.
[0044] Other variations of the nucleic acid sequences of the
present invention that are intended to be encompassed by the
present invention are sequences which have been altered for
convenience or improvement in genetic engineering of the nucleic
acid sequences, or in the expression of the amino acid sequences
they encode. In general, such alterations will not affect the
sequence of the polypeptide that is ultimately translated from the
nucleic acid sequence; or the polypeptide will still fulfill the
criteria set forth above for a functional variant. Examples of this
type of alteration include but are not limited to: the inclusion of
convenient restriction endonuclease sites in a nucleic acid
sequence to facilitate manipulation of the sequence (e.g. for
insertion of a sequence into a vector); the inclusion, deletion, or
other change in a sequence or sequences involved in expression of
the amino acid sequence (e.g. inclusion of any of various promoter
and/or enhancer sequences, stop signals, super promoters, inducible
promoters, and various other sequences that modify expression of
the nucleic acid sequence); the inclusion of sequences that
facilitate interaction of a vector with the nucleic acid of a host
organism; etc.
[0045] Further, the nucleic acid sequences of the present invention
may be chemically modified or include non-traditional bases for any
of many reasons that are well-known to those of skill in the art,
for example, to promote stability of the nucleic acid, or to confer
a desired steric conformation.
[0046] By "active at neutral pH" and "active at a pH of about 7.0"
we mean that the enzyme is active at a pH value in the range of
from about 6.0 to about 8.0, and preferably in a range of about 6.5
to about 7.5.
[0047] The present invention provides recombinant Mycobacteria. In
a preferred embodiment of the invention, the Mycobacteria are
attenuated, as exemplified by BCG. However, those of skill in the
art will recognize that other attenuated and non-attenuated
Mycobacteria exist which would also be suitable for use in the
present invention. Examples of additional types of Mycobacteria
include but are not limited to M. tuberculosis strain CDC1551 (See,
e.g. Griffith et al., Am. J. Respir. Crit. Care Med. August;
152(2):808; 1995), M. tuberculosis strain Beijing (Soolingen et
al., 1995), M. tuberculosis strain H37Ra (ATCC#:25177), M.
tuberculosis strain H37Rv (ATCC#:25618), M. bovis (ATCC#: 19211 and
27291), M. fortuitum (ATCC#: 15073), M. smegmatis (ATCC#:12051 and
12549), M. intracellulare (ATCC#:35772 and 13209), M. kansasii
(ATCC#:21982 and 35775) M. avium (ATCC#:19421 and 25291), M.
gallinarum (ATCC#: 19711), M. vaccae (ATCC#: 15483 and 23024), M.
leprae (ATCC#:), M. marinarum (ATCC#: 11566 and 11567), and M.
microtti (ATCC#: 11152).
[0048] Examples of attenuated Mycobacterium strains include but are
not restricted to M. tuberculosis pantothenate auxotroph strain
(Sambandamurthy, Nat. Med. 2002 8(10):1171; 2002), M. tuberculosis
rpoV mutant strain (Collins et al., Proc Natl Acad Sci USA.
92(17):8036; 1995), M. tuberculosis leucine auxotroph strain
(Hondalus et al., Infect. Immun. 68(5):2888; 2000), BCG Danish
strain (ATCC # 35733), BCG Japanese strain (ATCC # 35737), BCG,
Chicago strain (ATCC # 27289), BCG Copenhagen strain (ATCC #:
27290), BCG Pasteur strain (ATCC #: 35734), BCG Glaxo strain (ATCC
#: 35741), BCG Connaught strain (ATCC # 35745), BCG Montreal (ATCC
# 35746).
[0049] In a further embodiment of this invention, attenuated
Mycobacterium strains are modified to enhance apoptosis, wherein
such strains induce strong cellular immune responses. Apoptosis is
programmed cell death, which differs dramatically from necrotic
cell death in terms of its induction and consequences. In fact, the
process by which apoptosis of antigen containing cells results in
the induction of potent cellular immunity has been called
cross-priming (Heath et al., Immunol Rev 199; 2004; Gallucci et
al., Nature Biotechnology. 5:1249; 1999; Albert et al., Nature
392:86; 1998). There are several mechanisms for induction of
apoptosis which lead to increased antigen specific cell mediated
immunity. Caspase 8-mediated apoptosis leads to antigen specific
cellular immune protection (Sheridan et al., Science 277:818;
1997).
[0050] Another embodiment of the present invention, therefore,
provides attenuated Mycobacterium strains which display enhanced
pro-apoptosis properties, such as but not limited to secA1 secreted
SodA lacking a leader peptide from the Salmonella enteriditis
(Genbank accession no. 1068147), Escherichia coli (Genbank
Accession No. 1250070) or Shigella flexneri (Genbank accession no.
1079977) or alternatively a SodA protein that is naturally
non-secreted such as the SodA from Listeria monocytogenes EGD-e
(Genbank Accession No. 986791). Such attenuated Mycobacterium
strains do not produce extracellular Sod and thus do not suppress
host immune responses, yet they do express intracellular Sod,
thereby enabling survival of said Mycobacterium (Edwards et al.,
Am. J. Respir. Crit. Care Med. 164(12):2213-9; 2001).
Alternatively, attenuated Mycobacterium strains which display
enhanced pro-apoptosis properties carry an inactivated Rv3238c
gene.
[0051] Alternatively, expression of Salmonella SopE (Genbank
accession # AAD54239, AAB51429 or AAC02071) or caspase-8 (Genbank
accession # AAD24962 or AAH06737) in the cytoplasm of host cells by
attenuated Mycobacterium in the present invention will impart a
powerful method for inducing programmed cell death in the context
of antigens expressed by said attenuated Mycobacterium, invoking
high levels of antigen-specific cellular immunity.
[0052] Death receptor-5 (DR-5) also known as TRAIL-R2 (TRAIL
receptor 2) or TNFR-SF-10B (Tumor Necrosis Factor-Superfamily
member 10B) also mediates caspase 8 mediated apoptosis (Sheridan et
al., 1997). Reovirus induced apoptosis is mediated by TRAIL-DR5
leading to subsequent clearance of the virus (Clarke et al., J.
Virol. 74:8135; 2000). Expression of DR-5, such as human DR-5
(Genbank accession # BAA33723), herpesvirus-6 (HHV-6) DR-5
homologue (Genbank accession # CAA58423) etc., by attenuated
Mycobacterium in the present invention provides a potent adjuvant
effect for induction of antigen-specific cellular immunity against
Mtb antigens.
[0053] In addition, host antigen presenting cells (such as
macrophages and dendritic cells) can also be induced to undergo
apoptosis through Fas ligation, which is a strong stimulus for
induction of antigen specific cellular immune responses
(Chattergoon et al., Nat. Biotechnol. 18:974; 2000). Thus,
attenuated Mycobacterium expressing Fas or Fas cytoplasmic
domain/CD4 ectodomain fusion protein will induce apoptosis and
augmented antigen-specific cellular immune responses.
[0054] In summary, attenuated Mycobacterium strains which promote
the induction of apoptosis provide a powerful tool for the
induction of cellular responses that lead to immune mediated cell
destruction of Mtb-infected cells, with subsequent elimination,
reduction or prevention of the Mtb infection.
[0055] In yet another embodiment of the present invention, the
two-component TB vaccine can include attenuated Mycobacterium
strains that over express at least one Mycobacterium antigen,
including but not restricted to Rv0125, Rv0203, Rv0287, Rv0288,
Rv0603, Rv1196, Rv1223, Rv1271c, Rv1733c, Rv1738, Rv1804c, Rv1886,
Rv2031c, Rv2032, Rv2253, Rv2290, Rv2389c, Rv2626c, Rv2627c,
Rv2779c, Rv2873, Rv2875, Rv3017c, Rv3407, Rv3804c, Rv3810, or
Rv3841. Alternatively, the over expressed Mycobacterium antigens
can be in the form of a fusion protein comprised of one or more
said Mycobacterium fusion proteins, such as Mtb72f (Brandt et al.,
Infect. Immun., 72:6622-6632; 2004; Skeiky et al., J. Immunol.,
172:7618-7628; 2004), Hybrid-1 (Olsen et al., Infect, Immun.,
72:6148-6150; 2004; Langermans et al., Vaccine, 23:2740-2750;
2005), Hyvac-4 (Dietrich et al., J. Immunol., 174:6332-6339; 2005),
etc.
[0056] This invention has utility in the development of vaccines
against pathogenic Mycobacterium species and in the development of
antigen delivery vaccine vectors. A Mycobacterium vector is defined
herein as any Mycobacterium strain engineered to express at least
one passenger nucleotide sequence (herein referred to as "PNS")
comprised of DNA or RNA and encoding any combination of antigens,
immunoregulatory factors or adjuvants, as set forth below. The PNS
can be introduced into the chromosome or as part of an expression
vector using compositions and methods well known in the art (Jacobs
et al., Nature 327:532-535; 1987; Barletta et al., Res Microbiol.
141:931-939; 1990; Kawahara et al., Clin Immunol. 105:326-331;
2002; Lim et al., AIDS Res Hum Retroviruses. 13:1573-1581; 1997;
Chujoh et al., Vaccine, 20:797-804; 2001; Matsumoto et al.,
Vaccine, 14:54-60; 1996; Haeseleer et al., Mol Biochem Parasitol.,
57:117-126; 1993).
[0057] In the present invention, the Mycobacterium vector may carry
a PNS encoding an immunogen, which may be either a foreign
immunogen from viral, bacterial and parasitic pathogens, or an
endogenous immunogen, such as but not limited to an autoimmune
antigen or a tumor antigen. The immunogens may be the full-length
native protein, chimeric fusions between the foreign immunogen and
an endogenous protein or mimetic, a fragment or fragments thereof
of an immunogen that originates from viral, bacterial and parasitic
pathogens.
[0058] As used herein, "foreign immunogen" means a protein or
fragment thereof, which is not normally expressed in the recipient
animal cell or tissue, such as, but not limited to, viral proteins,
bacterial proteins, parasite proteins, cytokines, chemokines,
immunoregulatory agents, or therapeutic agents.
[0059] An "endogenous immunogen" means a protein or part thereof
that is naturally present in the recipient animal cell or tissue,
such as, but not limited to, an endogenous cellular protein, an
immunoregulatory agent, or a therapeutic agent. Alternatively or
additionally, the immunogen may be encoded by a synthetic gene and
may be constructed using conventional recombinant DNA methods known
to those of skill in the art.
[0060] The foreign immunogen can be any molecule that is expressed
by any viral, bacterial, or parasitic pathogen prior to or during
entry into, colonization of, or replication in their animal host;
the Mycobacterium vector may express immunogens or parts thereof
that originate from viral, bacterial and parasitic pathogens. These
pathogens can be infectious in humans, domestic animals or wild
animal hosts.
[0061] The viral pathogens, from which the viral antigens are
derived, include, but are not limited to, Orthomyxoviruses, such as
influenza virus (Taxonomy ID: 59771; Retroviruses, such as RSV,
HTLV-1 (Taxonomy ID: 39015), and HTLV-II (Taxonomy ID: 11909),
Herpes viruses such as EBV Taxonomy ID: 10295); CMV (Taxonomy ID:
10358) or herpes simplex virus (ATCC #: VR-1487); Lentiviruses,
such as HIV-1 (Taxonomy ID: 12721) and HIV-2 Taxonomy ID: 11709);
Rhabdoviruses, such as rabies; Picornoviruses, such as Poliovirus
(Taxonomy ID: 12080); Poxviruses, such as vaccinia (Taxonomy ID:
10245); Rotavirus (Taxonomy ID: 10912); and Parvoviruses, such as
adeno-associated virus 1 (Taxonomy ID: 85106).
[0062] Examples of viral antigens can be found in the group
including but not limited to the human immunodeficiency virus
antigens Nef (National Institute of Allergy and Infectious Disease
HIV Repository Cat. # 183; Genbank accession # AF238278), Gag, Env
(National Institute of Allergy and Infectious Disease HIV
Repository Cat # 2433; Genbank accession # U39362), Tat (National
Institute of Allergy and Infectious Disease HIV Repository Cat #
827; Genbank accession # M13137), mutant derivatives of Tat, such
as Tat-.DELTA.31-45 (Agwale et al., Proc. Natl. Acad. Sci. In
press. Jul. 8, 2002), Rev (National Institute of Allergy and
Infectious Disease HIV Repository Cat # 2088; Genbank accession #
L14572), and Pol (National Institute of Allergy and Infectious
Disease HIV Repository Cat # 238; Genbank accession # AJ237568) and
T and B cell epitopes of gp120 (Hanke and McMichael, AIDS Immunol
Lett., 66:177; 1999); (Hanke, et al., Vaccine, 17:589; 1999);
(Palker et al., J. Immunol., 142:3612-3619; 1989) chimeric
derivatives of HIV-1 Env and gp120, such as but not restricted to
fusion between gp120 and CD4 (Fouts et al., J. Virol.,
74:11427-11436; 2000); truncated or modified derivatives of HIV-1
env, such as but not restricted to gp140 (Stamatos et al., J Virol,
72:9656-9667; 1998) or derivatives of HIV-1 Env and/or gp140
thereof (Binley, et al., J Virol, 76:2606-2616.sub.--; 2002);
(Sanders, et al., J Virol, 74:5091-5100; 2000); (Binley, et al., J
Virol, 74:627-643.sub.--; 2000), the hepatitis B surface antigen
(Genbank accession # AF043578); (Wu et al., Proc. Natl. Acad. ScL,
USA, 86:4726-4730; 1989); rotavirus antigens, such as VP4 (Genbank
accession # AJ293721; Mackow et al., Proc. Natl. Acad. Sci., USA,
87:518-522; 1990) and VP7 (Genbank accession # AY003871;) (Green et
al., J. Virol., 62:1819-1823; 1988), influenza virus antigens such
as hemagglutinin or (Genbank accession # AJ404627); (Pertmer and
Robinson, Virology, 257:406; 1999); nucleoprotein (Genbank
accession # AJ289872); (Lin et al., Proc. Natl. Acad. Sci., 97:
9654-9658; 2000) herpes simplex virus antigens such as thymidine
kinase (Genbank accession # AB047378); (Whitley et al., New
Generation Vaccines, 825-854; 2004).
[0063] The bacterial pathogens, from which the bacterial antigens
are derived, include but are not limited to, Mycobacterium spp.,
Helicobacter pylori, Salmonella spp., Shigella spp., E. coli,
Rickettsia spp., Listeria spp., Legionella pneumoniae, Pseudomonas
spp., Vibrio spp., and Borellia burgdorferi.
[0064] Examples of protective antigens of bacterial pathogens
include the somatic antigens of enterotoxigenic E. coli, such as
the CFA/I fimbrial antigen (Yamamoto et al., Infect. Immun.,
50:925-928; 1985) and the nontoxic B-subunit of the heat-labile
toxin (Klipstein et al., Infect. Immun., 40:888-893; 1983);
pertactin of Bordetella pertussis (Roberts et al., Vacc., 10:4348;
1992), adenylate cyclase-hemolysin of B. pertussis (Guiso et al.,
Micro. Path., 11:423-431; 1991), fragment C of tetanus toxin of
Clostridium tetani (Fairweather et al., Infect. Immun.,
58:1323-1326; 1990), OspA of Borellia burgdorferi (Sikand, et al.,
Pediatrics, 108:123-128; 2001); (Wallich, et al., Infect Immun,
69:2130-2136; 2001), protective paracrystalline-surface-layer
proteins of Rickettsia prowazekii and Rickettsia typhi (Carl, et
al. Proc Natl Acad Sci USA, 87:8237-8241; 1990), the listeriolysin
(also known as "Llo" and "Hly") and/or the superoxide dismutase
(also know as "SOD" and "p60") of Listeria monocytogenes (Hess, et
al., Infect. Immun. 65:1286-92; 1997; (Hess, et al., Proc. Natl.
Acad. Sci. 93:1458-1463; 1996); (Bouwer, et al., J. Exp. Med.
175:1467-71;.sub.--1992), the urease of Helicobacter pylori
(Gomez-Duarte, et al., Vaccine 16, 460-71; 1998); Corthesy-Theulaz,
et al., Infection & Immunity 66, 581-6; 1998), and the
receptor-binding domain of lethal toxin and/or the protective
antigen of Bacillus anthrax (Price, et al., Infect. Immun. 69,
4509-4515; 2001).
[0065] The parasitic pathogens, from which the parasitic antigens
are derived, include but are not limited to, Plasmodium spp., such
as Plasmodium falciparum (ATCC#: 30145); Trypanosome spp., such as
Trypanosoma cruzi (ATCC#: 50797); Giardia spp., such as Giardia
intestinalis (ATCC#: 30888D); Boophilus spp., Babesia spp., such as
Babesia microti (ATCC#: 30221); Entamoeba spp., such as Entamoeba
histolytica (ATCC#: 30015); Eimeria spp., such as Eimeria maxima
(ATCC# 40357); Leishmania spp. (Taxonomy ID: 38568); Schistosome
spp., Brugia spp., Fascida spp., Dirofilaria spp., Wuchereria spp.,
and Onchocerea spp.
[0066] Examples of protective antigens of parasitic pathogens
include the circumsporozoite antigens of Plasmodium spp. (Sadoff et
al., Science 240:336-337; 1988), such as the circumsporozoite
antigen of P. bergerii or the circumsporozoite antigen of P.
falciparum; the merozoite surface antigen of Plasmodium spp.
(Spetzler et al., Int J. Pept. Prot. Res., 43:351-358; 1994); the
galactose specific lectin of Entamoeba histolytica Mann et al.,
Proc. Natl. Acad. Sci., USA, 88:3248-3252; 1991), gp63 of
Leishmania spp. (Russell et al., J. Immunol., 140: 1274-1278;
1988); (Xu and Liew, Immunol., 84: 173-176; 1995), gp46 of
Leishmania major (Handman et al., Vaccine, 18: 3011-3017; 2000),
paramyosin of Brugia malayi (Li et al., Mol. Biochem. Parasitol.,
49:315-323; 1991), the triose-phosphate isomerase of Schistosoma
mansoni (Shoemaker et al. Proc. Natl. Acad. Sci., USA,
89:1842-1846; 1992); the secreted globin-like protein of
Trichostrongylus colubriformis (Frenkel et al., Mol. Biochem.
Parasitol., 50:27-36; 1992); the glutathione-S-transferase's of
Frasciola hepatica (Hillyer et al., Exp. Parasitol., 75:176-186;
1992), Schistosoma bovis and S. japonicum (Bashir et al., Trop.
Geog. Med., 46:255-258; 1994); and KLH of Schistosoma bovis and S.
japonicum (Bashir et al., supra, 1994).
[0067] As mentioned earlier, the Mycobacterium vector may carry a
PNS encoding an endogenous immunogen, which may be any cellular
protein, immunoregulatory agent, or therapeutic agent, or parts
thereof, that may be expressed in the recipient cell, including but
not limited to tumor, transplantation, and autoimmune immunogens,
or fragments and derivatives of tumor, transplantation, and
autoimmune immunogens thereof. Thus, in the present invention,
Mycobacterium vector may carry a PNS encoding tumor, transplant, or
autoimmune immunogens, or parts or derivatives thereof.
Alternatively, the Mycobacterium vector may carry synthetic PNS's
(as described above), which encode tumor-specific, transplant, or
autoimmune antigens or parts thereof.
[0068] Examples of tumor specific antigens include prostate
specific antigen (Gattuso et al., Human Pathol., 26:123-126; 1995),
TAG-72 and CEA (Guadagni et al., Int. J. Biol. Markers, 9:53-60;
1994), MAGE-1 and tyrosinase (Coulie et al., J. Immunothera.,
14:104-109; 1993). Recently, it has been shown in mice that
immunization with non-malignant cells expressing a tumor antigen
provides a vaccine effect, and also helps the animal mount an
immune response to clear malignant tumor cells displaying the same
antigen (Koeppen et al., Anal. N.Y. Acad. Sci., 690:244-255;
1993).
[0069] Examples of transplant antigens include the CD3 molecule on
T cells (Alegre et al., Digest. Dis. Sci., 40:5844; 1995).
Treatment with an antibody to CD3 receptor has been shown to
rapidly clear circulating T cells and reverse cell-mediated
transplant rejection (Alegre et al., supra, 1995).
[0070] Examples of autoimmune antigens include IAS .beta. chain
(Topham et al., Proc. Natl. Acad. Sci., USA, 91:8005-8009; 1994).
Vaccination of mice with an 18 amino acid peptide from IAS .beta.
chain has been demonstrated to provide protection and treatment to
mice with experimental autoimmune encephalomyelitis (Topham et al.,
supra, 1994).
Mycobacterium Vectors which Express an Adjuvant
[0071] It is feasible to construct Mycobacterium vectors that carry
PNS encoding an immunogen and an adjuvant, and are useful in
eliciting augmented host responses to the vector and PNS-encoded
immunogen. Alternatively, it is feasible to construct Mycobacterium
vectors that carry PNS encoding an adjuvant, which are administered
in mixtures with other Mycobacterium vectors that carry PNS
encoding at least one immunogen to increase host responses to said
immunogen encoded by the partner Mycobacterium vector.
[0072] The particular adjuvant encoded by PNS inserted in said
Mycobacterium vector is not critical to the present invention and
may be the A subunit of cholera toxin (i.e. CtxA; Genbank accession
no. X00171, AF175708, D30053, D30052,), or parts and/or mutant
derivatives thereof (E.g. the A1 domain of the A subunit of Ctx
(i.e. CtxA 1; Genbank accession no. K02679)), from any classical
Vibrio cholerae (E.g. V. cholerae strain 395, ATCC # 39541) or El
Tor V. cholerae (E.g. V. cholerae strain 2125, ATCC # 39050)
strain. Alternatively, any bacterial toxin that is a member of the
family of bacterial adenosine diphosphate-ribosylating exotoxins
(Krueger and Barbier, Clin. Microbiol. Rev., 8:34; 1995), may be
used in place of CtxA, for example the A subunit of heat-labile
toxin (referred to herein as EltA) of enterotoxigenic Escherichia
coli (Genbank accession # M35581), pertussis toxin S1 subunit (E.g.
ptxS1, Genbank accession # AJ007364, AJ007363, AJ006159, AJ006157,
etc.); as a further alternative the adjuvant may be one of the
adenylate cyclase-hemolysins of Bordetella pertussis (ATCC # 8467),
Bordetella bronchiseptica (ATCC # 7773) or Bordetella parapertussis
(ATCC # 15237), E.g. the cyaA genes of B. pertussis (Genbank
accession no. X14199), B. parapertussis (Genbank accession no.
AJ249835) or B. bronchiseptica (Genbank accession no. Z37112).
Mycobacterium Vector which Express an Immunoregulatory Agent
[0073] Yet another approach entails the use of Mycobacterium vector
that carry at least one PNS encoding an immunogen and a cytokine,
which are used to elicit augmented host responses to the
PNS-encoded immunogen Mycobacterium vector. Alternatively, it is
possible to construct a Mycobacterium vector that carries a PNS
encoding said cytokine alone, which are used in admixtures with at
least one other Mycobacterium vector carrying a PNS encoding an
immunogen to increase host responses to PNS-encoded immunogens
expressed by the partner Mycobacterium vector.
[0074] The particular cytokine encoded by the Mycobacterium vector
is not critical to the present invention includes, but not limited
to, interleukin-4 (herein referred to as "IL-4"; Genbank accession
no. AF352783 (Murine IL-4) or NM.sub.--000589 (Human IL-4)), IL-5
(Genbank accession no. NM.sub.--010558 (Murine IL-5) or
NM.sub.--000879 (Human IL-5)), IL-6 (Genbank accession no. M20572
(Murine IL-6) or M29150 (Human IL-6)), IL-10 (Genbank accession no.
NM.sub.--010548 (Murine IL-10) or AF418271 (Human IL-10)),
I1-12.sub.p40 (Genbank accession no. NM.sub.--008352 (Murine IL-12
p40) or AY008847 (Human IL-12 p40)), IL-12p70 (Genbank accession
no. NM.sub.--008351/NM.sub.--008352 (Murine IL-12 p35/40) or
AF093065/AY008847 (Human IL-12 p35140)), TGF.beta. (Genbank
accession no. NM.sub.--011577 (Murine TGF.beta.1) or M60316 (Human
TGF.beta.1)), and TNF.alpha. Genbank accession no. X02611 (Murine
TNF.alpha.) or M26331 (Human TNF.alpha.)).
[0075] The specific method used to introduce a gene encoding a Pfo
gene into the genome of BCG is not a critical feature of the
invention and may be selected from methods well known to those
skilled in the art (Parish et al., Microbiology, 145:3497-3503;
1999). A preferred method entails targeting the Pfo gene to the
ureC locus, thereby resulting in inactivation of the latter gene
and creating a marker for selection of modified strains (Qadri et
al., J Clinic Micro. 20(6), 1198-1199; 1984). To accomplish the
same, a synthetic allelic exchange plasmid, such as the plasmid
described in the Examples section below, can be modified to harbor
1 kb sequences that flank the 5-prime and 3-prime ends of the ureC
gene (Genome Database # Mb1881). The PfoA gene (Genome Database #
CPE0163) is then inserted in between the flanking sequences under
control of Ag85B promoter. To secrete the PfoA protein, an Ag85B
leader peptide sequence is used in place of the native PfoA signal
sequence to ensure efficient secretion from recombinant BCG
strains.
[0076] The method by which allelic exchange plasmids are introduced
into target BCG strains is not a crucial feature of the present
invention and can be accomplished by standard electroporation
protocols for Mycobacterium. Similarly, the specific method to
affect allelic exchange and introduce the Pfo allele into the ureC
locus is not a crucial feature of the invention and can be selected
from methods well known to those skilled in the art. A suicide
vector such as that depicted in FIG. 1 provides a preferred method,
as this plasmid contains two antibiotic selection markers, thus
minimizing the selection of spontaneous antibiotic-resistant
mutants. During allele exchange, the PfoA gene segment replaces the
ureC gene as a result of homologous recombination of left and right
flanking sequences, thereby resulting in stable chromosomal
integration and expression of PfoA. An advantage of this approach
is that no antibiotics are required to maintain the final product,
and no antibiotic resistant genotype or phenotype is present in the
final strain. This is the preferred embodiment for products for
human use (they are "antibiotic free"). A UreC-negative phenotype
will mark strains that have undergone the allelic exchange and
replaced ureC with Pfo, it being understood that the UreC positive
phenotype might also be employed in certain applications.
[0077] In the present invention, the location of the pfoA in the
BCG is not restricted to ureC. Other locations include but are not
limited to pfoA integrated into a plasmid, and the attB site on the
chromosome. Those skilled in the art will know other locations of
the chromosome that are potential sites for pfoA integration and
expression.
[0078] The present invention also provides vaccine preparations for
use in eliciting an immune response against tuberculosis. The
vaccine preparations include at least one rBCG strain as described
herein, and a pharmacologically suitable carrier. The preparation
of such compositions for use as vaccines is well known to those of
skill in the art. Typically, such compositions are prepared either
as liquid solutions or suspensions, however, solid forms such as
tablets, pills, powders and the like are also contemplated. Solid
forms suitable for solution in, or suspension in, liquids prior to
administration may also be prepared. The preparation may also be
emulsified. The active ingredients may be mixed with excipients
that are pharmaceutically acceptable and compatible with the active
ingredients. Suitable excipients are, for example, water, saline,
dextrose, raffinose, glycerol, ethanol and the like, or
combinations thereof. In addition, the composition may contain
minor amounts of auxiliary substances such as wetting or
emulsifying agents, pH buffering agents, and the like. In addition,
the composition may contain other adjuvants.
[0079] If it is desired to administer an oral form of the
composition, various thickeners, flavorings, diluents, emulsifiers,
dispersing aids or binders and the like may be added. The
composition of the present invention may contain any such
additional ingredients so as to provide the composition in a form
suitable for administration. The final amount of rBCG bacteria in
the formulations may vary. However, in general, the amount in the
formulations will be from about 1-99 percent. The vaccine
preparations of the present invention may further comprise an
adjuvant, suitable examples of which include but are not limited to
Seppic, Quil A, Alhydrogel, etc. Further, the vaccine preparations
of the present invention may contain a single type of rBCG.
Alternatively, more than one type of rBCG may be utilized in a
vaccine.
[0080] The present invention also provides methods of eliciting an
immune response to tuberculosis and methods of vaccinating a mammal
against tuberculosis. By eliciting an immune response, we mean that
administration of the vaccine preparation of the present invention
causes the synthesis of specific antibodies (at a titer in the
range of 1 to 1.times.10.sup.6, preferably 1.times.10.sup.3, more
preferable in the range of about 1.times.10.sup.3 to about
1.times.10.sup.6, and most preferably greater than
1.times.10.sup.6) and/or cellular proliferation, as measured, e.g.
by .sup.3H thymidine incorporation. The methods involve
administering a composition comprising a rBCG strain of the present
invention in a pharmacologically acceptable carrier to a mammal.
The vaccine preparations of the present invention may be
administered by any of the many suitable means which are well known
to those of skill in the art, including but not limited to by
injection, orally, intranasally, by ingestion of a food product
containing the rBCG, etc. In preferred embodiments, the mode of
administration is subcutaneous or intramuscular.
[0081] The following examples are to be considered as exemplary of
various aspects of the present invention and are not intended to be
limiting with respect to the practice of the invention. Those of
ordinary skill in the art will appreciate that alternative
materials, conditions, and procedures may be varied and remain
within the skill of the ordinarily skilled artisan without
departing from the general scope of the invention as taught in the
specification.
EXAMPLES
[0082] The pivotal role of MHC class I-restricted CD8+ T cells in
TB immune protection has been demonstrated (Flynn et al., supra,
1992). In an effort to improve the CD8 T cell response, a
recombinant BCG strain has been engineered to express listeriolysin
of Listeria monocytogenes. However, this recombinant BCG (rBCG)
failed to display an increased capacity for endosomal escape, and
therefore does not cause increased induction of, for example, MHC
class I-restricted CD8+ cytotoxic T cell responses. When examined,
the strain displays less than 1% escape from the endosome. This is
not surprising because listeriolysin's activity is highly pH
sensitive, thus the enzyme is likely not active at the pH within
the endosome. Despite this drawback, the protection and safety of
this recombinant strain were both dramatically improved. Based on
this observation, we have constructed a new rBCG strain by
introducing PfoA.sub.G137Q, derived from Clostridium perfringens
into the chromosome of BCG. PfoA.sub.G137Q has one amino acid
change at position 137 from G to Q. This single amino acid change
results in loss of toxicity of wild-type PfoA in mammalian cells,
yet the enzyme retains its endosomolytic function. The resultant
strain has been shown to be safe and immunogenic in a mouse
model.
Materials and Methods: General
[0083] For each experiment described in the following sections,
restriction endonucleases (herein "REs"); New England Biolabs
Beverly, Mass.), T4 DNA ligase (New England Biolabs, Beverly,
Mass.) and Taq polymerase (Life Technologies, Gaithersburg, Md.)
were used according to the manufacturers' protocols; Plasmid DNA
was prepared using small-scale (Qiagen Miniprep.sup.R kit, Santa
Clarita, Calif.) or large-scale (Qiagen Maxiprep.sup.R kit, Santa
Clarita, Calif.) plasmids DNA purification kits according to the
manufacturer's protocols (Qiagen, Santa Clarita, Calif.);
Nuclease-free, molecular biology grade milli-Q water, Tris-HCl (pH
7.5), EDTA pH 8.0, 1 M MgCl.sub.2, 100% (v/v) ethanol, ultra-pure
agarose, and agarose gel electrophoresis buffer were purchased from
Life Technologies, Gaithersburg, Md. RE digestions, PCRs, DNA
ligation reactions and agarose gel electrophoresis were conducted
according to well-known procedures (Sambrook, et al., Molecular
Cloning: A Laboratory Manual. 1, 2, 3; 1989); (Straus, et al., Proc
Natl Acad Sci USA. March; 87(5): 1889-93; 1990). Nucleotide
sequencing to verify the DNA sequence of each recombinant plasmid
described in the following sections was accomplished by
conventional automated DNA sequencing techniques using an Applied
Biosystems automated sequencer, model 373A.
[0084] PCR primers were purchased from commercial vendors such as
Sigma (St. Louis, Mo.) or synthesized using an Applied Biosystems
DNA synthesizer (model 373A). PCR primers were used at a
concentration of 150-250 .mu.M and annealing temperatures for the
PCR reactions were determined using Clone manager software version
4.1 (Scientific and Educational Software Inc., Durham, N.C.). PCRs
were conducted in a Strategene Robocycler, model 400880
(Strategene, La Jolla, Calif.). The PCR primers for the
amplifications were designed using Clone Manager.RTM. software
version 4.1 (Scientific and Educational Software Inc., Durham
N.C.). This software enables the design of PCR primers and
identifies RE sites that are compatible with the specific DNA
fragments being manipulated. PCRs were conducted in a thermocycler
device, such as the Strategene Robocycler, model 400880
(Strategene), and primer annealing, elongation and denaturation
times in the PCRs were set according to standard procedures (Straus
et al, supra 1990). The RE digestions and the PCRs were
subsequently analyzed by agarose gel electrophoresis using standard
procedures (Straus et al, supra 1990; and Sambrook et al., supra
1989). A positive clone is defined as one that displays the
appropriate RE pattern and/or PCR pattern. Plasmids identified
through this procedure were further evaluated using standard DNA
sequencing procedures, as described above.
[0085] Escherichia coli strains, such as DH5.alpha. and
Sable2.sup.R, were purchased from Life Technologies (Bethesda, Md.)
and served as initial host of the recombinant plasmids. Recombinant
plasmids were introduced into E. coli strains by electroporation
using an high-voltage eletropulse device, such as the Gene Pulser
(BioRad Laboratories, Hercules, Calif.), set at 100-200.OMEGA.,
15-25 .mu.F and 1.0-2.5 kV, as described (Straus et al, supra
1990). Optimal electroporation conditions were identified by
determining settings that resulted in maximum transformation rates
per mcg DNA per bacterium.
[0086] Bacterial strains are typically grown on tryptic soy agar
(Difco, Detroit, Mich.) or in tryptic soy broth (Difco, Detroit,
Mich.), which was made according to the manufacturer's directions.
Unless stated otherwise, all bacteria were grown at 37.degree. C.
in 5% (v/v) CO.sub.2 with gentle agitation. When appropriate, the
media was supplemented with antibiotics (Sigma, St. Louis, Mo.).
Bacterial strains were typically stored at -80.degree. C. suspended
in (Difco) containing 30% (v/v) glycerol (Sigma, St. Louis, Mo.) at
ca. 10.sup.9 colony-forming units (herein referred to as "cfu") per
ml. Allelic exchange in BCG. The prior art teaches methods for
introducing altered alleles into Mycobacterium strains and those
skilled in the art will be capable of interpreting and executing
the methods (Parish et al., Microbiology, 146:1969-1975; 2000). A
novel method to generate an allelic exchange plasmid entails the
use of synthetic DNA. The advantage of this approach is that the
plasmid product will have a highly defined history and will be
compliant, with federal regulations, whereas previously used
methods, although effective, have poorly documented laboratory
culture records and thus are unlikely to be compliant with federal
regulations. Compliance with these regulations is essential if a
product is to be licensed for use in humans by United States and
European regulatory authorities.
[0087] A suicide vector for allelic exchange in Mycobacterium is a
plasmid that has the ability to replicate in E. coli strains but is
incapable of replication in Mycobacterium spp., such as M. tb and
BCG. The specific suicide vector for use in allelic exchange
procedures in the current invention is not important and can be
selected from those available from academic (Parish et al., supra,
2000) and commercial sources. A preferred design of a suicide
plasmid for allelic exchange is shown in FIG. 1. The plasmid is
comprised of the following DNA segments: an oriE sequence for the
plasmid to replicate in E. coli (Genebank accession # L09137), a
Kanamycin-resistant sequence for selection in both E. coli and
Mycobacterium (Genebank accession # AAM97345), and an additional
antibiotic selection marker, e.g. the zeocin-resistance gene
(Genebank Accession # AAU06610), which is under the control of a
Mycobacterium promoter (e.g. the hsp60 promoter). The second
antibiotic selection marker is not essential but may be included to
enable double selection to prevent outgrowth of spontaneous
kanamycin-resistant isolates during the allelic exchange
process.
[0088] Construction of such suicide vectors can be accomplished
using standard recombinant DNA techniques. However, current
regulatory standards (e.g. federal regulations) have raised the
specter of introducing prion particles acquired from products
exposed to bovine products containing BSE-infected material. To
avoid introducing materials (e.g. DNA sequences) into the target
strain of unknown origin, therefore, it is preferable that all DNAs
in the suicide vector be made synthetically by commercial sources
(e.g. Picoscript, Inc.). Accordingly, a preferred method for
constructing suicide vectors is to assemble a plan of the DNA
sequences using DNA software (e.g. Clone Manager), and then to
synthesize the DNA on a fee-for-service basis by any commercial
supplier that offers such a service (e.g. Picoscript Inc.). This
procedure was used to design and obtain the suicide vector utilized
in the Examples section below.
[0089] The configuration suicide vector described above (FIG. 1)
has advantages, as this plasmid contains two antibiotic selection
markers, thus minimizing selection of spontaneous mutants that
display resistance to one antibiotic, which occurs at ca.
1/10.sup.8 per generation. Spontaneous resistance to two
antibiotics is extremely rare and only occurs at ca. 1/10.sup.16
per generation. Thus, there is less that 1/10.sup.6 probability of
double resistant strains emerging in the cultures used to execute
the allelic exchange procedure.
[0090] For negative selection during allelic exchange process, a
sacB gene (Genebank Accession # NT01BS4354), which imparts a
sucrose-sensitive phenotype, can be included to enrich cultures
with strains that have undergone the final DNA recombination step
and completed the allelic exchange.
[0091] Cultivation of Mycobacterium. Selected BCG strains are
cultured in liquid media, such as Middlebrook 7H9 or Saulton
Synthetic Medium, preferably at 37.degree. C. The strains can be
maintained as static or agitated cultures. In addition, the growth
rate of BCG can be enhanced by the addition of oleic acid (0.06%
v/v; Research Diagnostics Cat. No. 01257) and detergents such as
Tyloxapol (0.05% v/v; Research Diagnostics Cat. No. 70400). The
purity of BCG cultures can be evaluated by evenly spreading 100 mcl
aliquots of the BCG culture serially diluted (e.g. 10-fold steps
from Neat-10.sup.-8) in phosphate buffered saline (herein referred
to PBS) onto 3.5 inch plates containing 25-30 ml of solid media,
such as Middlebrook 7H10. In addition, the purity of the culture
can be further assessed using commercially available medium such as
thioglycolate medium (Science Lab, catalogue number 1891) and
soybean-casin medium (BD, catalogue number 211768).
[0092] BCG seed lots are stored at -80.degree. C. at a density of
0.1-2.times.10.sup.7 cfU/ml. Typically, the liquid cultures are
harvested at an optical density (600 nm) of 0.2-4.0 relative to a
sterile control; the cultures are placed into centrifuge tubes of
an appropriate size and the organisms are subjected to
centrifugation at 8,000.times.g for 5-10 min. The supernatant is
discarded and the organisms are resuspended in storage solution
comprised of Middlebrook 7H9 containing 10-30% (v/v) glycerol at a
density of 0.1-2.times.10.sup.7 cfu/ml. These suspensions are
dispensed into sterile 1.5 ml boron silicate freezer vials in 1 ml
aliquots and then placed at -80.degree. C.
Example 1
Construction of rBCG-PfoA Strains Capable of Escaping Endosome
[0093] Construction of rBCG-PfoA strains capable of escaping the
endosome was carried out by allelic exchange of the flanking
regions of the ureC gene. As a result, the PfoA gene segment
replaced the ureC gene, allowing stable chromosomal expression of
PfoA. Specific details are described below.
Construction of the Allelic Exchange Plasmid:
[0094] The allelic exchange plasmid is composed of the following
DNA segments: An oriE sequence for the plasmid to replicate in E.
coli, a kanamycin resistant gene sequence for selection in both E.
coli and Mycobacterium, and an additional antibiotic selection
marker (zeocin resistant gene), which is expressed by the Hsp60
promoter. The second marker was used to make a double selection,
thus preventing spontaneous resistance to kanamycin during the
process. For negative selection during the allelic exchange
process, a sucrose sensitive gene was used. Finally, the left and
right 1 kb flanking sequences of the ureC gene for the target BCG
Danish 1331 strain were included with the PfoA gene in between. The
PfoA gene is expressed under control of the Ag85B promoter. The
Ag85B leader peptide sequence was used in place of the PfoA
original secretion signal sequence for the secretion of PfoA.
Finally, all these components were synthesized and assembled by
Picoscript Inc (Houston, Tex.). The resultant plasmid is a
mycobacterial suicide vector and the map for the plasmid that was
obtained is as shown is FIG. 1. The resultant plasmid construct was
confirmed as shown in FIG. 5.
Introducing the Allele Exchange Plasmid into Mycobacterium bovis
BCG Danish 1331 Strain
[0095] The process of allele exchange is illustrated schematically
in FIG. 4, which outlines the major steps of the procedure. Those
steps are described in detail below.
[0096] BCG Danish 1331 was cultured in 7H9 medium with 10% of OADC
(oleic acid-albumin-dextrose-catalase) (BD Gibco) and 0.05% (v/v)
of Tyloxapol (research and diagnostic lab) supplementation. When
the culture reached log phase, the bacteria were collected and
prepared as described previously (Sun et al., 2004) for
electroporation. Five micrograms of the allele exchange plasmid was
introduced into freshly prepared electrocompetent cells using
standard methodologies.
[0097] The above-constructed allelic exchange plasmid was
introduced into M. bovis BCG Danish 1331 strain by the standard
mycobacterial electroporation protocol for Mycobacterium. After
electroporation, the cells were cultured overnight in 7H9 medium
with 10% (v/v) OADC and 0.05% (v/v) of Tyloxapol supplementation.
Then the cells were plated on 7H10 plates containing 50 ug/ml of
both kanamycin and zeocin. The resultant colonies were picked and
cultured in 7H9 medium containing 10% (v/v) of sucrose. The
obtained culture was plated on 7H10 plates for cloning to obtain
individual colonies, which were identified for the presence of PfoA
gene in place of ureC. A flow chart outlining the main steps of
this procedure is given in FIG. 4, and Table 1 describes the
suicide vector, pAF 102, which is also depicted in FIG. 1.
TABLE-US-00001 TABLE 1 Suicide vector used in the invention Name
Backbone Specific allele for allele exchange pAF102 pAF 100 PfoA
gene flanked by 1 kb flanks of ureC gene
[0098] Example 1 shows that shows that the Mycobacterium BCG strain
is genetically engineered to express a selected endosomolytic
protein that is active at neutral pH, permitting escape of the
Mycobacterium from endosomes into the cytoplasm of the cell.
Example 2
Validation of rBCG-PfoA Strain
Materials and Methods for Example 2.
[0099] Cultivation of Mycobacterium: For the following experiments,
BCG strains were cultured at 37.degree. C. in Middlebrook 7H9 media
(BD biosciences) with 10% OADC supplementation. Tyloxapol (0.05%
v/v, Research Diagnostics Cat. No. 70400) was used to disperse the
bacteria. In experiments in which growth was compared between
different strains, the optical density (600 nm) was measured at
different times post inoculation. For testing sensitivity to
kanamycin, the culture was prepared and growth was measured as
above except kanamycin was added to a final concentration of 50
ug/ml. When solid medium was used to culture the bacteria,
Middlebrook 7H10 agar (BD biosciences) was used. When appropriate,
kanamycin was added to a final concentration of 50 ug/ml, and
sucrose was added to a final concentration of 3%. Urease activity
test: The resultant colonies from the sucrose plates described in
Example 1 were first screened for a lack of urease activity using a
urease testing kit (BD Difico) according to the manufacture's
instructions. Briefly, a loop full of bacteria was resuspended in
the manufacture supplied test buffer in a transparent tube. BCG
Danish 1331 strain was used as a urease positive control. Buffer
alone was used as the negative control. The reaction mixture was
incubated at room temperature for 30 minutes and the result was
judged based on the manufacture's instruction. Genotype analysis of
rBCG strains carrying .DELTA.ureC:pfoA. PCRs with forward primer
[acggctaccgtctggacat] (SEQ ID NO: 4) and reverse primer
[cgatggcttcttcgatgc] (SEQ ID NO: 5) were performed to amplify the
DNA sequence of the Pfo-specific insertion allele and BCG genomic
DNA sequences flanking the ureC gene. The PCR parameters were as
follows: Step 1: 95.degree. C. 4 minutes one cycle; Step 2:
95.degree. C. one minute, 60.degree. C. 1 minute, and then
72.degree. C. one minute for a total 30 cycles; Step 3: 72.degree.
C. 10 minutes with one cycle. Step 4: 4.degree. C. storage. The
resultant PCR products were analyzed by agarose gel electrophoresis
and sequenced by automated dideoxynucleotide sequencing techniques,
and the presence of a full-length PfoA gene in place of the ureC
gene (i.e. .DELTA.ureC::PfoA) was confirmed. Growth of AFV102 in
Macrophages: The growth of the rBCG strain AFV102 in situ was
tested in J774A.1 macrophage-like cells by determining
mycobacterial colony-forming units (CFUs) in the infected
macrophages. The efficacy of mycobacterial phagocytosis was
determined by testing the intracellular CFU three hours after
infection of J774A.1 cells. Subsequent long-term intracellular
survival was performed by lysis of the cells to release the
intracellular bacteria for numerating the CFU after washing with
PBS five times, as previously described (Sun et al., 2004).
Analysis of the hemolytic activity of the expressed Pfo by AFV102:
To assess the secretion of PfoA by AFV102, the strain was grown to
mid-logarithmic phase as described above. Then the culture
supernatants and the bacteria were collected. The AFV102 bacterial
pellet was re-suspended in 100 .mu.l of PBS (pH 7.0) containing
0.1% BSA in a 96 well V-bottomed plate. To test if the PfoA protein
was secreted into the culture supernatant, the liquid culture was
spun down and the supernatant was used for the test. For testing
the expressed PfoA for its pH independent hemolysis activity, the
samples were prepared as above except PBS buffer with different pH
values was used as the reaction buffer. 100 .mu.l of 1% washed
sheep erythrocytes was added to each well. The reaction was mixed
gently and incubated at 37.degree. C. for 1 h with agitation. BCG
Danish 1331 strain bacterium was used as the hemolysis negative
control a hemolysin (Sigma) with known units of hemolysin activity
was used in serial dilution as the hemolysis positive control. At
the end of incubation, the reaction was pelleted by centrifugation
at 500 g for 15 minutes, and then the supernatant from the V-bottom
plate was transferred into equivalent locations in a flat bottom
96-well plate and the optical density was measured (absorbance at
450 nm minus the absorbance at 540 nm). The hemolytic activity of
the PfoA molecule was quantified by measuring the optical density
of the color change after red cell lysis. The intensity of the
color measured is in proportion to the amount of red cell lysis,
which is then in proportion to the quantity of hemolysin. The
sample values are then read off a standard curve through the use of
known standards. Hemolytic units were defined as the dilution of
the sample at which 50% of the sheep red blood cells were lysed.
Cytotoxicity of AFV102 to macrophages: The cytotoxicity of the
recombinant strain on J774A.1 macrophages (ATCC No. A TIB-67) was
determined by measuring the Lactate Dehydrogenase (LDH) released
from infected cells using a "Cell Titer 96 Aqueous One Solution
Cell Proliferation Assay" kit (Promega, cat #: G3580) according to
the manufacture's instruction. Briefly, the cells were infected
with AFV102 bacteria at the multiplicity of infection of 10. At
different times post infection, the supernatant was measured for
the amount of LDH released from the cells, which was then compared
with that of the BCG Danish 1331 strain. Uninfected normal cells
were used as the negative control. The percentage of viable cells
was calculated based on the amount of LDH released from the
infected cells to that of the negative control cells (100% cell
viability).
Results for Example 2.
[0100] AFV102 construction: During the construction of AFV102, the
selected merodiploid bacteria, which harbor the entire knockout
plasmid on its chromosome via allelic exchange of its homologous
DNA segment with that on the knockout plasmid, were cultured on
sucrose-containing Middlebrook 7H10 plates for the final allelic
exchange to replace the ureC gene by the PfoA expression cassette.
Of the colonies produced on the sucrose plates, one colony
Pfo-105-5 (renamed as AFV102) was found to be urease negative,
suggesting that the ureC gene had been replaced by the PfoA
expression cassette. This bacterial colony was further subjected to
genotype analysis by PCR for the genotype of
.DELTA.ureC::.OMEGA.pfoA. The resultant PCR reaction was analyzed
by gel electrophoresis on a 1.2% agrose gel, and the results are
presented in FIG. 6. As can be seen, PCR using this bacterium as
the template produced a PCR product of the expected size, which is
larger than that of parental BCG Danish 1331 strain. The expected
size of the DNA band for the genotype of .DELTA.ureC::.OMEGA.pfoA
is 2180 bps, while for parental BCG Danish 1331 strain is the size
is 1967 bps. The PCR product for colony 105-5 was further gel
purified and sequenced by the commercial sequencing facility of
Johns Hopkins University (Baltimore, Md.). The sequencing result
showed that this colony has the expected genotype of
.DELTA.ureC::.OMEGA.pfoA. In addition, PCR targeted to amplify the
Kanamycin gene and the sacB gene from the AFV102 strain failed to
produce any PCR product (data not shown). These findings suggest
that AFV102 has undergone the final allelic exchange step and has
the desired genotype of .DELTA.ureC::.OMEGA.pfoA. Growth
characterization and kanamycin sensitivity test for AFV102: Based
on the urease activity test and genotyping results, clone 105-5
(renamed AFV102) exhibited the expected phenotype and desired
genotype of .DELTA.ureC::.OMEGA.pfoA. AFV102 was then further
tested for its ability to grow in 7H9 growth medium compared to
that of the parental BCG Danish 1331 strain. The result is shown in
FIG. 7. As can be seen, the AFV102 construct has a very similar
proliferation curve in 7H9 growth medium to that of the parental
strain. In addition, in the presence of kanamycin, AFV102 growth
declined to a similar extent as that of the parental BCG Danish
1331 stain, suggesting that, as expected, it has a similar
sensitivity to kanamycin. Cytotoxicity of AFV102: It has been
reported that a single amino acid change in the PfoA protein (codon
137 substitution mutation from gga, encoding Gly, to cag, encoding
Gln) results in the loss of toxicity to mammalian cells. Yet the
protein retains the capability of mediating bacterial escape from a
vacuole (Portnoy supra, 1996). The toxicity of the protein
expressed from AFV102 was assessed by infecting J7741A cells with
AFV102 bacteria. When compared with the uninfected normal cell
control at different time points after infection, AFV102 did not
cause any more significant cell death than the currently used BCG
Danish 1331 vaccine strain (FIG. 8). Survival in an alveolar
macrophage cell line: To investigate if the construct is able to
survival within macrophages, mid-log phase cultures were used to
infect J774A.1 alveolar macrophages. Cells were infected with a
multiplicity of infection (MOI) of 1:1. Intracellular survival of
the Mycobacterium was monitored by plate counting the bacterium at
various time intervals after infection. As may be seen in FIG. 9,
the AFV102 construct showed a persistence phenotype similar to that
of the parental strain, suggesting no defect in intracellular
survival for this construct in J774A.1 cells. Secretion of the PfoA
protein by AFV102: Secretion of the PfoA protein by bacteria
containing the AFV102 construct was tested by measuring the
bacterial culture supernatant for enhanced hemolytic activity
compared to that of the BCG Danish 1331 strain. Culture
supernatants for both AFV102 and BCG Danish 1331 strain were
harvested at the same optical density and compared for the ability
to lyse red blood cells. The results are shown in FIG. 10.
Consistent with the previous report, the BCG culture supernatant
displayed a base-line level of hemolytic activity as a result of
the bacteria releasing metabolites during growth, which may result
in red cell lysis (Grode et al., Journal of Clinical Investigation,
115:2472-2479; 2005). In contrast, the AFV102 culture supernatant
had a significant higher level of hemolytic activity compared to
that of the BCG Danish 1331 strain, consistent with the secretion
of PfoA molecules into the culture supernatant. In addition, the pH
independent hemolytic activity of the PfoA was further tested and
compared at both pH 5.5 and 7.0, and the results are shown in FIG.
10. As can be seen, the supernatant from AFV102 has a similar
hemolytic capacity at both pH 5.5 and 7.0, suggesting that the
hemolytic activity secreted by the PfoA protein is pH independent,
as expected.
[0101] Example 2 shows that the constructed strain has the
predicted biological activities, and that the Pfo that is
manufactured by the strain is secreted and has pH independent
activity.
Example 3
rBCG-PfoA Endosomal Escape and Animal Immunogenicity Test
[0102] A central paradigm of Mycobacterium tuberculosis
pathogenesis is the arrest of phagosomal maturation. Armstrong and
Hart (1971) established that M. tuberculosis phagosomes do not mix
with ferritin-labelled lysosomes, referred to as the inhibition of
phagosome-lysosome fusion. The vaccine strain M. bovis (BCG) was
also found to reside in the phagosomal compartment, sequestered
from the terminal endocytic organelles (Clemens and Horwitz, 1995;
Hasan et al., 1997; Via et al., 1997). Clemens and Howitz (1995)
found that the mycobacterial phagosomes persistently stain for
transferrin receptor (TfR) at densities similar to those on the
plasma membrane. The transferrin receptor is typically removed
rapidly (t 1/2 in minutes) from endosomes and transported back to
the plasma membrane; however, in mycobacterial phagosomes this
process is halted and the phagosomes will contain the transferrin
receptor. It is this phenomenon that allowed us to visualize
phagosomes that contain mycobacteria. The phagosomes were labeled
with antibodies to the transfferin receptor. At the same time, the
mycobacteria were stained with a fluorescent dye that allows visual
monitoring of the fate of the bacteria once inside the phagosome.
The results showed that the rBCG-Pfo construct was able escape the
endosome after infecting the cells. Materials and Method for
endosomal escape test: Bacteria and cells: BCG Danish1331 and
rBCG-.DELTA.ureC::.OMEGA.pfOA.sub.G137Q (AFV102) were grown in 7H9
medium with 10% (v/v) OADC and 0.05% (v/v) of Tyloxapol
supplementation (of the growth medium) to an OD.sub.600 of about
0.8-1.0. Before infection, the bacterial cells were labeled with
Alexa Fluor 568 succinimidyl ester (Molecular Probes, Eugene,
Oreg.) in PBS at room temperature for 1-1.5 hours according to the
manufacture's instruction. This dye forms very stable amide bonds
to the primary amines located on proteins on the bacterial surface
Briefly, 10 ml of the bacterial culture were pelleted and
resuspended in 25 mls of 0.625 ug/ml of Alexa Fluor 568 in PBS
(pH7.2) and incubated at room temperature for 1-1.5 hours to label
the bacteria. The labeled bacterial cells were then washed three
times with PBS and resuspended in 7H9 growth medium and stored in
the refrigerator overnight J774A.1 cells were cultured in DMEM
medium as previously described (Sun et al, 2004) in 6 well cell
culture plates on human fibronectin coated coverslips. The cells
were plated at adensity of 3.times.10.sup.6 cells/well and cultured
for 2 days in a 37.degree. C. incubator with 5% CO.sub.2 and
humidity. During the infection, the labeled bacteria were pelleted
and resuspended in DMEM+10% FBS medium and added directly to
J774A.1 cells with a multiplicity of infection (MOI) of 10 for each
cell. After 20 min, 8 hours and 24 hours, the cells were washed
with room temperature (RT) phosphate buffered saline (PBS, pH 7.2).
The cells were then fixed for 20 minutes at RT with 2%
paraformaldehyde in PBS (pH 7.2). The fixed cells were then
permeabilized with 0.1% Triton X-100 in PBS (pH 7.2) for 10 minutes
at RT followed by washing twice with PBS (pH 7.2). Blocking was
done for at least 2 hours at RT or overnight at 4.degree. C. with
3% bovine serum albumin (BSA), 5% normal goat serum (NGS), and 0.5%
sodium azide in PBS (pH7.2). Blocking buffer was removed and then
rat anti-mouse transferring receptor-FITC (US Biological,
Swampscott, Mass.) was added at a dilution of 1:50 in PBS (pH 7.2)
containing 1% BSA, 3% NGS, and 0.5% sodium azide followed by
incubation at RT for at least 1 hour. Cells were then washed 2-3
times with PBS and mounted with vectsheild mounting media on glass
slides. Analysis was done at a magnification of 1500 using a Nikon
TE2000 inverted microscope equipped with a Retiga EXI Mono, 12 bit
cooled, IR filtered digital camera for imaging. Result: When
examined under the microscope, both BCG and rBCG-PfoA bacteria were
found internalized by the host cells fifteen minutes after the
infection, However, at 8 hours post infection, rBCG-PfoA bacteria
were found outside the endosome, in contrast to BCG bacteria, which
were found mostly located inside the host phagosome. These results
are illustrated schematically in FIGS. 11A-D, which illustrate
bacterial invasion of a macrophage (FIG. 11A), persistence of BCG
within the endosome (FIG. 11B), AFV102 bacterium within an early
endosome (FIG. 11C) and AFV102 bacteria escaping from the endosome
into the cytoplasm of the cell (FIG. 11D) due to secretion of
recombinant PfoA. Enumeration of the bacteria showed that 100
AVF102 out of 138 had escaped the endosome (72%) after 8 hours post
infection, while only 29 BCG out of 100 (26%) had escaped the
phagosome. Examination of the bacteria in the 24 hours post
infection sample yielded a similar result. This finding shows that
expression of PfoA increases the release of AVF 102 from
phagosomes.
[0103] Further confirmation of this result was carried out using a
different system in which a pH sensitive dye was used to label
endosomes and lysozomes (Lysotracker-Red, Molecular probes, catalog
number L-7528) under a similar experimental setting and procedure
as above. Bacteria were visualized at wavelength emissions of 568,
while phagosomes were visualized at wavelength emissions of 488.
The result was consistent with the above observations.
[0104] Example 3 shows that recombinant strain AVF102 was capable
of escaping the endosome while the BCG strain was much less
efficient at escaping the endosome. Thus, strain AVF102 is much
more likely to elicit a histocompatibility-Class I immune response
than is BCG, and would be useful in vaccine applications.
REFERENCES FOR EXAMPLE 3
[0105] Armstrong J, Hart P D. 1971. Response of cultured
macrophages to Mycobacterium tuberculosis, with observations on
fusion of lysosomes with phagosomes. J Exp Med. 134:713-40. [0106]
Mycobacterium tuberculosis and Legionella pneumophila phagosomes
exhibit arrested maturation despite acquisition of Rab7. Infect
Immun. 68(9):5154-66. [0107] Hasan Z, Schlax C, Kuhn L, Lefkovits
I, Young D, Thole J, Pieters J. 1997. Isolation and
characterization of the mycobacterial phagosome: segregation from
the endosomal/lysosomal pathway. Mol Microbiol 25(2):427 [0108] Via
L E, Deretic D, Ulmer R J, Hibler N S, Huber L A, Deretic V. Arrest
of mycobacterial phagosome maturation is caused by a block in
vesicle fusion between stages controlled by rab5 and rab7. J Biol
Chem. 1997. 272(20):13326-31. [0109] Sun R, Converse P J, Ko C,
Tyagi S, Morrison N E, Bishai W R. 2004. Mycobacterium tuberculosis
ECF sigma factor sigC is required for lethality in mice and for the
conditional expression of a defined gene set. Mol Microbiol.
52(1):25-38
Example 4
Formulation and Vaccination Strategies
[0110] The strategy for vaccine formulation is based on studies to
determine maximum viability and stability throughout the
manufacturing process. This includes determination of maximum
organism viability (live to dead) during culture utilizing a
variety of commonly used medium for the culture of Mycobacteria to
include the addition of glycerol, sugars, amino acids, and
detergents or salts. After culture, cells are harvested by
centrifugation or tangential flow filtration and resuspended in a
stabilizing medium that allows for protection of cells during
freezing or freeze drying. Commonly used stabilizing agents include
sodium glutamate, amino acids or amino acid derivatives, glycerol,
sugars and commonly used salts. The final formulation will provide
sufficient viable organisms to be delivered by intradermal,
percutaneous injection, perfusion or oral delivery with sufficient
stability to maintain an adequate shelf-life for distribution and
use.
Preclinical Evaluation of TB Vaccines
[0111] General safety test BALB/c mice in groups of 6 are infected
intraperitoneally with 2.times.10.sup.6 CFU of the rBCG strain(s)
of interest and the analogous parental strains. The animals are
monitored for general health and body weight for 14 days post
infection. Animals that receive the BCG and rBCG strains remain
healthy, and neither lose weight nor display overt signs of disease
during the observation period. Virulence of novel rBCG strains in
immunocompetent mice. Groups of 15 immunocompetent BALB/c mice are
infected intravenously with 2.times.10.sup.6 rBCG and BCG parental
strains, respectively. At day 1 post infection, three mice in each
group are sacrificed and CFUs in spleen, lung and liver are
analyzed to ensure that each animal has an equal infection dose. At
weeks 4, 8, 12, and 16 post-infection, three mice in each group are
sacrificed and CFUs in spleen, liver and lung are obtained to
assess the in vivo growth of the rBCG strains as compared to the
parental BCG strain. Stringent safety test in immunocompromised
mice. Immunocompromised mice possessing the SCID (severe combined
immunodeficiency) phenotype in groups of 10 are infected
intravenously with 2.times.10.sup.6 cfu rBCG and the parental BCG
strain. At day 1 after infection, three mice in each group are
sacrificed and cfu in spleen, liver and lung are assessed to verify
the inoculation doses. The remaining seven mice in each group are
monitored for general health and body weight. The survival of these
mice is followed and the survival of rBCG-infected mice is compared
to that of the parental strain infected animal during the entire
observation period. Guinea pig safety test. The safety of rBCG
strains is also assessed in the guinea pig model in comparison to
the parental BCG vaccine, which has a well-established safety
profile in humans. First, the effect of the vaccine on the general
health status of the animals, including weight gain, is examined.
Guinea pigs are immunized intramuscularly with 10.sup.7 (100.times.
of vaccination dose) CFU of the recombinant and parental strains,
and the animals are monitored for general health and body weight
for six weeks. Post mortem examination is performed for animals
that die before the six weeks period. All animals are sacrificed at
the end of six weeks post infection and gross pathology is
performed. For confirmation under this test, no body weight loss
and no abnormal behavior is observed, and all organs appear normal
at six weeks necropsy, and/or no adverse health effects are
observed for rBCG-PfoA vaccine, and rBCG-PfoA-vaccinated animals
gain weight at the normal rate compared to the parental strain
inoculated animals.
[0112] At the same time, bacterial levels in animal organs are
monitored. Guinea pigs immunized with either the parental or
recombinant vaccine are euthanized at various intervals after
inoculation, after which the lungs, spleens, and regional
(inguinal) lymph nodes are assayed for CFU of BCG or rBCG.
Toxicity test. To evaluate the toxicity of the rBCG strains, guinea
pigs (12 in each group) are vaccinated intradermally with 1 dose,
four times higher than the single dose or four times lower than the
single dose of human use rBCG strains, BCG parental strain or
saline. At day 3 post vaccination, six animals are sacrificed to
access the acute effects of the vaccine on these animals. At day 28
post vaccination, the remaining six animals are sacrificed to
evaluate the chronic effects on the animals. At both time points,
the body weight of each animal is obtained, and gross pathology and
appearance of the injection sites are examined. Blood is taken for
blood chemistry, and the histopathology of the internal organs and
injection sites is performed. Murine protection study. C57B1/6 mice
(female, 5-6 weeks of age) in groups of 13 are immunized
subcutaneously with 10.sup.6 CFU of rBCG, parental BCG or saline.
Another group of mice is used as healthy controls. Eight weeks
after immunization, mice are challenged with M. tb Erdman strain
(or H37RvKan-resistant strain) by an aerosol generated from a 10-ml
single-cell suspension containing a total of 10.sup.7 CFU of the
challenge strain, a dose that delivers .about.100 live bacteria to
the lungs of each animal, as described previously (Brodin et al., J
Infect Dis., 190(1):115-122; 2004). The inoculated animals are
monitored for survival along with unchallenged animals. Following
the challenge, the animals are monitored for weight loss and
general health. At day 1 after challenge, three mice in each group
are sacrificed for lung CFU to confirm the challenge dose and one
animal is sacrificed for spleen and lung histopathology. Five weeks
after challenge, nine animals in each group are sacrificed, and
histopathology and microbiology analysis of the animal is
performed. Lung and spleen tissues from six mice are evaluated for
CFU counts (plates with selection supplements are used to
distinguish the vaccine strain from the challenge strain). If
challenged with the H37Rv-kan resistant strain, Kan or TCH
(thiophene-2-carboxylic acid hydrazide) is used to distinguish the
challenge strain from the vaccine strain. If the M. tb Erdman
strain is used to challenge, TCH is used to distinguish the vaccine
strain from the challenge strain (BCG is susceptible, but M. tb is
naturally resistant). Induction of cutaneous delayed-type
hypersensitivity (DTH). Specific pathogen free (SPF) guinea pigs
are immunized intradermally with 10.sup.3 rBCG or BCG parental
strains. Nine weeks after immunization, the animals are shaved over
the back and injected intradermally with 10 .mu.g of PPD (protein
purified derivative) in 100 .mu.l of phosphate buffered saline.
After 24 hours, the diameter of hard induration (DTH) will be
measured. rBCG strains induce DTH equal to or greater than that
induced by parental BCG strains. Guinea pig challenge study. To
determine the efficacy of the rBCG vaccines against M. tb
challenge, guinea pigs (young adult SPF Hartley, 250-300 grams,
male) are immunized in groups of 12, each with rBCG, parental BCG
strain or saline. The vaccines and controls are administered
intradermally with 10.sup.6 cfu. At 10 weeks after immunization,
the rBCG-, BCG- and sham-immunized animals are challenged by
aerosol with the M. tb by an aerosol generated from a 10-ml
single-cell suspension containing a total of 10.sup.7 cfu of M. tb;
this procedure delivers .about.100 live bacteria to the lungs of
each animal, as described previously (Brodin et al., 2004).
Following challenge, the animals are monitored for survival, weight
loss and general health along with a healthy group of unvaccinated,
unchallenged animals. Six animals in each group are sacrificed at
10 weeks post challenge and the remaining six in each group at 70
weeks post challenge for long-term evaluation. At both time points,
histopathology and microbiology analysis of the animal are
performed. Lung and spleen tissues are evaluated for histopatholgy
and CFU count (plates with selection supplements are used to
distinguish the vaccine strain from the challenge strain). If
challenged with H37Rv-kan resistant strain, then Kan or TCH is used
to distinguish the challenge strain from the vaccine strain. If the
M. tb Erdman strain is used to challenge, TCH is then used to
distinguish the vaccine strain from the challenge strain (BCG is
susceptible but M. tb is naturally resistant). For a successful
challenge study, sham immunized animals die most rapidly after
challenge, and the rBCG-immunized animals survive longer than the
BCG parental strain immunized animals. Primate safety and challenge
study. More recently, non-human primates have been used for
evaluation of vaccines against M. tb. The evolutionary relationship
between humans and non-human primates and the similar clinical and
pathologic manifestations of tuberculosis in these species has made
the non-human primate model attractive for experimental studies of
TB disease and vaccine efficacy.
[0113] This model, characterized by the development of lung
cavitation, appears to be applicable to human TB. The course of
infection and disease is followed by X-ray and weight loss, as well
as a variety of hematological tests, including erythrocyte
sedimentation rate (ESR), peripheral blood mononuclear cell (PBMC)
proliferation and cytokine production, cytotoxic T lymphocyte (CTL)
activity, and antibody responses. Following infection, the
cynomolgus monkey develops lung pathology with characteristic
lesions, and, depending on the challenge doses, death from acute
respiratory infection occurs within four-to six months after
infection. Lower infection doses can lead to chronic infections
without disease, much like in humans.
[0114] The study directly compares varying doses of the BCG
parental strain versus recombinant BCG administered either alone or
followed by two subsequent boosters with the vaccine comprising
sequences that are over expressed in rBCG constructs. The latter is
delivered by any of several known means, including but not limited
to: as a recombinant protein based in a suitable adjuvant
formulation, as DNA or as an Ad35 construct.
[0115] The first study evaluates the protective efficacy of the
parental BCG vs rBCG constructs without a booster. This study
comprises three groups with 10 animals in each group: one group
each comprising BCG, rBCG and saline. Two animals from each group
are skin tested with the over expressed antigens in the rBCG
constructs as well as with standard PPD and saline as controls. A
positive and larger induration in the rBCG group compared with the
BCG is indicative of in vivo vaccine take and the elicitation of an
immune response. The remaining eight animals from each group are
aerosol challenged with low dose M. tb Erdman strain and protection
is measured by reduction of bacterial burden at 16 weeks post
challenge or with survival as the end point.
[0116] The follow up BCG prime protocol is essentially the same as
above except that the animals are first vaccinated with BCG, rBCG
and saline followed by two boosters with the over-expressed
antigens.
[0117] The immunogenicity and protection study in the non-human
primate model investigates immunobiological and immunopathological
aspects of tuberculosis in macaques for efficacy studies on rBCG
constructs. The animals are juvenile to young adults raised in
captivity with an average weight of 2 to 3 kg that have been
thoroughly conditioned prior to the start of the experiment.
Pre-inoculation studies include baseline blood tests that include
routine hematological studies and erythrocyte sedimentation rates
as well as lymphocyte proliferation assays. Skin testing is done
with PPD to ensure lack of sensitivity to tuberculin and chest
x-rays are obtained as part of the pre-infection profile. The
immunization period lasts 21 weeks in total, covering primary
vaccination with BCG or rBCG at week=0, and antigen boosts at weeks
12 and 16. Antigen-specific immunity is assessed by measuring
proliferation and interferon .gamma. (IFN .gamma.) secretion in
lymphocyte stimulation tests. The frequency of IFN .gamma.
producing lymphocytes is determined by enzyme-linked immunosorbent
assay (ELISPOT) or fluorescence-activated cell sorter (FACS). To
this end, blood samples are drawn at weeks 0, 4, 8, 12, 16 and 20
weeks relative to primary vaccination.
[0118] Four to six weeks after the last immunization, animals are
challenged by intratracheal installation of 3 ml (1,000 cfu) of the
M. tuberculosis Erdman strain on the same day and with the same
preparation. The course of the infection is assessed for weight
loss, fever, elevated erythrocyte sedimentation rate (ESR), DTH to
PPD, in vitro proliferative response of PBMC stimulated with PPD
and antigen over-expression in rBCG followed by measurements of the
levels of IFN-g production. Chest x-rays are performed to detect
abnormalities consistent with pulmonary TB, and finally, necropsy
at 12-16 weeks post challenge.
Clinical Evaluation of TB Vectors and Vaccines
[0119] Safety and toxicity studies Preclinical safety and toxicity
studies as mandated by federal regulations are performed according
to preclinical toxicology and safety studies as described above.
Following these studies, human safety studies are performed. These
studies are performed initially in healthy Quantiferon negative
adults, followed by age de-escalation into children and neonates.
Immunogenicity studies: Immunogenicity studies in mice and primates
utilize but are not limited to standard methods of evaluating
cellular immunity such as INF.gamma., ELISPOT, flow cytometry with
short and long term antigen or peptide stimulation, etc. Similar
methodologies are utilized for evaluation of human responses.
Tetramer studies are employed for evaluation of CD4 and CD8
responses following vaccination of humans. Optimization of
prime-boost strategies: rBCG performs well as a stand-alone vaccine
against TB or other diseases for which it has been engineered to
express relevant antigens. rBCG as described here as a vaccine for
TB or expressing antigens to protect against other diseases also
performs extremely well to prime the immune system for booster
immunization with recombinant proteins mixed with adjuvants, or
viral or bacterial vectored antigens. Both in animal preclinical
studies and human studies the BCG primes followed by recombinant
protein/adjuvant or vector boosts are optimized in terms of
regimens and doses. These prime boost strategies are the most
potent means for inducing immunity in humans because of the potency
of the BCG prime embodied in the present invention, followed by
focusing and enhancing the booster response of the immune system by
recombinant protein or vector. Post-exposure therapeutic vaccine
studies in animals: C57BL/6 mice but not limited to this animal
will be used for establishing latent infection; therapeutic
vaccines will be given to the mice at the point when only
negligible M. tb specific immunity has been induced by low dose
infection and a later time point when M. tb specific immunity
induced and has subsided and is predominated by memory T cells.
Then, the therapeutic benefit of the vaccines will be assessed in
mice 2 and 5 months after the last therapeutic vaccine delivery by
enumerating cfu counts in lungs and spleens of individual mice. The
cfu counts will be analyzed by standard statistical methods in the
groups of mice and the results will be used to address whether
therapeutic vaccination significantly reduces latent M. tb
infection in mice. Similar methodologies are utilized for
evaluation of responses of other animals when necessary. Clinical
evaluation of BCG vectors: oral administration of rBCG vaccines.
Oral vaccination of the target animal with the rBCG of the present
invention is achieved using methods previously described (Miller et
al., Can Med Assoc J. 121(1):45-54; 1979). The amount of the rBCG
of the present invention administered orally will vary depending on
the species of the subject, as well as the disease or condition
that is being treated. Generally, the dosage employed is about
10.sup.3 to 10.sup.11 viable organisms, and preferably about
10.sup.5 to 10.sup.9 viable organisms.
[0120] The rBCG are generally administered along with a
pharmaceutically acceptable carrier or diluent. The particular
pharmaceutically acceptable carrier or diluent employed is not
critical to the present invention. Examples of diluents include a
phosphate buffered saline, buffer for buffering against gastric
acid in the stomach, such as citrate buffer (pH 7.0) containing
sucrose, bicarbonate buffer (pH 7.0) alone (Levine et al., J. Clin.
Invest, 79:888-902; 1987; and Black et al., J. Infect Dis.,
155:1260-1265; 1987), or bicarbonate buffer (pH 7.0) containing
ascorbic acid, lactose, and optionally aspartame (Levine et al.,
supra, 1989; Lancet, 11:467-470; 1988). Examples of carriers
include proteins, e.g., as found in skim milk, sugars, e.g.,
sucrose, or polyvinylpyrrolidone. Typically these carriers would be
used at a concentration of about 0.1-90% (w/v) but preferably at a
range of 1-10% (w/v).
Example 5
Safety in Severe Combined Immunodeficiency (SCID) Mice
[0121] As mentioned earlier, expression of Llo in BCG proved
relatively ineffective at promoting endosome escape, probably due
to the low activity of Llo at neutral pH of the microenvironment of
the modified endosome in which BCG resides (Hess, et al., Proc Natl
Acad Sci 95:5299; 1998; Grode et al., J. Clin. Invest, J Clin
Invest. 115(9):2472; 2005). Nonetheless, the expression of Llo
apparently modified the endosome sufficiently to reduce the
virulence of BCG-Llo+ in SCID mice (Grode et al., 2005). This
observation suggests that retargeting BCG to the cytoplasm of host
cells has the potential of improving both the immunogenicity and
safety of this antique live TB vaccine. The goal of this study,
therefore, is to determine the safety of endosome-escape strain
AFV102 which express PfoA.sub.G137Q in SCID mice.
[0122] To this end, parent strains BCG Danish 1331 (BCG.sub.1331)
and the derivative of BCG.sub.1331 that expresses PfoA.sub.G137Q,
strain AFV102 were grown in 2 L flasks with agitation (150
oscillations per minute) to late-log phase (Optical density at 540
nm of 6.5-7.5). The bacteria were harvested by harvest by
centrifugation and store at 1.5.times.10.sup.9 cfu/ml at
-80.degree. C. in saline+0.05% (v/v) tyloxapol+10% (v/v)
glycerol.
[0123] Inocula were prepared by thawing the above bulk vials on ice
and making sets of serial dilutions in endotoxin-free (<0.05
EU/ml) normal saline (0.85% w/v NaCl). These dilutions were used to
inoculate groups of 6 SCID mice subcutaneously with the respective
doses shown in Table 2 suspended in a volume of 0.1 ml.
TABLE-US-00002 TABLE 2 Design of SCID mouse safety study Group
Vaccine Dose 1 PBS 2 BCG.sub.1331 3 .times. 10.sup.4 3 BCG.sub.1331
3 .times. 10.sup.5 4 BCG.sub.1331 3 .times. 10.sup.6 5 BCG.sub.1331
3 .times. 10.sup.7 6 AFV102 3 .times. 10.sup.5 7 AFV102 3 .times.
10.sup.6 8 AFV102 3 .times. 10.sup.7 9 AFV102 3 .times.
10.sup.8
After inoculation, the mice are monitored for survival over a
period of 100 days post-inoculation. The results of this study show
that mice inoculated with AFV102 survive longer than mice that
receive the analogous dose of BCG.sub.1331.
[0124] The use of a heterologous booster vaccine to bolster
immunity elicited by BCG has gained attention recently. Thus,
BCG-primed laboratory animals and humans develop impressive
cellular immune responses following a heterologous boost comprised
of modified vaccinia Ankara (MVA) encoding Mtb antigen 85A (herein
"Ag85A"; also known as Rv3804c; Vordemeier et al., Immunol.
112(3):461; 2004; McShane et al., Nature Med. 10(11):1240; 2004);
in contrast, naive individuals develop relatively unimpressive
responses to the MVA-Ag85A vector (McShane et al., 2004).
Furthermore, there are independent studies showing that laboratory
animals primed with BCG and boosted with either MVA-Ag85A (Williams
et al., Infect Immun. 73(6):3814; 2005) or subunit vaccine Mtb72f
(Brandt et al., Infect. Immun. 72(11):6622; 2004) develop greater
levels of resistance to an Mtb challenge than that achieved by
vaccination with BCG alone bolstered support for this approach.
Although these studies did not define the correlates of protection,
it is clear that heterologous prime-boost vaccination strategies
offer an effective means to invoke protection against Mtb.
[0125] The goal of this and the following example, therefore, is to
evaluate endosome-escape strain AFV102 in a prime-boost vaccination
regimen. The aim of the experiment in this example is to optimize
the interval in a prime-boost regimen in which endosome-escape
strain AFV102 is used as the prime and a replication-deficient
adenovirus serotype 35 vaccine vector (Vogels et al., J Virol.
77(15):8263-71; 2003; Barouch et al., J. Immunol. 172(10):6290;
2004) which harbors an expression cassette encoding a fusion
protein comprised of Mtb genes Rv3804c-Rv1886-Rv0288 under the
control of the cytomegalovirus early promoter (Vogels et al., J
Virol. 77(15):8263-71; 2003) is used as the boost. The boost is
administered by the intranasal (in) route, since adenoviruses
expressing TB antigens are more effective by this route than by
conventional parenteral routes of administration (Wang et al., J.
Immunol. 173(10):6357; 2004).
[0126] Accordingly, groups of 10 SPF male Hartley guinea pigs
(250-300 grams) are immunized as shown in table 3 so as to evaluate
14, 18 and 21 week prime-boost intervals.
TABLE-US-00003 TABLE 3 Guinea pig regimen study design Prime I
Prime II Prime III Boost Group (Day 1) (Week 3) (Week 7) (Week 21)
1 Saline (id) -- -- -- 2 AFV102 (id) -- -- Ad35-TBS (in) 3 --
AFV102 (id) -- Ad35-TBS (in) 4 -- -- AFV102 (id) Ad35-TBS (in) 5 --
-- -- Ad35-TBS (in) Note: Ad35-TBS denotes a replication-deficient
adenovirus serotype 35 vaccine vector (Vogels et al., J Virol.
77(15): 8263-71; 2003; Barouche et al., J. Immunol. 172(10): 6290;
2004) which harbors an expression cassette encoding a fusion
protein comprised of Mtb genes Rv3804c-Rv1886-Rv0288 under the
control of the cytomegalovirus early promoter (Vogels et al., J
Virol. 77(15): 8263-71; 2003).
[0127] The primes are administered intradermally at a dose of
10.sup.6 cfU in 0.1 ml of 10% glycerol. Control mice are given 0.1
ml 10% glycerol intradermally alone. At 14 weeks after the prime
the guinea pigs are given a boost comprised of Ad35-TBS and are
administered by intranasally at a dose of 10.sup.9 plaque forming
units (i.e. Vogels et al., 2003; Barouch et al. 2004) suspended in
10 .mu.l of PBS.
[0128] At 14 weeks after the boost, the animals are challenged by
aerosol with Mtb strain Erdman by an aerosol generated from a 10-ml
single-cell suspension containing a total of 10.sup.7 cfu of Mtb;
this procedure delivers .about.100 live bacteria to the lungs of
each animal, as described previously (Brodin et al., 2004). At 5
weeks after the challenge, the animals in each group are sacrificed
and the lungs and spleens are collected for histological and
microbiological analysis. In the latter instance, lung and spleen
tissues from the guinea pigs are evaluated for cfu counts. Since
Mtb Erdman strain is used to challenge, TCH is added to the media
to distinguish vaccine strain, which is sensitive to TCH, from the
challenge strain.
[0129] The results of this study identify the optimal interval
between the rBCG prime and the Ad35-TBS boost.
Example 6
Immunization Challenge
[0130] To measure the potency of candidate TB vaccine strain AFV102
against Mtb challenge, groups of 8 (young-adult SPF Hartley guinea
pigs (250-300 grams) are immunized as shown in Table 4.
TABLE-US-00004 TABLE 4 Guinea pig challenge study design Prime
Boost Challenge Group (Day 1) (Week n*) (Boost + 14 weeks) 1 Saline
(id) -- 100 cfu Erdman 2 BCG Danish 1331 (id) -- 100 cfu Erdman 3
Saline (id) Ad35-TBS (in) 100 cfu Erdman 4 AFV102 (id) AFV102 (id)
100 cfu Erdman 5 AFV102 (id) Ad35-TBS (in) 100 cfu Erdman Note: 1.
n* denotes the interval between the prime and the boost will be the
value defined in the preceding example. 2. Ad35-TBS denotes a
replication-deficient adenovirus serotype 35 vaccine vector
((Vogels et al., J Virol. 77(15): 8263-71; 2003; Barouche et al.,
J. Immunol. 172(10): 6290; 2004) which harbors an expression
cassette encoding a fusion protein comprised of Mtb genes
Rv3804c-Rv1886-Rv0288 under the control of the cytomegalovirus
early promoter (Vogels et al., J Virol. 77(15): 8263-71; 2003).
[0131] The primes in groups 4 and 5 are administered intradermally
at a dose of 10.sup.6 cfu in 0.1 ml of 10% glycerol. Control mice
in group 1 and 3 are given 0.1 ml 10% glycerol intradermally alone.
Control mice in group 2, 10.sup.6 cfu of BCG Danish 1331 in 0.1 ml
of 10% glycerol.
[0132] At 14 weeks after the prime the guinea pigs are boosted. In
group 5, the boost is comprised of AFV102 and is administered
intradermally at a dose of 10.sup.6 cfu in 0.1 ml of 10% glycerol.
In groups 4 and 6 the boosts are comprised of Ad35-TBS and are
administered by intranasally at a dose of 10.sup.9 plaque forming
units (i.e. Vogels et al., 2003; Barouch et al. 2004) suspended in
10 .mu.l of PBS.
[0133] At 14 weeks after the final immunization, the animals are
challenged by aerosol with the Mtb by an aerosol generated from a
10-ml single-cell suspension containing a total of 10.sup.7 cfu of
Mtb; this procedure delivers .about.100 live bacteria to the lungs
of each animal, as described previously (Brodin et al., 2004).
Following challenge, the animals are monitored for survival along
with a healthy group of unvaccinated, unchallenged animals. The
animals are also monitored for weight loss and general health.
[0134] The results of this study demonstrate that sham-immunized
animals die most rapidly after challenge, animals vaccinated with
BCG intradermally without a boost display an intermediate mean time
to death and animals immunized with AFV102 and boosted intranasally
with Ad35-TBS survive the longest.
Example 7
Apoptosis
[0135] Apoptosis is programmed cell death that differs dramatically
from necrotic cell death in terms of its induction and
consequences. Apoptosis of cells containing foreign antigens is a
powerful known stimulus of cellular immunity against such antigens.
The process by which apoptosis of antigen containing cells leads to
cellular immunity has sometimes been called cross-priming..sup.1,
2, 3 There are several mechanisms for induction of apoptosis which
lead to increased antigen specific cell mediated immunity. Caspase
8 mediated apoptosis leads to antigen specific cellular immune
protection..sup.4 Production of Caspase 8 in the cell cytoplasm by
recombinant BCG who escape the endosome will be a powerful
additional method for inducing programmed cell death in the context
of foreign antigens expressed by the recombinant BCG, against BCG
and other tuberculosis antigens over-expressed by the recombinant
BCG as well as against antigens of BCG itself leading to high
levels of antigen specific cellular immunity. Death receptor-5
(DR-5) also known as TRAIL-R2 (TRAIL receptor 2) or TNFR-SF-10B
(Tumor Necrosis Factor-Superfamily member 10B) also mediates
caspase 8 mediated apoptosis..sup.4 Reovirus induced apoptosis is
mediated by TRAIL-DR5 leading to subsequent clearance of the
virus..sup.5 Expression of DR-5 by recombinant BCG which escape the
endosome should provide a potent adjuvant effect for induction of
antigen specific cellular immunity against rBCG expressed antigens.
Antigen expressing cells can also be induced to undergo apoptosis
through Fas ligation, which is a strong stimulus for induction of
antigen specific cellular immune responses..sup.6 Recombinant BCG
escaping the endosome expressing Fas or Fas cytoplasmic domain/CD4
ectodomain fusion protein will induce apoptosis and antigen
specific cellular immune responses.
[0136] The enhancement of cellular immunity by rBCG endosome escape
strains or by rBCG endosome escape strains which produce additional
enhancers of apoptosis described above is not limited to BCG
antigens or antigens specifically coded for over-expression by rBCG
but includes any antigen in the eukaryotic cell where the
aforementioned rBCG can invade. As an example if such an rBCG is
delivered to tumor cells where apoptosis is induced then cellular
immunity against important tumor antigens will be induced with
elimination, reduction or prevention of the tumor and/or
metastasis. This anti-tumor effect will be in addition to the
general anti-tumor effect that BCG generates when given locally
such as the case with bladder cancer.
[0137] In a further embodiment of this invention, rBCG with
endosome escape or rBCG with endosome escape enhanced by production
of specific mediators of apoptosis, delivered inside tumor or other
cells wherein such rBCG also produce foreign antigens against which
strong cellular immune responses will be mounted will induce the
production of strong cellular responses against those tumor cells
or other eukaryotic cells containing these antigens. These cellular
responses will lead to immune mediated tumor cell destruction,
further cross priming and induction of cellular immunity against
tumor or other important antigens with subsequent elimination,
reduction or prevention of the tumor and/or metastasis. An example
of such a foreign antigen is an HLA antigen different from the host
cell HLA against which a strong heterologous cellular response will
be mounted.
[0138] rBCG with endosome escape or rBCG with endosome escape whose
apoptotic induction properties are enhanced by expression of
specific mediators of apoptosis that also deliver specific tumor
antigens will induce strong antigen specific cellular responses
against these tumor antigens, including breaking of some tolerance
for these antigens leading to elimination, reduction or prevention
of tumors and/or metastasis without the need for direct delivery of
the rBCG into the tumor itself.
[0139] Apoptosis following DNA damage or caspase 9 induces
tolerance to certain antigens. Induction of tolerance is important
in controlling or preventing autoimmune diseases such as but not
limited to diabetes, rheumatoid arthritis, Crohns disease,
inflammatory bowel disease and multiple sclerosis. Production of
caspase 9 or other apoptosis mediated tolerance inducing proteins
by rBCG escaping the endosome in cells such as but not limited to
.beta. pancreatic cells, colorectal and nerve cells will produce
limited apoptosis which will induce tolerance against the antigen
targets of autoimmunity in those cells thereby treating or
preventing the autoimmune disease condition. Identification of
specific antigens involved in autoimmune reactions will allow
induction of tolerance against these autoimmune target antigens
through endosome escape rBCG production of both these antigens and
of caspase 9 or other molecules capable of inducing apoptotic
mediated tolerance. Such rBCG will treat and/or prevent these
autoimmune diseases.
REFERENCES FOR EXAMPLE 7
[0140] 1. Heath, W. R., G. T. Belz, G. M. Behrens, C. M. Smith, S.
P. Forehan, I. A., Parish, G. M. Davey, N. S. Wilson, F. R.
Carbone, and J. A. Villandangos. 2004. Cross-presentaion, dentritic
cell subsets, and the generation of immunity to cellular antigens.
Immunol Rev 199:9. [0141] 2. Gallucci, S., M. Lolkema, and P.
Matzinger. 1999. Natural adjuvants:Endogenous activators of
dendritic cells. Nature Biotechnology. 5:1249. [0142] 3. Albert, M.
L., B. Sauter, and N. Bhadrdwaj. 1998. Dendtritic cells acquire
antigen from apoptotic cells and induce class I-restricted CTLS.
Nature 392:86 [0143] 4. Sheridan, J1P., S. A. Marsters, R. M.
Pitti, A. Gruney, M. Skutbatch, D. Baldwin, L. Ramakrishnan, C. L.
Gray, K. Baker, W. I. Wood, A. D. Goddard, P. Godowski, and A.
Ashkenazi. 1997. Control of Trail induced apoptosis by a family of
signaling and decoy receptors. Science 277:818. [0144] 5. Clarke,
P., S. M. Meintzer, S. Gibson, C. Widmann, T. P. Garrington, G. L.
Johnson, and K. L. Tyler. 2000. Reovirus-induced apoptosis is
mediated by TRAIL. J. Virol 74:8135. [0145] 6. Chattergoon, M. A.,
J. J. Kim, J. S. Yang, T. M. Robbinson, D. J. Lee, T. Dentchev, D.
M. Wilson, V. Ayyavoo, and D. B. Weiner. 2000. Targeted antigen
delivery to antigen-presenting cells including dendritic cells by
engineered Fas-mediated apoptosis. Nat Biotechnology 18:974. [0146]
7. Hugues, S., E. Mougneau, W. Ferlin, D. Jeske, P. Hofman, D.
Homann, L. Beaudoin, D. Schrike, M. Von Herrath, A. Lehuen, and N.
Glaichenenhaus. 2002. [0147] Tolerance to islet antigens and
prevention from diabetes induced by limited apoptosis of pancreatic
beta cells. Immunity 16:169.
Example 8
Over-Expression of Vaccine Antigens in an rBCG Strain Capable of
Escaping the Endosome
[0148] To over-express TB antigens into rBCG strain AFV102,
sequences encoding the Rv3031 promoter functionally linked to
sequences encoding Rv3804c (also known as Ag85A), Rv1886 (also
known as Ag85B) and Rv0288 (also known as TB10.4) were inserted
into the PacI site of pAF100. The resulting plasmid, pAF105 (FIG.
12), was subsequently digested with restriction endonuclease NdeI
to remove the E. coli replicon and kanamycin-resistance gene, and
re-circularized by ligation with T4 ligase. This DNA (1-2 .mu.g)
was introduced into rBCG strain AFV102 by electroporation. The
bacteria were cultured in 8.75 cm plates containing 25-30 ml of
solid media (Middlebrook 7H10). Following a prescreen by PCR to
detect colonies which harbor the antigen expression plasmid, a
selected rBCG colony, which is both PfoA-positive and contains the
TB antigen expression cassette, is designated AFV112 and is
expanded to 500 ml in agitated liquid media (Middlebrook 7H9) at
37.degree. C. Once the culture reaches late-log phase, glycerol is
added to the 500 ml culture to a final concentration of 10% (v/v)
and the premaster seed is stored in 5 ml aliquots at -80.degree.
C.
[0149] The purity of BCG and rBCG cultures are evaluated by evenly
spreading 100 .mu.l aliquots of the BCG culture serially diluted
(e.g. 10-fold steps from Neat -10.sup.-8) in phosphate buffered
saline (PBS) onto 8.75 cm plates containing 25-30 ml of solid media
(Middlebrook 7H10). PCR and restriction endonuclease analysis of
plasmid DNA is used to confirm that the desired genotype is present
in each rBCG isolate. In addition, PCR-generated DNA fragments are
sequenced by automated dideoxynucleotide sequencing techniques to
confirm the presence of full-length genes.
[0150] To assess the secretion of PfoA by AFV102 and AFV112
harboring the TB antigen expression plasmid, both strains are grown
to mid-logarithmic phase, as described above. The culture
supernatants of these cultures are collected and filtered through
0.2-mm membrane filters, as previously described (Hess et al.,
Proc. Natl. Acad. Sci., 95:5299-304; 1998). The culture filtrate
proteins then are assessed for hemolytic activity, as described
above. The results show that AFV102 and AFV112 display similar
levels of hemolytic activity and that AFV112 retains the
.DELTA.ureC::.OMEGA.pfoA.sub.G137Q allele and expresses a
functional PfoA protein.
[0151] Finally, expression of the TB antigens is assessed in
culture supernatants proteins separated on 10-15% SDS-PAGE gels.
The results show increased expression of Rv3804c and Rv1886. Since
Rv0288 is not expected to be over expressed in the culture
supernatant, over expression of this 10 kDa protein, which is
expressed on the same mRNA as Rv3804c and Rv1886, is inferred by
the observation that Rv3804c and Rv1886 are over expressed.
[0152] Taken as a whole, this example demonstrates that it is
possible to generate and rBCG strain which both expresses PfoA and
over expresses TB antigens. Such as strain has potential to serve
as a second generation TB vaccine.
[0153] While the invention has been described in detail, and with
reference to specific embodiments thereof, it will be apparent to
one of ordinary skill in the art that various changes and
modifications can be made therein without departing from the spirit
and scope thereof.
Sequence CWU 1
1
511503DNAClostridium perfringens 1atgataagat ttaagaaaac aaaattaata
gcaagtattg caatggcttt atgtctgttt 60tctcaaccag taatcagttt ctcaaaggat
ataacagata aaaatcaaag tattgattct 120ggaatatcaa gcttaagtta
caatagaaat gaagttttag ctagtaatgg agataaaatt 180gaaagttttg
ttccaaagga aggtaaaaag actggtaata aatttatagt tgtagaacgt
240caaaaaagat cccttacaac atcaccagta gatatatcaa taattgattc
tgtaaatgac 300cgtacatatc caggagcatt acaacttgca gataaagcct
ttgtggaaaa tagacctaca 360atcttaatgg taaaaagaaa gcctattaac
attaatatag atttaccagg attaaagggt 420gaaaatagta taaaggttga
tgatccaacc tatggaaaag tttctggagc aattgatgag 480ttagtgtcta
agtggaatga aaagtattca tctacacata ctttaccagc aagaactcaa
540tattcagaat ctatggttta tagtaaatca caaatatcaa gtgcccttaa
tgttaatgct 600aaagtccttg aaaactcact tggagtagac tttaatgcag
tagcaaacaa tgagaaaaaa 660gttatgattt tagcatataa acaaatattc
tatacagtaa gtgcagactt acctaagaat 720ccatcagatc tttttgatga
cagtgttaca tttaatgatt taaaacaaaa gggagtaagt 780aatgaagcac
ctccacttat ggtttcaaat gtagcttatg gaagaactat atatgttaag
840ttagaaacta cttctagtag taaagatgta caagctgctt tcaaagctct
tataaagaac 900actgatataa aaaatagtca acaatataaa gatatttatg
aaaatagttc cttcacagca 960gtagttttag gaggagatgc acaagaacat
aacaaagttg taactaagga ctttgatgaa 1020ataagaaaag taattaaaga
caatgcaact tttagtacaa aaaacccagc atatccaata 1080tcttatacta
gtgttttctt aaaagataac tcagttgctg ctgttcacaa taaaacagat
1140tatatagaaa caacttctac agagtattct aagggaaaaa taaacttaga
tcatagtgga 1200gcctatgttg cacagtttga agtagcatgg gatgaagttt
catatgacaa agaaggaaat 1260gaagttttaa ctcataaaac atgggatgga
aattatcaag ataaaacagc tcactattca 1320acagtaatac ctcttgaagc
caatgcaaga aatataagaa taaaggcaag agagtgtaca 1380ggtcttgctt
gggaatggtg gagagatgtt ataagtgaat atgatgttcc attaacaaat
1440aatataaatg tttcaatatg gggaactact ttataccctg gatctagtat
tacttacaat 1500taa 15032500PRTClostridium perfringens 2Met Ile Arg
Phe Lys Lys Thr Lys Leu Ile Ala Ser Ile Ala Met Ala1 5 10 15Leu Cys
Leu Phe Ser Gln Pro Val Ile Ser Phe Ser Lys Asp Ile Thr 20 25 30Asp
Lys Asn Gln Ser Ile Asp Ser Gly Ile Ser Ser Leu Ser Tyr Asn 35 40
45Arg Asn Glu Val Leu Ala Ser Asn Gly Asp Lys Ile Glu Ser Phe Val
50 55 60Pro Lys Glu Gly Lys Lys Thr Gly Asn Lys Phe Ile Val Val Glu
Arg65 70 75 80Gln Lys Arg Ser Leu Thr Thr Ser Pro Val Asp Ile Ser
Ile Ile Asp 85 90 95Ser Val Asn Asp Arg Thr Tyr Pro Gly Ala Leu Gln
Leu Ala Asp Lys 100 105 110Ala Phe Val Glu Asn Arg Pro Thr Ile Leu
Met Val Lys Arg Lys Pro 115 120 125Ile Asn Ile Asn Ile Asp Leu Pro
Gly Leu Lys Gly Glu Asn Ser Ile 130 135 140Lys Val Asp Asp Pro Thr
Tyr Gly Lys Val Ser Gly Ala Ile Asp Glu145 150 155 160Leu Val Ser
Lys Trp Asn Glu Lys Tyr Ser Ser Thr His Thr Leu Pro 165 170 175Ala
Arg Thr Gln Tyr Ser Glu Ser Met Val Tyr Ser Lys Ser Gln Ile 180 185
190Ser Ser Ala Leu Asn Val Asn Ala Lys Val Leu Glu Asn Ser Leu Gly
195 200 205Val Asp Phe Asn Ala Val Ala Asn Asn Glu Lys Lys Val Met
Ile Leu 210 215 220Ala Tyr Lys Gln Ile Phe Tyr Thr Val Ser Ala Asp
Leu Pro Lys Asn225 230 235 240Pro Ser Asp Leu Phe Asp Asp Ser Val
Thr Phe Asn Asp Leu Lys Gln 245 250 255Lys Gly Val Ser Asn Glu Ala
Pro Pro Leu Met Val Ser Asn Val Ala 260 265 270Tyr Gly Arg Thr Ile
Tyr Val Lys Leu Glu Thr Thr Ser Ser Ser Lys 275 280 285Asp Val Gln
Ala Ala Phe Lys Ala Leu Ile Lys Asn Thr Asp Ile Lys 290 295 300Asn
Ser Gln Gln Tyr Lys Asp Ile Tyr Glu Asn Ser Ser Phe Thr Ala305 310
315 320Val Val Leu Gly Gly Asp Ala Gln Glu His Asn Lys Val Val Thr
Lys 325 330 335Asp Phe Asp Glu Ile Arg Lys Val Ile Lys Asp Asn Ala
Thr Phe Ser 340 345 350Thr Lys Asn Pro Ala Tyr Pro Ile Ser Tyr Thr
Ser Val Phe Leu Lys 355 360 365Asp Asn Ser Val Ala Ala Val His Asn
Lys Thr Asp Tyr Ile Glu Thr 370 375 380Thr Ser Thr Glu Tyr Ser Lys
Gly Lys Ile Asn Leu Asp His Ser Gly385 390 395 400Ala Tyr Val Ala
Gln Phe Glu Val Ala Trp Asp Glu Val Ser Tyr Asp 405 410 415Lys Glu
Gly Asn Glu Val Leu Thr His Lys Thr Trp Asp Gly Asn Tyr 420 425
430Gln Asp Lys Thr Ala His Tyr Ser Thr Val Ile Pro Leu Glu Ala Asn
435 440 445Ala Arg Asn Ile Arg Ile Lys Ala Arg Glu Cys Thr Gly Leu
Ala Trp 450 455 460Glu Trp Trp Arg Asp Val Ile Ser Glu Tyr Asp Val
Pro Leu Thr Asn465 470 475 480Asn Ile Asn Val Ser Ile Trp Gly Thr
Thr Leu Tyr Pro Gly Ser Ser 485 490 495Ile Thr Tyr Asn
50031419DNAClostridium perfringens 3aaggatatca ccgacaagaa
ccagagcatc gatagcggca tctccagcct gtcgtacaac 60cgcaacgaag tgctagcctc
gaacggcgac aagatcgaaa gcttcgttcc gaaggagggt 120aagaagacgg
gtaataagtt catcgtcgta gaacgtcaga agcgatcctt gaccacgtcg
180ccagtcgata tcagcatcat tgattcggtg aacgaccgga cctatccggg
cgcactgcaa 240cttgccgaca aagcctttgt ggaaaaccgc ccgaccatcc
taatggtgaa gcgcaagccg 300atcaacatta acatcgacct gccgcagctg
aagggtgaga actcgatcaa ggtggacgac 360ccgacctatg gcaaggtgtc
cggcgcgatc gacgagctgg tgtcgaagtg gaacgagaag 420tattcatcca
cccatactct cccagcgcgg acccagtatt cagagagcat ggtctactcg
480aagtcccaga tatcaagtgc cctgaatgtg aatgctaagg tcctggaaaa
ctcgctgggc 540gtggacttta acgcagtagc gaacaacgag aagaaggtga
tgattttggc ctacaaacaa 600atcttctata cggtgtcggc ggacctgccc
aagaacccca gcgacctgtt cgacgactcg 660gttacgttca acgacctcaa
gcagaagggg gtgagcaatg aggcgcctcc gctgatggtc 720tcgaacgtgg
cctacggacg gacgatctac gtcaagttag aaaccacctc ttcctcgaag
780gacgtccagg ccgccttcaa agccctgatc aagaacaccg acatcaagaa
ctcccagcag 840tacaaggaca tttacgagaa ttcgtccttc accgcggtcg
tcttgggcgg cgatgcgcag 900gaacacaaca aagtggtcac caaggacttc
gatgagatac ggaaagtcat taaggacaac 960gcgactttct ccacaaaaaa
cccggcatac ccgatcagct ataccagtgt gttcctcaag 1020gacaacagcg
tcgccgctgt tcacaacaag accgactaca tcgagacgac ctcgaccgag
1080tacagcaagg ggaaaatcaa cctggatcac tcgggcgcct acgttgccca
gttcgaggtg 1140gcctgggacg aagtcagcta tgacaaggag ggcaatgaag
tgctcacgca caaaacgtgg 1200gacgggaact accaagataa gacagcccac
tactcaaccg tgatccccct cgaggccaac 1260gcgaggaaca tccgcatcaa
ggcgcgggag tgcacgggtc ttgcgtggga gtggtggcgc 1320gacgtcatct
cggagtacga cgtgccgttg accaacaaca tcaatgtgag catctgggga
1380accaccctgt accccgggtc gtcgatcacc tacaactga
1419419DNAArtificialsynthetic forward oligonucleotide primer
4acggctaccg tctggacat 19518DNAArtificialsynthetic reverse
oligonucleotide primer 5cgatggcttc ttcgatgc 18
* * * * *