Patent Application
20140227305
The present invention relates to a vaccine comprising a particle, said particle comprising (i) at least one Epstein-Barr virus (EBV) structural polypeptide, (ii) at least one EBV lytic polypeptide, (iii) membrane lipids, said particle being devoid of EBV DNA, wherein (a) the B-cell transformation capacity of one or more EBV polypeptides required for B-cell transformation as comprised in said particle is disabled while their immunogenicity is maintained; and/or (b) said particle is devoid of one or more EBV polypeptides required for B-cell transformation. Furthermore, the invention relates to a method for generating a particle, to a cell obtained in the method of the invention, a kit comprising the vaccine or the particle generated according to the method of the invention. Also, the invention relates to the use of the vaccine or the particle generated according to the method of the invention for generating CD8+ cells specific for an EBV antigen.
In this specification, a number of documents including patent applications and manufacturer's manuals is cited. The disclosure of these documents, while not considered relevant for the patentability of this invention, is herewith incorporated by reference in its entirety. More specifically, all referenced documents are incorporated by reference to the same extent as if each individual document was specifically and individually indicated to be incorporated by reference.
Epstein-Barr-Virus (EBV) is an ubiquitous human herpes viruses that infects over 90% of the population world-wide with a life-long persistence in its host. In most cases, primary infection occurs during early childhood and is usually asymptomatic. In contrast, if infection is retarded and happens during adolescence or adulthood, it is regularly symptomatic, causing a benign, normally self-limiting, lymphoproliferative syndrome termed infectious mononucleosis (IM) in up to 50% of cases (Rickinson and Kieff, 2007). Although the disease is normally self-limiting, prolonged forms of IM (Tobi et al., 1982) or chronic active EBV infection (CAEBV) with fatal outcome have been reported (Lu et al., 2009; Imashuku, 2007). Clinical apparent IM has also been found to significantly increase the risk to develop Hodgkin disease and other type of lymphoma later in life (Becker et al., 2009, Goldacre et al., 2009). Today, it is also generally accepted that IM is an independent risk factor for multiple sclerosis (Thacker et al., 2006; Zaadstra et al., 2008) later in life. In addition, EBV is causally associated with a heterogeneous group of malignant diseases like nasopharyngeal carcinoma, gastric carcinoma, and various types of lymphoma (Lopes et al., 2003), so that the WHO classifies EBV as a class I carcinogen (Niedobitek, 1999).
Beside the above described medical condition caused by EBV, patients with primary or secondary immune defects like transplant recipients are at particular risk for EBV-associated diseases as a consequence of the detrimental effect of immunosuppressive agents on the immune-control of EBV-infected B-cells. EBV-associated PTLD is an important form of posttransplant complications, occurring in up to 20% of organ recipients (Everly et al., 2007; Taylor et al., 2005). Importantly, immunocompromised transplant recipients who are immunologically naïve for EBV at the onset of immunosuppression are at a particular high risk of developing life-threatening EBV+ posttransplant lymphoproliferative disease (PTLD) due to a primary EBV infection, e.g. often caused after transplantation via transmission of the virus through a donor organ due to the high prevalence of EBV. Due to impaired T-cell immunity that results from exposure to immunosuppressive drugs, these patients are unable to effectively prime EBV-specific T-cells that play a critical role in controlling proliferation of EBV-infected B-cells. In contrast, patients who are EBV-seropositive at transplant have a much lower risk for developing PTLD, demonstrating the essential role of EBV-specific T-cells poised to eliminate virally infected cells. In general, patients who are EBV-seronegative before transplantation are at a much higher risk to develop EBV-associated diseases, since transmission of donor EBV in transplanted organs or natural infection with the virus causes lymphoproliferative disease in EBV-seronegative recipients after transplantation (e.g. Mendoza et al., 2006; Swerdlow et al., 2000). As with many virus-associated diseases a promising approach for preventing and/or treating virus infection and its consequences in the host is vaccination, which is also true in the case of reducing the high risk of PTLD in seronegative patients by immunizing them to EBV prior to the transplantation.
These EBV-associated diseases provide strong arguments for the development of an EBV vaccine that is both save and efficient in coping with subsequent virus infections and virus-associated diseases. First trials in humans with candidate vaccines were performed already in the 1990s using a recombinant vaccinia virus expressing the major EBV membrane antigen, BLLF-1, yielding increased titers of EBV-neutralizing antibodies (Gu et al., 1995). More recently, different peptide-based prophylactic vaccines aimed at seroconversion and prevention of IM in healthy volunteers (Elliott et al., 2008; Moutschen et al., 2007; Sokal et al., 2007) and in children awaiting kidney transplantation (Rees et al., 2009) have been described. In these children, neutralizing antibodies were detected in four recipients. However, immune responses declined rapidly and were unlikely to affect posttransplant events.
Live attenuated viruses are polyvalent vaccines that efficiently protect from infection with wild-type virus and associated diseases. Genetic attenuation is usually achieved by the serial passage of the virus in permissive cells. Unfortunately, a lytic system that allows for the spontaneous genetic attenuation does not exist for EBV, in contrast to other herpes viruses like Varizella zoster. Seroconversion by infecting people on purpose with wild-type EBV would in principle be easy but is considered unethical, as the virus is clearly oncogenic per se. Also live attenuated vaccines are usually not recommended for many groups of immunocompromised patients with primary and secondary immune deficiencies (Pickering et al., 2009) because of risks of serious side effects and disseminated infections (Duchini et al., 2003; Succi and Farhat, 2006).
Monovalent EBV vaccines relying on gp350 subunit vaccines are being studied for more than twenty years with different results: one formulation successfully induced neutralizing antibodies in healthy volunteers enrolled in a clinical phase I/II-study (Moutschen et al., 2007), whereas another vaccine formulation in children awaiting kidney transplantation has failed to influence post-transplant EBV titers and to protect from PTLD (Rees et al., 2009), probably because gp350 is usually not expressed in PTLDs and other EBV-associated malignancies. Thus, it can be doubted that a gp350 vaccine can reduce the risk to develop EBV-associated cancer.
In WO 2009/068615 the generation of virus-like particles (VLPs) is described that are characterized in that they do not comprise viral DNA or do not comprise transforming EBV DNA. Said particles are employed in an ex vivo method according to which EBV structural antigen-specific CD4+ cells are generated. Due to the potential presence of oncogenes in the DNA devoid of transforming EBV DNA and the presence of transforming proteins in the VLPs they can for safety and ethical reasons not be employed in humans. Furthermore, the generated CD4+ cells cannot be considered a potent vaccine, let alone be used as prophylactic vaccine, since only CD4+ cells have been generated from EBV-positive donors, whereas they cannot prime a an EBV-specific immune cells in an EBV-naïve individual.
The technical problem underlying the present invention was to identify alternative and/or improved means and methods that allow therapeutic and preventive vaccination against EBV infection and EBV-associated diseases.
The solution to this technical problem is achieved by providing the embodiments characterized in the claims.
Accordingly, the present invention relates in a first embodiment to a vaccine comprising a particle, said particle comprising (i) at least one Epstein-Barr virus (EBV) structural polypeptide, (ii) at least one EBV lytic polypeptide, (iii) membrane lipids, said particle being devoid of EBV DNA, wherein (a) the B-cell transformation capacity of one or more EBV polypeptides required for B-cell transformation as comprised in said particle is disabled while their immunogenicity is maintained; and/or (b) said particle is devoid of one or more EBV polypeptides required for B-cell transformation.
The term “vaccine” as employed in the present invention means to prophylactically or therapeutically immunize an individual against EBV. The vaccine according to the present invention immunizes an individual against EBV infection and EBV-associated diseases. Immunization relates to the process of stimulating and sensitizing the immune system towards the antigen(s) within the vaccine. According to the invention, prophylactic immunization refers to the first exposure of an individual's immune system, i.e. a naïve immune system, to EBV antigens. Said first exposure results in the clearance of said antigens from the body of the exposed individual and in the development of EBV-antigen specific CD4+− and CD8+−cells and antibody-producing memory B-cells. Upon a second exposure the immune system is able to prevent EBV infection and/or clear said infection more effectively thereby preventing or mitigating the development of EBV-associated diseases. Specifically, the effects of said prophylactic immunisation manifest itself in at least one of the following: preventing infection of the immunized individual with EBV, modifying or limiting the infection, aiding, improving, enhancing or stimulating the recovery of said individual from infection and generating immunological memory that will prevent or limit a subsequent EBV infection. The presence of any of said effects can be tested for and detected by routine methods known to the person skilled in the art. Preferably, the patient is challenged with one or more EBV antigens which have been part of the vaccine used and antibody titers and the number of T-cells against said one or more antigens are determined. Also, the induction of neutralizing antibodies that inhibit infection of human B-cells in vitro can be determined.
While equally provoking an immune response against EBV antigens, therapeutic immunization in accordance with the present invention is performed on individuals that have been exposed to EBV prior to said immunization, i.e. they are already infected with EBV. In this case, immunization leads to the reactivation of resting T effector cells, which are confronted with the cognate antigens in a form that these antigens are presented by professional antigen-presenting cells in association with MHC class I and/or MHC class II molecules. Therapeutic immunization against EBV may prove particularly relevant in cases where the reactivation of the virus is undesirable such as, e.g. in transplant recipients or otherwise immunocompromised patients (HIV-positive individuals, cancer patients, patients with severe inflammatory or autoimmune diseases), or in cases where EBV-reactivation can lead to or has led to the development of a disease like posttransplant lymphoproliferative disorders (PTLD) and Non-Hodgkin lymphoma, chronic active EBV infection (CAEBV), oral hairy leukoplakia or in cases where the B-cell transforming capacity of EBV has led to the development of a disease such as, e.g. cancer.
Besides comprising the EBV-antigens, which according to the present invention are comprised in a particle as described in detail below, a vaccine in accordance with the invention may further comprise pharmaceutically acceptable carriers which include any carrier that does not itself elicit an immune response or any other adverse reaction harmful to the individual receiving the vaccine. Suitable carriers are typically large, slowly metabolized macromolecules such as proteins, polysaccharides, polylactic acids, polyglycolic acids, polymeric amino acids, amino acid copolymers and lipid aggregates such as, e.g. oil droplets or liposomes. Further suitable pharmaceutically acceptable carriers are well-known in the art. Additionally, said carriers may function as further immunostimulating agents which will be described in more detail below. Further, the vaccine may comprise diluents such as, e.g. water, saline, glycerol, ethanol etc. Furthermore, substances necessary for formulation purposes may be comprised in a vaccine such as emulsifying agents and/or pH buffering substances. Any combination of the above-mentioned substances may be part of a vaccine in accordance with the invention as needed.
The amount necessary and the treatment regimen for an effective immunisation may vary and depend on such factors as the individual's size, body surface area, age, sex, time and route of administration, general health, and other drugs being administered concurrently. Said effective amount is expected to be in broad range and can for any given situation be readily determined by routine experimentation and is within the skills and judgement of the ordinary clinician or physician. The mode of administration can be any mode of administration that results in the immunization of the individual exposed to the vaccine for immunization and includes parenteral administration such as, e.g., intravenous, intramuscular, intraperitoneal, intrasternal, subcutaneous, intraarticular injection or infusion and inhalation, as well as enteral administration. Preferably, the vaccine is administered at least 2 times in order to maximize the effect of the immunization.
The term “particle” as used in the present invention relates to a particulate conglomerate of EBV polypeptides and membrane lipids while being devoid of EBV DNA. The term “polypeptide” refers to molecules consisting of more than 30 consecutive amino acids. Also envisaged in accordance with the present invention is to use “peptides”, i.e. molecules that comprise up to 30 amino acids, instead of polypeptides. To the extent said peptides contribute to the immunizing effect of said particle, it is understood that they comprise an EBV antigenic epitope. Also encompassed by the term “polypeptide” are fragments of polypeptides. The term “fragment of a polypeptide” refers to a portion of a polypeptide that may or may not be linked to a (biological) activity of the full-length polypeptide. Preferably, an activity is attributable to the fragment. Polypeptides may further form dimers, trimers and higher oligomers, i.e. consisting of more than one polypeptide molecule. Polypeptide molecules forming such dimers, trimers etc. may be identical or non-identical. The corresponding higher order structures are, consequently, termed homo- or heterodimers, homo- or heterotrimers etc. Homo- or heterodimers etc. also fall under the definition of the term “polypeptide”. The terms “polypeptide” and “protein” are used interchangeably herein and also refer to naturally modified polypeptides wherein the modification is effected e.g. by glycosylation, acetylation, phosphorylation and the like. Such modifications are well known in the art. Polypeptides termed “EBV polypeptides” in accordance with the invention are polypeptides that are identical in their amino acid sequence to polypeptides of EBV. The term “EBV” as used herein relates to any wildtype, i.e. naturally occurring, EBV strain and is not restricted to one particular strain. Specifically, EBV type 1 and EBV type 2 strains are well-known in the art and have been extensively characterised. These two EBV-types differ largely in nuclear polypeptide genes that encode EBNA-LP, EBNA-2, EBNA-3A, EBNA-3B and EBNA-3C. Beyond differences relating to genes encoding polypeptides of the EBNA-family, the genomes of type 1 and 2 differ little. Type 1 is dominantly prevalent in developed world populations, whereas type 2 is also prevalent in equatorial Africa and New Guinea (Kieff and Rickinson, 2007, for review). Further, the term EBV polypeptide comprises also polypeptides that are not identical to wildtype EBV strains as regards the sequence, but comprise proteins which share at least (for each value) 99%, 98%, 97%, 96%, 95%, 90%, 85%, 80% and at least 75% identity in sequence to a wildtype EBV polypeptide. The degree of identity of polypeptide sequences can be calculated by well-known methods by the person skilled in the art and may comprise the automatic execution of algorithms effecting the alignment of sequence data and calculation of sequence homologies. The EBV polypeptides of the particle may originate from different EBV strains; preferably they originate from one strain.
As mentioned above, EBV polypeptides required to be comprised in the particle belong to the groups of EBV structural polypeptides and EBV lytic polypeptides. As will be understood by the skilled person, a particular polypeptide of EBV may belong to more than one of the above mentioned groups of polypeptides. In other words, an EBV polypeptide may represent a structural polypeptide as well as a lytic polypeptide as will be apparent from the specific EBV polypeptides mentioned in the following paragraphs. In the latter case, the particle need not comprise a further EBV polypeptide that is either a structural or a lytic polypeptide. Preferably, the particle comprises at least one separate EBV polypeptide for each of the above-mentioned groups of EBV polypeptides as this typically increases the antigenic potential of the vaccine. More preferred is that at least (for each value) 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, or at least 12 separate polypeptides are independently part of each of said polypeptide groups comprised by the particle of the vaccine.
In accordance with the invention, the term “structural polypeptide” of EBV relates to polypeptides involved in the structural setup of the EBV. Said polypeptides are preferably selected from the group consisting of membrane polypeptides, tegument polypeptides and capsid polypeptides. EBV membrane polypeptides comprise the polypeptides selected from the group consisting of BALF4, BLLF1 (also termed gp350), BDLF2, BDLF3, BKRF2, BLRF1, BNLF1 (also termed LMP-1), TP (also termed LMP-2a), BXLF2, BZLF2 and any combination thereof. EBV tegument polypeptides comprise the polypeptides selected from the group consisting of BBRF2, BGLF2, BMLF1, BNRF1, BOLF1, BPLF1, BTRF1, BVRF1 and any combination thereof. EBV capsid polypeptides comprise the polypeptides selected from the group consisting of BBRF1, BcLF1, BDLF1, BFRF3 and any combination thereof. Preferably, the at least one structural polypeptide is selected from the group consisting of BLLF1, BMLF1, BNRF1 or any combination thereof such as BLLF1 and BMLF1, BLLF1 and BNRF1, or BMLF1 and BNRF1.
The term “lytic polypeptides” relates to EBV polypeptides that are involved in the induction and maintenance of the EBV lytic cycle (herein also referred to as replicative phase) and/or are expressed as a consequence of the induction of the lytic cycle. Said lytic polypeptides are preferably selected from the group comprising the immediate early genes, the early genes and the late lytic genes (Kieff and Rickinson, 2007). The lytic cycle is initiated by the expression of BZLF1 and BRLF1, both immediate early proteins, followed by the expression of the early and late proteins. Following induction, cells that have become permissive for virus replication undergo cytopathic changes characteristic of herpesviruses (Kieff and Rickinson, 2007). Exemplary lytic polypeptides to be used in accordance with the invention are selected from the group comprising BZLF1, BRLF1, BMRF1, BMLF1, BALF2, BALF5, BGL2, BHRF1, BALF4, BDLF3 and any combination thereof. Preferably, the at least one lytic polypeptide is BLLF1 (also termed gp350) or any combination thereof.
The term “membrane lipids” as used in accordance with the present invention relates to lipids that are capable of spontaneously arranging to form a lipid bilayer. Such membrane lipids are lipids that comprise a hydrophobic and a hydrophilic region, wherein after self-assembly the hydrophobic regions of the membrane lipids form the inner part of the bilayer whereas the hydrophilic regions form the outer face of the membrane. Preferably, the membrane lipids are lipids that naturally form cell membranes such as amphiphatic phospholipids. Also preferred is that said membrane lipids originate from a host cell where wildtype EBV is capable of replicating. More preferred, said membrane lipids originate from a cell according to the present invention. In accordance with the invention, the membranes comprised in the particle are present in an amount sufficient to form a membrane which constitutes the outer shell of the particle. The particle must possess said membrane outer shell, which preferably comprises at least one EBV structural polypeptide. As outlined below, preferred examples of membrane-bound EBV structural polypeptides are the gp350 polypeptide and the LMP-1 polypeptide. As further detailed below, the B-cell transformation capacity of LMP-1 may be disabled. Also preferred is that the particle's membrane comprises further membrane constituents also found naturally in an EBV membrane such as, e.g. further membrane polypeptides which may be found on the inside, on the outside of the membrane or spanning the membrane.
The particle is “devoid of EBV DNA” which means the particle does not comprise EBV DNA, i.e. no EBV DNA can be detected. Specifically, the term “DNA”, in accordance with the present invention, includes any DNA, such as cDNA or genomic DNA. Further included by the term “DNA” as used in this context are DNA mimicking molecules known in the art such as synthetic or semisynthetic derivatives of DNA and mixed polymers, both sense and antisense strands. Such DNA mimicking molecules or DNA derivatives according to the invention include phosphorothioate nucleic acid, phosphoramidate nucleic acid, 2′-O-methoxyethyl ribonucleic acid, morpholino nucleic acid, hexitol nucleic acid (HNA) and locked nucleic acid (LNA) (Braasch and Corey, 2001). LNA is an RNA derivative in which the ribose ring is constrained by a methylene linkage between the 2′-oxygen and the 4′-carbon. They may contain additional non-natural or derivatized nucleotide bases, as will be readily appreciated by those skilled in the art. Accordingly, the particle must not comprise DNA sequences that are identical to EBV DNA sequences, wherein said sequences preferably relate to EBV gene sequences. Furthermore, the particle must not comprise nucleic acid sequences that share at least a (for each value) 99%, 98%, 97%, 96%, 95%, 90%, 85%, 80% and at least 75% sequence identity to a wildtype EBV nucleic acid sequence. The degree of sequence identity of nucleic acid sequences can be calculated by well-known methods by the person skilled in the art and may comprise the automatic execution of algorithms effecting the alignment of sequence data and calculation of sequence homologies. Also, the particle may not comprise a DNA sequence that upon expression generates a polypeptide that functionally resembles an EBV polypeptide, wherein the functional resemblance preferably concerns B-cell transformation capacity. Methods to test functional similarity of polypeptides include in silico as well as in vitro, ex vivo and in vivo tests that are well-known to the skilled person in the art. For example, to determine functional resemblance one can generate deletion mutants of EBV and perform complementation analysis. Specifically, a deletion mutant of EBV is characterised in that the sequence of a gene that encodes, e.g. a polypeptide that is essential in B-cell transformation, is deleted. As a result, said deletion mutant is not capable of transforming B-cells. To test the functional resemblance of a DNA sequence to the deleted EBV sequence, said DNA to be tested is supplied to the deletion mutant, e.g., by incorporation of said DNA to be tested into the genomic DNA of said deletion mutant. Subsequently, it is determined whether the thus modified deletion mutant is capable of transforming B-cells, i.e. complements the deletion and results in an EBV that functionally resembles a wildtype EBV. Variations of said complementation analysis are known in the art and can further be adapted to the specific needs of the skilled person on the basis of his technical knowledge in the field.
In a further embodiment it is envisaged that no DNA of any kind is comprised in the vaccine or the particle comprised in the vaccine.
The particle may, however, comprise EBV RNA. It is understood that the term “RNA” as used herein comprises all forms of RNA including mRNA, ncRNA (non-coding RNA), tRNA and rRNA. The term “non-coding RNA” includes naturally occurring siRNA (small interfering RNA), miRNA (micro RNA), rasiRNA (repeat associated RNA), snoRNA (small nucleolar RNA), and snRNA (small nuclear RNA). Viral mRNA when comprised in the particle as described herein in various embodiments could be translated in infected cells and peptides derived from the translated polypeptides could be presented in association with MHC class I antigens such that they prime or reactivate CD8+ T cells. Corresponding EBV viral mRNA are mRNA molecules whose transcripts are mentioned above to belong to EBV “structural polypeptides and “lytic polypeptides”. For example, the particle may comprise viral EBV mRNA encoding BALF4, BLLF1 (also termed gp350), BDLF2, BDLF3, BKRF2, BLRF1, BNLF1 (also termed LMP-1), TP (also termed LMP-2a), BXLF2, BZLF2, BBRF2, BGLF2, BMLF1, BNRF1, BOLF1, BPLF1, BTRF1, BVRF1, BBRF1, BcLF1, BDLF1, BFRF3 (as “structural polypeptides”); and/or BZLF1, BRLF1, BMRF1, BMLF1, BALF2, BALF5, BGL2, BHRF1, BALF4, BDLF3 (as “lytic polypeptides”); and/or corresponding polypeptides whose transformation capacity has been disabled while their immunogenicity is maintained. Preferably, the EBV viral mRNA molecule(s) comprised in the particle in accordance with the invention encode the preferred “structural polypeptides and/or “lytic polypeptides” and/or corresponding polypeptides whose transformation capacity has been disabled while their immunogenicity is maintained or preferred combinations thereof described herein above as being comprised in a particle or constituting it, In other words, the transcripts of the mRNA molecules comprised in the particle mirror the EBV polypeptide composition of the particle according to the invention. It is equally envisaged that the particle may—alternatively or additionally—comprise EBV mRNA whose transcript is not comprised in the particle. For example, mRNA encoding BZLF1 and/or BRFL1 can be comprised in a particle in accordance with the invention while BZLF1 and/or BRLF1 polypeptides are not comprised in said particle. It is also envisaged that the particle does not comprise an mRNA molecule encoding every polypeptide comprised in the particle according to the invention, i.e. mirroring the EBV polypeptide composition of said particle. Preferably, at least BRLF1 and/or BZLF1 encoding EBV mRNA is comprised in the particle according to the invention. The incorporation of mRNA into said particle can be achieved, e.g., with the method described herein below in which EBV mRNA molecules present in the cell expressing the modified EBV genome are incorporated into particles. Further methods for incorporating EBV mRNAs into the particles according to the invention include, e.g., electroporation, lipofection or other methods known in the art to effect the transfer of nucleic acids through a lipid membrane. It is understood in accordance with the invention that any mRNA molecule(s) present in the particle of the invention is/are not capable to induce transformation of the infected cell into a proliferative state. It is understood by the person skilled in the art that the expression of potentially transforming EBV polypeptides from said EBV mRNAs comprised in the particle will not be sufficient to induce transformation of an infected cell due to the instability of mRNA molecules and the resulting low rate of expressed EBV polypeptides. Nevertheless, the skilled person is in the position to determine which mRNAs he can use and/or what kind of modifications to corresponding EBV mRNAs have to be effected to exclude the expression of EBV polypeptides having transforming activity alone or in combination with further EBV polypeptides, should this be necessary for regulatory purposes in the process of approval as active agent of a pharmaceutical.
In another embodiment it is envisaged that no RNA of any kind is comprised in the vaccine or the particle comprised in the vaccine.
Furthermore envisaged is that no nucleic acid of any kind is comprised in the vaccine or the particle comprised in the vaccine.
This absence of at least EBV DNA from the particle is owed to the capacity of wildtype EBV to transform B-cells into cells that are capable of indefinite growth. This is due to the presence of potential oncogenes in the wildtype EBV genome, i.e. genes that are involved in the development of cancer. Therefore, and with regard to safety of the vaccine of the invention upon administration to the individual to be immunized, exclusion of EBV DNA from the vaccine, more specifically from the particle, results in the minimisation of the risk of said individual to be immunized to experience B-cell transformation or develop cancer as a direct consequence of the vaccination. This is particularly important in the case of individuals which have not been exposed to and infected by EBV previously; see the introductory part herein above.
As a further feature that increases the safety of the vaccine upon administration while contributing to immunogenicity, the particle may comprise one or more EBV polypeptides required for B-cell transformation whose B-cell transformation capacity is disabled while their immunogenicity is maintained. In vitro, B-cell transformation by EBV leads to proliferation of infected B-cells for extended life-spans. The term “required for B-cell transformation” means in accordance with the invention that the said one or more EBV polypeptides are essential in transforming B-cells upon infection with a wildtype EBV. In other words, in the absence of said one or more essential EBV polypeptides a B-cell is not transformed upon infection. Accordingly, the particle upon fusion with the B-cell is incapable of transforming the B-cell. While it may suffice to disable the B-cell transformation capacity of one essential EBV polypeptide in order to exclude the possibility of B-cell transformation, one can alternatively disable the B-cell transformation capacity of an essential combination of EBV polypeptides to achieve the same result achieved when only one essential polypeptide is disabled, i.e. achieve the exclusion of the possibility of B-cell transformation. Preferably, the B-cell transformation capacity of more than the one essential EBV polypeptide or the essential combination of EBV polypeptides is disabled. Corresponding EBV polypeptides that are essential in B-cell transformation are EBNA2, LMP1, EBNA-LP. Disabling the B-cell transformation capacity of one of these EBV polypeptides is sufficient to exclude the possibility of B-cell transformation. Essential combinations of EBV polypeptides that are required for B-cell transformation are EBNA3A and EBNA3C, LMP-2A and EBNA3A, or LMP-2A and EBNA3C. As will readily be understood by the skilled person if only one member of a corresponding essential combination is present in the particle, its B-cell transformation capacity must be disabled since on its own it is still capable of transforming a B-cell. This equally applies to the presence of more members of a combination as long as the combination is not complete, i.e. not all members required to exclude the possibility of B-cell transformation are present in the particle. In other words, only when all members of an essential combination are disabled, then the possibility of B-cell transformation is excluded.
It is understood that, in order to ensure safety of the vaccine, a particle comprising said one or more EBV polypeptides required for B-cell transformation whose B-cell transformation has been disabled does not at the same time comprise the corresponding functional EBV polypeptide counterpart.
The above applies mutatis mutandis for the below embodiments.
Disabling the capacity to transform B-cells can be achieved by methods such as modifying the polypeptide's domain that is functionally involved in the process of B-cell transformation. Said modifying can be achieved by methods such as, e.g., deletion of said functional domain or parts thereof, steric inhibition of said functional domain or the entire polypeptide, or substitution of one or more amino acids of said functional domain to the effect that function is compromised. When disabling a polypeptide's B-cell transformation capacity, its immunogenicity is to be maintained. The person skilled in the art is in the position to determine without further ado the antigenic regions of a protein and specific antigenic epitops within said regions by employing in silico as well as in vivo, in vitro or ex vivo routine experimental methods. After determination of said antigenic region he is in the position to choose a strategy that is suitable to maintain the immunogenicity of a polypeptide while disabling its B-cell transformation capacity. This way, one can obtain functionally disabled but immunogenic EBV polypeptides. For example and in the case of transmembrane polypeptides having a B-cell transformation capacity such as, e.g., LMP-1 (also termed BNLF1), one can truncate said polypeptide by deleting only the transmembrane portion of said polypeptide but preserving the extramembranous part of said polypeptide on the outside of the virus particle.
Alternatively or in addition, the particle may be devoid of one or more EBV polypeptides that are required for B-cell transformation. Any of the above-mentioned EBV polypeptides required for B-cell transformation or EBV polypeptide combinations required for B-cell transformation may be lacking from the particle. Nevertheless and in accordance with the invention, the particle is still immunogenic due to the presence of other EBV particles such as the at least one EBV structural polypeptide and the at least one EBV lytic polypeptide. In the case where one or more transforming polypeptides are lacking and at least one EBV polypeptide is disabled, it is understood that the one or more EBV polypeptide that is lacking cannot be disabled at the same time. In other words, if said one or more EBV polypeptides is disabled, it cannot be lacking at the same time. If a combination of EBV polypeptides is essential in B-cell transformation, a first member of the combination may be disabled while a second member may be lacking.
The definitions and explanations provided for this embodiment apply mutatis mutandis for all of the below embodiments unless explicitly stated otherwise.
In general and also in accordance with this invention, it is desirable that the vaccine comprises as many different EBV polypeptides as possible in order to maximize the antigenic potential of the vaccine. Therefore, the present invention relates in an alternative embodiment to a vaccine comprising a particle, said particle comprising a modified EBV, wherein said modified EBV in comparison to a wildtype EBV is devoid of EBV DNA, and wherein (a) the B-cell transformation capacity of one or more EBV polypeptides required for B-cell transformation as comprised in said particle is disabled while their immunogenicity is maintained; and/or (b) said particle is devoid of one or more EBV polypeptides required for B-cell transformation.
In a preferred embodiment of said alternative embodiment, said modified EBV differs from wildtype EBV only with respect to the above-identified features.
This alternative embodiment realizes the full antigenic capacity of the wildtype EBV but excludes the potential of the vaccine to induce B-cell transformation or other EBV-associated diseases such as, e.g., infectious mononucleosis (IM), tumors, in the individual to be immunized. As a consequence, the immunized individual's immune system has been primed in response to a broad range of EBV antigens in the vaccine closely resembling the wildtype EBV thus resulting in modulation of the immune system that is from a medical point of view considered to be very effective in battling EBV infections.
In a more preferred embodiment of said alternative embodiment, said modified EBV differs from wildtype EBV in addition in that the EBV polypeptides EBNA-2, EBNA-3a, EBNA-3b, EBNA-3c are lacking. Even more preferred is that LMP-1 is disabled and/or that BZLF1 is part of the modified EBV.
The particles comprised in the vaccine of the invention can be prepared by methods well-known in the art involving standard cloning and cell culture techniques and described, e.g. in Sambrook, Molecular Cloning A Laboratory Manual, Cold Spring Harbor Laboratory (1989) N.Y., “Practical Cell Culture Techniques”, Boulton et Baker (eds), Humana Press (1992), ISBN 0896032140; “Human Cell Culture Protocols”, Gareth E. Jones, Humana Press (1996), ISBN 089603335X. For example, the EBV polypeptides can be recombinantly generated by expression from DNA sequences within host cells that allow aggregation and egress of the particles. Said particles can also be produced partially or entirely on synthetic basis. Preferably, the particle is prepared by any of the below detailed methods.
Although EBV is causally implicated in a variety of severe medical conditions as outlined above and despite intense research and successes with regard to battling different virus strains, the development of an EBV vaccine has thus far failed, albeit recent years have seen the approval of virus vaccines against, e.g., human papilloma virus as well as hepatitis B. The present inventors have been able to generate for the first time a vaccine that is effective in priming an EBV-specific immune response in EBV-naïve individuals as well as in reactivating the EBV-specific immune response in EBV-positive individuals and thus provides the answer to the long-felt need for an EBV vaccine.
Most surprising the vaccine of the invention was able to elicit an EBV-specific CD8+ immune response, i.e. a cellular immune response in addition to a potent humoral immune response, in an animal model and to reactivate EBV-specific CD8+ T cells from EBV-seropositive human donors although the EBNA3 polypeptides have been deleted due to their B-cell transformation capacity. This is surprising since it is well-known that the CD8+ cells generated upon EBV infection are predominantly directed towards EBNA3 polypeptides and one would have expected that a vaccine devoid of said EBNA3 polypeptides does not result in a potent EBV-specific CD8+ cell response. Furthermore, human B-cells, which are the targets for the EBV vaccine of the invention, are supposed not to have the potential to cross-present MHC class I-restricted epitopes derived from viral particles (Keller et al., 2009).
The inventors used a cell line which carries an EBV helper genome that was modified such that it cannot be packaged into the particles being part of the vaccine of the invention. To further ensure the safety of the vaccine, the vaccine is preferably devoid of EBV polypeptides that can transform B-cells as a result of a preferably accordingly modified EBV (helper) genome in the host cell line. Thus, even in the rare case that an EBV helper genome would illegitimately be packaged into a particle, transformation of a B-cell and re-activation of the virus can be completely excluded.
In summary, the inventors provide particles that are free of viral DNA and reliably induce strong polyvalent neutralizing humoral and cellular immune responses in naïve hosts. They thus constitute an effective and safe vaccine for individuals having any kind of serostatus, in particular for EBV-naïve patients awaiting e.g. transplantation where they reduce the risk of EBV-associated diseases in immunocompromised patients.
In a preferred embodiment of the vaccine of the invention, said particle comprises at least one EBV polypeptide selected from BZLF1 and gp350 and/or further comprises at least one EBV latent polypeptide.
The EBV polypeptide gp350 (glycoprotein 350) is a membrane bound glycoprotein. Said gp350 is responsible for the specificity (tropism) for B cells by binding to CD21 on the cell surface of B-cells. Additional accessory viral polypeptides may contribute to a fully efficient infection (Chesnokova et al., 2009; Omerovic et al., 2005; Silva et al., 2004; Sorem and Longnecker, 2009). Also, infection at low efficiency has also been demonstrated with recombinant EBV particles devoid of gp350 (Janz et al., 2000). Recent research also postulates an implication of gp350 after the internalization step and presumably during release of the viral capsid from the endosomal compartment (Busse et al., 2010). While not crucial for the vaccine according to the invention, it is preferred that gp350 is comprised in the particle's membrane since upon administration of the vaccine the immune response generated more closely resembles the immune response elicited upon infection by a wildtype EBV.
The EBV immediate early polypeptide BZLF1 mediates the disruption of latent EBV infection and is generally considered the key regulator in the induction of the lytic phase of EBV. In wildtype EBV, BZLF1 is not constantly expressed. Upon entering the host's body, BZLF1 is not expressed, only after B-cell infection BZLF1 is expressed resulting in the induction of the lytic cycle. The lytic cycle is maintained until the immune response of the host is adapted to EBV and is able to contain the infection which is the moment when EBV enters the latent phase of infection. In said phase BZLF1 is not expressed. The persistent infection with EBV is characterised in that there is an alternation of lytic and latent phase, wherein the induction of the lytic phase is due to the expression of BZLF1 which is at these times presented to immune cells. Thus, a vaccine that comprises BZLF1 primes the immune system of the immunized individual so that it is mobilized prior to the actual egress of new virus particles as a result of the induction of the lytic phase.
The term “latent polypeptides” relates to EBV polypeptides that are involved in the induction and maintenance of the EBV latent cycle and/or are expressed as a consequence of the induction of the latent cycle. Preferably, the at least one latent polypeptide is LMP-1 (also termed BNLF1) and/or LMP-2.
The invention also relates to a method for generating a particle, comprising the steps of: (a) transfecting a cell with a modified EBV genome, wherein said modified EBV genome in comparison to a wildtype EBV genome at least (aa) lacks one or more sequences that are required for the packaging of said wildtype EBV genome, lacks one or more sequences encoding EBV polypeptides required for said packaging and/or comprises one or more sequences encoding EBV polypeptides whose packaging capacity is disabled; (ab) lacks one or more sequences encoding EBV polypeptides that are required for B-cell transformation and/or comprises one or more sequences encoding EBV polypeptides whose B-cell transformation capacity is disabled; and (ac) lacks one or more sequences encoding EBV polypeptides that are required for inducing replication of an EBV and/or comprises one or more sequences encoding EBV polypeptides whose capacity for inducing EBV replication is disabled; (b) culturing the cell obtained in step (a) under conditions that allow expression of said modified EBV genome; (c) inducing the replicative phase of EBV; and (d) isolating said particle.
The term “transfection” is used in connection with the invention according to the accepted meaning in the art, viz. the process of introducing nucleic acids into cells. Transfection can be achieved by a variety of methods such as, e.g. chemical-based methods like calcium phosphate-mediated transfection or liposome-mediated transfection. Also non-chemical methods like electroporation or sonoporation or particle-based methods such as gene-gun-mediated transfection or magnetofection as well as viral-mediated methods are known in the art.
The “modified EBV genome” is modified in comparison to a wildtype EBV genome. As outlined in the above sections, several wildtype EBV strains exist whose genetic make-up is well-known in the art (Rickinson and Kieff, 2007). As is apparent from the above, the modified EBV genome is modified only with regard to sequences that are common to all EBV strains. The term “packaging” is well-known in the art with regard to virus assembly and relates to the process of introducing the linear EBV viral DNA into the virus particle during virus particle assembly. The packaging of EBV genomic DNA initiates at sequences (TR) that are directly repeated at both ends of said genomic DNA. Specifically, said modified EBV genome lacks one or more sequences that are required for packaging of a wildtype EBV genome. The term “required for packaging” means in accordance with the invention that said one or more sequences are essential in packaging EBV DNA into a wildtype EBV particle. In other words, in the absence of said one or more sequences the EBV DNA is not packaged into a wildtype EBV particle and a particle generated by the method of the invention that may also be comprised in the vaccine of the invention. Accordingly, the modified EBV genome is not packaged into a particle as described herein when said one or more sequences required for packing are lacking. For example, the sequences of the terminal repeats of EBV can be deleted. Said terminal repeats are recognized by an enzyme termed “terminase”. Alternatively or additionally, one can delete one or more sequences encoding EBV polypeptides required for said packaging. Such EBV polypeptides are, e.g., the enzyme terminase. Also, said EBV polypeptide(s) required for said packaging may be disabled so that they lose their packaging capacity. Said disabling can be achieved by methods such as modifying the polypeptide's domain that is functionally involved in the process of packaging. Said modifying can be achieved by methods such as, e.g., deletion of said functional domain or parts thereof, steric inhibition of said functional domain or the entire polypeptide, or substitution of one or more amino acids of said functional domain.
While it may suffice to delete one sequence required for packaging or one sequence encoding an EBV polypeptide required for said packaging and/or to disable the packaging capacity of one essential EBV polypeptide in order to exclude the possibility of packaging, one can alternatively disable the packaging capacity of a combination of EBV polypeptides also resulting in the exclusion of the possibility of EBV DNA packaging.
Further, the modified EBV genome lacks one or more sequences encoding EBV polypeptides that are required for B-cell transformation and/or comprises one or more sequences encoding EBV polypeptides whose B-cell transformation capacity is disabled. Specific EBV polypeptides and combinations thereof have been described herein above. The skilled person is in the position to directly and unambiguously identify the genomic sequences encoding said one or more polypeptides. He is furthermore in the position to carry out those steps that lead to the deletion of said one or more sequences from an EBV genome and/or to modify said one or more sequences leading to one or more EBV polypeptides whose transformation capacity is disabled upon expression.
Also, the modified EBV genome lacks one or more sequences encoding EBV polypeptides that are required for inducing replication of an EBV and/or comprises one or more sequences encoding EBV polypeptides whose capacity for inducing EBV replication is disabled. EBV polypeptides that are involved in the replication of EBV are mostly polypeptides termed lytic polypeptides that are involved in the replication of the viral genome as well as in the expression of the EBV genome finally resulting in the egress of virus particles from the infected host cell. The term “required for” has the same meaning as explained herein above for other polypeptides, i.e. one or more polypeptides are absolutely necessary with regard to a specific aspect. In this aspect of the invention, the presence of said one or more sequences encoding EBV polypeptides is absolutely necessary for the induction of the replication of EBV. Corresponding polypeptides can be selected from the following group consisting of BZLF1, BRLF1, BMLF1 and combinations thereof. Also in this regard the person skilled in the art is in the position to directly and unambiguously identify the genomic sequences encoding said one or more polypeptides as well as to carry out those steps that lead to the deletion of said one or more sequences from an EBV genome and/or to modify said one or more sequences leading one or more EBV polypeptides whose capacity for inducing EBV replication is disabled upon expression.
The term “culturing” is used in accordance with its accepted meaning in the art. Generally, cell culture methods, such as, for example, media constituents, marker choice and selection, cell quantification and isolation, are methods well-known in the art and described, for example, in “Practical Cell Culture Techniques”, Boulton et Baker (eds), Humana Press (1992), ISBN 0896032140; “Human Cell Culture Protocols”, Gareth E. Jones, Humana Press (1996), ISBN 089603335X and exemplarily in the example section. Culture conditions vary from cell-type to cell-type and moreover, can result in different phenotypes being expressed for a particular cell-type. Generally, cells are grown and maintained at an appropriate temperature and gas mixture, i.e. typically 37° Celsius, 5% CO2, in growth media (a) as irrigating, transporting and diluting fluid while maintaining intra- and extra-cellular osmotic balance, (b) that provides cells with water and certain bulk inorganic ions essential for normal cell metabolism, (c) which—combined with a carbohydrate, such as glucose—provides the principle energy source for cell metabolism and (d) which provides a buffering system to maintain the medium within physiologic pH range, i.e. cells are kept viable. The recipe of growth media varies greatly depending on cell-type and contains, for example and without limitation, growth factors, nutrient components, glucose, buffers to maintain pH and antifungizides and -biotics. Methods for culturing and maintaining cells in culture are well-known in the art; growth media and other cell culture related material as well as instructions and methods for successful culturing of cells can, for example, be obtained at Sigma-Aldrich or Invitrogen. The conditions to allow expression of the modified EBV genome correspond essentially to the general conditions described herein above. Modifications to enhance polypeptide expression from the EBV genome in the host cell are known to the person skilled in the art.
Cells to be used in the method of the invention are preferably cells of human origin. Preferred is the use of the HEK293 cell line which can be obtained, e.g., from the German Collection of Microorganisms and Cell Cultures (DSMZ, Braunschweig) or from the American tissue culture collection (ATCC).
The term “inducing the replicative phase” of EBV means in accordance with the present invention the initiation of the process that ultimately leads to intracellular assembly of virus-like particles (VLPs) and egress of said VLPs as particles defined herein. The induction can be achieved, for example, by complementing the cell with said one or more EBV polypeptides that are absent from the host cell due to the deletion of said one or more sequences encoding EBV polypeptides that are required for inducing replication and/or the modification of said one or more sequences encoding EBV polypeptides resulting in their inability to induce EBV replication. Said complementation can be achieved e.g. by providing the cell with said deleted one or more sequences, e.g. on a plasmid (stably or transiently transfected), from which the missing EBV polypeptides can be expressed; or by providing the cell with one or more unmodified sequences encoding functional EBV polypeptides that are capable of inducing the replicative phase. The provision of said one or more DNA sequences can be effected by methods as described herein above and in the example section. Alternatively, said complementation can be achieved by providing the cell said one or more EBV polypeptides required for inducing replication of an EBV. The provision of said one or more polypeptides to the cell can be achieved by protein delivery methods that are well-known in the art and may involve the use of reagents such as, e.g., ProteoJuice™ (Merck), TurboFect™ (Fermentas) or Lipodin-Pro™ (Abbiotec).
The thus generated particle(s) can upon egress from the host cell be collected from or as part of the cell culture supernatant. For example, the supernatant comprising said generated particles can be used directly for the infection of B-cells, or said particles can be further concentrated by ultracentrifugation or ultrafiltration.
The particle generated according to the method of the invention is suitable to be used in the vaccine of the present invention. Preferably, the particle comprised in the vaccine of the invention is generated according to the method of the invention which may involve further modification to the EBV genome in comparison to a wildtype EBV genome which the skilled person can effect without further ado on the basis of his common general knowledge in the field of biotechnology as well as on the basis of the methods described and/or referred to herein.
In a preferred embodiment, a polypeptide whose transformation capacity is disabled in (a) of the vaccine of the invention or in (ab) of the method of the invention is the LMP-1 polypeptide.
The LMP-1 EBV polypeptide is a membrane spanning polypeptide that is required for B-cell transformation. LMP-1 mimics a constitutively active CD40 receptor (Gires et al., 1997). The B-cell transformation capacity can, e.g., be disabled by truncation of said polypeptide by deleting only the membrane-bound portion of said polypeptide or parts thereof and preserving the extramembranous part of said polypeptide on the outside of the virus particle. A corresponding method is disclosed in the Example section. Briefly, LMP-1 was inactivated by only deleting its hydrophobic region, i.e. amino acids 26 to 210 (of SEQ ID NO.: 4) comprising the transmembrane domain, while in an effort to maintain its immunogenicity the extra-membrane part was conserved. Thus, in a preferred embodiment, the truncated LMP-1 is encoded by the DNA sequence of SEQ ID NO.: 1 and consists of the polypeptide sequence of SEQ ID NO.: 2.
In another preferred embodiment of the vaccine or method of the invention, the one or more EBV polypeptides required for B-cell transformation which are lacking according to (b) of the vaccine of the invention or (ab) of the method of the invention are selected from the group consisting of EBNA-2, EBNA-3a, EBNA-3b and EBNA-3c.
In a further preferred embodiment of the method of the invention, the one or more EBV polypeptides that are required for inducing replication of an EBV which are lacking or said one or more EBV polypeptides whose capacity for inducing EBV replication is disabled according to the method of the invention in step (ac) are selected from the group consisting of BZLF1, BRLF1, BMLF1 and any combination thereof and wherein in step (c) of said method of the invention the replicative phase is induced by providing to said cell the selected polypeptide(s).
In a more preferred embodiment of the method of the invention, the selected polypeptide is BZLF1.
In an even more preferred embodiment of the method of the invention, said provision of said one or more EBV polypeptides or said BZLF1 to said cell is effected by expression of said one or more EBV polypeptides or said BZLF1 from a stably transfected vector in said cell.
While there exist several methods to provide the cell with said one or more EBV polypeptides or said BZLF1 as outlined above, the expression from a stably integrated plasmid is advantageous for several reasons. The expression levels of the polypeptide(s) expressed are consistent, the modulation of the host cell is reduced to the minimum and the technical complexity of producing said particles is equally significantly minimized which in the case of large scale production systems is advantageous.
In a most preferred embodiment of the method of the invention, the expression of said one or more EBV polypeptides or said BZLF1 is inducibly regulated.
Techniques to control expression of polypeptides from a plasmid are well-known in the art. One technique involves the use of inducible promoters such as, heat, chemical, or light sensitive promoters. For example, tetracycline inducible promoters, Dox-inducible promoters, ecdysone inducible promoters or heavy metal inducible promoters are known in the art can be used in accordance with the invention (see, e.g.,
In another preferred embodiment of the method of the invention, said method comprises after step (b) and prior to step (c) a further step (b′) comprising: providing one or more viral or non-viral polypeptides, one or more viral or non-viral nucleic acid sequences and/or one or more vaccine adjuvants to said cell, wherein said one or more viral polypeptides or said one or more viral nucleic acid sequences are not EBV polypeptides or EBV nucleic acid sequences, respectively.
The one or more viral or non-viral polypeptides, one or more viral or non-viral nucleic acid sequences can be of any origin or sequence as long as they are not EBV polypeptides or EBV nucleic acid sequences according to the definition given herein above. Preferably, said one or more polypeptides or said one or more nucleic acid sequences are polypeptides or sequences that are immunogenic, i.e. elicit a specific immune response, and, more preferred, have been shown to be safe and effective as immunizing agent.
The term “adjuvant” is used according to the well-known meaning in connection with vaccines. Specifically, an adjuvant is an immunological agent that modifies, preferably enhances, the effect of a vaccine while having few if any direct effects on the immune system when given per se. In accordance with the present invention it is defied as any substance that is capable of accelerating, prolonging or enhancing antigen-specific immune responses when used in combination with specific antigens. Suitable adjuvants can be inorganic adjuvants such as, e.g., aluminium salts (e.g., aluminium phosphate, aluminium hydroxide), organic adjuvants such as squalene or oil-based adjuvants, as well virosomes.
This embodiment is owed to the fact that the particle generated according to the invention can effectively encompass other polypeptides than EBV polypeptides as well as nucleic acid sequences and therefore besides being a vaccine act as delivery tool for further compounds to be delivered to the individual to be immunized. Incorporation of said one or more viral or non-viral polypeptides, one or more viral or non-viral nucleic acid sequences and/or one or more vaccine adjuvants can conveniently be achieved by the provision of the latter to the cell in accordance with the above described techniques such as protein transfection or nucleic acid transfection in amounts that are suitable for said incorporation. The specific amounts required as well as the specific technique to achieve said intracellular levels can be experimentally determined without undue burden by the skilled person.
In a preferred embodiment of the vaccine of the invention, it additionally comprises one or more viral or non-viral polypeptides, one or more viral or non-viral nucleic acid sequences and/or vaccine adjuvants, wherein said one or more viral polypeptides or said one or more viral nucleic acid sequences are not EBV polypeptides or EBV nucleic acid sequences, respectively.
The definitions given above apply also to this embodiment and methods to generate said particles have equally been described above. Preferably, said particle as comprised in the vaccine comprises one or more viral or non-viral polypeptides, one or more viral or non-viral nucleic acid sequences and/or vaccine adjuvants are part of the particle. Nevertheless, it is also envisaged that said vaccine comprises one or more viral or non-viral polypeptides, one or more viral or non-viral nucleic acid sequences and/or vaccine adjuvants that are admixed to the particles defined herein without being incorporated into said particles.
Another embodiment of the invention relates to a cell obtained by transfecting according to step (a) of the method according to the invention.
As will be understood by the skilled person in the art and as outlined above, the stable transfection of a vector enabling the preferably inducibly regulated expression of said one or more EBV polypeptides or said BZLF1 is particularly useful in large scale setups and/or setups that require a product that is standardized and consistent with regard to its quality. This is conceivably important for products that are intended for medical use, specifically for administration to patients, such as the particle generated according to the method of the invention which is, preferably part of the vaccine of the invention. Preferably, the cell is a cell in culture, a cell line or a cell in vitro.
In another embodiment, the invention relates to a kit comprising a vaccine according to the invention or a particle generated according to the method of the invention.
The kit may comprise only one kind of an item such as the vaccine of the invention or a particle generated according to the method. It may also comprise the various components making up a vaccine according to the invention.
In a preferred embodiment, the particle and pharmaceutically acceptable carriers making up a vaccine are comprised in a kit according to the invention as separate components.
In another preferred embodiment, the cell obtained according to the method of the invention and the compound(s) required for inducing the replicative phase are comprised in a kit according to the invention as separate components. Accordingly, the various components of the kit may be packaged in one or more containers such as one or more vials. The vials may, in addition to the components, comprise preservatives or buffers for storage, media for maintenance and storage, e.g. cell media, DMEM, MEM, HBSS, PBS, HEPES, hygromycin, puromycin, Penicillin-Streptomycin solution, gentamicin inter alia. Advantageously, the kit further comprises instructions for use of the components allowing the skilled person to conveniently work, e.g., various embodiments of the invention. Any of the components may be employed in an experimental setting. For example, the particle per se or the vaccine may be used to study the immune response of in animal as well as human studies.
Also, the invention relates to the use of a vaccine according to the invention or a particle obtained by the method of the invention for generating CD8+ T cells specific for an EBV antigen.
The use according to the invention may be implemented, e.g., according to method described below.
Additionally, the invention relates to a method for generating a preparation containing CD8+ T cells specific for an EBV antigen, the method comprising the steps of: (a) incubating B-cells with a vaccine according to the invention or a particle obtained by the method of the invention for a period of time sufficient to generate a preparation containing B-cells presenting EBV antigens; (b) admixing said B-cells obtained in step (a) with a preparation comprising T cells; and (c) incubating said admixture obtained step (b) to generate a preparation including CD8+ T cells specific for an EBV antigen.
The term CD8+ T cells can interchangeably be used with the term cytotoxic T cells which is also well-known in the art.
The term “incubating” refers in accordance with this embodiment to the process of bringing into contact different entities. With regard to incubating B-cells with a vaccine of the invention or a particle obtained by the method of the invention, said incubation is performed for a specific period of time under conditions that keep the B-cells viable and reactive to antigens such as said vaccine or particle. The time period necessary for antigen presentation by the B-cells can be experimentally determined and may vary depending on the experimental setup chosen. Preferably, the incubation is maintained for at least (for each value) 2, 4, 6, 8, 16 or at least 24 hours. Also envisaged are incubation times of at least 2, at least 3 or at least 4 days.
The preparation of T cells that are admixed with the B-cells in step (b) comprises naïve T cells and/or EBV-specific memory and/or EBV-specific effector T cells. The incubation step (c) of the method of the invention must be for a period of time to allow generation of EBV-specific CD8+ T cells. Said time period necessary for CD8+ T cell development can be experimentally determined and may vary depending on the experimental setup chosen. Preferably, the incubation is maintained for at least (for each value) 2, 4, 6, 8, 16 or at least 24 hours. Also envisaged are incubation times of at least 2, at least 3 or at least 4 days.
The method or the use can be an in vivo, ex vivo or in vitro method or use.
This embodiment of the invention is owed to the surprising finding that, contrary to a well-established dogma in the art (e.g., Keller et al., 2009; WO 2009/068615), B-cells are capable of cross-presentation and cross-priming. Specifically, cross-priming describes the process by which an antigen after uptake by an immune cell is processed for MHC class-I and MHC class II-associated presentation. Said process was previously believed to be restricted to, e.g., dendritic cells and macrophages. While MHC class II-associated antigen presentation results in the generation of CD4+ T cells, MHC class I-associated antigen presentation results in the generation of CD8+ cells, i.e. antigen specific T killer cells. B-cells are believed to be incapable of cross-priming, their main function being the generation of antibodies. The inventors of the present invention could surprisingly show that upon administration of a particle as described herein to mice the presence of EBV specific T cells could be shown in splenocytes (cf., e.g., Example 4,
The figures show:
The examples illustrate the invention:
The inventors recently described the construction of two helper cell lines for the encapsidation of EBV-derived vectors into recombinant virus particles (Delecluse et al., 1999; Hettich et al., 2006). These cell lines harbor EBV helper genomes that lack the terminal repeats (TRs), the viruses' packaging signals but instead contain genes for gfp. Consequently, these helper genomes cannot be encapsidated into viral particles but deliver in trans all proteins necessary for the packaging of suitable viral vectors and the assembly and release of recombinant and infectious EBV particles. The first generation cell line, TR-2, harbored an otherwise intact EBV genome which retained full transformation capacity for primary human B-cells (Delecluse et al., 1999). In order to cope with rare illegitimate encapsidation of the helper genome and accidental recombination between viral vectors and the helper genome resulting in the release of recombinant virus particles with transformation capacity, the inventors later designed a second-generation packaging cell line, 293-VII+, with an EVB helper genome lacking most of the viral genes essential for B-cell transformation (
Surprisingly, the recombinant viral particles released from these helper cell lines maintain properties of wild-type EBV: they display a B-cell tropism and transducing capacity for both normal and malignant B-lymphocytes. Probably owed to its overexpression from the helper genome, these particles also contain the GFP protein so that their interaction with target cells can be monitored easily. Interestingly, the inventors observed that, upon induction of the lytic cycle with a BZLF1 expression plasmid, p509 (Hammerschmidt and Sugden, 1988), the 293−VII+ cells released large amounts of GFP-posititive particles into the supernatant even when a packable viral vector had not been co-transfected. Since many cell types and permanent cell lines constitutively release microvesicles termed exosomes and many viruses exploit the exosome biogenesis for their own assembly and egress (Calistri et al., 2009; Mori et al., 2008; Pelchen-Matthews et al., 2004), it was asked whether the particles released from 293−VII+ cells upon induction of the productive cycle, are exosome-like particles containing viral proteins.
The inventors therefore analyzed the composition and the properties of these particles in more detail. First, they checked by PCR, whether VLPs from VII+ cells contain viral DNA. For this, they induced EBV's lytic phase in VII+ cells with p509 and, as a positive control, also in 2089 cells that harbor a TR+EBV genome and release infectious virus particles (Delecluse et al., 1998). Three days later the supernatants were harvested from these cell lines and precipated the released particles by ultracentrifugation. A PCR analysis of these particles revealed that EBV-DNA could be easily detected in 2089 particle but not in VLPs from VII+ cells (
One of the proteins found to be incorporated into VLPs was gp350/220, the major viral envelope protein that mediates binding of the virion to human B-lymphocytes by interacting with CD21. The inventors, therefore, wanted to elucidate whether VLPs have a B-cell tropism similar to wildtype EBV. To do so, they incubated freshly isolated PBMCs overnight with concentrated VII+VLPs and analysed binding of VLPs by FACS. For these experiments they took advantage of the fact that the enhanced GFP, expressed from the VII+ helper genome, is also incorporated into VLPs. As demonstrated in
It has been described recently that VLPs derived from 293/TR— can efficiently reactive EBV-specific CD4+ T-cells upon engulfment by human PBMCs (Adhikary et al., 2008), it was sought to determine whether this holds also true for VII+−VLPs. To address this question, the inventors loaded irradiated primary PBMCs from a healthy donor with VII+−VLPs and then co-cultivated them with either autologous CD4+ T-cell clones specific for the EBV structural proteins BLLF1 and BNRF1 or with autologous PBMCs. These experiments demonstrated that VII+−VLP-loaded PBMCs efficiently reactivated specific CD4+ T-cell clones and autologous bulk T-cells as measured with an IFN-ELISA assay.
The results from the previous sections demonstrated the potential of VLPs to stimulate EBV-specific recall immune responses. In a next series of experiments the inventors thus evaluated whether VLPs can also induce EBV-specific immune responses in naïve hosts in vivo, which is of course a prerequisite for prophylactic vaccines. To that purpose, the inventors intraperitoneally vaccinated BALB/c mice twice within a period of 14 days with 10 μg VLPs (n=4 whereas control mice (n=2) were immunized with the same amount of exosomes isolated from 293 supernatants. 4 weeks after the second immunization, the sera were collected and analyzed for the presence of EBV-specific antibodies and splenocytes were tested for EBV specificity. For this, the inventors coated 96-well cluster plates with a series of lysates from HEK293 cells which had been transiently transfected with expression plasmids for various EBV proteins.
As shown in
To test whether the EBV-specific antibodies are neutralizing, the inventors quantified to what extent they inhibit the infection of primary B-cells by EBV. For this, they made use of an recombinant EBV (2089) carrying the gfp gene that is expressed in infected cells. (Delecluse et al., 1998). Primary B-cells isolated from fresh adenoids were infected with EBV-2089, pre-incubated with mouse sera for 30 min, at an MOI of 0.1 and the number of infected cells was quantified 48 hours later by FACS analysis. As shown in
The inventors next asked whether the immunization of naïve mice with VLPs also induced EBV-specific cellular immune responses, which are known to be essential for immune surveillance of the virus and of EBV-infected cells (Hislop et al., 2007). Therefore, they isolated the spleens of VLP-immunized mice and generated a single-cell suspension. We incubated 2×105 splenocytes over night with lysates from 293 cells that had been transiently transfected with expression plasmid for either of those EBV proteins which have also been used for the detection of EBV-specific antibodies to allow for engulfment, proteolytic degradation and presentation of VLP-derived proteins. Activation of T-cells was measured 24 hours later by an Interferon-gamma Elispot.
TR-2 and 293−VII+ are two packaging cell lines in which EBV's productive life cycle is induced by transient transfection of an expression plasmid encoding BZLF1, which is sufficient to initiate the switch from the latent to the lytic cycle. However, large scale production of clinical grade VLPs depends on a cell line that permanently releases.
To overcome these restrictions and to move the first steps towards a standardized and more constant production of VLPs, The inventors designed a new packaging cell line, termed iVII+ that, in addition to the VII+ helper genome, stably carries a second plasmid encoding an inducible BZLF1 and, in addition, BRLF1, which is another viral immediate early protein that, in cooperation with BZLF1, induces the lytic cycle in epithelial cells (Zalani et al., 1996). When cultured in the presence of doxycyclin, iVII cells maintain the lytic cycle and release VLPs constitutively without any detectable changes in cell phenotype.
In order to define whether VLPs obtained from 293−VII+ cells are engulfed by human B cells and have the potential to re-activate EBV-specific T cells, a lymphoblastoid B cell line (LCL) transformed with a mini-EBV (Kempkes et al., 1995) was incubated with VLPs from 293−VII+ cells. Then the loaded LCL were co-cultivated with an autologous CD4+ T cell clone specific for the EBV tegument protein BNRF1 not encoded in mini-EBVs (Kempkes et al., 1995). The experiments demonstrated that VLP-loaded B cells efficiently reactivated the CD4+ T cell clone as measured by a GM-CSF ELISA assay (
The efficacy of vaccines depends on the generation of a long lasting immunological memory, which relies on both CD4+ and CD8+ T cells. It was to be determined whether VLPs of 293−VII+ cells can activate EBV-specific CD8+ T cells, a cell population that is mandatory for surveillance of EBV-infected cells in vivo. To test the capacity of VLPs to reactive CD8+ memory T cells, PBMCs were first incubated with VLPs from 293−VII+ cells or exosomes from 293 cells overnight and then were used as targets for EBV-specific CD8+ T-cell clones. An IFN-γ ELISA revealed a weak but distinct activation of T cells that were incubated with PBMCs that were pre-incubated with VLPs (
In order to determine whether VLPs also reactivated EBV-specific CD8+ T cells their initial frequency in donor PBMCs was measured and compared to in vitro VLP-expanded CD8+ T cell populations for the specific recognition of known HLA class I-restricted EBV epitopes, which elicit strong CD8+ T cell immune responses in infected hosts. The peptide epitope CLG of the latent protein LMP2 and the peptide epitopes EPL/RAK, GLC and YVL of the early lytic proteins BZLF1, BMLF1 and BRLF1, respectively, were chosen which are HLA B03/B08 or A02 restricted. Staining with HLA/peptide pentamers revealed a small but detectable fraction of CD8+ T cells in the initial donor PBMCs predominantly recognizing the early lytic epitopes (
This is a repetition of example 3 (see also
To learn whether sera from VLP-immunized animals contained EBV-specific neutralizing antibodies, which can inhibit cellular infection with EBV, the recombinant gfp encoding 2089 EBV, which confers GFP fluorescence to B cells as a quantitative measure of infection (Delecluse et al., 1998) was used. Virus stocks of 2089 EBV were pre-incubated with mouse sera for 30 min and then used to infect primary human B cells at a calculated multiplicity of infection of 0.1. After 48 hours GFP-positive infected cells were quantified by flow cytometry. As shown in
Next, it was asked whether the immunization of mice led to the induction of EBV-specific cellular immune responses, which are essential for the immune surveillance of EBV. Single cells were prepared from spleens of VLP-immunized and control mice described above. Lethally irradiated splenocytes from individual mice were incubated with lysates obtained from HEK293 cells transiently transfected with single expression plasmids encoding the viral genes shown in
| Number | Date | Country | Kind |
|---|---|---|---|
| 10008835.0 | Aug 2010 | EP | regional |
| Filing Document | Filing Date | Country | Kind | 371c Date |
|---|---|---|---|---|
| PCT/EP2011/064672 | 8/25/2011 | WO | 00 | 2/28/2014 |
| Number | Date | Country | |
|---|---|---|---|
| 61377027 | Aug 2010 | US |
