The present invention relates, in general, to a formulation suitable for use in inducing anti-HIV-1 antibodies and, in particular, to a formulation comprising a prehairpin intermediate form of HIV-1 envelope gp41 linked to a liposome. The invention also relates to methods of inducing broadly neutralizing anti-HIV-1 antibodies using such a formulation.
HIV-1 infection generally induces a strong antibody response to the envelope glycoprotein [trimeric (gp160)3, cleaved to (gp120/gp41)3], the sole antigen on the virion surface. Most induced antibodies are ineffective in preventing infection, however, because they are either nonneutralizing or narrowly isolate-specific, and the virus replicates so rapidly that ongoing selection of neutralization-resistant mutants allows viral evolution to “keep ahead” of high-affinity antibody production (Wei et al., Nature 422:307-312 (2003)). Moreover, much of the antibody response may be to rearranged or dissociated forms of gp120 and gp41, on which the dominant epitopes may be either in hypervariable loops or in positions occluded on virion-borne envelope trimer. Rare, “broadly neutralizing” antibodies have been detected that recognize one of three relatively conserved regions on the envelope protein: the CD4-binding site (mAb b12) (Burton et al, Science 266:1024-1027 (1994)); carbohydrates on the outer gp120 surface (mAb 2G12) (Trkola et al, J Virol. 70:1100-1108 (1996)); and a segment of the gp41 ectodomain adjacent to the viral membrane (mAbs 2F5 and 4E10) (Cardoso et al, Immunity 22:163-173 (2005); Ofek et al, J Virol. 78:10724-10737 (2004)), often called the “membrane-proximal external region” (MPER).
Fusion of viral and target-cell membranes initiates HIV-1 infection. Conformational changes in gp120 that accompany its binding to receptor (CD4) and coreceptor (e.g., CCR5 or CXCR4) lead to dissociation of gp120 from gp41 and a cascade of refolding' events in the latter (Harrison, Adv Virus Res. 64:231-259 (2005)). In the course of these rearrangements, the N-terminal fusion peptide of gp41 translocates and inserts into the target-cell membrane. A proposed extended conformation of the gp41 ectodomain, with its fusion peptide thus inserted and the transmembrane anchor still in the viral membrane, has been called the “prehairpin intermediate” (Chan et al, Cell 93.681-684 (1998)). It is the target of various fusion inhibitors, including T-20/enfuvirtide, the first approved fusion-inhibiting antiviral drug (Kilby et al, N Eng J Med. 348:2228-2238 (2003)), and the characteristics of the intermediate have been deduced from the properties of these inhibitors or mimicries by short gp41 fragments (Eckert et al, Cell 99:103-115 (1999)). Subsequent rearrangements from the intermediate to the postfusion state of gp41 involve folding back of each of the three chains into a hairpin-like conformation, with two antiparallel a-helices connected by a disulfide-containing loop. This process brings the fusion peptide and transmembrane anchor, and hence the two membranes, close together at the same end of the refolded protein.
Questions presented include where in this sequence of events do neutralizing antibodies intervene, and can any such antibodies neutralize more than a narrow range of isolates. The first step toward answering these questions is the preparation of biochemically homogeneous forms of the HIV envelope glycoprotein with defined and uniform antigenic properties, which include each of the principal states of the gp41 ectodomain: the prefusion, the prehairpin intermediate, and the postfusion conformations. Dislcosed herein are stable, homogeneous preparations of trimeric HIV-1 envelope protein in relevant states. The present invention results, at least in part, from studies demonstrating that the epitopes for the MPER antibodies, 2F5 and 4E10, are exposed only on the form of the envelope protein designed to mimic the prehairpin intermediate. These results assist in explaining the rarity of 2F5- and 4E10-like antibody responses and provide insight into design of an immunogen that can be used to elicit such responses.
In general, the present invention relates to a formulation suitable for use in inducing anti-HIV-1 antibodies. More specifically, the invention relates to a formulation comprising a prehairpin intermediate form of HIV-1 envelope gp41 linked to a liposome. The invention also relates to methods of inducing broadly reactive neutralizing anti-HIV-1 antibodies using such a formulation.
Objects and advantages of the present invention will be clear from the description that follows.
The present invention relates to a liposome-based adjuvant conjugate that presents a prehairpin intermediate form of HIV-1 envelope gp41, and to a method of inducing neutralizing anti-HIV-1 antibodies in a subject (e.g., a human subject) using same. Suitable neutralizing antigens include gp41 MPER epitope peptides in the form of a gp41 hairpin intermediate construct (or variants thereof (e.g., a
L669S variant of gp41 hairpin intermediate—see U.S. Provisional Appln. No. 61/166,625)). (Shen et al, J. Virology 83: 3617-25 (2009).)
Liposomes suitable for use in the invention include, but are not limited to, those comprising POPC, POPE, DMPA (or sphingomyelin (SM)), lysophosphorylcholine, phosphatidylserine, and cholesterol (Ch). While optimum ratios can be determined by one skilled in the art, examples include POPC:POPE (or POPS):SM:Ch or POPC:POPE (or POPS):DMPA:Ch at ratios of 45:25:20:10. Alternative formulations of liposomes that can be used include DMPC (1,2-dimyristoyl-sn-glycero-3-phosphocholine) (or lysophosphorylcholine), cholesterol (Ch) and DMPG (1,2-dimyristoyl-sn-glycero-3-phoshpho-rac-(1-glycerol) formulated at a molar ratio of 9:7.5:1 (Wassef et al, ImmunoMethods 4:217-222 (1994); Alving et al, G. Gregoriadis (ed.), Liposome technology 2nd ed., vol. III CRC Press, Inc., Boca Raton, Fla. (1993); Richards et al, Infect. Immun. 66(6):285902865 (1998)). The above-described lipid compositions can be complexed with lipid A and used as an immunogen to induce antibody responses against phospholipids (Schuster et al, J. Immunol. 122:900-905 (1979)). A preferred formulation comprises POPC:POPS:Ch at ratios of 60:30:10 complexed with lipid A according to Schuster et al, J. Immunol. 122:900-905 (1979).
In accordance with the invention, immune response enhancing TLR ligands, for example, monophosphorylipid A (MPL-A, TLR4 ligand), oligo CpG (TLR 9 ligand) and R-848 (TLR 7/8 ligand), can be formulated either individually or in combination into the above-described liposomes conjugates. A preferred combination of TLR agonists comprises oCpG (TLR9) (Hemni et al, Nature 408:740-745 (2004)) and R848 (TLR7/8) (Hemni et al, Nat. Immunol. 3:196-200 (2002)).
Additional designs of constructs of the invention include MPER prehairpin intermediate-liposome encapsulated with the cytokine interferon (IFN)-α and either encapsulated or membrane bound CD40 ligand. Two broadly neutralizing gp41 MPER antibodies (2F5, 4E10) bind with high affinity to the gp41 prehairpin intermediate construct (Frey et al, Proc. Natl. Acad. Sci. 105:3739-3744 (2008)). These constructs can be used to modulate B cell tolerance, direct liposomes to certain B cell populations capable of making broadly reactive neutralizing antibodies, and in enhance antibody responses against poorly immunogenic HIV-1 gp41 MPER epitopes.
Autoreactive B cells can be activated by TLR ligands through a mechanism dependent on dual engagement of the B cell receptor (BCR) and TLR (Leadbetter et al, Nature 416:603 (2002); Marshak-Rothstein et al, Annu. Rev. Immunol. 25: 419-41 (2007), Herlands et al, Immunity 29:249-260 (2008), Schlomchik, Immunity 28:18-28 (2008)). In a preferred immunogen design of the instant invention, soluble IFN-α is encapsulated into the MPER prehairpin intermediate-liposome conjugates. IFN-α has been reported to modulate and relax the selectivity for autoreactive B cells by lowering the BCR activation threshold (Uccellini et al, J. Immunol. 181:5875-5884 (2008)). The design of the immunogens results from the observation that lipid reactivity of gp41 MPER antibodies is required for both binding to membrane bound MPER epitopes and in the neutralization of HIV-1.
The B cell subsets that the liposomes can target include any B cell subset capable of making polyreactive antibodies that react with both lipids and the MPER prehairpin intermediates. These B cell subsets include, but are not limited to, the marginal zone IgM+CD27+B cell subset (Weill et al, Annu. Rev. Immunol. 27:267-85 (2009), Li et al, J. Exp. Med 195: 181-188 (2002)), the transitional populations of human B cells (Sims et al, Blood 105:4390-4398 (2005)), and the human equivalent of the B cells that express the human equivalent of the mouse Immunoglobulin (Ig) light chain lambda X (Li et al, Proc. Natl. Acad. Sci. 103:11264-11269 (2006), Witsch et al, J. Exp. Med. 203:1761-1772 (2006)). All of these B cell subsets have the capacity to make multireactive antibodies and, therefore, to make antibodies that have the characteristic of reacting with both lipids and HIV-1 gp41 prehairpin intermediates. That the liposomes have the characteristic of having both lipids and prehairpin intermediate forms of gp41 in them, should result in the selective targeting of these immunogens to the B cells of interest. Because these liposomes can be used to transiently break tolerance of B cells or to target rare B cell subsets, it can be seen that other HIV-1 envelope immunogens, such as deglycosylated envelope preparations, such as described below, can be formulated in the liposomes containing TLR 4 agonists, TLR 7/8 agonists and IFN α.
The deglycosylated JRFL gp140 Env protein and the CD4- binding site mutant gp140 (JRFL APA) have been described in a previous application (see, for example, WO 2008/033500). Deglycosylated env and Env mutated to not bind CD4 so as not to be immunosuppressive can be anchored in the liposomes by incorporating a transmembrane domain and, after solubilizing in detergent, can be reconstituted into synthetic lipsomes. Alternatively, His-tagged (c-terminus end) versions of the Env gp140 can be anchored into liposomes as described for an intermediate form of HIV-1 gp41 (gp41-inter)
Given that many B cell subsets capable of making polyreactive antibodies also bind mammalian DNA, addition of DNA to liposomes can be used to target the immunogens to the responsive B cells.
The liposome-containing formulations of the invention can be administered, for example, by intramuscular, intravenous, intraperitoneal or subcutaneous injection. Additionally, the formulations can be administered via the intranasal route, or intrarectally or vaginally as a suppository-like vehicle. Generally, the liposomes are suspended in an aqueous liquid such as normal saline or phosphate buffered saline pH 7.0. Optimum dosing regimens can be readily determined by one skilled in the art.
Certain aspects of the invention can be described in greater detail in the non-limiting Examples that follows. See also Published PCT Application Nos. WO 2006/110831 and WO 2008/127651, U.S. Published Application Nos. 2008/0031890 and 2008/0057075, U.S. Provisional Application No. 60/960,413 and U.S. application Ser. No. 11/918,219. (See also U.S. Provisional Appln. No. 61/166,625 and U.S. Provisional Application entitled “Mouse Model”, filed Apr. 3, 2009 (Atty Dkt. 01579-1431)).
coli aspartate transcarbamoylase as trimer tag (Frey et al, Proc. Natl. Acad. Sci. 105:3739-3744 (2008)) could also be obtained as secreted protein from insect cells (data not shown), indicating that the overall design is robust and independent of the choice of a C-terminal trimerizing element (Frey et al, Proc. Natl. Acad. Sci. 105:3739-3744 (2008), U.S. Provisional Appln. No. 61/032,732).
Purified 92UG-gp41-inter is a monodisperse trimer, stable after multiple rounds of gel-filtration chromatography. Its CD spectrum suggests a mixture of secondary structures. Negative-stain electron microscopy shows rod-like particles, 150 Angstroms in length and ≈45 Angstroms wide. The expected lengths for the N-terminal six-helix bundle and the C-terminal foldon are 75 and 28 Anstroms, respectively. The intervening segment of ≈100 residues (C—C loop, HR2, and MPER) must have a relatively compact fold, to span just 45-50 Angstroms of axial distance (Frey et al, Proc. Natl. Acad. Sci. 105:3739-3744 (2008)).
Toll-like receptor ligands, shown in
The construction of Lipid A and R-848 containing MPER peptide liposomes utilized the method of co-solubilization of MPER peptide having a membrane anchoring amino acid, sequence and synthetic lipids 1-Palmitoyl-2-Oleoyl-sn-Glycero-3-Phosphocholine (POPC), 1-Palmitoyl-2-Oleoyl-sn-Glycero-3-Phosphoethanolamine (POPE), 1,2-Dimyristoyl-sn-Glycero-3-Phosphate (DMPA) and Cholesterol at mole fractions 0.216, 45.00, 25.00, 20.00 and 1.33 respectively (Alam et al, J. Immunol. 178:4424-4435 (2007)). Appropriate amount of MPER peptide dissolved in chloroform-methanol mixture (7:3 v/v), Lipid A dissolved in Chloroform or R-848 dissolved in methanol, appropriate amounts of chloroform stocks of phospholipids were dried in a stream of nitrogen followed by over night vacuum drying. Liposomes were made from the dried peptide-lipid film in phosphate buffered saline (pH 7.4) using extrusion technology.
Construction of oligo-CpG complexed MPER peptide liposomes used the cationic lipid 1-Palmitoyl-2-Oleoyl-sn-Glycero-3-ethylphospho choline (POEPC) instead of POPC. Conjugation of oCpG was done by mixing of cationic liposomes containing the peptide immunogen with appropriate amounts of oCpG stock solution (1 mg/ml) for the desired dose.
Surface Plasmon Resonance (SPR) assay for the binding of 2F5 mAb to its epitope in the MPER 2F5 peptide epitope-liposome constructs revealed that incorporation or conjugation of TLR adjuvants does not affect binding of HIV neutralizing antibody 2F5 to gp41 peptide in liposomes. Strong binding of both mAbs 2F5 and 4E10 was observed in the peptide lipsome constructs described in
Autoreactive B cells can be activated by TLR ligands through a mechanism dependent on dual engagement of the BCR and TLR (Leadbetter et al, Nature 416:603 (2002); Marshak-Rothstein et al, Annu. Rev. Immunol. 25:419-41 (2007), Herlands et al, Immunity 29:249-260 (2008), Schlomchik, Immunity 28:18-28 (2008)). In this immunogen design, soluble IFN-α has been encapsulated into liposomes conjugated to either MPER656 or MPER656-L669S peptides. IFN-α has been reported to modulate and relax the selectivity for autoreactive B cells by lowering the BCR activation threshold (Uccellini et al, J. Immunol. 181:5875 (2008)). The design of these immunogens is also based on the observation that lipid reactivity of gp41 MPER antibodies is required for both binding to membrane bound MPER epitopes and in the neutralization of HIV-1.
The long CDR H3 loops of MPER neutralizing mAbs 4E10 and 2F5 have a hydrophobic face, postulated to interact with virion membrane lipids (Ofek et al, J. Virol. 78:10724 (2004); Cardoso et al, Immunity 22:163-173 (2005)). CDRH3 mutants of 4E10 (scFv) and 2F5 (IgG) have been constructed (
Thus, this strategy has the potential to modulate B cell tolerance, target immunogens to responsive B cell subsets, and allow the induction of polyreactive B cells that bind to phospholipids and gp4l MPER epitopes. When used in combination with TLR ligands, the delivery of IFN-α in liposomes has the potential to allow TLR-dependent activation of B cells from the autoreactive pool and with the desired specificity for gp41 MPER epitopes.
The HIV-1 gp41 MPER gp41 intermediate construct (
The assessment of the presentation of MPER epitopes on the adjuvanted liposome constructs can be done by SPR analysis of 2F5 and 4E10 mAb binding as described in
Ni-NTA (N″,N″-bis[carboxymethyl]-L-lysine; nitriloacetic acid, NTA) liposomes were constructed from synthetic lipids POPC, POPE, DOGS (1,2 dioleoyl-sn- glycerol-3-succinyl-NTA-Ni) and cholesterol at mole fractions 45, 25, 5 and 25 respectively using methods described earlier (Alam et al., J. Immunol. 178:4424-4435 (2007)). Conjugation of His tagged gp41-inter to the Ni-NTA liposomes was verified by surface plasmon resonance experiment. The His tagged gp41-inter when injected over the immobilized liposomal surfaces bound selectively to the Ni-NTA liposomes when compared to the control liposomes that lacked Ni-NTA. The presentation of epitopes of MPER neutralizing antibodies in the liposome conjugated gp41-inter was examined by comparing the binding of 2F5 and 4E12 mAbs to the gp41-inter bearing Ni-NTA liposomes with that of unconjugated Ni-NTA liposomes. Both 2F5 and 4E10 mAbs bound selectively to the gp41-inter bearing Ni-NTA liposomes
All documents and other information sources cited above are hereby incorporated in their entirety by reference.
This application claims priority from U.S. Provisional Application No. 61/166,648, filed Apr. 3, 2009, the entire content of which is incorporated herein by reference.
This invention was made with government support under Grant No. AI 067854 awarded by the National Institutes of Health. The government has certain rights in the invention.
Filing Document | Filing Date | Country | Kind | 371c Date |
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PCT/US2010/001018 | 4/5/2010 | WO | 00 | 1/23/2012 |
Number | Date | Country | |
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61166648 | Apr 2009 | US |