Patent Application
20120308594
The current invention relates to a previously unrecognized clade of HCV genotypes as well as to diagnostic, prophylactic and therapeutic applications of nucleic acids, proteins, and antibodies to said protein, derived of or based on the newly characterized hepatitis C viruses.
The about 9.6 kb single-stranded RNA genome of the HCV virus comprises a 5′- and 3-non-coding region (NCRs) and, in between these NCRs a single long open reading frame of about 9 kb encoding an HCV polyprotein of about 3000 amino acids.
HCV polypeptides are produced by translation from the open reading frame and cotranslational proteolytic processing. Structural proteins are derived from the amino-terminal one-fourth of the coding region and include the capsid or Core protein (about 21 kDa), the E1 envelope glycoprotein (about 35 kDa) and the E2 envelope glycoprotein (about 70 kDa, previously called NS1), and p7 (about 7 kDa). The E2 protein can occur with or without a C-terminal fusion of the p7 protein (Shimotohno et al. 1995). Recently, an alternative open reading frame in the Core-region was found which is encoding and expressing a protein of about 17 kDa called F (Frameshift) protein (Xu et al. 2001; Ou & Xu in US Patent Application Publication No. US2002/0076415). In the same region, ORFs for other 14-17 kDa ARFP's (Alternative Reading Frame Proteins), A1 to A4, were discovered and antibodies to at least A1, A2 and A3 were detected in sera of chronically infected patients (Walewski et al. 2001). From the remainder of the HCV coding region, the non-structural HCV proteins are derived which include NS2 (about 23 kDa), NS3 (about 70 kDa), NS4A (about 8 kDa), NS413 (about 27 kDa), NS5A (about 58 kDa) and NS5B (about 68 kDa) (Grakoui et al. 1993).
The sequences of cDNA clones covering the complete genome of several prototype isolates have been determined and include complete prototype genomes of the HCV genotypes 1a (e.g., GenBank accession number AF009606), 1b (e.g., GenBank accession number AB016785), 1c (e.g., GenBank accession number D14853), 2a (e.g., GenBank accession number AB047639), 2b (e.g., GenBank accession number AB030907), 2c (e.g., GenBank accession number D50409) 2k (e.g., GenBank accession number AB031663), 3a (e.g., GenBank accession number AF046866), 3b (e.g., GenBank accession number D49374), 4a (e.g., GenBank accession number Y11604), 5a (e.g., GenBank accession number AF064490), 6a (e.g., GenBank accession number Y12083), 6b (e.g., GenBank accession number D84262), 7b (e.g., GenBank accession number D84263), 8b (e.g., GenBank accession number D84264), 9a (e.g., GenBank accession number D84265), 10a (e.g., GenBank accession number D63821) and 11a (e.g., GenBank accession number D63822).
At present 11 genotypes of HCV are known which can be classified into 6 clades (or major lineages). Thus, HCV genotypes 1, 2, 4, and 5 are identified as clades 1, 2, 4 and 5, respectively; HCV genotypes 3 and 10 belong to clade 3; and HCV genotypes 6, 7, 8, 9 and 11 are members of clade 6 (Robertson et al. 1998). The current classification system is based on a threefold hierarchy. Basically, the classification system distinguishes, based on percentage of mutual homologies between sequences, between:
Nucleic acid and amino acid sequences of HCV genotypes 1 to 11 have been disclosed not only in public databases but also in, e.g., International Patent Publications WO94/12670, WO94/25601, and WO96/13590. A further new HCV genotype different from genotypes 6-9 and 11 but belonging to clade 6 has recently been disclosed in International Patent Publication WO 03/020970. Further new subtypes of HCV genotype 2 (clade 2) and a new subtype of HCV genotype 1 (clade 1) have been described by Candotti et al. (2003).
The present invention relates in a first aspect to an isolated nucleic acid comprising an HCV nucleic acid sequence of an HCV clade represented by any of the following HCV nucleic acid sequences which are prototype sequences of said HCV clade:
Alternatively the invention covers an isolated nucleic acid comprising an HCV nucleic acid sequence of an HCV genotype represented by any of the following HCV nucleic acid sequences which are prototype sequences of said HCV genotype:
In a further aspect, the invention envisages oligonucleotides comprising at least 8 contiguous nucleotides taken from an HCV nucleic acid sequence according to the invention and wherein said oligonucleotide comprises at least one nucleotide that is different from any HCV nucleic acid sequence of an HCV of clades 1 to 6 or different from any HCV nucleic acid sequence of an HCV genotype or subtype of clades 1 to 6.
Said oligonucleotide can be a primer capable of directing specific amplification of an HCV nucleic acid sequence according to the invention. Alternatively, said oligonucleotide can be a probe capable of specifically hybridizing to an HCV nucleic acid sequence according to the invention. In a further alternative, said oligonucleotide is capable of specifically detecting an HCV nucleic acid sequence according to the invention.
Any of the nucleic acid sequences or oligonucleotides of the invention can comprise besides ribonucleic acid monomers or deoxyribonucleic acid monomers: one or more modified nucleotide bases, one or more labeled nucleotides, one or more peptide nucleic acid monomers, one or more locked nucleic acid monomers, and/or the backbone of said nucleic acid or oligonucleotide can be modified.
Another aspect of the invention relates to isolated proteins comprising an HCV amino acid sequence encoded by an HCV nucleic acid sequence according to the invention. In a specific embodiment thereto, said isolated protein is defined by an amino acid sequence is defined by SEQ ID NOs:3, 4 or 17. Further included in the present invention are peptides of at least 5 contiguous amino acids taken from an HCV amino acid sequence according to the invention and wherein said peptide comprises at least one amino acid that is different from any HCV amino acid sequence of an HCV of clades 1 to 6 or different from any HCV amino acid sequence of an HCV genotype or subtype of clades 1 to 6. If the HCV amino acid sequence in a protein or peptide of the invention is comprising at least one cysteine, said cysteine can be reversibly or irreversibly protected.
In another aspect, the current invention envisages recombinant vectors comprising a nucleic acid or oligonucleotide according to the invention. More specifically, said recombinant vector can be an expression vector capable of directing expression of an HCV protein encoded by the HCV nucleic acid sequence comprised in said vector.
Host cells transformed with a nucleic acid or oligonucleotide according to the invention or transformed with a recombinant vector according to the invention are also part of the present invention.
The invention further covers methods for detecting the presence of an HCV virus in a biological sample and/or for determining the genotype of said HCV virus comprising the step of detecting the presence of a nucleic acid or oligonucleotide according to the invention. In any of these methods the detection of the presence of said HCV nucleic acid sequence can be based on at least one of an amplification reaction, a sequencing reaction, a hybridization reaction or a reverse hybridization reaction wherein in any of said reaction an oligonucleotide according to the prevention can be used.
The invention further relates to diagnostic kits for detecting the presence and/or for determining the genotype of an HCV virus in a biological sample, said kit comprising at least one of a nucleic acid or an oligonucleotide according to the invention. In said kit, said nucleic acids or oligonucleotides can be attached to a solid support.
The invention also relates to methods for detecting antibodies to an HCV virus present in a biological sample and/or a method of typing said HCV virus comprising the step of detecting said antibodies with at least one protein or peptide according to the invention.
Diagnostic kits for detecting antibodies to an HCV virus or for typing of an HCV virus wherein said kits comprise at least one protein or peptide according to the invention are part of the invention. In said diagnostic kit said protein or peptide can be bound to a solid support.
Another aspect of the invention relates to antibodies raised upon immunization of a mammal with at least one protein or peptide according to the invention. Said antibodies can be monoclonal antibodies or humanized antibodies. Said antibodies can be employed in methods for detecting the presence of HCV antigens in a biological sample and/or for typing of an HCV virus present in a biological sample.
The invention further relates to methods for detecting antibodies to an HCV virus present in a biological sample comprising contacting an antigen with said antibodies in the presence of an isolated antibody according to the invention as competitor of binding of said antigen to said antibody.
Another method of the invention is detecting the presence of HCV antigens in a biological sample comprising contacting said antigen with an antibody to said antigen in the presence of an isolated protein or peptide according to the invention as competitor of binding of said antigen to said antibody.
Further diagnostic kits part of the invention are kits for detecting the presence of HCV antigens, said kit comprising at least an antibody according to the invention. Diagnostic kits for detecting the presence of HCV antigens, said kits comprising at least one isolated protein or peptide according to the invention are also envisaged.
Another aspect of the invention relates to compositions, immunogenic compositions and/or vaccine compositions comprising at least one of an nucleic acid or oligonucleotide according to the invention, an isolated protein or peptide according to the invention, a recombinant vector according to the invention or an antibody according to the invention; and at least one of a suitable carrier, adjuvant or vehicle. In particular said immunogenic compositions are HCV immunogenic compositions and said vaccine compositions are HCV vaccine compositions, therapeutic HCV vaccine compositions or prophylactic HCV vaccine compositions. Any of these compositions can be used for immunizing a mammal against HCV infection or for treating a mammal infected with HCV.
A further aspect of the invention relates to a method for the recombinant production of a protein or peptide according to the invention comprising the steps of:
The invention further relates to an isolated HCV virus characterized by a genome comprising an HCV nucleic acid sequence of a nucleic acid or oligonucleotide according to the invention.
The invention further relates to a method for determining the genotype of an HCV nucleic acid or oligonucleotide according to the invention comprising the identification of the regions −100 to −92 and −128 to −118 in the 5′ non-coding region of the genome of said virus. Said method can further comprise identification of at least one of the regions −138 to −132 or −240 to −233 in the 5′ non-coding region of the genome of said virus. In particular, said region −100 to −92 is defined by SEQ ID NO:11 or the complement thereof or any thereof wherein “T” is replaced by “U”. In particular, said region −128 to −118 is defined by SEQ ID NO:12 or the complement thereof or any thereof wherein “T” is replaced by “U”. In particular, said region −138 to −132 is defined by SEQ ID NOs:13 or 14 or the complement thereof or any thereof wherein “T” is replaced by “U”. In particular, said region −240 to −223 is defined by SEQ ID NO:15 or the complement thereof or any thereof wherein “T” is replaced by “U”.
All of the HCV variants characterized since the initial molecular characterization of HCV in 1989 occurred are classified in 6 HCV clades comprising at least 12 major genotypes and more than 70 subtypes. The most recently identified new HCV variants (WO 03/020970; Candotti et al. (2003)) fit within the existing HCV clades/genotypes. The finding, as outlined in the present invention, of new HCV variants fitting which do not fit into one of the existing HCV clades but instead form a new HCV clade is therefore highly unexpected. This finding will also further add to the sensitivity and specificity of HCV diagnosis (and thus primary prevention of HCV spread) and will further add to the development of prophylactic and therapeutic HCV compositions.
New HCV genotype characterized today is initially identified as one or a few HCV nucleic acid sequences that are prototype sequences for said HCV genotype. These prototype HCV sequences are identified by phylogenetic analysis of at least the nucleic acid sequence of the NS5B region of the HCV genome: whereas Robertson et al. (1998) advise to run the phylogenetic analysis on the Core, E1 or NS5B sequences, Salemi and Vandamme (2002) reported that the NS5B region has the highest phylogenetic signal and can be employed reliably for phylogenetic analysis when the full-genome sequence is not (yet) available. The phylogenetic analysis method generally accepted by the HCV research community is based on the neighbour joining method applying the Kimura 2-parameter model (e.g. Robertson et al. 1998). As a reference in the phylogenetic analysis are taken previously genotyped HCV sequences representing all known genotypes. The neighbour-joining method is explained in Saitou and Nei (1987), the Kimura parameters are described by Kimura (1980) and the advantage of combining the two is disclosed by, e.g., Tateno et al. (1994).
The terms nucleic acid and polynucleic acid are used interchangeably herein.
The present invention relates in a first aspect to an isolated nucleic acid comprising an HCV nucleic acid sequence of an HCV clade represented by any of the following HCV nucleic acid sequences which are prototype sequences of said HCV clade:
Alternatively the invention covers an isolated nucleic acid comprising an HCV nucleic acid sequence of an HCV genotype represented by any of the following HCV nucleic acid sequences which are prototype sequences of said HCV genotype:
Herein SEQ ID NOs:1, 2 and 16 are NS5B nucleic acid sequences of two individual HCV isolates fitting in the new clade identified in the current invention. SEQ ID NOs: 9 and 10 are 5′ non-coding region nucleic acid sequences of said HCV isolates. SEQ ID NOs:3, 4 and 17 are the NS5B amino acid sequences derived from SEQ ID NOs:1, 2 and 16, respectively.
In a further aspect, the invention envisages oligonucleotides comprising at least 8 contiguous nucleotides taken from an HCV nucleic acid sequence according to the invention and wherein said oligonucleotide comprises at least one nucleotide that is different from any HCV nucleic acid sequence of an HCV of clades 1 to 6 or different from any HCV nucleic acid sequence of an HCV genotype or subtype of clades 1 to 6.
Said oligonucleotide can be a primer capable of directing specific amplification of an HCV nucleic acid sequence according to the invention. Alternatively, said oligonucleotide can be a probe capable of specifically hybridizing to an HCV nucleic acid sequence according to the invention. In a further alternative, said oligonucleotide is capable of specifically detecting an HCV nucleic acid sequence according to the invention.
Any of the nucleic acid sequences or oligonucleotides of the invention can comprise besides ribonucleic acid monomers or deoxyribonucleic acid monomers: one or more modified nucleotide bases, one or more labeled nucleotides, one or more peptide nucleic acid monomers, one or more locked nucleic acid monomers, and/or the backbone of said nucleic acid or oligonucleotide can be modified.
With “at least 1 nucleotide different from any HCV nucleic acid of an HCV of clades 1 to 6” is meant an HCV nucleic acid according to the invention that has anywhere in its nucleic acid sequence at least 1 nucleotide that is different from the corresponding nucleotide in an HCV nucleic acid sequence of any genotype, subtype or isolate of an HCV classifying in any of the known clades 1 to 6. “Corresponding nucleotide” in this context is referring to a nucleotide at the same relative position in the HCV genome (whether noted as RNA or DNA) wherein the relative position takes into account the possibly occurring genotype-, subtype-, or isolate-specific insertions and/or deletions (see for instance section on Genotype-specific insertions and deletions on page 198 of Maertens and Stuyver, 1997); a corresponding nucleotide can also be present in a nucleic acid that is the complement of the nucleic acid to which the comparison is made. Differences between nucleotide sequences can easily be determined by the skilled person, for instance after aligning said sequences. Equivalents of or alternatives for “at least 1 nucleotide different from any HCV nucleic acid of an HCV of clades 1 to 6” include “at least 1 nucleotide that is specific to an HCV nucleic acid sequence of the present invention” or “at least 1 nucleotide that is unique to an HCV nucleic acid sequence of the present invention”. A further equivalent or alternative includes “at least 1 genotype-specific nucleotide” wherein genotype-specific is referring to the specificity or uniqueness of a nucleotide to an HCV nucleotide sequence of an HCV genotype of the newly identified HCV clade of the present invention that is different from any of the HCV clades 1 to 6. The term “genotype-specific” is generally accepted as can for instance be derived from EP 0 637 342 B1 or any of U.S. Pat. No. 6,548,244, U.S. Pat. No. 5,882,852 or U.S. Pat. No. 5,514,539. The terms “different from”, “unique to”, “specific to”, “corresponding” described above in relation to nucleotides are equally valid in relation to amino acids. The skilled person will understand that this implies exchanging in the above explanation “nucleotide” for “amino acid”, “nucleic acid sequence” for “amino acid sequence”, “nucleic acid” for “protein”, etc. The unique or specific nucleotides/amino acids as outlined above can occur as a single nucleotide/amino acid or a set of nucleotides/amino acids specific to a nucleic acid/amino acid sequence of any of the new HCV types identified in the present invention. The specific or unique nucleotides/amino acids of said set can form a contiguous sequence or can be dispersed in a larger region of a nucleic acid/amino acid sequence of any of the new HCV types identified in the present invention.
A “nucleotide” is meant to include any naturally occurring nucleotide as well as any modified nucleotide wherein said modification can occur in the nucleotide base or the nucleotide sugar. Any of the modifications can be introduced in a nucleic acid or oligonucleotide to increase/decrease stability and/or reactivity of the nucleic acid or oligonucleotide and/or for other purposes such as labeling of the nucleic acid or oligonucleotide. Modified nucleotides include phosphorothioates, alkylphosphorothioates, methylphosphonate, phosphoramidate, peptide nucleic acid monomers and locked nucleic acid monomers.
A polynucleic acid, nucleic acid and oligonucleotide may be of genomic origin, may be DNA, RNA, cDNA, may be the product of chemical synthesis, may comprise modified nucleotides, or may be hybrids of DNA and/or RNA and/or modified nucleotides. A polynucleic acid, nucleic acid can be single- or double-stranded or may be a triplex-forming nucleic acid.
“Nucleotide acid amplification” is meant to include all methods resulting in multiplication of the number of a target nucleic acid. Nucleotide sequence amplification methods include the polymerase chain reaction (PCR; DNA amplification), strand displacement amplification (SDA; DNA amplification), transcription-based amplification system (TAS; RNA amplification), self-sustained sequence replication (3SR; RNA amplification), nucleic acid sequence-based amplification (NASBA; RNA amplification), transcription-mediated amplification (TMA; RNA amplification), Qbeta-replicase-mediated amplification and run-off transcription. During amplification, the amplified products can be conveniently labeled either using labeled primers or by incorporating labeled nucleotides. Labels may be isotopic (32P, 35S, etc.) or non-isotopic (biotin, digoxigenin, etc.).
The most widely spread nucleotide sequence amplification technique is PCR. Basically, two primers, a sense and an antisense are annealed to a denatured DNA substrate and extended by a thermostable DNA polymerase. The latter allows rapid and repeated thermal cycling (denaturing/annealing/extension in three-step PCR; denaturing/annealing+extension in two-step PCR). The target DNA is exponentially amplified. The amplification reaction is repeated between 20 and 70 times, advantageously between 25 and 45 times. Many methods rely on PCR including AFLP (amplified fragment length polymorphism), IRS-PCR (interspersed repetitive sequence PCR), iPCR (inverse PCR), RAPD (rapid amplification of polymorphic DNA), RT-PCR (reverse transcription PCR) and real-time PCR. RT-PCR can be performed with a single thermostable enzyme having both reverse transcriptase and DNA polymerase activity (Myers et al., 1991). Alternatively, a single tube-reaction with two enzymes (reverse transcriptase and thermostable DNA polymerase) is possible (Cusi et al., 1994).
The term “oligonucleotide” is meant to include all nucleic acid molecules comprising or consisting of a part of the HCV nucleic acids according to the invention. The lower size limit of an oligonucleotide is a nucleic acid comprising or consisting of at least 5 contiguous nucleotides of the HCV nucleic acids according to the invention. An oligonucleotide thus can comprise or consist of at least and/or comprise or consist of up to 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25, 26, 27, 28, 29, 30, 35, 40, 45, 50, 55, 60, 65, 70, 75, 80, 85, 90, 95, 100, 105, 110, 115, 120, 125, 130, 135, 140, 145, 150, 155, 160, 165, 170, 175, 180, 185, 190, 195, 200 or more contiguous nucleotides of an HCV nucleic acid according to the invention.
A “primer capable of directing specific amplification of a nucleic acid” is the at least one oligonucleotide in a nucleic acid amplification reaction mixture that is required to obtain specific amplification of a target nucleic acid. Nucleic acid amplification can be linear or exponential and can result in an amplified single nucleic acid of a single- or double-stranded nucleic acid or can result in both strands of a double-stranded nucleic acid. Specificity of a primer in directing amplification of a nucleic acid can be improved by introducing modified nucleotides in said primer. The fact that a primer does not have to match exactly with the corresponding template or target sequence to warrant specific amplification of said template or target sequence is amply documented in literature (for instance: Kwok et al. 1990). Primers as short as 8 nucleotides in length have been applied successfully in directing specific amplification of a target nucleic acid molecule (for instance: Majzoub et al. 1983).
A “probe capable of specifically hybridizing with a nucleic acid” is an oligonucleotide mainly hybridizing to one specific nucleic acid sequence in a mixture of many different nucleic acid sequences. Specific hybridization is meant to result, upon detection of the specifically formed hybrids, in a signal-to-noise ratio (wherein the signal represents specific hybridization and the noise represents unspecific hybridization) sufficiently high to enable unambiguous detection of said specific hybrids. In a specific case specific hybridization allows discrimination of up to a single nucleotide mismatch between the probe and the target nucleic acids. Conditions allowing specific hybridization generally are stringent but can obviously be varied depending on the complexity (size, GC-content, overall identity, etc.) of the probe(s) and/or target nucleic acid molecules. Specificity of a probe in hybridizing with a nucleic acid can be improved by introducing modified nucleotides in said probe.
An oligonucleotide according to the present invention may further comprise a modification for attaching said oligonucleotide to a solid support. Said modification may for instance be an amine-, thiol-, 3-'propanolamine or Acrydite-modification of the oligonucleotide or may comprise the addition of a homopolymeric tail (for instance an oligo(dT)-tail added enzymatically via a terminal transferase enzyme or added synthetically) to the oligonucleotide. If said homopolymeric tail is positioned at the 3′-terminus of the oligonucleotide or if any other 3′-terminal modification preventing enzymatic extension is incorporated in the oligonucleotide, the priming capacity of the oligonucleotide can be decreased or abolished. Other modifications are described in for instance Beaucage et al. (2001).
The present invention relates to probes comprising part of an HCV polynucleic acid as defined herein, with said probe being able to act as a hybridization probe for specific detection and/or classification into types and/or subtypes of HCV nucleic acids present in and/or obtained from a biological sample, with said probe being optionally labeled or attached to a solid substrate.
A “HCV polynucleic acid” or, in particular, an “isolated HCV polynucleic acid” is meant to comprise single-stranded polynucleic acids, double-stranded polynucleic acids or triplex-forming polynucleic acids obtained directly from a sample or obtained after duplication, multiplication or amplification; or obtained after chemical synthesis. “Obtained” is, in the present context, meant to include isolation and/or purification and/or amplification of said polynucleic acids from a biological sample. The “sample” may be any biological material taken either directly from an infected human being (or animal), or after culturing (enrichment). Biological material may be e.g. expectorations of any kind, broncheolavages, blood, serum, plasma, skin tissue, biopsies, sperm, lymphocyte blood culture material, colonies, liquid cultures, faecal samples, urine etc. Biological material may also be artificially infected cell cultures or the liquid phase thereof. The term “biological sample” generally refers to any biological sample (tissue or fluid) containing HCV nucleic acid sequences and refers more particularly to blood serum or plasma samples. “Duplication, multiplication or amplification” is meant to include any nucleic acid amplification method producing a nucleic acid. Said amplification methods also include sequencing. Thus, any sequencing technique producing a nucleic acid molecule comprising part or all of the HCV nucleic acids according to the present invention is to be understood to be comprised in the term “duplication, multiplication or amplification”.
Solid phases, solid matrices or solid supports on which molecules, e.g., the nucleic acids, oligonucleotides or proteins or peptides of the present invention, may be bound (or captured, absorbed, adsorbed, linked, coated, immobilized; covalently or non-covalently) comprise beads or the wells or cups of microtiter plates, or may be in other forms, such as solid or hollow rods or pipettes, particles, e.g., from 0.1 μm to 5 mm in diameter (e.g. “latex” particles, protein particles, or any other synthetic or natural particulate material), microspheres or beads (e.g. protein A beads, magnetic beads). A solid phase may be of a plastic or polymeric material such as nitrocellulose, polyvinyl chloride, polystyrene, polyamide, polyvinylidine fluoride or other synthetic polymers. Other solid phases include membranes, sheets, strips, films and coatings of any porous, fibrous or bibulous material such as nylon, polyvinyl chloride or another synthetic polymer, a natural polymer (or a derivative thereof) such as cellulose (or a derivative thereof such as cellulose acetate or nitrocellulose). Fibers or slides of glass, fused silica or quartz are other examples of solid supports. Paper, e.g., diazotized paper may also be applied as solid phase. Clearly, molecules, in casu the nucleic acids, oligonucleotides, proteins or peptides of the present invention, may be bound, captured, absorbed, adsorbed, linked or coated to any solid phase suitable for use in hybridization assay (irrespective of the format, for instance capture assay, reverse hybridization assay, DASH or dynamic allele-specific hybridization wherein the “alleles” are the nucleic acids of different HCV genotypes, -subtypes, or -isolates) or in an immunoassays. Said molecules, in casu the nucleic acids, oligonucleotides, proteins or peptides of the present invention, can be present on a solid phase in defined zones such as spots or lines.
Any of the solid phases described above can be developed, e.g. automatically developed in an assay device.
With “developed” or “development” is meant that a sample or samples, suspected of comprising a binding partner to a molecule present on a solid phase, is or are applied to said solid phase and that the necessary steps are performed in order to detect binding of the binding partner to a molecule on a solid phase. This can, e.g., be the detection of binding of an antibody suspected to be present in a biological sample to or with an antigen, in casu a protein or peptide of the present invention, present on a solid phase. Alternatively, this can be the binding of an HCV nucleic acid suspected to be present in a biological sample to or with an HCV nucleic acid or oligonucleotide of the invention present on a solid phase. In yet another alternative, this can be the binding of an HCV nucleic acid or oligonucleotide of the invention to or with an HCV nucleic acid suspected to be present in a biological sample and immobilized on a solid phase. Automatic development hence refers to a development process, or any one or more steps thereof, in an automated or robotized fashion. A development automate or robot (or, generally, an assay device) generally is connected to or comprises one, more or all of the development or assay reagents and may in addition comprise a means to “read” the developed assay. Said “reading” will logically depend on the assay and may, e.g., confer to determining color intensities, to determining optical density or absorption at a given wavelength, to determining fluoresence, fosforescence or (chemi)luminescence, to determining turbidity, to determining the decay of a radio-active element or to determining other physical or physico-chemical characteristics that are related to the binding of a binding partner in a sample to a molecule present on a solid phase.
The present invention relates furthermore to methods for the detection of nucleic acids of the new HCV clade/genotype of the invention.
A large number of assays capable of detecting nucleotide sequences and nucleotide sequence polymorphisms is currently available. These assays can identify specific mutations, single nucleotide polymorphisms (SNPs), genotype-specific nucleotides or the like. Some of these assays are based on physical methods whereas others use enzymatic approaches.
With “physical detection methods” is meant in the present context methods of nucleotide sequence polymorphism detection that require one or more physical processes for detection although not excluding the enzymatic process of prior PCR amplification of the target DNA sequence comprising one or more nucleotide sequence polymorphisms. Said physical processes include electrophoresis, chromatography, spectrometry, optical signal sensing and spectroscopy. The nucleotide sequence polymorphisms to be detected more specifically are the polymorphisms occurring in the nucleic acids of different HCV genotypes, -subtypes, or -isolates.
Physical nucleotide sequence polymorphism detection assays include electrophoretic methods such as SSCP (single stranded conformation polymorphism), CDCE (constant denaturant capillary electrophoresis), CDGE (constant denaturant gel electrophoresis), DGGE (denaturing gradient gel electrophoresis), TGCE (thermal gradient capillary electrophoresis), DGCE (double gradient capillary electrophoresis), nonisocratic CZE (capillary zone electrophoresis), TDGS (two-dimensional gene scanning), CSGE (conformation sensitive gel electrophoresis), MADGE (microplate array diagonal gele electrophoresis), DSCA (double stand conformation analysis), HMA (heteroduplex mobility assay), HTA (heteroduplex tracking assay); chromatographic methods include DHPLC (denaturing high performance liquid chromatography). Physical nucleotide sequence polymorphism detection assays may be effective for identification of known or new mutations and may require confirmation by direct DNA sequencing. Probes or primers utilized in any of these physical nucleotide sequence polymorphism detection assays may be modified to increase their discriminatory power, such modifications including the addition of a GC-clamp (i.e., an artificial high-melting domain) to a probe or primer.
MALDI-TOF MS (matrix-assisted laser desorption-ionization time-of-flight mass spectrometry) has been succesfully used both as a direct DNA sequencing tool for DNA fragments under 100 bp and as a tool for detection of single nucleotide polymorphisms. Hybridization of allele-specific PNA-oligomers (peptide nucleic acid) with single stranded target DNA was proven to be highly compatible with MALDI-TOF MS analysis (Griffin et al. 2000, and references therein).
With “enzymatic approaches for the generation of products signaling nucleotide sequence polymorphisms” is meant in the present context approaches relying on the activity of one or more enzymes for generation of said signaling products. Enzymes include DNA restriction endonucleases, DNA polymerases, DNA ligases, DNA/RNA structure-specific endonucleases, DNA/RNA flap endonucleases, DNA exonucleases and reverse transcriptases (RTs). Enzymatic approaches usually require a physical process (e.g. as described supra) for detection of the enzymatically produced signal. Said enzymatic approaches include RFLP (restriction fragment length polymorphism), AFLP (amplified fragment length polymorphism), ASO-PCR (allele-specific oligonucleotide PCR), real-time PCR, LCR (ligase chain reaction) and any variation thereof, LDR (ligase detection reaction), CFLP (Cleavase fragment length polymorphism), EMD (enyzmatic mutation detection), NIRCA (non-isotropic RNase cleavage assay), Invader™ assay and its modifications, MIDAS (mutation identification DNA analysis system), ddF (dideoxy fingerprinting), Bi-ddF (bidirectional ddF), dnF (denaturing ddF), BESS (base excision sequence scanning) and DNA minisequencing or DNA sequencing. Probes or primers utilized in any of these enzymatically-based nucleotide sequence polymorphism detection assays may carry specific modifications in order to detect the target nucleotide sequence polymorphism. Such modifications include labeling with a single label, with two different labels (for instance two fluorophores or one fluorophore and one quencher), the attachment of a different ‘universal’ tail to two probes or primers hybridizing adjacent or in close proximity to each other with the target nucleotide sequence, the incorporation of a target-specific sequence in a hairpin probe or primer (for instance Molecular Beacon-type primer), the tailing of such a hairpin probe or primer with a ‘universal’ tail (for instance Sunrise-type probe and Amplifluor™-type primer). A special type of hairpin probe/primer incorporates in the hairpin a sequence capable of hybridizing to part of the newly amplified target DNA. Amplification of the hairpin is prevented by the incorporation of a blocking nonamplifiable monomer (such as hexethylene glycol). A fluorescent signal is generated after opening of the hairpin due to hybridization of the hairpin loop with the amplified target DNA. This type of hairpin probe/primer is know as scorpion primers (Whitcombe et al. 1999). Another special type of probe is a padlock probe (or circularizable probe or open circle probe or C-probe) that are used in RCA (rolling circle amplification). The technique of CFLP fingerprinting has already been applied to perform HCV genotyping (Sreevatsan et al. 1998). A chemical alternative for CFLP or NIRCA is the CCM assay (chemical cleavage of mismatch).
DNA sequencing methods include the Maxam and Gilbert protocol, the Sanger reaction (dideoxynucleotide chain termination reaction) and modifications thereof, pyrosequencing, cycle sequencing, SBH (sequencing by hybridization). A variation of the minisequencing procedure is GBA (Genetic Bit Analysis).
Other DNA sequencing methods include molecular resonance sequencing which uses electrospray ionization (ESI) combined with Fourier transform ion cyclotron resonance (FTICR) mass spectrometry (Smith et al., 1994) and, for smaller DNA fragments, MALDI-TOF MS). Diagnostic sequencing by combining specific cleavage of DNA followed by mass spectrometric analysis of the fragments has also been described (see e.g. Stanssens and Zabeau 2000—WO00/66771).
In the near future, nanopore sequencing might also become available (Meller et al., 2000).
For analyzing nucleotide sequence polymorphism in RNA target molecules, both ribozymes (hammerhead-, hairpin-, group I intron-, ribonuclease P— or hepatitis delta viral-type ribozymes) or deoxyribozymes ('DNAzymes') can be used. This feature is moreover the basis for the possible use of these enzymes as therapeutics or in gene therapy (Cairns et al., 2000; James et al., 1995)
The DNA sequencing methodology known as SBH or sequencing-by-hybridization uses an array of all possible n-nucleotide oligomers (n-mers) to identify said n-mers comprised in an unknown DNA sample (Drmanac et al., 1993). Such high-density oligonucleotide arrays are useful for detecting DNA sequence polymorphisms as well, the array eventually becoming a VDA (variant detector array) (Sapolsky et al., 1999; Hacia et al., 1996). Microscope slides can be replaced by optical fibers as solid support for the oligonucleotides (Healey et al. 1997). A variation of the above-described SBH is based on solution hybridization of probes with a known information region or information tags with the target DNA fragments to be sequenced. The information tag can be a DNA bar code (eventually comprising modified bases), a molecular bar code or a nanoparticle bar code and forms the basis for identification and characterization of the hybridized target DNA (Drmanac 2000—WO/0056937). Said high-density oligonucleotide arrays or DNA chips abolish the need to design a set of oligonucleotides specifically hybridizing under the same conditions to a set of polymorphic nucleotide sequences. The latter approach is applied in conventional reverse blot assays by carefully adjusting length, polarity and position of the mismatched nucleotide(s) in the oligonucleotide probe (Saiki et al., 1989). Conventional reverse blot hybridization assays for genotyping and detection of nucleotide sequence polymorphisms have been successfully commercialized, e.g. in the LiPA (Line Probe Assay) format (Innogenetics, Ghent, Belgium). (Stuyver et al., 1997; Stuyver et al., 1996).
Alternatively, Acrydite™-modified oligonucleotide probes are copolymerized into a polyacrylamide gel. Single-stranded target DNA targets are electrophoresed through said gel and, depending on electrophoresis conditions (temperature and/or denaturant), captured by the oligonucleotides immobilized in a capture gel layer. This method is also applicable for detecting nucleotide sequence polymorphisms (Kenney et al., 1998).
Other hybridization-based methods for detecting nucleotide sequence polymorphisms include the solution phase sandwich hybridization assay in which the target DNA is captured by a target-specific immobilized capture probe and detected via an amplifier or linker probe. Two methods of signal generation have been described. A first one utilizes a branched oligonucleotide hybridizing to the flap of the linker probe not binding to the target DNA. Subsequently a labeled probe is hybridized to the branches of the amplifier probe and the amount of bound label is quantified. In a second method, a (partially) double stranded amplifier probe is hybridized to the flap of the linker probe not binding to the target DNA. The double stranded (part of) said amplifier probe comprises a promoter recognized by a DNA-dependent RNA polymerase. The signal generated is formed by newly transcribed RNA from the amplifier probe, the amount of which is quantified. (see e.g. Urdea 1991—WO91/10746).
It will be clear to the skilled person that many variations and combinations can be made to the nucleotide sequence and nucleotide sequence polymorphism detection methods described above. These are hereby incorporated in the present invention.
Based on the above explanation on methods for detecting nucleotide sequences and polymorphisms therein, the following further embodiments are included in the present invention.
The oligonucleotides according to the invention as described supra can be adapted such that they can be used in any of the methods as described above for detection of the HCV nucleotide sequences, or at least one polymorphism or genotype-specific or specific nucleotide therein, according to the invention.
Thus, in an additional embodiment of the present invention, the oligonucleotide according to the invention further comprises a terminal extension and/or a hairpin structure, wherein said extension and/or hairpin structure is incorporated at either end or at both ends of said oligonucleotide. Said terminal extension is useful for, e.g., specifically hybridizing with another nucleic acid molecule (e.g. functioning as capture probe), and/or for facilitating attachment of said oligonucleotide to a solid support, and/or for modification of said tailed oligonucleotide by an enzyme, ribozyme or DNAzyme.
In a further embodiment of the current invention, the oligonucleotide according to the invention is comprised within a padlock probe as described above or within a hairpin structure.
In another embodiment, the oligonucleotide of the present invention has a modification allowing detection and/or capturing of said oligonucleotide. Detection and/or capturing of said oligonucleotide furthermore enables detection and/or capturing of the target nucleic acid hybridized therewith. The interaction between said oligonucleotide and said target nucleic acid may be stabilized by cross-linking both via introduction of a cross-linking modification in said oligonucleotide and/or said target nucleic acid.
In yet another embodiment, the oligonucleotide of the invention comprises a 3′-terminal mismatching nucleotide and, optionally, a 3′-proximal mismatching nucleotide. Said oligonucleotides are particularly useful for performing polymorphism-specific PCR and LCR (or any modification of PCR or LCR).
Further comprised in the present invention is a composition comprising at least one oligonucleotide according to the description given above.
It will be clear to the skilled person that any of the methods described above for detecting nucleotide sequences and polymorphisms therein, such as HCV genotype-specific nucleotides, can be utilized for methods for detecting the presence of an HCV virus in a biological sample; and/or for determining the genotype, i.e. genotyping, of an HCV virus present in a biological sample.
One aspect of the invention relates to a method for detecting the presence of an HCV virus in a biological sample and/or a method for determining the genotype of an HCV virus present in a biological sample, said methods comprising the step of detecting the presence of an HCV nucleic acid or fragment thereof according to the invention.
Said methods can be based on at least one of an amplification reaction, a hybridization reaction, a reverse hybridization reaction or a sequencing reaction. In any of these reactions, an oligonucleotide according to the invention can be utilized. Said methods may further include the use of an oligonucleotide according to the invention for detection of an HCV nucleic acid or fragment thereof of the invention and/or for determining the genotype of the HCV virus present in a biological sample and from which said HCV nucleic acid or fragment was obtained.
A specific embodiment thereto includes said methods comprising the steps of:
Another specific embodiment thereto includes said methods comprising:
In yet another specific embodiment thereto, said methods are comprising:
In the latter methods, said discriminating in (ii) can be based on hybridization and said discriminatory signal in (iii) then is a hybridization signal. Furthermore, the oligonucleotide of the invention can be capable of discriminating at least one genotype-specific or specific nucleotide present in said target HCV nucleic acid or capable of discriminating at least one nucleotide specific to said target HCV nucleic acid.
With an “oligonucleotide capable of discriminating, in a (poly)nucleic acid at least one genotype-specific or specific nucleotide” is meant an oligonucleotide yielding a signal when contacted with a (poly)nucleic acid comprising said at least one genotype-specific or specific nucleotide but not yielding a signal when contacted with a nucleic acid not comprising said at least one genotype-specific or specific nucleotide. Said signal, also referred to as “discriminatory signal”, may be any signal obtainable by using said oligonucleotide in any of the assays capable of detecting nucleotide sequences and nucleotide sequence polymorphisms as described above. Said signals include, e.g., fluorescent signals, (chemi)luminescent signals, radioactive signals, light signals, hybridization signals, mass spectrometric signals, spectrometric signals, chromatographic signals, electric signals, electronic signals, electrophoretic signals, real-time PCR signals, PCR signals, LCR signals, CFLP-assay signals and Invader™-assay signals. Said signal implies a sufficiently high signal-to-noise ratio as outlined above.
With “contacting an oligonucleotide with a (poly)nucleic acid” is generally meant annealing of said oligonucleotide with said (poly)nucleic acid or hybridizing said oligonucleotide with said (poly)nucleic acid. “Contacting an oligonucleotide with a (poly)nucleic acid” does not exclude and can thus further comprise enzymatic modification of said oligonucleotide wherein said modification may occur at the extremities of said oligonucleotide and/or internally in the nucleotide sequence of said oligonucleotide. Examples of enzymatic modifications of oligonucleotides are for instance applied in several of the assays capable of detecting nucleotide sequences and nucleotide sequence polymorphisms described herein.
In another embodiment of the invention said methods further comprise, where applicable, aligning and/or comparing the obtained nucleic acid sequence with a set of HCV nucleic acid sequences contained within a database.
With “database” is meant in the present context a collection of nucleic acid or amino acid sequences, more specifically of HCV nucleic acid or amino acid sequences. A database is to be understood to comprise at least one nucleic acid or at least one amino acid sequence. A database can be recorded on a variety of carriers. Such carriers include computer readable carriers.
Comparison of sequences, e.g. determination of percent identity between sequences, and alignment of sequences can be performed using a mathematical algorithm. Determination of percent identity between sequences relies on a previous alignment of sequences. The percentage identity (and similarity) between sequences can be determined by using e.g. the GAP program (part of GCG, Genetics Computer Group, software; now available via Accelrys on http://www.accelrys.com). Alignments between sequences can e.g. be made using the ClustalW algorithm (e.g. part of GCG software or part of VNTI software distributed by InforMax Inc.). An alignment usually is a gapped alignment, i.e. the introduction of gaps in a sequence is allowed in order to optimize the alignment. A detailed statistical theory for gapped alignments has not been developed, and the best gap costs to use with a given substitution matrix are to be determined empirically. These algorithms make use of amino acid substitution matrices to detect similarities among sequences that have diverged (Altschul, 1991). Substitution matrices have also been applied to DNA sequence comparison (States et al., 1991). It will be clear to the one skilled in the art that the efficiency of aligning similar amino acid residues also determines the percentage of identity between sequences. A commonly used substitution matrix is the BLOSUM62 matrix. For particularly long and weak alignments, the BLOSUM45 matrix may be used. For alignment of short sequences, the older PAM (percent accepted mutation)-matrices may be used (e.g. PAM30, PAM70). A good alignment of sequences with a larger evolutionary distance can be to obtained by using a PAM substitution matrix with a greater number (e.g. by using PAM100 instead of PAM40). The number after the BLOSUM matrix (e.g. BLOSUM62) refers to the minimum percent identity of the blocks used to construct the matrix; greater numbers are lesser distances. A database of sequences can be searched against using a nucleic acid or amino acid sequence of interest as ‘query sequence’. Algorithms for searching databases are usually based on the BLAST software (Altschul et al., 1990) and comprise: 1) BLASTN, for searching a nucleic acid query sequence against a database of nucleic acid sequences; 2) BLASTP, for searching an amino acid query sequence against a database of amino acid sequences; 3) TBLASTN, for searching a amino acid query sequence against a database of translated nucleic acid sequences (translations in the six possible frames); 3) BLASTX, for searching a translated nucleic acid query sequence (translations in the six possible frames) against a database of amino acid sequences; and 4) TBLASTX, for searching a translated nucleic acid query sequence (translations in the six possible frames) against a database of translated nucleic acid sequences (translations in the six possible frames). For short query sequences, the expect value threshold is preferably set high, e.g. at 1000 for nucleotide sequences and at 20000 for amino acid sequences.
The present invention also relates to a method for the detection of HCV nucleic acids present in a biological sample, comprising:
(i) optionally extracting sample nucleic acid,
(ii) amplifying the nucleic acid with at least one primer as defined herein,
(iii) detecting the amplified nucleic acids.
The present invention also relates to a method for the detection of HCV nucleic acids present in a biological sample, comprising:
The present invention in particular relates to a method for the detection of HCV nucleic acids present in a biological sample, comprising:
The present invention also relates to a method for detecting the presence of one or more HCV genotypes present in a biological sample, comprising:
The present invention also relates to a method for detecting the presence of one or more HCV genotypes present in a biological sample, comprising:
The present invention also relates to a method as defined herein, wherein said probes are further characterized as defined herein.
In any of the above methods of the invention, the biological sample is suspected or liable to contain HCV or its nucleic acids.
Another aspect of the current invention relates to a diagnostic kit for detecting the presence of an HCV virus in a biological sample and/or for determining the genotype of an HCV virus present in a biological sample, said kit comprising at least a means for detecting the presence of an HCV nucleic acid according to the invention.
Such diagnostic kits are comprising, e.g. at least one nucleic acid and/or oligonucleotide (probe or primer) according to the invention. Said nucleic acid and/or oligonucleotides may be attached to a solid support. Alternatively, a range of such nucleic acids and/or oligonucleotides are attached or coupled to specific locations on the solid support, e.g., in the form of parallel lines. An exemplary solid support is a membrane.
A specific embodiment thereto includes said diagnostic kit further comprising at least one of:
In another specific embodiment, said diagnostic kit is comprising an oligonucleotide capable of discriminating, in said HCV nucleic acid, at least one genotype-specific or specific nucleotide.
In yet another embodiment, said diagnostic kit is additionally comprising a means for detecting the discriminatory signal obtained by contacting the HCV nucleic acid obtained from a biological sample and the nucleic acid(s) and/or oligonucleotide(s) according to the invention.
Another specific embodiment thereto includes said diagnostic kit comprising or further comprising at least one of
With “a means for infering, from a nucleic acid sequence, the presence of a genotype-specific or specific nucleotide” is meant any technique or method to localize and identify in said nucleic acid sequence said genotype-specific or specific nucleotide. Said means can include a method performed manually, or performed computationally, or performed manually and/or computationally. Said means may include aligning and/or comparing an obtained nucleic acid sequence with a set of nucleic acid sequences contained within a database. Said means may furthermore include the result of the method being presented in the form of a report wherein said report can be in paper form, in electronic form or on a computer readable carrier or medium. Said means may furthermore include the searching of (nucleic acid and/or amino acid) sequence databases and/or the creation of (nucleic acid and/or amino acid) sequence alignments, the results of which may or may not be included in said report. Said means may furthermore include a device for detecting a discriminatory signal, or a kit insert or kit chart indicating how to interpret a detected discriminatory signal, or indicating where a specific discriminatory signal should appear, e.g. on a solid carrier carrying multiple oligonucleotides which can be arranged as spots, lines, dots, etc and possibly interpreting said discriminatory signal occurring on a specific location.
The invention also considers the use of a nucleic acid or oligonucleotide as disclosed herein in a diagnostic method for detecting the presence of an HCV in a biological sample and/or for determining the genotype of said HCV.
The invention also considers the use of a nucleic acid or oligonucleotide as disclosed herein for the manufacture of a diagnostic kit for detecting the presence of an HCV in a biological sample and/or for determining the genotype of said HCV.
The term “nucleic acid” can also be referred to as analyte strand and corresponds to a single- or double-stranded nucleic acid molecule. This analyte strand is preferentially positive- or negative stranded RNA, cDNA or amplified cDNA.
The term “universal HCV primer” refers to oligonucleotide sequences complementary to any of the regions conserved in the HCV genomes of most or all HCV genotypes.
The expression “appropriate hybridization and washing conditions” is to be understood as stringent and are generally known in the art (e.g. Sambrook et al., 1989). However, according to the hybridization solution (SSC, SSPE, etc.), these probes should be hybridized at their appropriate temperature in order to attain sufficient specificity. In order to allow hybridization to occur, the nucleic acid molecules are generally thermally, chemically (e.g. by NaOH) or electrochemically denatured to melt a double strand into two single strands and/or to remove hairpins or other secondary structures from single stranded nucleic acids. The stringency of hybridization is influenced by conditions such as temperature, salt concentration and hybridization buffer composition. High stringency conditions for hybridization include high temperature and/or low salt concentration (salts include NaCl and Na3-citrate) and/or the inclusion of formamide in the hybridization buffer and/or lowering the concentration of compounds such as SDS (detergent) in the hybridization buffer and/or exclusion of compounds such as dextran sulfate or polyethylene glycol (promoting molecular crowding) from the hybridization buffer. Conventional hybridization conditions are described in e.g. Sambrook et al. (Sambrook et al., 1989) but the skilled craftsman will appreciate that numerous different hybridization conditions can be designed in function of the known or the expected homology and/or length of the nucleic acid sequence. Generally, for hybridizations with DNA probes without formamide, a temperature of 68° C., and for hybridization with formamide, 50% (v/v), a temperature of 42° C. is recommended. For hybridizations with oligonucleotides, the optimal conditions (formamide concentration and/or temperature) depend on the length and base composition of the probe and must be determined individually. In general, optimal hybridization for oligonucleotides of about 10 to 50 bases in length occurs approximately 5° C. below the melting temperature for a given duplex. Incubation at temperatures below the optimum may allow mismatched sequences to hybridize and can therefor result in reduced specificity. When using RNA oligonucleotides with formamide (50% v/v) it is recommend to use a hybridization temperature of 68° C. for detection of target RNA and of 50° C. for detection of target DNA. Alternatively, a high SDS hybridization solution can be utilized (Church et al., 1984). The specificity of hybridization can furthermore be ensured through the presence of a crosslinking moiety on the nucleic acid probe (e.g. Huan et al. 2000—WO00/14281). Said crosslinking moiety enables covalent linking of the nucleic acid probe with the target nucleotide sequence and hence allows stringent washing conditions. Such a crosslinking nucleic acid probe can furthermore comprise another label suitable for detection/quantification of the probe hybridized to the target.
The term “labeled” refers to the use of labeled nucleic acids. This may include the use of labeled nucleotides incorporated during the polymerase step of the amplification such as illustrated by Saiki et al. (1988) or Bej et al. (1990) or labeled primers, or by any other method known to the person skilled in the art.
The process of the invention comprises the steps of contacting any of the probes as defined herein, with one of the following elements:
The expression “inferring the presence of one or more HCV genotypes present from the observed hybridization pattern” refers to the identification of the presence of HCV genomes in the sample by analyzing the pattern of binding of a panel of oligonucleotide probes. Single probes may provide useful information concerning the presence or absence of HCV genomes in a sample. On the other hand, the variation of the HCV genomes is dispersed in nature, so rarely is any one probe able to identify uniquely a specific HCV genome. Rather, the identity of an HCV genotype may be inferred from the pattern of binding of a panel of oligonucleotide probes, which are specific for (different) segments of the different HCV genomes. Depending on the choice of these oligonucleotide probes, each known HCV genotype will correspond to a specific hybridization pattern upon use of a specific combination of probes. Each HCV genotype will also be able to be discriminated from any other HCV genotype amplified with the same primers depending on the choice of the oligonucleotide probes. Comparison of the generated pattern of positively hybridizing probes for a sample containing one or more unknown HCV sequences to a scheme of expected hybridization patterns, allows one to clearly infer the HCV genotypes present in said sample.
The present invention thus relates to a method as defined herein, wherein one or more hybridization probes are oligonucleotide fragments taken from any of SEQ ID NOs:1, 2, 9, 10 or 16 or sequence variants thereof as defined herein. In particular, said oligonucleotide probes hybridize with any of, or at least one of SEQ ID NOs:11 to 15.
In order to distinguish the amplified target HCV genomes from each other, the amplified target HCV polynucleic acids are hybridized to a set of sequence-specific DNA probes targeting HCV genotype regions (unique regions) located in the HCV polynucleic acids. Most of these probes target the most type- or subtype-specific regions of HCV genotypes, but some can hybridize to more than one HCV genotype. Depending on the hybridization solution (SSC, SSPE, etc.), these probes should be stringently hybridized at their appropriate temperature in order to attain sufficient specificity. However, by slightly modifying the DNA probes, either by adding or deleting one or a few nucleotides at their extremities (either 3′ or 5′), or substituting some non-essential nucleotides (i.e. nucleotides not essential to discriminate between types) by others (including modified nucleotides or inosine) these probes or variants thereof can be caused to hybridize specifically at the same hybridization conditions (i.e. the same temperature and the same hybridization solution). Also changing the amount (concentration) of probe used may be beneficial to obtain more specific hybridization results. It should be noted in this context, that probes of the same length, regardless of their GC content, will hybridize specifically at approximately the same temperature in TMAC1 solutions, i.e. tetraalkylammonium salt solutions (Jacobs et al., 1988). Suitable assay methods for purposes of the present invention to detect hybrids formed between the oligonucleotide probes and the nucleic acid sequences in a sample may comprise any of the assay formats known in the art, such as the conventional dot-blot format, sandwich hybridization or reverse hybridization. For example, the detection can be accomplished using a dot blot format, the unlabelled amplified sample being bound to a membrane, the membrane being incorporated with at least one labeled probe under suitable hybridization and wash conditions, and the presence of bound probe being monitored. An alternative and preferred method is a “reverse” dot-blot format, in which the amplified sequence contains a label. In this format, the unlabelled oligonucleotide probes are bound to a solid support and exposed to the labeled sample under appropriate stringent hybridization and subsequent washing conditions. It is to be understood that also any other assay method which relies on the formation of a hybrid between the nucleic acids of the sample and the oligonucleotide probes according to the present invention may be used.
Probes of the invention can be immobilized in a Line Probe Assay (LiPA) format. This is a reverse hybridization format using membrane strips onto which several oligonucleotide probes (including negative or positive control oligonucleotides) can be conveniently applied as parallel lines. The LiPA is a very rapid and user-friendly hybridization test. Results can be read after 4 hours after the start of the amplification. After amplification during which usually a non-isotopic label is incorporated in the amplified product, and alkaline denaturation, the amplified product is contacted with the probes on the membrane and the hybridization is carried out for about 1 to 1.5 h hybridized polynucleic acid is detected. From the hybridization pattern generated, the HCV type can be deduced either visually, but preferably using dedicated software. The LiPA format is completely compatible with commercially available scanning devices, thus rendering automatic interpretation of the results very reliable. All those advantages make the LiPA format liable for the use of HCV detection in a routine setting. The LiPA format should be particularly advantageous for detecting the presence of different HCV genotypes.
The invention thus also relates to a solid support, preferably a membrane strip, carrying on its surface, one or more probes as defined herein, coupled to the support in the form of parallel lines.
The present invention also relates to a method for detecting and identifying novel HCV genotypes, different from the known HCV genomes, comprising the steps of:
The HCV Core protein, the HCV envelope proteins and HCV non-structural proteins correspond to the HCV polyprotein domains spanning amino acids 1-191 (for Core), 192-383 (for E1), spanning amino acids 384-809 or 384-746 (for E2-p7 and E2, respectively), spanning amino acids 810-1026 (for NS2), spanning amino acids 1027-1657 (for NS3), spanning amino acids 1658-1711 (for NS4A), spanning amino acids 1712-1972 (for NS4B), spanning amino acids 1973-2420 (for NS5A), and spanning amino acids 2421-3011 (for NS5B). It is to be understood that these protein endpoints are approximations (e.g. the carboxy terminal end of E2 could lie somewhere in the 730-820 amino acid region, e.g. ending at amino acid 730, 735, 740, 742, 744, 745, preferably 746, 747, 748, 750, 760, 770, 780, 790, 800, 809, 810, 820). The protein endpoints listed above may also vary depending on genotype-, subtype- or isolate-specific insertions and/or deletions occurring in the HCV genome (see for instance section on Genotype-specific insertions and deletions on page 198 of Maertens and Stuyver, 1997).
The terms peptide, polypeptide and protein are used interchangeably herein.
The term “protein, peptide or polypeptide” is meant to include all protein molecules comprising or consisting of a part of an HCV protein according to the invention. The lower size limit of a protein is a protein comprising or consisting of at least 5 contiguous amino acids of an HCV protein according to the invention. A protein thus can comprise or consist of at least and/or comprise or consist of up to 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25, 26, 27, 28, 29, 30, 35, 40, 41, 42, 43, 44, 45, 46, 47, 48, 49, 50, 55, 60, 65, 70, 75, 80, 85, 90, 95, 100, 105, 110, 115, 120, 125, 130, 135, 140, 145, 150, 155, 160, 165, 170, 175, 180, 185, 190, 195, 200 or more contiguous amino acids of an HCV protein according to the invention.
Another aspect of the invention relates to isolated proteins comprising an HCV amino acid sequence encoded by an HCV nucleic acid sequence according to the invention. In a specific embodiment thereto, said isolated protein is defined by an amino acid sequence is defined by SEQ ID NOs:3 or 4. Further included in the present invention are peptides of at least 5 contiguous amino acids taken from an HCV amino acid sequence according to the invention and wherein said peptide comprises at least one amino acid that is different from any HCV amino acid sequence of an HCV of clades 1 to 6 or different from any HCV amino acid sequence of an HCV genotype or subtype of clades 1 to 6. If the HCV amino acid sequence in a protein or peptide of the invention is comprising at least one cysteine, said cysteine can be reversibly or irreversibly protected. Derivatives of a protein or peptide of the invention are also included herein.
A derivative of a protein or part thereof according to the invention is meant to include proteins comprising derivatized amino acids (e.g., conjugated with biotin or digoxigenin), non-natural amino acids, HCV proteins comprising insertions or substitutions (such as conserved substitutions) of one or more amino acids, or HCV proteins wherein one or more amino acids are deleted (all relative to a naturally occurring HCV protein sequence as characterized in the current invention), as well as fusion proteins. A derivatized amino acid includes a derivatized cysteine wherein the derivatization is a modification of the thiol group and/or another modification. Fusion proteins may be formed between two distinct HCV peptides or between an HCV peptide and another peptide or protein such as a B-cell epitope, a T-cell epitope, a CTL epitope or a cytokine. Other peptide or protein fusion partners include bovine serum album, keyhole limpet hemocyanin, soybean or horseradish peroxidase, beta-galactosidase, luciferase, alkaline phosphatase, glutathione S-transferase or dihydrofolate reductase or heterologous epitopes such as (histidine)6-tag, protein A, maltose-binding protein, Tag•100 epitope, c-myc epitope, FLAG®-epitope, lacZ, CMP (calmodulin-binding peptide), HA epitope, protein C epitope or VSV epitope. Other proteins include histones, single-strand binding protein (ssB) and native and engineered fluorescent proteins such as green-, red-, blue-, yellow-, cyan-fluorescent proteins.
More specifically, the polypeptides or fragments thereof according to the invention include recombinant polypeptides, synthetic polypeptides or polypeptides comprising one or more modified or labeled amino acids.
Other protein modifications include polypeptides containing one or more analogues of an amino acid (including, for example, unnatural amino acids, PNA, etc.), polypeptides with substituted linkages, as well as other modifications known in the art, both naturally occurring and non-naturally occurring. Said modifications also include known amino acid modifications such as disulphide bond formation, cysteinylation, oxidation, glutathionylation, methylation, acetylation, farnesylation, biotinylation, stearoylation, formylation, lipoic acid addition, phosphorylation, sulphation, ubiquitination, myristoylation, palmitoylation, geranylgeranylation, cyclization (e.g. pyroglutamic acid formation), oxidation, deamidation, dehydration, glycosylation (e.g. pentoses, hexosamines, N-acetylhexosamines, deoxyhexoses, hexoses, sialic acid etc.) and acylation as well as non-naturally occurring amino acid residues, L-amino acid residues and D-amino acid residues. A number of said amino acid modifications can occur as a result of post-translational modification as will be recognized by the one skilled in the art. Other modifications include the addition of a chemical group to one or more amino acids of a protein, peptide or oligopeptide. Said chemical groups include e.g. biotin. Said chemical groups further include groups introduced on cysteine-thiols resulting either in a reversibly or irreveribly blocked cysteine-thiol; examples of cysteine-modifying compounds include N-ethylmaleimide, biotin-N-ethylmaleimide, vinylpyridine, iodoacetic acid, iodoacetamide, ethylenimide, and methyliodide. Furthermore, cysteines can be converted into S-sulfo-cysteines in a sulfitolysis reaction. Proteins, peptides or oligopeptides can furthermore generally be labeled radioactively, chemiluminescently, fluorescently, phosphorescently, with infrared dyes or with a surface-enhanced Raman label or plasmon resonant particle. By “biologically equivalent” if used herein, is meant that a protein is an antigenic or immunogenic equivalent to a protein or peptide of the invention.
Any of the proteins, parts thereof or derivatives of any thereof according to the present invention may be of synthetic origin, i.e. synthesized by applying organic chemistry, or of recombinant origin. HCV peptides may be produced by expression in, e.g., mammalian or insect cells infected with recombinant viruses, yeast cells or bacterial cells.
More particularly, said mammalian cells include HeLa cells, Vero cells, RK13 cells, MRC-5 cells, Chinese hamster ovary (CHO) cells, Baby hamster kidney (BHK) cells and PK15 cells. More particularly, said insect cells include cells of Spodoptera frugiperda, such as Sf9 cells. More particularly, said recombinant viruses include recombinant vaccinia viruses, recombinant adenoviruses, recombinant baculoviruses, recombinant canary pox viruses, recombinant Semliki Forest viruses, recombinant alphaviruses, recombinant Ankara Modified viruses and recombinant avipox viruses. More particularly, said yeast cells include cells of Saccharomyces, such as Saccharomyces cerevisiae, Saccharomyces kluyveri, or Saccharomyces uvarum, Schizosaccharomyces, such as Schizosaccharomyces pombe, Kluyveromyces, such as Kluyveromyces lactis, Yarrowia, such as Yarrowia lipolytica, Hansenula, such as Hansenula polymorpha, Pichia, such as Pichia pastoris, Aspergillus species, Neurospora, such as Neurospora crassa, or Schwanniomyces, such as Schwanniomyces occidentalis, or mutant cells derived from any thereof. More specifically, the HCV peptide or part thereof according to the invention is the product of expression in a Hansenula cell. More particularly, said bacterial cells include cells of Escherichia coli or Streptomyces species.
In the protein, part thereof or derivative of any thereof according to the invention and comprising at least one cysteine residue, the cysteine thiol-group(s) can be irreversibly protected by chemical means. “Irreversible protection” or “irreversible blocking” by chemical means refers to alkylation by means of alkylating agents, such as, for example, active halogens, ethylenimine or N-(iodoethyl)trifluoro-acetamide. In this respect, it is to be understood that alkylation of cysteine thiol-groups refers to the replacement of the thiol-hydrogen by (CH2)nR, in which n is 0, 1, 2, 3 or 4 and R═H, COOH, NH2, CONH2, phenyl, or any derivative thereof. Alkylation can be performed by any method known in the art, such as, for example, active halogens X(CH2)nR in which X is a halogen such as I, Br, Cl or F. Examples of active halogens are methyliodide, iodoacetic acid, iodoacetamide, and 2-bromoethylamine. Other methods of alkylation include the use of NEM (N-ethylmaleimide) or Biotin-NEM, a mixture thereof, or ethylenimine or N-(iodoethyl)trifluoroacetamide both resulting in substitution of —H by —CH2—CH2—NH2 (Hermanson 1996). The term “alkylating agents” as used herein refers to compounds which are able to perform alkylation as described herein.
It is further understood that the cysteine thiol-groups of the HCV proteins or the parts thereof or the derivatives of any thereof of the present invention can be reversibly protected. The purpose of reversible protection is to stabilize the HCV protein or part thereof or derivative of any thereof. Especially, after reversible protection the sulfur-containing functional group (e.g. thiols and disulfides) is retained in a non-reactive condition. The sulfur-containing functional group is thus unable to react with other compounds, e.g. have lost their tendency of forming or exchanging disulfide bonds, such as, for example
The described reactions between thiols and/or disulfide residues are not limited to intermolecular processes, but may also occur intramolecularly.
The term “reversible protection” or “reversible blocking” as used herein contemplates covalently binding of modification agents to the cysteine thiol-groups, as well as manipulating the environment of the HCV protein such, that the redox state of the cysteine thiol-groups remains unaffected throughout subsequent steps of the purification procedure (shielding). Reversible protection of the cysteine thiol-groups can be carried out chemically or enzymatically.
The term “reversible protection by enzymatical means” as used herein contemplates reversible protection mediated by enzymes, such as for example acyl-transferases, e.g. acyl-transferases that are involved in catalysing thio-esterification, such as palmitoyl acyltransferase (see below).
The term “reversible protection by chemical means” as used herein contemplates reversible protection:
RSH+R′COX□RS—COR′
Combinations of reversible protection as described in (1), (2), (3) and (4) may result in similarly pure and refolded HCV proteins. In effect, combination compounds can be used, such as, for example Z103 (Zn carnosine), preferentially in a concentration of 1-10 mM. It should be clear that reversible protection also refers to, besides the modification groups or shielding described above, any cysteinyl protection method which may be reversed enzymatically or chemically, without disrupting the peptide backbone. In this respect, the present invention specifically refers to peptides prepared by classical chemical synthesis (see above), in which, for example, thioester bounds are cleaved by thioesterase, basic buffer conditions (Beekman et al. 1997) or by hydroxylamine treatment (Vingerhoeds et al. 1996).
Reversible protection may also be used to increase the solubilisation and extraction of peptides (Pomroy and Deber 1998).
The reversible protection and thiol stabilizing compounds may be presented under a monomeric, polymeric or liposomic form.
The removal of the reversibly protection state of the cysteine residues can chemically or enzymatically accomplished by e.g.:
The removal of the reversibly protection state of the cysteine residues can be carried out in vitro or in vivo, e.g. in a cell or in an individual.
It will be appreciated that in the purification procedure, the cysteine residues may or may not be irreversibly blocked, or replaced by any reversible modification agent, as listed above. Reversibly blocked cysteines in a protein may be converted to irreversibly blocked cysteines.
A reductant according to the present invention is any agent which achieves reduction of the sulfur in cysteine residues, e.g. “S—S” disulfide bridges, desulfonation of the cysteine residue (RS—SO3− □ RSH). An antioxidant is any reagent which preserves the thiol status or minimises “S—S” formation and/or exchanges. Reduction of the “S—S” disulfide bridges is a chemical reaction whereby the disulfides are reduced to thiol (—SH). “S—S” Reduction can be obtained by (1) enzymatic cascade pathways or by (2) reducing compounds. Enzymes like thioredoxin, glutaredoxin are known to be involved in the in vivo reduction of disulfides and have also been shown to be effective in reducing “S—S” bridges in vitro. Disulfide bonds are rapidly cleaved by reduced thioredoxin at pH 7.0, with an apparent second order rate that is around 104 times larger than the corresponding rate constant for the reaction with DTT. The reduction kinetic can be dramatically increased by preincubation the protein solution with 1 mM DTT or dihydrolipoamide (Holmgren 1979). Thiol compounds able to reduce protein disulfide bridges are for instance Dithiothreitol (DTT), Dithioerythritol (DTE), β-mercaptoethanol, thiocarbamates, bis(2-mercaptoethyl) sulfone and N,N′-bis(mercaptoacetyl)hydrazine, and sodium-dithionite. Reducing agents without thiol groups like ascorbate or stannous chloride (SnCl2), which have been shown to be very useful in the reduction of disulfide bridges in monoclonal antibodies (Thakur et al. 1991), may also be used for the reduction of HCV proteins. In addition, changes in pH values may influence the redox status of HCV proteins. Sodium borohydride treatment has been shown to be effective for the reduction of disulfide bridges in peptides (Gailit 1993). Tris(2-carboxyethyl)phosphine (TCEP) is able to reduce disulfides at low pH (Burns et al. 1991). Selenol catalyses the reduction of disulfide to thiols when DTT or sodium borohydride is used as reductant. Selenocysteamine, a commercially available diselenide, was used as precursor of the catalyst (Singh and Kats 1995).
Another aspect of the current invention relates to the use of an isolated HCV protein or part thereof or derivative of any thereof according to the invention in immunoassays, to the use of an isolated HCV protein or part thereof or derivative of any thereof according to the invention for incorporation in immunoassay kits or diagnostic kits, and to the use of an isolated HCV protein or part thereof or derivative of any thereof according to the invention for the manufacture of a an immunoassay kit or diagnostic kit. Immunoassays comprise immunological methods for determining the presence of antibodies to HCV in a biological sample or of antigens of HCV in a biological sample or of HCV virus in a biological sample, or for diagnosing HCV infection. Diagnostic kits or immunoassay kits comprise kits for determining the presence of antibodies to HCV in a biological sample or of antigens of HCV in a biological sample or of HCV virus in a biological sample, or for diagnosing HCV infection.
In particular said biological sample is suspected to contain HCV antibodies, HCV antigens or HCV virus.
A first general embodiment in relation to immunoassays comprises a method for determining the presence of antibodies to HCV in a biological sample comprising the step of detecting said antibodies with an HCV protein or part thereof or derivative of any thereof according to the invention.
A second general embodiment in relation to immunoassays comprises a method for determining the presence of HCV antigens in a biological sample comprising the step of detecting said HCV antigens with an antibody to said HCV antigens in the presence of an isolated HCV protein or part thereof or derivative of any thereof according to the invention as competitor of binding of said HCV antigens to said antibody.
In particular said immunoassays are relying on an isolated HCV protein or part thereof or derivative of any thereof according to the invention wherein, if said HCV protein or part thereof is comprising at least one cysteine amino acid, said at least one cysteine is reversibly or irreversibly modified. When said at least one cysteine is reversibly modified, the immunoassay may be performed in the absence or presence of a reducing agent.
A first specific embodiment in relation to immunoassays comprises a method for determining the presence of antibodies to HCV, in particular to an HCV protein or part thereof according to the invention, in a biological sample comprising the steps of:
A second specific embodiment in relation to immunoassays comprises a method for determining the presence of an HCV virus in a biological sample comprising the steps of
A third specific embodiment in relation to immunoassays comprises a method for diagnosing HCV infection in a mammal comprising the steps of
A forth specific embodiment in relation to immunoassays comprises a method for determining the presence of an HCV antigen in a biological sample comprising the steps of:
A fifth specific embodiment in relation to immunoassays comprises a method for determining the presence of an HCV virus in a biological sample comprising the steps of:
A sixth specific embodiment in relation to immunoassays comprises a method for diagnosing HCV infection in a mammal comprising the steps of:
The current invention also relates to a method for typing of an HCV virus present in a biological sample comprising the steps of:
Said antigen-antibody contacting in the above-described immunoassays is normally performed under conditions allowing the formation of an immunological complex between said antigen and said antibody.
A further embodiment relates to the use of a protein or part thereof or derivative of any thereof according to the invention in an immunoassay.
A further embodiment relates to a diagnostic kit for determining the presence of antibodies to HCV (in particular antibodies to an isolated HCV protein or part thereof according to the invention) in a biological sample, for determining the presence of HCV antigens in a biological sample, for determining the presence of an HCV virus in a biological sample or for diagnosing HCV infection in a mammal, said kit comprising at least one isolated protein or part thereof or derivative of any thereof according to the invention.
The proteins or parts thereof or derivatives of any thereof according to the present invention may be employed in virtually any immunoassay format that employs a known antigen to detect antibodies or a known antibody to detect antigens. A common feature of all of these assays is that the antigen is contacted with the body component containing or suspected of containing HCV antibodies or HCV antigens under conditions that permit binding between an antigen and an antibody, i.e. under conditions allowing the formation of an immunological complex. Such conditions will typically be physiologic temperature, pH and ionic strength using an excess of antigen (in the case of antibody detection) or antibody (in the case of antigen detection). The incubation of the antigen or antibody with the specimen is followed by detection of immune complexes.
The design of immunoassays is subject to a great deal of variation, and many formats are known in the art. Protocols may, for example, use solid supports, or immunoprecipitation. Most assays involve the use of labeled antibody and/or labeled polypeptide, e.g. a labeled peptide or polypeptide according to the present invention; the labels may be, for example, enzymatic, fluorescent, chemiluminescent, radioactive, or dye molecules. Assays which amplify the signals from the immune complex are also known; examples of which are assays which utilize biotin and avidin or streptavidin, and enzyme-labeled and mediated immunoassays, such as ELISA and RIA assays. Other immunoassay designs comprise line immunoassays, sandwich immunoassays, antigen down immunoassays. An immunoassay may be set up in a competitive format.
An immunoassay may be, without limitation, in a heterogeneous or in a homogeneous format, and of a standard or competitive type. In a heterogeneous format, the polypeptide is typically bound to a solid matrix, solid support or solid phase to facilitate separation of the sample from the polypeptide after incubation. Examples of solid supports, matrices or phases are listed above. The solid support containing the antigenic polypeptides is typically washed after separating it from the test sample, and prior to detection of bound antibodies. Both standard and competitive formats are known in the art.
In a homogeneous format, the test sample is incubated with the combination of antigens in solution. For example, it may be under conditions that will precipitate any antigen-antibody complexes that are formed. Both standard and competitive formats for these assays are known in the art.
In a standard format, the amount of antibodies, such as anti-HCV antibodies, in the antibody-antigen complexes is directly monitored. This may be accomplished by determining whether labeled anti-xenogeneic (e.g. anti-human) antibodies which recognize an epitope on said antibodies, such as said anti-HCV antibodies, will bind due to complex formation. In a competitive format, the amount of said antibodies, such as said anti-HCV antibodies, in a sample is deduced by monitoring the competitive effect on the binding of a known amount of (labeled) antibody (or other competing ligand) or antigen in the complex.
Antigen-antibody complexes can be detected by any of a number of known techniques, depending on the format. For example, unlabeled antibodies such as anti-HCV antibodies in the complex may be detected using a conjugate of anti-xenogeneic Ig complexed with a label (e.g. an enzyme label).
In an immunoprecipitation or agglutination assay format the reaction between an antigen and an antibody forms a protein cluster that precipitates from the solution or suspension and forms a visible layer or film of precipitate. If no antibody is present in the test specimen or sample, no such precipitate is formed.
A diagnostic kit usually comprises a molecule for detecting the presence of a sample reactant capable of interacting with said molecule, of a sample reactant modifying said molecule (e.g., in a chemical reaction), and/or of a sample reactant modifiable by said molecule (e.g., in a chemical reaction). In a diagnostic kit for detection of an antigen or antibody in a sample, one or more antibodies or antigens, respectively, are part of said kit. In a diagnostic kit for detecting antigens or antibodies, antibodies or antigens, respectively, are often present on a solid phase, matrix or support.
The proteins or parts thereof or derivatives of any thereof according to the present invention can be packaged and be part of a diagnostic kit. The kit will normally contain in separate containers or vials the peptides or polypeptides according to the present invention (labelled or unlabelled), control antibody formulations (positive and/or negative), labelled antibody when the assay format requires the same and signal generating reagents (e.g. enzyme substrate) if the label does not generate a signal directly. The peptides or polypeptides according to the present invention may be already bound to a solid matrix or may be present in the kit in a separate vial together with reagents for binding it to the matrix. Instructions (e.g. written, tape, CD-ROM, etc.) for carrying out the assay usually will be included in the kit.
The signal generating compound can include an enzyme, a luminescent compound, a chromogen, a radioactive element and a chemiluminescent compound. Examples of enzymes include alkaline phosphatase, horseradish peroxidase and beta-galactosidase. Examples of enhancer compounds include biotin, anti-biotin and avidin. Examples of enhancer compounds binding members include biotin, anti-biotin and avidin. In order to block the effects of rheumatoid factor-like substances, the test sample is subjected to conditions sufficient to block the effect of rheumatoid factor-like substances. These conditions comprise contacting the test sample with a quantity of anti-human IgG to form a mixture, and incubating the mixture for a time and under conditions sufficient to form a reaction mixture product substantially free of rheumatoid factor-like substance.
Diagnostic kits for detecting antibodies to an HCV virus or for typing of an HCV virus wherein said kits comprise at least one protein or peptide according to the invention are part of the invention. In said diagnostic kit said protein or peptide can be bound to a solid support.
The invention further relates to methods for detecting antibodies to an HCV virus present in a biological sample comprising contacting an antigen with said antibodies in the presence of an isolated antibody according to the invention as competitor of binding of said antigen to said antibody.
Another method of the invention is detecting the presence of HCV antigens in a biological sample comprising contacting said antigen with an antibody to said antigen in the presence of an isolated protein or peptide according to the invention as competitor of binding of said antigen to said antibody.
In another aspect, the current invention envisages recombinant vectors comprising a nucleic acid or oligonucleotide according to the invention. More specifically, said recombinant vector can be an expression vector capable of directing expression of an HCV protein encoded by the HCV nucleic acid sequence comprised in said vector.
Host cells transformed with a nucleic acid or oligonucleotide according to the invention or transformed with a recombinant vector according to the invention are also part of the present invention.
A further aspect of the invention relates to a method for the recombinant production of a protein or peptide according to the invention comprising the steps of:
In particular the expression of the HCV protein by means of the expression vector will be driven by transcription regulatory elements that are operably linked to the nucleic acid sequence encoding said HCV protein.
As used herein, the term “transcription regulatory elements” refers to a nucleotide sequence which contains essential regulatory elements, such that upon introduction into a living vertebrate cell it is able to direct the cellular machinery to produce transcription products encoded by the polynucleotide. Trancription regulatory elements include promoters, terminators, enhancers, etc.
The term “operably linked” refers to a juxtaposition wherein the components are configured so as to perform their usual function. Thus, transcription regulatory elements operably linked to a nucleotide sequence are capable of effecting the transcription of said nucleotide sequence. Those skilled in the art can appreciate that different transcriptional promoters, terminators, carrier vectors or specific gene sequences may be used successfully.
Host cells for expression of the HCV protein according to the invention can be prokaryotic or eukaryotic cells as described above.
The invention further relates to the use of a recombinant vector according to the invention for the manufacture of an immunogenic composition or a vaccine composition. In particular the immunogenic composition is an HCV immunogenic composition and the vaccine composition is an HCV vaccine composition, a therapeutic HCV vaccine composition or a prophylactic HCV vaccine composition. Any of these compositions can be used for immunizing a mammal against HCV infection or for treating a mammal infected with HCV.
An “immunogenic composition” is a composition comprising an antigen capable of eliciting at least one element of the immune response against the antigen comprised in said composition when said composition is introduced into the body of an animal capable of raising an immune response. An immunogenic composition may comprise more than one antigen, i.e., a plurality of antigens, e.g. 2, 3, 4, 5, 6, 7, 8, 9, 10 or more, e.g., up to 15, 20, 25, 30, 40 or 50 or more distinct antigens. In particular, the immunogenic composition of the invention is an HCV immunogenic composition wherein the antigen or plurality of antigens are peptide(s) or polypeptide(s) or protein(s) or part or derivative of any thereof according to the invention. Said plurality of antigens may comprise a combination of HCV proteins or parts thereof or derivatives of any thereof derived from different HCV genotypes and/or subtypes and/or isolates including the HCV isolates of the new HCV clade/genotype identified in the present invention.
A “vaccine composition” is an immunogenic composition capable of eliciting an immune response sufficiently broad and vigorous to provoke one or both of:
A vaccine composition may also provoke an immune response broad and strong enough to exert a negative effect on the survival of a pathogen already present in a host or broad and strong enough to prevent an immunized host from developing disease symptoms caused by a newly introduced pathogen. In particular the vaccine composition of the invention is an HCV vaccine composition wherein the pathogen is HCV.
An “effective amount” of an antigen in a vaccine composition is referred to as an amount of antigen required and sufficient to elicit an immune response. It will be clear to the skilled artisan that the immune response sufficiently broad and vigorous to provoke the effects envisaged by the vaccine composition may require successive (in time) immunizations with the vaccine composition as part of a vaccination scheme or vaccination schedule. The “effective amount” may vary depending on the health and physical condition of the individual to be treated, the taxonomic group of the individual to be treated (e.g. human, non-human primate, primate, etc.), the capacity of the individual's immune system to mount an effective immune response, the degree of protection desired, the formulation of the vaccine, the treating doctor's assessment, the strain of the infecting pathogen and other relevant factors. It is expected that the amount will fall in a relatively broad range that can be determined through routine trials. Usually, the amount will vary from 0.01 to 1000 μg/dose, more particularly from 0.1 to 100 μg/dose. Dosage treatment may be a single dose schedule or a multiple dose schedule. The vaccine may be administered in conjunction with other immunoregulatory agents.
A “prophylactic vaccine composition” is a vaccine composition providing protective immunity, i.e., an immunity preventing development of disease upon challenge of the host immunized with the prophylactic vaccine composition. In particular for HCV, a prophylactic HCV vaccine composition is to be understood as a vaccine composition capable of providing protective immunity helping to resolve a challenge HCV infection rapidly and/or preventing a challenge HCV infection to proceed to a chronic infection. Accelerated HCV viral clearance or accelerated control of HCV challenge infection is thus envisaged by vaccination with a prophylactic HCV composition according to the invention.
A “prophylactically effective amount” of an antigen in a prophylactic vaccine composition is referred to as an amount of antigen required and sufficient to elicit an immune response enabling the development of protective immunity. It will be clear to the skilled artisan that the immune response sufficiently broad and vigorous to provoke the effects envisaged by the prophylactic vaccine composition may need require successive (in time) immunizations with the prophylactic vaccine composition (see also “effective amount”).
A “therapeutic vaccine composition” is a vaccine composition providing a curative immune response, i.e., an immune response capable of effectuating a reversion, or at least capable of effectuating halting, of disease symptoms associated with an already established pathogen infection. In particular for HCV, a therapeutic HCV vaccine composition is to be understood as a vaccine compositions capable of reducing serum liver enzyme, e.g., alanine aminotransferase (ALT) or γ-glutamylpeptidase (γ-GT), activity levels in the blood and/or of reducing HCV RNA levels and/or of reducing liver disease and/or of reducing liver fibrosis and/or of reducing liver fibrosis progression and/or reducing HCV antigen levels in or presented on liver cells.
A “therapeutically effective amount” of an antigen in a therapeutic vaccine composition is referred to as an amount of antigen required and sufficient to elicit an immune response enabling the development of a curative immune response. It will be clear to the skilled artisan that the antigenic or immunogenic response sufficiently broad and vigorous to provoke the effects envisaged by the therapeutic vaccine composition may need require successive (in time) immunizations with the therapeutic vaccine composition (see also “effective amount”).
Another aspect of the invention relates to compositions, immunogenic compositions and/or vaccine compositions comprising at least one of an nucleic acid or oligonucleotide according to the invention, an isolated protein or peptide according to the invention, a recombinant vector according to the invention or an antibody according to the invention; and at least one of a suitable carrier, adjuvant or vehicle. In particular said immunogenic compositions are HCV immunogenic compositions and said vaccine compositions are HCV vaccine compositions, therapeutic HCV vaccine compositions or prophylactic HCV vaccine compositions. Any of these compositions can be used for immunizing a mammal against HCV infection or for treating a mammal infected with HCV.
The invention relates in a further aspect to HCV immunogenic compositions, HCV vaccine compositions, prophylactic HCV vaccine compositions and/or therapeutic HCV vaccine compositions comprising a protein or part or a derivative of any thereof as described herein.
Another aspect of the current invention relates to the use of an isolated (HCV) protein or part thereof or derivative of any thereof according to the invention for the manufacture of an HCV immunogenic composition, a prophylactic HCV vaccine composition or a therapeutic HCV vaccine composition.
Other aspects of the invention relate to methods of vaccinating an HCV-naïve or HCV-infected mammal comprising administering an HCV immunogenic composition, an HCV vaccine composition, a prophylactic HCV vaccine composition and/or a therapeutic HCV vaccine composition according to the invention in combination with (i.e., before, after or concurrently with) administering a DNA vaccine.
The immunogenic composition, vaccine composition, therapeutic vaccine composition or prophylactic vaccine composition as described above may in addition comprise DNA vaccine vectors capable of expressing or effectuating expression of an antigen. Particularly relating to the current invention, the HCV immunogenic composition, HCV vaccine composition, therapeutic HCV vaccine composition or prophylactic HCV vaccine composition may in addition comprise DNA vaccine vectors capable of expressing or effectuating expression of one or more antigens such as HCV proteins or parts thereof, e.g., an HCV protein or part thereof according to the invention. Alternatively, the protein- or peptide-based immunogenic composition, vaccine composition, therapeutic vaccine composition or prophylactic vaccine composition of the invention may be used in combination with a DNA vector-based immunogenic composition, vaccine composition, therapeutic vaccine composition or prophylactic vaccine composition (also referred to as “DNA vaccine” or “HCV DNA vaccine” if the DNA vector comprised therein is encoding an HCV protein or part thereof). Such combination for instance includes a DNA-prime protein-boost vaccination scheme wherein vaccination is initiated by administering a DNA vector-based immunogenic composition, vaccine composition, therapeutic vaccine composition or prophylactic vaccine composition and is followed by administering a protein- or peptide-based immunogenic composition, vaccine composition, therapeutic vaccine composition or prophylactic vaccine composition of the invention. In particular the DNA vaccine vector is capable of expressing one or more HCV antigens or proteins or parts thereof.
With a “DNA vector” or “DNA vaccine vector” is meant any DNA carrier comprising the open reading frame for one or more of the peptides useful for eliciting and/or enhancing an immune response. In general, said open reading frames are operably linked to transcription regulatory elements, such as promoters and terminators, enabling expression of the peptide encoded by the open reading frame. The terms “DNA vector” or “DNA vaccine vector” are meant to include naked plasmid DNA, plasmid DNA formulated with a suitable pharmaceutically acceptable carrier, adjuvant or vehicle, recombinant viruses (e.g., as described above), or recombinant viruses formulated with a suitable pharmaceutically acceptable carrier, adjuvant or vehicle. A “HCV DNA vector” or “HCV DNA vaccine vector” relates to any DNA carrier comprising an (HCV) nucleic acid or oligonucleotide according to the invention and capable of directing expression of one or more of the (HCV) proteins or peptides of the invention.
The invention relates also to the use of an (HCV) nucleic acid or oligonucleotide according to the invention for the manufacture of an immunogenic composition or a vaccine composition. In particular the immunogenic composition is an HCV immunogenic composition and the vaccine composition is an HCV vaccine composition, a therapeutic HCV vaccine composition or a prophylactic HCV vaccine composition. Any of these compositions can be used for immunizing a mammal against HCV infection or for treating a mammal infected with HCV.
A “pharmaceutically acceptable carrier” or “pharmaceutically acceptable adjuvant” is any suitable excipient, diluent, carrier and/or adjuvant which, by themselves, do not induce the production of antibodies harmful to the individual receiving the composition nor do they elicit protection. Preferably, a pharmaceutically acceptable carrier or adjuvant enhances the immune response elicited by an antigen. Suitable carriers or adjuvantia typically comprise one or more of the compounds included in the following non-exhaustive list:
Any of the afore-mentioned adjuvants comprising 3-de-O-acetylated monophosphoryl lipid A, said 3-de-O-acetylated monophosphoryl lipid A may be forming a small particle (see International Patent Application Publication No. WO94/21292).
A “pharmaceutically acceptable vehicle” includes vehicles such as water, saline, physiological salt solutions, glycerol, ethanol, etc. Auxiliary substances such as wetting or emulsifying agents, pH buffering substances, preservatives may be included in such vehicles.
Typically, a vaccine composition is prepared as an injectable, either as a liquid solution or suspension. Injection may be subcutaneous, intramuscular, intravenous, intraperitoneal, intrathecal, intradermal, intraepidermal. Other types of administration comprise implantation, suppositories, oral ingestion, enteric application, inhalation, aerosolization or nasal spray or drops. Solid forms, optionally suitable for dissolving in, or suspension in, liquid vehicles prior to injection may also be prepared. The preparation may also be emulsified or encapsulated in liposomes for enhancing adjuvant effect.
Furthermore, the present invention relates to an antibody raised upon immunization of a mammal with at least one polypeptide or peptide as defined herein. In a specific embodiment, said antibody is specifically reactive with any of the polypeptides or peptides of the present invention. In a further specific embodiment, said antibody is a monoclonal antibody or a humanized antibody. Fragments of any of an antibody are also included in the term “antibody”. Alternatively, antibodies to a polypeptide or part thereof according to the invention can be raised upon immunization of a mammal with a DNA vector comprising the open reading frame encoding said polypeptide or part thereof. The immunization process normally requires administration of a polypeptide or part thereof or derivative of any thereof to said mammal and/or administration of a DNA vector comprising the open reading frame encoding said polypeptide or part thereof to said mammal.
The monoclonal antibodies of the invention can be produced by any hybridoma liable to be formed according to classical methods from splenic cells of an animal, particularly from a mouse or rat, immunized against the HCV polypeptides according to the invention as defined above on the one hand, and of cells of a myeloma cell line on the other hand, and to be selected by the ability of the hybridoma to produce the monoclonal antibodies recognizing the polypeptides which has been initially used for the immunization of the animals.
The antibodies involved in the invention can be labeled by an appropriate label of the enzymatic, fluorescent, or radioactive type.
Non-human mammalian antibodies or animal antibodies can be humanized (see for instance Winter and Harris 1993). The antibodies or monoclonal antibodies according to the invention may be humanized versions of for instance rodent antibodies or rodent monoclonal antibodies made by means of recombinant DNA technology, departing from parts of rodent and/or human genomic DNA sequences coding for H and L chains or from cDNA clones coding for H and L chains.
Alternatively, the monoclonal antibodies according to the invention may be human monoclonal antibodies. These antibodies according to the present embodiment of the invention can also be derived from human peripheral blood lymphocytes of patients infected with the new HCV type according to the invention, or vaccinated against HCV. Such human monoclonal antibodies are prepared, for instance, by means of human peripheral blood lymphocytes (PBL) repopulation of severe combined immune deficiency (SCID) mice (for recent review, see Duchosal et al. 1992) or by screening Epstein Barr-virus-transformed lymphocytes of infected or vaccinated individuals for the presence of reactive B-cells by means of the antigens of the present invention.
The invention also relates to the use of the proteins or parts thereof or derivatives of any thereof for the selection of recombinant antibodies by the process of repertoire cloning (Persson et al., 1991).
The invention further relates to the use of an antibody according to the invention for the manufacture of an immunogenic composition or a vaccine composition. In particular the immunogenic composition is an HCV immunogenic composition and the vaccine composition is an HCV vaccine composition, a therapeutic HCV vaccine composition or a prophylactic HCV vaccine composition. Any of these compositions can be used for immunizing a mammal against HCV infection or for treating a mammal infected with HCV.
The invention also includes methods for detecting the presence of HCV antigens in a biological sample comprising the steps of:
Another method of the invention is a method for typing of an HCV virus present in a biological sample comprising the steps of:
The invention also relates to a composition comprising at least one of an isolated nucleic acid or oligonucleotide according the invention, an isolated protein or peptide according to the invention, a recombinant vector according to the invention, or an antibody according to the invention; and at least one of a suitable carrier, adjuvant or vehicle.
The invention further relates to the use of an HCV nucleic acid or oligonucleotide according to the invention, an HCV protein or peptide according to the invention, a recombinant vector according to the invention and/or an antibody according to the invention for the manufacture of an immunogenic composition or a vaccine composition. In particular the immunogenic composition is an HCV immunogenic composition and the vaccine composition is an HCV vaccine composition, a therapeutic HCV vaccine composition or a prophylactic HCV vaccine composition. Any of these compositions can be used for immunizing a mammal against HCV infection or for treating a mammal infected with HCV.
Further aspects of the current invention comprise any of the HCV immunogenic compositions, HCV vaccine compositions, prophylactic HCV vaccine compositions and/or therapeutic HCV vaccine compositions according to the invention for; or alternatively comprises the use of any of said compositions for:
Said mammal obviously may be a human. In particular, the uses according to the invention are methods for obtaining at least one of the recited effects, with said methods comprising administering any of said compositions to a mammal or a human. The recited effects may be obtained in combination with a DNA vaccine or with a DNA vector or DNA vaccine vector capable of expressing or effectuating expression of one or more antigens. A DNA vaccine, DNA vector or DNA vaccine vector may be an HCV DNA vaccine, HCV DNA vector or HCV DNA vaccine vector (see further).
With “prophylactic protection against infection by a homologous HCV” is meant that protection is obtained against a challenge HCV virus of exactly the same genotype, subtype or isolate as compared to the HCV genotype, subtype or isolate from which the HCV antigen or HCV antigens are derived. A composition may for example comprise a peptide or polypeptide according to the present invention that is derived from a particular HCV type 1b isolate. A “homologous HCV” would in this case be the same particular HCV type 1b isolate. “Homologous” in the context of “therapeutic treatment of an HCV homologous to the HCV peptides in a composition” has to be interpreted likewise.
With “prophylactic protection against infection by a heterologous HCV” is meant that protection is obtained against a challenge HCV virus classified in another genotype, subtype, or isolate as compared to the HCV genotype, subtype or isolate from which the HCV antigen or HCV antigens are derived. A composition may for example comprise a peptide or polypeptide according to the present invention that is derived from a particular HCV type 1b isolate. A “heterologous HCV” would in this case be, e.g., an HCV type 1b isolate sufficiently different from the type 1b isolate from which the antigens were derived, a type 1a HCV virus or a type 7 HCV virus. “Sufficiently different” as used in this particular context is to be understood at least a difference of 2%, 3% or 4% on the amino acid level. “Heterologous” in the context of “therapeutic treatment of an HCV heterologous to the HCV peptides in a composition” has to be interpreted likewise.
With the term “liver disease” is meant in this context any abnormal liver condition caused by infection with the hepatitis C virus including steatosis, inflammation, portal inflammation, fibrosis, perisinusoidal fibrosis, cirrhosis, necrosis, necro-inflammation, hepatocellular carcinoma, lobular hepatitis, interface hepatitis, periportal hepatitis, confluent necrosis and focal or portal inflammation.
With “reducing liver disease” is meant any stabilization or reduction of the liver disease status. Liver disease can be determined, e.g., by the Knodell scoring system (Knodell et al. 1981) or the Knodell scoring system adapted by Ishak (Ishak et al. 1995). A reduction of this score by two points is accepted as therapeutically beneficial effect in several studies (see, e.g., studies published after 1996 as indicated in Table 2 of Shiffinan 1999).
With “reducing liver fibrosis progression” is meant any slowing down, halting or reverting of the normally expected progression of liver fibrosis. Liver fibrosis progression can be determined, e.g., by the Metavir scoring system. Normal expected progression of liver fibrosis according to this system was published to be an increase of the Metavir score of an untreated chronic HCV patient of approximately 0.133 per year (Poynard et al. 1997). “Reducing liver fibrosis” is meant to comprise any reduction of the normally expected progression of liver fibrosis.
Liver fibrosis and inflammation can be scored according to the Ishak scoring system (which is a modification of the scoring system of Knodell et al. 1981; Ishak et al. 1995) or Metavir scoring system (Bedossa and Poynard 1996). The Ishak scores range from 0 to 18 for grading of inflammation and from 0 to 6 for staging of fibrosis/cirrhosis. The sum of the Ishak inflammation and fibrosis scores comes closest to the Histological Activity Index (HAI; Knodell et al. 1981) which has been widely used. The Metavir scores range from 0 to 3 for grading of inflammation and from 0 to 4 for staging of fibrosis/cirrhosis. The overall progression rate of the Metavir score in an untreated patient is estimated to be 0.133 per year (Poynard et al. 1997).
Another aspect of the invention relates to an isolated HCV virus that is characterized by a genome comprising an HCV nucleic acid sequence of a nucleic acid or oligonucleotide according to the invention.
The invention further relates to a method for determining the genotype of an HCV nucleic acid or oligonucleotide according to the invention comprising the identification of the regions −100 to −92 and −128 to −118 in the 5′ non-coding region of the genome of said virus. Said method can further comprise identification of at least one of the regions −138 to −132 or −240 to −233 in the 5′ non-coding region of the genome of said virus. In particular, said region −100 to −92 is defined by SEQ ID NO:11 or the complement thereof or any thereof wherein “T” is replaced by “U”. In particular, said region −128 to −118 is defined by SEQ ID NO:12 or the complement thereof or any thereof wherein “T” is replaced by “U”. In particular, said region −138 to −132 is defined by SEQ ID NOs:13 or 14 or the complement thereof or any thereof wherein “T” is replaced by “U”. In particular, said region −240 to −223 is defined by SEQ ID NO:15 or the complement thereof or any thereof wherein “T” is replaced by “U”. The regions specified above are to be understood to include all nucleotides of that region. For instance, the region −100 to −92 in the 5′ non-coding region of the genome of an HCV virus is to be understood to include all nucleotides from relative position −100 to, and including, relative position −92.
With “identification of a region” is meant the identification of the nucleic acid sequence of said region by any possible nucleic acid detection method as described above, thus including for instance hybridization and sequencing.
RNA isolation, cDNA Synthesis, PCR, and genotyping using the VERSANT® HCV Genotyping Assay (LiPA) were performed on two serum samples (IG93305 and IG93306) originating from chronic HCV patients with African ethnicity as described by the manufacturer (Innogenetics NV, Zwijnaarde, Belgium, distributed by Bayer Diagnostics). On the LiPA strips, unusual line patterns, which could not be attributed to any described genotype, were seen.
For the determination of the sequence of the NS5B region of IG93305 and IG93306, a 400 bp NS5B fragment was amplified using primers HCPr292 and HCPr295, followed by a nested PCR with primers HCPr293 and HCPr294, resulting in a final NS5B fragment of 380 bp. This NS5B PCR fragment was isolated from a 1.5% LMT (low melting temperature) agarose gel and used for cycle sequencing using primers HCPr293 and HCPr294. The resulting NS5B nucleic acid sequence (SEQ ID NO 1 for IG93305 and SEQ ID NO 2 for IG93306) is depicted in
Phylogenetic analysis was performed using the PHYLIP software package (Felsenstein 1993). Previously published sequences were taken from the EMBL/Genbank database (genotype 1: Genbank Accession Nos: M62321 (1a), D10749 (1a), D90208 (1b) and D14197 (1e); genotype 2: D00944 (2a), D50409 (2c), L29634 (2d), D49780 (2e), L44601 (2f), L48499 (2l) and D86532 (2j); genotype 3: D17763 (3a); genotype 4: Y11604 (4a) and L29614 (4c); genotype 5: Y13184 (5a) and AF064490 (5a); genotype 6: L38379 (6a) and D84262 (6b); genotype 7: L38381 (7a) and D84263 (7b); genotype 8: D87357 (8a) and D84264 (8b); genotype 9: D87352 (9a) and AB027609 (9b); genotype 10: D26387 (10a); and genotype 11: D63822 (11a)) and used as reference sequences covering all known clades/genotypes and their most important subtypes. Alignments were created using the CLUSTAL X program (version 1.8; Thompson et al. 1994). Distance matrices were produced by DNADIST using the Kimura two-parameter setting and further analysed in NEIGHBOR, using the neighbor joining setting. The significance of clustering was evaluated by bootstrapping (1,000 replicates), using the programs SEQBOOT and CONSENSE. Bootstrap values ≧75% were considered significant. The resulting phylogenetic tree is depicted in
Isolates IG93305 and IG93306 did not cluster with any of the known 11 genotypes of the 6 clades currently known for HCV (see
For the determination of the sequence of the 5′NCR regions of IG93305 and IG93306, a 300 bp 5′NCR fragment was amplified as described in Stuyver et al. (1996). This PCR fragment was subsequently cloned in a pGEM-T vector (Promega Corp., USA) and clones were sequenced using vector SP6/T7 primers. The resulting 5′ NCR sequences are depicted in
All documents cited herein are incorporated in their entirety herein by reference.
| Number | Date | Country | Kind |
|---|---|---|---|
| 03447220.9 | Aug 2003 | EP | regional |
This application is a divisional of 10/927,520 (allowed), filed on Aug. 27, 2004 (published as US 2005-0069870-A1 on Mar. 31, 2005), which claims benefit of U.S. Provisional Application No. 60/498,654, filed Aug. 29, 2003 and EP 03447220.9, filed Aug. 29, 2003, the entire contents of each of which are hereby incorporated by reference.
| Number | Date | Country | |
|---|---|---|---|
| 60498654 | Aug 2003 | US |
| Number | Date | Country | |
|---|---|---|---|
| Parent | 10927520 | Aug 2004 | US |
| Child | 13315569 | US |
