1. Field of the Invention
The invention is directed to the discovery that it is possible to severely attenuate lentiviral replication in vivo by changing promoter activity. The different U3 promoter/enhancer regions of wild type virus and cytomegalovirus result in differential replication in vivo. Despite feeble growth, the immune responses induced by recombinant viruses are capable of controlling viremia to an unprecedented degree.
2. Background
The macaque simian immunodeficiency virus (SIVmac) has been attenuated by a variety of genetic lesions in any of four loci and as such they do not encode a full complement of proteins. Highly attenuated simian immunodeficiency viruses (SIV) harbouring deletions in a variety of genes can elicit strong protection against intravenous challenge with pathogenic SIV strains (10, 11, 39). To date, they are the most efficient immunogens available. As more deletions were introduced the viral replication became more and more attenuated in vivo, sometimes inducing poor immune responses (11). An inverse relationship was found between the degree of attenuation and the degree of protection against homologous challenge (19). However, as these attenuated viruses persist and replicate some, notably the Δnef viruses, can pick up further mutations in other sites and recover pathogenicity after a long term infection (14, 37). Furthermore they can recombine with the challenge virus (16, 22).
Deletions in various genes alter not only virus growth kinetics but also result in the loss of epitopes. SIV Δnef is a case in point. There are numerous publications linking the control of viremia to the early proteins Tat, Rev and Nef (1, 4, 28, 30). Therefore, the advantages of deleting Nef function are offset by loss of early epitopes. A number of live virus vaccines are attenuated by lesions in non-coding regions, the Sabin polio 3 vaccine strains being the most striking example (38). One of the most crucial attenuating lesions is a substitution in the 5′ non-coding internal ribosomal entry site, or IRES. Although the vaccine strain reverts to pathogenic strain within 4-5 days the virus is held in check by the immune responses.
Efficient transcription and replication of SIV can be achieved in the absence of NF-kB and Sp1 binding elements ex vivo (18) and can induce AIDS in rhesus monkeys in vivo (17). This result was due to a regulatory element located immediately upstream of NF-kB binding site that allows efficient viral replication in absence of the entire core enhancer region (32). By replacing the SIV enhancer promoter region by that of CMV-IE, a very similar replication profile on CEMx174 or PBMCs was obtained (18). By contrast, the virus was very attenuated in vivo even though it could replicate and establish a chronic infection contrarily to ΔNF-κB ΔSp1234 constructs (17). This virus retained the capacity to replicate in his host as proven by deletion analysis. First, these data show that CMV-IE promoter is able to overcome upstream regulatory element defined by Pohlmann et al. and, secondly, that variation in the pattern of protein expression by promoter can lead to drastic physiopathologic changes.
How the primate immunodeficiency viruses establish life long infection is still unclear, despite a wealth of studies. Certainly, the virus can remain transcriptionally silent in long lived memory T cells and evade immune surveillance (9). Virus can be recovered from these cells when they encounter the cognate antigen (7, 29). A test of this hypothesis would be the construction of a chimeric virus with a constitutive promoter leading to permanent presentation to cellular antiviral immunity. However, the promoter would have to be very strong for genomic RNA is spliced into more than 20 mRNA transcripts with a fraction of unspliced RNA being packaged.
Thus, there exists a need in the art for methods and reagents for using attenuated live virus vaccines to treat diseases caused by primate immunodeficiency viruses.
The invention encompasses recombinant HIV and SIV viruses containing heterologous transcriptional regulatory elements in the U3 region of the virus. In particular embodiments, the recombinant virus has decreased replication in vivo and the virus has a protective effect when administered to a host.
The recombinant virus can have heterologous transcriptional regulatory elements replace the HIV region corresponding to the NFkB/Sp1/TATA Box/initiation region (−114 to +1) or corresponding to the NFkB/Sp1/TAR region (−114 to +93) of the SIVmac239 long terminal repeat.
The recombinant virus can have heterologous transcriptional regulatory elements inserted into a modified LTR generated by two PCR fragments formed with primers that correspond to the following sequences in SIV genome:
The recombinant HIV virus can have heterologous transcriptional regulatory elements inserted into a modified LTR generated by two PCR fragments formed with primers that correspond to the following sequences in SIV genome:
The recombinant virus can be an SIV virus, SHIV virus, HIV-1 virus, or an HIV-2 virus. The recombinant virus can contain heterologous transcriptional regulatory elements replacing region −123 to +1 of HIV-1 virus or replacing region 190 to +1 of HIV-2 virus.
The recombinant virus can contain a promoter of a virus infecting human cells. In a particular embodiment, the virus contains a CMV-IE promoter from human cytomegalovirus.
The invention further encompasses expression vectors containing a nucleotide sequence of the recombinant viruses and cells containing these expression vectors.
The invention also encompasses processes for the production the recombinant viruses. In one embodiment, the process includes collecting peripheral blood, isolating the mononuclear cells in the blood, and infecting the mononuclear cells with the recombinant virus. In a further embodiment, the supernatant of the infected cells is collected.
The invention also encompasses immunogenic compositions containing the aforementioned recombinant viruses, vectors, and cells. In particular embodiments, the immunogenic compositions contain a pharmaceutically acceptable vehicle or carrier.
The invention also encompasses processes of measuring the immune response in a host comprising administering a recombinant virus and measuring the immune response to the virus.
In some embodiments, the host is infected with HIV or SIV or SHIV. In another embodiment, the process includes boosting the immune system by modulating of the expression of the cytokines of the host.
The NF-kB/Sp1 region (−114 to +1) or the NF-kB/Sp1/TAR region (−114 to +93) of the SIVmac239 long terminal repeat have been replaced by the powerful immediate early promoter (−525 to +1) from human cytomegalovirus (CMV-IE). Of the two viruses SIVmegalo and SIVmegaloΔTAR respectively, only the former grew at all well on CEMx174 T cells, albeit delayed a few days compared to SIVmac239. During culture, the CMV-IE promoter proved unstable. However, a genetically stable derivative stock encoding a 272 bp deletion in CMV promoter was obtained after 60 days of culture on CEMx174. This stock, SIVΔMC, grew as well as parental 239 virus on CEMx174. When inoculated into rhesus macaques, both SIVmegalo and SIVΔMC showed highly controlled viremia during primary infection and persistent infection. After primary infection, plasma viremia was invariably below the threshold of detection and proviral DNA was only intermittently recovered from peripheral blood mononuclear cells. These findings show that it is possible to severely attenuate SIV replication in vivo by changing promoter activity. The different U3 promoter/enhancer regions of wild type and megalo virus result in differential replication in vivo. This difference might be related to the in vitro delay kinetics of replication on PBMCs.
While SIVmegalo and SIVΔMC grew well ex vivo, SIVmegaloΔTAR replication was feeble. Although the CMV-IE promoter is widely considered to be one of the strongest promoters currently used, indeed it has been used to drive expression of the SIV genome in the context of DNA vaccination (2, 13), it is insufficient alone to drive efficient SIV viral replication. Perhaps this relates to the fact that a single RNA transcript is spliced into at least 20 different mRNAs with a further fraction dimerising and thus being translationally inactive. With the powerful Tat/TAR transactivation system, the problem would appear to be overcome.
The CMV-IE promoter was not well adapted to the SIV scaffold for it grew initially slowly. When replication took off, it was accompanied by deletions in the promoter distal regulatory region between −450 to −200 bp. Once this region deleted in vitro, the mutant virus, termed SIVΔMC, acquired similar kinetics to wild type virus on CEMx174 cell line and on PBMC. The deletions presumably resulted in enhanced transcription and replication (burst size) resulting in their outgrowing other variants, something that was confirmed for deleted clone promoters in the CAT assay (
When inoculated into rhesus macaques, SIVmegalo grew very poorly, so much so that there was only one positive serum RNA sample between the two animals. Despite this, SIVmegalo infection established itself, since virus could be occasionally detected in PBMCs out to 100 days. The poor replication of SIVmegalo was reflected in the low antibody titres (
A similar situation pertained to SIVΔMC. In contrast to what might have been anticipated from its properties in vitro, SIVΔMC also grew poorly in vivo. Primary viremia was higher and antibody titre appeared earlier than for SIVmegalo indicative of greater replication, while SIV proviral DNA could be amplified more frequently for SIVΔMC than SIVmegalo (13/17 attempts versus 10/15 or 4/16,
SIVmegalo and SIVΔMC grow very poorly in vivo. The level of viremia is very low by any standards. This means that the virus is infecting only a very small fraction of CD4 T lymphocytes. Independent confirmation of this are the low antibody titres in the three animals. Given that the virulence of a SIV infection is related to the replicative capacity of the virus, low viremia is a prerequisite for a live attenuated vaccine (Johnson et al., 1999).
Despite feeble growth, the immune responses induced are capable of controlling viremia to an unprecedented degree. In the naive animals peak viremia levels of 106-107 were noted. For the SIVmegallo and SIVΔMC inoculated animals, viremia was <400 copies/ml, the cut-off of the bDNA test. However recovery of challenge virus LTR sequences means that the virus took. In fact this is the outcome of all SIV vaccination/challenge studies published to date and concurs with the notion that vaccination in general rarely confers sterilizing immunity but rather prevents disease.
Yet in comparison to other vaccine studies using DNA and vaccinia based methods, challenge is invariably accompanied by a peak of plasma viremia between 1-3 weeks post challenge. The titres vary with the challenge virus and the animal, but can attain titres of 105-109 per ml (Amara et al., 2001). They then decayed to a set point which again varies but can be typically between undetectable (i.e. <100-400 copies/ml) to 104/ml. Out to 2 months post challenge, plasma viremia was undetectable.
Discrepancies between ex vivo and in vivo have previously been noted and are typified by SIVmac239Δnef(10). Yet, given the lesion in nef it could be argued that it influences the life cycle in vivo. As SIV replication depends on the relative dynamics of local replication with respect to control by anti-viral cellular immunity being played out over a matter of hours (P. Blancou, N. Chenciner, M. C. Cumont, S. Wain-Hobson, B. Hurtrel, submitted for publication), lower overall replication favours control by the immune system. Similar findings have been noted for a variety of attenuated SIV constructs bearing numerous gene deletions. In this context SIVmegalo and SIVΔMC are comparable to SIVmac239Δ4 which harbours deletions in vpx, vpr, nef and the overlapping U3/nef region of the LTR (11). This virus was estimated to be attenuated some 1000 fold and even offered partial protection to rectal challenge. However, all four animals failed to protect against challenge by the intravenous route (19).
There are precedents for the chimeric HIV and SIVs with the CMV-IE promoter. Chang et al. made three constructs in a HIV-1 background (6). Recombinants CMV-IE(a) and CMV-IE(b) encoded fragments from −535 to −37 and −535 to +1 respectively, both of which carried the −405 and −135 deletion in the enhancer region (6). The third construct, CMV-IE(a)/TATA, carried a shorter promoter fragment from −229 to −37. After a delay, CMV-IE(b) and CMV-IE(a) replicated as well as the parental HIV-1 virus. Surprisingly, the CMV-IE(a)/TATA, which most closely resembles the present SIVΔMC construct, grew only on AA2 cells and not H9 or CEM cells.
Guan et al engineered the same CMV-IE promoter into a SIVmac239 background along with a deletion in the nef gene (virus SIVmac239 Δnef-CMV) (15). The virus grew reasonably well on a variety of cell lines. As promoter stability was not checked, it is difficult to compare SIVmac239 Δnef-CMV with SIVΔMC.
SIV may be attenuated by merely altering the U3 enhancer/promoter region, which in turn shows that there are no immunosuppressive proteins per se. In this respect, SIVmegalo parallels attenuated Sabin polio 3 virus strains, which bear a crucial substitution in the 5′ non-coding IRES structure (38). Despite the rapid reversion of the lesion as little as 4-5 days post vaccination, the wild type virus is held in check by the immune system. Being a lifelong infection, reversion of retroviral lesions is more problematic.
Although there are numerous papers, the field of attenuated SIV vaccines was championed and remains dominated by the group of Ronald C. Desrosiers. Their idea has been to attenuate the virus by making deletions within the different SIV genes. If the deletions are sufficiently large, greater than 20 bases or more, the chance of the virus reverting in the same locus is nil. Among all their constructs, they find that attenuation follows the order SIVΔvpr>SIVΔvpx>SIVΔvpxΔvpr˜SIVΔnef>SIVΔvprΔnef□US>SIVΔvpxΔnefΔUS>SIVΔvpxΔvprΔnef□US>SIVΔvif>SIVΔvifΔvpxΔvprΔnefΔUS (see Table 1, (Desrosiers et al., 1998), AUS refers to a deletion in the U3 region of the LTR that overlaps the 3′ portion of the nef gene). To simplify description, we will use the abbreviations Desrosiers et al. gave to the viruses notably SIVΔ3 for SIVΔvprΔnefΔUS, SIVΔ3x for SIVΔvpxΔnefΔUS and SIVΔ4 for SIVΔvpxΔvprΔnefΔUS.
SIVmegalo and SIVΔMC show peak viremia comparable to SIVΔ4. When four macaques vaccinated by the SIVΔ4 virus were challenged by 10 animal infectious doses of uncloned SIVmac251 via the intravenous route, all four animals showed rapid breakthrough of the challenge virus. The level of cell-associated virus in the periphery (
By contrast, SIVmegalo and SIVΔMC protect against the equivalent of 2000 animal infectious doses of SIVmac239. These results are better than anything else published to date.
Two possible explanations, which are not mutually exclusive, of why low levels of SIV replication induce such robust immune responses ideas are:
1) Of all the attenuated viruses SIV made to date, only SIVmegalo and SIVΔMC encode a complete set of proteins. Many attenuated virus have deletions in the nef gene which produces the highly immunogenic protein, Nef. This gene is expressed early on in infection, at a time when virion assembly has not yet started. Hence, good cellular immunity to Nef and the other early gene proteins, Tat and Rev, might be prerequisites for efficient vaccination.
2) As SIV preys on the very CD4 T cells needed to induce good immunity, the anti-SIV CD4 T lymphocytes, low levels of replication allow the generation of robust immunity with little loss of these crucial T cells.
HIV-1 or HIV-2 derivatives with CMV-IE promoters, or any heterologous promoter, whether being of viral or eukaryotic origin, that results in highly reduced replication in vivo, can be used as live attenuated HIV virus vaccines. An advantage of these viruses over others is their complete complement of proteins and their low replication properties in primary infection.
Derivatives of such HIV-1 and HIV-2 promoter exchanged viruses with deletions within the open reading frames, for example vif, vpr, nef can be constructed to attenuate further the virus in a manner already described for SIV. The LTR could be redesigned so that nef and LTR no longer overlap. This would provide a vector in which the so called negative regulatory element (NRE) sequences can no longer act in cis on the endogenous or exogenous promoters that will be used, a phenomenon that has been already noted in lentiviral vectorology
Recently the group of Mark Wainberg at the University of Toronto, Canada, made a derivative of SIV which resembles the SIVmegalo construct (Guan et al., 2001). Their virus, termed SIVmac239Δnef-CMV, contained a deleted nef gene as its name implies (
By contrast SIVmegalo grows well on monkey PBMCs after a delay of 5-7 days with respect to SIVmac239. SIVΔMC grows almost as well as SIVmac239 with only three days delayed on macaque PBMCs.
The invention encompasses recombinant HIV and SIV viruses containing heterologous transcriptional regulatory elements in the U3 region of the virus. In particular embodiments, the recombinant virus has decreased replication in vivo and the virus has a protective effect when administered to a host.
In one embodiment, the invention encompasses a recombinant SIV or HIV virus in which sequences in the natural transcriptional regulatory elements in the U3 region of the virus have been replaced by sequences encoding heterologous transcriptional regulatory elements.
In another embodiment, recombinant SIV or HIV is purified. In one embodiment, purified SIV or HIV is free of cells. In another embodiment, purified SIV or HIV is purified on a gradient or by pelletting by centrifugation.
A recombinant SIV or HIV virus is one that has been genetically altered to recombine a naturally occurring nucleic acid sequences of the virus with at least one non-naturally occurring nucleic acid sequence. Many molecular biological methods known in the art including PCR can be used to generate a recombinant HIV or SIV virus.
In one embodiment, the HIV virus is an HIV-1 virus. In another embodiment, the HIV virus is an HIV-2 virus. In another embodiment, the virus is a SHIV virus. A SHIV virus is an SIV virus in which a part of the HIV genome has been integrated.
The “replaced sequences” or “replaced region” refers to those bases that are deleted with respect to a naturally occurring wild-type purified SIV or HIV virus. In one embodiment, the naturally occurring wild-type purified SIV virus is wild-type SIVmac239. In another embodiment, the naturally occurring wild-type purified HIV is HIV-1 BRU. In another embodiment, the naturally occurring wild-type purified HIV is HIV-2ROD.
The replaced sequences or replaced region can be as few as 25 bases, preferably at least 30, 40, 50, 60, 70, 80, or 90 bases, and more preferably at least 100, 120, 150, 200, 250, 300, 400, or 500 bases. Replaced regions of less than 500, 400, 300, 250, 200, 150, 120, 100, 90, 80, 70, 60, 50, 40, 30, and 25 bases are also preferred. Particularly preferred are regions of 25-500 bases, 90-100 bases, and all other ranges of bases that can be extrapolated from the above-mentioned range endpoints.
In one embodiment, the replaced sequences are bases −123 to +1 relative to the transcriptional start site of genomic RNA of an HIV-1 virus. In another embodiment, the replaced sequences are bases −190 to +1 relative to the transcriptional start site of genomic RNA of an HIV-2 virus. In another embodiment, the replaced sequences are bases −114 to +1 relative to the transcriptional start site of genomic RNA of SIVmac239. In another embodiment, the replaced sequences are bases −114 to +93 relative to the transcriptional start site of genomic RNA of SIVmac239.
In another embodiment, the replaced sequences correspond to bases −114 to +1 relative to the transcriptional start site of genomic RNA of SIVmac239, or bases −114 to +93 relative to the transcriptional start site of genomic RNA of SIVmac239, but are from a virus that is homologous to this virus. In this context, “corresponds to” refers to those sequences of another virus that maximally align by comparison of sequence homology with this region of SIVmac239.
Likewise, “corresponds to” can be used in reference to other HIV and SIV strains. For example, sequences may correspond to bases −190 to +1 relative to the transcriptional start site of genomic RNA of HIV-2ROD or bases −123 to +1 relative to the transcriptional start site of genomic RNA of HIV-1BRU. Sequences that correspond to a given sequence are preferably 30% identical, more preferably 50%, 60%, or 70% identical, and most preferably 80%, 90%, 95%, or 99% identical in nucleotide sequence.
The “replacement sequences” or “replacement region” refers to those bases that are inserted with respect to a naturally occurring wild-type purified SIV or HIV virus. In one embodiment, the naturally occurring wild-type purified SIV virus is wild-type SIVmac239. In another embodiment, the naturally occurring wild-type purified HIV is HIV-1BRU. In another embodiment, the naturally occurring wild-type purified HIV is HIV-2ROD.
The replacement sequences or replacement region can be can be as few as 25 bases, preferably at least 30, 40, 50, 60, 70, 80, or 90 bases, and more preferably at least 100, 120, 150, 200, 250, 300, 400, or 500 bases. Replaced regions of less than 500, 400, 300, 250, 200, 150, 120, 100, 90, 80, 70, 60, 50, 40, 30, and 25 bases are also preferred. Particularly preferred are regions of 25-500 bases, 90-100 bases, and all other ranges of bases that can be extrapolated from the above-mentioned range endpoints.
Heterologous transcriptional regulatory elements include heterologous promoter or heterologous enhancer elements. A heterologous promoter or heterologous enhancer is a promoter or enhancer that is operably linked to a nucleic acid sequence that it is not normally linked to in nature. The heterologous promoter or enhancer can be any eukaryotic, prokaryotic, synthetic, or viral promoter or enhancer. In one embodiment, the heterologous transcriptional regulatory element is a eukaryotic promoter. In another embodiment, the heterologous promoter is a viral promoter. In another embodiment, the viral promoter is from a virus that infects human cells. In another embodiment, the heterologous promoter is a cytomegalovirus immediate early promoter (CMV-IE).
In some embodiments the recombinant virus contains a CMV-IE promoter/enhancer having deletions in the −420 to −130 region. In some embodiments, the virus has transcriptional regulatory elements having a sequence shown in
In one embodiment, the recombinant virus replicates poorly in a host. In one embodiment, the recombinant virus replicates to wild-type titers in PBMCs, but grows to a peak primary viremia titer in a host of at least 1 log less than the wild-type virus. In another embodiment, the recombinant virus replicates to wild-type titers in PBMCs, but grows to a peak primary viremia titer in a host of at least 2 logs less than the wild-type virus. In another embodiment, the recombinant virus replicates to wild-type titers in PBMCs, but grows to a peak primary viremia titer in a host of at least 3 logs less than the wild-type virus. In one embodiment, the recombinant virus replicates to at least 0.5, 0.3, or 0.1 of wild-type titers in PBMCs.
In another embodiment, the recombinant virus is immunogenic. An immunogenic composition containing the recombinant virus is encompassed by the invention. The immunogenic composition can contain an pharmaceutically acceptable carrier or vehicle. Immunogenic compositions can also contain expression vectors of the invention, cells containing the expression vectors or viruses of the invention, particularly infected mononuclear cells.
In another embodiment, an antiviral antibody response is detectable 20 days after infection of the host with the recombinant virus. In other embodiments, an antiviral antibody response is detectable 30, 40, 50, 75, or 100 days after infection of the host with the recombinant virus. In another embodiment, the antiviral antibody response is at least 1 log less, at least 2 logs less, or at least 3 logs less than that generated by the wild-type virus at a particular timepoint post-infection. In other embodiments, the timepoint is 20, 30, 40, 50, 75, or 100 days after infection.
In another embodiment, the recombinant virus has a protective effect when administered to a host. That a virus has a “protective effect when administered to a host,” means that the host has no detectable plasma viremia (i.e. <400 copies/ml) at all timepoints out to two months post-challenge with a wild-type virus.
In one embodiment, the recombinant SIV or HIV virus contains all of the genes of a wild-type virus. In another embodiment, the recombinant virus is deleted for at least part of the nef gene, the vif gene, the vpr gene, the vpx gene or the vpu gene, individually, or in any combination. For example, the recombinant virus may be deleted for at least part of vpx and vpr, vpr and nef, vpx and nef, vpx and vpr and nef, or vif and vpx and vpr and nef. The recombinant virus may also be deleted at least part of the tat or rev gene.
The invention further encompasses expression vectors containing nucleic acid sequences of recombinant HIV or SIV viruses. The invention also encompasses cells containing expression vectors containing nucleic acid sequences of the recombinant HIV or SIV viruses and cells containing recombinant HIV or SIV viruses.
The invention further encompasses processes for the production of SIV or HIV. In one embodiment, the virus is produced by infecting mononuclear cells with recombinant HIV or SIV. In another embodiment, SIV or HIV is isolated by collecting cell supernatant from infected cells. In another embodiment, mononuclear cells are isolated from peripheral blood. In another embodiment, the peripheral blood is human blood.
The recombinant HIV and SIV can be formulated into pharmaceutical compositions, which can be delivered to a subject, so as to allow production of attenuated virus. Pharmaceutical compositions comprise sufficient virions that allows the recipient to produce an immunogenic response against the administered virus. Particularly, 1-2000 TCID50 (tissue culture infections dose) of the virus are used. More particularly, 1-200 TCID50 of the virus are used. In a particular embodiment, 200 TCID50 of the virus are used.
The compositions may be administered alone or in combination with at least one other agent, such as stabilizing compound, which may be administered in any sterile, biocompatible pharmaceutical carrier, including, but not limited to, saline, buffered saline, dextrose, and water.
The compositions may be administered to a patient alone, or in combination with other agents, clotting factors or factor precursors, drugs or hormones. In some embodiments, the pharmaceutical compositions also contain a pharmaceutically acceptable excipient. Such excipients include any pharmaceutical agent that does not itself induce an immune response harmful to the individual receiving the composition, and which may be administered without undue toxicity.
Pharmaceutically acceptable excipients include, but are not limited to, liquids such as water, saline, glycerol, sugars and ethanol. Pharmaceutically acceptable salts can be included therein, for example, mineral acid salts such as hydrochlorides, hydrobromides, phosphates, sulfates, and the like; and the salts of organic acids such as acetates, propionates, malonates, benzoates, and the like. Additionally, auxiliary substances, such as wetting or emulsifying agents, pH buffering substances, and the like, may be present in such vehicles. A thorough discussion of pharmaceutically acceptable excipients that could be used in this invention is available in Remington's Pharmaceutical Sciences (Mack Pub. Co., 18th Edition, Easton, Pa. [1990]).
Pharmaceutical formulations suitable for administration may be formulated in aqueous solutions, preferably in physiologically compatible buffers such as Hanks's solution, Ringer's solution, or physiologically buffered saline. Aqueous injection suspensions may contain substances which increase the viscosity of the suspension, such as sodium carboxymethyl cellulose, sorbitol, or dextran. Additionally, suspensions of the active compounds may be prepared as appropriate oily injection suspensions. Suitable lipophilic solvents or vehicles include fatty oils such as sesame oil, or synthetic fatty acid esters, such as ethyl oleate or triglycerides, or liposomes. Optionally, the suspension may also contain suitable stabilizers or agents which increase the solubility of the compounds to allow for the preparation of highly concentrated solutions.
It is intended that the dosage treatment and regimen used with the present invention will vary, depending upon the subject and the preparation to be used. Thus, the dosage treatment may be a single dose schedule or a multiple dose schedule. Moreover, the subject may be administered as many doses as appropriate to achieve or maintain the desired immunogenic response.
Direct delivery of the pharmaceutical compositions in vivo may be accomplished via injection using a conventional syringe. In some embodiments, the compositions are administered intravenously. In other embodiments, delivery is intramucosally, eg., rectally or vaginally.
Recombinant viruses can be used to treat either patients infected with HIV or those uninfected by administering the recombinant virus to the patient, measuring the immune response, and optionally boosting the immune system by modulating the expression of cytokines of the patient.
Recombinant viruses can be used to induce an immune response in a primate host. An immunogenic composition containing the recombinant virus can be introduced into the host. In a particular embodiment, the recombinant virus contains a heterologous CMV-IE promoter/enhancer sequence replacing part of the U3 sequence of the lentvirus, which causes the virus to replicate poorly in vivo, while inducing an strong antibody response.
SIV can be used in an animal model for the development of recombinant HIV vectors. In a particular model, an SIV containing a heterologous promoter is used in rhesus macaques to select for corresponding regions of HIV and to select for heterologous promoters for attenuated recombinant virus production. As part of this selection, recombinant viruses can be passaged in culture, particularly in PBMC, or in vivo, and the resultant viruses analysed.
The invention also encompasses a process of selection of an animal model for testing an immunogenic composition according to the invention. A recombinant SIV or SHIV virus of the invention can be used in an animal model for vaccination, and immunogenic response and viremia can be measured. Results with the animal model can be used to predict results with HIV viruses having similar heterologous transcriptional regulatory elements.
The specification is most thoroughly understood in light of the teachings of the references cited within the specification which are hereby incorporated by reference. The embodiments within the specification and the examples provide an illustration of embodiments of the invention and should not be construed to limit the scope of the invention. The skilled artisan readily recognizes that many other embodiments are encompassed by the invention.
Two derivatives of SIVmac239, SIVmegalo and SIVmegaloΔTAR constructs, were made by first deleting SIV U3 promoter sequences between the nef stop codon and the SIV transcription start (−114 to +1) or from −114 to +93, just 3′ to the double TAR motifs. The cytomegalovirus immediate early promoter (CMV-IE) was cloned in its place. The two chimeras were called SIVmegalo and SIVmegaloΔTAR.
The wild type SIVmac239 was available as two plasmids p239SpSp5′ and p239SpE3′ which contain the 5′ and 3′ halves of the genome, respectively (20, 34). The 3′ plasmid was unmodified and hence contains the nef stop signal which was shown to revert rapidly after in vivo infection (21). For the SIVmegalo and ΔTAR constructions, both half plasmids were modified. For the SIVmegaloΔTAR construction the modified LTR was first generated from two PCR fragments using primers: 5′ GGACG GAATTC AAT GCTAGC TAAGTTAAGG (SEQ ID NO:5) with 5′ TATCAAAT GCGGCCGC TTTTAGCGAGTTTCCTTCTTGTCAG (SEQ ID NO:6) and 5′ ATAAGAAT GCGGCCGC ACCAGCACTTGGCCG (SEQ ID NO:7) with 5′ ACGC GAATTC ACTAGT TGTTCCTGCAATATCTGA (SEQ ID NO:4). EcoRI, SpeI, NotI, and NheI restriction sites are underlined. These two PCR products were subcloned. For cloning in the 5′ half plasmid the products were cut with EcoRI/NotI and NotI/SpeI respectively, gel purified and ligated into p239SpSp5′. For the 3′ half plasmid the products were cut with NheI/NotI and NotI/EcoRI respectively, gel purified and ligated into p239SpE3′. The 532 bp CMV-IE promoter was amplified from a pCMV-CAT plasmid using primers containing flanking NotI sites i.e. 5′ TAAGAAT GCGGCCGC GCGTGGATGGCGTCTCCAGG (SEQ ID NO:1) and 5′ TAAGAAT GCGGCCGC TTACATAACTTACGG (SEQ ID NO:8). This fragment was then subcloned into the previous constructions at the NotI site. The two half plasmids were called pMT-5 and pMT-3.
For the SIVmegalo construction, two PCR fragments were generated using respectively the SIVmegaloΔTAR construction and CMV-IE promoter with the following primers: 5′ TAAGAAT GCGGCCGC GCGTGGATGGCGTCTCCAGG (SEQ ID NO:1) with 5′ GTTTAG TGAACCGTCAGTCGCTCTGCGGAGAGGCTG (SEQ ID NO:2) and 5′ CTG ACGGTTCACTAAACGAGCTCTGCTTATATAG (SEQ ID NO:3) with 5′ ACGC GAATTC ACTAGTTGTTCCTGCAATATCTGA (SEQ ID NO:4) (NotI and EcoRI sites underlined). PCR products were purified with primer purification kit (Quiagen) and annealed in PCR mix without primer for 5 cycles. External primers were then added for 30 more cycles. Annealed PCR products were cloned, double digested with NotI and NarI and the resulting fragment were gel purified and introduced in the SIVmac239 plasmids at the NotI and NarI sites. The two half plasmids were called Megalo3′ and Megalo5′. Bacteria containing plasmids Megalo3′ and Megalo5′ were deposited on Oct. 11, 2001, at the Collection Nationale de Cultures de Microorganismes (CNCM) at the Institut Pasteur, 25 Rue du Docteur Roux, F-75724, Paris, France under accession numbers 1-2728 and 1-2729, respectively.
SIVΔNIG and SIVMIG clone 61 constructs. A Nef gene deletion (9500-9670) was engineered into SIVmac239 leaving a SalI site as marker. To do so a XhoI site introduction was first introduced just 3′ to the nef stop codon amplification of two fragments with the following primers A1 5′ GGCGGATCCATAT AGATCT GCGACAGAGACTCTTGCGGG (SEQ ID NO:9) (BglII site underlined) with A3 5′ CCGC CTCGAG TTATTAGCGAGTTTCCTTCTTGTCA (SEQ ID NO:10) (XhoI site underlined) and A2 5′ GCGG CTCGAG AACAGCAGGGACTTTCCACAAGGGG (SEQ ID NO:11) (BglII site underlined) with A4 5′ GGGCGAATTCCCC GGATCC CTCGACCTGCAGCTGCAAA (SEQ ID NO:12) (BamHI site underlined) in the plasmid. Fragments were purified, digested with XhoI, ligated, digested with BglII and BamHI and ligated into p239SpE3′ devoid of the wild type BglII/BamHI fragment.
The Nef deletion was made by amplification of two fragments amplified using primers A1 with Δnef1 5′ CCGC GTCGAC TTACTAGTTATCACAAGAGAGTGAGCTCAAGCCC TTG (SEQ ID NO:13) (SalI site underlined) and A3 with Δnef2 5′ GGCG GTCGAC ATGTCTCATTTTATAAAAGAA (SEQ ID NO:14) (SalI site underlined). Fragments were purified, digested with SalI, ligated, digested with BglII and XhoI and cloned into the p239SpE3′-XhoI derivative. The complete IRES of encephalomyocarditis virus (EMCV) has been described (3). A 596 bp fragment was amplified using primers I1 5′ GCGC CTCGAG CCCCTCTCCCTCCC (SEQ ID NO:15) and I2 5′ GTCTCTTGTT CCATGG TTGTGG (SEQ ID NO:16), XhoI and NcoI underlined. The codon optimised green fluorescent protein (33) was amplified using primers g1 5′ CGCG CCATGG TGAGCAAGGGCGAG (SEQ ID NO:17) (NcoI site underlined) and g2 5′ CCGC CTCGAG TTACTTGTACAGCT (SEQ ID NO:18) (XhoI underlined). The 719 bp GFP fragment was cloned behind the EMCV IRES sequence with the ATG of the GFP gene embedded in the NcoI site. The XhoI-XhoI fragment containing IRES-GFP was cloned into the SalI site in nef deletion. When transfected with the 5′ half plasmid this construct gave rise to a GFP expressing virus called SIVΔNIG. From this half plasmid the Δnef-IRES-eGFP fragment was amplified using primers A1 with B2 5′ GGATC GCGGCCGC TGCTAGGGATTTTCCTGCTTCGG (SEQ ID NO:19) (NotI site underlined). This fragment was exchanged for BglII/NotI fragment in the 3′ half plasmid (pMT-3). When transfected with the 5′ half plasmid this construct gave rise to a GFP expressing virus called SIVMIG clone 61.
Promoter fragments were amplified from the half 5′ plasmids. A fragment spanning the primer binding site to the ATG of the gag gene was amplified from p239SpSp5′ using primers 5′ GGCGCC TGAACAGGGACTTGAAG (SEQ ID NO:20) (NarI site underlined) and 5′ TTTTTTCTCCATCTCCCACTCTATCTTATTACCCCTTCCTG (SEQ ID NO:21) (CAT sequences underlined). CAT and polyA sequences were amplified from an expression plasmid using primers: 5′ GAGTGGGAGATGGAGAAAAAAATCACTGG (SEQ ID NO:22) (CAT sequences underlined) and 5′ ACTAGTGCATGCAGGATCCAGACAT GATAAG (SEQ ID NO:23) (SphI site underlined). The two PCR products were purified and annealed in PCR mix without primers for 5 cycles. External primers were then added for 30 more cycles. Annealed PCR product was cloned, double digested with NarI and SphI, the resulting 1600 bp fragment cloned into pCMV-CAT. A 750 bp HpaI fragment containing the HIV-1 RRE/splice acceptor sequence (25) was added at the SmaI site, just 3′ to the CAT orf. Finally plasmids containing cloned wild type and modified promoter fragments were double digested with NotI and NarI and ligated into the CAT construct. A deleted CMV promoters clone 61 was introduced into the pCMV-CAT plasmid by exchanging NotI/NarI fragments.
All routine cloning was made in the Topo 2.1 TA plasmid (Invitrogen) using Top 10F′ super competent cells (Invitrogen). Sequences of the recombinant viruses are available at ftp.pasteur.fr/pub/retromol.
Half plasmids were double digested with EcoRI and SpeI and ligated. Stocks of SIVmac239, SIVmegalo, SIVmegaloΔTAR, SIVΔNIG or SIVMIG clone 61 were prepared by electroporation of CEMx174 (960° F., 250V). Virus were harvested at or near the peak of virus production, filtered (0.2 μm), aliquoted and stored at −80° C. Virus preparations were derived from a single passage after transfection on CEMx174 except for SIVΔMC virus which was derived from a 60 day SIVmegalo CEMx174 culture. Titration of infectivity was performed by calculation of the 50% tissue culture infectious dose (TCID50) by the Kärber method and RT concentration was determined by RT assays (Innovagen).
CEMx174 lymphoid cells were maintained in RPMI 1640 medium (GIBCO BRL) supplemented with 10% heat-inactivated fetal calf serum (FCS), 1% penicillin (100 U/ml), streptomycin (100 μg/ml). Culture medium was changed twice weekly. PBMCs from healthy, mature rhesus macaques were maintained in RPMI 1640 medium supplemented with 10% heat inactivated FCS, 1% penicillin, streptomycin, 5 μg/ml phytohemagglutinin for the first two days after which 2000 U/ml human recombinant IL-2 and 50% MLA 144 supernatant were added for the remainder. Infections were performed on 5×106 cells in 100 μl of virus stock during 2 hours at 37° C. then cells were washed twice and resuspended in 5 ml of culture medium. RT activity was determined on 10 μl centrifuge supernatant as recommended (Innovagen). All CEMx174 timepoints were made in triplicate.
Total CEMx174 or macaque PBMC genomic DNA was extracted using Masterpure extraction kit (Epicentre). Chimeric or wild type LTR DNA were nested amplified under standard conditions using flanking primers i.e. 5′CTAACCGCAAGAGGCCTTCTTAACATG (SEQ ID NO:24) and 5′GGAGTCACTCTGCCCAGCACCGGCCCA (SEQ ID NO:25) then 5′GGCTGACAAGAAGGAAACTCGCTA (SEQ ID NO:26) and 5′GGAGTCACTCTGCCCAGCACCGGCCAAG (SEQ ID NO:27). Products were cloned using the Topo 2.1 TA and sequenced using an Applied Biosystems 373A DNA sequencer. Sequencing primers were 5′ ATGGAAAACCCAGCTGAAG (SEQ ID NO:28), 5′CCCAGTACATGACCTTATGGG (SEQ ID NO:29), 5′CCAAAACCGCATCACCATGG (SEQ ID NO:30) and 5′ TCTTCCCTGA CAAGACGGAG (SEQ ID NO:31).
HIV-1 Tat and Rev expressing plasmids, pSV2/Tat HIV and pBLSV/Rev have been described (23, 26). For each assay 4×106 CEMx174 were transfected with 8 μg of CAT plasmid and 3 μg of pBLSV/Rev HIV with or without 3 μg pSV2/Tat expression plasmids using the DEAE-dextran method. When pSV2/Tat was not used 3 μg of pSV2gpt was added. After 4 days, the concentration of total protein lysates was determined by a commercial dye-binding method (Bio-Rad) and equal amounts of protein were used in standard CAT assays. All experiments were conduced at least twice including pAIIIR plasmid (35) as a positive control and pSV2gpt as negative control. Chromatograms were quantified using a Molecular Dynamics phosphor imager. Relative conversion was determined by normalizing the amount of acetylated C14 chloramphenicol of mutants constructions with respect to the SIVmac239 promoter activity in the presence of Tat control multiplied by 100.
Rhesus monkeys (Macaca mulatta) of Chinese origin were serologically negative for SIV, type D retrovirus and simian foamy virus. Animals were inoculated intravenously with 200 TCID50 of SIVmac239, SIVmegalo and SIVΔMC. Blood and serum samples were drawn twice weekly during the first month, once a week during the two following months.
SIV serum titres were quantified by bDNA signal amplification (Bayer, Amsterdam). The cut off was 400 viral RNA copies/ml of serum for 1 ml tested. Antibody titres were determined using the Sanofi-Pasteur kit.
In situ hybridization was performed on frozen lymph node mononuclear cells (LNMC) as previously described with a 35S-labeled SIVmac142 env-nef RNA probe (5).
The SIV U3 promoter sequences following the Nef stop codon were replaced by those of the powerful immediate early 2 promoter from human CMV. Two constructs were made differing only in the presence or absence of SIV TAR sequences (
CEMx174 cells were transfected with ligated inserts derived from half plasmids. Supernatants were harvested regularly and viral stocks made when RT activity was maximal. For replication studies, five million CEMx174 cells were infected with 1 ng of RT activity which corresponds to ˜1 TCID50 per 103 cells, except for SIVmegaloΔTAR for which it was impossible to obtain more than 0.1 ng/ml of RT activity. SIVmegalΔTAR grew very poorly with a peak viremia approximately 3 logs lower than SIVmac239 and delayed by 10 days (
In order to understand the delayed peak viremia for SIVmegalo, the promoter region was analyzed to verify its stability. Primers spanning the cloning sites were used to amplify the promoter region from total cellular DNA from SIVmegalo infected CEMx174 cells. Of three independent cultures, a typical analysis is shown in
Promoter activities were analyzed in standard CAT assays. Transcriptional activities were determined using CAT reporter gene cloned in exactly the position of the gag. In order to avoid irrelevant splicing HIV-1 RRE sequence was added downstream of CAT at the HpaI site (
SIVmegalo and SIVmac239 were used to infect PHA-stimulated PBMCs from three naive rhesus monkeys in the presence of human interleukin 2. The equivalent of 1 ng of RT activity was used to infect 5×106 PBMCs. SIVmegalo replication was delayed by 4 to 10 days compared to wild type virus (
Two rhesus macaques (93029 and 93035) were inoculated intravenously with 200 TCID50 of SIVmegalo. Viral replication was tested by bDNA Chiron test. The virus replicated very poorly indeed with only one serum sample scoring positive (6K copies/ml) for viral RNA, and this at day 4 (
The second animal (no. 93029) was inoculated with the same dose of SIVmegallo. No virus whatsoever could be detected in the periphery by the bDNA assay, as though there the virus had not taken. Followed the animal for 6 months showed that antibody came up and plateaued by 3 months indicative of infection. SIV proviral DNA could be detected in PBMCs intermittently (18/26 attempts) confirming that the animal had truly been infected.
A variant of the SIVmegallo virus, termed SIVΔMC, was constructed which contained a ˜270 bp deletion within the CMV-IE promoter (see
As controls two animals (960548 and 960836) were infected intravenously with the same dose that for SIVmegalo and SIVΔMC of SIVmac239. Peak viremia was in excess of 100K copies/ml (
To check the stability of the SIVmegalo promoter the region was amplified from DNA extracted from a lymph node from SIVmegalo infected monkey (93035) taken at day 100. Viruses in the lymph node sample all had the same 190 bp deletion in the 5′ enhancer region (
All three animals (93035, 93029 & 94025) were challenged by the intravenous route with 200 TCID50 of a standard stock of SIVmac239. This is equivalent to ˜2000 AID50 (animal infectious doses). Normally 1 TCID50 is enough to infect animals. As controls two naive animals (nos 960548 & 960836) were inoculated SIVmac239. Both showed signs of high primary viremia by day 15 which is perfectly normal. Viremia then settled down to a titre of around 105/ml. High ELISA titre antibody was elicited within one month of infection. These findings confirm that the challenge stock was behaving in our hands as expected.
Challenge of the three animals already infected by SIVmegallo or SIVΔMC failed to breakthrough. No detectable plasma viremia (i.e. <400 copies/ml) was found at all timepoints out to two months post-challenge.
The inoculating viruses (SIVmegalo and SIVΔMC) and the challenge viruses (SIVmac239) differ only in their LTRs, notably their size. Therefore in order to ascertain whether the challenge 239 virus took in the animals a fragment spanning the U3 promoter region was amplified with oligos common to the inoculating and challenge virus. The size of the corresponding fragment from SIVmac239 challenge virus is 260 bp, while those of SIVmegalo and SIVΔMC are 657 and 386 bp respectively. Hence amplification of this region could distinguish the three viruses.
As can be seen from
Clearly SIVmegalo grew very poorly in vivo (
To test this notion, the nef gene in wild type virus or in SIVΔMC clone 61 virus was replaced by with the IRES-eGFP reporter gene (
A promoter fragment derived from 60 day culture of SIVmegalo on CEMX174 cells was cloned in place of the CMV-IE insert in plasmids Megalo5′ and Megalo3′. The two half plasmids were called ΔMC3′ (or delta MC3′) and ΔMC5′ (or delta MC5′). Bacteria containing plasmids ΔMC3′ and ΔMC5′ were deposited on Oct. 11, 2001, at the Collection Nationale de Cultures de Microorganismes (CNCM) at the Institut Pasteur, 25 Rue du Docteur Roux, F-75724, Paris, France under accession numbers I-2726 and I-2727, respectively.
The SIV ΔMC3′ (or SIV delta MC3′) and SIV ΔMC5′ (or SIV delta MC5′ plasmids contain the following promoter sequence:
This application is a divisional of application Ser. No. 11/512,315, filed Aug. 30, 2006, which is a continuation of application Ser. No. 10/268,927, filed Oct. 11, 2002, and claims the benefit of U.S. provisional application No. 60/328,449, filed Oct. 12, 2001, all of which are incorporated herein by reference in their entirety.
Number | Date | Country | |
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60328449 | Oct 2001 | US |
Number | Date | Country | |
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Parent | 11512315 | Aug 2006 | US |
Child | 12195778 | US |
Number | Date | Country | |
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Parent | 10268927 | Oct 2002 | US |
Child | 11512315 | US |