The present disclosure relates to an influenza vaccine composition based on a novel ribonucleic acid having a dual function of serving as an adjuvant and capturing antigens.
Specifically, the present disclosure describes a vaccine composition, in which an influenza antigen is accommodated in a novel hetero-structured ribonucleic acid (hsRNA) adjuvant, and use thereof for preventing or treating influenza virus infection. The novel hsRNA may be defined as having a specific length or sequence selected through an in vivo splenic dendritic cell activation assay. When a vaccine composition, in which the hsRNA is loaded with an influenza antigen, for example, an influenza whole virus antigen or a surface antigen, is administered into the body, e.g., nasally delivered, it is possible to effectively protect death of the individual from fatal infection.
A) Influenza Virus
Influenza virus (IV) is a virus consisting of 8 single-stranded, negative-sense RNA segments that express 10 to 13 types of proteins, and belongs to the Orthomyxoviridae family. Influenza virus is classified into types A, B, and C according to the antigenic property of nucleoprotein (NP) and matrix (M) protein, which are structural proteins attached on the surface of the virus. In humans, types A and B are known to be mainly pathogenic. Type A is able to infect not only humans, but also pigs and birds. Humans are the only host of Type B.
Influenza virus consists of two surface glycoproteins, i.e., surface antigens, hemagglutinin (H or HA) and neuraminidase. Influenza virus is divided into subtypes according to the type and combination of hemagglutinin, which is an antigenic projection binding to sialic acid which is a receptor of a host cell, and neuraminidase, which cleaves sialic acid to release a sialic acid-bound virus into cells. These subtypes are classified mainly based on type A influenza. Currently, 18 types of hemagglutinin from H1 to H18 and 11 types of neuraminidase from N1 to N11 have been found. By combining them, influenza type A may theoretically have 198 different combinations of subtypes. Influenza B virus is divided into two lineages, Victoria and Yamagata, according to the antigen type.
Influenza has a characteristic that antigenic variation occurs gradually or drastically almost every year, as is typical of RNA viruses. Antigenic drift occurs almost every year mainly on influenza A and B, which are the cause of seasonal epidemic. Therefore, the World Health Organization (WHO) decides and announces the recommended vaccine for the season around February every year by summarizing virus epidemic information. Antigenic drift, which is a point mutation in the same subtype, is a phenomenon in which hemagglutinin or neuraminidase is replaced by a new hemagglutinin or neuraminidase with slightly altered antigenicity through minor antigenic variation. Antigenic shift produces a new virus by changing the subtype such as H3N2→H2N2. In addition to these two variations, variations may occur when cultured in embryonated eggs, which may cause differences in antigenicity. Since such variations were not found in cell culture, vaccines using viruses cultured in mammalian cells are preferred.
Among hemagglutinin and neuraminidase surface antigens, immunity to hemagglutinin is particularly associated with prevention of influenza and severity of the disease. Therefore, the most important component of an influenza vaccine is hemagglutinin, and a neutralizing antibody produced in the body against hemagglutinin plays a critical role in preventing influenza virus infection.
In 1918, human influenza type A virus (H1N1) spread from birds to humans and pigs, causing a pandemic. In 1957, human influenza type A H2N2 appeared. In 1977, human influenza type A virus H1N1 appeared again, and became a virus that is the main cause of seasonal influenza, along with human influenza type A virus H3N2 which appeared in 1968. The novel influenza virus (pandemic influenza H1N1 2009), which has been prevalent worldwide since April 2009, is a newly created influenza virus due to antigenic shift through genetic recombination.
B) Influenza Vaccine
Influenza vaccine should be given annually due to antigenic drift and duration of immunity of less than 1 year. The recommended time for immunization is the period from October to December every year in consideration of the influenza epidemic period, i.e., December to April of the following year, the duration of immunity, i.e., 6 months on average, etc.
Current influenza vaccines include inactivated vaccines and live attenuated influenza vaccines (LAIV). With regard to inactivated vaccines, viruses cultured in fertilized eggs, i.e., embryonated eggs are inactivated with formalin, etc., or viruses proliferated in cell culture are inactivated, surface antigens thereof are harvested, and then intramuscularly injected (i.m.) as a vaccine antigen. Live vaccines are administered by intranasal spraying.
Inactivated vaccines include whole virus vaccines using the whole virus, split vaccines (subvirion) prepared by splitting the virus envelope with ether, etc., subunit vaccines prepared by purifying hemagglutinin and neuraminidase components, etc. Hemagglutinin and neuraminidase are antigens that directly induce neutralizing antibody responses, and hemagglutinin is the major neutralizing antigen. Since whole virus vaccines causes side effects in children, they are not commonly used around the world including Korea currently, and used only in some countries. In contrast, component vaccines such as split vaccines and subunit vaccines are very safe and have been recognized for their efficacy, and thus are used the most frequently.
In addition, to enhance immune responses, vaccines containing adjuvants such as MF-59 or virosome vaccines forming virus-like vesicles have been developed and used in some countries. In particular, it is required to include a strong and safe adjuvant in the vaccine in order to provide a sufficient level of immune defense against influenza virus infection for the purpose of prevention or treatment.
Antibodies against a specific subtype or type of influenza virus, which are obtained through natural infection or vaccines, have problems in that they usually do not form protective antibodies against other types or subtypes of influenza viruses, and do not exhibit sufficient immunogenicity against new variants within one antigen.
Since influenza viruses cause large and small variations every year, the epidemic strain changes every year, and thus it is difficult to expect protection from the vaccination in the previous year. Therefore, there is a difficulty in that the vaccine need to be given annually.
In the development stage of influenza inactivated vaccines, to evaluate new candidate substances, mice are immunized and then attacked with virus to evaluate efficacy and potency of the candidate vaccine by survival rates. Practically, the potency is mainly evaluated by a content of HA among various viral protein antigens included in the vaccine. Currently, it is common that vaccines are prepared to include 15 μg of HA for each subtype. Vaccine efficacy is tested through a challenge test after vaccination of susceptible animals. It is required to submit data that can confirm whether defense responses occurred or to submit data that can confirm whether defense responses equivalent thereto occurred.
In non-clinical immunogenicity studies of vaccines, appropriate immune responses such as humoral and cell-mediated immune responses induced in vaccinated experimental animals should be evaluated. Evaluation is made through seroconversion, geometric mean titer (GMT) of antibodies, cell-mediated immunity, etc., depending on induced immune responses. In non-clinical immunogenicity test for influenza vaccines, antibody titers are mainly determined by the hemagglutination inhibition (HI) in laboratory animals. In other words, it is known that the risk for influenza infection is reduced when the serum HI antibody titers are 1:40 or higher after immunization with the inactivated vaccine, but it is not absolute. It has been suggested that when the HI antibody titers are 1:15-1:65, the disease may be prevented in 50% of subjects, and efficacy rates increase as the titers increase (Hobson D et al, Journal of Hygiene 70:767-777,1972) (de Jong J C et al, Developmental Biology. 115:63-73, 2003). Seroconversion and GMT have been used as measures of vaccine potency (Committee for Proprietary Medicinal Products (CPMP). Note for guidance on harmonization of requirements for influenza vaccines. CPMP/BWP/214/96. The European Agency for the Evaluation of Medicinal Products (EMEA), March 1997) (Treanor J et al, Vaccine. 20:1099-1105, 2002). In addition, the neutralizing antibody titers related to the function of the immune responses need to be also evaluated, and live attenuated vaccines need to be evaluated for mucosal secretory antibodies, cell-mediated immunity, etc. Influenza live vaccines may greatly differ from inactivated vaccines in terms of the immune responses generated after vaccination. This is because live vaccines have lower serum HI antibody titers than inactivated vaccines, but more induce mucosal secretion of secretory antibodies and cell-mediated immune responses. Therefore, the efficacy of the vaccines cannot be predicted by the HI antibody titers generated after vaccination.
Seasonal influenza vaccines currently used provide protective immunity only against virus strains used in the vaccines, and thus development of economical and effective influenza vaccines capable of providing sufficient cross-protective immunity against various subtypes is required. To develop universal vaccines with cross-immunity, it is necessary to use an antigen with minimal antigen variation or to stimulate mucosal immunity. In some cases, one or more HA2 domains of HA with low antigen variation are overlapped and used as a vaccine antigen (Korean Patent No. 10-1637955).
C) Influenza Mucosal Vaccine
Vaccines administered parenterally or intranasally work by inducing anti-hemagglutinin IgG antibodies by penetrating the lower respiratory tract. Both IgA and serum IgG, which are key antibodies of mucosal immunity, are involved in immunity against influenza virus, and in particular, stimulation of mucosal immunity through the nasal passages may effectively prevent upper respiratory tract infections (Clements M. L. et al, J. Clinical Microbiology 24, 157-160, 1986). Moreover, in mice, respiratory IgA plays an important role in defense against influenza infection. An advantage of stimulating the local respiratory IgA response to influenza is that the local respiratory IgA response exhibits more extensive protective immunity than the serological response, thereby also providing cross-protection against viruses with hemagglutinin molecules different from those of vaccine antigens. Therefore, an influenza vaccine that induces anti-hemagglutinin responses both in the local secretory organs and in the serum provides superior immunity, as compared to the current vaccines. In contrast, parenteral vaccine injection (intramuscular injection, subcutaneous injection, etc.) is ineffective in inducing local antibody production unless there is a separate mucosal exposure (i.e., infection). In other words, to stimulate the mucosal immune system, vaccines must be topically applied to the mucosal surface.
Among advantages provided by mucosal administration of influenza vaccines, such as intranasal spraying or instillation, as compared with traditional parenteral methods such as intramuscular, subcutaneous or intravenous administration, the most notable advantage is that the local mucosal immune system of the respiratory tract is more effectively stimulated and vaccination rates may be reconsidered, because of being free from fear and anxiety of needles. Practically, intramucosal administration of an inactivated vaccine with low immunogenicity into the human body induced a stronger antibody response and provided protective immunity than intramuscular administration of a live vaccine or an attenuated vaccine (Kuno-sakai et al, Vaccine 12: 1303-1310, 1994). However, the intramucosal administration method presented in the above paper has a disadvantage in that the vaccine has to be used three times more than the amount used for intramuscular administration into the patient, and thus it has not been commercially used.
To overcome the above problem, there have been other attempts to improve immunogenicity of influenza vaccines when administered orally or intranasally. Examples thereof include a method of using Cholera toxin (CTB) B subunit (Tamura S. et al, Vaccine 6:409, 1988), a method of encapsulating vaccine antigens in various microspheres (Moldoveanu Z et al, J. Inf. Dis. 167: 85-90.1993), or a method of using live attenuated strains (Maassab H. F. et al, Vaccine, Plotkin S. A. and Mortimer F. A. Jr. (eds) W. B. Saunder Philadelphia p435, 1993). However, a practical method capable of enhancing immunogenicity by administering influenza vaccines to the mucous membrane on the route of infection has not yet been developed.
D) Vaccine and Adjuvant
Vaccination or immunization is the most effective way to prevent or treat various diseases, but there are still problems to be overcome. In other words, many vaccines are occasionally ineffective to provide protective immunity, and many vaccines must be administered several times, and their efficacy decreases over time, and thus additional revaccination is sometimes required.
Generally, an adjuvant or immunity-boosting agent per se is not sufficient to induce production of antibodies or cellular responses, and includes single or mixed compounds or live agents that increase immunogenicity of an antigen. Alternatively, some adjuvants are formulated to reduce immunogenicity and side effects. Overall, adjuvants provide a moderately strong and consistently robust, antigen-specific enhanced immune response in a variety of ways, for example, promoting antigen presentation of the immune system, reducing a requirement dose of antigen, and providing an additional benefit of avoiding multiple injections.
Innate immune cells recognize abnormal patterns or danger signals from invading infectious pathogens or vaccinated antigens, and transmit them to the adaptive immune system. The intrinsic qualitative and quantitative signals of the adaptive responses are amplified depending on the level and specificity of the patterns, demonstrating importance of the innate immunity in the adaptive immune responses. An adjuvant vaccine composition is one of the most effective and cost-efficient ways to prevent or treat a disease.
To effectively customize a vaccine, a stronger and safer adjuvant should be included in the vaccine composition. Such a novel adjuvant provides many advantages, such as broad responses to various antigens, induction of effective humoral and cellular immune responses, neutralization, in particular, killing of pathogens. In addition, adjuvants of adjuvant vaccines may help reduce a requirement dose of antigen and provide cross-protective and long-lasting immune responses during aging.
E) Double-Stranded Ribonucleic Acid which is a TLR3 Ligand in Innate Immunity
Dendritic cells are derived from hematopoietic bone marrow progenitors of the bone marrow, and initially differentiated into immature dendritic cells, characterized by high endocytic activity and low T-cell activation potential. Immature dendritic cells constantly monitor the environment for viruses and bacteria, which is achieved through pattern recognition receptors (PRRs) such as TLRs. Virus infection and pathogenicity of double-stranded ribonucleic acid to single-stranded ribonucleic acid or abnormal ribonucleic acid may serve as a danger signal. TLR recognizes specific chemical markers found in a group of pathogens, and when dendritic cells encounter antigens, they are activated to mature dendritic cells, which begin migration to lymph nodes. Immature dendritic cells phagocytose pathogens, and upon maturation, present fragments at their cell surface using major histocompatibility complex (MHC) molecules. Simultaneously, they greatly enhance, on their surface, expression of T-cell activation co-stimulating factors such as CD80 (B7.1), CD86 (B7.2), and CD40 that activate T cells. Dendritic cells also upregulate CCR7, which is a material that induces the dendritic cells to travel to the spleen or lymph nodes. Here, dendritic cells act as antigen-presenting cells to present antigens, and activate helper T cells, and killer T cells and B cells.
As described above, dendritic cells play an important role in innate and adaptive immune responses, which is attributed to maturation of dendritic cells (DCs) characterized by increased expression of co-stimulatory factors, pro-inflammatory cytokine production, and antigen presentation. Different subsets of dendritic cells display different specific functions. CD8α-positive classical dendritic cells (cDCs) have a selective ability to cross-present intracellular antigens via MHC class I. This function is important for generation of CTLs against virus antigens or nuclear antigens from cells during necrosis. In contrast, extracellular antigens are captured and transported to endosomes/lysosomes of CD8α-negative cDCs, where the antigens are degraded into antigenic peptides, complexed with MHC class II molecules, and recognized by CD4 T cells. During maturation of dendritic cells, antigen-loaded dendritic cells spontaneously migrate to secondary lymph nodes and acquire the ability to stimulate T cells. These dendritic cells produce CD4 helper T cells that produce specific types of cytokines and pro-inflammatory cytokines that critically influence the induction of CD8 CTLs.
To induce tumor antigen-specific CTL activation in a tumor vaccine, the tumor antigen must be cross-presented by CD8α-positive dendritic cells. In addition, CD4 T cell activation induced by mature CD8α-negative dendritic cells is required. CD8α-negative cDCs, which are a major population of mouse spleen, have a selective ability to directly present extracellular antigens to CD4 T cells. Pathogen-derived substances or immunity-boosting agents at the site of infection or immunization activate dendritic cells to induce expression of co-stimulatory factors and cytokines, which act together with the MHC-antigen complex to differentiate cognate T cells into antigen-specific CTLs and helper T cells.
TLR3 is normally expressed in endosomal compartments on myeloid dendritic cells (mDCs), B cells, mononuclear cell-derived macrophages, and many tumor tissues, and detects a double-stranded ribonucleic acid of virus, which is a hallmark of viral infection or replication, in infected cells. When the double-stranded ribonucleic acid is recognized by TLR3, MDA-5, NLRP3, it stimulates type I interferon and pro-inflammatory cytokines. When mDCs are activated into mature antigen-presenting cells (mAPCs), antigen epitopes are loaded onto MHC-1 molecules and presented to naive T cells. Activation of dendritic cells by TLR3 enzyme not only contributes to induction of innate and adaptive immune responses against microbial pathogens, but also stimulates anti-tumor CD8+ T cells to promote natural killer (NK) cell activation and tumor cell death.
F) Single-Stranded Ribonucleic Acid Acting as a TLR7 Ligand in Innate Immunity
Single-stranded ribonucleic acid oligonucleotides containing (preferably enriched in) guanosine (G) and uridine (U) may originate from an invading pathogen, which stimulate dendritic cells and macrophages to secrete interferon alpha, pro-inflammatory cytokines, and regulators. They were found to be recognized by TLR7 and TLR8. TLR7 detects single-stranded ribonucleic acids and induces NF-kappa-B activation, cytokine secretion and inflammatory responses via MYD88 and TRAF6 in innate immunity. Much like TLR3 and TLR9, TLR7 and TLR8 are also commonly expressed on endosomal membranes. TLR7 also responds to chemical ligands (e.g., imidazoquinoline). According to crystal structure studies, TLR7 is a dual receptor for a single-stranded ribonucleic acid containing guanosine and uridine. In TLR7, a first conserved ligand binding site is used for small ligand binding and a second site is used for single-stranded ribonucleic acid binding. It is known that the first site preferentially detects guanosine while the second site binds specifically to the uridine moiety of single-stranded ribonucleic acid.
Since the current seasonal influenza vaccines provide protective immunity only against virus strains used in the vaccines, the development of economical and effective influenza vaccines capable of providing sufficient cross-protective immunity against various subtypes is required.
To develop universal vaccines with cross-immunity, it is necessary to use an antigen with minimal antigen variation or to stimulate mucosal immunity. In some cases, one or more HA2 domains of HA with low antigen variation are overlapped and used as a vaccine antigen (Korean Patent No. 10-1637955).
(Patent Document 1) Korean Patent NO. 10-1637955
The present disclosure provides an influenza vaccine with enhanced versatility.
Seasonal influenza vaccines currently used provide protective immunity only against virus strains used in the vaccines, and thus development of economical and effective influenza vaccines capable of providing sufficient cross-protective immunity against various subtypes is required.
An object of the present disclosure is to provide a novel universal influenza vaccine preparing for the emergence of new variants of influenza viruses by providing protective immunity against not only the same subtype as an antigen used in the vaccine, but also various subtypes of influenza A viruses different therefrom.
The present disclosure provides a vaccine composition for preventing or treating influenza virus infections, based on a novel hetero-structured ribonucleic acid (hsRNA) as an adjuvant.
Specifically, the present disclosure provides a vaccine and a pharmaceutical composition, in which the whole virus of an inactivated influenza virus or a surface antigen thereof is loaded on hsRNA having a novel structure, thereby providing protective immunity against a homotypic virus as well as a heterosubtypic virus. In particular, the vaccine composition of the present disclosure exhibits a robust and safe protective effect, particularly, when administered intranasally.
The hsRNA may be defined as having a specific length or sequence selected through an in vivo splenic dendritic cell activation assay. When the vaccine composition, in which the novel hsRNA is loaded with an influenza antigen, for example, an influenza whole virus or a surface antigen, is administered into the body, e.g., when intranasally administered, it is possible to effectively protect death of the individual from fatal infection.
In one embodiment, the present disclosure provides a vaccine composition for preventing or treating influenza type A virus infection, the vaccine composition including a hetero-structured ribonucleic acid (hsRNA) including a double-stranded ribonucleic acid (dsRNA) and single-stranded ribonucleic acids (ssRNAs); and a human influenza type A antigen, in which the dsRNA is formed by complementary binding between a first single-stranded RNA and a second single-stranded RNA which are complementary to each other, the ssRNAs are linked at both the 3′-ends of the dsRNA, respectively.
The hsRNA may have 140 to 1682 nt, 200 to 1500 nt, 300 to 1000 nt, 400 to 900 nt, or 600 to 900 nt in length. The dsRNA region may act as a TLR 3 ligand. The dsRNA may have 106 to 1648 nt, 200 to 1500 nt, 300 to 1000 nt, 400 to 900 nt, or 600 to 900 nt in length.
The ssRNA region may have 1 to 100 nt, 1 to 90 nt, 1 to 80 nt, 1 to 70 nt, 1 to 60 nt, 1 to 50 nt, 1 to 40 nt, 1 to 30 nt, 1 to 20 nt, 1 to 20 nt, 1 to 15 nt, 1 to 10 nt, 1 to 8 nt, 1 to 6 nt, 2 to 100 nt, 2 to 90 nt, 2 to 80 nt, 2 to 70 nt, 2 to 60 nt, 2 to 50 nt, 2 to 40 nt, 2 to 30 nt, 2 to 20 nt, 2 to 10 nt, 2 to 8 nt, 2 to 6 nt, 3 to 100 nt, 3 to 90 nt, 3 to 80 nt, 3 to 70 nt, 3 to 60 nt, 3 to 50 nt, 3 to 40 nt, 3 to 30 nt, 3 to 20 nt, 3 to 10 nt, 3 to 8 nt, 3 to 6 nt, 15 to 80 nt, or 17 to 75 nt in length. For example, the ssRNA region may have 1 nt, 2 nt, 3 nt, 4 nt, 5 nt, 6 nt, 7 nt, 8 nt, 9 nt, or 10 nt in length.
Further, the hsRNA may not be a homo-polyribonucleotide. The hsRNA may not be a PolyIC, PolyIC-L-lysine, PolyIC-L-lysine-methylcellulose, poly (I:C12U), or combination thereof. The ssRNA regions may not or substantially not be complementary to each other.
In the hsRNA, the first strand may have a completely complementary nucleotide sequence with that of the second strand. The first strand may have completely complementary ribonucleotides without a gap with that of the second strand. The dsRNA region may not have a secondary structure such as stem-and-loop structure. The dsRNA region may not have a nick.
The hsRNA or dsRNA region is not designed to have RNAi or antisense inhibition activity. The hsRNA may comprise two strands of ssRNA, and each strand of the ssRNA may be a separate molecule.
The dsRNA region may have no more than 5%, 10%, 15%, 20%, 25%, 30%, 35%, or 40% sequence identity with a naturally-existing human gene. The hsRNA or dsRNA region may not encode a protein.
The dsRNA region may be derived from non-human organisms. The non-human organism may be a virus, prokaryotic cell, or eukaryotic cell. The prokaryotic cell may include bacterial cells. The dsRNA region may be derived from an artificial sequence, a vector sequence, a viral sequence, or a plant genome. The artificial sequence may consist of any partial sequences. The vector sequence may be the pDM-18T. The viral sequence may be a nucleotide sequence encoding Sacbrood virus VP1. The hsRNA or dsRNA may be derived from the VP1 gene of Chinese Sacbrood virus strain BJ 2012. The VP1 gene may have the nucleotide sequence of SEQ ID NO: 4.
The artificial sequence may be an arbitarily synthesized sequence. The plant genome may be a nucleotide sequence encoding tomato EPSP-1 protein. The eukaryotic cell may be a fungal cell such as yeast, plant cell, and animal cell. The hsRNA or dsRNA region may be an artificially synthesized or recombinant dsRNA. The hsRNA may be a dsRNA having two 3′-overhangs. The hsRNA may be an isolated dsRNA, which is not present in nature.
In the hsRNA, the ssRNA may be formed by contacting a pre-hsRNA with an endoribonuclease. The endoribonuclease may be an enzyme specifically cleaving the ssRNA region. The endoribonuclease may not be an enzyme cleaving dsRNA region. The endoribonuclease may be an enzyme specifically cleaving ssRNA region and does not or substantially not cleave dsRNA region. The ssRNA region may be formed by cleaving the ssRNA region with a longer length with endoribonuclease and has reduced length. The ssRNA region may be residual sequence after cleavage with the endoribonuclease. The endoribonuclease may be RNase 1. The RNase 1 is an endoribonuclease that specifically cleaves single-stranded RNA at G residues. It may cleave the phosphodiester bond between the 3′-guanylic residue and the 5′-OH residue of adjacent nucleotides. The reaction products may be 3′-GMP and oligonucleotides with a terminal 3′-GMP.
The ssRNA region may have a UAUAG sequence at the 3′-end of each ssRNA region.
The hsRNA may be obtained by contacting a pre-hsRNA having two 3′-overhangs with endoribonuclease to reduce the length of the ssRNA region. The two ssRNA regions may have identical lengths.
The hsRNA may independently have triphosphate, diphosphate, or monophosphate at its 5′-end. For example, the hsRNA may have a triphosphate at its both 5′-ends. The hsRNA may independently have a hydroxyl group at its 3′-end. For example, the hsRNA may have hydroxyl groups at both 3′-ends. The first strand and the second strand are disposed on separate RNA molecules.
The hsRNA, which is formed resulting from complementary binding between a nucleotide sequence of SEQ ID NO: 1 and a nucleotide sequence of SEQ ID NO: 2, may have a length of 533 nucleotides. In the specific hsRNA, the dsRNA region may have a nucleotide sequence of SEQ ID NO: 3 having a nucleotide length of 424 bp. Further, the hsRNA may be obtained by cleaving, with endoribonuclease, e.g., RNase 1, pre-hsRNA which is formed resulting from complementary binding between the nucleotide sequence of SEQ ID NO: 1 and the nucleotide sequence of SEQ ID NO: 2. The hsRNA may have, for example, a 5 nt 3′-overhang at both ends of the dsRNA having a nucleotide length of 424 bp, which is formed by the nucleotide sequence of SEQ ID NO: 3 and a complementary nucleotide sequence thereof. The 3′-overhang may have a UAUAG sequence. The hsRNA having the 5 nt 3′-overhang UAUAG sequence at both ends of the dsRNA having a nucleotide length of 424 bp, is also abbreviated to “NA” herein.
The RNA selected in the present disclosure exhibits strong mucosal immune activation. When the hsRNA of the present disclosure is used as a vaccine adjuvant via a common route of administration, for example, nasal spraying, strong cross-protective immunity effects against homotypic and heterosubtypic viruses may be obtained.
The vaccine composition may be formulated as an oral or injectable solution. The pharmaceutical composition may be formulated in an oil-in-water emulsion.
The vaccine composition may be administered by intravenous injection, intratumoral injection, subcutaneous injection, intraperitoneal injection, intracranial injection, intrathecal injection, intrastriatal injection, intranasal injection, or intracerebroventricular injection.
The vaccine composition may include the hsRNA in the amount of about 5 ug to 150 mg/single dose. The vaccine composition may be aqueous solutions or suspensions. The vaccine composition may be buffered nucleic acid solutions, such as solutions including the hsRNA in a suitable concentration for example, from 0.001 to 400 mg/ml, from 0.005 to 200 mg/ml, 0.01 to 200 mg/ml, 1.0-100 mg/ml, 1.0 mg/ml or 100 mg/ml and an aqueous buffer such as: phosphate-buffered saline.
The strongly negatively charged RNA such as the hsRNA might effectively receive many large antigens to make a nanocomplex comparable to a virus-like particle (VLP). The nanocomplex encapsulating the antigen in an appropriate formulation may be captured by dendritic cells or macrophages, resulting in an effective presentation of antigens to B cells and T cells.
The vaccine composition of the present disclosure may be administered to the mucosa through intranasal administration. At this time, the RNA represents the role of a strong and safe immunity-boosting agent, i.e., adjuvant.
The influenza virus may be influenza virus A, B or C. The human influenza virus antigen may be an inactivated or live attenuated influenza whole virus, a subvirion, or a subunit antigen.
The human influenza virus antigen may be a human influenza virus type A antigen. The human influenza virus type A antigen may be the influenza whole virus or surface antigen. For example, the human influenza antigen may be an inactivated or live attenuated influenza whole virus, or a surface antigen, which may be part or all of hemagglutinin or neuraminidase. The hemagglutinin or neuraminidase may be extracted from a whole virus growth solution or may be expressed by a recombinant method and purified.
The vaccine composition of the present disclosure may exhibit protective immunity effects against homotypic influenza viruses as well as heterosubtypic viruses of human influenza antigens. In particular, when delivered intranasally, strong and safe protective effects were achieved.
In one embodiment, the human influenza type A antigen may be a human influenza type A H1N1 or H3N2 virus antigen. For example, the vaccine composition including the hsRNA and the human influenza type A H1N1 antigen may prevent or treat not only the human influenza type A H1N1 virus but also other subtypes or types of viruses. Other subtypes or types of viruses may be different strains such as human influenza type A H3N2, or human influenza type B or C virus, or each strain thereof.
In a specific exemplary embodiment, when the inactivated A/H1N1 influenza virus (IV) vaccine complexed with or incorporated into the hsRNA adjuvant of the present disclosure was administered via an intranasal route (i.n.), mortality of an individual may be prevented from a lethal dose of homotypic A/H1N1 influenza virus infection. In another exemplary embodiment, when the same vaccine is intranasally administered, mortality of an individual may be prevented from a lethal dose of heterosubtypic (e.g., A/H3N2) infection.
Still another aspect provides a method of immunizing a subject against an influenza virus, the method including administering the vaccine composition to the subject.
The hsRNA is described as above. The administering may include administering via oral or parenteral route. The parenteral route may include intravenous, intracranial, intrathecal, intrastriatal, intracerebroventricular, intranasal, intra-tumoral, intramuscular, intraperitoneal, or mucosal route. The administration may be performed once or twice or more. When the administration may be performed twice or more, the administration interval and dose may vary depending on the subject's age, body weight, sex, etc. When the administration may be performed twice or more, the administration interval may be 1 week, 2 weeks, 3 weeks, 4 weeks, 5 weeks, 6 weeks, 7 weeks, 8 weeks, 3 months, 4 months, 5 months, 6 months, 7 months, 8 months, 9 months, 10 months, 11 months, or 12 months.
The term “therapeutically effective amount” used herein may refer to an amount sufficient to immunize the subject. The “therapeutically effective amount” may be 10 ug to 150 mg, 50 ug to 150 mg, 100 ug to 150 mg, or 150 ug to 150 mg/kg body weight/day. The “therapeutically effective amount” may be 10 ug to 60 ug/each subject.
The subject may be a mammal. The mammal may be a human, a horse, a dog, a cow, a pig, a cat, a chimpanzee, or a monkey.
In the method, the ssRNA region may have a UAUAG sequence at the 3′-end. The hsRNA may be obtained by complementary binding between the nucleotide sequence of SEQ ID NO: 1 and the nucleotide sequence of SEQ ID NO: 2, or may have the UAUAG sequence at both 3′-ends of dsRNA which is obtained by complementary binding between the nucleotide sequence of SEQ ID NO: 3 and a complementary sequence thereof.
The influenza virus may be influenza virus type A, B or C. The human influenza virus antigen may be an inactivated or live attenuated influenza whole virus, a subvirion, or a subunit.
The administration may be administration via a mucous membrane. The mucous membrane may be the nasal cavity. The administration may be performed, for example, via nasal spraying.
The method may provide a protective immunity against the human influenza virus, different subtypes of the homotypic viruses of the human influenza virus, or subtypes of the heterotypic viruses of the human influenza virus.
In the method, the human influenza virus antigen may include one subtype virus antigen of type A influenza virus, one subtype virus antigen of type B influenza virus, or a combination thereof.
The human influenza virus antigen may be an H1N1 subtype antigen of type A influenza virus without including other subtype antigens of type A influenza virus, or may be an H3N2 subtype antigen of type A influenza virus without including other subtype antigens of type A influenza virus.
The human influenza virus antigen may be a BV subtype antigen of type B influenza virus without including other subtype antigens of type B influenza virus, or may be a BY subtype antigen of type B influenza virus without including other subtype antigens of type B influenza virus.
A vaccine composition of the present disclosure, in which an antigen (Ag) is loaded on a hetero-structured ribonucleic acid (hsRNA), not only stimulates strong innate immunity, but also efficiently delivers the antigen complex into antigen-presenting cells, thereby effectively presenting the antigen to T cells and B immune cells, leading to enhancement of specific adaptive immunity. Accordingly, the vaccine composition of the present disclosure may effectively protect from infections of both homotypic influenza virus and heterosubtypic influenza virus even with one intranasal spraying, thereby inducing excellent cross-protective immunity.
wherein
wherein
Hereinafter, the present disclosure will be described in detail with reference to exemplary embodiments for better understanding. However, the following exemplary embodiments are only for illustrating the present disclosure, and the scope of the present disclosure is not limited to the following exemplary embodiments. It is apparent to those skilled in the art that various changes and modifications are possible within the scope and spirit of the present disclosure, and it is also obvious that these changes and modifications belong to the accompanying claims.
Preparation of hsRNA and Examination of protective immunity effect by intranasal administration of hsRNA-adjuvanted inactivated influenza (iPR8) vaccine
1. Preparation of hsRNAs Having Two 3′-Overhangs
The hsRNAs having dsRNA region and two 3′-overhangs at each strand of the dsRNA region are prepared as follows. The dsRNA region has the nucleotide sequence of SEQ ID NO: 3, and the complementary sequence thereof and each of 3′-overhang has 5 nt sequence UAUAG. The hsRNA is also referred as NexVant or NVT.
A template DNA molecule comprising a template DNA region and T7 promoter sequences linked to both 5′-ends of the template DNA region was prepared. The template DNA region has the nucleotide sequence of SEQ ID NO: 4, which corresponds to the nucleotide sequence of Sacbrood virus VP1 gene and T7 promoter has the nucleotide sequence of SEQ ID NO: 5. The template DNA molecule was ligated to PUC19 vector (Thermo Fisher, Cat SD0061) digested with SmaI, to form a recombinant vector comprising the template DNA molecule. The recombinant vector was introduced into E. coli DH5a by a transformation. The transformed cells were grown in LB/Amp medium. The cells were isolated from the supernatant of the culture. The cells were lysed by using an alkaline solution, and the recombinant vector was isolated by using Qiagen midi prep kit.
The template DNA molecule was amplified by a PCR using the recombinant vector as a template. The obtained template DNA molecule was used in in vitro transcription (IVT) using T7 polymerase as a template. In the PCR, an oligonucleotide set, wherein each oligonucleotide has a complementary sequence to a target to be amplified and the T7 promoter sequence at its 5′-end was used as primer set. PCR was conducted at 95° C., and 5 minutes, and 35 thermal cycles of 95° C., and 30 seconds and 60° C., 30 seconds and 72° C., 1 minute. The reaction mixture was incubated at 72° C. and 5 minutes.
In vitro transcription was conducted using the MEGAscript™ T7 Transcription Kit (Thermo Fisher, cat AMB13345) according to the manufacturer's protocols. The amplified template DNA molecule was used as a template. 1 ml reaction mixture comprising 10 ug linearized Template DNA, 75 mM NTP, 90 mM Tris base, 90 mM Boric acid, 2 mM EDTA, and T7 RNA polymerase 50 ul was incubated at 37° C. for 4 hours. The obtained reaction mixture was incubated at 80° C. for 20 minutes and cooled to room temperature for 30 minutes. The first single-strand RNA and the second single-strand RNA are simultaneously synthesized from each of the template DNA strands and hybridizes to form double-stranded RNAs having two 3′-overhangs.
The reaction mixture was centrifuged at 20° C., 4000 rpm for 3 minutes to remove white precipitation and obtain a supernatant solution. DNase I was added to the supernatant solution, and the resultant solution was incubated at 37° C. for 13 hours. The hsRNA was isolated from the reaction solution. As a result, the hsRNAs shown having 533 nt in length, i.e., 424 nt of dsRNA region, and 51 nt of first 3′-overhang, and 58 nt of second 3′-overhang.
Further, RNase T1 was added to the DNase I-treated reaction mixture, and the resultant mixture was incubated at 37° C. for 2 hours. Then, the reaction mixture was incubated at 80° C. for 10 minutes and cooled to room temperature for 30 minutes. Then, the hsRNA having 3′-overhangs with reduced length was isolated by a nucleic acid precipitation method using isopropanol.
The isolated hsRNA has 3′-overhangs with 5 nt in length, which is shorter than that of the DNase I-treated hsRNA. The hsRNA have UAUAG sequence at its 3′-end of the 3′-overhang and 424 nt of dsRNA region of SEQ ID NO:3. The hsRNA may have phosphate at its 5′-end and a hydroxyl group at its 3′-end. This hsRNA hereinafter referred to as “NA” hsRNA. The phosphate may be triphosphate, diphosphate, or monophosphate. The hsRNA may not have 5′-cap.
2. Examination of protective immunity effect by intranasal administration of hsRNA NVT-adjuvanted inactivated influenza (iPR8) vaccine
In this section, a vaccine including the hsRNA NVT)-adjuvanted inactivated A/H1N1 influenza virus (IIV) iPR8 prepared in section 1 was intranasally administered, and a protective immunity effect of the vaccine on lethality of homotypic virus infection was examined.
In this example, the hsRNA and inactivated whole iPR8 were solubilized in PBS (pH 7.2), and the hsRNA in PBS was injected into the mouse via nasal injection, i.e., spraying in the nasal cavity. PolyIC (InvivoGen, Poly(I:C) (HMW) VacciGrade™ cat #, vac-pic) was used as a positive control.
Each substance was administered to mice according to dosing schedules shown in Table 1 and
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The above results confirmed that a single intranasal administration of the hsRNA, e.g., hsRNA NVT-adjuvanted inactivated influenza (iPR8) vaccine protected all, i.e., 100% mice even when a lethal dose of the homotypic live influenza virus was challenged, indicating that the hsRNA, e.g., hsRNA NVT-adjuvanted vaccine of the present disclosure provides complete protective immunity against influenza virus infection. Furthermore, it was confirmed that NVT provides better protective immunity than Poly(I:C).
Cross-protective immunity effect on heterosubtypic virus by intranasal administration of NVT-adjuvanted inactivated influenza (iPR8) vaccine of the present disclosure
In the present exemplary embodiment, it was tested whether the vaccine including the hsRNA, e.g., hsRNA NVT-adjuvanted inactivated A/H1N1 influenza virus (IIV) iPR8 of the present disclosure is able to provide a cross-protective immunity against heterosubtypic strains.
Each substance was administered to mice according to dosing schedules shown in Table 2 and
As shown in Table 2 and
1. Vaccine Formulation and Administration
In this section, the hsRNA and inactivated A/H1N1 influenza virus (IIV) iPR8 antigen prepared in Example 2 were solubilized in PBS (pH 7.2) to prepare a vaccine composition including hsRNA. In this regard, the iPR8 antigen and hsRNA were mixed at a ratio of 1:1 to 1:10, based on the weight. The total weight of the iPR8 antigen was 10 μg to 60 μg per person. The prepared vaccine composition including hsRNA was stored at 4° C. to 8° C. Immunization was conducted by spraying half of a total of 100 μl to 500 μl of the vaccine composition including hsRNA into each nostril.
2. Effect on IgA Production
As in the section 1 above, the vaccine was administered to mice by nasal spraying, and the booster was administered in the same manner once more for two weeks. After two weeks, bronchoalveolar lavage fluid (BALF), nasal lavage fluid, and serum were collected, and IgA antibody levels were measured using ELISA method.
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3. Effect on T Cell Response
As in the section 1 above, the vaccine was administered to mice by nasal spraying, and after two weeks, the booster was administered in the same manner. After two weeks, BALF was collected, and CD4+ T cell levels in BALF were measured using an intracellular cytokine staining method.
For intracellular cytokine staining, cells were restimulated with indicated antigens at 37° C./5% CO2 for 20 hours. Brefeldin A (Golgi Plug, BD Biosciences) was added and cells cultured for a further 4 hours. Cells were stained with Fixable Viability Dye eFluor 780 (eBioscience), then stained for surface markers for 30 min at 4° C. Following surface staining, cells were fixed and permeabilized by incubating in BD CytoFix-CytoPerm (BD Fixation/Permealization Kit™) for 20 min in the dark at 4° C. The cells were then washed BD Perm/wash buffer (BD Fixation/Permeablization Kit™) and re-suspended in Perm/wash buffer with fluorochrome conjugated monoclonal antibody and incubated for 30 min in the dark at 4° C. Cells were then washed in Perm/wash buffer prior to flow cytometry analyses. Samples were acquired and analyzed using an ACEA Novocyte.
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Further, a vaccine including inactivated H3N2 or inactivated B influenza virus, which was prepared by replacing the inactivated A/H1N1 influenza virus iPR8 in the vaccine descried in the section 1 by inactivated split H3N2 (Inactivated, split A/Cambodia/E0826360/2020, IVR-224(H3N2)) (Teratect prefilled syringe (Influenza split vaccine), Ilyang Pharmaceutical Co. Ltd.)) or inactivated split B (Inactivated, split B/Maryland/15/2016 and B/Phuket/3073/2013) (Teratect prefilled syringe (Influenza split vaccine), Ilyang Pharmaceutical Co. Ltd.) influenza virus was immunized in the same manner, and CD4+ IFNv+ T cell levels in the lung, IgG levels in the serum, and IgA levels in the nasal lavage fluid were measured. The number of CD4+ IFNv+ T cells in the lung was measured by the above-described intracellular cytokine staining method. The IgG levels in the serum, and IgA levels in the nasal lavage fluid were measured by the ELISA method. Further, immunization by intramuscular injection was also included, in addition to the nasal spraying.
4. Enhanced Protective Immunity
It was examined whether intranasal administration showed a superior protective immunity, compared to intramuscular injection, when viral infection actually occurred.
Teratect prefilled syringe (Influenza split vaccine) (Ilyang Pharmaceutical Co. Ltd.) which is a commercially available quadrivalent vaccine was intramuscularly injected into a subject, or a vaccine was prepared by mixing with hsRNA as in the above section 1 and sprayed into the subject's nasal cavity. The subject was a mouse. The Teratect prefilled syringe (Influenza split vaccine) is a quadrivalent antigen vaccine including A Influenza H1N1, i.e., A/Victoria/2570/2019, IVR-215(H1N1) and H3N2, i.e., A/Cambodia/E0826360/2020, IVR-224(H3N2), B Influenza BV, i.e., B/Maryland/15/2016 and BY, i.e., B/Phuket/3073/2013 antigen.
In
5. Cross-Protective Immunity
(1) Cross-Protective Immunity Between Influenza a Viruses
The commercially available Teratect prefilled syringe (Influenza split vaccine) is a quadrivalent antigen vaccine including A Influenza H1N1 and H3N2, B Influenza BV and BY antigens. B Influenza BV and BY are Victoria lineage and Yamagata lineage, respectively. The reason for using the quadrivalent antigen vaccine is that even though four antigens are individually administered, individual antigens do not provide a cross-protective immunity against other viruses among the four types of viruses.
In this experiment, H3N2 antigen in the commercially available Terateect prefilled syringe (Influenza split vaccine) was provided by the manufacturer, and intramuscularly injected into subjects, or a vaccine was prepared by mixing with hsRNA as in the section 1, and sprayed into the nasal cavity of the subjects. The subjects were Balb/c mice. 2 weeks after administration with a predetermined amount of the antigen, the booster was administered in the same manner. 2 weeks after booster administration, the different subtype H1N1 virus was challenged in an amount of 3LD50 via nasal spraying.
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These results indicate that the vaccine including influenza A virus antigen in combination with hsRNA increased production of CD4+ IFNv+ T cells, thereby providing a protective immunity against different types or subtypes of virus.
In addition, these results indicate that when the influenza A virus H3N2 antigen in combination with hsRNA is intranasally administered, subjects have a protective immunity against influenza A virus H1N1. These results also indicate that when the influenza A virus H1N1 antigen in combination with hsRNA is intranasally administered, subjects have a protective immunity against influenza A virus H3N2. In other words, when the influenza A virus antigen in combination with hsRNA is intranasally administered, subjects have a protective immunity against different subtypes of influenza A virus.
(2) Cross-Protective Immunity Between Influenza B Viruses
The commercially available Teratect prefilled syringe (Influenza split vaccine) is a quadrivalent antigen vaccine including A Influenza H1N1 and H3N2, B Influenza BV and BY antigens. B Influenza BV and BY are Victoria lineage and Yamagata lineage, respectively. The reason for using the quadrivalent antigen vaccine is that even though four antigens are individually administered, individual antigens do not provide a cross-protective immunity against other viruses among the four types of viruses.
In this experiment, BV antigen in the commercially available Terateect prefilled syringe (Influenza split vaccine) was provided by the manufacturer, and intramuscularly injected into subjects, or BY antigen in the commercially available Terateect prefilled syringe (Influenza split vaccine) was provided by the manufacturer, and intramuscularly injected into subjects, or a vaccine was prepared by mixing BY antigen with hsRNA as in the section 1, and sprayed into the nasal cavity of the subjects. The BV virus used in the vaccine was a B/Maryland/15/2016 strain. The BY virus used in the vaccine was a B/Phuket/3073/2013 strain.
The subjects were Balb/c mice. 2 weeks after administration of a predetermined amount of 2 ug of the antigen, the booster was administered once with the equal amount thereof. 2 weeks after booster administration, the different subtype BV virus B/Shangdong/7/97 was challenged in an amount of 3LD50 via nasal spraying.
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When the BV antigen was administered via intramuscular injection, the survival rates according to challenge of BV virus were about 60%, indicating that the BV strains used in the vaccine and challenge were B/Phuket/3073/2013 and B/Shangdong/7/97, respectively, which are different from each other, and the cross-protective immunity therebetween is not achieved when intramuscular injection is performed without hsRNA.
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These results indicate that intramuscular injection of the vaccine including inactivated BV or BY does not induce T cell responses, i.e., an increase in the number of CD4+ IFNv+ T cells. In other words, intramuscular injection of the vaccine including inactivated BV or BY does not induce T cell responses, thereby providing no cross-protective immunity against different subtypes of the same B virus.
In contrast, nasal spraying administration of the vaccine including inactivated BV and hsRNA or the vaccine including inactivated BY and hsRNA induces T cell responses, i.e., an increase in the number of CD4+ IFNv+ T cells. In other words, nasal spraying administration of the vaccine including inactivated BV and hsRNA or the vaccine including inactivated BY and hsRNA induces T cell responses. Since T cell responses are induced, the vaccine including inactivated BV and hsRNA induces T cell responses, i.e., an increase in the number of CD4+ IFNv+ T cells, when challenged with BV virus which is the same subtype, as well as when challenged with BY virus which is the different subtype. In addition, since T cell responses are induced, the vaccine including inactivated BY and hsRNA induces T cell responses, i.e., an increase in the number of CD4+ IFNv+ T cells, when challenged with BY virus which is the same subtype, as well as when challenged with BV virus which is the different subtype.
In other words, nasal spraying administration of the vaccine including inactivated BV and hsRNA or the vaccine including inactivated BY and hsRNA may provide a cross-protective immunity against different subtypes of the same B virus.
Therefore, nasal spraying administration of a vaccine including an inactivated specific type of A, B, or C virus antigen and hsRNA may provide a cross-protective immunity against different subtypes of the same A, B, or C virus, indicating that nasal spraying administration of a vaccine including an inactivated specific type of influenza virus antigen and hsRNA may provide a cross-protective immunity against different subtypes of influenza virus, thereby providing a protective immunity against all types of influenza viruses regardless of the type of influenza viruses, i.e., thereby being used as a general purpose vaccine.
6. Mechanism of Action of Cross-Protective Immunity
When the vaccine including the inactivated influenza virus antigen and hsRNA is administered to a subject by nasal spraying, as described above, whether or not it provides a protective immunity against other types of influenza virus different from the administered inactivated influenza virus, i.e., the mechanism of action that provides a cross-immunity was examined by the following experiment.
H3N2 antigen in the commercially available Terateect prefilled syringe (Influenza split vaccine) was provided by the manufacturer, and 2 ug thereof was intramuscularly injected into subjects, or a vaccine was prepared by mixing the H3N2 monovalent vaccine with hsRNA as in the section 1, and sprayed into the nasal cavity of the subjects. The subjects were Balb/c mice. 2 weeks after administration of a predetermined amount of the antigen, the booster was administered once with the equal amount thereof. 2 weeks after booster administration, 200 ug of CD4 T cell depletion antibody, i.e., CD4 depletion antibody (GK1.5 clone, (GK1.5 clone, BE0003-1) which is a product from BioXcell was intraperitoneally administered on day 28 and day 32 after the first immunization to remove CD4 T cells in the subjects.
Next, removal of the CD4 T cells from the subjects was examined by a flow cytometry method. After confirming that CD4 T cells were removed, 3LD50 of another subtype of H1N1 virus was challenged through intranasal administration. As a control group, mice, to which a H3N2 monovalent vaccine was intramuscularly administered or a vaccine including hsRNA and H3N2 antigen was administered via nasal spraying, were treated with an antibody of an isotype control and challenged with H1N1 virus. The results are shown in
Further, to investigate the importance of T cell responses specific to the lower respiratory organ, e.g., the lung, only when the vaccine including hsRNA and influenza virus antigen is administered by nasal spraying, the following experiment was performed.
H3N2 monovalent antigen in the commercially available Terateect prefilled syringe (Influenza split vaccine) was provided by the manufacturer, and 2 ug thereof was intramuscularly injected into subjects, or a vaccine was prepared by mixing the H3N2 monovalent vaccine with 10 ug of hsRNA as in the section 1, and sprayed into the nasal cavity of the subjects. In addition, a vaccine prepared by mixing 10 ug of hsRNA, 10 ug of PolyIC, and 25% final volume of AddaVax in PBS as in the section 1 was intramuscularly injected into subjects, which were compared with those administered with a vaccine including PolyIC (Invivogen) and/or AddaVax™ (InvivoGen) and influenza virus antigen. AddaVax™ is an adjuvant having a squalene-based oil-in-water nano-emulsion formulation that induces immune enhancement. PolyIC is known to induce strong T cell responses as a TLR3 agonist. The subjects were Balb/c mice. 2 weeks after administration of a predetermined amount of the antigen, the booster was administered once with the equal amount thereof. 2 weeks after booster administration, each 3LD50 of H1N1 and H3N2 virus was challenged via nasal spraying. A control group was intramuscularly administered with a vaccine including H3N2 in PBS.
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As described above, when the vaccine including influenza virus antigen and hsRNA was administered via the mucous membrane, T cell responses were induced in the respiratory organs including the lung, and the spleen. In particular, the vaccine including influenza virus antigen and hsRNA induced remarkable T cell responses in the respiratory organs including the lung. It is likely that not only antigen-specific protective immunity but also antigen nonspecific protective immunity is improved through induction of the T cell responses by the vaccine including influenza virus antigen and hsRNA. For example, through induction of T cell responses, the vaccine including the antigen and hsRNA may provide a protective immunity against the administered antigen-containing pathogen and may also provide a protective immunity against different antigens. Therefore, when the administered antigen is the influenza virus antigen, the vaccine may also exhibit a protective immunity or an enhanced protective immunity against different types or subtypes of influenza virus. For example, when the administered antigen is A influenza virus H3N2 antigen, the vaccine may exhibit a protective immunity or an enhanced protective immunity against B influenza virus or other subtypes of A influenza virus different from H3N2, such as H1N1.
7. Examination of Cross-Reactivity of Vaccine Including hsRNA and Influenza Virus Antigen
Since influenza virus strains change every year, vaccines against influenza viruses use antigens derived from different influenza virus strains every year.
In this experiment, it was examined whether a vaccine against influenza virus epidemic in a specific year provides a protective immunity against influenza viruses epidemic in another year. Table 3 shows viruses epidemic in each year.
In detail, Teratect prefilled syringe (Influenza split vaccine) which is a commercially available quadrivalent vaccine was intramuscularly injected into a subject, or a vaccine was prepared by mixing Teratect prefilled syringe (Influenza split vaccine) vaccine with hsRNA as in the above section 1 and sprayed into the subject's nasal cavity. The Teratect prefilled syringe (Influenza split vaccine) vaccine is a quadrivalent antigen vaccine including A Influenza H1N1 and H3N2, B Influenza BV and BY antigens, and includes antigens derived from virus strains 1, 4, 7, and 8 epidemic in 2020 to 2021, as shown in Table 3. The subjects were Balb/c mice. 2 weeks after administration of a predetermined amount of the antigen, the booster was administered once with the equal amount thereof. 2 weeks after booster administration, the sera were isolated from subjects, and HAI titers were measured using a hemagglutination inhibition assay to examine neutralizing antibody levels. Further, 2 weeks after challenge, the lungs were isolated from the subjects, and CD4+ IFNv+ T cell levels in the lungs were measured. The number of CD4+ IFNv+ T cells in the lungs was measured by an intracellular cytokine staining method.
As described above, when the vaccine including hsRNA and the antigen including the influenza virus antigen was administered via the mucous membrane, antigen-specific T cell responses were induced in the mucous membrane and/or respiratory organs including lungs, and spleen. Unlike antibody responses, these T cell responses showed a cross-reactivity to other antigens, for example, virus variants. Accordingly, the vaccine including hsRNA and the antigen including the influenza virus antigen may increase not only a protective immunity against the administered antigen, for example, the specific administered virus strain, but also a protective immunity against its variants or other types of virus.
Number | Date | Country | Kind |
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10-2019-0106158 | Aug 2019 | KR | national |
Number | Date | Country | |
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Parent | PCT/KR2020/011510 | Aug 2020 | US |
Child | 17675535 | US |