MODIFIED BCG STRAINS WITH REDUCED OR ELIMINATED ACTIVITY OF LSR2 AND PHARMACEUTICAL COMPOSITION COMPRISING SAME

Information

  • Patent Application
  • 20150240201
  • Publication Number
    20150240201
  • Date Filed
    September 27, 2012
    12 years ago
  • Date Published
    August 27, 2015
    9 years ago
Abstract
The invention discloses a live modified Mycobacterium bovis-BCG strain in which the lsr2 gene is inactivated or its expression is reduced and a pharmaceutical composition comprising the same for the treatment or prophylaxis of a mammal against challenge by mycobacteria or against cancer. The invention further discloses a method for the treatment or prophylaxis of a mammal against challenge by Mycobacterium tuberculosis or Mycobacterium bovis or against cancer by administering to the mammal the live modified Mycobacterium bovis-BCG strain or the pharmaceutical composition of the present invention.
Description
FIELD OF THE INVENTION

This invention relates to tuberculosis (TB) vaccines. In particular, the invention provides a modified Bacille Calmette-Guérin (BCG) strain in which the lsr2 gene is inactivated or its expression is reduced.


BACKGROUND OF THE INVENTION

Tuberculosis (TB), caused by Mycobacterium tuberculosis (M. tb), remains a global health threat. The latest surveillance data by the World Health Organization (WHO) reveals that in 2010, there were 8.8 million new cases and 1.4 million deaths from TB. Successful global TB control faces many obstacles including the difficulty of timely diagnosis, the lack of effective vaccines, and the fact that treatment requires many months of chemotherapy. The situation has been further complicated with the advent of M. tb/HIV coinfection and the emergence of multidrug-resistant (MDR) and extensively drug-resistant (XDR) TB. Because of these situations, effective approaches alternative to antibiotics are urgently needed for the control of TB. According to the Global Plan to Stop TB (2006-2015), the introduction of new, effective TB vaccines will be an essential component of any strategy to eliminate TB by 2050.


Bacille Calmette-Guérin (BCG), an attenuated strain of Mycobacterium bovis, is currently the only available vaccine for the prevention of TB. Since 1974, BCG vaccination has been included in the WHO Expanded Program on Immunization. More than 3 billion individuals have been immunized with BCG and >100 million doses of BCG are administered annually, making it the most widely used vaccine. Clinical studies have confirmed that BCG protects children, providing >80% efficacy against severe forms of TB, including meningitis and miliary TB (1, 2). However, BCG has a limited effect against pulmonary TB in adults with variable efficacy estimates from clinical studies ranging from 0 to 80% (3). Several hypotheses have been proposed to explain the variable efficacy, including differences in BCG strains used in clinical studies, differences in trial methods, differential exposure of trial populations to environmental mycobacteria, nutritional or genetic differences in human populations, and variations among clinical M. tb strains (4-9). These explanations are not mutually exclusive and all may contribute to the heterogeneity in BCG efficacy.


It is now clear that BCG is not an ideal vaccine and gives protection for only a limited period of time. The goal to develop a new and effective TB vaccine is to provide long-term protection. Existing BCG vaccines impart protection against the manifestations of TB in children, but their efficacy wanes over a period of 10 to 15 years, presumably because the protective immunity induced by BCG is gradually lost (10, 11). Currently, the consensus in the scientific filed is that the new generation of TB vaccines will work best using a heterologous prime-boost strategy to strengthen the immune response introduced by BCG (12, 13). This “prime-boost” strategy would include administration of a new recombinant BCG (rBCG), the “prime”, followed by a “booster” inoculation with a different vaccine (protein/peptide or DNA) to infants and young children before they are exposed to TB, or as a separate booster to young adults, or as an adjunct to chemotherapy (12, 13).


A key aspect of the issue concerns the immunogenicity of BCG vaccine. Numerous BCG strains are currently used as commercial vaccines (14). They are all descendants of the original M. bovis isolate that Calmette and Guérin passaged in vitro through 230 cycles during 1909-1921. Subsequent in vitro passages under different laboratory conditions around the world continued until 1960s, when the frozen seed lots were established (14). Because of the excessive in vitro passages (more than 1600 times for certain strains), it is thought that current BCG strains may have been over-attenuated thus not immunogenic enough to provide effective protection (15). The present invention describes a novel strategy to improve the efficacy of BCG.


SUMMARY OF THE INVENTION

The immunogenicity of current BCG vaccine strains is not sufficient to induce the optimal protection in host against tuberculosis. However, based on our findings, a genetically engineered BCG strain in which lsr2 is inactivated or its expression reduced is more immunogenic and provides better protection.


Lsr2 is a small, basic protein highly conserved in mycobacteria including M. tb and M. bovis BCG (16). Previous studies by us and others showed that Lsr2 is involved in multiple cellular processes including cell wall lipid biosynthesis and antibiotic resistance (17, 18). Our biochemical studies demonstrated that Lsr2 is a DNA-binding protein and capable of bridging distant DNA segments (19). Moreover, we showed through in vivo complementation assays that Lsr2 is a functional analog of H-NS, a nucleoid associated protein of Enterobacteria (16).


More recently, our studies show that Lsr2 preferentially binds AT-rich sequences in mycobacterial genomes (20, 21). Our data revealed that Lsr2 negatively regulates the expression of 540 genes in M. tb genome, including many genes encoding important antigens (see Table 1). Because the genomes of M. bovis BCG, M. bovis and M. tb are >99.95% identical (22-24), these organisms are now called members of the Mycobacterium tuberculosis complex (MTBC) which refers to a genetically closely related group of Mycobacterium species that can cause tuberculosis. As such, deletion of lsr2 gene from a BCG strain or reducing lsr2 expression in a BCG strain will also lead to overexpression of multiple antigens. I hypothesize that such BCG strains will have enhanced immunogenicity and confer better protection against TB. This hypothesis is now confirmed by experimental evidence (see FIG. 1).


An exemplary amino acid sequence of Lsr2 is presented in SEQ ID NO: 1 in the sequence listing and an exemplary nucleotide sequence encoding the same is presented in SEQ ID NO: 2 in the sequence listing. These sequences represent Lsr2 from M. bovis BCG-Pasteur, as presented in the genome sequence available at the Pasteur Institute's BCGList Website (http://genolist.pasteur.fr/BCGList/).


Therefore, in one aspect, the present invention provides a modified Mycobacterium bovis BCG, in which lsr2 gene is inactivated by genetic engineering. In one embodiment, the lsr2 gene is inactivated by deleting the lsr2 gene from the genome. An example of constructing an lsr2 deletion mutant of BCG or M. tb is shown in FIG. 2.


In another aspect, the present invention also provides a modified Mycobacterium bovis BCG in which the expression of lsr2 is reduced. The modifications include but are not limited to: mutations of the promoter of lsr2 in the chromosomal DNA, expression of a dominant-negative Lsr2 mutant, expression of antisense lsr2 transcript, or expression of lsr2 knock-out constructs in an inducible promoter (e.g., tetracycline inducible promoter).


In one embodiment, the amino acid sequence of Lsr2 is shown in SEQ ID NO: 1 in the sequence listing and the nucleotide sequence encoding the same is shown in SEQ ID NO: 2 in the sequence listing.


In one embodiment, the Mycobacterium bovis-BCG strain is selected from the group consisting of Mycobacterium bovis-BCG-Russia, Mycobacterium bovis-BCG-Moreau, Mycobacterium bovis-BCG-Japan, Mycobacterium bovis-BCG-Sweden, Mycobacterium bovis-BCG-Birkhaug, Mycobacterium bovis-BCG-Prague, Mycobacterium bovis-BCG-Glaxo, Mycobacterium bovis-BCG-Denmark, Mycobacterium bovis-BCG-Tice, Mycobacterium bovis-BCG-Frappier, Mycobacterium bovis-BCG-Connaught, Mycobacterium bovis-BCG-Phipps, Mycobacterium bovis-BCG-Pasteur, and Mycobacterium bovis-BCG-China. All these BCG strains were derived from the same ancestor Mycobacterium bovis strain and are known to share similar properties (14). In addition, the mycobacteria of the invention need not be confined to strains of BCG. Those of skill in the art will recognize that other Mycobacterium strains may also be employed including attenuated strains of M. tb such as M. tb H37Ra.


In a further aspect, the invention provides a pharmaceutical composition for treatment or prophylaxis of a mammal against challenge by mycobacteria or against cancer comprising a modified Mycobacterium bovis-BCG strain in which lsr2 gene is inactivated. The pharmaceutical composition may further comprise a pharmaceutically acceptable carrier or an adjuvant or immunogenic materials from one or more other pathogens. In one embodiment, the pharmaceutical composition is a vaccine.


In another aspect, the invention provides a pharmaceutical composition for treatment or prophylaxis of a mammal against challenge by mycobacteria or against cancer comprising a modified Mycobacterium bovis-BCG strain in which the expression of lsr2 is reduced. The pharmaceutical composition may further comprise a pharmaceutically acceptable carrier or an adjuvant or immunogenic materials from one or more other pathogens. In one embodiment, the pharmaceutical composition is a vaccine.


Another aspect of this invention is to provide a method for the treatment or prophylaxis of a mammal against challenge by Mycobacterium tuberculosis or Mycobacterium bovis comprising: administering to the mammal a modified Mycobacterium bovis-BCG strain or a pharmaceutical composition of the instant invention. In one embodiment the mammal is a cow. In another embodiment the mammal is a human.


A further aspect of the invention is to provide a method for the treatment or prophylaxis of a mammal against cancer comprising: administering to the mammal a modified Mycobacterium bovis-BCG strain or a pharmaceutical composition of the current invention. In one embodiment the cancer is bladder cancer.


A still further aspect of the invention is to provide the use of the modified Mycobacterium bovis BCG in which lsr2 gene is inactivated or the expression of lsr2 is reduced of the invention in preparation of a medication for the treatment or prophylaxis of a mammal against challenge by mycobacteria or against cancer.


In one embodiment, the mycobacterium is Mycobacterium tuberculosis or Mycobacterium bovis.





BRIEF DESCRIPTION OF THE DRAWINGS


FIG. 1. A graph shows that the lsr2 deletion mutant of BCG provides better protection than the parental BCG against virulent M. tb challenge.



FIG. 2. Schematic representation of major steps of constructing lsr2 deletion mutant of M. tb and BCG.



FIG. 3. Confirmation of lsr2 deletion mutants of M. tb and BCG generated using the method described above, wherein FIG. 3A shows the principle to confirm the lsr2 gene is successfully deleted from M. tb H37Rv and BCG-Japan; and FIG. 3B shows the electrophoresis result of the PCR products of the wild type M. tb H37Rv and BCG-Japan (lanes 1-2), and the lsr2 deletion mutants of M. tb H37Rv and BCG-Japan (lanes 3-8).





DETAILED DESCRIPTION OF THE INVENTION

The present invention provides a vaccine or immune stimulating compositions, which includes one or more modified BCG strains. The modifications include: allelic inactivation of lsr2, expression of dominant-negative lsr2 mutant, or disruption of lsr2 promoter activity etc. These modifications will generate a modified BCG strain in which lsr2 is inactivated or its expression is reduced.


BCG is live, attenuated strain of M. bovis. It has long been known that administration of killed BCG strains results in a weak and transient immune response. However, it is recognized that the immunogenicity of current live BCG strains is also not optimal, which explains the failure of current BCG strains to provide effective protection. At present various strategies have been attempted to improve BCG immunogenicity, for example, by overexpressing antigen 85 (85A or 85B), or by expressing listerolysin in BCG to allow its escape into cytosol of infected macrophages for better antigen presentation (13). Both of these recombinant BCG strains have now entered clinical trials as new tuberculosis vaccine candidates (13).


However, M. tb contains more than 4,000 genes and many of which are immunogenic proteins (23). It is clear that the choices of antigens to be expressed in BCG to enhance its immunogenicity are far from complete and very often the choice of antigens for this purpose lacks a clear rationale. As such, researchers in the scientific community continue to search for new antigens or important genes for overexpression in BCG.


This invention is based on our present finding that deletion of lsr2 from M. tb leads to upregulation of numerous genes and many of which encode protective antigens (e. g., PE/PPE and ESX family proteins) (see Table 1), which offers a novel approach to augment the expression of multiple antigenic proteins. I suggest that by inactivating or reducing the activity of Lsr2 from a BCG strain, we are able to simultaneously increase the expression of multiple protective antigens, and such BCG will have enhanced immunogenicity and provide better protection against tuberculosis.


Despite recent studies of Lsr2, the effects of Lsr2 on gene expression in M. tb or BCG remain unknown due to the lack of lsr2 inactivated mutants in these organisms. The lsr2 gene in M. tb or BCG was thought to be essential and cannot be deleted; two other independent groups previously failed to obtain an lsr2 deletion mutant from M. tb or BCG, and consequently the authors concluded that lsr2 is essential in M. tb and BCG (18, 25). However, this was not formally proven (e.g., by introducing an extrachromosomal copy of lsr2 gene and demonstrating the successful deletion of the chromosomal lsr2). We have successfully obtained lsr2 deletion mutants of M. tb and BCG-Japan (see FIG. 2), which was generated by using a temperature-sensitive transducing phage system (26).


To determine the role of Lsr2 in gene regulation, we used the lsr2 deletion mutant of M. tb as an example and compared its transcriptional profile with the wild type M. tb strain. Microarray analysis shows that 540 genes are upregulated (2 fold) in the M. tb lsr2 deletion mutant compared to the wild type strain (see Table 1). A number of these genes encode potential antigens including 95 proteins associated with the cell wall and 22 PE/PPE family proteins which are known to be important antigens (Table 1) (23, 27). This result indicates that deletion of lsr2 increase the expression of multiple T cell antigens, which supports the key concept of my invention, that deleting lsr2 from a BCG strain increases the expression of multiple PE/PPE proteins and other protective antigens, providing an efficient means to enhance the immunogenicity and protective efficacy of BCG against tuberculosis.


To confirm my hypothesis, we performed the animal infection experiments to assess the protective efficacy of the modified BCG. The result showed that the lsr2 deletion mutant strain of BCG confer significantly better protection than its parent BCG strain against M. tb challenge (FIG. 1). This result provides the proof of principle for the present invention. Because Lsr2 is highly conserved among mycobacteria (the sequence of Lsr2 is 100% identical between BCG and M. tb) (22, 23), deletion of lsr2 from other mycobacterial strains including attenuated strains of M. tb (e.g., M. tb H37Ra) is expected to generate a similar result and such strain may also be used as TB vaccine with improved protection efficacy.



M. bovis BCG is also used in the treatment of bladder cancer. Numerous randomized controlled clinical trials indicate that intravesical administration of BCG can prevent or delay tumor recurrence (28). The details of how BCG exerts this effect remain to be determined. However, the antitumor response requires an intact T-cell response, and involves increased expression of Th1-type cytokines, including TNF and IL-6 (29). As such, a BCG strain demonstrating increased immunogenicity may provide enhanced antitumor activity.


In summary, we use modified BCG strains with inactivated or reduced Lsr2 activity as vaccines to prevent TB and other mycobacterial infections. These modified BCG vaccines will induce better protective immunity against TB.


The modifications of lsr2 in a BCG strain may be carried out by any suitable method known in the art. Generally, the method of lsr2 inactivation will involve flanking an antibiotic resistance gene with nucleic acid sequences encoding parts of the Lsr2 protein and generate a knock-out construct. The replacement of the chromosomal copy of lsr2 gene will be achieved by allelic exchange. Those of skill in the art will recognize that many other methods are known and would be suitable for use in the invention. For example, the chromosomal lsr2 gene may be disrupted by transposon insertion or deletion from the chromosome. The methods of reducing the expression of Lsr2 include but are not limited to: overexpression of a dominant-negative Lsr2 mutant, expression of antisense Lsr2 transcript, and introducing mutations in the promoter regions of lsr2. In addition, overexpression of these genetic constructs may be inducible for example, under the tetracycline inducible promoters. Alternatively, genes that control the expression of lsr2 may also be targeted by genetic modifications to disrupt or reduce the Lsr2 activity.


Variations of Nucleic Acid Molecules


Modifications


Many modifications may be made to the nucleic acid molecule DNA sequences disclosed in this application and these will be apparent to one skilled in the art. The invention includes nucleotide modifications of the sequences disclosed in this application (or fragments thereof) that are capable of directing expression in bacterial or mammalian cells. Modifications include substitution, insertion or deletion of nucleotides or altering the relative positions or order of nucleotides.


Nucleic acid molecules may encode conservative amino acid changes in Lsr2. The invention includes functionally equivalent nucleic acid molecules that encode conservative amino acid changes and produce silent amino acid changes in Lsr2. Methods for identifying empirically conserved amino acid substitution groups are well known in the art (see for example, Wu, Thomas D. “Discovering Empirically Conserved Amino Acid Substitution Groups in Databases of Protein Families” (http://www.ncbi.nlm.nih.gov:80/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=88775 23&dopt=Abstract).


Nucleic acid molecules may encode non-conservative amino acid substitutions, additions or deletions in Lsr2. The invention includes functionally equivalent nucleic acid molecules that make non-conservative amino acid changes within the amino acid sequences in Lsr2. Functionally equivalent nucleic acid molecules include DNA and RNA that encode peptides, peptides and proteins having non-conservative amino acid substitutions (preferably substitution of a chemically similar amino acid), additions, or deletions but which also retain the same or similar Lsr2. The DNA or RNA can encode fragments or variants of Lsr2.


Fragments are useful as immunogens and in immunogenic compositions.


Lsr2 like-activity of such fragments and variants is identified by assays as described below.


Sequence Identity


The nucleic acid molecules of the invention also include nucleic acid molecules (or a fragment thereof) having at least about: 60% identity, at least 70% identity, at least 80% identity, at least 90% identity, at least 95% identity, at least 96% identity, at least 97% identity, at least 98% identity or, most preferred, at least 99% or 99.5% identity to a nucleic acid molecule of the invention and which are capable of expression of nucleic acid molecules in bacterial or mammalian cells. Identity refers to the similarity of two nucleotide sequences that are aligned so that the highest order match is obtained. Identity is calculated according to methods known in the art. For example, if a nucleotide sequence (called “Sequence A”) has 90% identity to a portion of SEQ ID NO: 2, then Sequence A will be identical to the referenced portion of SEQ ID NO: 2 except that Sequence A may include up to 10 point mutations (such as substitutions with other nucleotides) per each 100 nucleotides of the referenced portion of SEQ ID NO: 2.


Sequence identity (each construct preferably without a coding nucleic acid molecule insert) is preferably set at least about: 70% identity, at least 80% identity, at least 90% identity, at least 95% identity, at least 96% identity, at least 97% identity, at least 98% identity or, most preferred, at least 99% or 99.5% identity to the sequences provided in SEQ ID NO: 2 or its complementary sequence). Sequence identity will preferably be calculated with the GCG program from Bioinformatics (University of Wisconsin). Other programs are also available to calculate sequence identity, such as the Clustal W program (preferably using default parameters; Thompson, J D et al., Nucleic Acid Res. 22:4673-4680), BLAST P, BLAST X algorithms, Mycobacterium avium BLASTN at The Institute for Genomic Research (http:tigrblast.tigr.org/), Mycobacterium bovis, M. Bovis BCG (Pastuer), M. marinum, M. leprae, M. tuberculosis BLASTN at the Wellcome Trust Sanger Institute (http://www.sarger.ac.uk/Projects/Microbes/), M. tuberculosis BLAST searches at Institute Pasterur (Tuberculist) (http://genolist.pasteur.fr/TubercuList/), M. leprae BLAST searches at Institute Pasteur (Leproma) (http://genolist.pasteur.fr/Leproma/), M. Paratuberculosis BLASTN at Microbial Genome Project, University of Minnesota (http://www.cbc.umn.edu/ResearchProjects/Ptb/and http://www.cbc.umn.edu/ResearchProjects/AGAC/Mptbhome.html), various BLAST searches at the National Center for Biotechnology Information—USA (http://www.ncbi.nlm.nih.gov/BLAST/) and various BLAST searches at GenomeNet (Bioinformatics Center—Institute for Chemical Research) (http://blast.genome.ad.jp/).


Since the genetic code is degenerate, the nucleic acid sequence in SEQ ID NO: 2 is not the only sequence which may code for a polypeptide having Lsr2 activity. This invention includes nucleic acid molecules that have the same essential genetic information as the nucleic acid molecules described in SEQ ID NO: 2. Nucleic acid molecules (including RNA) having one or more nucleic acid changes compared to the sequences described in this application and which result in production of the polypeptides shown in SEQ ID NO: 1 are within the scope of the invention. Other functional equivalent forms of Lsr2-encoding nucleic acids can be isolated using conventional DNA-DNA or DNA-RNA hybridization techniques.


Hybridization


The invention includes DNA that has a sequence with sufficient identity to a nucleic acid molecule described in this application to hybridize under stringent hybridization conditions (hybridization techniques are well known in the art). The present invention also includes nucleic acid molecules that hybridize to one or more of the sequences in SEQ ID NO: 2 or its complementary sequence. Such nucleic acid molecules preferably hybridize under high stringency conditions (see Sambrook et al. Molecular Cloning: A Laboratory Manual, Most Recent Edition, Cold Spring Harbor Laboratory Press, Cold Spring Harbor, N.Y.). High stringency washes have preferably low salt (preferably about 0.2% SSC) and a temperature of about 50-65° C.


Vaccines


One skilled in the art knows the preparation of live recombinant vaccines. Typically, such vaccines are prepared as injectable, either as liquid solutions or suspensions; solid forms suitable for solution in, or suspension in, liquid prior to injection may also be prepared. The preparation may also be emulsified, or the protein encapsulated in liposomes. The live immunogenic ingredients are often mixed with excipients that are pharmaceutically acceptable and compatible with the active ingredient. Suitable excipients are, for example, water, saline, dextrose, glycerol, ethanol, or the like and combinations thereof. In addition, if desired, the vaccine may contain minor amounts of auxiliary substances such as wetting or emulsifying agents, pH buffering agents, and/or adjuvants that enhance the effectiveness of the vaccine. Examples of adjuvants which may be effective include but are not limited to: aluminum hydroxide, N-acetyl-muramyl-L-threonyl-D-isoglutamine (thr-MDP), N-acetyl-nor-muramyl-L-alanyl-D-isoglutamine (CGP 11637, referred to as nor-MDP), N-acetylmuramyl-L-alanyl-D-isoglutaminyl-L-alanine-2-(1′-2′-dipalmitoyl-sn -glycero-3-hydroxyphosphoryloxy)-ethylamine (CGP 19835A, referred to as MTP-PE), and RIBI, which contains three components extracted from bacteria, monophosphoryl lipid A, trehalose dimycolate and cell wall skeleton (MPL+TDM+CWS) in a 2% squalene/Tween 80™ emulsion.


The effectiveness of an adjuvant may be determined by measuring the amount of antibodies directed against an immunogenic polypeptide containing a Mycobacterium tuberculosis antigenic sequence resulting from administration of the live recombinant Mycobacterium bovis-BCG vaccines that are also comprised of the various adjuvants. The vaccines are conventionally administered parenterally, by injection, for example, either subcutaneously or intramuscularly. Additional formulations which are suitable for other modes of administration include suppositories and, in some cases, oral formulations. For suppositories, traditional binders and carriers may include, for example, polyalkylene glycols or triglycerides; such suppositories may be formed from mixtures containing the active ingredient in the range of 0.5% to 10%, preferably 1%-2%. Oral formulations include such normally employed excipients as, for example, pharmaceutical grades of mannitol, lactose, starch, magnesium stearate, sodium saccharine, cellulose, magnesium carbonate, and the like. These compositions take the form of solutions, suspensions, tablets, pills, capsules, sustained release formulations or powders and contain 10%-95% of active ingredient, preferably 25%-70%.


The vaccines are administered in a manner compatible with the dosage formulation, and in such amount as will be prophylactically and/or therapeutically effective.


The vaccine may be given in a single dose schedule, or preferably in a multiple dose schedule. A multiple dose schedule is one in which a primary course of vaccination may be with 1-10 separate doses, followed by other doses given at subsequent time intervals required to maintain and or reinforce the immune response, for example, at 1-4 months for a second dose, and if needed, a subsequent dose(s) after several months. The dosage regimen will also, at least in part, be determined by the need of the individual and be dependent upon the judgment of the practitioner.


In addition, the live recombinant Mycobacterium bovis-BCG vaccine administered in conjunction with other immunoregulatory agents, for example, immune globulins. A subject of the present invention is also a multivalent vaccine formula comprising, as a mixture or to be mixed, a live recombinant Mycobacterium bovis-BCG vaccine as defined above with another vaccine, and in particular another recombinant live recombinant Mycobacterium bovis-BCG vaccine as defined above, these vaccines comprising different inserted sequences.


Pharmaceutical compositions


The pharmaceutical compositions of this invention are used for the treatment or prophylaxis of a mammal against challenge by Mycobacterium tuberculosis or Mycobacterium bovis. The pharmaceutical compositions of this invention are also used to treat patients having degenerative diseases, disorders or abnormal physical states such as cancer.


The pharmaceutical compositions can be administered to humans or animals by methods such as tablets, aerosol administration, intratracheal instillation and intravenous injection.


The present invention has been described in detail and with particular reference to the preferred embodiments; however, it will be understood by one having ordinary skill in the art that changes can be made without departing from the spirit and scope thereof. For example, where the application refers to proteins, it is clear that peptides and polypeptides may often be used. Likewise, where a gene is described in the application, it is clear that nucleic acids or gene fragments may often be used.


All publications (including Genbank entries), patents and patent applications are incorporated by reference in their entirety to the same extent as if each individual publication, patent or patent application was specifically and individually indicated to be incorporated by reference in its entirety.


EXAMPLES
Example 1
Construction of lsr2 Deletion Mutant of M. tb and BCG

The lsr2 deletion mutants of M. tb H37Rv (a laboratory virulent strain of M. tb purchased from ATCC, ATCC no. 25618) and BCG-Japan (30) (a gift from Marcel Behr) were generated by using a temperature-sensitive transducing phage system (26) and the main steps are shown in FIG. 2. DNA manipulations were done essentially as described by Sambrook et al. (Sambrook, J., E. F. Fritsch, and T. Maniatis. 1989. Molecular cloning: a laboratory manual, 2nd ed. Cold Spring Harbor Laboratory, Cold Spring Harbor, NY.). Plasmid p0004 is a counterselectable suicide vector containing HygR-sacB cassette (31). The upstream left fragment (L-fragment) and the downstream right fragment (R-fragment) flanking the lsr2 gene was generated by two primer pairs. The L-fragment (FIG. 2) for the allelic exchange substrate was generated by PCR using the primer pair L-forward











SEQ ID NO: 3



(CGGCTTCCATAAATTGGGCAGCTGGATCACCTGCTGGCGCAC)






and L-reverse











SEQ ID NO: 4



(CGGCTTCCATTTCTTGGCATTTGGCTACCGGCGCCCAGGCGA).







The primer pair used for the R-fragment (FIG. 2) was R-forward











SEQ ID NO: 5



(CGGCTTCCATAGATTGGTGGCTTACCCTCGCGTTTCTTCCTGTG)






and R-reverse









SEQ ID NO: 6


(CGGCTTCCATCTTTTGGGGTGAAGAGATCACACCGCAGACGACG).







The underlines indicate PfIMI restriction enzyme digestion sites. Since the genome regions flanking lsr2 in M. tb and BCG are identical, we used the M. tb genome DNA as template for the above PCR reaction to generate the knock out construct for both M. tb and BCG. The PCR reactions (50 μl) contain template DNA (10 ng), 0.5 μM primers, 0.2 mM dNTPs, 1× reaction buffer, 5% DMSO and 5 U Taq polymerase (Fermentas). The cycling conditions were: an initial 95° C. denaturation for 5 min, followed by 30 cycles of denaturation (95° C. for 30 sec), annealing (60° C., 30 sec), and extension (72° C., 1 min). A final extension at 72° C. for 5 min was used followed by cooling at 4° C. The resulting PCR products were run on agarose gel and purified using a gel purification kit (Qiagen). Purified L and R fragments and plasmid p0004 were digested with PfIMI (NEB) for 3 hour at 37° C. The digested L and R-fragments were gel purified using a gel purification kit (Qiagen). PfIMI cuts p0004 into 4 fragments and the two largest fragments (about 1600 and 1700 bp) were gel purified using the Qiagen gel purification kit. These two fragments were ligated with digested L and R-fragments obtained above to generate pKOlsr2 and transformed into E. coli DH5α. The ligation reaction (total 10 μl) contains 2 μl each of L and R-fragments, 2 μl each of the large fragments of p0004, 1 μl 10× T4 ligase buffer, 1 μl DNA T4 ligase (NEB). The ligation mixture was incubated at room temperature for 3 hours and then the reaction was inactivated by incubating at 65° C. for 20 min. The ligation mixture was added to competent E. coli DH5a cells and plated on LB agar containing hygromycin (150μg/ml). After overnight incubation at 37° C., single colonies were randomly picked and grown in LB broth. The plasmid pKOlsr2 was isolated from E. coli DH5a culture using a Qiagen Miniprep Kit. Purified pKOlsr2 was linearized by Pacl digestion and ligated to Pacl digested phasmid phLR (26). The ligation mixture contains 4 pKOlsr2, 4 μl phLR, 1 μl 10× T4 ligase buffer, 1 μl DNA T4 ligase (NEB). The ligation reaction proceeded at room temperature for 3 hours and then the resulting ligation product was packaged using the MaxPlax™ Lambda Packaging Extracts (Epicentre) and transformed into E. coli NM759 as the following. 5 μl of ligation mixture was added to 25 μl of the packaging extract and mix gently by tapping lightly with finger and incubated at room temperature for 2 hours. The reaction was stopped by adding 400 μl MP buffer (50 mM Tris HCl pH7.5, 150 mM NaCl, 10 mM MgSO4, 2 mM CaCl2) and incubated at room temperature for 10 min. Competent E. coli NM759 cells (1 mL) was then added to the mixture and incubated at 37° C. for 1 hour. The E. coli NM759 cells were pelleted and resuspended in 0.25 mL LB broth and 100 μl of which were plated on LB agar plates containing hygromycin (150 μg/ml) and incubated at 37° C. overnight. Single colonies were picked and grown in LB broth and the plasmid DNA was purified using a Qiagen Miniprep Kit. To generate and propagate functional phage, the phLR-pKOlsr2 purified from E. coli NM759 was transformed into Mycobacterium smegmatis (M. smegmatis) by electroporation. M. smegmatis (5 mL) were grown in Middlebrook 7H9 broth supplemented with 10% ADC (Difco) to OD600 =0.8-1.0. M. smegmatis cells were washed three times with equal volume of 10% glycerol, each time by centrifugation and resuspension. After the final wash, the cells were resuspended in 0.5 mL 10% glycerol and immediately subjected to electroporation. To perform electroporation, 5 μl phLR-pKOlsr2 was added to 400μl of Mycobacterium smegmatis cultures in a BioRad 0.2cm cuvette, and electroporated at 2500V, 25 μFD, 10000Ω. These cells were then mixed with melted top agar and poured on Middlebrook 7H11 agar plates (Difco). After incubation at 30° C. for 4 days, 5 ml of MP buffer was then added to plates nearly confluent with plaques and rocked at room temperature for 4 hours to harvest functional phage. To perform phage transduction in M. tb or BCG, 20 ml M. tb or BCG culture grown in Middlebrook 7H9 broth supplemented with 10% ADC (Difco) was washed with buffer MP and then resuspended in 2 ml MP buffer. 0.5 ml phage obtained above was added to 1 ml of the M. tb or BCG cells and incubated overnight at 37° C. Subsequently the cells were spun and resuspended in 1 mL 7H9 broth containing 10% ADC (Difco) and incubated at 37° C. for 24 hours. Lastly the cells were spun down and plated on 7H11 agar containing 10% ADC and 50 μg/ml hygromycin and incubated at 37° C. for over 4 weeks.


Example 2
Confirmation of the Deletion of lsr2 Gene from M. tb H37Rv and BCG-Japan

Three colonies of each strain (M. tb H37Rv and BCG-Japan) that appeared 4 weeks later from the above experiments were randomly picked and grown up in 20 mL 7H9 broth containing 10% ADC at 37° C. for 4 weeks. To isolate chromosomal DNA, 10 mL cultures of each were centrifuged at 2,000 ×g for 20 min, and the cell pellet was washed with 1 ml GTE Solution (25 mM Tris-HCl pH 8.0, 10 mM EDTA, 50 mM glucose) and resuspended in 450 μl GTE Solution. 50μl of lysozyme solution (10 mg/ml in Tris pH 8.5) was added, gently mixed, and incubated at 37° C. overnight. 100 μl 10% SDS and 50 μl 10 mg/ml Proteinase K (Sigma) were then added and gently mixed and incubated at 55° C. for 40 min. 200 μl 5 M NaCl and 160μl of CTAB were then added and gently mixed and incubated at 65° C. for 10 min. An equal volume (≈1 ml) chloroform:isoamyl alcohol (24:1) was added to the tube, the aqueous phase containing the DNA was transferred to a new tube and precipitated by adding 0.1 volume of 3 M sodium acetate, pH 5.2, and 1 volume of isopropanol. Invert the tube slowly to mix and place at 4° C. for 1 hour. Centrifuge the solution at 12,000×g for 30 min to pellet the DNA. Remove the supernatant and wash the DNA pellet with cold 70% ethanol. Centrifuge the DNA to remove the 70% ethanol and allow the pellet to air dry. Dissolve the pelleted chromosomal DNA in 100 μl TE buffer (10 mM Tris-HCl, pH 8.0, 1 mM EDTA). Chromosomal DNA of the wild type strains M. tb H37Rv and BCG-Japan were prepared by the same method and used as the control for PCR analysis. For PCR analysis, the primer pair forward (F) SEQ ID NO: 7 (GCCGTGGCCCTACCTGGT) and reverse (R) sequence SEQ ID NO: 6 (CGGCTTCCATCTTTTGGGGTGAAGAGATCACACCGCAGACGACG) were used. The forward primer was designed to detect the hyg cassette inserted in the chromosome of the lsr2 deletion mutant of M. tb H37Rv or BCG-Japan (see FIG. 3A) and the reverse primer was the same reverse primer used above to amplify the R fragment flanking the lsr2 gene. As such, an approximately 1.5 kb PCR product was expected from the lsr2 deletion mutant of M. tb H37Rv or BCG-Japan, which will not be generated from the wild type strain of M. tb H37Rv or BCG-Japan. The PCR reaction (50 μl) contains 0.5 μl of isolated chromosomal DNA as template, 5 μl each of the 10× forward and reverse primers, 1 μl Taq polymerase (Fermentas), 25 μl 2× PCR reaction buffer (Fermentas) and 13.5 μl dH2O. The cycling conditions were: an initial 95° C. denaturation for 10 min, followed by 30 cycles of denaturation (95° C. for 1 min), annealing (58° C., 1 min), and extension (72° C., 1 min). A final extension at 72° C. for 5 min was used followed by cooling at 4° C. The resulting PCR products were run on agarose gel and detected by ethidium bromide staining (see FIG. 3B). Lanes 3-8 of FIG. 3B are randomly picked lsr2 deletion mutant colonies of M. tb or BCG generated by the above method and they all contained the expected ≈1.5 kb PCR products. By contrast, Lanes 1 and 2 are the wild type M. tb H37Rv and BCG-Japan, which did not produce the PCR product. This result confirmed that we have successfully obtained the lsr2 deletion mutants of M. tb H37Rv and BCG-Japan.


Example 3
Study of the Role of Lsr2 in Gene Regulation

Cultures (50 ml) of M. tb H37Rv wild type strain (WT) and M. tb Llsr2 (lsr2 deletion mutant obtained above) were grown in Middlebrook 7H9 broth supplemented with 10% ADC (Difco) and harvested at an OD600≈0.4. Cells were pelleted and transferred to 2-ml screw cap tubes containing 1 ml RNA protect Bacterial Reagent (Qiagen) and incubated for 5 min at room temperature. Cells were again pelleted and resuspended in 400 μl lysis buffer (20 mM NaCH3COOH, 0.5% SDS, 1 mM EDTA, pH 4) and 1 ml phenol/chloroform (pH 4.5, Sigma). Cells were disrupted by bead beating with glass beads by three 30-sec pulses using a bead beater (Biospec). They were then incubated at 65° C. for 4 min and then at 4° C. for 5 min before being centrifuged at 13,000 rpm for 5 min. The supernatant was then extracted with 300 μl of chloroform/isoamyl alcohol (24:1) and precipitated with isopropanol. Precipitated nucleic acids were collected by centrifugation and the pellets were washed with 70% ethanol and air dried. Crude RNA samples were treated with DNase I (Fermentas) for 2 hours at 37° C. and purified further using an RNeasy kit (Qiagen) according to the manufacturer's instructions. The quality of purified total RNA was assessed by gel electrophoresis. For cDNA production 25 μg total RNA was reverse transcribed at 42° C. overnight using 2 μl Superscript II reverse transcriptase (Invitrogen), 25 μg 9-mer random primers and 2 μl dNTP mix (0.5 mM dATP, 0.5 mM dCTP, 0.5 mM dGTP, 0.25 mM dTTP, 0.25 mM 5-(3-aminoalyl)-dUTP) in a total volume of 100 μl (25 mM Tris pH 8.4, 37.5 mM KCl, 3 mM MgCl2, and 0.1 M DTT). RNA hydrolysis was performed by adding 15 μL 1M NaOH and then neutralized with 15 μL 1M HCl after incubating for 20 min at 65° C. The cDNA was purified using a QlAquick column (Qiagen). Samples were labeled for 1 hr at room temperature and then quenched with 4 M hydroxylamine. The labeled cDNA was purified and 1 μg per sample was hybridized to a 15 000 feature M. tb H37Rv ORF array with three distinct probes per ORF (Agilent Technologies) and scanned using the Genepix Professional 4200A scanner. Feature intensity ratios were acquired using Imagene v7.5 (Biodiscovery) and lowess-normalized using the marray R software package from Bioconductor. Significance Analysis of Microarrays (SAM) was performed to identify genes that are significantly upregulated or downregulated. The results were shown in table 1.









TABLE 1







List of 540 genes that are upregulated (≧2 fold) in the Isr2 deletion mutant of M. tb


H37Rv compared to the wild type strain.












Rv #
Gene
Fold Change
Rv #
Gene
Fold Change















Rv1089
PE10
41.27
Rv1586c
Rv1586c 
8.14


Rv2492
Rv2492
39.03
Rv0790c
Rv0790c
8.14


Rv1799
lppT
25.72
Rv0966
csoR
7.80


Rv1506c
Rv1506c
24.94
Rv2023A
Rv2023A
7.80


Rv0251c
hsp
23.99
Rv0448c
Rv0448c
7.41


Rv2107
PE22
21.45
Rv0862c
Rv0862c
7.24


Rv1115
Rv1115
19.86
Rv2643
arsC
7.19


Rv1505c
Rv1505c
17.60
Rv0450c
mmpL4
7.13


Rv3269
Rv3269
17.06
Rv2307B
Rv2307B
6.99


Rv0847
lpqS
16.03
Rv2494
Rv2494
6.97


Rv2965c
kdtB
15.66
Rv1992c
ctpG
6.72


Rv3343c
PPE54
15.58
Rv0678
Rv0678
6.71


Rv0791c
Rv0791c
15.57
Rv0767c
Rv0767c
6.69


Rv0976c
Rv0976c
15.26
Rv1502
Rv1502
6.65


Rv3888c
Rv3888c
15.02
Rv2913c
Rv2913c
6.62


Rv1089A
celA2a
15.00
Rv0232
Rv0232
6.59


Rv1587c
Rv1587c
14.71
Rv2516c
Rv2516c
6.41


Rv1504c
Rv1504c
13.96
Rv3887c
eccD2
6.34


Rv1088
PE9
12.95
Rv0331
Rv0331
6.34


Rv3270
ctpC
12.88
Rv0793
Rv0793
6.28


Rv1116
Rv1116
11.85
Rv3109c
moaA1
6.27


Rv2035
Rv2035
11.49
Rv2034
Rv2034
6.27


Rv3054c
Rv3054c
11.37
Rv2338c
moeW
6.14


Rv1503c
Rv1503c
11.02
Rv0765c
Rv0765c
6.04


Rv1585c
Rv1585c
10.90
Rv0233
nrdB
6.02


Rv0848
cysK2
10.62
Rv3841
bfrB
5.96


Rv2108
PPE36
10.61
Rv2011c
Rv2011c
5.94


Rv0792c
Rv0792c
10.18
Rv3866
espG1
5.93


Rv0973c
accA2
10.04
Rv3868
eccA1
5.93


Rv3864
espE
10.03
Rv2745c
Rv2745c
5.91


Rv3161c
Rv3161c
9.64
Rv0677c
mmpS5
5.88


Rv0507
mmpL2
9.54
Rv3406
Rv3406
5.87


Rv0405
pks6
9.40
Rv0475
hbhA
5.85


Rv1522c
mmpL12
9.34
Rv1576c
Rv1576c
5.82


Rv0449c
Rv0449c
9.07
Rv1800
PPE28
5.80


Rv1507c
Rv1507c
8.95
Rv3865
espF
5.77


Rv0974c
accD2
8.62
Rv0486
mshA
5.76


Rv0508
Rv0508
8.53
Rv2012
Rv2012
5.65


Rv2466c
Rv2466c
8.49
Rv1255c
Rv1255c
5.55


Rv2339
mmpL9
8.41
Rv1356c
Rv1356c
5.53


Rv0451c
mmpS4
8.27
Rv3867
espH
5.52


Rv3160c
Rv3160c
8.22
Rv1471
trxB1
5.44


Rv2493
Rv2493
5.43
Rv0676c
mmpL5
4.35


Rv2662
Rv2662
5.43
Rv2053c
Rv2053c
4.34


Rv0766c
cyp123
5.40
Rv3060c
Rv3060c
4.31


Rv2780
ald
5.38
Rv3020c
esxS
4.27


Rv2138
lppL
5.26
Rv1507A
Rv1507A
4.23


Rv2517c
Rv2517c
5.19
Rv2659c
Rv2659c
4.15


Rv2658c
Rv2658c
5.09
Rv3902c
Rv3902c
4.06


Rv1582c
Rv1582c
5.08
Rv0837c
Rv0837c
4.05


Rv2036
Rv2036
5.07
Rv1405c
Rv1405c
4.02


Rv2642
Rv2642
5.06
Rv1894c
Rv1894c
4.01


Rv3251c
rubA
5.01
Rv0653
Rv0654
4.00


Rv2744c
35kd_ag
4.96
Rv0982
mprB
3.99


Rv3854c
ethA
4.93
Rv0244c
fadE5
3.92


Rv3377c
Rv3377c
4.90
Rv2158c
murE
3.92


Rv0140
Rv0140
4.90
Rv3110
moaB1
3.92


Rv1581c
Rv1581c
4.87
Rv1057
Rv1057
3.91


Rv2664
Rv2664
4.86
Rv2016
Rv2016
3.89


Rv0586
mce2R
4.85
Rv0324
Rv0324
3.88


Rv2337c
Rv2337c
4.84
Rv2827c
Rv2827c
3.88


Rv3886c
mycP2
4.80
Rv2850c
Rv2850c
3.85


Rv0983
pepD
4.80
Rv2023c
Rv2023c
3.83


Rv1584c
Rv1584c
4.79
Rv1501
Rv1501
3.82


Rv1221
sigE
4.78
Rv0846c
Rv0846c
3.82


Rv1130
prpD
4.76
Rv3288c
usfY
3.82


Rv3252c
alkB
4.76
Rv2727c
miaA
3.81


Rv2159c
Rv2159c
4.67
Rv3872
PE35
3.78


Rv0975c
fadE13
4.62
Rv3085
Rv3085
3.77


Rv2491
Rv2491
4.61
Rv3884c
eccA2
3.77


Rv3463
Rv3463
4.59
Rv1948c
Rv1948c
3.77


Rv3535c
hsaG
4.58
Rv3530c
Rv3530c
3.76


Rv3087
Rv3087
4.57
Rv3249c
Rv3249c
3.76


Rv2956
Rv2956
4.55
Rv0190
Rv0190
3.75


Rv0972c
fadE12
4.54
Rv1222
resA
3.75


Rv2963
Rv2963
4.53
Rv1895
Rv1895
3.74


Rv3574
Rv3574
4.52
Rv3534c
hsaF
3.72


Rv1955
higA1
4.52
Rv1490
Rv1490
3.71


Rv0764c
cyp51
4.49
Rv1993c
Rv1993c
3.71


Rv3901c
Rv3901c
4.48
Rv0987
Rv0987
3.69


Rv1169c
PE11
4.46
Rv1960c
parD1
3.69


Rv2452c
Rv2452c
4.43
Rv0474
Rv0474
3.69


Rv0485
Rv0485
4.39
Rv2021c
Rv2021c
3.67


Rv3206c
moeB1
4.38
Rv0970
Rv0970
3.66


Rv3286c
sigF
4.36
Rv3536c
Rv3536c
3.65


Rv3567c
hsaB
3.65
Rv2374c
hrcA
3.19


Rv0246
Rv0246
3.65
Rv3871
eccCb1
3.17


Rv2139
pyrD
3.65
Rv1813c
Rv1813c
3.15


Rv3856c
Rv3856c
3.64
Rv1492
mutA
3.14


Rv0769
Rv0769
3.64
Rv2866
relE2
3.13


Rv0563
htpX
3.64
Rv2728c
Rv2728c
3.12


Rv3382c
lytB1
3.63
Rv1801
PPE29
3.11


Rv1991c
mazF6
3.62
MTB000043
metU
3.11


Rv2829c
vapC22
3.62
Rv2052c
Rv2052c
3.11


Rv1265
Rv1265
3.60
Rv3873
PPE68
3.10


Rv0411c
glnH
3.59
Rv1131
gltA1
3.09


Rv1218c
Rv1218c
3.58
Rv0971c
echA7
3.08


Rv0988
Rv0988
3.58
Rv0402c
mmpF1
3.08


Rv3849
EspR
3.56
Rv3079c
Rv3079c
3.08


Rv3383c
idsB
3.54
Rv2323c
Rv2323c
3.07


Rv0384c
clpB
3.52
Rv2558
Rv2558
3.07


Rv0968
Rv0969
3.52
Rv0850
Rv0850
3.07


Rv0940c
Rv0940c
3.51
Rv0865
mog
3.06


Rv2017
Rv2017
3.50
Rv2234
ptpA
3.05


Rv1959c
parE1
3.45
Rv0674
Rv0674
3.04


Rv0836c
Rv0836c
3.45
Rv1635c
Rv1635c
3.04


Rv2641
cadI
3.41
Rv1969
mce3D
3.04


Rv1989c
Rv1989c
3.40
MTB000021
rrf
3.03


Rv0063
Rv0064
3.39
Rv0047c
Rv0047c
3.02


Rv1579c
Rv1579c
3.39
Rv2729c
Rv2729c
3.02


Rv2707
Rv2707
3.38
Rv3515c
fadD19
3.01


Rv3857c
Rv3857c
3.36
Rv3289c
Rv3289c
3.01


Rv3061c
fadE22
3.36
Rv1285
cysD
3.00


Rv2324
Rv2324
3.36
Rv1224
tatB
2.98


Rv3582c
ispD
3.34
Rv2743c
Rv2743c
2.97


Rv0671
lpqP
3.34
Rv2499c
Rv2499c
2.93


Rv1854c
ndh
3.33
Rv0587
yrbE2A
2.93


Rv1817
Rv1817
3.32
Rv2602
Rv2602
2.93


Rv1956
higB1
3.31
MTB000004
glyU
2.93


Rv0763c
Rv0763c
3.30
Rv1583c
Rv1583c
2.91


Rv0672
fadE8
3.29
Rv1641
infC
2.90


Rv3627c
Rv3627c
3.29
Rv2020c
Rv2020c
2.89


Rv3424c
Rv3424c
3.29
Rv0768
aldA
2.88


Rv0789c
Rv0789c
3.28
Rv2912c
Rv2912c
2.88


Rv1463
Rv1463
3.27
MTB000009
thrV
2.87


Rv3833
Rv3833
3.23
Rv3838c
pheA
2.87


Rv0849
Rv0849
3.22
Rv3862c
whiB6
2.86


Rv3088
Rv3088
3.19
Rv1985c
Rv1985c
2.86


Rv3615c
espC
2.86
Rv1048c
Rv1048c
2.61


Rv0477
Rv0477
2.85
Rv1832
gcvB
2.60


Rv2878c
mpt53
2.84
Rv0991c
Rv0991c
2.59


Rv2710
sigB
2.83
Rv0770
Rv0770
2.58


Rv2399c
cysT
2.83
Rv0320
Rv0320
2.58


Rv3616c
espA
2.81
Rv0947c
Rv0947c
2.58


Rv2133c
Rv2133c
2.81
Rv3570c
hsaA
2.58


Rv2656c
Rv2656c
2.79
Rv3188
Rv3188
2.57


Rv2160c
Rv2160c
2.79
Rv3869
eccB1
2.57


Rv3870
eccCa1
2.78
Rv0122
Rv0123
2.56


Rv2096c
Rv2096c
2.77
Rv3250c
rubB
2.56


Rv3086
adhD
2.77
Rv2164c
Rv2164c
2.56


Rv1767
Rv1767
2.76
Rv3408
Rv3408
2.55


Rv0670
end
2.75
Rv0024
Rv0024
2.54


Rv1603
hisA
2.75
Rv2665
Rv2665
2.54


Rv1961
Rv1961
2.74
Rv0272c
Rv0272c
2.54


Rv0514
Rv0514
2.74
Rv1066
Rv1066
2.54


Rv0366c
Rv0366c
2.73
Rv2156c
murX
2.53


Rv0771
Rv0771
2.73
Rv3245c
mtrB
2.53


Rv0193c
Rv0193c
2.72
Rv0589
mce2A
2.53


Rv0327c
cyp135A1
2.72
Rv3855
ethR
2.53


Rv0328
Rv0328
2.71
Rv2366c
Rv2366c
2.52


Rv3052c
nrdI
2.71
Rv3094c
Rv3094c
2.52


Rv0990c
Rv0990c
2.71
Rv1996
Rv1996
2.51


Rv1627c
Rv1627c
2.69
Rv1812c
Rv1812c
2.51


Rv0602c
tcrA
2.69
Rv0275c
Rv0275c
2.51


Rv2557
Rv2557
2.69
Rv2025c
Rv2025c
2.50


Rv1326c
glgB
2.68
Rv0922
Rv0922
2.50


Rv0412c
Rv0412c
2.68
Rv2022c
Rv2022c
2.49


Rv0874c
Rv0874c
2.68
Rv3287c
rsbW
2.49


Rv1219c
Rv1219c
2.68
MTB000031
glyV
2.49


MTB000032
argW
2.67
Rv1063c
Rv1063c
2.49


Rv3608c
folP1
2.67
Rv2050
Rv2050
2.48


Rv1403c
Rv1403c
2.66
Rv2142c
parE2
2.47


Rv0350
dnaK
2.66
Rv1103c
mazE3
2.47


Rv3066
Rv3066
2.65
Rv3084
lipR
2.46


Rv1727
Rv1727
2.65
Rv0277c
Rv0277c
2.46


Rv3552
Rv3552
2.65
Rv1256c
cyp130
2.46


Rv2504c
scoA
2.65
Rv3614c
espD
2.46


Rv2826c
Rv2826c
2.64
Rv0326
Rv0326
2.45


Rv2161c
Rv2161c
2.64
Rv168c
PPE17
2.45


Rv0834c
PE_PGRS14
2.64
MTB000017
leuX
2.45


Rv3531c
Rv3531c
2.62
Rv2254c
Rv2254c
2.44


Rv3053c
nrdH
2.44
Rv0596c
Rv0596c
2.32


Rv3309c
upp
2.44
Rv0688
Rv0688
2.31


Rv1073
Rv1073
2.44
Rv0969
ctpV
2.31


Rv3294c
Rv3294c
2.44
Rv1957
Rv1957
2.31


Rv0749
Rv0749
2.43
Rv3082c
virS
2.30


Rv0591
mce2C
2.43
Rv0653c
Rv0653c
2.30


Rv3899c
Rv3899c
2.42
Rv3093c
Rv3093c
2.30


Rv2650c
Rv2650c
2.42
RvOO11c
Rv0011c
2.30


Rv1600
hisC1
2.42
MTB000026
mpB
2.30


Rv1335
Rv1335
2.42
Rv1084
Rv1084
2.29


Rv3111
moaC1
2.42
Rv2631
Rv2631
2.29


Rv1665
pks11
2.42
Rv2663
Rv2663
2.29


Rv2552c
aroE
2.42
Rv2145c
wag31
2.29


Rv0577
TB27.3
2.41
Rv2601A
Rv2601A
2.28


Rv0576
Rv0576
2.40
Rv0823c
Rv0823c
2.27


Rv1621c
cydD
2.39
Rv3529c
Rv3529c
2.27


Rv1533
Rv1533
2.39
Rv0302
Rv0302
2.27


Rv2957
Rv2957
2.39
Rv0134
ephF
2.27


Rv2655c
Rv2655c
2.39
Rv1908c
katG
2.27


Rv3347c
PPE55
2.38
Rv3613c
Rv3613c
2.26


Rv2918c
glnD
2.38
Rv3410c
guaB3
2.26


Rv2243
fabD
2.37
Rv2657c
Rv2657c
2.26


Rv0403c
mmpS1
2.37
Rv0490
senX3
2.26


Rv3057c
Rv3057c
2.36
Rv1682
Rv1682
2.25


Rv0188
Rv0188
2.36
Rv1947
Rv1947
2.25


Rv3612c
Rv3612c
2.36
Rv2989
Rv2989
2.25


Rv0826
Rv0826
2.36
Rv3555c
Rv3555c
2.24


Rv1090
celA2b
2.36
Rv3384c
Rv3384c
2.24


Rv1464
csd
2.35
Rv2746c
pgsA3
2.24


Rv3569c
bphD
2.35
MTB000006
thrT
2.24


Rv2676c
Rv2676c
2.35
Rv1968
mce3C
2.24


Rv3562
fadE31
2.35
Rv3350c
PPE56
2.23


Rv1040c
PE8
2.35
Rv3823c
mmpL8
2.22


Rv3334
Rv3334
2.34
Rv3416
whiB3
2.22


Rv2706c
Rv2706c
2.33
MTB000039
gluU
2.22


Rv2426c
Rv2426c
2.33
Rv1982c
Rv1982c
2.21


Rv3724B
cut5b
2.33
Rv2351c
plcA
2.21


Rv0459
Rv0459
2.32
Rv2731
Rv2731
2.21


Rv2134c
Rv2134c
2.32
Rv0864
moaC2
2.21


Rv0757
phoP
2.32
Rv2459
Rv2459
2.21


Rv3426
PPE58
2.32
Rv1776c
Rv1776c
2.21


Rv2498c
citE
2.32
Rv2566
Rv2566
2.21


Rv0989c
grcC2
2.32
Rv2553c
Rv2553c
2.21


Rv0488
Rv0488
2.20
Rv3549c
Rv3549c
2.12


Rv2651c
Rv2651c
2.20
Rv3540c
ltp2
2.12


Rv3197A
whiB7
2.20
Rv1990c
Rv1990c
2.12


Rv0804
Rv0804
2.20
Rv1967
mce3B
2.11


Rv3537
Rv3537
2.20
Rv0465c
Rv0465c
2.11


Rv1936
Rv1936
2.20
Rv0986
Rv0986
2.11


Rv2769c
PE27
2.20
Rv3327
Rv3327
2.11


Rv1577c
Rv1577c
2.19
Rv2483c
plsC
2.11


Rv1223
htrA
2.19
Rv3724A
cut5a
2.11


Rv0647
Rv0648
2.19
Rv0113
gmhA
2.10


Rv1540
Rv1540
2.18
Rv1986
Rv1986
2.10


Rv1580c
Rv1580c
2.18
Rv2779c
Rv2779c
2.10


Rv2801c
mazF9
2.18
Rv1398c
Rv1398c
2.10


Rv0467
icl
2.18
Rv1039c
PPE15
2.10


Rv0500A
Rv0500A
2.18
Rv0070c
glyA2
2.08


Rv1217c
Rv1217c
2.17
Rv1339
Rv1339
2.08


Rv0921
Rv0921
2.17
Rv0397
Rv0397
2.08


Rv1461
Rv1461
2.17
Rv3083
Rv3083
2.08


Rv3480c
Rv3480c
2.16
Rv1601
hisB
2.08


Rv2687c
Rv2687c
2.16
Rv1619
Rv1619
2.08


Rv3606c
folK
2.16
Rv3581c
ispF
2.08


Rv0754
PE_PGRS 11
2.16
Rv3513c
fadD18
2.08


Rv2733c
Rv2733c
2.15
Rv2628
Rv2628
2.07


Rv1548c
PPE21
2.15
Rv0575c
Rv0575c
2.07


Rv0347
Rv0347
2.15
Rv0588
yrbE2B
2.07


Rv2135c
Rv2135c
2.15
Rv1065
Rv1065
2.07


Rv3504
fadE26
2.15
Rv1376
Rv1376
2.07


Rv1982A
Rv1982A
2.14
Rv2146c
Rv2146c
2.06


Rv1787
PPE25
2.14
Rv0064
Rv0065
2.06


Rv1473A
Rv1473A
2.14
Rv0897c
Rv0897c
2.06


Rv3900c
Rv3900c
2.14
Rv3526
Rv3526
2.05


Rv0316
Rv0316
2.14
Rv0456A
mazF1
2.05


Rv0511
hemD
2.14
Rv1578c
Rv1578c
2.05


Rv0663
vapB8
2.14
Rv2964
purU
2.05


Rv2921c
ftsY
2.14
Rv1623c
cydA
2.05


Rv3516
echA19
2.14
Rv1333
Rv1333
2.05


Rv0114
gmhB
2.14
Rv1213
glgC
2.05


Rv2136c
Rv2136c
2.14
Rv0711
atsA
2.05


Rv3571
hmp
2.14
Rv0452
Rv0452
2.05


Rv0277A
Rv0277A
2.13
Rv1102c
Rv1102c
2.05


Rv2287
yjcE
2.13
Rv0992c
Rv0992c
2.04


Rv1994c
Rv1994c
2.12
Rv2322c
rocD1
2.04


Rv0271c
fadE6
2.12
Rv2154c
ftsW
2.04


Rv3522
ltp4
2.04


Rv1557
mmpL6
2.03


Rv1044
Rv1044
2.03


Rv2660c
Rv2660c
2.03


Rv1841c
Rv1841c
2.03


Rv2131c
cysQ
2.03


Rv0687
Rv0687
2.03


Rv0099
fadD10
2.03


Rv3189
Rv3189
2.03


Rv1958c
Rv1958c
2.02


Rv1634
Rv1634
2.02


Rv2688c
Rv2688c
2.02


Rv0303
Rv0303
2.02


Rv3075c
Rv3075c
2.02


Rv1673c
Rv1673c
2.02


Rv3065
mmr
2.02


Rv3340
metC
2.02


Rv1929c
Rv1929c
2.01


Rv0115
hddA
2.01


Rv2503c
scoB
2.01


Rv0476
Rv0476
2.01


Rv3433c
Rv3433c
2.01


Rv0875c
Rv0875c
2.01


Rv1990A
Rv1990A
2.01


Rv3112
moaD1
2.00


Rv2465c
rpiB
2.00









Example 4
Determination of the Protective Efficacy of lsr2 Deletion Mutant of BCG

Immunocompetent BALB/c mice (5 per group, purchased from Charles River Laboratories International, Inc.) were immunized subcutaneously with 5×105 CFU of BCG-Japan, BCG-Japan lsr2 deletion mutant obtained in example 1 and the negative control PBS for 8 weeks. Mice were then challenged by aerosol infection using the Glass-Col Inhalation Exposure System (Glas-Col, LLC) with 300 CFU of M. tb H37Rv. At 5 weeks post infection, 5 mice per group were sacrificed and the lungs were harvested. Harvested lungs were homogenized in 2 mL PBS-0.05% Tween80 using the OMNI TH homogenizer. Lung homogenates were serially diluted, plated in triplicate on 7H11 agar plates and incubated at 37° C. for 4 weeks, and then bacterial colony forming unit (CFU) were counted. The result showed that the lsr2 deletion mutant of BCG (BCG-Japan/Alsr2) exhibits significant better protection than both PBS and its parental strain BCG-Japan (see FIG. 1). *, p<0.05; **, p<0.01.


REFERENCE LIST



  • 1. Colditz G A, et al. (1995) The efficacy of bacillus Calmette-Guerin vaccination of newborns and infants in the prevention of tuberculosis: meta-analyses of the published literature. Pediatrics 96(1 Pt 1):29-35.

  • 2. Trunz B B, Fine P, & Dye C (2006) Effect of BCG vaccination on childhood tuberculous meningitis and miliary tuberculosis worldwide: a meta-analysis and assessment of cost-effectiveness. Lancet 367(9517):1173-1180.

  • 3. Brewer T F (2000) Preventing tuberculosis with bacillus Calmette-Guerin vaccine: a meta-analysis of the literature. Clin Infect Dis 31 Suppl 3:S64-67.

  • 4. Behr M A (2002) BCG--different strains, different vaccines? Lancet Infect Dis 2(2):86-92.

  • 5. Brandt L, et al. (2002) Failure of the Mycobacterium bovis BCG vaccine: some species of environmental mycobacteria block multiplication of BCG and induction of protective immunity to tuberculosis. Infect Immun 70(2):672-678.

  • 6. Comstock G W (1994) Field trials of tuberculosis vaccines: how could we have done them better? Control Clin Trials 15(4):247-276.

  • 7. Demangel C, Garnier T, Rosenkrands I, & Cole ST (2005) Differential effects of prior exposure to environmental mycobacteria on vaccination with Mycobacterium bovis BCG or a recombinant BCG strain expressing RD1 antigens. Infect Immun 73(4):2190-2196.

  • 8. Fine P E (1995) Variation in protection by BCG: implications of and for heterologous immunity. Lancet 346(8986):1339-1345.

  • 9. Tsenova L, et al. (2007) BCG vaccination confers poor protection against M. tuberculosis HN878-induced central nervous system disease. Vaccine 25(28):5126-5132.

  • 10. Comstock G W, Woolpert S F, & Livesay V T (1976) Tuberculosis studies in Muscogee County, Georgia. Twenty-year evaluation of a community trial of BCG vaccination. Public Health Rep 91(3):276-280.

  • 11. Hart P D & Sutherland I (1977) BCG and vole bacillus vaccines in the prevention of tuberculosis in adolescence and early adult life. Br Med J 2(6082):293-295.

  • 12. Skeiky Y A & Sadoff J C (2006) Advances in tuberculosis vaccine strategies. Nat Rev Microbiol 4(6):469-476.

  • 13. Kaufmann S H (2011) Fact and fiction in tuberculosis vaccine research: 10 years later. Lancet Infect Dis 11(8):633-640.

  • 14. Liu J, Tran V, Leung A S, Alexander D C, & Zhu B (2009) BCG vaccines: their mechanisms of attenuation and impact on safety and protective efficacy. Hum Vaccin 5(2):70-78.

  • 15. Behr M A & Small P M (1997) Has BCG attenuated to impotence?Nature 389(6647):133-134.

  • 16. Gordon B R, Imperial R, Wang L, Navarre W W, & Liu J (2008) Lsr2 of Mycobacterium represents a novel class of H-NS-like proteins. J Bacteriol 190(21):7052-7059.

  • 17. Chen J M, et al. (2006) Roles of Lsr2 in colony morphology and biofilm formation of Mycobacterium smegmatis. J Bacteriol 188(2):633-641.

  • 18. Colangeli R, et al. (2007) Transcriptional regulation of multi-drug tolerance and antibiotic-induced responses by the histone-like protein Lsr2 in M. tuberculosis. PLoS Pathog 3(6):e87.

  • 19. Chen J M, et al. (2008) Lsr2 of Mycobacterium tuberculosis is a DNA-bridging protein. Nucleic Acids Res 36(7):2123-2135.

  • 20. Gordon B R, et al. (2010) Lsr2 is a nucleoid-associated protein that targets AT-rich sequences and virulence genes in Mycobacterium tuberculosis. Proc Natl Acad Sci USA 107(11):5154-5159.

  • 21. Gordon B R, et al. (2011) Structural basis for recognition of AT-rich DNA by unrelated xenogeneic silencing proteins. Proc Natl Acad Sci USA 108(26):10690-10695.

  • 22. Brosch R, et al. (2007) Genome plasticity of BCG and impact on vaccine efficacy. Proc Natl Acad Sci USA 104(13):5596-5601.

  • 23. Cole S T, et al. (1998) Deciphering the biology of Mycobacterium tuberculosis from the complete genome sequence. Nature 393(6685):537-544.

  • 24. Garnier T, et al. (2003) The complete genome sequence of Mycobacterium bovis. Proc Natl Acad Sci USA 100(13):7877-7882.

  • 25. Park K T, et al. (2008) Demonstration of allelic exchange in the slow-growing bacterium Mycobacterium avium subsp. paratuberculosis, and generation of mutants with deletions at the pknG, relA, and lsr2 loci. Appl Environ Microbio 74(6):1687-1695.

  • 26. Bardarov S, et al. (2002) Specialized transduction: an efficient method for generating marked and unmarked targeted gene disruptions in Mycobacterium tuberculosis, M. bovis BCG and M. smegmatis. Microbiology 148(Pt 10):3007-3017.

  • 27. Fleischmann R D, et al. (2002) Whole-genome comparison of Mycobacterium tuberculosis clinical and laboratory strains. J Bacteriol 184(19):5479-5490.

  • 28. Lamm D L (2000) Efficacy and safety of bacille Calmette-Guerin immunotherapy in superficial bladder cancer. Clin Infect Dis 31 Suppl 3:S86-90.

  • 29. Prescott S, Jackson A M, Hawkyard S J, Alexandroff A B, & James K (2000) Mechanisms of action of intravesical bacille Calmette-Guerin: local immune mechanisms. Clin Infect Dis 31 Suppl 3:S91-93.

  • 30. Behr M A, et al. (1999) Comparative genomics of BCG vaccines by whole-genome DNA microarray. Science 284(5419):1520-1523.

  • 31. Glover R T, Kriakov J, Garforth S J, Baughn A D, & Jacobs W R, J r. (2007) The two-component regulatory system senX3-regX3 regulates phosphate-dependent gene expression in Mycobacterium smegmatis. J Bacteriol 189(15):5495-5503.


Claims
  • 1. A live modified Mycobacterium bovis-BCG strain, in which lsr2 gene is inactivated or the expression of lsr2 is reduced.
  • 2. (canceled)
  • 3. The live modified Mycobacterium bovis-BCG strain of claim 1, wherein the lsr2 gene is inactivated by deleting the lsr2 gene from the genome.
  • 4. The live modified Mycobacterium bovis-BCG strain of claim 1, wherein the expression of lsr2 is reduced by overexpression of a dominant-negative Lsr2 mutant, expression of antisense Lsr2 transcript, and introducing mutations in the promoter regions of lsr2.
  • 5. The live modified Mycobacterium bovis-BCG strain of claim 1, wherein the Mycobacterium bovis-BCG strain is selected from the group consisting of Mycobacterium bovis-BCG-Russia, Mycobacterium bovis-BCG-Moreau, Mycobacterium bovis-BCG-Japan, Mycobacterium bovis-BCG-Sweden, Mycobacterium bovis-BCG-Birkhaug, Mycobacterium bovis-BCG-Prague, Mycobacterium bovis-BCG-Glaxo, Mycobacterium bovis-BCG-Denmark, Mycobacterium bovis-BCG-Tice, Mycobacterium bovis-BCG-Frappier, Mycobacterium bovis-BCG-Connaught, Mycobacterium bovis-BCG-Phipps, Mycobacterium bovis-BCG-Pasteur and Mycobacterium bovis-BCG-China.
  • 6. A pharmaceutical composition for the treatment or prophylaxis of a mammal against challenge by mycobacteria or against cancer comprising the live modified Mycobacterium bovis-BCG strain of claim 1.
  • 7. The pharmaceutical composition of claim 6, wherein the composition is a vaccine.
  • 8. The pharmaceutical composition of claim 6 wherein the mycobacterium is Mycobacterium tuberculosis or Mycobacterium bovis.
  • 9. The pharmaceutical composition of claim 6, further comprising a pharmaceutically acceptable carrier or an adjuvant or immunogenic materials from one or more other pathogens.
  • 10. A method for the treatment or prophylaxis of a mammal against challenge by Mycobacterium tuberculosis or Mycobacterium bovis, comprising administering to the mammal the live modified Mycobacterium bovis-BCG strain of claim 1 or a pharmaceutical composition containing the live modified Mycobacterium bovis-BCG strain.
  • 11. A method for the treatment or prophylaxis of a mammal against cancer, comprising administering to the mammal the live modified Mycobacterium bovis-BCG strain of claim 1 or a pharmaceutical composition containing the live modified Mycobacterium bovis-BCG strain.
  • 12. The method of claim 10, wherein the mammal is a cow or a human.
  • 13. The method of claim 11, wherein the cancer is bladder cancer.
  • 14. (canceled)
  • 15. The method of claim 11, wherein the mammal is a cow or a human.
PCT Information
Filing Document Filing Date Country Kind
PCT/CN2012/082201 9/27/2012 WO 00