Patent Application
20220153817
The instant application contains a Sequence Listing which has been submitted as a text file in ASCII format via EFS-Web and is hereby incorporated by reference in its entirety. Said ASCII copy, created on Jun. 30, 2021 is named “18-1630-US-CON_Sequence_Listing ST25.txt” and is 1.0 kilobyte in size.
The disclosure relates to systems and methods for the production of human antibodies against various pathogens.
Current immunoglobulin products, such as human intravenous immunoglobulin (IVIG), monoclonal antibodies, and animal-derived polyclonal antibodies (pAbs), have known limitations. For example, human pAb products require large volumes of plasma from many convalescent human donors with confirmed high titers to make a commercial product. Although animal-derived pAbs could be an alternative, they typically have very high reactogenicity since animal-derived antibody products are foreign proteins in humans. This can cause a variety of adverse effects such as severe allergic reactions (anaphylaxis). To avoid serious side effects, animal antibodies are usually processed into smaller F(ab) or F(ab′)2 fragments, but this often reduces their half-life and potency. Monoclonal antibodies can be humanized or chimerized to human Fc fragments to avoid this, however, they are directed against a single epitope that may be subject to rapid mutational escape. This has led to the development of oligoclonal cocktails, but like monoclonal products, there are difficulties developing and producing enough of the product in a timely manner to assist in an outbreak scenario. There is a need in the art for rapid approach that combines the good safety profile of human polyclonal antibody products with high neutralizing antibody activity.
Disclosed herein is a method for producing human antibodies against a pathogen comprising injecting a non-human animal that produces human antibody with a pathogen-derived DNA vaccine in at least two locations of the animal; injecting the animal with an adjuvant in a location of the animal different from the location of the DNA vaccine location; collecting plasma from the animal after the injections; and purifying human polyclonal antibody from the plasma. In certain aspects, the location of adjuvant injection is adjacent to the location of DNA-vaccine injection. According to further aspects, the pathogen is selected from a group consisting of: Hantavirus, Ebola virus, Venezuelan Equine Encephalitis, and Zika virus.
In certain aspects, the non-human animal vaccinated in the instantly disclosed method is an ungulate and the ungulate is a transchromosomal ungulate. In exemplary embodiments, the transchromosomal ungulate has a human artificial chromosome (HAC) vector comprising genes encoding: one or more human antibody heavy chains, wherein each gene encoding an antibody heavy chain is operatively linked to a class switch regulatory element; one or more human antibody light chains; and one or more human antibody surrogate light chains, and/or an ungulate derived IgM heavy chain constant region; wherein at least one class switch regulatory element of the genes encoding the one or more human antibody heavy chains is replaced with an ungulate-derived class switch regulatory element.
Disclosed herein is a human polyclonal antibody against a pathogen, produced by injecting a non-human animal that produces human antibody with a pathogen-derived DNA vaccine and injecting an adjuvant at a different location on the animal from the location of the DNA vaccine injection. According to certain exemplary embodiments, a human polyclonal antibody against a pathogen is produced by injecting a non-human animal with a pathogen-derived DNA vaccine in at least two locations of the animal and injecting the animal with an adjuvant in a location of the animal different from the location of the DNA vaccine locations; collecting plasma from the animal after the injections; and
purifying human polyclonal antibody from the plasma. In certain aspects, the pathogen is a virus. In further aspects, the virus is selected from the group consisting of: Hantavirus, Ebola virus, Venezuelan Equine Encephalitis, and Zika virus.
Although the present invention has been described with reference to preferred embodiments, persons skilled in the art will recognize that changes may be made in form and detail without departing from the spirit and scope of the invention.
Ranges can be expressed herein as from “about” one particular value, and/or to “about” another particular value. When such a range is expressed, a further aspect includes from the one particular value and/or to the other particular value. Similarly, when values are expressed as approximations, by use of the antecedent “about,” it will be understood that the particular value forms a further aspect. It will be further understood that the endpoints of each of the ranges are significant both in relation to the other endpoint, and independently of the other endpoint. It is also understood that there are a number of values disclosed herein, and that each value is also herein disclosed as “about” that particular value in addition to the value itself. For example, if the value “10” is disclosed, then “about 10” is also disclosed. It is also understood that each unit between two particular units are also disclosed. For example, if 10 and 15 are disclosed, then 11, 12, 13, and 14 are also disclosed.
References in the specification and concluding claims to parts by weight of a particular element or component in a composition denotes the weight relationship between the element or component and any other elements or components in the composition or article for which a part by weight is expressed. Thus, in a compound containing 2 parts by weight of component X and 5 parts by weight component Y, X and Y are present at a weight ratio of 2:5, and are present in such ratio regardless of whether additional components are contained in the compound.
A weight percent (wt. %) of a component, unless specifically stated to the contrary, is based on the total weight of the formulation or composition in which the component is included.
As used herein, the terms “optional” or “optionally” means that the subsequently described event or circumstance can or cannot occur, and that the description includes instances where said event or circumstance occurs and instances where it does not.
As used herein, the term “analog” refers to a compound having a structure derived from the structure of a parent compound (e.g., a compound disclosed herein) and whose structure is sufficiently similar to those disclosed herein and based upon that similarity, would be expected by one skilled in the art to exhibit the same or similar activities and utilities as the claimed compounds, or to induce, as a precursor, the same or similar activities and utilities as the claimed compounds.
As used herein the term “adjuvant” refers to a compound that, when used in combination with a specific immunogen in a formulation, augments or otherwise alters or modifies the resultant immune response. Modification of the immune response includes intensification or broadening the specificity of either or both antibody and cellular immune responses. Modification of the immune response can also mean decreasing or suppressing certain antigen-specific immune responses.
As used herein, the term “DNA vaccine” means a nucleotide that when introduced into a mammal, induce the expression of encoded polypeptide antigens within the mammals, and cause the mammals' immune system to become reactive against the antigens. In certain embodiments the DNA vaccine is in the form of a DNA plasmid. DNA plasmid is one that includes an encoding sequence of a recombinant antigen that is capable of being expressed in a mammalian cell, upon the DNA plasmid entering after injection. In certain embodiments, injection is by way of needle-free injections. In alternative embodiments, the injection uses electroporation. Preferably, the encoding sequence is a consensus antigen that elicits an immune response in the target mammal. In some embodiments, the encoding sequence is constructs were optimized for mammalian expression, which can include one or more of the following: including the addition of a Kozak sequence, codon optimization, and RNA optimization. In some embodiments, these optimized encoding sequences can be subcloned into the pWRG7077 eukaryotic expression vector.
As used herein the term “immune stimulator” refers to a compound that enhances an immune response via the body's own chemical messengers (cytokines). These molecules comprise various cytokines, lymphokines and chemokines with immunostimulatory, immunopotentiating, and pro-inflammatory activities, such as interleukins (e.g., IL-1, IL-2, IL-3, IL-4, IL-12, IL-13); growth factors (e.g., granulocyte-macrophage (GM)-colony stimulating factor (CSF)); and other immunostimulatory molecules, such as macrophage inflammatory factor, Flt3 ligand, B7.1; B7.2, etc. The immune stimulator molecules can be administered in the same formulation as the immunogenic composition, or can be administered separately. Either the protein or an expression vector encoding the protein can be administered to produce an immunostimulatory effect.
As used herein an “effective dose” generally refers to that amount of the immunogenic composition sufficient to induce immunity, to prevent and/or ameliorate virus infection or to reduce at least one symptom of infection and/or to enhance the efficacy of another dose of a immunogenic composition. An effective dose may refer to the amount of the immunogenic composition sufficient to delay or minimize the onset of an infection. An effective dose may also refer to the amount of the immunogenic composition that provides a therapeutic benefit in the treatment or management of infection. Further, an effective dose is the amount with respect to the immunogenic composition alone, or in combination with other therapies, that provides a therapeutic benefit in the treatment or management of a viral infection. An effective dose may also be the amount sufficient to enhance a subject's (e.g., a human's) own immune response against a subsequent exposure to virus. Levels of immunity can be monitored, e.g., by measuring amounts of neutralizing secretory and/or serum antibodies, e.g., by plaque neutralization, complement fixation, enzyme-linked immunosorbent, or microneutralization assay. In the case of a vaccine, an “effective dose” is one that prevents disease or reduces the severity of symptoms.
As used herein, the term “human antibody” means an antibody produced in a non-human animal that is otherwise indistinguishable from antibody produced in a human vaccinated by the same DNA vaccine. This is in contrast to “humanized antibodies” which are modified to have human characteristics, such as through generation of chimeras, but that maintain attributes of the host animal in which they are generated. Because human antibody made according to the instantly disclosed method is comprised of IgG that are fully human, no enzymatic treatment is needed to eliminate the risk of anaphylaxis and serum sickness associated with heterologous species IgG.
As used herein, the term “operably linked” refers to a first DNA molecule joined to a second DNA molecule, wherein the first and second DNA molecules are arranged so that the first DNA molecule affects the function of the second DNA molecule. The two DNA molecules may or may not be part of a single contiguous DNA molecule and may or may not be adjacent. For example, a promoter is operably linked to a transcribable DNA molecule if the promoter is capable of affecting the transcription or translation of the transcribable DNA molecule.
As used herein, the term “pathogen” means any bacterium, virus or other disease causing microorganism. Examples include, but are not limited to, a virus, a viroid, a bacterium, a Rickettsia, an acoxiella, a prion, a Mycoplasma, or a fungus. Exemplary viral pathogens include Hantavirus, Ebola virus, Venezuelan Equine Encephalitis, and Zika virus. Moreover, the virus can be influenza virus, cytomegalovirus, avian leukosis-sarcoma virus (ALV), Rous Sarcoma virus (RSV), Mammalian C-type Murine leukemia virus (MLV), Feline leukemia virus (FeLV), simian sarcoma virus (SIS), B-type viruses like Mouse mammary tumor virus (MMTV), D-type viruses like Mason-Pfizer monkey virus (MPMV), Simian AIDS viruses (SRVs), HTLV-BLV group such as Human T-cell leukemia virus (HTLV), Simian T-cell leukemia virus (STLV), bovine leukemia virus (BLV). Lentivirinae comprise Human immunodeficiency virus (HIV-1 and HIV-2), Simian immunodeficiency virus (SIV), Feline immunodeficiency virus (FIV), Visna/maedi virus (MV), Equine infectious anemia virus (EIAV), Caprine arthritis-encephalitis virus (CAEV). Spumavirinae or “Foamy viruses” like Human (HSRV), Simian (SSRV), Feline (FSRV), Bovine (BSRV), Murine (MSRV), endogenous retroviruses (ERV), papilloma virus, respiratory syncytial virus, poliomyelitis virus, pox virus, measles virus, arbor virus, Coxsackie virus, herpes virus, hantavirus, hepatitis virus, Baculovirus, mumps virus, circovirus, vichaivirus, arenavirus, or rotavirus. A bacteria may be a member of the genus Neisseria, Aerobacter, Pseudomonas, Porphyromonas, Salmonella, Escherichia, Pasteurella, Shigella, Bacillus, Helibacter, Corynebacterium, Clostridium, Mycobacterium, Yersinia, Staphylococcus; Bordetelia, Brucelia, Vibrio, Streptococcus, Plasmodium, Schisostoma, Candida. Any microbial infections, which are present and/or transmitted as Zoonoses, Cyclozoonoses, Metazoonoses, Saprozoonoses, Anthropozoonoses, Zooanthropozoonoses and Amphixenoses, are also contemplated.
According to certain embodiments, the methods disclosed herein induce the production of high affinity human polyclonal antibodies against a pathogen in the host. These high affinity anti-pathogen antibodies demonstrate higher affinities than anti-pathogen antibodies produced through conventional methods.
The term “affinity” refers to the strength of the interaction between an epitope and an antibody's antigen binding site. The affinity can be determined, for example, using the equation
Where KA=affinity constant; [Ab]=molar concentration of unoccupied binding sites on the antibody; [Ag]=molar concentration of unoccupied binding sites on the antigen; and [Ab-Ag]=molar concentration of the antibody-antigen complex. The KA describes how much antibody-antigen complex exists at the point when equilibrium is reached. The time taken for this to occur depends on rate of diffusion and is similar for every antibody. However, high-affinity antibodies will bind a greater amount of antigen in a shorter period of time than low-affinity antibodies. The KA of the antibodies produced can vary, and range from between about 105 mol−1 to about 1012 mol−1 or more. The KA can be influenced by factors including pH, temperature, and buffer composition.
The antibody affinity can be measured using any means commonly employed in the art, including but not limited to the use of biosensors, such as surface plasmon resonance (e.g. Biacore). Resonance units are proportional to the degree of binding of soluble ligand to the immobilized receptor (or soluble antibody to immobilized antigen). Determining the amount of binding at equilibrium with different known concentrations of receptor (antibody) and ligand (protein antigen) allows the calculation of equilibrium constants (KA, KD), and the rates of dissociation and association (koff, kon).
For example, KD (the equilibrium dissociation constant) is a ratio of koff/kon, between the antibody and its antigen. KD and affinity are inversely related. The lower the KD value (lower antibody concentration), the higher the affinity of the antibody. Most antibodies have KD values in the low micromolar (10−6) to nanomolar (10−7 to 10−9) range. High affinity antibodies are generally considered to be in the low nanomolar range (10−9) with very high affinity antibodies being in the picomolar (10−12) range or lower (e.g. 10−13 to 10−14 range). In one embodiment, the antibodies produced by immunization with the nanoparticles disclosed herein have a KD ranging from about 10−6 to about 10−15, from about 10−7 to about 10−15, from about 10−8 to about 10−15, and from about 10−9 to about 10−15, from about 10−10 to about 10−15, about 10−11 to about 10−15, about 10−12 to about 10−15, about 10−13 to about 10−14, about 10−13 to about 10−15, and about 10−14 to about 10−15. In a preferred embodiment, the antibodies produced by immunization according to the method disclosed herein have a KD ranging from about 10−10 to about 10−14.
The antibodies produced by the methods disclosed herein have low rate of dissociation (Koff), indicating they bind tightly to the antigen. In one embodiment, the antibodies produced by immunization with the nanoparticles disclosed herein have a Koff ranging from about 10−3 M−1 to about 10−13 M−1, from about 10−5 M−1 to about 10−13 M−1, from about 10−6 M−1 to about 10−13 M−1, from about 10−7 M−1 to about 10−13 M−1, from about 10−8 M−1 to about 10−13 M−1, from about 10−9 M−1 to about 10−13 M−1, from about 10−10 M−1 to about 10−13 M−1, from about 10−11 M−1 to about 10−13 M−1, or from about 10−12 M−1 to about 10−13 M−1.
Disclosed herein is a method for producing human antibodies against a pathogen comprising: injecting a non-human animal with a pathogen-derived DNA vaccine in at least one location of the animal; injecting the animal with an adjuvant in a location of the animal different from the location of the DNA vaccine location; collecting plasma from the animal after the injections; and purifying polyclonal antibody from the plasma.
Disclosed herein is a method for producing human antibodies against a pathogen comprising injecting a non-human animal with a pathogen-derived DNA vaccine in at least two locations of the animal; injecting the animal with an adjuvant in a location of the animal different from the location of the DNA vaccine location; collecting plasma from the animal after the injections; and purifying polyclonal antibody from the plasma. In certain aspects, the location of adjuvant injection is adjacent to the location of DNA-vaccine injection. According to further aspects, the pathogen is selected from a group consisting of: Hantavirus, Ebola virus, Venezuelan Equine Encephalitis, and Zika virus.
According to certain embodiments, the at least two locations of DNA-vaccine injection are each injected with a DNA vaccine derived from a distinct strain of the pathogen. The delivery of different strains at distinct injections sites on the animal surprisingly gives rise to a more robust immunogenic response than if the distinct strains were admixed and delivered to a single injection site. The resulting pool of polyclonal antibodies have enhanced reactivity and neutralization capacity against a broader range of pathogens than mixed single site injections.
According to certain embodiments of the disclosed method, each of the at least two locations is on a separate quarter of the animal. For example, in exemplary embodiments, a first injection site is injected with a first pathogen strain on right hind quarter of the animal and the second injection site is injected with a second pathogen strain on left hind quarter of the animal. Accordingly to certain exemplary embodiments, the pathogen is Hantavirus and the two distinct strains are Sin Nombre virus and Andes Hantavirus. A person skilled in the art will appreciate that other virus pathogens and strains are possible. According to further exemplary embodiments, the pathogen is Ebola virus (EBOv) and two distinct strains are Ziare and Sudan.
According to certain aspects, the DNA vaccine is injected subcutaneously or sub-dermally and the adjuvant is injected intramuscularly.
According to still further aspects, the method further comprises delivering one or more sets of booster injections. In these embodiments, the injection steps are repeated at set intervals following 14 days or later after the initial injection. According to certain exemplary embodiments, the booster injections are delivered at an interval of about 21 to about 28 days. As will be appreciated by a person having skill in the art, other post-injection booster intervals are possible. In further exemplary intervals, booster injections are given at 2 months, 6 months and/or 12 months. Other intervals are possible.
According to certain embodiments, plasma is collected from the animal between about 6 days to about 16 days after injection. Once the plasma is collected, the polyclonal antibodies are purified. In certain embodiments, the purified polyclonal antibody made according to the instantly disclosed method is substantially similar to a purified polyclonal antibody produced by a human vaccinated with the DNA vaccine. According to further embodiments, the purified polyclonal antibody made according to the instantly disclosed method is indistinguishable from a purified polyclonal antibody produced by a human vaccinated with the DNA vaccine. “Indistinguishable,” as used herein, means that a person skilled in the art would be unable to detect a species-dependent difference through the use of standard laboratory tests.
Non-human animals used in the disclosed methods are capable of generating fully human antibodies in response to inoculation with a vaccine. Various techniques for modifying the genome of non-human animals can be employed to develop an animal capable of producing human animals. In certain embodiments, human artificial chromosome (HAC) is engineered into the animal. The HAC contains the germline repertoire of the human antibody heavy chain genes (human chromosome 14 fragment) and the human antibody light chain genes either one or both of kappa (human chromosome 2 fragment) lambda (human chromosome 22 fragment). The HAC is transferred into cells of the non-human species and the animals are produced by somatic cell nuclear transfer. In certain alternative embodiments, a yeast artificial chromosome (YAC) wherein the all or part of the germline repertoire of the human antibody genes have been inserted into the YAC (same process as above) is employed to produce a suitable animal for use in the disclosed methods. In yet further embodiments, homologous recombination is employed to modify the animals genome to introduce the requisite human genes. In yet further embodiments, techniques known in the art for gene editing are employed (e.g. Zinc fingers, TALENS, CRISPR).
Various non-human animals may be suitable for use in the disclosed methods. In certain aspects, the animal is a mammal. In further aspects, the mammal is an ungulate. In still further aspects, the animal is a bovine.
According to yet further aspects, the animal is an ungulate and the ungulate is a transchromosomal ungulate. In exemplary embodiments, the transchromosomal ungulate has a human artificial chromosome (HAC) vector comprising genes encoding: one or more human antibody heavy chains, wherein each gene encoding an antibody heavy chain is operatively linked to a class switch regulatory element; one or more human antibody light chains; and one or more human antibody surrogate light chains, and/or an ungulate derived IgM heavy chain constant region; wherein at least one class switch regulatory element of the genes encoding the one or more human antibody heavy chains is replaced with an ungulate-derived class switch regulatory element.
Disclosed herein is a human polyclonal antibody against a pathogen, produced by injecting a non-human animal with a pathogen-derived DNA vaccine in at least two locations of the animal; injecting the animal with an adjuvant in a location of the animal different from the location of the DNA vaccine location; collecting plasma from the animal after the injections; and purifying polyclonal antibody from the plasma. In certain aspects, the pathogen is a virus. In further aspects, the virus is selected from the group consisting of: Hantavirus, Ebola virus, Venezuelan Equine Encephalitis, and Zika virus.
The antibodies according to the method disclosed herein neutralize the target virus. In certain embodiments, the antibodies can be broadly neutralizing antibodies and neutralize one or more virus strains, clades, or coronaviruses, or the antibodies can neutralize only one virus strain. The neutralization ability of the antibodies can be measured by any means commonly employed in the art, including, but not limited to, Fluorescence Reduction Neutralization Test (FRNT50), in vitro cell-based assays which measure the amount of virion released from immunized cells, and in vivo assays which measure the infection in an immunized animal.
In certain aspects, disclosed is a method for producing an antibody against Ebola virus (EBOV) comprising immunizing a transchromosomal (Tc) ungulate an immunogenic composition comprising a recombinant glycoprotein (rGP) of EBOV; repeating the immunization step at least one time; collecting serum from the ungulate; purifying the antibody from the serum. In certain aspects, the immunogenic composition is co-administered with an adjuvant. In further aspects, the immunization step is repeated at least 8 times. In still further aspects, the dose of immunogenic composition is increased over subsequent administrations. In yet further aspects, the dose of immunogenic composition is increased after the 4th immunization.
According to certain aspects, each immunization step is separated by a period of about 3-8 weeks. In further aspects, the immunogenic composition is administered in at a dose of about 2 mg to about 20 mg per animal.
According to certain embodiments, the Tc ungulate has a human artificial chromosome (HAC) vector. In certain aspects, the HAC comprises genes encoding: one or more human antibody heavy chains, wherein each gene encoding an antibody heavy chain is operatively linked to a class switch regulatory element; one or more human antibody light chains; and one or more human antibody surrogate light chains, and/or an ungulate derived IgM heavy chain constant region; wherein at least one class switch regulatory element of the genes encoding the one or more human antibody heavy chains is replaced with an ungulate-derived class switch regulatory element. In certain aspects, the Tc ungulate is a triple knock-out for endogenous bovine immunoglobulin genes IGHM, IGHML1, and IGL. That is, Tc ungulate is IGHM (−/−), IGHML1(−/−), and IGL (−/−).
According to certain aspects, disclosed herein is a pharmaceutical composition comprising an antibody produced according to the methods disclosed herein and a pharmaceutically acceptable carrier thereof. In certain aspects, the pharmaceutical composition further comprises an adjuvant. In still further aspects, the pharmaceutical composition further comprises an immune stimulant.
According to further aspects, disclosed herein is a method of treating or preventing a pathogen infection comprising administering to a subject in need thereof an immunogenic composition comprising an antibody produced according to the methods disclosed herein. In certain aspects, the immunogenic composition further comprises an adjuvant. In still further aspects, the immunogenic composition further comprises an immune stimulant. In yet further aspects, the immunogenic composition is administered at a dose of about 50 mg/kg to about 300 mg/kg. According to still further embodiments, the immunogenic composition is administered between about 1 day to about 12 days after the subject is infected with a pathogen. In further aspects, the administration of the immunogenic composition is repeated at 2-4 day intervals following infection.
Disclosed herein are methods for producing antibodies using a Transchromosomic (Tc) ungulate in which the ungulate immunoglobulin genes have been knocked out and a human artificial chromosome (HAC) containing the full germ line sequence of human immunoglobulin has been inserted allowing the Tc ungulates to produce fully human antibodies19-22. Like traditional animal systems used to produce polyclonal antibodies, Tc ungulates can be hyperimmunized over a long period of time with vaccines containing strong adjuvants and/or immune stimulators.
The following examples are put forth so as to provide those of ordinary skill in the art with a complete disclosure and description of certain examples of how the compounds, compositions, articles, devices and/or methods claimed herein are made and evaluated, and are intended to be purely exemplary of the invention and are not intended to limit the scope of what the inventors regard as their invention. However, those of skill in the art should, in light of the present disclosure, appreciate that many changes can be made in the specific embodiments which are disclosed and still obtain a like or similar result without departing from the spirit and scope of the invention.
In this example, human antibodies to two strains of Hantavirus were produced via TC bovine. That is, the TC bovine were immunized with the two viral strains.
The use of DNA vaccine technology and transchromosomal bovines (TcBs) to produce fully human polyclonal immunoglobulins (IgG) with potent antiviral neutralizing activity is demonstrated. Specifically, two hantavirus DNA vaccines [Andes virus (ANDV) DNA vaccine and Sin Nombre virus (SNV) DNA vaccine] were used to produce a candidate immunoglobulin product for the prevention and treatment of hantavirus pulmonary syndrome (HPS). A needle-free jet injection device was used to vaccinate TcB, and high titer neutralizing antibodies (titers >1000) against both viruses were produced within 1 month. Plasma collected at day 10 after the fourth vaccination was used to produce purified a-HPS TcB human IgG. Treatment with 20,000 neutralizing antibody units (NAU)/kg starting 5 days after challenge with ANDV protected seven of eight animals, whereas zero of eight animals treated with the same dose of normal TcB human IgG survived. Likewise, treatment with 20,000 NAU/kg starting 5 days after challenge with SNV protected immunocompromised hamsters from lethal HPS, protecting five of eight animals. The findings that the a-HPS TcB human IgG is capable of protecting in animal models of lethal HPS when administered after exposure provides proof of concept that this approach can be used to develop candidate next-generation polyclonal immunoglobulinbased medical products without the need for human donors, despeciation protocols, or inactivated/attenuated vaccine antigen.
Here, the possibility of using DNA vaccine technology to produce high-titer a-HPS neutralizing antibodies in TcB is demonstrated. The antibodies specifically target both ANDV and SNV, illustrating the capacity to use single TcB animal to produce antibodies aimed at multiple pathogens. Furthermore, it is showed that purified a-HPS TcB human IgG produced using this platform protect when used as a postexposure prophylactic in two animal models of lethal HPS.
Materials and Methods
Study Design
This study evaluated the potential of TcB vaccinated with ANDV and SNV DNA vaccines to express human IgG and the efficacy of these antibodies to prevent lethal hantavirus disease in two small-animal models. Purified TcB human IgG was evaluated by both classical plaque reduction and PsVNAs, and bioavailability of these antibodies was assessed in the Syrian hamster. Finally, the ability of TcB human IgG to prevent lethal disease caused by ANDV in immunocompetent hamsters and SNV in immunosuppressed hamsters was evaluated. Animals were assigned randomly at the beginning of each study.
Virus and Cells
Twice plaque-purified SNV strain CC107 and ANDV strain Chile-9717869 were propagated in Vero E6 cells [Vero C1008; American Type Culture Collection (ATCC) CRL 1586]. The VSVDG*rLuc pseudovirion (PsV) is a recombinant vesicular stomatitis virus (VSV) derived from a full-length complementary DNA clone of the VSV Indiana serotype in which the G protein gene has been replaced with the Renilla luciferase gene. ANDV and SNV PsV were produced in human embryonic kidney (HEK) 293 cells using DNA vaccine plasmids pWRG/AND-M[opt2] and pWRG/SN-M[opt], respectively, by known methods. Vero, HEK 293T, and Vero E6 cells were maintained in Eagle's minimum essential medium with Earle's salts containing 10% fetal bovine serum, 10 mM Hepes (pH 7.4), and penicillin-streptomycin (Invitrogen) at 1×, and gentamicin sulfate (50 mg/ml) (Vero E6 cells only) [complete Eagle's minimum essential medium (cEMEM)] at 37° C. in a 5% CO2 incubator.
Transchromosomal Bovine
The two TcBs used in this study have homozygous triple knockout in endogenous bovine immunoglobulin genes (IGHM−/− IGHML1−/− IGL−/−) and contain human artificial chromosome (HAC) vector labeled as KcHACD. This HAC vector consists of human chromosome 14 fragment, which contains the entire human immunoglobulin heavy chain locus except that the IGHM constant region remains bovine; and human chromosome 2 fragment, which contains the entire human immunoglobulin k light chain locus.
TcB Vaccination
As shown in Table 1 below, two TcBs were vaccinated at 3- to 4-week intervals with both the ANDV DNA vaccine, pWRG/AND-M[opt2], and the SNV DNA vaccine, pWRG/SN-M[opt], via the PharmaJet IMStratis injection device. Each vaccine was administered with two injections of 3 mg each behind the ear and on the hind leg (for 6 mg total per site). The ANDV DNA vaccine was administered on the left side of the animal; the SNV DNA vaccine was administered on the right side of the animal. To evaluate whether co-administration of DNA vaccine with adjuvant plus immune stimulator could enhance immune response, Tc animal #2 was administrated with Montanide ISA 206 adjuvant (Seppic) plus the saponinderived immune stimulant Quil A (Accurate Chemicals) adjacent to each DNA vaccination site at the final booster (V4). The adjuvant formulation [Quil A (0.5 mg/ml) in a 50% solution of ISA 206] was administered as a 1-ml injection using needle and syringe. The adjuvant was administered adjacent (1 to 2 cm) to each DNA vaccination site (2 ml total). At V4, Tc animal #1 was administered the DNA vaccine without adjuvant.
Purification of Fully Human IgG
TcB plasma collected from day 10 after V4 of Tc animal #2 was the source material for purifying fully human IgG against hantaviruses using the method described below. Frozen Tc plasma was thawed at room temperature overnight, pH-adjusted to 4.80 with dropwise addition of 20% acetic acid (Fisher, catalog #A491), fractionated by caprylic acid (Amresco, catalog #E499) at a caprylic acid/total protein ratio of 1.0, and then clarified by centrifugation at 10,000 g for 20 min at room temperature. The supernatant containing IgG was then neutralized to pH 7.50 with 1 M tris, 0.22 mm-filtered, and affinity-purified with an a-human IgG light chain-specific column, KappaSelect (GE Healthcare, catalog #17545804). Fully human IgG was further purified by passage over an a-bovine IgG heavy chain-specific affinity column (Capto HC15 from GE Healthcare, catalog #17-5457-03). The purified a-HPS human IgG has a protein concentration of 8.42 mg/ml in a sterile-filtered buffer consisting of 10 mM glutamic acid monosodium salt, 262 mM D-sorbitol, and Tween (0.05 mg/ml) (pH 5.5).
Pseudovirion Neutralization Assay
The PsVNA was performed using a known method. Briefly, an initial 1:10 dilution of heat-inactivated sera was made followed by fivefold serial dilutions (in triplicate) that were mixed with equal volume of cEMEM containing 4000 focus-forming units of PsV of interest with 10% human complement (Sigma) and then incubated overnight at 4° C. After this incubation, 50 ml was inoculated onto Vero cell monolayers in a clear bottom black-walled 96-well plate (Corning). Plates were incubated at 37° C. for 18 to 24 hours. The medium was discarded, and cells were lysed according to the luciferase kit protocol (Promega #E2820). A Tecan M200 Pro was used to acquire luciferase data. The values were graphed using GraphPad Prism software (version 6) to calculate the percent neutralization. Data for each dilution series were fit to a four-parameter logistic curve using GraphPad Prism and then PsVNA80 neutralization titers were interpolated. Geometric mean titers from triplicates were reported.
Plaque Reduction Neutralization Test
PRNT was performed using Vero E6 cells using a known method. The 80% PRNT titer (PRNT80 titer) is the reciprocal of the highest serum dilution reducing the number of plaques by 80% relative to the average number of plaques in control wells that received medium alone.
ANDV Lethal Disease Model Using Syrian Hamsters
Female Syrian hamsters aged 6 to 8 weeks (Harlan) were anesthetized by inhalation of vaporized isoflurane using an IMPAC 6 veterinary anesthesia machine. Once anesthetized, hamsters were injected with 200 PFU of ANDV diluted in phosphate-buffered saline (PBS). Intramuscular (caudal thigh) injections consisted of 0.2 ml delivered using a 1-ml syringe with a 25-gauge, ⅝-inch needle. The mean day to death of a 200-PFU intramuscular challenge in this model is 11, with a range of 9 to 14.
SNV Lethal Disease Model Using Transiently Immunosuppressed Syrian Hamsters
Female Syrian hamsters aged 6 to 8 weeks (Harlan) were used in this experiment. The hamsters were anesthetized by inhalation of vaporized isoflurane using an IMPAC 6 veterinary anesthesia machine for all injections described below. Hamsters were transiently immunosuppressed by daily injections of dexamethasone and cyclophosphamide administered by the intraperitoneal route starting on day −3 and ending on day 13 after virus challenge using a known process. Hamsters were challenged by intramuscular injection of 0.2 ml of PBS containing 2000 PFU of SNV on day 0. The mean day to death of a 2000-PFU intramuscular challenge in this model is 13, with a range of 10 to 14.
N-Specific ELISA
The ELISA used to detect N-specific antibodies (N-ELISA) is a known method. The endpoint titer was determined as the highest dilution that had an optical density (OD) greater than the mean OD for serum samples from negative control wells plus 3 SDs. The PUUV N antigen was used to detect ANDV and SNVN-specific antibodies as previously reported.
Isolation of RNA and Real-Time PCR
About 250 mg of lung tissue was homogenized in 1.0 ml of TRIzol reagent using gentleMACS M tubes and a gentleMACS dissociator on the RNA setting. Serum samples were added directly to TRIzol reagent. RNA was extracted from TRIzol samples as recommended by the manufacturer. The concentration of the extracted RNA was determined using a NanoDrop 8000 instrument and raised to a final concentration of 10 ng/ml. Real-time PCR was conducted on a Bio-Rad CFX thermal cycler using an Invitrogen Power SYBR Green RNA-to-Ct 1-Step kit according to the manufacturer's protocols. Primer sequences are as follows: SNV S 26F, 5′-CTACGACTAAAGCTGGAATGAGC-3′ (SEQ ID NO:01); SNV S 96R, 5′-GAGTTGTTGTTCGTGGAGAGTG-3′ (SEQ ID NO:02) (50). Cycling conditions were 30 min at 48° C., 10 min at 95° C., followed by 40 cycles of 15 s at 95° C. and 1 min at 60° C. Data acquisition occurs after the annealing step.
Statistical Analysis
Survival analyses were done using Kaplan-Meier survival analysis with log-rank tests. P values of less than 0.05 were considered significant. Comparison of levels of viral genome was done using Student's t test. Analyses were conducted using GraphPad Prism (version 6).
Results
TcB Vaccination Responses
In this specific example, the addition of the co-located adjuvant injection in the fourth vaccination significantly boosted the titers of both vaccine strains, which was an unexpected result.
The construction and testing of first generation ANDV DNA vaccines and SNV DNA vaccines that encode the full-length glycoproteins of ANDV and SNV, respectively, were previously reported. Here, the goal was to co-administer the ANDV and SNV DNA vaccine plasmids to TcB to produce human neutralizing antibodies against both ANDV and SNV. With the PharmaJet Stratis needle-free disposable syringe jet injection device, two TcBs carrying the HAC vector labeled as KcHACD in the triple KO background (23) were vaccinated four times, intramuscularly, with both the ANDV and SNV DNA vaccines at separate locations. To evaluate whether an adjuvant plus immune stimulator would enhance immune response to the vaccine, TcB #2 was administrated ISA 206 adjuvant plus the saponin-derived immune stimulant Quil A adjacent to each DNA vaccination site at the final booster [fourth vaccination (V4)]. As a control, TcB #1 was given a DNA vaccine without adjuvant for V4. Serum samples and large volumes of plasma were collected before the initial vaccination and after the second, third, and fourth vaccinations (
Neutralizing Activity of Purified TcB Human IgG
Fully human IgG (referred hitherto as TcB human IgG) were purified from plasma collected from one of the immunized animals (TcB #2). Human IgG and bovine IgM capture enzyme linked immunosorbent assay (ELISA) and SDS-polyacrylamide gel electrophoresis (SDS-PAGE) indicated that about 97% of the immunoglobulin was human IgG and 3% was IgM. The human IgG isotype subclass distribution of IgG1, IgG2, IgG3, and IgG4 was 54, 44, 1.1, and 0.37%, respectively, comparable to in human IVIG (intravenous immunoglobulin): 67, 26, 2.6, and 2.5%, respectively. The purified TcB human immunoglobulin (8.42 mg/ml) was evaluated for a-SNV (
Bioavailability of TcB Human IgG in Syrian Hamsters
ANDV causes a disease in Syrian hamsters that closely resembles HPS in humans (24). Similarly, SNV causes HPS in Syrian hamsters that have been transiently immunosuppressed (15). Before testing the TcB human IgG for protection in the hamster models, the bioavailability of this candidate product in hamsters was evaluated. Groups of hamsters were injected subcutaneously with either a high dose {a-ANDV [64,000 neutralizing antibody units (NAU)/kg] equating to a-SNV human IgG (77,000 NAU/kg), or 52.63 mg/kg} or low dose [a-ANDV (12,000 NAU/kg) equating to a-SNV human IgG (14,000 NAU/kg), or 9.87 mg/kg] of purified fully human IgG from TcB #2. Serum samples were obtained on the indicated day after injection until neutralization activity was no longer detected. a-ANDV and a-SNV neutralizing antibody titers were determined by PsVNA (
Protection from Lethal ANDV Challenge
To determine the protective efficacy of a-HPS TcB human IgG in a model of lethal HPS caused by ANDV, hamsters were challenged with 200 plaque-forming units (PFU) of ANDV. One group was then administered purified a-HPS TcB human IgG (16.45 mg/kg) (a-ANDV activity, 20,000 NAU/kg), subcutaneously, on days 5 and 8 after challenge. Negative control hamsters were injected with normal TcB human IgG (16.45 mg/kg) purified from the same, but prevaccinated, TcB. Positive control hamsters were administered a single dose (12,000 NAU/kg) of previously described a-ANDV rabbit sera produced using the ANDV DNA vaccine on day 5 (16). A fourth group of eight hamsters was exposed to virus but not treated with antibody.
Seven of eight hamsters treated with a-HPS TcB human IgG survived with no signs of disease (n=8; P=0.0025, Kaplan-Meier with log-rank test, when compared to normal TcB human IgG). Similarly, seven of eight hamsters receiving the positive control rabbit sera survived (n=8; P=0.0181, Kaplan-Meier with log-rank test, when compared to no antibody control). In contrast, all eight hamsters treated with the normal TcB human IgG developed HPS disease and succumbed 10 to 13 days after challenge. Only one of eight hamsters in the untreated group survived (
Protection from Lethal SNV Challenge
A lethal HPS animalmodel involving SNV infection of transiently immunosuppressed hamsters was recently described. Using this model, it was determined whether the a-HPS TcB human IgG could protect against lethal disease caused by SNV. Groups of immunosuppressed hamsters were challenged with 2000 PFU of SNV. One group of hamsters was then administered purified a-HPS TcB human IgG (21.9 mg/kg) (a-SNVactivity, 20,000 NAU/kg) on days 5 and 8 after challenge. Negative control hamsters were given normal TcB human IgG (21.9 mg/kg) purified from the same, but prevaccinated, TcB. Positive control hamsters were administered previously described a-SNV rabbit sera (20,000 NAU/kg) produced using the SNVDNAvaccine (13), and a fourthgroupof hamsters was not injected with antibody.
Five of eight hamsters receiving the a-HPS TcB human IgG survived (n=8; P=0.0036, Kaplan-Meier with log-rank test, when compared to normal TcB human IgG). The same survival rate was observed for the positive control group (n=8; P=0.0070, Kaplan-Meier with log-rank test, when compared to no antibody control). In contrast, seven of eight of the hamsters injected with either the normal TcB human IgG group or left untreated group succumbed.Moreover, a-HPS TcB human IgG treatment resulted in an increased mean time to death compared to normal TcB human IgG (17 to 18 days versus 12 to 15 days) (
Continuous cyclophosphamide treatment precludes the hamster from mounting an antibody response to SNV infection. Therefore, lung tissue collected from surviving hamsters on day 28 was used to evaluate the levels of SNV viral genome detected by RT-PCR (
Discussion
Here, it is demonstrated that it is possible to combine DNA vaccine technology with the TcB platform to produce polyclonal human IgG specifically targeting multiple viruses. In a relatively straightforward process, it was possible to synthesize the vaccine, vaccinate the TcB, collect large volumes of plasma, and purify human polyclonal antibodies with extraordinarily potent neutralizing activity against two different viruses. Humans who have survived HPS are not required for this product, and although it is made in an animal, there is no need for a despeciation step. Using a DNA vaccine approach resulted in consistent patterns of neutralizing antibody response against ANDV and SNV as measured by both the PsVNA and PRNT.
The vaccine used to produce the human IgG in TcB is purified plasmid DNA. This approach allowed for specifically targeting the virus glycoproteins without the need to modify the proteins (such as remove transmembrane regions and produce His-tagged fusion proteins) or develop specific protocols for virus glycoprotein purification. Because a conventional killed or attenuated vaccine grown in mammalian cell culture was not used, the possibility that the product will contain antibodies against cell culture contaminants was eliminated. The same DNA vaccine plasmids (pWRG/AND-M[opt2] and pWRG/SN-M[opt]) used in this process are advancing toward clinical trials as an active vaccine for HPS. The flexibility of the DNA vaccine/TcB platform allows for the rapid design and development of human polyclonal formulations against multiple viruses as long as the DNA vaccine elicits high-titer neutralizing antibodies.
The PharmaJet IMStratis device was recently shown to effectively deliver hantavirus DNA vaccines to both rabbits and nonhuman primates. Here, DNA vaccination of the TcB using the Stratis device elicited high-titer neutralizing antibodies to two viruses after the second vaccination. This device is FDA 510(k)-cleared and can be used in the field without the need for an electric or compressed gas power source. Moreover, the vaccination procedure is relatively painless, and the animals did not need to be anesthetized before vaccination. It is possible that other means of DNA delivery, such as intramuscular electroporation, could also generate even higher levels of neutralizing antibody titers. Also, the ISA 206/Quil A adjuvant was used for a single vaccination in this study. The increased titer after that boost suggests that this veterinary use adjuvant has the potential to significantly enhance the immune response to DNA vaccines.
Here, the TcB human immunoglobulin (8.4 mg/ml) was dosed at 20,000 NAU/kg delivered to hamsters on days 5 and 8 after exposure. This is equivalent to 16 mg/kg for a 70-kg human. Previous work with a-ANDV FFP in the hamster model indicated that 12,000 NAU/kg was a conservative protective dose. It can be predicted that if 12,000 NAU/kg is sufficient to confer clinical benefit, then a dose as low as 9.6 mg/kg might be effective. The TcBs used in this study produced 68% (TcB #1) and 79% (TcB #2) fully human IgG before purification. Purification increased the percent of fully human IgG to 97%. The manufacturing process for TcB-derived human IgG to be used in preclinical studies and future clinical studies includes a polishing step (Q Sepharose chromatography) to remove residual bovine IgM from the final Tc human IgG product. TcB produces fully human IgG (up to 15 g/liter), and 30 to 60 liters of plasma can be collected per animal per month. This platform can be scaled by the addition of animals depending on need. It is expected that optimization of vaccine dose, delivery, schedule, and adjuvant formulation will increase the potency of the product. Also, further manipulation of the TcB genome by additional gene transfer and/or the insertion of mutations in the Fc might increase not only levels of fully human IgG but also IgG half-life (41).
As with any antiviral treatment, it is important to control for nonspecific protection attributable to the innate immune response. Here, normal purified TcB human immunoglobulin was included as a control in both the ANDV and SNV challenge experiments. This material was collected, before vaccination, from the same animal used to produce the a-ANDV TcB human immunoglobulin. Ideally, the amount and isotype of immunoglobulin would be identical in the test article and control in a passive transfer experiments. However, because the amount of residual IgM in the control sample (0.84%) was less than that in the a-HPS TcB human immunoglobulin (3.07%), the possibility cannot be ruled out that residual IgM could trigger a difference in the innate response to the treatment. There was no significant protection conferred by the control antibody in either the ANDV or SNV challenge experiments. The late time point (day 5) when a-HPS TcB human immunoglobulin was first administered makes it unlikely that the innate immune response contributed to the observed protection. Even strong inducers of innate immunity fail to protect hamsters against lethal HPS caused by ANDV if administered later than 3 days after challenge. For example, a VSV-vectored Ebola vaccine elicited a protective innate immune response that protected hamsters against lethal HPS caused by ANDV, but only if administered on day 3 or earlier. Conversely, administration of the vaccine on day 5 or later did not protect hamsters from lethal HPS (44). One limitation of this study was that the mechanism of protection against HPS in the hamster model was not addressed. Although it was demonstrated that the purified TcB-derived IgG has potent ANDV and SNV neutralizing activity in vitro, serial blood collections were not performed to measure the effects of antibody treatment on viremia, and serial pathology experiments were not performed to monitor evidence of disease. The onset of viremia is dependent on the route of virus challenge. After intramuscular challenge, viremia is detected on day 6 and the mean day to death is day 11 (45), whereas after intranasal challenge, viremia is detected later and the mean day to death is day 17 (16). Consistent with differences in the onset of viremia, passive transfer of antibody protected against intramuscular challenge if antibody was administered starting on day 5 or earlier, whereas after intranasal challenge, passive transfer was successful when starting later (day ≤8) (11, 14, 16). On the basis of these findings, it was hypothesized that the polyclonal neutralizing antibody administered before viremia confers protection by limiting or delaying widespread dissemination of virus to the endothelium. The most likely mechanism of in vivo neutralization is the binding of the antibodies to the virus envelope glycoproteins, preventing entry into target cells. For potential licensure under Animal Rule, determining the pathophysiological mechanism through serial pathology experiments will likely be required.
Although this proof-of-concept work targeted HPS, the implications are more wide-ranging. DNA vaccines eliciting protective antibodies to many infectious agents and toxins have been reported. Our work indicates that it is possible to combine this class of vaccine with the TcB platform to produce purified fully human IgG with functional activity (such as neutralizing antibodies), capable of conferring protection in lethal disease models when administered after exposure. Many of the polyclonal antibody-based products that are currently licensed target infectious diseases and toxins for which DNA vaccines have been described. The combination of these DNA vaccines and the TcB platform might allow the production of protective human IgG products without the need for human donors, heterologous animal species, or conventional yet more cumbersome vaccine methodology.
In this example, human antibodies to two Ebola virus strains were produced via TC bovine. That is, the TC bovine were immunized with the two Filovirus strains.
DNA vaccination of transchromosomal bovines (TcBs) with DNA vaccines expressing the codon-optimized (co) glycoprotein (GP) genes of Ebola virus (EBOV) and Sudan virus (SUDV) produce fully human polyclonal antibodies (pAbs) that recognize both viruses and demonstrate robust neutralizing activity. Each TcB was vaccinated by intramuscular electroporation (IM-EP) a total of four times and at each administration received 10 mg of the EBOV-GPco DNA vaccine and 10 mg of the SUDV-GPco DNA vaccine at two sites on the left and right sides, respectively. After two vaccinations, robust antibody responses (titers >1000) were detected by ELISA against whole irradiated EBOV or SUDV and recombinant EBOV-GP or SUDV-GP (rGP) antigens, with higher titers observed for the rGP antigens. Strong, virus neutralizing antibody responses (titers >1000) were detected after three vaccinations when measured by vesicular stomatitis virus-based pseudovirion neutralization assay (PsVNA). Maximal neutralizing antibody responses were identified by traditional plaque reduction neutralization tests (PRNT) after four vaccinations. Neutralizing activity of human immunoglobulins (IgG) purified from TcB plasma collected after three vaccinations and injected intraperitoneally (IP) into mice at a 100 mg/kg dose was detected in the serum by PsVNA up to 14 days after administration. Passive transfer by IP injection of the purified IgG (100 mg/kg) to groups of BALB/c mice one day after IP challenge with mouse adapted (ma) EBOV resulted in 80% protection while all mice treated with non-specific pAbs succumbed. Similarly, interferon receptor 1 knockout (IFNAR −/−) mice receiving the purified IgG (100 mg/kg) by IP injection one day after IP challenge with wild type SUDV resulted in 89% survival. These results demonstrate that filovirus GP DNA vaccines administered to TcBs by IM-EP can elicit neutralizing antibodies that provide post-exposure protection.
Additionally, these data describe production of fully human IgG in a large animal system, a system which is capable of producing large quantities of a clinical grade therapeutic product.
TcBs genetically engineered to have the bovine heavy and lambda light chain loci knocked out and to express the entire non-rearranged human immunoglobulin heavy-chain and kappa light-chain loci from a human artificial chromosome are capable of producing large amounts of fully human antigen-specific polyclonal antibodies (pAbs). As such, the generated IgG products overcome the significant limitation associated with IgG products obtained from other animal sources including toxicity upon repeated administrations as well as reduced antibody half-life due to clearance by the human host. Here, EBOV and SUDV DNA vaccines were delivered by IM-EP to TcBs as a means of generating a fully human candidate polyclonal IgG product for these filoviruses. Studies were also performed to characterize the virus-binding and virus-neutralizing activity of these pAbs and to evaluate their ability to passively protect mice from otherwise lethal challenges with EBOV and SUDV.
Materials and Methods
DNA Vaccines
DNA vaccines expressing codon-optimized GP genes of EBOV and SUDV (EBOV-GPco, SUDV-GPco) were generated as previously described (Grant-Klein R J, Van Deusen N M, Badger C V, Hannaman D, Dupuy L C, Schmaljohn C S. A multiagent filovirus DNA vaccine delivered by intramuscular electroporation completely protects mice from ebola and Marburg virus challenge. Human vaccines & immunotherapeutics. 2012; 8(11):1703-6). Briefly, these genes were synthesized by GeneArt and cloned into the NotI and BglII restriction sites of the pWRG7077 eukaryotic expression vector. Research grade plasmids were manufactured by Aldevron (Fargo, N. Dak.).
Transchromosomal Bovines (TcBs)
The TcBs used in this study are triple knockouts for the endogenous bovine immunoglobulin genes, (bIGHM−/−, bIGHML1−/−, bIGL−/−), and contain a human artificial chromosome (HAC) vector labeled KcHACD. This HAC vector expresses fragments of human chromosome (HC) 14 and HC 2. The HC 14 fragment contains the entire human immunoglobulin heavy chain locus with the exception of the immunoglobulin heavy constant mu (IGHM) region which remains bovine. The HC 2 fragment contains the human immunoglobulin kappa light-chain (Igk) locus.
TcB Vaccinations
As set forth in Table 2 below, two TcBs were vaccinated with both the EBOV-GPco DNA vaccine and the SUDV-GPco DNA vaccine by IM-EP using the TriGrid Delivery System (TDS; Ichor Medical Systems) at 3-4 week intervals as previously described (van Drunen Littel-van den Hurk S, Luxembourg A, Ellefsen B, Wilson D, Ubach A, Hannaman D, et al. Electroporation-based DNA transfer enhances gene expression and immune responses to DNA vaccines in cattle. Vaccine. 2008; 26(43):5503-9. doi: 10.1016/j.vaccine.2008.07.093 PMID: 18708108). Briefly, TcBs were anesthetized with a mixture of xylazine and ketamine, the TriGrid electrode array with 8-mm spacing containing a 22 gauge syringe loaded with a 1 ml DNA solution inserted through the central injection port was inserted either on the neck or on the hind leg, and the automatic injection device was activated. Following DNA injection a 250 v/cm electrical field was applied locally for a total duration of 40-ms over a 400-ms interval. The EBOV-GPco DNA vaccine was administered on the left side of each animal while the SUDV-GPco DNA vaccine was administered on the right side of each animal. Both vaccines were administered at 5 mg/ml for a total dose of 10 mg/vaccine/TcB vaccination. To enhance the immune responses, SAB's proprietary adjuvant formulation (SABadj −1) was injected at sites adjacent to the DNA vaccination sites by standard IM injection. The adjuvant formulation was administered in a 1-ml volume.
Purification of Fully Human IgG
Plasma collected from both TcBs prior to the first vaccination was the source material for the fully human negative control pAbs. Plasma collected from each vaccinated TcB on day 8 following the third vaccination was the source material for the fully human EBOV/SUDV pAbs used in the challenge studies though human EBOV/SUDV pabs purified from plasma collected from each vaccinated TcB on day 8 following the fourth vaccination was also analyzed by in vitro assays. Purified IgG was obtained from the plasma using a known process. Briefly, frozen plasma was thawed overnight at 25° C., pooled, and the pH adjusted to 4.8 with 20% acetic acid. The plasma was then fractionated at low pH with caprylic acid followed by a filtration step using a depth filter device to remove non-IgG proteins from bovine plasma. The filtrate was then adjusted to a pH of 7.5 with 1M Tris and further purified by using human IgG light chain kappa specific affinity chromatography followed by a second purification using bovine IgG heavy chain specific affinity chromatography. The purified EBOV/SUDV IgG has a protein concentration of 22.16 mg/ml (from the third vaccination) or 36.68 mg/ml (from the fourth vaccination) in a sterile liquid containing 10 mM glutamic acid monosodium salt, 262 mM D-sorbitol, 0.05 mg/mL Tween80, pH 5.5.
ELISA
Total IgG anti-EBOV and anti-SUDV endpoint antibody titers were determined for serum samples and the purified pAbs by standard enzyme-linked immunosorbent assay (ELISA) using sucrose gradient-purified, EBOV or SUDV virions which were inactivated by gamma irradiation, or commercially available recombinant EBOV or SUDV GP (IBT Bioservices) using a known process. Briefly, recombinant GP antigens were diluted in PBS (2 μg/ml) or whole irradiated EBOV or SUDV antigens were diluted in PBS (1 μg/ml and 0.44 μg/ml) and 50 μl/well was added to polystyrene plates (Costar 3590). Plates were incubated at 4° C. overnight. Antigen was removed prior to blocking at room temperature for 2 hours with a solution of 5% milk in PBS/0.05% Tween 20. TcB serum samples or purified pAbs were diluted in blocking buffer supplemented with 1% goat serum (42.8 μg/ml) and serial 0.5-log dilutions were performed. Antigen-coated ELISA plates were incubated with diluted samples for 2 hours at room temperature and then washed with wash buffer (PBS, 0.05% Tween 20). A gamma chain-specific mouse anti-human horseradish peroxidase (HRP)-conjugated secondary antibody (mybiosource.com) was diluted in blocking buffer, added to the plates and incubated for 1 hour at room temperature. Plates were washed and an ABTS peroxidase substrate (KPL) was added for 25-30 minutes at room temperature followed by ABTS Stop solution (KPL). The optical density at 405 nm was measured for all plates using a SpectraMax M2e microplate reader (Molecular Devices). End point titers were calculated using Softmax Pro v5.4.1 (Molecular Devices).
Pseudovirion Neutralization Assay (PsVNA)
Pseudovirions (PsV) that express luciferase were prepared in HEK 293T cells as previously described by Kwilas et. al. (Kwilas S, Kishimori J M, Josleyn M, Jerke K, Ballantyne J, Royals M, et al. A hantavirus pulmonary syndrome (HPS) DNA vaccine delivered using a spring-powered jet injector elicits a potent neutralizing antibody response in rabbits and nonhuman primates. Current gene therapy. 2014; 14(3):200-10 PMID: 24867065) using the EBOV-GPco and SUDV-GPco DNA vaccine plasmids to express the filovirus GPs. Serum samples collected from the vaccinated TcBs were heat inactivated at 56° C. for 30 min and then an initial 1:10 dilution of the heat inactivated sera or purified material was made followed by five-fold serial dilutions. Samples were diluted in complete Eagle's minimum essential medium with Earle's salts (cEMEM) containing 10% heat inactivated FBS, 10 mM Hepes (pH 7.4), 100 IU/ml penicillin, and 100 μg/ml streptomycin and analyzed in triplicate. An equal volume of cEMEM supplemented with 10% human complement (Sigma) containing 4000 focus-forming units of each filovirus PsV was added to the sera dilutions and incubated overnight at 4° C. Following incubation, Vero cell monolayers seeded in flat, clear bottom black-walled 96-well plates (Corning) were inoculated with 50 μl of the PsV: TcB serum mixture and incubated at 37° C. for 18-24 hours. The medium was discarded, the cells were lysed, and luciferase substrate was added according to the Renilla Luciferase Assay System protocol (Promega #E2820). The luciferase data were acquired using a Tecan M200 Pro microplate reader. The raw data were graphed using GraphPad Prism (version 6) to calculate percent neutralization. The data were fit to a four-parameter logistic curve and the PsVNA80 neutralization titers were interpolated.
Plaque Reduction Neutralization Test (PRNT)
Serum samples collected from the vaccinated TcBs were heat inactivated at 56° C. for 30 min and serum or purified samples were diluted to a working concentration of 2 mg/ml. Initial 1:5 dilutions of the samples were made followed by two-fold serial dilutions. Samples were diluted in complete Eagle's minimum essential medium with Earle's salts containing 2% heat inactivated FBS and 0.05% Gentamicin and analyzed in duplicate. An equal volume of cEMEM supplemented with 10% guinea pig complement (Cedarlane) containing 100 pfu of EBOV or SUDV was added to the sera dilutions and incubated at 37° C. for 1 hour. Following incubation, Vero or Vero E6 cell monolayers were inoculated, overlaid with agarose and incubated at 37° C. A second agarose overlay containing 5% neutral red was added 7 days (EBOV) or 8 days (SUDV) later and plaques were counted the next day. Neutralization titers were determined to be the reciprocal of the last dilution of serum or purified material that reduced the number of plaques by 80% compared with the virus control wells.
Viral Challenge of Mice
Female BALB/c mice (6 to 8 weeks of age) were used in all challenge experiments with maEBOV as described by Bray et. al (Bray M, Davis K, Geisbert T, Schmaljohn C, Huggins J. A mouse model for evaluation of prophylaxis and therapy of Ebola hemorrhagic fever. The Journal of infectious diseases. 1998; 178(3):651-61. PMID: 9728532). Briefly, mice were injected with 1000 pfu or 100 pfu of maEBOV diluted in PBS. Virus challenge doses were delivered by IP injection in a volume of 0.2 ml. Interferon receptor knockout (IFNAR −/−) mice (4 weeks of age) purchased from Jackson Labs (B6.12952-Ifnar1tm1Agt/Mmjax) were challenged IP with 1000 pfu of wild type SUDV (Boniface) in a volume of 0.2 ml. All challenge studies involving the use of maEBOV and SUDV were performed at USAMRIID in animal biosafety level 4 laboratories. All animal research was conducted under an IACUC approved protocol in compliance with the Animal Welfare Act, PHS Policy, and other Federal statutes and regulations relating to animals and experiments involving animals. The protocol (AP-14-031) received approval by the U. S. Army Medical Research Institute of Infectious Diseases Institutional Animal Care and Use Committee on Oct. 8, 2014. The facility where this research was conducted is accredited by the Association for Assessment and Accreditation of Laboratory Animal Care, International and adheres to principles stated in the Guide for the Care and Use of Laboratory Animals, National Research Council, 2011.
Mouse Antibody Bioavailability Study
The EBOV/SUDV pAbs were diluted in sterile PBS and delivered as single dose of 100 mg/kg in a total volume of 0.5 ml via IP injection. Prior to and at various time points after administration of the EBOV/SUDV pAbs as described in the text, submandibular blood collection was performed and sera were isolated. The serum samples were then assayed by ELISA for total anti-EBOV and anti-SUDV IgG and by PsVNA for the presence of EBOV- and SUDV-neutralizing activity.
Mouse Passive Transfer Studies
For all studies, NS pAbs or EBOV/SUDV pAbs were diluted in sterile PBS to the specified dosing in a volume of 0.5 ml and delivered via IP injection. For the first challenge study with maEBOV, groups of 10 mice (˜20 g each) were administered a single injection of negative control pAbs or EBOV/SUDV pAbs at a dose of 100 mg/kg. Control mice received NS pAbs one day prior to challenge while experimental mice received EBOV/SUDV pAbs at one day pre-challenge, or one or two days post challenge with 1000 pfu of virus. In the second maEBOV challenge study, groups of 10 mice (˜20 g each) were challenged with 100 pfu of virus via IP injection. Control mice received the NS pAbs at a dose of 100 mg/kg one day post challenge. Groups of experimental mice received a single injection of EBOV/SUDV pAbs at a dose of 100 mg/kg, 50 mg/kg, or 10 mg/kg starting one day post challenge. Additional groups of 10 mice received the same total doses listed above with half the dose administered one day after challenge and the second half dose administered two days after challenge. For the SUDV challenge, groups of 9 mice (˜16 g each) received a single injection at a dose of 100 mg/kg of either NS pAbs one day prior to challenge or EBOV/SUDV pAbs one or two days post challenge with 1000 pfu of virus. For all challenge studies, mice were observed twice daily for clinical signs of disease for 21 days post-challenge and any animals found to be moribund were euthanized.
Statistical Analysis
GraphPad Prism software v6 for Windows (Graph, Inc.) was used to graph and conduct statistical analysis of all data. Briefly, two-way analysis of variance with Tukey's post hoc tests was used to compare ELISA and PsVNA serum titers between time points within groups; two-way analysis of variance with Sidak's post hoc tests was used to compare ELISA and PsVNA titers of purified samples between time points. Kaplan-Meier survival curve analysis and long-rank tests were performed for comparison of survival curves between groups. Probability (p) values <0.05 were considered statistically significant in all tests.
Results
Production of Human pAbs in TcBs Vaccinated by IM-EP with DNA Vaccines
As discussed in further detail above, two TcBs (#2295, #2303) were each vaccinated four times at 3- to 4-week intervals with 10 mg each of the DNA vaccines expressing codon-optimized glycoprotein (GP) genes (EBOV-GPco, SUDV-GPco) delivered by IM-EP (
One week following the second vaccination (week 4), serum samples collected from each TcB displayed antibodies against EBOV and SUDV as assessed by ELISA using irradiated whole virus or recombinant EBOV-GP or SUDV-GP as antigens (
Neutralizing Antibody Responses Generated in DNA-Vaccinated TcBs
To assess the virus-neutralizing antibody responses generated in the vaccinated TcBs, pseudovirion neutralization assays (PsVNA) were performed using vesicular stomatitis virus (VSV) pseudotyped with the GP proteins of EBOV or SUDV as well as traditional plaque reduction neutralization tests (PRNT) using a known process. Both assays provide relevant information in that the pseudovirion assay is the method used for assessing human responses in ongoing vaccine studies, while PRNT has been used in numerous past animal studies. Both TcBs generated serum neutralizing antibody responses to EBOV and SUDV (Table 3, which shows the serum neutralizing antibody responses of TcBs after vaccinations 2-4) after the second vaccination (week 4), which is congruent with the total IgG anti-GP titers. Robust neutralizing antibody responses (titers >1000), which were significantly higher than pre-vaccination control sera were detected by PsVNA in both TcBs against both EBOV (2295 p=0.004; 2303 p=0.0295) and SUDV (2295 p<0.001; 2303 p=0.0009) after the third vaccination (week 8) and these responses remained significantly higher than controls after the fourth vaccination (week 12) against EBOV (2295 p<0.0001; 2303 p=0.003) and SUDV (2295 p=0.0001; 2303 p<0.0001). Serum samples were evaluated in parallel by PRNT to confirm the results observed by PsVNA. The PRNT and PsVNA results depict similar trends with neutralizing antibody responses increasing after each vaccination, although neutralizing antibody responses detected by PRNT were much lower.
10/10
aND: not detected
Characterization of Purified EBOV/SUDV Human pAbs
Fully human IgG was purified from large quantities of plasma collected from each vaccinated TcB eight days after the third (V3) and fourth (V4) vaccinations. The total protein concentrations of the final purified IgG preparations for the V3 and V4 materials were 22.16 mg/ml and 36.68 mg/ml, respectively. To verify the virus-binding capacity of the purified pAbs, total IgG anti-EBOV and anti-SUDV antibodies were measured by ELISA using whole-irradiated virus or rGP antigens. Consistent with the results obtained with the serum samples collected from these vaccinated TcBs, total IgG responses of the V3 and V4 EBOV/SUDV human pAb samples were significantly higher against the EBOV rGP (p<0.0001) and SUDV rGP (p<0.0001) antigens as compared to the whole-irradiated EBOV and SUDV antigens (
To confirm the virus-neutralizing activity of the purified V3 and V4 EBOV/SUDV human pAbs, neutralizing titers against EBOV and SUDV were determined by PsVNA and PRNT. The PsVNA80 titers of the purified V3 EBOV/SUDV human pAbs against both EBOV and SUDV were 10520 and 3260, respectively (
Bioavailability of Passively Transferred Purified Human EBOV/SUDV pAbs in Mice
To assess the bioavailability of the purified EBOV/SUDV human pAbs in mice, 100 mg/kg of the purified V3 EBOV/SUDV human pAbs were passively transferred into mice by IP injection. Serum samples were obtained 1 h and 6 h after injection and on days 1, 2, 3, 4, 7, 10, and 14 after administration of the pAbs. The persistence of the anti-EBOV and anti-SUDV antibodies was monitored by ELISA using irradiated whole virus or recombinant EBOV-GP or SUDV-GP as antigens while neutralizing activity was monitored by PsVNA (
Protective Efficacy of Passively Transferred Purified EBOV/SUDV Human pAbs in Mice
To assess the protective efficacy of the purified EBOV/SUDV human pAbs produced in the vaccinated TcBs against EBOV infection, groups of 6-8 week old BALB/c mice (N=10) were challenged by IP injection with 1000 plaque forming units (pfu) of mouse adapted (ma) EBOV as previously described in Bray (referenced above). Control groups of mice received phosphate buffered saline (PBS) or 100 mg/kg of NS pAbs by IP injection one day prior to challenge. Three experimental groups of mice received single 100 mg/kg doses of the purified V3 EBOV/SUDV human pAbs by IP injection one day before, one day after or two days after challenge. Mice were observed for clinical signs of EBOV infection and all mice across all groups displayed reduced grooming and subdued behavior; these clinical signs were accompanied by an increase in weight loss (
A second passive protection study was performed in mice to confirm the protective efficacy of the purified V3 EBOV/SUDV human pAbs one day after challenge and to assess the effects of reduced and serial dosing. Because of the incomplete lethality in the control groups of mice in the first study, a lower challenge dose of 100 pfu of maEBOV was also used, which has been found by others to be more uniformly lethal in BALB/c mice, possibly due to the presence of fewer defective interfering (DI) viruses in the stock. One day after challenge, groups of BALB/c mice (N=10) received a single dose of the V3 EBOV/SUDV pAbs at 100 mg/kg, 50 mg/kg, or 10 mg/kg. A control group received a single dose at 100 mg/kg of the NS pAbs. To examine the effects of sequential dosing, groups were included that received 50 mg/kg, 25 mg/kg, or 5 mg/kg of the V3 EBOV/SUDV pAbs on days 1 and 2 following challenge.
Clinical signs of EBOV infection, including weight loss, were observed beginning on days 4 or 5 in all groups of mice and by day 8 all mice receiving a 100 mg/kg dose of the NS pabs succumbed to disease (
Although a mouse adapted strain of SUDV has not been reported, wild type SUDV has been shown to be lethal in interferon receptor knockout (IFNAR −/−) mice. To evaluate the protective efficacy of the purified V3 EBOV/SUDV human pAbs against SUDV challenge, groups of 4-week old IFNAR −/− mice (N=9) were challenged by IP injection with 1000 pfu of wild type SUDV. Groups received single IP injections of a 100 mg/kg dose of the V3 EBOV/SUDV human pAbs one day after or two days after challenge. A negative control group received the NS pAbs at a dose of 100 mg/kg one day before challenge. Similar to maEBOV challenge, all mice displayed clinical signs of SUDV infection, including weight loss, starting on days 4 or 5 (
Discussion
In the study presented here, codon-optimized EBOV and SUDV GP DNA vaccines were used to immunize two TcBs by IM-EP. The intent was to produce large quantities of a fully human polyclonal IgG product that would be suitable for immune therapy of filovirus infected humans. Within 10 weeks of initial vaccination of two TcBs, enough IgG product was produced for treatment of approximately 80 NHP, based on a 3 dose regimen. Moreover, an improved TcB genotype has been developed which has been found to produce 2-3 times the amount of purified antibody as can be recovered from the TcB genotype used for this example. For this example, both of the TcBs developed high titer antibody responses detected by ELISA and neutralizing assays. Purification of these human pAbs provided an IgG product that conferred significant post-exposure protection against lethal EBOV and SUDV challenges in mice. Thus, this approach was successful in generating a fully human filovirus-specific polyclonal antibody product.
Regarding the mechanism by which the purified IgG protects against EBOV and SUDV, without being limited by theory, it is likely that neutralizing antibodies play a role in this protection; however, it is also possible that antibodies that do not neutralize virus in cell culture play a role in protection (e.g., antibody-dependent cell-mediated cytotoxicity, antibody-dependent complement-mediated virolysis). To begin to investigate the mechanism of protection, neutralizing antibody activity was measured using two different assays, the PsVNA and PRNT. The results from both assays show a similar trend with virus neutralization titers increasing after each vaccination, although the PRNT titers are considerably lower than the PsVNA titers. The reasons for this have not been fully explored, but there are several possibilities to explain these differences. It is possible that the larger dynamic range of the PsVNA provides increased sensitivity and allows detection of inhibition by GP-mediated entry in the presence of lower antibody levels. Another possibility is that less GP-specific antibody is required to neutralize the VSV pseudovirion than EBOV virions due to their size differences. The number of GP trimers on the surface of either type of particle is unknown, but it is likely that the larger EBOV particles (˜80×800 nm) have more GP displayed on their surface than the smaller VSV particles (˜70×200 nm), and would require a larger quantity of antibody to achieve neutralization. One more possibility is that neutralization of live EBOV could require higher quantities of neutralizing antibodies because non-neutralized virus can replicate and spread cell to cell, while pseudovirions are non-replicating particles. Also, there are fundamental differences between how the two assays are set up that could explain the differences. For example, pseudovirions are incubated at 4° C. for 18-24 hours with test samples while EBOV is incubated at 37° C. for 1 hour. It is possible that with the shorter incubation time of the PRNT weaker neutralizing responses would not have a large enough effect on virus entry to be detected. Conversely, the longer incubation time could result in weaker neutralizing responses having more of an effect on pseudovirion entry. These and other possibilities will likely become more clearly defined as attempts are made to validate the EBOV PsVNA, which is currently being used to assess the neutralizing antibody responses of vaccines in clinical trials.
In the initial EBOV passive transfer and challenge study, reduced mortality was observed in mice treated one day after challenge with 1000 pfu of maEBOV. However, in this study, incomplete lethality of the negative controls was observed. This phenomenon has been seen in previous vaccine studies and this finding might be related to the presence of defective interfering (DI) particles in the high challenge dose. DI particles are subgenomic truncation mutants that require the parental virus to act as a helper for propagation; replication usually occurs at the expense of the infectious parental virus. DI particles occur among many RNA viruses and can modulate the disease course through attenuation of the competent virus resulting in loss of virulence. Additionally, DI particles have been shown to protect against lethal disease through modulation of the immune response and previous studies have demonstrated that EBOV DI particles are generated in cell culture. Therefore, in the follow up maEBOV challenge study, a lower challenge dose was used which was completely lethal to controls. The initial finding was confirmed that it is possible to prevent death of mice by treating them with the pAbs derived from the vaccinated TcBs one day after challenge with maEBOV. It was also showed that serial dosing spread over two days following infection was not as effective as giving a single large bolus of the pAbs.
Similar to the results with maEBOV, it was found that passive transfer of the purified EBOV/SUDV human pAbs to mice one day after infection with SUDV protected them from disease and death. However, transfer two days after challenge was ineffective. Studies by others have shown increased survival of rodents challenged with maEBOV or guinea pig-adapted EBOV when treatment with mouse mAbs was initiated at 1 or 2 days post infection rather than 1 day before infection. Taken together, these data indicate that in mice there is only a very limited treatment window available for initiation of therapy after filovirus infection.
In summary, the data presented here provide a proof of concept that filovirus DNA vaccines can be used in concert with the TcB platform to produce a safe, biologically active, fully human polyclonal IgG product that offers post-exposure protection against filovirus infection.
In this example, human antibodies to Venezuelan Equine Encephalitis (“VEE”) were produced via TC bovine. That is, the TC bovine were immunized with the VEE virus. In the current example, TC bovines have been immunized with different VEEV immunogens and the protective efficacy of purified preparations of the resultant human polyclonal antisera has been evaluated against low and high dose VEEV challenge. The example demonstrates that prophylactic or therapeutic administration of the polyclonal antibody preparations (TcpAbs) can protect mice against lethal subcutaneous or aerosol challenge with VEEV. Furthermore, significant protection can be conferred against co-infecting viral pathogens by combining individual virus-specific TcpAb preparations.
In this example, optimized immunogens (inactivated virus, expression plasmid DNA and a commercial inactivated alphavirus trivalent veterinary vaccine) have been compared for stimulation of neutralizing and protective pAb responses in Tc bovines. Subcutaneous and aerosol challenge experiments demonstrated that purified TcpAb preparations protected mice from mortality at relatively low doses (5 mg/kg) when used either prophylactically or therapeutically and the protective effect was confirmed by in vivo imaging of challenge virus replication. In addition, the inactivated virus preparation derived from wild type VEEV elicited the greatest neutralizing and most protective TcpAb responses. Finally, it is shown that the Tc bovine platform can provide significant protection to mice from lethal aerosol co-infection with multiple pathogens (VEEV and influenza virus) when TcpAb preparations are combined.
Materials and Methods
Cultured Cells.
BHK-21 cells (ATCC CCL-10) were maintained in RPMI 1640 media supplemented with 10% donor bovine serum (DBS) and 10% tryptose phosphate broth (TPB). VERO cells (ATCC CCL-81) and Huh7 cells, generously provided by Dr. Charles Rice (Rockefeller University, New York City) were maintained in DMEM supplemented with 10% fetal bovine serum (FBS). C7/10 mosquito cells, generously provided by Dr. Ilya Frolov, (University of Alabama at Birmingham, Birmingham) were maintained in DMEM supplemented with 10% FBS and 10% TPB. All media for cell lines also supplemented with penicillin (100 U/mL), streptomycin (0.05 mg/mL) and L-glutamine (0.05 mg/mL).
Viruses and Replicons.
Construction of the Venezuelan equine encephalitis virus (VEEV) Trinidad Donkey strain cDNA clone (V3000) was performed using a known process. V3000 nt3A was constructed by creating a G to A mutation at nucleotide 3 using Quick Change XL site-directed mutagenesis. The VEEV nanoluciferase reporter virus (V3000 nluc TaV) was constructed by inserting a cleavable in-frame fusion of nluc between capsid and E3 followed by the TaV 2A-like protease. This virus has a similar virulence to unmodified parental viruses in mice.
Virus stocks were generated from cDNA clones by in vitro RNA synthesis (IVT) from linearized cDNA plasmid templates using a known process. Briefly, IVT (mMessage mMachine, Ambion) was used to generate infectious, capped viral RNA genomes that were electroporated into BHK-21 or C710 cells. The supernatant was clarified by centrifugation 18-24 hours post-electroporation, and single-use aliquots were stored at −80° C. Virus stock titers were determined by standard plaque assay on BHK-21 cells.
Influenza H1N1 A/California/04/09 was obtained from BEI (NR-13658) to seed MDCK cells at an MOI of 1 and harvested 72 hours post-infection. Supernatant was clarified by centrifugation, and single-use aliquots were stored at −80° C. Virus stock titers were determined by standard plaque assay on MDCK cells. Construction and packaging of VEEV (TrD)-based eGFP replicons, generously provided by Dr. Robert Johnston (University of North Carolina, Chapel Hill) was performed using a known process. Briefly, RNA from the replicon genome along with the capsid and glycoprotein helpers were generated by IVT from linearized cDNA plasmids and co-electroporated in BHK-21 cells. Packaged replicon particles were harvested at 18-24 hrs post electroporation and clarified by centrifugation followed by concentration over 20% sucrose and resuspended in OptiMEM. For each preparation, 10% of the total volume was evaluated by serial passage on BHK-21 cells for presence of CPE to ensure that no propagation-competent viral recombinants or contaminants were present.
Transchromosomic (Tc) Bovines.
Tc bovines were produced using a known process. Briefly, the Tc bovines used in this study are homozygous for triple knock-outs in the endogenous bovine immunoglobulin κ genes (IGHM−/− IGHML1−/− IGL−/−) and carry a human artificial chromosome (HAC) vector labeled as isKcHACD (12-14). This HAC vector consists of two human chromosome fragments: a human chromosome 14 fragment contains the entire human immunoglobulin heavy chain locus except that the IGHM constant region remains bovine and the key regulatory sequences were bovinized; and a human chromosome 2 fragment contains the entire human immunoglobulin light chain locus.
Antigen Preparation.
Plasmid DNA. The DNA plasmid antigen (pDNA694) was created based on work by Dupuy et. al., the structural genes of VEEV IAB strain, Trinidad donkey (GeneBank Number: L01442), was codon optimized using GeneOptimizer® (Life Technologies) and synthesized by DNA2.0, Inc. with restriction sites EcoRI and NheI for placing into the pCAGGS expression vector in either wild type sequence or containing a 4 amino acid deletion in the capsid (aa64-68) that limits capsid protein-mediated host transcription shut off. Bulk preparation of plasmid DNA for bovine immunization was produced by DNA 2.0 and expression of antigen was confirmed by western blot (not shown).
Inactivated virus (V3000 nt3A AMT). VEEV V3000 nt3A virus was generated from electroporation of the C7/10 mosquito cell line as described above and then purified by discontinuous sucrose gradient. Virus was inactivated using 10 ug/mL of the psoralen derivative 4′-aminomethyltrioxsalen (AMT) (Sigma) with 10 min UV inactivation (≥13 J/cm2). Virus was considered inactivated if no plaques were detected by plaque assay, no cytopathic effect was observed after inactivated material was co-cultured with BHK cells, and no morbidity or mortality was observed after intracranial injection of undiluted material into interferon alpha/beta/gamma receptor-deficient mice.
Immunization of Transchromosomic Bovines.
Commercial livestock vaccine (CLV). Two Tc bovines (#2180; #2221) were immunized with a licensed animal vaccine containing inactivated VEEV, EEEV and WEEV (encephalomyelitis vaccine; Intervet) at two times the recommended equine doses (2 mls) for V1 and V2 and at four times the recommended dose for V3 (4 mls). To enhance the immune responses, an SAB proprietary adjuvant formulation (SAB-adj-2) was multiply injected adjacent to the licensed animal vaccine vaccination sites.
Plasmid DNA. Two Tc bovines (#2184; #2186) were immunized with VEE pDNA694 DNA vaccine at 10 mg per animal per vaccination by intramuscular-electroporation (IM-EP) using the TriGrid Delivery System (TDS; Ichor Medical Systems) using a known process. One ml of SAB-adj-1 was multiply injected adjacent to the DNA vaccination sites using a needle and syringe. The Tc bovines in both groups were vaccinated 5 times (V1-V5) at 3 week intervals.
Inactivated VEEV nt3A. Two Tc bovines (#2178 and #2183) were immunized with inactivated V3000 nt3A AMT at 1×108 pfu/dose formulated with SAB-adj-2. The Tc bovines in both groups were vaccinated 5 times (V1-V5) at 3 week intervals.
As set forth in Table 4 below, inactivated influenza virus Two Tc bovines (#2186 and #635) were immunized with a licensed 2012-2013 tri-valent seasonal influenza vaccine (Fluzone TIV-Sanofi-Pasteur containing A/California/07/2009 (H1N1), A/Victoria/361/2011 (H3N2), and B/Texas/6/2011 [B/Wisconsin/1/2010-like]) at total 1 mg of HA/dose formulated with SAB-adj-2. The Tc bovines were vaccinated 4 times (V1-V4) at 3 week intervals.
Plasma collection and human immunoglobulin production. Prior to the first immunization (V1), plasma was collected from each Tc bovine as the negative control. Hyperimmune plasma (up to 2.1% of the body weight of each cow) was collected from immunized Tc bovines 10 days after each vaccination starting from the second immunization (V2) to the fifth immunization (V5). Plasma was collected using an automated plasmapheresis system (Baxter Healthcare, Autopheresis C Model 200). Plasma samples were stored frozen at −80° C. until purifications were performed. The frozen Tc plasma bags were thawed at room temperature (RT) overnight and equal volumes of plasma from each Tc bovine within a group at the selected time point were pooled. Samples were then pH adjusted to 4.80 with dropwise addition of 20% acetic acid, fractionated by caprylic acid at a caprylic acid/total protein ratio of 1.0 for 30 minutes at RT, and then clarified by centrifugation at 10,000×g for 20 minutes at RT. The supernatant containing IgG was then neutralized to pH 7.50, filtered by a 0.22 μm filter, and affinity purified by an anti-human IgG light chain specific column, KappaSelect (GE Healthcare Life Sciences). Residual bovine IgG in the KappaSelect-purified IgG sample was then removed by passing through an anti-bovine IgG heavy chain specific affinity column, Capto HC15 (GE Healthcare Life Sciences). The Capto HC15 column flow thru that contains fully human IgG was then formulated by a Millipore Labscale tangential flow filtration (TFF) System. The final purified fully human IgG was in a buffer at a pH of 5.5 consisting of 10 mM of glutamic acid monosodium salt, 262 mM of d-sorbitol, and 0.05 mg/mL of Tween 80. The purified hIgG was sterile-filtered with 0.22 μm filter. Analysis of purified IgG product by HPLC size exclusion chromatography indicated that there were no IgG aggregates or IgG dimers (not shown).
Infectivity Reduction Neutralization Test (IRNT). V3000 eGFP propagation-incompetent replicons were diluted in virus diluent (PBS-1% DBS) and reacted with bovine or mouse serum for 1 hr at 37° C. before being used to infect 24-well plates of VERO cells for 1 hr at 37° C. Culture media was added to the cells and the cells were incubated for 24 hrs before being fixed with 4% PFA. GFP-expressing (infected) cells were then quantified on an Olympus CKX41 inverted fluorescence microscope.
ELISA. Polysorp ELISA plates were coated 50 μL/well of 2 μg/mL of antigen (either inactivated V3000 nt3A or chimeric SINV-VEEV virus (Sun et al., manuscript in prep) diluted in pH 9.0 sodium bicarbonate overnight at 4° C. Plates were blocked with PBS with 0.1% Tween-20 and 3% BSA overnight at 4° C. Bovine serum was diluted in PBS with 0.1% Tween-20 and 3% BSA and added to the plates in duplicate overnight at 4° C. A 1:2000 dilution of human IgG-HRP (KPL) was added for 1 hr at room temperature. 2,2′-azino-bis (3-ethylbenzothiazoline-6-sulphonic acid) (ABTS) was incubated with the IgG-HRP for 30-1 hr at room temperature and the reaction was stopped with 1% SDS. The plates were read at OD405 nm (Spectra Max, Molecular Devices).
Mice. All mice were housed under specific pathogen-free conditions and all experiments were conducted at ABSL-3 in accordance with AAALAC-approved institutional guidelines for animal care and used approved by the University of Pittsburgh IACUC committee.
Protection conferred by transchromosomic polyclonal antibody (TcpAb). Six-week-old Balb/c mice (Charles River Laboratories) received 100 μg TcpAbs intraperitoneally or 100 μg intraperitoneally and 100 μg intranasally either prophylactically or therapeutically as described in figure legends. Mice were challenged either subcutaneously with 1000 PFU of V3000-derived virus in the rear footpad or via aerosol with either 50-100 LD50 or >100 LD50 of V3000 nluc TAV virus. For the co-infection aerosol exposure, six week old DBA2 (Charles River) mice were exposed to a lethal dose of V3000 and A/California/07/2009 (H1N1) and treated intraperitoneally with the combined anti-VEEV/anti-Flu TcpAb preparation either prophylactically or therapeutically as described in the figure legend. All mice were weighed daily and monitored for clinical signs of disease, which was increased to twice daily upon onset of clinical signs of disease.
In Vivo Imaging (IVIS). At 5 days post-challenge, mice were injected with 10 μg Nano-Glo™ substrate (Promega) either subcutaneously (sc) or intravenously (iv) and imaged using the IVIS Spectrum CT instrument (Perkin Elmer) for either 2 min (iv) or 4 min (sc) post-substrate injection on the auto exposure setting. Images of representative animals from each group were chosen based on the animals exhibiting the greatest or least weight loss to illustrate the range of disease detected by the IVIS system. The total flux (photons/second) in the head region, taken as a measure of brain replication, was calculated for 3-4 animals in each treatment group based on the radiance (photons/second/cm2/steradian) and was quantified using Living Image Software (Perkin Elmer). We demonstrated previously (27) that nLuc reporter virus signal as measured by IVIS gives similar results for virus replication to titration of plaque forming units from tissues of infected mice. In the current studies, the dynamic range of the IVIS imager signal from the heads of uninfected mice to highly infected mice is approximately one hundred-fold (˜1-2×105 photons/second to ˜1-2×107 photons/second, respectively).
Statistical Analysis. Mantel-Cox Log Rank test (GraphPad PRISM Software) was used to determine statistically significant differences in survival time while Chi Square test (GraphPad PRISM Software) was used to determine statistical significance differences in percent survival. A one tailed Student's t test (Microsoft Excel) was used to determine statistical significance for all other experiments.
Results
Tc Bovines Hyperimmunized with VEEV-Antigens Produce VEEV-Specific Antibodies.
Tc bovines were immunized up to five times with VEEV-specific antigens (Table 5) in a twelve-week period and serum was collected for analysis of VEEV-specific antibodies. In order to determine if the choice of antigen used to generate the VEEV-specific human pAbs resulted in pAbs of varying efficacy, Tc bovines were immunized with one of three different VEEV antigens: 1) the commercial livestock vaccine (CLV), a trivalent vaccine containing formalin-inactivated VEEV, EEEV, and WEEV; 2) the plasmid DNA (pDNA694) containing codon-optimized structural genes with a 4 aa deletion in capsid; and 3) the V3000 nt3A virus inactivated by treatment with the psoralen derivative, AMT, coupled with short duration UV irradiation.
1V = immunization
First, the serum was tested for VEEV-specific neutralizing antibodies (
After human antibody purification from Tc bovine serum, CLV V3D9, pDNA694 V4D10 and V3000 nt3A AMT V4D10 preparations were tested for VEEV-specific neutralization activity and human IgG, and IgA levels (
Purified VEEV TcpAbs can Protect Against Subcutaneous Challenge
The ability of purified VEEV TcpAbs to protect against a subcutaneous challenge with single dose intraperitoneal prophylactic or therapeutic treatment was tested initially (
Purified VEEV TcpAbs can Protect Against Aerosol Challenge
Aerosol exposure is more likely to occur in the context of bioweapons use and represents a more stringent route of challenge with VEEV as compared with sc infection. Therefore, this route was used to determine if there was a difference in efficacy between the different anti-VEEV TcpAb preparations. Considering the difficulty in protecting from VEEV aerosol exposure, it was decided to treat the mice with TcpAb by two different routes: intraperitoneal (ip) or both intraperitoneal and intranasal (ip/in). The additional Ab treatment route has been demonstrated to increase the efficacy of protection against aerosol alphavirus exposure.
At a standard dose aerosol exposure (50-100 LD50), which causes uniform mortality in 6-9 days, CLV-derived TcpAbs (
9.3 ± 1.3 d#
9.0 ± 0.0 d#
1Prophylactic treatment 12 hrs before challenge; therapeutic treatment 12 hrs post challenge
2Average survival time (AST) in days (d)
3 Not applicable (N/A)
To further explore efficacy differences between the different VEEV TcpAb preparations, mice were exposed to a high dose aerosol challenge (>100 LD50; Table 6). Increasing the aerosol dose dramatically decreased efficacy of all three preparations when the mice only received one dose of the TcpAb, however efficacy differences, as measured by survival, were apparent (Table 6). CLV TcpAb treatment no longer provided protection either prophylactically or therapeutically against VEEV aerosol challenge and yielded ASTs similar to mice treated with the negative control TcpAbs (Table 6). Although pDNA694 TcpAbs offered little protection (10-20%), mice had a significant increase in AST compared to CLV (Table 6) and negative control (Table 6) TcpAb-treated mice. Interestingly, the mice treated with the V3000 nt3A AMT TcpAbs exhibited significantly greater survival (40-50%) and extended AST compared to both CLV and pDNA694 TcpAb-treated mice. These data suggest that the repertoire of pAbs generated from Tc bovines hyperimmunized with V3000 nt3A AMT is more effective at protecting mice both prophylactically and therapeutically against a high dose aerosol challenge.
7.7 ± 0.8 d#
7.8 ± 0.5 d#
7.9 ± 0.9 d#
7.5 ± 0.5 d#
10.5 ± 0.0 d#, ##
1Prophylactic treatment 12 hrs before challenge; therapeutic treatment 12 hrs post challenge
2Prophylactic treatment 12 hrs before challenge and again 48 hrs post challenge; therapeutic treatment 12 hrs post challenge and again 48 hrs post challenge
3Average survival time (AST) in days (d)
4Not applicable (N/A)
#p < 0.05 Mantel-Cox Log Rank test CLV vs V3000 nt3A AMT and pDNA694
##p < 0.05 Mantel-Cox Log Rank test CLV vs V3000 nt3A AMT and pDNA694 vs V3000 nt3A AMT
Finally, it was determined if the dosing multiplicity affected efficacy of the anti-VEEV TcpAb preparations versus a high dose aerosol challenge, considering that multiple doses are likely to be given in the context of human therapeutic treatment. Mice were given two doses of TcpAbs (Table 6) using either prophylactic (
When comparing the pDNA694 TcpAbs and V3000 nt3A AMT TcpAb groups only, the V3000 nt3A AMT TcpAb treatments produced significantly more survival (
Virus Replication and Weight Loss at 5 Days after Challenge.
Assessment of the disease and virus replication characteristics of mice challenged by different routes may be informative regarding establishment of TcpAb treatment regimens. To study this, the quantitated IVIS imaging signals in comparison with weight loss and mortality data for all VEEV-infected mice (negative TcpAb control and anti-VEEV TcpAb treatment) were analyzed. In these studies, all mice given negative control TcpAb succumbed to infection and exhibited high levels of virus replication in the head as measured by IVIS signal. IVIS imaging confirmed that for all challenge types, mice exhibiting little/no weight loss also have little/no replication in the head compared to mice with weight loss (
TcpAbs can Protect Against Simultaneous Infection with Two Pathogens
A significant advantage in protection from a bioweapons/bioterrorism attack would be the ability to treat infections with multiple pathogens, either before the time that an infecting organism is identified or in the case of a multi-organism release. Therefore, development of a multi-agent specific antiviral therapeutic is of high priority. To test the potential use of the TcpAb preparations in this context, DBA2 influenza-sensitive mice were treated either prophylactically or therapeutically with an equal mixture of VEEV TcpAbs (V3000 nt3A AMT TcpAbs) and influenza TcpAbs or given negative control TcpAbs then exposed to a lethal aerosol dose of VEEV and H1N1 influenza combination. As a baseline measure of disease manifestation, negative control-treated mice were also exposed to each virus individually. In control TcpAb-treated animals, the combination of the two viruses significantly (p<0.001) lowered the AST versus individual infections (
Discussion
In this study, Tc bovines that produce genetically human pAbs were hyperimmunized with either a commercial trivalent alphavirus vaccine, pDNA expressing VEEV TrD WT structural proteins or inactivated cDNA clone-derived TrD virus. These approaches were used since live-attenuated viruses are not permitted to be used to immunize food livestock. Rigorous safety testing must occur to demonstrate complete inactivation of BSL-3 pathogens, therefore, the attenuated nt3A mutant of VEEV was utilized for inactivation and stringent interferon receptor-null mouse safety testing for validation of inactivation of the preparations. The three immunogens were then compared to determine 1) the antibody stimulation provided by each immunogen; 2) the protective efficacy of TcpAbs against sc and aerosol challenge with WT VEEV TrD; and 3) if the antigen used to hyperimmunize Tc bovines resulted in different efficacies of the resulting TcpAb preparations.
All three antigens used to hyperimmunze the Tc bovines produced VEEV-specific neutralizing Abs that were similarly protective in vivo from a subcutaneous challenge. However, differences in efficacy between the TcpAbs were observed during an aerosol challenge. Previous work with both mouse pAbs or mAbs demonstrated that protecting mice from aerosol challenge is more difficult than sc challenge. Furthermore, clade IA/B viruses like TrD are the most difficult to protect against from in an aerosol challenge. This example demonstrates that antigen-specific TcpAbs can protect against aerosol exposure. Additionally, when comparing efficacy between the two TcpAbs generated from inactivated virus, it is not unexpected that the VEEV-specific TcpAbs generated from V3000 nt3A AMT inactivation were more effective than those generated from the CLV antigen, for two reasons. First, CLV is created by formalin inactivation of TC83, the unlicensed vaccine strain of VEEV. Formalin has been shown to alter immunogenic epitopes by cross-linking adjacent proteins on the virion. Second, the majority of the neutralizing antibodies are raised against the E2/E1 glycoprotein. TC83 has mutations in the E2/E1 glycoprotein compared to TrD, potentially altering the efficacy of the antibodies versus the WT. However, it must also be noted that, due to timing and TcpAb processing constraints, only three bovine immunizations of the CLV were performed compared with four for the pDNA694 and V3000 nt3A AMT.
This example with VEEV-specific TcpAbs demonstrates that the type of antigen used to hyperimmunize Tc bovines influences the efficacy of the treatment in vivo against an aerosol challenge. Differences in efficacy following a high dose aerosol challenge between the pDNA694-derived TcpAbs and V3000 nt3A AMT-derived TcpAbs mirror the differences observed in vitro with higher neutralization and higher levels the VEEV-specific IgA and IgG ELISA in V3000-derived nt3A AMT TcpAbs. Similar results were observed when generating TcpAbs against MERS-CoV: killed whole virus generated TcpAbs with superior neutralization results in vitro compared with those from recombinant spike protein nanoparticles; however, the two MERS-CoV TcpAbs were not tested for differences in efficacy in vivo.
Further, this example has demonstrated efficacy of anti-VEEV TcpAbs to protect mice from mortality after either a sc or aerosol challenge with WT TrD. As described above, the V3000 nt3A AMT-derived TcpAbs were most protective in virtually all cases with a single low dose of Ab (5 mg/kg) delivered ip protecting mice challenged against lethality in both prophylactic and therapeutic treatments and completely preventing disease when given prophylactically. Prophylactic treatment with a single low dose given ip and in also protected from lethality and disease after a standard aerosol challenge and was partially protective from mortality with a therapeutic treatment. In a more realistic human treatment scenario, two doses given ip and in significantly reduced disease signs and protected most mice from lethality even after a high dose aerosol challenge. In other studies, pathogen-specific TcpAbs have required the use of 25 mg/kg TcpAbs or higher for protection. A MERS-CoV TcpAb was demonstrated to be reduce virus replication at 5 mg/kg; however, the mouse model used is not a lethal model of infection, and protection from lethal infection could not be ascertained. Furthermore, as seen with previous studies using mouse Abs, supplementing with intranasal administration of TcpAbs increased the efficacy VEEV TcpAbs against aerosol challenge. Considering the stringency of the high dose TrD aerosol challenge model in mice (100% mortality within 6 days) this suggests a significant potential for efficacy in humans who only rarely succumb to VEEV infection.
Co-infections commonly occur both during respiratory infections and also in individuals who are immunocompromised or as a result of co-infection of arthropod vectors with co-circulating arboviruses, such as the causative agents of the emerging diseases chikungunya and Zika fever. Additionally, it is conceivable that multiple pathogens could be combined in a malicious release of biowarfare agents. In this example, significant protection from mortality and reduced clinical signs was observed after prophylactic or therapeutic treatment combined with a lethal dual aerosol challenge of VEEV and influenza viruses. This suggests that that the Tc bovine pAb platform is an effective tool for treating co-infections in addition to individual pathogen exposures.
In summary, the feasibility of using anti-VEEV TcpAbs to prevent or treat disease was investigated. This platform provides the ability to generate pathogen-specific antibodies on a large scale in a short period of time, as would be needed after release of a bioterrorism agent or during an epidemic/pandemic outbreak. Furthermore, the demonstration that TcpAbs are able to protect both prophylactically and therapeutically against co-infection with VEEV and H1N1 influenza indicates that the system is highly flexible and adaptable to many possible viral threats. It is estimated that it would only require approximately 6 months or less from the first isolation of an emerging virus to production of commercial-quality human therapeutics with this system. Thus, the Tc bovines represent significant resource for combating natural and malicious infections with many viral pathogens.
In this example, human antibodies to the Zika virus were produced via TC bovine. That is, the TC bovine were immunized with the Zika virus DNA vaccine.
The use of DNA vaccine technology and transchromosomal bovines (TcBs) to produce fully human polyclonal immunoglobulin (IgG) with potent antiviral neutralizing activity against the Zika virus is demonstrated. Specifically, a DNA vaccine was used to produce a candidate immunoglobulin product for the prevention and treatment of Zika virus infection. A needle-free jet injection device was used to vaccinate TcB, and high titer neutralizing antibodies (titers >100 were produced within six weeks. Plasma collected at day 10 after the third and fourth vaccination was used to produce anti-Zika human IgG. Subsequent challenge of hamsters with the Zika Puerto Rican strain and treatment with the candidate anti-Zika TcB produced human IgG protected ten out of eleven animals while most of the controls died from this partially lethal animal model. The findings that anti-Zika TcB human IgG is capable of protecting animal models of partially lethal Zika virus challenge when administered one day prior to challenge provides proof of concept that this approach can be used to develop candidate anti-Zika human polyclonal immunoglobulin based medical products without the need for human donors, humanization also known as despeciation, or inactivated/attenuated vaccine antigens.
Methods and Materials
First, DNA plasmids coding for the Zika virus were produced and purified. Next, as set forth in Table 4 below, the TC bovine (IGHM−/− IGHML1−/− IGL−/− and containing human artificial chromosome (HAC) vector labeled as isKcHACD) was vaccinated sub-dermally with 12 mg per dose of plasmids in at least two locations on the animal via needle-free PharmaJet™ injections without electroporation. For each vaccination, an adjuvant (formulated from ISA-206 (50% solution) with Quil A (0.5 mg/ml) as a 1 ml injection) was injected intra-muscularly adjacent to the site of the DNA vaccination using a syringe and needle. These vaccinations occurred every 21 days as set forth in Table 4 below to significantly boost the titer, affinity, and avidity of the polyclonal human antibodies produced.
Plasma was collected on day 10 and/or day 14 of V2, V3, and V4. The antibodies were then purified from the plasma and can be used as an antibody reagent or therapeutic/prophylactic for passive transfer/passive vaccination against the specific targeted virus. Briefly, plasma was thawed at room temperature overnight, pH-adjusted to 4.8-0 with dropwise addition of 20% acetic acid (Fisher, catalog #A491), fractionaed by caprylic acid (Amresco, catalog #E499_) at a caprylic acid/total ratio of 1.0, and then clarified by centrifugation at 10,000 g for 20 min at room temperature. The supernatant containing IgG was then neutralized to pH 7.5 with 1 M tris, 0.22 mm-filtered, and affinity-purified with an anti-human IgG light chain-specific column, KappaSelect (GE Healthcare, catalog #17545804). Fully human IgG was further purified by passage over an anti-bovine IgG heavy-chain specific affinity column (Capto HC15 from GE Healthcare, catalog #17-5457-03). The purified anti-Zika human IgG has a concentration of 13.41 mg/ml in a sterile-filtered buffer consisting of 10 mM glutamic acid monosodium salt, 262 mM D-sorbitol, and Tween (0.05 mg/ml) (pH 5.5).
Plaque Reduction Neutralization Test (PRNT)
Serum samples collected from the vaccinated TcB were heat inactivated at 56° C. for 30 min and serum or purified samples were diluted to a working concentration of 2 mg/ml. Initial 1:5 dilutions of the samples were made followed by two-fold serial dilutions. Samples were diluted in complete Eagle's minimum essential medium with Earle's salts containing 2% heat inactivated FBS and 0.05% Gentamicin and analyzed in duplicate. An equal volume of cEMEM supplemented with 10% guinea pig complement (Cedarlane) containing 100 pfu of Zika virus was added to the sera dilutions and incubated at 37° C. for 1 hour. Following incubation, Vero or Vero E6 cell monolayers were inoculated, overlaid with agarose and incubated at 37° C. A second agarose overlay containing 5% neutral red was added 7 days later and plaques were counted the next day. Neutralization titers were determined to be the reciprocal of the last dilution of serum or purified material that reduced the number of plaques by 80% compared with the virus control wells.
Zika Virus Partially Lethal Disease Model Using Hamsters
Subsequently, hamsters were challenged with the Zika Puerto Rican strain, generally according to the methods described in the previous three examples. The antibody treatments were given at 100 mg/kg via IP to three different groups. SAB-155 (anti-Zika human polyclonal immunoglobulin derived from TcB) (V3) was administered to Group 1 (n=11), NC Ab was administered to Group 2 (n=12), and Group 3 was untreated and uninfected (used for body weight control).
Results
Neutralizing Activity of Plasma and Purified TcB Human IgG
Fully human IgG (referred hitherto as TcB human IgG) were purified from plasma collected from one immunized animal (TcB #2227). Serum samples as well as purified TcB human immunoglobulin was evaluated for Zika virus neutralizing activity in the Plaque Reduction Neutralization Test (PRNT). The results of the PRNT for both serum samples at vaccination timepoints V1-V4 are shown in
Protection from Partially Lethal Zika Virus Challenge
To determine the protective efficacy of anti-Zika TcB human IgG in a model of partially lethal Zika challenge, hamsters were given 100 mg/ml (no dose finding or dose saving studies were intended and dose was chosen to provide the best possible results with finding minimum efficacious dose or maximum tolerable dose) of either negative control antibody or ant-Zika TcB human IgG. Ten of eleven hamsters treated with anti-Zika TcB human IgG survived. With respect to survival, as shown in
With respect to body weight as shown in
With respect to displaying signs of disease, Group 1 displayed no signs, while Group 2 displayed signs of disease, such as conjunctivitis, ruffled fur, and lethargy.
Discussion
Here, it is demonstrated that it is possible to use DNA vaccination technology to the Zika virus in the TcB platform along with adjuvant injection adjacent to the DNA vaccination to produce polyclonal human IgG specifally targeting Zika virus. It was possible to rapidly synthesize vaccine, vaccinate TcB, collect large volumes of plasma, and purify human polyclonal antibodies with potent neutralizing activity against the Zika virus. Using a DNA vaccine with simultaneous administration of intramuscular adjuvant resulted in consisten patterns of neutralizing antibody response against Zika virus as measured by PRNT. The flexibility of the DNA vaccine with adjuvant injection and the TcB platform allows for the rapid design and development of human polyclonal formulation against multiple viruses.
Although the disclosure has been described with reference to preferred embodiments, persons skilled in the art will recognize that changes may be made in form and detail without departing from the spirit and scope of the disclosed apparatus, systems and methods.
This application is a continuation of U.S. application Ser. No. 15/361,279, filed Nov. 26, 2016, which claims priority to U.S. Provisional Application No. 62/260,023, filed Nov. 25, 2015, the disclosures of each of which are explicitly incorporated herein by reference in their entirety.
| Number | Date | Country | |
|---|---|---|---|
| 62260023 | Nov 2015 | US |
| Number | Date | Country | |
|---|---|---|---|
| Parent | 15361279 | Nov 2016 | US |
| Child | 17363798 | US |
