Patent Application
20140242117
The following specification describes the nature of the invention and particularly the manner in which it is to be performed.
The present investigation relates to a novel typhoid vaccine to elicit the memory antibody response from a single dose immunization, produced by entrapping carbohydrate antigen such as Vi polysaccharide of Salmonella typhi in poly (DL) lactide (PDLLA) and polylactide-co-glycolide (PLGA) polymer particles. The formulated product not only elicits primary antibody titers from single dose application but also evokes memory antibody titer against the T independent antigen.
PDLLA and PLGA are biodegradable and biocompatible polymers which have been extensively used for various biomedical applications for a long time, especially for drug and vaccine delivery. Polymer particle based vaccine delivery systems provide a viable alternative to multi-dose immunization schedule for many infectious diseases where neutralizing antibody titers provide protective immunity. Particles, particularly made from poly lactide-co-glycolide (PLGA) or PLA, not only work as a delivery system but also provide adjuvant activity.
These polymeric particulate delivery systems have the capacity to promote presentation of the antigen by both MHC class I (MHC I) and MHC class II (MHC II) pathway and thus can activate both humoral and cellular response. Efficient targeting of particulate antigen to the APCs has been reported as a major factor contributing towards the generation of immune response, which requires that the particle size should be between 1-10 μm. The improved immunogenicity of polymer particle entrapped antigen is associated with the continuous delivery of the antigen in to APC and its interaction with macrophages, DC etc for antigen presentation. Immunogenicity of many antigens has been improved while entrapping them in different sized PLA/PLGA particles. However there are no reports on the improved immunogenicity of T independent antigen using PLGA/PLA based polymer particle formulation.
One of the major problems associated with T independent candidate vaccine is the poor generation of memory antibody response after immunization. Memory antibody response is the hall mark of immunity and in absence of it the vaccine has little or no value. To elicit memory antibody, T independent antigens (mostly carbohydrates) are conjugated to a T helper epitope. Conjugation is costly and introduces another candidate antigen to the system. It will be ideal if the memory antibody to carbohydrates antigen can be elicited without conjugation to any other antigenic determinants. In such scenario, entrapments of the carbohydrate antigen in polymer particle alone or in combination of another T helper epitope provide a viable alternative to conjugate.
The innovation described in the patents aims towards the development of carbohydrate vaccine formulation having capacity to elicit memory antibody response. Vi polysaccharide of Salmonella typhi is entrapped in polymer particles of desired size and immunized without any adjuvant. Single point immunization of polymer particle entrapped Vi polysaccharide elicit both primary and memory antibody titers in experiments animals.
The objective of the invention is to provide a vaccine by entrapping carbohydrate antigen such as Vi polysaccharides of Salmonella typhi in micron size polymer particle, which has the capability of inducing memory antibody response from a single immunization by generating protective memory antibody response and multivalent display of polysaccharide antigens on biodegradable polymeric particles.
Vi NPs-nanoparticles) or 5 μg soluble Vi antigen (
soluble) as a single dose. After 90 days, all animals were boosted with 1 μg soluble Vi antigen to evaluate the memory antibody response. A: Comparison of anti-Vi IgM responses from particle formulations entrapping Vi antigen B: Comparison of anti-Vi IgG responses from particle formulations entrapping Vi antigens. Antibody levels were represented as OD at 490 nm at 100× serum dilution (dilution at which OD 490 nm is 3× standard deviation of mean pre-immune OD values). Error bars represent mean±standard error values. *** indicates p<0.001, ** indicate p<0.01 whereas ## indicates p>0.05. Results are representative of 3 independent experiments with similar trends.
ViTTMPs) and 5 μg soluble Vi antigen (
soluble). B: Comparison of anti-Vi IgG responses from PLA nanoparticles entrapping Vi polysaccharides (entrapping only 5 μg Vi antigen, -- Vi NPs), PLA nanoparticles co-entrapping 5 μg Vi antigen and carrier protein TT (
ViTTNPs) and 5 μg soluble Vi antigen (
soluble). IgG antibody levels were represented as OD at 490 nm at 100× serum dilution (dilution at which OD 490 nm is 3× standard deviation of mean pre-immune OD values). Error bars represent mean±standard error values. ## indicates p>0.05. Results are representative of 3 independent experiments with similar trends.
Vi-TT 1:1 soluble mixture, -*- Vi TTNPs 1:1 ratio, -▾- ViTTNPs 2:1 ratio,
ViTTNPs 5:1 ratio,
ViTTNPs 10:1 ratio] B: Comparison of anti-Vi IgG responses from PLA particles co-entrapping Vi antigen and carrier proteins immunized in 6-8 week old BALB/c mice pre-immunized with carrier proteins. PLA nanoparticles co-entrapping 5μg Vi antigen and carrier protein TT (-▪- ViTTNPs), physical mixture of 5 μg soluble Vi antigen and carrier protein (
ViTT soluble) and PLA microparticles co-entrapping 5μg Vi antigen and carrier protein TT (
ViTTMPs). IgG antibody levels were represented as OD at 490 nm at 100× serum dilution (dilution at which OD 490 nm is 3× standard deviation of mean pre-immune OD values). Error bars represent mean±standard error values. ## indicates p>0.05
TTMPs), nanoparticles entrapping only tetanus toxoid (-- TTNPs), PLA microparticles co-entrapping Vi antigen and carrier protein TT (
ViTTMPs), PLA nanoparticles co-entrapping Vi antigen and carrier protein TT (-*- Vi TTNPs), physical mixture of 5 μg soluble Vi antigen and TT carrier protein (
ViTT soluble), and soluble TT control (-▾- TT sol). IgG antibody levels were represented as OD at 490 nm at 800× serum dilution (dilution at which OD 490 nm is 3× standard deviation of mean pre-immune OD values). Error bars represent mean±standard error values. *** indicates p<0.001. B: In vitro release profile of tetanus toxoid from polymer particles co-entrapping Vi antigen and tetanus toxoid. PLA nanoparticles co-entrapping Vi antigen and TT (-- ViTTNps) and PLA microparticles co-entrapping Vi antigen and TT (-- ViTTMPs).
soluble) were used in the study. IgG antibody levels were represented as OD at 490 nm at 100× serum dilution (dilution at which OD 490 nm is 3× standard deviation of mean pre-immune OD values). Error bars represent mean±standard error values. *** indicates p<0.001.
Vi soluble) were used in the study. B: Comparison of anti-Vi IgG2a memory responses from PLA particles entrapping Vi antigen. (
NPs), 5 μg Vi antigen soluble control (
Soluble) and PLA microparticles entrapping 5 μg Vi antigen (-▪- MPs) were used in the study. Antibody levels were represented as OD at 490 nm at 100× serum dilution (dilution at which OD 490 nm is 3× standard deviation of mean pre-immune OD values). Error bars represent mean±standard error values. *** indicates p<0.001.
) Physical mixture of dummy PLA nanoparticles and 5 μg Vi antigen, (
) Physical mixture of dummy PLA microparticles and 5 μg Vi antigen and (
) 5 μg soluble Vi polysaccharide as control were used in the study). B: Comparison of anti-Vi IgG responses from Vi antigen entrapped PLA microparticles with different surface density of antigens. (
) PLA microparticles with higher surface antigen density and (
) PLA microparticles with lower surface antigen density were used in the study. IgG antibody levels were represented as OD at 490 nm at 100× serum dilution (dilution at which OD 490 nm is 3× standard deviation of mean pre-immune OD values). Error bars represent mean±standard error values. *** indicates p<0.001.
MPs) and coumarin-6 labelled fluorescent microparticles entrapping Vi antigen (-- MPs) were used in the study. A: Comparison of time dependent changes in the percentage of phagocytic uptake by murine macrophages. B: Comparison of concentration dependent changes in the percentage of phagocytic uptake by murine macrophages.
coumarin associated fluorescence of polymeric particles, RED: F-actin stained with rhodamine-phalloidine, BLUE: Cell nucleus stained with DAPI. Second panel is phase image and fifth panel is merged image of all channels. A: images of cells with phagocytosed nanoparticles and B: images of cells with phagocytosed microparticles (All images were taken at 24 h).
Accordingly, the present invention provides a vaccine by entrapping carbohydrate antigen such as Vi polysaccharides of Salmonella typhi in a micron size polymer particle like poly (DL) lactide (PDLLA) and polylactide-co-glycolide (PLGA), which has the capability of inducing memory antibody response from single point immunization by generation of protective memory antibody response by multivalent display of polysaccharide antigens on biodegradable polymeric particles. The formulated product not only elicits primary antibody titers from single dose application but also evokes memory antibody titer against the T independent antigen.
In general, the polysaccharide antigens are thymus-independent (TI) antigens. Hence, anti-polysaccharide antibody responses are weak and are characterized by lack of memory, isotype restriction and delayed ontogeny. For the first time, we report the generation of protective memory antibody response by the multivalent display of polysaccharide antigens on biodegradable polymeric particles. The Polylactide (PLA) polymer particles entrapping Salmonella typhi Vi capsular polysaccharide antigen promote isotype switching and induced polysaccharide specific memory antibody response from a single dose immunization in the tested animals.
PLA nanoparticles as well as microparticles entrapping Vi polysaccharides elicited high IgG titer in comparison to the soluble immunization. Immunizations with particles co-entrapped with both Vi polysaccharide and tetanus toxoid did not improve the anti-polysaccharide antibody responses. Lower antibody response from co-entrapped formulation is mostly due to inhibition of particle phagocytosis by the macrophages. Immunization using polylactide particles entrapping only Vi polysaccharide with higher density at surface elicited highest secondary antibody response as well as promoted isotype switching.
The vaccination potential of particle based immunizations is further confirmed by the generation of quick memory antibody responses while challenging the immunized animals with live Salmonella typhi. Improved immunogenicity of Vi polysaccharide entrapped in polymer particle correlated well with its in vitro uptake and antigen delivery in macrophage cell lines. This approach provides a multivalent display of polysaccharide antigen using polymer particles and elicits protective memory antibody response without conjugation to a carrier protein.
The kit according to this invention comprises compositions or vaccines in relation to the method of immunization proposed. The kit according to the invention therefore comprises a container containing various containers containing the compositions or vaccines and advantageously, and optionally, an explanatory brochure including useful information for administration of the said compositions or vaccines.
When introducing elements disclosed herein, the articles “a”, “an”, “the”, and “said” are intended to mean that there are one or more of the elements unless the context dictates otherwise. For example, the term “a compound” and “at least one compound” may include a plurality of compounds, including mixtures thereof.
The terms “comprising”, “having”, “including” are intended to be open-ended and mean that there may be additional elements other than the listed elements. As is understood by the skilled person, administration of a vaccine can be done in a variety of manners. For example, administration may be done intramuscularly, subcutaneously, intranasally, intradermaly, intrabursally, orally, as well as combinations of such modalities or as decided by the physician. The dose of the vaccine may vary with the size/age of the intended vaccination subject.
It is an important embodiment to provide a vaccine by entrapping carbohydrate antigen such as Vi polysaccharides of Salmonella typhi in a micron size polymer particle like poly (DL) lactide (PDLLA) and polylactide-co-glycolide (PLGA), which has the capability of inducing memory antibody response from single shot immunization by generation of protective memory antibody response with multivalent display of polysaccharide antigens on biodegradable polymeric particles.
Another embodiment of this invention is to provide a formulated product that not only elicits primary antibody titers from single dose application but also evokes memory antibody titer against the T independent antigen.
Yet another objective of the invention is to improve the immunogenicity of T independent antigen by entrapping them in polymer particle of different sizes.
Further embodiment of the invention is to entrap polysaccharide based antigen in polylactide particle while protecting the immunogenicity of the antigen.
Still another objective of the invention is to use polymer particle based polysaccharide vaccine formulations to achieve improve antibody response without any additional adjuvant.
Another embodiment of this invention is that memory antibody response is generated from carbohydrate antigen from single point immunization.
Yet another objective of the invention is that the vaccine induces immunological memory without getting conjugated to T helper epitopes.
The entrapping polymer particles, polylactide-co-glycolide (PLGA) or polylactide (PLA) are extensively used in the development of single dose vaccines [1]. These particulate vaccine delivery systems not only deliver antigen in a controlled manner mimicking natural vaccination, but also provide adjuvant activity [2-4]. Recent reports suggest that these delivery systems improve the immunogenicity of the entrapped antigens by actively interacting with antigen presenting cells [5, 6]. These delivery systems can be tailor made with diverse biomaterial properties like surface morphology, geometric size, shape and porosity which are reported to be important for eliciting immune response [6-10]. Submicron size polymer particle based delivery systems offer higher surface area to volume ratio which is ideal for multivalent presentation of ligands to the immune system [11]. Many nanoparticle based delivery systems like polymeric particles, liposomes, inorganic particles have been widely used for multivalent presentation of ligands to biological systems [12-15]. Apart from improving the immunogenicity of the entrapped antigen, it has also been reported that polymer particle based vaccine delivery system elicit improved memory antibody response from single point immunization [7]. The memory antibody response can be further improved by facilitating interactions of these particles with dendritic cells (DCs) using C-Type lectin receptors [16]. Recently, these polymer particles have been designed to do multifunctional work such as artificial antigen presenting cells as well as octafunctional activities [17, 18]. Unlike protein antigens, most polysaccharide antigens elicit antibody responses largely without the need for T-cell help (i.e., they are thymic-independent, or TI antigens). In fact, they directly interact with polysaccharide-specific B-cells which differentiate into plasma cells to produce antibodies. One of the successful carbohydrate vaccines is Vi capsular polysaccharide based vaccine against Salmonella typhi infections. S. typhi expresses the surface-associated Vi polysaccharide antigen which is a linear polymer of 1, 4(2-deoxy)-2-N-acetylgalacturonic acid variably O-acetylated at the C3 position [19, 20]. Antibodies (Abs) to Vi protect against S. typhi infection and vaccines based on purified Vi antigen have been licensed for use in many countries and have consistently shown an efficacy of over 60% in adults in typhoid endemic areas [21-23]. Protection offered by Vi polysaccharide based vaccine is for short duration as it does not elicit memory antibody response. Thus, vaccines need booster immunization in every 3-5 years [21, 24].
Most of the polysaccharide antigens like Vi-antigens are large, multivalent molecules. This multivalency enables them to induce multiple domains of highly cross-linked membrane (m) Ig which has been shown to effect high levels of B-cell activation [25]. Since prolonged contact of the antigen with (m) Ig and subsequent persistent B-cell signalling are important for eliciting an anti-polysaccharide response, it would be interesting to evaluate the possibility of presenting these antigens on biodegradable particles. This would immobilize the polysaccharide antigens on the particle surface and promote B-cell receptor cross linking and thereby improve anti-polysaccharide antibody responses.
Considering the above details, the current study aim to improve the immunogenicity of Vi polysaccharide by entrapping and delivering them using biodegradable polymer particles. To date, immunogenicity of several candidate protein vaccines have been enhanced by delivering them using polymeric particles [6, 7, 26, 27]. However, so far there is very little information available on immune response from biodegradable polymeric particle based delivery systems entrapping polysaccharide antigens.
Many polysaccharide-based vaccines have additional drawbacks that they do not induce protective immune responses in infants under the age of two [28, 29] and fail to induce isotype switching, affinity maturation and memory antibody responses [30]. Many approaches like conjugate vaccines, neoglycoconjugates, peptidomimetics etc have been developed to circumvent the T-lymphocyte independent property of polysaccharide antigens [28, 31].
In a glycoconjugate vaccine, the polysaccharide antigen is covalently linked to a carrier protein making it a single physical entity and this process profoundly improves the immunogenicity of the polysaccharide antigen. In the resulting conjugate, the protein carrier offers the necessary T cell help for the B cell and the immunogenicity of the polysaccharide is greatly enhanced [28, 29]. But this conjugation process is dependent on limited functional groups, and the success of the conjugate vaccine depends on many factors like the carrier-antigen ratio and immunological properties of the carrier [32, 33]. To address these limitations, the current study also explores the possibility of co-entrapping carrier protein and the polysaccharide antigen in the same PLA particles to make it a single physical entity for immunization. The overall objective is to improve the immunogenicity of Vi polysaccharide using polymer particle based delivery system. Accordingly, the results are of indication that polymer particle based vaccine delivery system improves the immunogenicity of T independent antigens considerably from a single immunization dose.
The invention is now illustrated by various examples and accompanying drawings, which are not meant to limit the scope of the invention in any manner All embodiments that may be obvious to a skilled person would fall within the scope of the present invention.
PLA polymer particles were prepared using w/o/w double emulsion solvent evaporation method [26]. Briefly, internal aqueous phase (IAP) containing Vi antigen (10 mg/ml), 0.7% W/V CaCl2 and 1% v/v Tween 20 is emulsified into organic phase (OP) (50 mg/mL PLA solution in dichloromethane) by sonication (20 W, 40% duty cycle, 20 cycles) (Bandelin probe Sonifier 450, USA). The resulting primary emulsion (W/O) is added drop wise to external aqueous phase (EAP) containing 2% (w/v) PVP in deionized water and homogenized (10,000 rpm for 10 min) using a homogenizer (Polytron, KINEMATICA, Switzerland) for MPs and sonicated (20 W, 40% duty cycle, 20 cycles) for preparation of NPs. The resulting particles were collected by centrifugation (15,000 rpm, 20 min), and lyophilized to obtain free-flowing powder.
Dummy particles were prepared using the same method without adding any antigen in IAP.
For the preparation of fluorescent particles either 50 μL of 6-coumarin dye (1 mg/mL in dichloromethane) is added to OP during primary emulsion step, or FITC-BSA (10 mg/mL) is taken in IAP as the antigen. Different sized fluorescent and Vi-entrapped particles were prepared by varying energy input and OP to EAP volume ratio as described earlier [6].
For preparing particles co-entrapping both TT and Vi polysaccharides, both were dissolved in the internal aqueous phase. Ratio of Vi and TT in the internal aqueous phases is varied to prepare particle co-entrapping different concentrations of Vi and or TT. The presence of both the antigens in the same polymeric matrix is confirmed using flowcytometry after immunolabelling the particles with antibodies against individual antigens.
Particles with higher surface density of polysaccharide antigens were prepared by the same method with slight modifications. In order to adsorb the polysaccharide antigens on the surface of the particles, three different formulation strategies were employed. Either preformed particles were incubated with polysaccharide antigen at different temperatures for surface adsorption or excess polysaccharides were added to the external aqueous phase to coat the particles.
Direct spray drying of the final W/O/W emulsion after adding excess polysaccharide is also explored to increase the polysaccharide density on the particle surface. Surface coating of the particles is confirmed using immunolabelling with anti-Vi antibodies and by zeta potential measurements. Particle batches with highest antigen density were used for immunization studies.
2.1 Characterization of Particle Size, Surface Morphology, Encapsulation Efficiency and Release of Antigen from Particles
Size distribution of MPs and NPs were determined using mastersizer hydro 2000S particle size analyzer and Zetasizer from Malvern (UK). Surface morphology is analyzed by scanning electron microscope (SEM) (JEOL, JSM 6100, Tokyo, Japan) after coating the particle surface with gold-palladium over an aluminum stub. Internal structures of particles were analyzed by transmission electron microscope (TEM) (CM 10, Philips, Holland)—after coating the particles with 1% uranyl acetate over a copper grid (Polysciences, Warrington, Pa.). TEM images were obtained using digital imaging software—AMT image capture engine (version 5.42.391). Colloidal stability of the particles is analyzed by zeta potential analysis using Malvern Zetasizer from Malvern (UK).
To measure the protein content of particles, accurately weighed particles were dissolved in acetonitrile to solubilize the polymer while precipitating the encapsulated antigens. Precipitated protein is dissolved in 1% sodium dodecyl sulphate (SDS) solution and estimated using micro-BCA assay. A colorimetric method based on reaction of alkaline hydroxylamine reagent with O-acetyl group is used for the estimation of Vi antigen in the polymeric particles [34]. Antigen loading is calculated as the percent weight of antigen per unit weight of polymer.
For in vitro antigen release studies, known amount (20 mg) of each particle formulation is suspended in 1 ml of PBS (50 mM, pH 7.4) containing 0.02% sodium azide in 1.5 ml microfuge tubes and kept in incubator shaker at 37° C. at 200 rpm. Supernatants were collected at different time intervals after centrifugation at 13,000 rpm for 10 minutes at room temperature and analyzed for antigen content as mentioned above. Fresh PBS is added to each pellet after every withdrawal and incubation is further continued over a period of 12 months.
Immunogenicity of PLA particles entrapping Vi polysaccharide is evaluated in BALB/c mice (six female out bred mice per group). Animals were maintained according to the guidelines established by the Institute Animal Ethics Committee (IAEC) of the National Institute of Immunology (NII), New Delhi. Required dose of particles were weighed and suspended in normal saline just before immunization. Immunization of admixture of particles and alum were carried out by adding 25 μL of alum (aluminum hydroxide gel, 2% w/v) to the required dose of polymer particles per animal. Single dose of soluble Vi antigen (5 jag/animal) is used as control.
To evaluate the contribution of particulate nature of antigen in improving the antibody response, immunization studies were also carried out using physical mixture of dummy PLA particles with 5 μg soluble Vi antigen. Mice were immunized intramuscularly with equivalent amount of Vi polysaccharide entrapped in MPs and NPs with or without alum. Sera were collected at different time intervals through retro-orbital plexus and serum antibody titers were determined as described earlier using ELISA [6]. The result is expressed as anti-polysaccharide IgM, IgG, IgG1 and IgG2a absorbance values for different sized particles at a fixed dilution based on background absorbance from pre-immunization sera.
2.3 Immunization Studies with PLA Particles Co-Entrapping Vi Polysaccharide and Protein Antigen (TT) in the Same Particles
Immunization studies using particles co-entrapping Vi antigen and TT were carried out with following slight modifications. Details of immunization protocol are given in supplementary 4 (S4). All groups were immunized with amount of particles equivalent to 5 g Vi antigen in normal saline. The weight of particles is normalized according to the dose of Vi antigen. Physical mixture of soluble TT and Vi antigens in normal saline is used as the control. Admixture of Alhydrogel™ and particles were also immunized in different groups using physical mixture of polysaccharide and alum adsorbed protein as the control. Both anti-Vi and anti-TT antibody responses were evaluated separately by ELISA. To evaluate the effect of co-entrapment in improving the anti-Vi antibody response, comparisons were made between formulations containing only Vi and particles co-entrapping both Vi and TT. The same studies were also carried out separately on animals pre-immunized with alum adsorbed carrier proteins. To study the effect of polysaccharides on antibody response of carrier proteins, separate immunization studies were carried out with co-entrapped formulations. In this case, anti-TT IgG responses were compared between alum adsorbed protein, particles entrapping only protein and particles co-entrapping both protein (TT) and Vi polysaccharide.
2.4 Immunization Studies Using PLA Particles with Higher Surface Density of Polysaccharide Antigens
Immunization studies using PLA particles surface coated with polysaccharide and protein antigens were carried out as described in the section 2.4. All animal groups were immunized with polymer particles in normal saline containing 5 g of Vi polysaccharide. A formulation of entrapped proteins and polysaccharide antigens, in the polymer core and dense polysaccharide on the surface, a physical mixture of soluble TT and Vi antigen is used as the control. Anti-polysaccharide antibody response is evaluated using ELISA and compared between particles with higher and lower surface antigen densities.
For splenocyte proliferation assay, pathogen-free 6-8 weeks old inbred male BALB/c mice (n=3) were intramuscularly immunized with either Vi antigen entrapped in polymer particles or soluble Vi antigen containing 5 gg antigen suspended in 125 μl saline per animal. Non-immunized group of animals is taken as control. One to two weeks after immunization, splenocytes were isolated from the spleen of the euthanized animals and a single-cell suspension is prepared in RPMI medium. Lymphocytes (0.3×106 cells per well) were incubated in triplicates with serially double diluted soluble Vi antigen as the recall antigen ranging from 10 jug/100 μl downwards at 37° C. and 5% CO2. No antigen is added for the control group and after 72 hours of incubation, 0.5 μCi 3H-thymidine/50 μl RPMI medium is added to each well and incubated for a further 14-16 hours. The plates were then harvested on to a glass fiber filter printed filtermat A, using a Strakon cell harvester and incorporated radioactivity is measured in a liquid scintillation counter (Wallac 1205 Betaplate counter).
2.4.2 Evaluation of Memory Antibody Response from Polymeric Particles Entrapping Vi Capsular Polysaccharide Antigens
To evaluate the long lasting memory effect of immunization with polymer particle entrapped antigens, immunization studies were carried out as described above. After three months of primary immunization, all animals were boosted with 1 μg of Vi polysaccharide (⅕th of the primary immunization dose) and the antibody response is evaluated using ELISA. All primed animals were challenged intraperitoneally with 250 CFU live Salmonella typhi and anti-Vi secondary antibody response is evaluated by ELISA. All groups were compared for the generation of anti-Vi memory antibody responses.
In vitro and ex vivo phagocytic uptake and trafficking studies were carried out using 6-coumarin and FITC-BSA entrapped polymer particles in murine macrophage cell line J774A.1 and bone marrow derived dendritic cells. Bone marrow derived dendritic cells were cultured according to earlier reports [35]. For in vitro studies, 25 μl (1 mg/ml) of fluorescent particles (300 nm and 2-8 μm) were added to 0.5×106 J774A.1 cells/3 ml of DMEM medium supplemented with 10% FCS, 100 U/ml penicillin, 100 μg/ml streptomycin and 0.25 μg/ml amphotericin B plated in sterile standard tissue culture grade 6-well plates (Falcon, Becton Dickinson, Franklin Lakes, N.J.) and incubated at 37° C., 5% CO2 for various time points. Cells were washed three times with sterile 50 mM PBS and analyzed using flow cytometry or microscopy. For ex vivo studies, bone marrow derived dendritic cells from 6-8 weeks old pathogen-free female BALB/c mice were treated with fluorescent particles and processed as described above.
CLSM images were obtained by simultaneous scanning of contrasting double-labeled specimens using a Zeiss Confocal LSM510 microscope equipped with Argon-Krypton laser (Carl Zeiss Micro Imaging Inc. NY, USA). Macrophages were grown on cover slips inside sterile 6-well tissue culture grade plates and incubated with fluorescent NPs or MPs at 37° C., 5% CO2 for various time points; washed with 50 mM sterile PBS and then labeled with 50 nM rhodamine phalloidin or 50 nM Lyso Tracker™ Red at 37° C. for 30 minutes and again washed three times with 50 mM sterile PBS (pH 7.4). The cover slip is then placed on the stage of confocal microscope. A representative cell is selected at random and a series of optical sections (Z-sections) were taken in dual filter mode. Images captured in RITC, FITC and dual mode were overlaid to determine localization and co-localization of fluorescent particles.
Flow cytometric acquisition of fluorescent particle uptake study is performed using a BD-LSR flow cytometer (BD Biosciences, San Jose, USA) with Cell Quest program. The data were analyzed using WinMDI 2.8 (Joseph Trotter, Scripps Institute, La Jolla, Calif.). Macrophage cell suspension (0.5×106 cells) pre-incubated with fluorescent NPs (25 μg) or MPs (25 μg) for various time points (at 37° C., 5% CO2) is analyzed for presence or absence of internalized fluorescent particles. Extra-cellular fluorescence is quenched using an appropriate dye (0.1% w/v crystal violet or 0.4% w/v trypan blue). Dead cells were excluded in the analysis by staining with propidium iodide. In order to study the effect of Vi polysaccharide on phagocytosis of particles, uptake studies were carried out in presence of anti-Vi monoclonal antibodies (Anti-Vi polysaccharide hybridoma supernatants is a generous gift from Dr. Ayub Qadri, hybridoma laboratory, National institute of Immunology, India). Phagocytic uptake studies were also carried out with fluorescent dummy particles in presence and absence of Vi polysaccharide antigen.
All immunization experiments were carried out three times. Antibody titers were determined using ELISA and expressed as OD at 490 nm at fixed dilutions. Antibody titers of individual animals (n=6) were estimated in duplicates and their OD at 490 nm were expressed as group mean. At any given time point, the comparisons for statistical significance among the group mean and standard deviation (S.D.) values were made using One-way Analysis of Variance (One-way ANOVA) method, along with Tukey-Kramer multiple comparisons post test according to GraphPad InStat Software Inc. (www.graphpad.com). The post test is recommended when comparisons are made for groups ≧3, to compare pairs of group means. Tukey-Kramer multiple comparisons post test is performed only if p value <0.05. All tests were performed at 95% confidence intervals.
3.1. Formulation and Characterization of Polymer Particles Entrapping Polysaccharide and/or Protein Antigens
Double emulsion solvent evaporation method as reported for entrapping protein antigen is used for entrapping polysaccharide antigens (6). Different formulation parameters like phase volume ratio, type of polymer and concentration of emulsion stabilizer were optimized to achieve desired particle size distribution (PSD), antigen release profile and entrapment efficiency (% EE). Optimized formulation and process parameters used for making polylactide based polymer particles entrapping Vi polysaccharides are listed in table 1 (1 a and 1 b).
As shown in table 1 (b) and
3.2. Anti-Polysaccharide Antibody Responses from Polymer Particles Entrapping Vi Antigen
Polymer particles entrapping polysaccharide antigens were immunized intramuscularly in BALB/c mice using protocol shown in
It has been reported that for protein antigens, as the particle size decreases from micrometer range to nanometre range, antibody titer decreases [7, 39, 40]. Information on such particle size dependent modulation of immune response is not available for polysaccharide antigens. NPs in the range of 300 nm to 600 nm (Z average hydrodynamic size) and MPs (2-8 μm Vd) were used for immunization study. These sizes were selected to differentiate between antibody eliciting potential of NPs and MPs. A size dependent difference in the magnitude of anti-Vi antibody response is observed (
3.3. Antibody Responses from Polymer Particles Co-Entrapping Vi Antigen and Tetanus Toxoid (TT)
To provide an alternative to glycoconjugate vaccines, immunization studies using particles co-entrapping a carrier protein (tetanus toxoid) and Vi polysaccharide antigen in the same particle is explored. It is observed that for both MPs and NPs, co-entrapment of TT along with Vi polysaccharides resulted in lower antibody titers (
The immunological properties of the carrier protein, conjugation chemistry, the carrier-polysaccharide ratio have been reported to either enhance or suppress the antibody responses from the conjugated carbohydrate antigen [42-44]. Thus, the outcome of immune response from glycoconjugate vaccine depends on the ratio of carrier protein and carbohydrate antigen, immunogenicity of the carrier protein, dose of carrier protein and the level of pre-existing immunity against the carrier protein [43, 45]. Additional immunization studies were carried out to elucidate the role of these parameters on the anti-Vi antibody response from polymer particles co-entrapping Vi antigen and tetanus toxoid as a carrier protein. Initially, to study the role of antigen-carrier ratio, NPs with different polysaccharide-TT ratios were prepared and immunized in BALB/c mice. NPs with different TT-polysaccharide ratio were prepared by varying the concentration of TT initially used in the internal aqueous phase. The anti-polysaccharide IgG response is analyzed using ELISA and the results are shown in
3.4. Effects of Vi Antigen on Anti-TT Antibody Response from Polymer Particles Co-Entrapping Vi Antigen and TT
Immunization with protein-conjugated polysaccharide induces protein-specific T-helper (Th) cells, provide help to polysaccharide-specific B-cells. These act as antigen presenting cells for the carrier protein through direct cell-cell contact and cytokine secretion, resulting in B-cell differentiation towards memory or plasma cells [33, 46, 47]. Thus mounting a strong immune response against the carrier is a prerequisite for recruiting CD4+ T-cell help for the polysaccharide. Failure to mount a strong immune response against the carrier protein would lead to absence of expected T-cell help to the carbohydrate antigens. So antibody responses against the carrier protein (anti-TT antibody titer) from immunization with co-entrapped formulations were analysed.
The antibody response against carrier protein (anti-TT antibody titer) while immunizing with co-entrapped polymer particles is shown in
3.5. Challenge Studies with Live Salmonella typhi to Evaluate Memory Antibody Responses from Immunizations Using Polymer Particles Entrapping Vi Antigen
In order to mimic a real life scenario and to evaluate the antibody responses to a post vaccination infection, challenge studies were carried out with live Salmonella typhi. As represented in
Splenocyte proliferation assays were carried out to confirm the importance of particle nature of polymeric delivery systems in priming the immune system. Thymidine incorporation is used as an indication of splenocyte proliferation and the results are shown in supplementary data S5. The results showed significant enhancement in proliferation rates of splenocytes isolated from mice primed with Vi MPs. This indicated that antigen entrapped in particulate delivery systems effectively primed the immune system and promoted the anti-Vi antibody responses. Efficient priming effect of antigen entrapped MPs helped in mounting an effective recall response.
Previous studies have reported that polysaccharide antigens immobilized on latex beads induce strong immune responses than soluble immunizations [53]. Significantly higher IgG responses induced by Vi antigens entrapped in PLA particles as observed in this study could be due to ‘the particulate nature’ of polymeric delivery systems. Antigens immobilized on particles can display an array of important structural elements which are essential for B-cell recognition. These immobilized antigens promote multivalent interaction of B-cell receptor and polysaccharide antigens. B-cells are reported to interact with immobilized antigens effectively than soluble antigens [53]. To elucidate the contribution of particulate nature, immunization experiments were carried out with physical mixture of dummy particles and Vi antigens, taking Vi antigen entrapped particles and soluble Vi antigen as the control. All animals were immunized with 5 μg Vi antigen or particles equivalent to 5 μg Vi antigen. Amount of dummy particles immunized per animals were normalized according to the amount of antigen entrapped particles. It is observed that the anti-Vi antibody responses were significantly reduced and were lower than that observed with soluble Vi immunizations (
3.6. Immunization Studies Using Polymer Particles with Higher Surface Density of Polysaccharide Antigens
Polysaccharide antigens are constituted of repeated sugar motifs which cross-link the B-cell receptors and activate antigen specific B-cells independent of CD4+ helper T-cells. B-cells bind effectively to antigens immobilized on particles or tethered to the cells than soluble antigens [53]. Thus, antigen entrapped polymer particles can promote antigen binding to B-cell receptors (BCRs) and enhance cross-linking of BCRs resulting in improved antibody response. This will promote B-cell activation and associated antibody responses. To evaluate this possibility, particles with higher surface density of Vi antigen were prepared and immunized in BALB/c mice. Higher surface density of Vi antigen is confirmed using flowcytometry after labelling with anti-Vi antibody (supplementary data S3). Anti-Vi IgG responses were determined using ELISA and the results are shown in
Many of the capsular polysaccharides are known to help the bacteria to evade phagocytosis [55-57]. Vi polysaccharide protects S. typhi from the action of anti-0 antibodies and renders it resistant to phagocytosis and complement-mediated killing [48, 55]. Vi polysaccharides have been reported to enhance the survival of Salmonella typhi in cultured macrophages [58]. Presence of Vi antigen on the surface of polymeric particles may inhibit the uptake of polymer particles and this may alter subsequent processing and presentation of carrier protein TT. To validate this possibility, phagocytic uptake studies were carried out in murine macrophage cell line J774.A.1.
Coumarin labeled particles entrapping Vi antigen and dummy particles were incubated with macrophages and the extent of phagocytosis is analyzed using flowcytometry. Results in
To further confirm the role of Vi capsular polysaccharide on inhibition of phagocytic uptake, additional studies were carried out after incubating the Vi entrapped particles with anti-Vi antibody (mouse anti-Vi IgG from hybridoma supernatants is a generous gift from Dr. Ayub Qadri, Hybridoma Lab, National Institute of Immunology). Fluorescent tagged Vi entrapped particles as well as plain PLA MPs were pre-incubated with anti-Vi IgG for thirty minutes. After the incubation, particles were centrifuged; the pellets were re-suspended in incomplete media and were added to murine macrophages. After one hour, cells were harvested and analyzed using flow cytometry. The density plots in
Immune responses to polysaccharide antigens were, until recently, assumed to be completely independent of antigen-presenting cells (APCs). It has been reported that a subset of myeloid DCs, termed as plasma blast-associated DCs, supports the differentiation of plasma blasts into antibody-producing plasma cells in response to a soluble TI-2 antigen [59]. In murine studies of pneumococcal infection, APCs were found to be necessary and sufficient to promote survival of polysaccharide antigen-specific B-cells and their differentiation into immunoglobulin M (IgM)-secreting plasma blasts [59]. Considering this, it is of interest to understand how polymeric particles interact with APCs.
Polymeric particles based vaccine delivery systems are widely explored to improve the immunogenicity of protein antigens [3, 7, 60]. Numerous reports citing the delivery of various protein antigens are available in the literature and the value of this technology is proven beyond doubt in the case of T dependent protein antigens [3, 4]. The role of particle size, shape, surface morphology and release kinetics in modulating the immune response has been reported extensively [2, 6, 10, 26, 41]. Rapid phagocytic uptake and depot effect of polymeric particles enhances this process [61]. Polymer particles having higher contact surface area promote higher receptor interactions especially for ligands which depend on multivalency for receptor interactions [14, 15]. The magnitude of immune response against T-dependent antigens like proteins depends majorly on the density of peptide-MHC repertoire generated after processing of the protein in endo-lysosomal compartments. But the role of surface ligand density in eliciting the antibody response is also one of the least studied characteristics of these formulations. To delineate this, T-independent antigens would be an ideal model to further validate the importance of polymer particle based delivery system. T-independent antigens which display repeating antigenic determinants on a large polysaccharide back bone elicit antibody responses through B-cell receptor cross linking. Multivalent presentations of antigens promote this receptor cross linking. Contact surface area differences introduced by variations in surface area- volume ratios would reflect on the immune response against these antigens. To validate this concept, in the current study, immunogenicity of polymer particles entrapping Vi polysaccharide is studied in detail. The poor quality of antibody responses to carbohydrates is one of the many obstacles associated with developing carbohydrate-based vaccines [28]. Anti-polysaccharide responses are characterized by lack of immunological memory, isotype switching and affinity maturation and polysaccharide antigens do not elicit antibody responses in neonates and elderly patients [28]. Thus it is of interest to see if these limitations could be solved using polymer particle based vaccination.
Immunization experiments suggested that entrapment of Vi antigens in polymeric particles improved anti-Vi IgG responses. The sustained release of antigen from polymer particles and enhanced B-cell receptor cross linking facilitated by multivalent presentation on particles can be the major contributing factor for this effect. This effect is observed only when polysaccharide antigens were entrapped in polymer particles. Immunization experiments with physical mixture of dummy particles and soluble antigen did not elicit stronger anti-polysaccharide IgG response. This suggested that the particulate nature and sustained release of the antigen from particles played a key role in promoting the antibody response. This is evident from significantly higher memory IgG responses elicited by Vi antigens entrapped in polymer particles. Compared to primary response the secondary antibody response is very high and this is consistent in all particle formulations. The memory antibody response elicited by immunizing 115th of priming dose of antigen in particle primed group suggested that during boosting, Vi antigen encountered different set of B-cells than the priming stage. These set of B-cells proliferated faster and produced IgG isotypes like IgG1 and IgG2a which are important for opsonophagocytic functions. These observations are very important considering that in general soluble carbohydrate vaccines do not produce memory antibody response and isotype switching. Also rapid recall response elicited by challenge with live Salmonella typhi corroborated this finding and support the vaccine delivery potential of polymer entrapped antigens. This indicated that in a real life vaccination scenario, when a live pathogen infects, animal groups immunized with polymer particles entrapped Vi polysaccharide would be able to produce anti-Vi antibodies faster and can help the immune system to clear the pathogen.
A size dependent difference in IgG responses is observed using Vi entrapped polymer particles. Nanoparticle elicited responses comparable to MPs or better memory antibody responses than MPs and this is contrary to the earlier reports with protein antigens. In protein antigens NPs produce significantly low antibody responses than MPs [6, 26]. These differences could be due to the fundamental differences in the interactions of protein (T-dependent) and polysaccharide antigens (T-independent) with the immune system. Unlike protein antigens which need processing and presentation on MHC, polysaccharides in general are neither processed nor presented. T independent antigens cross link the B-cell receptors through multivalent interactions using their repetitive antigenic determinants. Antigens entrapped in polymer particles have the capabilities to promote multivalent interactions of antigen to APCs. Presenting these antigens on a particle can promote the contact surface area for multivalent interactions and enhancements in these interactions were reflected in the higher IgG responses. Compared to MPs, NPs have higher surface area; and this factor would have contributed to the differences in immune responses. The contribution of contact surface area in promoting IgG response is further substantiated by higher IgG responses elicited from polymer particles with higher surface antigen density. Lymphocyte proliferation results where priming with polymer particle formulations induced higher proliferation corroborated the importance of surface interactions. Moreover, phagocytic uptake studies showed that NPs are taken up efficiently by murine macrophages and dendritic cells (data not shown). These antigen presenting cells (APCs) express numerous innate immune receptors like C-type lectins which bind to carbohydrate antigens and promote uptake of carbohydrate antigens to these cells. B-cells interact faster and better to antigens presented on surface of APCs [62]. Higher uptake and subsequent higher delivery of antigens to APCs from NPs would have promoted this process. So along with size, the surface area- volume ratios and surface antigen density of polymer particles are important in promoting the immune response. These observations indicated the importance of above properties of polymer particles while designing delivery systems for different antigens.
Immunization experiments with polymer particles co-entrapping both polysaccharide antigen and carrier protein (tetanus toxoid) in the same matrix did not improve the anti-polysaccharide antibody responses. Though the responses were better than soluble polysaccharide based immunization, it is comparable to immunizations with particles entrapping only polysaccharide. Repeated immunization experiments with particles with different carrier protein-polysaccharide ratios as well as with immunization in animals pre-immunized with carrier protein showed the same effect. Further it is observed that co-entrapment of tetanus toxoid and Vi capsular polysaccharide in same polymer particle suppressed the anti-TT responses. As in the case of glycoconjugate vaccines, generation of effective anti-TT responses is important to drive T-cell help for polysaccharide antigen. Suppression of anti-TT responses by co-entrapment of polysaccharide antigen could be one of the reason for failure of co-entrapped formulations. This suppression effect is further confirmed by phagocytic uptake studies. Inhibition of phagocytic uptake by Vi entrapped polymer particles suggested that presence of Vi and TT in the same polymeric matrix could have affected the processing and presentation of TT. TT being a T-dependent antigen depends heavily on these processes to evoke anti-TT responses. These effects were concentration dependent and specific to Vi polysaccharide. Increasing concentration of Vi entrapped particles in culture media increased the suppression and adding anti-Vi antibodies inhibited the process. Confocal microscopic studies also revealed that presence of Vi on particle surface altered the intracellular fate of MPs. It prevented the localization of particles to endo-lysosomal compartments suggesting the phagocytic inhibitory roles of capsular polysaccharides. Phagocytic inhibitory effects of Vi antigen were more pronounced when Vi antigen is on the surface of a particle. When soluble Vi antigen is added to the culture media this inhibitory effect is very low. Observations from co-entrapped formulations suggest that chemical conjugation of polysaccharide and carrier protein would be essential to promote anti-polysaccharide responses. Though entrapment of polysaccharide antigen alone in polymer particle enhanced the antibody responses, co-entrapment would not be an alternative to glycoconjugates. Plain polymer particle entrapping polysaccharide could serve as an ideal delivery system for these antigens. The results also points to the importance of design principle involved in these delivery systems for presentation of an important class of vaccine components.
The product is composition of Vi polysaccharide of Salmonella typhi entrapped in PLA particle along with excipients. Single dose immunizations of this novel vaccine formulation not only improve the immunogenicity of the carbohydrate antigen but also elicit secondary antibody response upon challenge with soluble Vi polysaccharide. Immunization [of 5 μg] of Vi polysaccharides entrapped PLA particle gave rise to two fold higher antibody titer (IgG) in mice from single dose intramuscular immunization. Memory antibody titers (secondary antibody) in case of animals immunized with polymer particle entrapped Vi polysaccharide were much higher than the primary response. Soluble immunization of Vi polysaccharide did not elicit memory antibody titer. The memory antibody titers observed with polymeric vaccine formulation is sustained at higher level for considerable point of time. The product thus have the capacity to induce immunological memory of carbohydrate antigens with out the use of T cell helper peptide. The vaccine formulation is stable and can be used to immunize children for developing both primary and memory antibody titers.
Multivalent display of polysaccharide antigen on polymer particles provided insights into few important design concepts involved in the formulation and development of these delivery systems. Based on various immunization experiments and in vitro studies the following conclusions are made
1) Polysaccharide antigens entrapped in polymer particles elicit very high anti-polysaccharide antibody responses.
2) Particle based immunizations elicited memory antibody response against the polysaccharide antigen from a single point immunization.
3) Polylactide particle entrapping Vi polysaccharide immunization promoted isotype switching as well as strong recall response on challenge with live Salmonella typhi.
4) Unlike in the case of protein antigens nanoparticle based immunizations elicited strong IgG responses.
5) Higher antibody responses were observed with higher surface to volume ratio of particles as well with higher surface antigen density.
6) Vi polysaccharide on the surface of particles showed anti-phagocytic activities.
7) Anti-phagocytic properties reduced the antibody responses against co-entrapped tetanus toxoid and this explains the failure of co-entrapped formulations. These informations can be used to design and develop improved polymer particle based formulation for improving the immunogenicity of T independent antigens.
The work is supported both by the core grant of the National Institute of Immunology, New Delhi and project grant (BT/PR4411/PID/06/190/2003) received from the Department of Biotechnology, Government of India. We thank Dr. Ayub Qadri and Dr. Devinder Sehgal, National Institute of Immunology, India for their valuable comments and discussions. We also thank Ms. Rekha Rani and Mr. Ajay for their assistance in Microscopic studies. AKP is partly supported by Tata Innovation Fellowship of DBT, Government of India.
| Number | Date | Country | Kind |
|---|---|---|---|
| 1539/DEL/2011 | May 2011 | IN | national |
| Filing Document | Filing Date | Country | Kind | 371c Date |
|---|---|---|---|---|
| PCT/IB2012/052664 | 5/29/2012 | WO | 00 | 5/7/2014 |
