NZ616823B2 - Immunogenic composition for immune system modulation and use thereof, method for treating and preventing diseases, method for inducing cell regeneration and method for restoring immune response - Google Patents
Immunogenic composition for immune system modulation and use thereof, method for treating and preventing diseases, method for inducing cell regeneration and method for restoring immune response Download PDFInfo
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Abstract
Discloses immunogenic compositions for preventing and/or treating disease in a human or animal comprising a therapeutically effective amount of three or more either natural or synthetic antigen agents comprising pathogen-associated molecular patterns (PAMPS) and/or danger associated molecular patterns (DAMPS) or groups thereof selected from at least two groups consisting of: (A) antigenic agents with molecular patterns associated with bacteria, (B) antigenic agents with molecular patterns associated with viruses; (C) antigenic agents with molecular patterns associated with fungi and yeasts; (D) antigenic agents with molecular patterns associated with protozoa; (E) antigenic agents with molecular patterns associated with helminths and/or (F) antigenic agents with molecular patterns associated with prions wherein the concentration of each agent is within the range 0.001 to 500 micrograms per ml and the composition further comprises one or more physiologically acceptable carriers, excipients, diluents or solvents. ns (DAMPS) or groups thereof selected from at least two groups consisting of: (A) antigenic agents with molecular patterns associated with bacteria, (B) antigenic agents with molecular patterns associated with viruses; (C) antigenic agents with molecular patterns associated with fungi and yeasts; (D) antigenic agents with molecular patterns associated with protozoa; (E) antigenic agents with molecular patterns associated with helminths and/or (F) antigenic agents with molecular patterns associated with prions wherein the concentration of each agent is within the range 0.001 to 500 micrograms per ml and the composition further comprises one or more physiologically acceptable carriers, excipients, diluents or solvents.
Description
" Immunogenic composition for immune system tion and use thereof, method
for treating and preventing diseases, method for ng cell regeneration and method
for ing immune response.”
FIELD OF THE INVENTION
The t invention relates to genic compositions for modulating the immune
system comprising a eutically effective amount of two or more immunoactive
antigenic agents presenting pathogen-associated molecular patterns (PAMPS) and/or
danger associated molecular patterns (DAMPS) and one or more physiologically
acceptable carriers, excipients, diluents or solvents.
Preferably the compositions of the present invention se immunoactive antigenic
agents presenting pathogen-associated molecular patterns (PAMPS) and/or danger
associated molecular patterns (DAMPS) selected from the group consisting of: (A)
antigenic agents with molecular patterns associated with bacteria; (B) antigenic agents
with molecular patterns ated with viruses; (C) antigenic agents with molecular
patterns associated with fungi and yeasts; (D) nic agents with molecular patterns
associated with protozoa; (E) antigenic agents with lar patterns associated with
multicellular parasites / or (F) antigenic agents with molecular patterns associated with
prions.
It is another aspect of the present invention the use of immunogenic compositions in
the manufacture of medicaments for prevention and/or treatment of infectious diseases,
autoimmune diseases, allergic diseases, inflammation, arthritis, inflammatory diseases,
transplant rejection, es caused by vascular disorders, diseases caused by
hemorrhagic or ischemic cardiovascular events, ischemia, infarction and hemorrhage
leading to tissue destruction, cardiac, renal, respiratory or liver disease, cancer, tumors
and malignant and benign lesions.
The immunogenic compositions of the invention are also directly used in the
prevention and/or treatment of infectious diseases, autoimmune diseases, allergic
diseases, inflammation, arthritis, inflammatory diseases, transplant rejection, diseases
caused by vascular disorders, cardiovascular diseases caused by injury or bleeding
ischemic, ischemia, infarction and hemorrhage g to tissue destruction, cardiac,
renal, respiratory or liver disease, , tumors and malignant and benign lesions.
The present invention further relates to methods for inducing cell ration, tissue
regeneration, organ regeneration and regeneration of c systems such as the
atory system, nervous system and endocrine system.
Finally, the present invention relates to methods for renewal of the immune response in
an , particularly humans.
BACKGROUND OF THE INVENTION
Of the discovery of antibiotics and other drugs
From the pioneering discovery of antibiotics in the second half of the 20th century, new
antibiotics, semi-synthetic antibiotics and new chemotherapeutics with antimicrobial
activity, have been developed on a large scale against most intracellular and
extracellular bacteria. These developments have changed the history of medicine,
ng it to reach a wide spectrum of healing, for the vast majority of bacterial
infectious diseases, which racked humanity.
Thus, the discovery of otics was a major milestone, a watershed, because
ion could be addressed and healed, in a specific way, with a clear relationship of
cause and effect, and measurable when established. This discovery greatly expanded
the ability of healing in ne, with enormous positive impact on human health and
lifespans. The discovery of antibiotics in the evolution and ent of disease
profoundly influenced the research and thinking of chers from the success
achieved by this experimental model (Reeves G, Todd I. Lecture notes on immunology.
2nd ed: Blackwell Scientific Publications, 1991; Neto VA, Nicodemo AC, Lopes HV.
AntibiOticos na pritica medica. 6th ed: Sarvier, 2007; Murray PR, Rosenthal KS,
Pfaller MA. Microbiologia Medics. 5th ed: Mosby, 2006; Trabulsi LR, hum F.
Microbiologia. 5th ed: Atheneu Editora, 2008).
Antibiotics were succeeded by the pment and use of antifungal, antiparasitic and
antiviral drugs. There was also the pment of antineoplastic, cytostatic and
cytotoxic drugs against malignant tumors, anti-inflammatory, anti-allergic and
immunosuppressive drugs lymphocytes, neutralizing anti-leukocytes of the
immune system) of hormonal and non-hormonal nature, with a huge range of
applications, as in for infectious diseases, for inflammatory diseases of any origin, for
autoimmune diseases, for genetic es, for vascular diseases, for allergic diseases,
for trauma, for neoplastic diseases, for hormonal diseases, for degenerative diseases,
among others.
Thus, the new drugs brought an enormous capacity for medical intervention, with
us benefits, with definitive and partial cures, with the prolongation of life in
ble diseases, but with a huge morbidity due to side effects related to their lack of
specificity to the pathophysiology of diseases treated.
Of the innate immunity
The innate immunity, in addition to preventing the entry of microorganisms and
preventing their ishment, has another recently discovered vital function:
discrimination between "self' and "not self' and the pattern recognition capability
linked to the alarm and the command to start or inhibit an integrated immune response
against an invading rganism or to arrest, repair or inhibit a condition of
destruction or self aggression to the body, for e, in trauma, autoimmune diseases
and allergic diseases, among others. This dual capability was previously erroneously
attributed exclusively to adaptive immunity. The innate immunity, through its own
receptors, izes ng pathogenic microorganisms, autologous or even
allogeneic neoplastic cells, or allogeneic or heterologous transplants as "not self',
identifying them as not belonging to the organism. From that , it triggers an
alarm and a joint innate and adaptive immune response to eliminate them or suppress a
response deleterious to the human or animal organism {Goldsby RA, Kindt TJ, Osborne
B. Imunologia de kuby. 6 ed: ; 2008, 704 p; Janeway C, s P, t
M, Slhlomchik MJ. Immunobiology five. 5 ed: Garland Pub.; 2001. 732 p.; elli
JC . Imunologia clinica ha pratica medica: atheneu editora; 2009; Janeway CA, Jr . ,
Medzhitov R. Innate immune recognition. Annual review of immunology.
2002;20:197-216. Epub 2002/02/28; Matzinger P. The danger model: a renewed sense
of self. Science. 2002;296 {5566) :301-5. Epub 2002/04/16; Steinman RM, Banchereau
J. Taking dendritic cells into medicine. Nature. 2007; 449 (7161) : 419-26. Epub
2007/09/28.; Beutler BA. TLRs and innate immunity. Blood. 2009; 113 (7 ): 1399-407.
Epub 2008/09/02; Moresco EM, LaVine D, Beutler B. ike receptors. Current
biology : CB . 2011 ; 21 ( 13 ) : R488-93. Epub 2011/07/12),
The (default/standard/pattern?) recognition, of "not self', of an invasive germ, of a
neoplastic cell or an altered or transplanted cell is performed by sentinel cells,
represented by epithelial cells, mucosal cells, and the stromal cells, such as pericytes,
dendritic cells, macrophages and fibroblasts, among others. These cells, strategically
distributed throughout the body, have PRRs (Pattern Recognition Receptors) and DRRs
(Danger Recognition Receptors) which are ors tively able to recognize a)
standard identification molecules, characteristic of a wide range of microorganisms,
and b) certain patterns for chemical and al of said inert substances and changes
to metabolic , such as
release of free ls and tissue chemical changes, caused by ionizing radiation or by
chemical substances, among others.
The PRR does not discriminate one specific individual microorganism, but the presence
of microorganisms other than the human body. Each PRR receiver may bind to several
different pathogens, recognizing as PAMPs (Pathogen ated Molecular Patterns)
carbohydrates, lipids, peptides and nucleic acids from bacteria, viruses, fungi or
parasites that are not found in the human or animal body.
The DRRs discriminate that there is tissue damage, a dangerous situation caused by not
live or inert agents. The DRRs identify DAMPs r Associated Molecular
Patterns) associated with tissue damage by toxic substances, ion, or trauma,
which cause metabolic stress, release of free radicals and chemical changes in tissue,
recognized by these receptors. ay C, Travers P, alport M, Slhlomchik MJ.
Immunobiology five. 5th ed: Garland Pub.; 2001. 732 p.; Matzinger P. The danger
model: a renewed sense of self. Science. 2002 ; 296 ( 5566) : 301-5. Epub 2002/04/16;
Beutler BA. TLRs and innate immunity. Blood. 2009;113 (7) : 1399-407. Epub
9/02; Moresco EM, LaVine D, Beutler B. Toll-like receptors. Current biology:
CB. 2011;21 (13) :R488-93. Epub 2011/07/12),
Thus, sentinel cells via their PRRs and their DRRs, have a role in the own of
which belongs ("self') and which is does not belong (not "self') and ring
inflammation and immune response, via recognition of PAMPs of ng pathogens
and DAMPs caused by neoplastic cells and toxic substances or modifications due to
trauma, leading to a situation of real danger to the human and animal organism.
Immediately, these activated sentinel cells give alarm signals, triggering the innate
immune response through the NF-kB (Nuclear Factor-kB) signal translation system,
leading to the secretion of pro-inflammatory cytokines and the IRF signal translation
system, that produces Type I alpha and beta interferons. These cytokines, er,
acting on cells and vessels, cause a local inflammatory process, initially to contain the
invading agent, autologous (tumor cell), heterologous organisms, prions, grafts
and transplants) or allogeneic (grafts and transplants), or to repair danger ions.
This contention happens through antibodies, pre-existing, opsonizing acute phase
proteins and through leukocytes and macrophages, which engulf and start to destroy the
extracellular and intracellular microorganisms respectively, or eliminating other
etiologic agents of any kind.
In gout, in silicosis, the chemical aggression, in foreign body granulomas, in trauma,
the inflammatory process is formed to ate the offending agent if possible and
then induce tissue healing and regeneration. When the offending agent is not eliminated
the mation is perpetuated and causes an incurable or uncontrollable chronic
matory disease, stable or progressive, which compromises the life or health of
patients.
Interaction and integration of innate ty with adaptive immunity
Simultaneously at the site of invasion, aggression and inflammation, the innate
immunity sentinel cells with the APC role (Antigen Presenting , such as tic
cells and macrophages, phagocytosise and pinocytosise microorganisms or tumor cells,
or transplanted cells, among other sors and process their antigens. These APC
cells pulsed by the antigens migrate to regional lymph nodes and activate them. The
APC cells in reactive lymph nodes, activated and mature present the ns to
lymphocytes, secrete cytokines and thereby induce, coordinate, polarize, amplify and
maintain an adaptive immune response specific to the invading germs, or neoplastic
cells, or to transplanted cells, or other offending agent, allowing them to be fought and
eliminated, where feasible and the consequent cure of the infection or inflammation
and repair and ration or wound healing.
Thus, these immune mechanisms fight disease through the innate and adaptive
responses in an integrated and istic way, performed by sentinels cells, APC
function els, and innate immunity effectors, cellular and molecular in conjunction
with the cellular and molecular effectors of adaptive immunity that are respectively
lymphocytes, cytokines and antibodies.
Thus, the interaction of the two immunities, innate and adaptive, in the context of an
infection or immune response t an aggressor of any kind helps to combat the
disease in an integrated and synergistic way. The integration of the two initially occurs
by the action of the innate immunity cells with APC function, such as tic cells
and macrophages, but mainly by the ty of tic cells, as they are the ones that
are able to te an adaptive immune response against a y infectious or
parasitic agent, effectively protecting the body.
As noted macrophages also function as APC cells, but are more specialized and
ed as part of the effector loop in phagocytosis and in the elimination of
microorganisms. B lymphocytes, when mature, are also APC cells and its most well-
known action is the presentation of antigens to the T lymphocytes, within the
framework of cooperation of both lymphocytes to produce antibodies against T-
dependent antigen, and the secondary antibody response. Macrophages, like other
myeloid cells, are also involved in suppressing immune response in cancer and in
incurable chronic infections. In these cases its performance is unfavorable to the
e of the organism e it suppresses the immune response and create tumor
tation. A malignant tumor disease is characterized by causing an initial silent
inflammation, imperceptible, and in the end it s extremely pro inflammatory
and symptomatic through the TH17 profile inflammatory , which usually leads
the patient to prolonged suffering.
When co-stimulatory molecules are not expressed on the APC cell surface, by the
absence of the alarm signal characterized by the lack of activation of PRRs by PAMPs
and DAMPs, only the first signal occurs, given by the TCR. After the TCR binds with
the antigen, in the absence of the second , the T lymphocyte becomes tolerant to
the specific antigen shown and aborts the immune response.
On the other hand, the CD 40L molecule of activated T lymphocytes, when it binds to
the CD40 molecule on the APC cells, significantly increases the expression of CD80
and CD86 molecules, increasing the current response, which thus occurs only when the
adaptive T response is already engaged in defending the body. The third signal given
by cytokines such as IL-1, is given only by the APC cells after the binding of co-
atory molecules and the emission of the second signal. The IL-1 secreted by the
APC cells acts on lymphocyte cells and leads to the complete expression of the receptor
for IL2 and to the production of cytokines by virgin or memory lymphocytes engaged
in response to the initiating clonal expansion.
Therefore the activation of innate immunity by pathogens is the key to unleashing the
second and third signals and the occurrence of a potentially effective immunity,
through the full activation of T lymphocytes engaged in the response. Without the
occurrence of the second and third signal, the response is aborted and generates a
tolerance ic to the antigen presented.
At the same time that the neutrophils, monocytes and macrophages initiate combat to
bacteria and to other infectious agents by the linkage of PAMPs with PRRs on antigen
presenting cells (APC), they activate dendritic cells and macrophages, local and newly
arrived. These cells phagocytosise and tosise bacteria and bacterial antigens,
sing them and ng the maturation process. The activated and maturing
dendritic cells now migrate to regional lymph nodes to present ns and initiate
immune response against the invading agent.
The mature antigen-pulsed APC cells, ally dendritic cells, in lymph nodes,
collaborate with the T and B lymphocytes and initiate the adaptive response. tic
cells are the most potent cells for the presentation of antigens and the only APC cells
able to activate a virgin CD4 T lymphocyte and to start a new immune response.
After a period of approximately seven days in the lymph node, the collaboration
between blank CD4 lymphocytes, which become T CD4 Th2, with B cytes and
antigen ting dendritic cells, initiates the differentiation of specific sensitized B
lymphocytes. These B cells, now activated, recognize bacterial ns by surface
immunoglobulins, after contact with these antigens, proliferate, mature, and
differentiate into plasma cells that now secrete specific antibodies against this
bacterium. Infections of all types, bacterial, viral, fungal and parasitic may, in general,
in the acute phase, evolve to a full cure with ration and healing, or for a cure
with sequelae. They can also develop into an incurable chronicity, with or without
control of the disease, to chronicity with healing, with or without sequelae, or to death.
zation of the immune response
The immune profiles known and induced by dendritic cells by direct and indirect
contact with the different cytokines and generated by T CD4 cells are of four types:
a) cellular Thl profile, which generates ar immunity ed by cells;
b) humoral Th2 profile, which generates humoral immunity mediated by antibodies;
c) tissue or inflammatory Th17 profile, which generates inflammatory tissue ty,
also mediated by cells and cytokines, which induce an important inflammation for the
ation of certain pathogens, and
d) Treg/Trl profile, which sses the immune response and ls, by inhibiting
the other three profiles bed above, ensuring the return of the body equilibrium
state.
e) es not yet fully established, as the Tfh (follicular ) of the humoral
response, the Th9 e for certain parasites, or other profiles that may be discovered.
Thus, the various profiles ensure the defense of the organism and the elimination of
causative heterologous tious) agents invading and colonizing autologous
(neoplasia). The last profile ensures the termination of the immune response, the
balance, the regeneration, the safe return to normalcy and it prevents self-injury and
allergy and is therefore vital to the health and preservation of the human species and
animal, as much as the other profiles.
The phenomenon of polarization of the immune response is defined as the
predominance of a certain immunological profile such as Thl or Th2 at the expense of
other profiles that become secondary or null. This phenomenon happens according to
the type of attack suffered by the body. That is, according to the type of infection,
pathology, and infection stage or pathology stage, the different type of immune
response will be predominant, and it may be a cellular, humoral, tissue, or immuneregulatory
response, while other types of immune responses are inhibited, resulting in
the phenomenon of polarization.
By definition, in polarization a profile is dominant, but other minant profiles are
also needed, and expressed in a complementary manner that will help eliminating the
disease. For example, tuberculosis is the appearance of Th17 cells in the lung which
allows Thl cells to settle and may lead to cure this infection in the lung parenchyma
(Stockinger, B. and Veldhoen, M. Differentiation and function of Th17 T cells. Current
Opinion in Immunology, 19 (3), pp. 281-286. 2007). In viral infections, the CTL cells
of TM profile destroy cells infected by viruses, to eliminate the virus. However,
dies are ed to prevent the virus from infecting other healthy cells and thus
preventing the spread of ion. The coordinated assembly of the two profiles is
essential for the healing of certain viral infections. Certain intestinal infections by
extracellular Gram-negative bacilli e, for its cure, in the final stage, besides the
Th2 profile, the generation of a supplementary Th17 profile capable of generating a
strong inflammation, necessary to eliminate this type of bacteria.
In conclusion, due to the fact that the dendritic cells are the only professional APC cells
capable to initiate a primary ve immune response and are the most potent in
triggering a secondary specific immune response, in any e, they are then
commanding the interaction and integration of innate immunity with adaptive
immunity to produce an effective immune response capable of curing a disease.
Dendritic cells in collaboration with other APC and sentinel cells in contact with
different aggressors in different onal states, in the inflammation sites, in the
lymph nodes, in the , in the mucous membranes, are able to lead, coordinate,
polarize, and amplify the adaptive immune response, primary and ary, e.g.,
specific for the peptides of invading pathogens, which in this case is the most
appropriate for the removal of the ongoing infection.
Therefore, tic cells and other APC cells are key cells of the innate immune
response, since they evaluate the nature of the autologous and heterologous ive
agent, i.e., the type of pathogen or colonizing cells and aided by the el cells, they
measure and evaluate the size of the heterologous or autologous aggression, its
extension, its intensity and aggressiveness, besides commanding the adaptive response
with the profile and the intensity ed for the ation of the pathogen.
After differentiation, a ferentiation can occur, induced by the microenvironment
and/or the type of antigen or its presentation, in which a Thl or Th2 profile can be
exchanged for an inflammatory profile or an immunosuppressant profile or vice versa.
This extreme plasticity of the immune system to differentiate or re- differentiate in
either direction indicates a strategic window for manipulation of the immune system,
during infection, when the direction taken by the polarization is not the best one for
curing the infection process or neoplasia.
As an illustrative example, we have what happens in a severe ion or septicemia,
when the massive mation caused by the large number of microorganisms which
touch the sentinel cells throughout the body, induces also a Th17 a profile, which in
turn increases the inflammation more and therefore becomes detrimental, leading to
tissue destruction, rather than inducing healing. In these cases the Th17 profile, by
tissue destruction and the amplification of inflammation, is mainly responsible for the
generation of clinical complications such as severe ARDS (acute respiratory distress
syndrome in adults), lung shock, renal failure, or shock, that compromises healing.
The re-differentiation of polarization for the Thl or Th2 profiles, with the inhibition of
e inflammation, is the logical and strategic path for a designed or ed
immunotherapy to try to resolve this dramatic and deadly type of situation, during a
severe infection or sepsis, which has a significant mortality and morbidity and for
which otics and other antimicrobials, in current patterns such as single mode,
have disappointing anti-infective results. The same example s to serious intra
ar bacterial, fungal, viral and parasitic infections, with extensive tissue destruction
and massive inflammation, usually of poor prognosis.
The use of adjuvants to stimulate immune response
The human and animal organisms do not usually produce antibodies against soluble
proteins, necessitating the use of so-called nonspecific or unrelated adjuvants to obtain
the desired immune response. These adjuvants used since the dawn of immunology, in
immunizations and in e applications, were and are made up of parts of
microorganisms, mineral oils and other substances that activate the innate immunity,
which then gives the alarm and control ary for the pment of desired
immune response to the protein or to the vaccine in question (GOLDSBY RA, KINDT
TJ, OSBORNE BA. IMUNOLOGIA DE KUBY. 6 ed: ARTMED; 2008. 704 p) ;
(Janeway C, Travers P, alport M, Slhlomchik MJ. Immunobiology five. 5 ed: d
Pub.; 2001. 732 p.); (VOLTARELLI JC . IMUNOLOGIA CLINICA NA PRATICA
MEDICA: ATHENEU EDITORA; 2009); (Janeway CA, Jr., Medzhitov R. Innate
immune ition. Annual review of immunology. 2002;20:197-216. Epub
2002/02/28.); (Matzinger P. The danger model: a d sense of self. Science. 2002 ;
296 ( 5566) : 301-5. Epub 2002/04/16.): (Steinman RM, Banchereau J. Taking
dendritic cells into medicine. Nature. 2007 ; 449 ( 7161 ): 19-26. Epub 2007/09/28.);
(Beutler BA. TLRs and innate ty. Blood. 2009 ; 113 ( 7 ): 1399-407. Epub
2008/09/02.); (Moresco EM, LaVine D, Beutler B. Toll-like receptors. Current biology
: CB. 2011 ; 21 ( 13 ) : R488-93. Epub 2011/07/12).
It should be noted that the use of adjuvants for immunization, e being one of the
oldest features, and still current, highly used and essential for vaccinations and for
studies of immunology, was considered only as a useful nonspecific effect. It was not
envisioned, for more than a century, its role in the innate immunity in the
discrimination of what is "Self' and not "Self' and its unique and fundamental capacity
to the al of the human species and animals: to give the alarm signal and the
command to start or not start, or t, an integrated, protective or healing, innate and
adaptive, immune response (GOLDSBY RA, KINDT TJ, OSBORNE BA.
IMUNOLOGIA DE KUBY. 6 ed: ARTMED; 2008. 704 p); ay C, Travers P,
Walport M, Slhlomchik MJ. Immunobiology five. 5 ed: Garland Pub.; 2001. 732 p. ) ;
(VOLTARELLI JC. IMUNOLOGIA A NA PRATICA MEDICA: ATHENEU
EDITORA; 2009); (Janeway CA, Jr., Medzhitov R. Innate immune recognition.
Annual review of immunology. 2002;20:197-216. Epub 2002/02/28.); (Matzinger P.
The danger model: a renewed sense of self. Science. 2002;296 (5566) : 301-5. Epub
2002/04 /16.) : (Steinman RM, Banchereau J. Taking tic cells into medicine.
Nature. 2007 ; 449 ( 7161 ): 419-26. Epub 9/28.); (Beutler BA. TLRs and innate
immunity. Blood. 2009 ; 113 ( 7 ): 1399-407. Epub 9/02.); (Moresco EM,
LaVine D, r B. Toll-like receptors. Current biology : CB. 2011 ; 21 ( 13 ) :
R488-93. Epub 2011/07/12).
Today's anti-infective and anti-cancer treatments
A large number of medical materials, labor hours, medicines and hospital beds could be
better used with a y that ed, prioritized and optimized the variables that
affect the displacement of the biological balance in favor of the patient and modulated
his or hers immune system, decreasing its inefficiencies and allowing for a large
number of medical discharges, in less time. The prior art has yet to provide alternatives
to perform an intended repolarization of the immune system in real time, or time to
change or reverse its response to a ongoing disease or s, if possible to improve the
quality of life, or extend the life span, or assist the process of combating the ongoing
disease or illness on the patient.
Bacterial, fungal, viral, parasitic and neoplastic resistance to antibiotic, antifungal,
antiparasitic and oplastic medicines used in clinical practice is seen as the main
obstacle to the cure of bacterial, fungal, viral, parasitic and tumor diseases, and is
ered a serious health problem on a global scale. This problem is circumvented by
using appropriate and rational use of antibiotic, antimicrobial and ncer medicines
and with the advent of new more potent drugs. However, sooner or later, resistance is
always inevitably ished, and yet a solution to this problem has not been found. As
antibiotics, antifungal, antiviral, antiparasitic and antineoplastic agents are considered
as the only valid and effective anti-infective, antiparasitic and antineoplastic treatment
modalities, the prospect of future treatments is disturbing and dark, due to the
phenomenon of ial and tumor resistance.
Antibiotics, antifungals, antivirals, antiparasitics and antineoplastic agents can be used
at any stage of the infectious bacterial, fungal, viral, parasitic and tumor conditions.
r, antibiotics, antimicrobial and anticancer fail to cure most advanced,
pervasive and severe bacterial, , viral, parasitic, and cancer conditions that have,
in general, a very high rate of mortality and ity.
Furthermore, the discovery of new drugs is directed to drugs that are capable of
eliminating the ive agent and cure infection, ation and neoplasia based on
the concept of a single drug capable of curing infectious, parasitic, and neoplastic
disease.
Treatment of sms at the present time
Cytokines such as interleukin 2 and type I alpha and beta interferons, are used for the
treatment of immunogenic tumors such as melanoma and ephroma. Cytokines a
bone marrow colonies growth factors function are used to combat anemia, leucopenia,
cytopenias of the elements in the peripheral blood, caused by disease or treatment, with
good results. Type I Interferons are widely used to combat viral hepatitis B and C, with
good results, and with less significant results for the treatment of multiple sclerosis.
Transplantation of allogeneic and autologous bone marrow is used for the treatment of
. Passive immunotherapies with CTL CD8 dendritic cells, white blood cells,
autologous or allogeneic, with or without cytokine, are used for the treatment of certain
, and the results are still not very significant or significant at all, but limited to
certain exceptional ogies, as virus-induced tumors that grow in
immunosuppressed transplant patients. In these cases, e immunotherapy with
specific T CTL CD8 e CD4 cells for the EBV virus, are usually successful and cure
these exceptional tumors that only grow in immunosuppressed patients. However, it is
rthy that these ques, as well as other similar but less effective ones, did
not develop agents or sets of agents capable of effectively immuno-modulate the
immune system in order to start reacting against any invading pathogen (infection), or
autologous colonizer s) that is present in the body of the individual to be treated,
or that can resolve dysautonomia states in the primary or secondary genetic immune
systems, that lead to states of arm by the immune system, which should defend
the body from aggression.
Examples e successful cancer treatment that uses an immunomodulatory agent
containing molecular patterns recognizable by the PPRs, the use of the BCG e as
one of the rare ished techniques, which are ed and proven, that use
immunomodulation as a means of treatment. Brake and colleagues described the use of
BCG immunotherapy in patients with superficial bladder cancer, who were in Stage Tl
(Brake M, Loertzer H, Horsch R, Keller H (2000) . "Long-term results of intravesical
bacillus Calmette-Guerin therapy for stage Tl superficial bladder cancer". UROLOGY
55 (5): 673- 678). Immunotherapy was applied in patients after a complete transurethral
ion of r tumor by applying a second cycle of BCG in the case of recurrent
superficial tumors. The conclusion was that immunotherapy with BCG after
transurethral resection of bladder tumors represents a highly effective primary
treatment for Tl stage bladder cancer, with a 89% rate of tumor-free survival in all
patients.
Following this line, Burger and gues have demonstrated a randomized
comparative essay, in which patients with noninvasive bladder cancer of the muscle
layer made use of BCG or cell therapy with autologous hages (BEXIDEM ®)
(Burguer M, Thiounn N, Denzinger S, Kondas J, Benoit G, et . al (2010). "The
application of adjuvant autologous antravesical macrophage cell therapy VS . BCG in
non-muscle invasive bladder cancer: a multicenter, randomized trial. Journal of
Translation Medicine, 8:54. doi: 10.1186/14798-54). Compared with BCG, the
incidence of adverse events was significantly lower in the treatment BEXIDEM (26%
and 14%, respectively). However, the recurrence rate of tumor in patients treated with
M was significantly higher than in patients who received BCG as adjuvant
therapy.
Donald et al bed the use of BCG as a form of immunotherapy in patients with
melanoma (Donald L. Morton, M.D., Frederick R. Eilber , M.D., E. Carmack ,
M.D., John S. Hunt, M.D., et. al (1974). "BCG Immunotherapy of Malignant
Melanoma: Summary of a Seven-year Experience". Ann. Surg. p: 635-641). Patients
selected for the study had recurrent melanoma, known residual disease, or high risk of
developing recurrence. First, direct ions were d in malignant nodules of
melanoma using 0.1-0.5 cc of BCG in each intracutaneous and subcutaneous lesion.
Patients who were in Stage II were treated with BCG immunotherapy alone or with
BCG and allogeneic melanoma cells. BCG was administered alone or as an adjuvant
mixed with tumor cells in patients in stage III disease. Patients with intradermal
metastases who were treated with intratumoral ions of BCG were those who
responded better to treatment, and three factors appeared to be correlated with response
to BCG immunotherapy: the location of metastasis, the amount of tumor present and
the immunocompetence of the t. There was low antitumor activity of BCG in
patients with bulky disease or visceral metastases. The result showed that 31% of
patients with intradermal metastases were found free of disease recurrence for a period
of up to 6 years after the start of immunotherapy.
The immunotherapy described by Grant et al consists of the use of BEC2 (idiotypic
antibody which mimics the GD3 ganglioside present on the surface of most tumors of
small cell lung cancer) in combination with BCG (Grant SC, Kris MG, Houghton AN,
Chapman PB (1999) . "Long Survival of ts with Small Cell Lung Cancer after
Adjuvant ent with the Anti-Idiotypic Antibody BEC2 Plus Bacillus Calmette-
Gue". ai Cancer Research, Vol. 5, 1319-1323). The applied dose in patients with
lung cancer was 2.5 mg for a period exceeding 10 weeks. Patients treated with
immunotherapy had a significant increase in survival and survival free of recurrence of
the e when compared to a similar group of patients.
Popiela et al evaluated the use of BCG therapy and herapy with FAM
(5-fluorouracil, adriamycin, mitomycin C) in patients with stage III or IV gastric
cancer, that usly underwent curative gastrectomy for that cancer (Popiela T,
Kulig J, Czupryna A, Sczepanik AM, Zembala M (2004). " Efficiency of adjuvant
immunochemotherapy ing curative resection in patientes with locally ed
gastric cancer". Gastric cancer, 7: 5). Patients were randomly d into 3
groups: BCG + FAM, FAM, and control (surgery only). The dose of BCG
therapy was administered at 2-4 viable units per dose. It was observed in
general a 10 year survival rate of 47.1% in the immunotherapy group. Powles and
colleagues reported a study in which patients with acute myeloid leukemia were treated
with BCG and dead allogeneic tumor cells. The dose of BCG was estimated to be about
106 organisms (RL Powles, PJ Selby, DR Jones, JA , HG Prentice, et. al (1977).
enance of remission in acute myelogenous leukemia by a mixture of B. C.G. and
irradiated leukemia cells". THE LANCET, 1107-1110). Improvement was observed in
patients, who showed remission for a period, leading to the conclusion that the
immunotherapy with a combination of leukemia tumor cells and BCG may be effective
to prolong remission. Likewise Vuvan and et al described the use of BCG
immunotherapy in patients with acute non-lymphocytic leukemia (H. Vuvan, D.Fiere,
M. Doillon, C. Martin, B. Coiffier, et. al (1978). " BCG Therapy in Acute Non
Lymphoid mias". Scand J Haematol 21, 40-46). A randomized study was
conducted in which patients were divided into 2 groups: treated with chemotherapy
alone and treated with herapy and BCG, the BCG being administered during the
interval of chemotherapy cycles at doses of 6 x 10 8 viable units. The result showed that
patients receiving immunotherapy had a higher survival rate as compared to the group
receiving only chemotherapy. Furthermore, it was observed that BCG appeared to be
more effective in patients older than 40 years.
Finally, Hsueh et al used a therapeutic e consisting of ma cells called
Canvaxin (Hsueh ED, Essner R, Foshag LJ, 011ila DW, Gammon G, et al (2002) . "
Prolonged Survival After Complete Resection of Disseminated Melanoma and Active
Immunotherapy with a Therapeutic Cancer Vaccine". Journal of Clinicai Oncology,
Vol 20, n 23, pp 4549 - 4554). All patients were tested with PPD (purified protein
derivative) before receiving therapy with the vaccine. For the first two ents, the
vaccine was mixed with BCG. In the first injection, BCG was applied in a dose from
2.7 to 10.8 x 106 colony forming units in PPD negative patients and half this dose in
PPD positive patients. There was a prolongation of survival in patients who ed,
after surgery, active immunotherapy with Canvaxin.
The aforementioned studies with the use of BCG, although they are using an
immunostimulating agent separate from the causative agent of the disease or disorder to
cause desirable effects in patients, whether or not in ation with other medical
procedures and treatments as proposed in the present invention, are not however taking
advantage of using multiple antigenic components that are associated with distinct
pathogen molecular patterns, especially a combination that represents intracellular and
extracellular bacteria, viruses, tes, fungi and yeasts. The aforementioned research
groups and studies only used BCG in a simple adjuvant function without taking into
account the basis of the present invention that aim to activate memory or blank cells,
which can be inactivated throughout various body tissues through a wide range of
pathogen associated molecular patterns that can enable the largest le number of
memory and effector cells. By not presenting this combination of distinct nic
nonspecific agents able to stimulate innate and specific immunity as described, many
populations of immune memory cells will no longer be activated according to the
arguments presented, which will not lead to a recontextualization, renewal and
reprogramming of the immune response, that is as effective as presented .
Neither the state of the art describes the importance of immunization protocols and of
the local and distal applications of immune-stimulatory agents, and how a lot of
applications in different parts of the body are necessary, for in a programmed and
intentional way, cause the PAMPS and DAMPS molecular ns to reach the tissues
that hold the APC cells in adequate quantity and quality to provoke optimal response
and polarization.
Tanaka et al (Tanaka N., Gouchi A. Ohara T., Mannami T . , Konaga E., oto S.,
Okamura S., Sato K., Orita K (1994). "Intratumoral injection of a streptococcal
preparation, OK-432, before sugery for c cancer. A randomized Trial .
Cooperative Study Group of Preoperative umoral therapy for ".
Cancer, 74(12): 3097-3103) and Yasue and et al (Yasue M. , Murakami M., Nakazato
H., Suchi T., Ota K (1981). "A lled Study of Maintenance
Chemoimmunotherapy VS Immunotherapy Alone Immediately Following Palliative
Gastrectomy and Induction mmunotherapy for Advanced Gastric Cancer".
Cancer Chemother Prasmacol, 7: 5-10.) report the use in gastric cancer patients of an
immunomodulatory agent prepared from attenuated Streptococcus pyogenes called
. Such an agent is able to activate the immune system and cause regional
degeneration of the affected tissue in stomach carcinomas. Tanaka describes the
preoperative use of 10KE of OK-432 injected endoscopically, and doses of IKE to
5KE in intradermal injections in case of ases in the lymph nodes, post-operation.
Tanaka concluded that intratumoral injections of OK-432 may have a cial
clinical effect in patients who are in Stage III gastric cancer, because it seems to
improve survival in this subgroup of patients. Yoshida et al da K., Sugiura T.,
Takifuji N . , Kawahara M . , Matsui K. , et al (2007). "Randomized phase II trial of
three leural therapy regimens for the management of malignant pleural effusion
in previously untreated non-small cell lung cancer: JCOG 9515. Lunger Cancer, 58 ;
362-368) evaluated the efficacy and toxicity of OK-432 (0.2 KE/kg, and the maximum
dose 10KE/Kg) as l therapy in control of malignant pleural effusion in patients
with non-small cell lung cancer, previously untreated. Apart from OK-432, bleomycin
and cisplatin with etoposide, were also assessed as intrapleural therapy. It was
ded that the best intrapleural therapy used was the use of OK-432, because it was
the one that had the best survival rate, free of disease, and the lowest rate of l
recurrence.
Aftergut et al (Kent Aftergut, MD, Mary Curry, MD, Jack Cohen, DO (2005) ,
"C`ndida Antigen in the Treatment of Basal Cell Carcinoma". Dermatol Surg, 31: 16-
18) studied the intralesional use of Candida antigens in the treatment of basal cell
carcinoma. The study shows that 56% of patients had complete regression of tumor
cells. The antigens were administered in doses of 0.1 mg via intradermal injection.
Again, the present ion is distinguished by the use of a very elaborate and more
complex combination of antigenic components, having the ial to achieve more
favorable results when used alone or in combination with other ies. The study
described by Miles et al (Miles DW, Towlson KE, Graham R, h M,
Longenecker BM, et al. (1996). "A randomised phase II study of sialyl-Tn and
DETOX-B adjuvant with or t cyclophosphamide atment of the active
specific immunotherapy of breast cancer". British Journal of Cancer, 74:1292-1296)
igated the occurrence of improvement in the immune response caused by the
association of -Tn-KLH with DETOX-B (containing in its composition
Mycobacterium phlei cell wall skeleton) in patients with breast cancer, when subjected
to a pre-treatment with low doses of cyclophosphamide. An emulsion of 0.5 ml,
composed of STN-KLH with DETOX-B was used. As a result, it was observed that all
the patients developed IgM and IgG against the sialyl-Tn, and patients who ed a
cyclophosphamide pretreatment had a significantly greater increase of IgM. Korec et al
present a study in which 11 patients with different tumor types and 3 patients with
thrombotic thrombocytopenia purpura associated with mitomycin C, were treated with
a extracorporeal plasma ion through filters containing Staphylococcus aureus
immobilized protein A (Korec S, Smith FP, Schein PS, Phillips TM (1984) . "Clinicai
experiences with extracorporeal perfusion of plasma from cancer patients". J
Biol Response Mod. 3(3): 330-5). As a result, there was a modest antitumor effect
ted by immune-perfusion. In 10 properly treated patients, there was a measurable
reduction of tumor (40% mass reduction of the original tumor).
Engelhardt et al (Engelhardt R, sen A, Galanos C (1991) . "Phase I Trial of
Intravenously Administered xin (Salmonella abortus equi) in Cancer Patients".
CANCER . RESEARCH 51, 2524 - 2530) described an assay related to intravenous
endotoxin administration, prepared from Salmonella abortus equi lipopolysaccharide
(essentially free of protein and nucleic acid). 24 patients aged 33 to 67 years were
selected, with 10 patients diagnosed with colorectal cancer, 5 with non-small cell lung
cancer, 2 with carcinoma, 2 with pancreatic cancer, 2 with sarcoma, one with
adder cancer, 1 with cancer in the anus and 1 with cancer in the trachea. The
pancreatic cancer patients received no prior treatment, while other patients had been
d with radiation, chemotherapy and/or surgery, these treatments being finalized
four weeks before the start of the study treatment. The applied initial dose of endotoxin
was 0.15 ng/kg, and the maximum tolerated dose is 4 ng/kg. The results showed two
partial responses and four occurrences of disease stabilization in patients with
colorectal , and as these patients were in the group with the largest number of
ipants does not necessarily indicate that this type of tumor has more sensitivity to
lipopolysaccharides that other tumors studied in the search. It was also verified disease
stabilization for a period in patients with non-small cell lung cancer, renal cell cancer
and tracheal . Otto et at describe the phase II of the study reported by Engelhardt.
On this stage, 15 patients with non-small cell lung cancer, and 27 with colorectal
cancer, received 4 injections of endotoxin (4ng/kg dose) and 1600 mg of ibuprofen
orally every 2 weeks, The results showed improvement in 3 patients with colorectal
cancer, of which 2 patients had partial remission of the tumor, which was stabilized
during 7 to 8 months, respectively, and one of them had complete tumor remission. A
minimal antitumor effect was also observed in patients with lung cancer.
As we can observe in the examples of the prior art described by Aftergut (Kent
Aftergut, MD, Mary Curry, MD, Jack Cohen, DO (2005) . da n in the
Treatment of Basal Celi oma". Dermatol Surg, 31: 16-18) , Miles (Miles D ,
n KE, Graham R, Reddish M, Longenecker BM, et al . . "A randomised
phase II study of -Tn and DETOX-B adjuvant with or without cyclophosphamide
pretreatment of the active specific immunotherapy of breast cancer". British Journal of
Cancer, 74:1292-1296), Korec (Korec S, Smith FP, Schein PS, Phillips TM (1984) .
"Clinicai experiences with extracorporeal immunoperfusion of plasma from cancer
patients". J Biol Response Mod, 3(3): 330-5), Engelhardt (Engelhardt R, Mackensen A,
Galanos C (1991) . "Phase I Trial of Intravenously Administered xin
(Salmonella abortus equi) in Cancer Patients". CANCER RESEARCH 51, 2524 -
2530) e Otto (Otto F, Schmid P, Mackensen A, ehr U, Seiz A, et. al (1996) . "Phase II
trial of intravenous endotoxin in patients with colorectal and non-small cell lung
cancer". Eur J Cancer, ): 1712 - 8), only one antigenic component was used in
each respective study.
William B. Coley was a pioneer in the ch linking the use of therapy in
cancer patients (Edward F. McCarthy, MD. "The Toxins of Willian B. Coley and the
treatment of bone and soft-tissue sarcomas". The Iowa Orthopaedic Journal, v. 26, p:
154-157). In s carried out by Coley, it is bed the successful use of
Streptococcus together with Serratia cens (Coley Toxin) in the treatment of soft
tissue sarcoma, noting also that such immunotherapy was not as effective in treating
other cancers, such as melanomas and carcinomas. As these studies were conducted
more than a century ago and have been relatively ted by modern medicine (very
focused on getting a single drug for diseases) its main concepts and possibilities have
not been ed and clarified. Coley only used two bacterial components in its
composition, and not did not exploit the utilization process and all possible
modulations of the immune system as described herein. Hayashi et al were able to
further advance the tanding of the importance of the immune system and also
combined two antigenic components, but these concepts have not yet been explored in
its entirety. In this work, Hayashi et al evaluated the effect of the ance of the
lymph nodes in the treatment of patients with ovarian cancer with cell wall skeleton of
Mycobacterium bovis associated with Bacillus Calmette-Guerin (BCG-CWS)
((Hayashi A, Nishida Y, Yoshii S, Kim SY, Uda H, Hamasaki T (2009) .
"Immunotherapy of ovarian cancer with cell wall skeleton of cterium bovis
us Calmette-Guerin : Effect of lymphadenectomy" . Cancer Sei, vol.100, n°10, p:
1991-1995). After surgical removal of tumors, patients received 2-200 lig
intracutaneous doses of BCG-CWS. The vaccine was used in the study due to its
potential to induce (IFN)-y and stimulate Langerhans cells (subsequently entiated
to dendritic cells) as reported in previous tests. The prognosis of patients after surgery
t having undergone lymphadenectomy was considerably better than those who
had it, which confirms the importance of the lymph nodes in obtaining immune
ses against ovarian cancer in response to immunotherapy with BCG-CWS.
Although two distinct antigenic components were used, cific to the disease
being treated, they originated in only two bacteria, not showing in its composition other
pathogen-associated lar patterns such as those found in viruses, parasites, fungi
and yeasts.
ing to the existing knowledge in the art, there is the vital role of the immune
system to fight disease, but few logies have been able to effectively stimulate
and immune-modulate this system to better fight the disease when it is already
established.
Moreover, it is noteworthy that the healing of infections and neoplasms, contrary to
what is preached and accepted nowadays, is always held by the immune system.
otics, antimicrobial and anticancer drugs act primarily as an important facilitator
and often essential for the healing of infections. In other words, antibiotics do not
achieve cure the disease by themselves, but assist and facilitate the healing process
carried out by the immune system. Antibiotics act in this sense, as a shifter of the
biological balance in favor of the infected organism, to inhibit or kill, or destroy a
portion of the bacteria "in vivo", through its specific , allowing for faster and
effective action of the immune system. However, there is no in vivo work
trating the elimination of microorganisms by the action of antimicrobials.
Under this new scientific tion, it is necessary to develop immunomodulatory
, immunogenic compositions and methods of ent able to select agents that
allow the induction of an innate immune response, in real-time, that will
recontextualize, reprogram, and renew the immune system to a new specific adaptive
se effective for the disease to be treated, through the proper presentation of
pathogenic antigens to APC cells, which via memory and virgin cells of the immune
system, will effectively combat infectious diseases and other diseases t in a given
patient. That is, without the need for the generation and administration of a specific
antigen for an established disease, using the respective mechanisms of the immune
system, after its recontextualization, reprogramming, renewal, optimally induced by
immunomodulatory agents, with immune responses reaching the speed and
effectiveness equivalent to immune responses triggered by repeated invasions of the
same pathogen previously memorized by the immune system.
That is, the new immunomodulatory agents, immunogenic itions and methods
of treatment would shift the balance of biological and antimicrobial chemotherapy in
all malignancies, ions and infestations. This new therapeutic approach would
combine the concurrent use of immunotherapy with ional antibiotics, and in the
infectious processes of any kind and in parasitic ions, increasing the chances of
cure, and which can drastically reduce the morbidity and ity from these diseases
compared with therapies that take into account only the function of antimicrobial
agents and chemotherapy alone.
SUMMARY OF THE INVENTION
In an aspect, the present invention es genic compositions for modulating
the immune system comprising a therapeutically effective amount of two or more
immunoactive antigenic agents that t pathogen-associated molecular patterns
(PAMPS) and/or danger associated molecular patterns (DAMPS), one or more
physiologically acceptable carriers, excipients, diluents or ts.
In an aspect, the present invention provides immunogenic compositions for modulating
the immune system which comprise antigenic agents that have immune-active
pathogen—associated molecular patterns (PAMPS) and/or danger associated molecular
patterns (DAMPS) selected from the group consisting of: A) nic agents with
molecular ns associated with bacteria; (B) antigenic agents with molecular
patterns associated with viruses; (C) antigenic agents with molecular patterns
associated with fungi and yeasts; (D) antigenic agents with molecular patterns
associated with protozoa; (E) antigenic agents with molecular patterns ated with
multicellular parasites / or (F) antigenic agents with molecular patterns associated with
prions.
In an aspect, the present invention es immunogenic compositions for preventing
3O and/or treating disease in a human or animal comprising a therapeutically effective
amount of three or more either natural or synthetic antigen agents comprising
pathogen-associated molecular patterns (PAMPS) and / or danger associated molecular
patterns (DAMPS) or groups thereof selected from at least two groups consisting of:
(A) antigenic agents with molecular ns associated with bacteria, (B) antigenic
agents with molecular patterns associated with viruses; (C) antigenic agents with
molecular patterns associated with fungi and yeasts; (D) antigenic agents with
molecular patterns associated with protozoa; (E) antigenic agents with molecular
patterns associated with helminths and / or (F) antigenic agents with molecular patterns
associated with prions wherein the concentration of each agent is within the range
0.001 to 500 micrograms per ml and the composition further ses one or more
physiologically able carriers, excipients, diluents or solvents.
In another aspect, the invention provides use of said immunological compositions for
the manufacture of nes for prevention and/or treatment of ious diseases,
autoimmune diseases, allergic diseases, inflammation, arthritis, atory diseases,
transplant rejection, diseases caused by vascular disturbances, diseases caused by
hemorrhagic or ischemic cardiovascular events, ischemia, infarction and hemorrhage
leading to tissue destruction, cardiac, renal, respiratory or liver disease, cancer, tumors
and malignant and benign lesions.
The present invention also aims to provide methods for preventing or treating
infectious diseases, autoimmune diseases, allergic diseases, inflammation, arthritis,
inflammatory es, transplant rejection, diseases caused by vascular disturbances,
diseases caused by hemorrhagic or ischemic cardiovascular events, ischemia, infarction
and hemorrhage leading to tissue destruction, cardiac, renal, respiratory or liver disease,
cancer, sepsis tumors and malignant and benign lesions, in animals, more ularly
in humans.
In an aspect, the present invention also provides use of one or more genic
itions as described herein, characterized in that it is used in the manufacture of a
medicament for prevention and/or treatment of a disease selected from: ious
diseases, mune diseases, allergic diseases, inflammation, arthritis, inflammatory
diseases, transplant rejection, conditions caused by vascular disorders, diseases caused
by hemorrhagic or ischemic cardiovascular accidents, ischemia, dial infarction
and hemorrhage leading to tissue , cardiac, renal, respiratory or liver
insufficiency, cancer, , neoplasms, and malignant and benign tumors.
The present invention also aims to provide s to induce cellular repair, tissue
regeneration, organ regeneration and regeneration of organic systems such as the
atory , nervous system and endocrine system.
Finally, the present invention aims to provide methods for the renewal of the immune
response in an animal, particularly in humans.
DEFINITIONS
In the context of this patent application, abbreviations are used several times, and their
definitions, according to their usage in this application, are summarized below:
- BCG refers to attenuated Mycobacterium bovis, Bacille Calmette-Guerin;
° DAMPS refers to danger associated molecular patterns;
° DECA refers to the composition described in Example 1 of the present patent
application;
- GM—CSF refers to locyte hage colony—stimulating factor";
- IL12 refers to Interleukin-12;
° ILIS refers to Interleukin-15;
' 1L2 refers to eukin-2;
- IL21 refers to Interleukin—21;
• IL4 refers to Interleukin-4;
• IL5 refers to Interleukin-5;
• IL7 refers to Interleukin-7;
• PAMPS refers to pathogen-associated molecular patterns.
• PFU: plaque forming units.
• PPD refers to purified protein derivative of M. tuberculosis;
• PPD refers to the fraction of the purified protein extract culture of Koch's bacillus
("Purified Protein Derivative"). The PPD is the major antigen of Mycobacterium
tuberculosis;
• TDCI50 is a unit for quantification of viral particles and is the infectious dose in 50%
of cells in a tissue culture;
• Koch’s Tuberculin refers to inactivated Mycobacterium bovis lysate;
• Units Lf or "Limes flocculation units" is the international unit for quantifying ns
in toxoid vaccines accepted by the World Health Organization;
DESCRIPTION OF THE FIGURES
The following figures are part of this report and are ed here to rate certain
aspects of the invention. The t ion may be better understood by reference
to one or more of these figures in combination with the detailed description of the
preferred embodiment presented here.
• Figure 1 shows the effect of treatment with DECA, DECA + IL-2 on tumor growth in
vivo. Murine melanoma cells 0) were inoculated on day zero (1 x 106, 100
µL/animal),subcutaneously (s.c.) on the back of C57B16 male mice. The (A) tumor
volume (in mm3) was measured every three days with the aid of a digital caliper. The
(B) calculated tage increase in the volume of each tumor obtained on the 7th
day. The results were expressed as Mean ± Standard Error of Mean (SEM). * p <0.05
represents a statistically significant ence as compared to the control group (oneway
ANOVA, oc: Dunnett test). n — 9-10 animals.
• Figure 2 shows the effect of treatment with DECA, DECA IL-2 on the survival of
animals inoculated with murine melanoma cells. B16F10 cells were inoculated on day
zero (1 x 10 6 ; 100 111,/animal) subcutaneously (s.c.) on the back of C57B16 male mice.
The graph represents the mortality curve and the percentage represents the animals
which remained alive at 30 days after tumor cell inoculation. n = 9-10 animals. * p,
0.05 (p = 0.0361), Statistical Analysis: Logrank Test - Chi square.
• Figure 3 shows the anatomopathological exams of volunteer "MBS". A. Preimmunotherapy
treatment examination, the black arrow indicates the tumor region and
the white arrow absence of inflammatory infiltrate. The region outlined in black
illustrates the inhibition of the immune system by tumor detected by the absence of
matory infiltrate. B. Immunological post-treatment examination, where the
complete elimination of the tumor can be seen, the white arrows indicate the dense
inflammatory infiltrate and the area enclosed in black ifies areas of fibrosis and
reparative changes permeated by matory infiltrates. C. Recontextualization of the
immune system by the use of the present invention, attested by the positive reaction to
S-100 in countless intra-epidermal dendritic cells (indicated by arrows) and amid the
dermal matory infiltrate extending into the deep dermis without melanocytic
cells or al melanoma.
• Figure 4 shows the anatomopathological exams of volunteer "PPC". A. Preimmunotherapy
ent examination showing area of sive metastatic
melanoma with some pigmented cells, and scarce and mild inflammatory peripheral
infiltrate indicated by the arrow, confirming the inhibition of the immune system by
tumor. B. Post immune y examination illustrating the disappearance of the tumor
and replacement by intense and dense inflammatory infiltrate. C. Recontextualization
of the immune system by treatment with the present invention, attested by the ve
reaction to S-100 in countless intra-epidermal dendritic cells ated by arrows) and
amid the dermal inflammatory infiltrate extending into the deep dermis without
residual melanoma.
• Figure 5 shows Nuclear Magnetic Resonance Examinations (Al, A2 and A3 pre
immunological treatment in 30/07/2008) and CT scans (B1, B2, 133 after treatment in
13/05/2009, Cl and C3 post treatment in 30/08/2011 and C2 after treatment in
13/04/2010) of the t R - M. Al carcinomatosis showing thickening of fat (arrow).
A2. Celiac trunk lymph node cluster (arrow; largest measuring 3.7 cm). A3.
gastric ligament lymph node cluster measuring 4 cm (arrow). B1 Disappearance
of carcinomatosis, by showing the disappearance of the thickening of fat (arrow). B2.
Reduction of the biggest node (3.7 cm to 1.4 cm) in the celiac trunk lymph node cluster
(arrow). B3. Disappearance of the hepatogastric ligament lymph node cluster (arrow).
Cl. earance of the carcinomatosis (arrow). C2. Reduction of the biggest node
(1.4 cm to 1.1 cm) in the celiac lymph node cluster (arrow). C3. mation of the
disappearance of the hepatogastric ligament lymph node cluster (arrow). These data
show a complete remission of malignant peritoneal carcinomatosis and lymphatic
dissemination of gastric cancer with the combination of immunotherapy with the
t invention associated to palliative radio and chemotherapy.
• Figure 6 shows CT scans examinations of the chest and abdomen of the volunteer AD.
A. Pre immunotherapy treatment exam held on 09/10/2006 identifying tumors in the
areas indicated with circles. B. Post immune therapy exam in 2006 evidencing
the absence of these tumors in the areas analyzed.
• Figure 7 shows tests of prostate specific antigen (PSA) serum levels in t 0-S.
The first point refers to the al value of the marker indicating the presence of
residual stic cells after non curative, which while being treated immunologically
became undetectable (plotted as zero) in 4 weeks. This data strongly suggests that the
therapy treatment, provided it was the single drug y adopted pending the
start of radiation therapy was effective in complete remission of the tumor and
locoregional tumor eradication, since the current state of the art does not allow to
differentiate te eradication of the tumor mass in minimal residual disease.
DETAILED DESCRIPTION OF THE INVENTION
Description of the immunogenic compositions
The present ion relates to immunogenic compositions for modulating the immune
system comprising a therapeutically effective amount of two or more antigenic
immunoactive agents presenting pathogen-associated molecular patterns (PAMPS)
and/or danger associated molecular patterns (DAMPS) and one or more physiologically
acceptable carriers, excipients, ts or solvents.
Preferably the compositions of the present invention comprise immunoactive antigenic
agents presenting pathogen-associated molecular patterns (PAMPS) and/or danger
associated molecular patterns ) selected from the group consisting of: (A)
antigenic agents with molecular patterns associated with bacteria; (B) antigenic agents
with molecular ns associated with viruses; (C) antigenic agents with molecular
patterns associated with fungi and yeasts; (D) antigenic agents with molecular patterns
associated with protozoa; (E) antigenic agents with molecular patterns associated with
multicellular parasites / or (F) antigenic agents with molecular patterns associated with
prions.
Still more preferably the compositions of this invention include pathogen-associated
molecular ns (PAMPS) and/or danger associated lar patterns (DAMPS)
selected from among at least three categories (A), (B), (C), (D ), (E) and (F) described
above.
Still more preferably the compositions of this invention include pathogen-associated
molecular patterns (PAMPS) and/or danger associated molecular patterns (DAMPS)
selected from among at least four categories (A), (B), (C), (D), (E) and (F) described
above.
Antigenic agents of the present invention can be selected from epitopes, genetic
als, lipids, polysaccharides and/or immunoactive proteins of the present
invention can be ed by purification from isolated fragments of material existing
in nature or fractions derived from plant, animal or microbiological extracts, or
produced by genetic recombination, ably derived from viral, fungal, parasitic or
bacterial prion strains.
Thus, the antigenic agents of the present ion with molecular patterns associated
with bacteria of the present invention may be selected from, but not limited to antigenic
agents with molecular ns ated with bacteria of the genera Staphylococcus,
Streptococcus, Enterococcus, bacterium, Bacillus, Listeria, Clostridium,
Mycobacterium, myces, Nocardia, Escherichia, Proteus, Klebsiella, Serratia,
Enterobacter, Salmonella, Shigella, Pseudomonas, Burkholderia, Stenotrophomonas,
Acinetobacter, Vibrio, Campylobacter, Helicobacter, Bacteroides, Neisseria,
lla, Haemophilus, Bordetella, Brucella, Francisella, Pasteurella, ia,
Legionella, Gardnerella, Treponema, Leptospira, ia, Mycoplasma, Rickettsial
and Chlamydia.
nic agents with molecular patterns ated with virus of the present invention
may be selected from, but not limited to antigenic agents with molecular patterns
associated with virus families Adenoviridae, Arenaviridae, Bunyaviridae,
Coronaviridae, Filoviridae, Flaviviridae, Hepadnaviridae, Deltavirus, Caliciviridae,
Herpesviridae, Orthomyxoviridae, Papovaviridae, Paramyxoviridae, Parvoviridae,
Picornaviridae, Poxyviridae, Reoviridae, Retroviridae, Rhabdoviridae and Togaviridae.
Antigenic agents with molecular patterns associated with fungi and yeasts of the
t invention may be selected from, but not limited to nic agents with
molecular patterns ated with fungi and yeasts of the genus Sporothrix,
illus, Blastomyces, Candida, ioides, Cryptococcus, Histoplasma and
Pneumocystis.
Antigenic agents with molecular patterns associated with oa of the present
invention may be selected from, but not limited to antigenic agents with molecular
patterns associated with protozoa of the genera Cryptosporidium, Ciclospora,
Entamoeba, Naegleria, Giardia, Leishmania, Plasmodium, Toxoplasma, Trichomonas,
Trypanosoma, microsporidia and Isospora.
Antigenic agents with molecular patterns associated with multicellular parasites of the
present invention may be selected from, but not limited to antigenic agents with
molecular ns associated with ellular parasites trematodes, cestodes and
nematodes.
The antigenic agents of the present invention comprise protein, polysaccharide, lipid
molecules and/or composite synthetic molecules that mimic protein, polysaccharide
and/or lipid molecules.
More specifically the agents of the invention comprise immunoactive antigenic protein
molecules which have enzyme ty, for e s, phosphatases,
streptoquinases, estreptodornases and Deoxyribonucleases (e.g. dornases).
The immunogenic compositions for modulating the immune system of the present
invention comprise from 0.001 to 500 micrograms per ml of each immunogenic agent.
Such immunogenic agents can be encapsulated in capsules, microparticles,
nanoparticles, coated tablets, liposomes.
Specifically, the immunogenic compositions for modulating the immune system of the
present invention comprise from 4 to 20 antigenic agents selected from the group
consisting of antigens derived from agents: dornase, levedurin, oidiomycin, PPD,
prions, streptoquinase, Streptococcus toxoid, diphtheria toxoid, Tetanus toxoid, Koch's
tuberculin, inactivated lysate of Ascaris lumbricoides, Aspergillus spp., Aspergillus
, illus fumigatus, Aspergillus terreus, Candida spp., a albicans,
Candida glabrata, Candida parapsilosis, Chlamydia spp., Chlamydia pneumoniae,
Chlamydia psittaci, dia trachomatis, Cryptosporidium spp., Dermatophytes,
Entamoeba hystolitica, Enterobius vermicularis, Enterococcus faecalis,
Epidermophyton floccosum, Escherichia coil, Giardia lamblia, Haemophilus
influenzae, Microsporum cannis, Mycobacterium spp. , Mycobacterium bovis,
Mycobacterium , Mycobacterium ulosis, Neisseria gonorrhoeae, human
papilloma virus, Polio virus, Proteus spp., Proteus mirabilis, Proteus penerii, Proteus
vulgaris, ella spp. , Salmonella bongori, Salmonella enterica, Serratia spp. ,
ia liquefaciens, Serratia marcencens, Shigella spp. Shigella flexneri, Shigella
sonnei, Staphylococcus spp. , Staphylococcus aureus, Staphylococcus midis,
Strongyloides stercoralis, Streptococcus spp., Streptococcus bovis, Streptococcus
viridans, Streptococcus equinus, Streptococcus niae, Streptococcus pyogenes,
Toxoplasma gondii, Trichomonas vaginalis, trichophytin, Trichophyton spp. ,
Trichophyton rubrum, phyton tonsurans, Trichophyton mentagrophytes, yellow
fever virus, hepatitis B virus, rubella virus, varicella zoster virus, variola virus, mumps
virus, measles virus, herpes virus and vaccinia virus or synthetic analogues that present
pathogen-associated molecular patterns (PAMPS) and/or danger-associated molecular
patterns ) ated with these antigenic agents.
A preferred immunogenic ition of the invention comprises inactivated
Mycobacterium bovis lysate, purified protein derivative of M. tuberculosis, inactivated
Staphylococcus aureus lysate, vated Staphylococcus epidermidis lysate,
inactivated Steptococcus pyogenes lysate, inactivated Streptococcus pneumonia lysate,
inactivated Enterococcus faecalis lysate, Streptokinase/dornase, inactivated Candida
albicans lysate, vated Candida glabrata lysate, inactivated Epidermophyton
floccosum , inactivated Microsporum cannis lysate, vated phyton
mentagrophytes of the interdigitale variety lysate, vated pathogenic
Escherichia coli lysate, inactivated Salmonella bongori lysate, inactivated Salmonella
enterica lysate and inactivated Salmonella subterranea lysate.
A preferred immunogenic composition of the invention comprising from 0.001 to 1
ng/ml of vated Mycobacterium bovis lysate, 0.001 to 1 ng/ml of purified protein
derivative of M. ulosis, 0.1 to 100 pg/m1 of inactivated Staphylococcus aureus
, 0.1 to 100 µg/ml of inactivated Staphylococcus epidermidis lysate; 0.1 to 100
µg/ml of inactivated Steptococcus pyogenes lysate; 0.1 to 100 pg/m1 of inactivated
Streptococcus pneumonia lysate; 0.1 to 100 pg/m1 of inactivated Enterococcus faecalis
lysate, 0.01 to 10 µg/m1 of streptokinase, 0.01 to 10 gg/m1 of domase; 0.1 to 100 µg/ml
of inactivated Candida albicans lysate; 0.1 to 100 ii.g/m1 of vated Candida glabrata
lysate, 0.1 to 100 1.1g/m1 of inactivated Epidermophyton floccosum lysate; 0.1 to 100
µg/ml of inactivated Microsporum cannis lysate, 0.1 to 100 µg/ml of inactivated
Trichophyton mentagrophytes of the interdigitale variety lysate; 0.1 to 100 µg/ml of
inactivated enteropathogenic Escherichia coli lysate; 0.1 to 100 p.g/m1 inactivated
Salmonella bongori lysate, 0.1 to 100 ig/ml inactivated Salmonella enterica lysate and
0.1 to 100 pz/m1 of inactivated Salmonella subterranea lysate.
Additionally, in order to raise, lower or polarize the immune response depending of the
goal of the immunotherapy, the antigenic ition of the present invention may
comprise cytokines and/or chemokines such as GM-CSF, IL4, IL5, IL7, IL12, IL15,
1L21, interferon gamma, and most preferably ILI
The itions of the present invention can further comprise excipients, such as
bactericides, bacteriostats, antioxidants, preservatives, buffers, stabilizers, pH ers,
osmolarity adjusters, antifoaming agents and surfactants, and al antigen
inactivating or fractionation agents, growth medium components and solvents
commonly used in the production of vaccines and immunotherapies.
The compositions of the present invention may be a solid, liquid or gel. As used herein,
the use of the term "pharmaceutically acceptable carrier" means a non-toxic solid, inert,
semi-solid liquid excipient, diluent, auxiliary formulation of any type, or simply a
e aqueous solution such as . Some examples of materials which can serve as
pharmaceutically acceptable carriers are sugars such as lactose, glucose and sucrose,
starches such as corn starch and potato starch, cellulose and its derivatives such as
sodium carboxymethyl cellulose, a ethyl cellulose and cellulose acetate, cyclodextrin;
oils such as peanut oil, cottonseed oil, sunflower oil, sesame oil, olive oil, corn oil and
soya bean oil, glycols such as propylene glycol, polyols, such as glycerol, sorbitol,
mannitol and polyethylene esters such as ethyl e, ethyl oleate, agar, buffering
agents such as aluminum hydroxide and magnesium hydroxide, alginic acid, nfree
water, isotonic saline , Ringer's solution, buffer solutions of ethyl alcohol and
phosphate as well as other non-toxic compatible substances used in pharmaceutical
formulations.
A variety of administration routes in animals or humans for the immunotherapeutic
compositions and es bed herein are available. The particular selected mode
will depend on the selected antigenic agents, the dosage required for therapeutic
efficacy and patient to whom the composition is stered. The methods of the
present ion can generally be practiced using any mode of administration
biologically acceptable, i.e., any means that produces ive levels of immune
response without causing clinically adverse ons. Such modes of stration
include intradermal, oral, rectal, sublingual, topical, nasal, transdermal or eral
stration. The term "parenteral" includes subcutaneous, intravenous, epidural,
irrigation, intramuscular, release pumps or infusion. In particular, in this invention,
oral, intradermal, parenteral, subcutaneous, intravenous, intramuscular, and, by the
nasal mucosa and/or oral administration are preferred for administration of the
compositions claimed .
For parenteral administration, the active ingredients may also be dissolved in a
pharmaceutical carrier and stered as a on, emulsion, including micro-and
nano-emulsions or suspension. Examples of suitable carriers are water, saline, dextrose
solutions, fructose solutions or oils of animal, vegetable or synthetic origin. Other
vehicles may also contain other ingredients, for example, preservatives, suspending
agents, solubilizing agents, buffers and the like.
Properties of the genic compositions of the present invention
The genic compositions of the present invention have an unexpected effect on
the immune response. As can be seen in the Examples below, the immunogenic
compositions of the t invention show an unexpected technical effect of causing
an immune response that involves recontextualizing, renewal and reprogramming of
the immune response in real time.
More specifically, the immunotherapeutic compositions of the present invention are
capable of provoking a recontextualization of the operational action capacity of the
immune system by changing the relationship of forces against the aggressors in its
favor, giving the immune system a competitive advantage, which does not occur
spontaneously in the evolution of e. This recontextualization determines a
consequent renewal and reprogramming of the established immune response or
incipiently established, or erroneously established mistakenly attacking in a
dysautonomical way the human or animal body, polarizing it into a primary or
secondary, active or inhibitory, more effective appropriate immune response.
This effect occurs via stimulation, activation and joint action of certain components of
the immune system, such as sentinel cells, antigen presenting sentinel cells, and
memory lymphocytes. ically, the compositions of this ion properly activate
sentinel cells, tic cells and other APC cells, generating the degree and intensity
of CD4 T cell activation and the degree and intensity of the immune profile to fight the
infection, infestation or neoplastic disease.
Accordingly, the immunomodulatory antigenic compositions of the present invention,
when in larger or significant amounts trigger a specific active adaptive immune
se, desired to combat bacterial, viral or tic infections, in combating
neoplasms, cancer and tumors.
In addition, the treatment with the immunogenic compositions of the present invention
is capable of stimulating the regenerative power of the immune system, ing a
subsequent effect to the ation of infectious disease and other diseases: to recover
cells and tissues, by restoring organ function debilitated from trauma and damage
which cause the loss of part of the organism.
Thus, the immunogenic compositions of the present invention are able to mobilize the
immune system and lead to an increased regenerative power of the body, through
mobilization of stem cells or the activation of gene sets which allow the ration of
cells and tissues and can even reconstruct organs and their functions, and can
titute organic systems such as the vascular system, the s system and the
endocrine system, among others.
As can be seen in the es presented below, the immunogenic compositions of the
t ion exhibit an unexpected technical effect of recontextualizing, renewing,
and reprogramming the immune response in real time and consequently significant cure
rates when compared to drugs and ologies in the art.
In a first embodiment of the invention, a particular concentration of immuno-modulator
agent(s) is used for preparing an immunotherapy pharmaceutical composition capable
of inducing an innate immune response, which triggers a cascade of immune events,
ing the activation of memory lymphocytes from the agent(s) inoculated by
human intervention and the concomitant activation by antigens t in the patient's
own body, ing in a recontextualization, renewal and reprogramming of the
ongoing immune response to a particular established disease (or still in the
establishment phase), generating an adaptive se specific to this disease
effectively, allowing the pathogen to be combated. As such, the stration of the
composition containing the agents of the present invention repolarizes or improves the
polarization of the immune system in the presence of a disease when the hitherto
established polarization is inadequate, by the action of the etiologic agent or zer.
The activities of the agents of the present invention affect the shape, time, accuracy and
polarization of the immune response, preferably leading to an specific innate andlor
adaptive response that it is more effective to combat the e, leading to a better
reaction of organism itself.
The present invention provides a way to combat these types of heterologous (infections
and infestations) and autologous (neoplasms) attacks through the use of the antigenic
combinations described. The present invention also provides for the possibility of
adding traditional therapies to the agents of this invention, aiding the process of
elimination of the etiological heterologous invading agents and of the colonizing
autologous cells, through the real therapeutic potential of antimicrobial, anticancer and
other drugs, ive for the pathogens and other infectious agents. This is made
possible by the principle of displacement of the biological equilibrium in favor of the
patient in combination with a correct zation of the immune response as described
herein.
When the immune ation follows a situation of immune response, after the
termination of the disease ism or sion, the continued activation of the
immune system by antigens or immunomodulatory agents of the present invention
leads, through the activation of stem cells, to the regeneration of tissues, organs and
s, by mechanisms not yet fully understood, but related to healing or restitutio ad
integrum mechanisms observed in various medical situations.
The compositions of the present ion allow the recruiting of the maximum number
of virgin and memory cells of the individual, producing more significant effects than an
antibody increase as described in the prior art. The use of multiple antigenic agents
with distinct enough PAMPS and DAMPS to te different types of attacks that the
organism suffers and to which the organism has already immunologic memory of, be it
by environmental exposure or vaccination programs, allows a wider recruitment of
memory and virgin cells, enabling real-time recontextualization of the immune
response and thus potentially and radically altering the type of immune response and
disease or illness progression that affects the individual in a positive, and in several
cases, such amazing way as compared to the prior art. Furthermore, the present
invention, unlike the prior art, applies a greater amount of bacterial components, having
representatives of both intracellular and extracellular bacteria in the composition,
besides components of s, parasites, fungi and yeasts. Hayashi et al have not
explored more diverse compositions to obtain a potentially greater effect. The
application process of the antigenic agents was also different, since the present
invention encompasses more areas of the body and s that have APC cells, and
preferably looks for exposure on locations close to the infection sites and other distal
applications to the disease sites (as is the case in disorders or diseases that manifest
themselves in specific locations of the body). The compositions of the present
invention, when applied according to the s of using the present invention in one
or, usually, at various strategic of body regions drained by lymphoid territories or
y and/or ary lymphoid organs, or even intralesional, are perceived by the
PRRs (pathogen-associated pattern ition receptors) off all sentinel cells of the
body.
In a first group of aggressive conditions or real , in which the immune system is
being extemporaneously elmed, zed or overcome by bacteria, fungi,
viruses, prions, parasites or other micro- or macro-organisms, uni- or multicellular,
(heterologous aggression) or a benign or malignant neoplasm (autologous sion),
the modification of its preparation is given in the state of activation and mobilization of
its cellular and lar apparatus of the innate and adaptive immunity, which
integrated are able to reverse the situation of competitive disadvantage in which the
immune system and the body are found.
In a second group of aggressive conditions where the real danger comes from the
immune system itself, i.e. when it's attacking the human or animal body, in an
autoimmune or allergic disease, extualizing the immune system occurs as a
ation to be able to inhibit this detrimental action. The present invention induces
the immune system to suppress its activation state and demobilize memory effector
loops that maintain the self aggression. This effect is ed by mobilizing the
cellular and molecular apparatus of innate and adaptive immunity responsible for the
suppression and regulation of immune response and a return to equilibrium known as
homeostasis or normality.
In a third group of conditions where the immune system deals with the aftermath of
tissue, organic or systemic attacks derived from multiple causes, heterologous or
autologous, or even traumatic, the action of the immune system occurs in repairing the
damage caused by these attacks. In this case, the preparation or mobilization of the
immune system is h the mobilization of stem cells from the immune system itself
or from other cellular systems, autologous, allogeneic or heterologous. Or even by
activation of gene sets present in the patient's own cells.
Thus, the present invention employs immunomodulatory agents in amounts,
concentrations and ic locations to recontextualize the immune system, activating
and redirecting the mechanisms for tissue repair and ration, as occurs during
cicatrization and ration of tissue, organ or system, leading to a "restitutio ad
integrum" or reconstitution with scar. This repair is usually red at the end of an
immune response process, after the healing a trauma, an infection, a tumor disease or
an autoimmune or allergic reaction.
Use of the immunogenic compositions of the present invention.
Considering the ties of the immunogenic compositions of the present invention,
it constitutes another aspect of the present invention using the immunogenic
itions in the manufacture of medicaments for the prevention and/or treatment of
infectious diseases, autoimmune diseases, allergic diseases, inflammation, arthritis,
inflammatory diseases, transplant rejections, diseases caused by vascular disorders,
diseases caused by hemorrhagic or ic cardiovascular events, ischemia, infarction
and hemorrhage leading to tissue destruction, cardiac, renal, respiratory or liver
disease, cancer, tumors and malignant and benign lesions.
The immunogenic compositions of the present invention are also directly used in the
prevention and/or treatment of infectious diseases, autoimmune diseases, allergic
diseases, mation, arthritis, inflammatory diseases, transplant rejection, diseases
caused by vascular disorders, es caused by hemorrhagic or ischemic
cardiovascular events, ischemia, infarction and hage leading to tissue
destruction, cardiac, renal, respiratory or liver disease, cancer, tumors and malignant
and benign lesions.
These infectious diseases can be of viral, bacterial, fungal or parasitic origin.
es of viral origin prevented and/or treated by the immunogenic compositions of
the present invention can be caused by the following viruses but not limited to:
HIV, hepatitis virus, herpes virus, rhabdovirus, rubella virus, ox virus, poxvirus,
and Morbillivirus paramyxovirus.
Diseases of bacterial origin prevented and/or treated by the immunogenic compositions
of the present invention may be caused by the ing bacteria, but not limited to,
coccus, Staphylococcus, Bacillus, Streptococcus, Meningococcus,
Gonococcus, Escherichia, Klebsiella, s, Pseudomonas, Salmonella, Shigella,
Haemophilus, Yersinia, ia, Corynebacterium, Vibrio, idia, dia,
Mycobacterium, Treponema, and Helicobacter.
Fungal diseases prevented and/or d by the immunogenic compositions of the
present invention may be caused by the following fungi but not limited to: Candida,
Aspergillus, Cryptococcus neoformans, and/or fungi that cause superficial and deep
mycosis. Diseases caused by parasites are caused by the following parasites:
osoma, Schistosoma, Leishmania, amoebas and tapeworm.
The immunogenic compositions of the present invention are also used in the tion
and/or treatment of erythematosus and located lupus, rheumatoid arthritis, teritis
nodosa, polymyositis and progressive dematomiosite, progressive systemic sclerosis,
diffuse scleroderma, glomerulonephritis, myasthenia gravis, n's syndrome,
Hashimoto's disease, Graves disease, adrenalitis, rathyroidism, pernicious
anemia, diabetes, multiple sclerosis, demyelinating es, uveitis, gus,
pemphigoid cirrhosis, ulcerative colitis, myocarditis, regional enteritis, respiratory
ss syndrome in adults, and local manifestations of the reaction to drugs, atopic
dermatitis, infantile eczema, contact dermatitis, psoriasis, lichen planus, allergic
enteropathies, bronchial asthma, transplant rejection, post ococcal es such
as cardiac, renal and articular rheumatic fever manifestations and other related
manifestations, multiple and various forms of cancers, such as carcinomas,
adenocarcinomas, melanomas, as, malignant astrocytomas, hepatomas,
hypernephroma, lymphomas and melanomas, among others.
The immunotherapeutic compositions of the t ion are also useful in the
treatment of cancer, autologous colonization by benign and malignant tumor cells, in
all forms of cancer known as as carcinomas, adenomas, adenocarcinoma, hepatoma,
astrocytomas and other neoplasms of the central and peripheral nervous system,
melanomas, sarcomas, lymphomas and leukemias and all benign tumors.
The immunotherapeutic compositions of this invention may also be useful for diseases
arising in a dysautonomia of the immune system (as already mentioned) such as lupus
erythematosus; rheumatoid arthritis; teritis nodosa, polymyositis and
dermatomyositis and progressive ic sclerosis (diffuse scleroderma);
glomerulonephritis, myasthenia gravis, Sjogren's syndrome, Hashimoto's disease
(hypothyroidism), Graves disease (hyperthyroidism); adrenalites; hypoparathyroidism,
pernicious anemia, diabetes, multiple sclerosis, and demineralizing co-related or related
diseases; uveitis; pemphigus, pemphigoid cirrhosis; ulcerative colitis; myocarditis;
regional tis, hepatitis and cirrhosis; adult respiratory distress syndrome, local and
systemic manifestations of drug reactions, such as pharmacodermia, itis, among
others.
Still in the field of dysautonomia diseases of the immune system, the t ion
also provides immunotherapy treatments of arterial and venous vascular accidents, in
diseases such as myocardial tion, thromboembolic phenomena in the lung, brain
and digestive system, or in any other area of the body where stroke or ischemia leads to
hage, which results in necrosis or atrophy of these segments, such as, but not
d to, in the whole musculoskeletal system, in the whole central and peripheral
nervous system, that lead to occlusion of the blood supply and results in heart attacks
and brain injuries. Thus, the immunotherapy of the present invention provides an flammatory
and immune enhancement that can lead to blockage of inflammatory
processes important to the ishment of diseases such as metabolic syndrome,
obesity, type 2 diabetes, atherosclerosis, alcoholic fatty liver, non-alcoholic fatty liver,
hypertension, renal failure, post thrombotic syndrome, hrombophlebitis and any
other disease derived from an inflammatory action of the immune system.
In case of ic, autoimmune and inflammatory diseases the therapy of the
present invention can be useful, but not limited to, for inflammation associated with or
caused by allergic ons of the skin, atopic eczema in children; contact dermatitis in
asthma, bronchial asthma, bronchiolitis and allergic bronchitis, ic rhinitis, allergic
enteritis; allergic enteropathy; inflammatory pseudo-tumor processes of currently
n origin; psoriases (pseudo-inflammatory tumor); lichen planus, poststreptococcal
diseases; heart, liver, lung, kidney, pancreatic islets transplant rejection
and others; hypersensitivity or destructive immune responses against infectious agents,
post-streptococcal disease, such as heart, kidney, myocarditis, rditis and
rheumatic fever and equivalent by other etiologic agents, not limited by the forms of
these manifestations . In the case of autoimmune and allergic diseases, concentrations
and dosages are preferably much lower, acting on incomplete activation of immune
cells, memory or not, which may include, but not limited to the aforementioned
diseases.
The immunogenic compositions of the invention are also used to induce cell
regeneration, tissue regeneration, organ regeneration and the regeneration of organic
systems such as the circulatory system, nervous system and ine system.
Thus one ment of the invention is a method for inducing cellular repair, tissue
regeneration, organ regeneration and regeneration of organic systems such as the
circulatory system, nervous system and endocrine system in an animal comprising
administering to the animal an effective amount of one or more immunogenic
compositions of the present invention.
It is another ment of the present invention a method for the renewal of the
immune se in an animal comprising the following steps:
a) administering systemically and/or locally to the animal a therapeutically effective
amount of one or more immunogenic compositions as d in any one of claims 1 to
b) ensure contact of one or more immunogenic compositions, applied in step "a" with
dendritic cells or other APC cells of the animal;
c) optionally administering prosthetic agents, such as vitamins in the site or region in
which the disease is to be d, in order to strengthen the metabolism and ore
the immune system of the animal, and
ally administering medications or other specific treatments.
In one ment of the invention, the compositions of the present invention are
administered once, in one area of the body or in different sites in order to redirect the
immune system with the highest possible efficiency. The use of the immunogenic
compositions of the t invention for modulation of the immune system, involving
the exposure of part or all of the system for recognition of antigens in the immune
system, such as dendritic cells, macrophages and lymph nodes from different parts of
the body will depend on the goal imposed by the illness being fought, and occurs
preferentially through injections or use of guns, or delivery systems or controlled
infusion or pulsed cells with in vitro antigens. The agent may be applied to only one
location in the body or in several tens of locations in l forms: subcutaneous,
muscular, intravenous, oral, breathable aerosol, cutaneous (dermal patches) in ,
the viscera, or specific tissues, or in different body cavities, which can vary in number
from one to one hundred (100) applications in one to fifty (50) sessions.
The antigenic compositions of this invention may also be combined with other drugs
that can weaken the reproduction, growth, or any other form of strengthening of the
disease's causative agent, causing a shift of the brium in favor of the ical
immune defenses of the host, animal or human. Or still in concomitant ent.
The antigenic compositions of this invention may also be combined with other
ures such as, but not limited to, antibiotics, chemotherapy, radiation therapy,
therapy with antibodies and antisera, using hormones or other physiology modulating
agents (cytokines, ines , neurohormones, peptides), treatment with antiviral
agents, use of herbal medicines, n supplementation, supplementation with other
cofactors or prosthetic agents, transplantation of cells or tissues, methods of therapeutic
or lactic vaccination {with or without cells and not limited to the type of vaccine
vehicles), gene therapy, surgery or homeopathy, depending on the disease or illness
being fought related to an improper or cient immune ty.
In particular, in order to raise, lower or polarize the immune response as the goal of
immunotherapy, the antigenic compositions of this invention may be used in
conjunction with therapy with nes and/or chemokines such as GM-CSF, 1L4,
1L5, 1L7, IL12, IL15, IL21, interferon gamma, and most preferably IL-2.
Recontextualization, renewal and reprogramming of the immune response.
The recontextualizing of the immune system, as explained in the text of this patent
application, is ed by means of stimulation of the immune system by antigens of
different pathogens not related to the pathology to be treated, for which the human or
animal, preferably, already has an immunological memory of.
These varied and multiple antigens, in number greater than five, with le PAMPs
and DAMPs, induce in the sentinel cells and in the APC cells, especially in dendritic
cells, an intense activation allowing the mobilization of these memory CD4
lymphocytes specific for these antigens at the site of application.
These stimuli must be capable of causing an intense, strong and effective secondary
specific immune response to these antigens at the site of application, in the regional
lymph nodes, in the lymph nodes at a distance and a systemic mobilization of the
immune system so that it can, in parallel, cause an effective response capable of
eradicating the specific pathology in progress.
The innate and adaptive immune response caused intentionally by the composition of
the present invention should encompass the full extent of the body area affected by the
ion being treated and even exceed it if possible to be able to te the sentinel
and APC cells in the number and intensity that would be needed to properly address the
aggression caused by the pathogenic disease to be treated, and activating and triggering
the best specific adaptive response, effectively and properly sequentially polarized, in
order to cure the condition being d.
Thus the innate and adaptive response induced by the present invention will
geographically overlap the condition being treated and by its intense and ive
activation will correct the inefficient tion, ely limited by the action of the
pathogen that overcomes the body's defenses, by preventing competition, its proper
mobilization and development of an effective adaptive response according to its
greatest genetic and biological potential. This ideal activation should also reverse the
immunosuppression, the tolerance and escape mechanisms established by pathogens
because it is known and proven that an unrelated strong and intense immune response,
that fully covers the response to be corrected, through the ted cells and cytokines
of the immune system, will correct these deficiency situations efficiently.
Effector cells and memories of specific antigens of the t invention, activated and
generated at the site of ation of the antigens, will, via the bloodstream, enter the
already activated lymph nodes, which drain the region affected by the disease and will
enable, in a strong and intense way, all the existing dendritic cells there. This way, they
will lead to an activation of the entire lymph node, causing it to grow with increased
irrigation, increasing its size and making it a reactional lymph node capable of
provoking an immune se t weak antigens, which by themselves are not
capable of causing an immune response. This nt effect, well known and
demonstrated experimentally and clinically, of the effector/memory T lymphocytes,
will oppose the action of the target causative agent that is blocking the ed
activation of the lymph node for the development of an immune response that is
necessary to combat the disease in question.
- That, exclusively for the purpose and by the action of the present invention, through
its potent antigenic composition, may occur that the sentinel cells and dendritic cells
and macrophages of the immune response will be the same for ted antigens and
to the pathological antigens, but from this , will be intensely and properly
activated. Dendritic cells strongly activated by multiple antigens, have a slow
metabolism and ideally present all dominant and subdominant epitopes of the causative
agent, by the known "helper" effect, mobilizing all possible and available T
lymphocytes able to specifically recognize ns of the autologous or heterologous
pathogen, to be treated and to react against it.
That the areas of the inflammatory process and lymphatic territories are exactly the
same. The inflamed area, through the anti-inflammatory action of specific memory
cells, unrelated, zed by the t invention by their antigenic ition, will
block the inflammasomes and exert an anti-inflammatory action that will correct the
pathological mation sible for the morbidity of the disease and which was
caused by its etiological agent. For the memory effect it's important to note that this
known action of the memory T cells is the major responsible for the fact that a second
contact with any pathological agent, after an already established immunity, is
asymptomatic, without causing a disease.
-That the lymphatic territories are exactly the same, only now intensely activated and
with the necessary alarm signal, caused by the t invention, to cause any immune
response, even for a weak antigen, similar to what occurs with dendritic cells common
to this invention and to the autologous or heterologous etiological agent to be .
Lymphokines and innate cells that command an effective secondary response will be
the same and the T lymphocytes specific against the etiologic agent to be fought, will
"hitch a ride" on this ideal microenvironment for holding an effective immune
response.
That the dendritic cells ted by the present invention, can capture the antigens of
the etiological agent to be fought at the site of the pathology and in the related
lymphatic territories and be in contact with the pathogen specific TCD4 cytes,
in a correctly and ideally enabled lymphatic system. The role of the dendritic cells
activated and matured with the TCD4 specific to the etiologic agent, occurs in a
microenvironment conducive to conducting an immune response, with all the genetic
and biological ial of the host sm's immune system.
These dendritic cells at the site of the pathology and at the lymph nodes will properly
gauge the severity, extent, intensity and type of aggression, activating, ng,
coordinating, zing, leading and maintaining a new effective adaptive immune
response, whose effector loop, with the collaboration of the cells and effector
les of the intense and properly activated innate ty may be able to
eliminate the causative agent to be . So the answer is reprogrammed and lead
back as noted above, reversing the biological balance in favor of the host, which until
then was under the yoke of the offending autologous or logous agent.
This action may occur with or t the help of biological balance shifters such as
antibiotics and anticancer drugs, capable to block, weaken or neutralize the effects and
potential of the etiological agent, allowing the immune system to have a chance to heal
the pathology that is the target of the treatment. Once triggered by any etiological
agent, the immune system will only stop responding when the etiological agent is
eliminated or the organism passes away, this way the invention will help avoid the
latter option, or it will improve the patient's condition if there is a chronic disease that
cannot be cured.
Thus the action of the compositions of the present invention intentionally and
gically superimposed over the entire area under the action of the agent to be
fought, will recontextualize the immune system by activating the PAMPs and DAMPs
in the sentinel cells and common APCs and by the unrelated specific secondary
adaptive immune response. This intentionally induced immune response will efficiently
activate the whole lymphatic territory and the organic territory affected by the
etiological agent. In the recontextualized area and in the bulge, and within the context
of a greater immune response, stronger, more intense and more extensive secondary
nflammatory nature of the target immune response will be, as described,
reprogrammed and efficiently d within the scope of a greater chance for the
host, now with a chance of reversing the biological balance in its favor.
Adequacy of the protocol to the pathophysiological characteristics of the condition
being treated:
a) the basis of immunotherapy t neoplasias.
The main characteristic feature of malignant neoplasms is the dominance of the
microenvironrnent as defined in the study of the present ion, which s from
the traditionally defined in the current state of the art, which is that of the environment
created by the action of tumor cells with the cells of the organism by which such action
will make them on in their favor. The microenvironment defined herein is the
space around a single or a set of neoplastic cells, which by means of surface molecules
and/or other molecules secreted by it totally dominate this environment to its
advantage.
In this dominated space the connective tissue starts to nurture and sustain these cells
through its structural elements and through new s destined to supply the tumor
cells and their supporting tissue. Through surface molecules and substances and
enzymes secreted by the tumor cells in this environment, they destroy the tissue from
which they originated, and healthy tissue invaded by them, which become colonized
and replaced. Surface and secreted molecules completely block the immune system,
inactivating and immobilizing sentinel, APC and lymphocytic cells, inducing
cific and ic immunosuppression and inactivating the locoregional and
t lymph nodes. Through the domination of the microenvironment the tumor cells,
through surface molecules and enzymes, enter the blood and lymphatic vessels, and
colonize t locations away from the local primary tumor and cause distant
lymphatic and hematogenous metastases.
Thus, the total domination of the microenvironment around a single cell makes a tumor
cell, through its indiscriminate proliferation, to initially pathologically subjugate space
around itself, its tissue of , the nt areas, the organ and finally through
metastases the body as a whole. Similarly, the immune ignorance, suppression
and the specific and nonspecific induced tolerances are primarily in situ, and then local,
local-regional, organic and finally completely dominating the systemic immune system
of the host body.
The dominance of the microenvironment is therefore the strategic, crucial and
determinant effect produced by the genomic ial of a neoplastic cell, which leads
one tumor cell to dominate the in situ, local, regional, organic and systemic space,
colonizing the host and leading to death.
In short, an therapy must necessarily break the dominance of the established
tumor microenvironment and macroenvironment, and cover all the immunological
territories dominated by the neoplasia. The immunotherapy treatment should also cover
the lymph territories at a distance from the tumor, inducing a recontextualization,
renewal and reprogramming of the immune system, from the outside to the inside the
affected area with a strong inertia able to reverse completely, er with
locoregional treatment (intratumoral and perilesional), the tumor dominance.
prophylaxis should be performed every 4 or 5 days, as it's the physiological
period of the generation of suppressor cells that control the immune response.
Successive waves of repeated antigenic stimulation in the meantime will nitely
ize the immune response, perpetuating the antigenic stimulus as it occurs with an
ion before its chronicity phase and generation of an immune dysfunction. The
failure to generate suppressor cells and the recontextualization prevents the domination
of the suppressor cells by the tumor and its protection in opposition to the domination
of the environment.
The action of a neoplastic cell in the field of the microenvironment and of a set of them
in the macro environment is carried out 24 hours a day and during the entire period
during which the condition exists. Therefore, immunotherapy with the abovementioned
scope, frequency and magnitude should be applied uously as long as there are
still tumor cells. It is interesting to mention that the traditional therapy that
causes discontinuous stimuli, like the protocols for immunization with inert antigens
(soluble or not) or with attenuated agents do not find application in the
pathophysiological context induced by tumors.
Any specific immune response can be amplified and efficiently enhanced by the
addition of cytokines and/or chemokines, preferably exogenous IL-2 at a or
saturation level which will produce the proliferation of immune cells that recognize the
antigen and, therefore, have on its surface the complete expression of the interleukin 2
or. Therefore, only the se of the antigens induced by the invention and
induced by the causative agent (autologous or heterologous) will be amplified. In an
antitumor immunotherapy in which there are only weak antigens, it should be
supplemented with 1L2 in order to obtain an effective and robust immune response.
The foundations of immunotherapy against septicemia, sepsis and "septic shock"
Septicemia is defined as an extremely serious infection in which one or more bacteria
or microorganisms, from their entry point, enter the tream and start circulating in
large numbers, getting established at distant points, colonizing tissues, , and in
the most severe cases, can successively reach most of the body surface. Generally,
when the microorganism load is too large, a large number of bacteria, with their toxic
and metabolic products, with countless PAMPS and DAMPS, touching with all the also
countless PRRs and RDPs of most of the body surface, while generating an extensive,
intense and violent general inflammatory s, with the massive release of nes
from the translation of all these signs.
The unfavorable evolution of septicemia leads to , through the massive release of
proinflammatory cytokines such as TNFs, ILL IL18, IL6 and others, causing an
matory collapse with hemodynamic characteristic alterations, such as
hypotension, rapid pulse, which may culminate in septic shock, usually irreversible.
Septicemia, sepsis are serious infections with high morbidity and mortality. In these
severe infections the immune system, in turn, with its compromised operability by
weaknesses and blockages d by bacteria, starts to act so as to ate the
bacteria at any cost, through the inflammatory Th17 tissue profile, increasing
inflammation disproportionately and ore harming the organism.
In this inflammatory tissue profile, the effector loops of innate immunity, controlled by
the TCD4 lymphocytes, cause tissue damage and sometimes massive destruction, that
compromise organs and s and that exacerbate infections, leading, for example, to
respiratory failure, lung shock, and in ARDS (adult respiratory distress me), also
g to renal failure and multiple organ failure.
Therefore, in emia, in sepsis and in septic shock there are two variables that
should strategically be considered and should be the target of an immunotherapy, so it
is successful. These two variables are the inflammation caused by the massive spread
of countless bacteria in the whole body and its tion with the PRRs and DPPs and
the polarization for the Th17 profile caused by the functional infeasibility of the Thl and
Th2 profiles. These variables are the cornerstone of severity, gravity, morbidity and
mortality of these es.
Taking into account these two variables, for an immunotherapy to be effective in these
infections, it should be applied to cover the entire body surface, including the greatest
number of lymphatic territories to geographically overlap with the action of the
pathogen or pathogens. It should also be applied to the injured areas and to the
perilesional region so that together they can cause widespread recontextualization, that
by its action can recover the integrity of the T loop and produce a wide, extensive and
intensive, anti-inflammatory effect by effector/memory T cells generated within the
application sites. It should, in parallel, through the recontextualization and
reprogramming above described, polarize the TCD4 response of the Th17 inflammatory
tissue profile for the humoral TH2 and cell TH1 profiles, further sing the
generalized inflammation.
The loop amplification by 1L2 should be very low, just enough to specifically amplify
the repolarization of the immune response of the matory profile to the immunity
Thus, the recontextualizing and the reprogramming achieved by immunotherapy using
the itions of the present ion, by recovering immune cells through the antiinflammatory
action of non-related specific memory T lymphocytes, by the
repolarization of the tissue inflammatory profile TH17 to elective and effective TH1
and TH2 immunity es, will redirect the immune se. This immune response,
renewed in real time during the infectious process, in conjunction with a biological
balance shifter, in the case of the use of various antimicrobial agents, have a chance to
reverse the biological equilibrium at the end of the curve in which is very favorable for
the microorganism, to be favorable to the host and now have a chance of solution.
Adequacy of the protocol to the "status" of the immune system in the pathology and in
the patient being treated.
In the case of cancer and emia, by the own pathophysiological mechanisms, there
is a breach of the integrity and functionality of the T loop with an inadequate
polarization for a suppressing TREG profile in cancer and for an inflammatory tissue
Th17 profile in septicemia with a nearly complete inoperability of the immune system
overcome by disease. In these cases, as in the es cited herein, the
recontextualizing must reach the whole body to reverse all immunosuppression,
tolerance and immune ignorance induced by the pathology, as well as to restore all
operational and functional capacity of the immune system to have a reprogrammed and
renewed effective immune response.
Rationale of the therapeutic protocol
The therapeutic protocol of the t invention designed to be d in cases of
cancer and septicemia must:
-be applied in most strategic tic regions of the body or infection. In the cases
described herein, more than 10 lymphatic territories have been hit. It must be applied
within the tumor, and infected and perilesional areas.
-the immunotherapy ation must contain at least 5 ns so it contains PAMPs
and DAMPs so as to be able to recontextualize the immune system.
- the application area must overlap, cover, and overcome the whole extension of
s dominated by the tumor and infection.
-the antigenic stimuli must be repeated every 4 or 5 days in order to avoid the
generation of suppressor cells e of aborting the new desired immune response or
to suppress an achieved repolarization.
-the treatment most be maintained in this manner until the elimination of the last
stic cell, or to the end of the infection, or to the healing of the wound, organ or
system.
-in practice, 1 to 3 ml of this immunotherapy must be applied to 10 or more lymphatic
territories. This invention should be jointly applied in intra and extra lesion or tumor
areas damaged by cancer or by infection.
In summary, the immunotherapy is "systemically" distributed in several (at least ten)
lymphatic territories, peri- and intra-tumoral or lesion with a volume able to disrupt and
destabilize the tumor from the domination of its micro and macro environment, or
cover the area significantly affected by infection and inflammation, as well as to restore
the microenvironment that is favorable to the immune response of the organism. It will
be applied every 4 to 5 days with the use of low doses of exogenous interleukin-2,
uninterruptedly during the period of duration of the disease. In the case of septicemia,
sepsis, and septic shock as noted above this dose should be the lowest possible.
EXAMPLES
To allow a better understanding of the invention and clearly demonstrate the technical
progress achieved, the results of the various tests conducted with respect to this
invention are shown below as examples.
In Example 1 l preferred immunogenic compositions of the present invention are
described. In Examples 2 to 8 the properties, usage, and therapeutic methods
employing the immunogenic compositions of the present invention are shown. In
Examples 2 to 8 the immunogenic ition bed in Example 1, Composition 1
was used and herein referred to as DECA.
These Examples are presented for illustrative purposes only and should not be regarded
in any way as limiting the scope and range of the invention.
Example 1: genic Compositions
In order to achieve the recontextualizing, renewal and reprogramming of the immune
response in real time according to the tive concepts bed in the present
invention, an expert skilled in the art can design different and distinct compositions,
combinations or formulations of products, which fall within the scope of the invention.
As described, for such compositions to meet the technical requirements for the
advantageous or unpublished results in combating a number of diseases and illnesses,
they must have a high diversity of antigens from pathogens, so as to get the maximum
synergistic effect in binding the PAMPs and DAMPs to their receptors and ng
the achievement of a high degree of activation of the innate immunity in the sentinel
cells (with or without ATC on) thereby allowing the recontextualizing, renewal
and reprogramming of the immune response in real time.
Such compositions should preferably use antigenic agents for which most people,
because of previous contact, would have memory clones of in their immune system
capable of inducing a broad anti-inflammatory action in el to recontextualization.
For this, nic agents should preferably be selected that:
• correspond to the most common ions contracted by the individual from
childhood to maturity (when the animal or the human being acquires its "repertoire of
immunity").
• are used in zation programs such as ood vaccination programs against
endemic and/or epidemic diseases.
• those from organisms of potentially pathogenic microflora, especially of the
gastrointestinal tract, where the memory lymphocytes play an active dynamic r
ensuring the survival of the individual.
• Ideally each of the antigenic agents should be present in a concentration of 0.001 to
500 micrograms per mL.
In accordance with these ts, several formulations have been developed, using
antigenic agents in their already available, safe, and approved forms for use in human
vaccination programs or allergic se tests and immunity assessment tests.
Therefore, we present the following several examples of compositions which fall
within the scope of the present ion, t however the intention to limit it,
since the present invention and its concepts allow for the design of immunogenic
compositions sing a very large number of combinations of antigenic agents.
Composition 1:
Component tration
Koch's Turberculin (inactivated Mycobacterium bovis 0.004 ng/mL
lysate).
PPD 0.004 g/mL
Inactivated ? Staphylococcus? lysate? (Staphylococcus 6.94 ug/mL
aureus and Staphylococcus epidermidis in equal parts).
vated ? Steptococcus? lysate? (Streptococcus 6.94 p.g/m1
pyogenes, Streptococcus pneumoniae and Enterococcus
faecalis in equal parts).
Streptokinase derived from inactivated beta-hemolytic 0.444 mg/mL
Streptococcus lysate purification.
Dornase? derived? from? inactivated ? beta-hemolytic 0.111 pig/mL
Streptococcus lysate purification.
Inactivated ? Candida? lysate? (Candida? albicans? and 6.94 p.g/mL
Candida glabrata in equal parts).
Inactivated? ophytes ? lysate 6.94 lig/mL
(Epidermophytonfloccosum, ? Microsporum? cannis,
Trichophyton? mentagrophytes ? of? the? interdigitale
variety in equal parts).
Inactivated enteropathogenic ? Escherichia ? coli? lysate 6.94 j.tg/mL
(EPEC)
Inactivated? Salmonella? lysate? (Salmonella? i, 6.94 ug/mL
Salmonella enterica and Salmonella subterranea in equal
parts).
Sodium Chloride 7.5 mg/mL
Sodium phosphate dibasic heptahydrate 0.48 mg/mL
Potassium phosphate monobasic 0.06 mg/mL
Phenol 2.5 mg/mL
Water q.s .
Composition 2:
ent Concentration
Koch's Turberculin (inactivated Mycobacterium bovis 0.004 ng/mL
PPD 0.004 g/mL
Inactivated lococcus aureus lysate, inactivated 6.94 gg/mL
Staphylococcus epidermidis lysate in equal parts.
okinase derived from inactivated beta-hemolytic 0.444 p.g/mL
ococcus lysate purification.
Dornase? derived? from? inactivated? beta-hemolytic 0.111 ug/mL
Streptococcus lysate purification,
Inactivated ? Candida? albincans? lysate,? inactivated 6.94 Rg/mL
Candida? parapsilosis? lysate,? vated ? Candida
glabrata in equal parts.
Inactivated enteropathogenic (EPEC), "shiga-like" toxin 6.94 p.g/mL
producer? (STEC),? enteroaggregative ? (EAEC),
enterotoxigenic (ETEC), enteroinvasive (EIEC) and
extraintestinal (ExPEC) Escherichia coli lysate in equal
parts.
Sodium Chloride 7.5 mg/mL
Sodium phosphate c heptahydrate 0.48 mg/mL
Potassium phosphate monobasic 0.06 mg/mL
Phenol 2.5 mg/mL
Water q.s.
Com osition 3:
Component Concentration
PPD 0.004 g/mL
vated Streptococcus pyogenes lysate, inactivated 6.94 ug/mL
Streptococcus pneumonie , Enterococcus faecalis
lysate in equal parts.
Inactivated Staphylococcus aureus lysate, inactivated 6.94 ug/mL
Staphylococcus epidermidis lysate in equal parts.
Inactivated Candida albicans lysate, inactivated Candida 6.94 ug/mL
parapsilosis lysate, inactivated Candida glabrata lysate
in equal parts.
Sodium de 7.5 mg/mL? ___
Sodium phosphate dibasic heptahydrate 0.48 mg/mL
Potassium phosphate monobasic 0.06 ing/mL
Phenol 2.5 mg/mL
Water q.s.
Composition 4:
Component Concentration
Inactivated BCG lysate 50 mg/mL
Inactivated lococcus aureus lysate, inactivated 6.94 ug/mL
Staphylococcus epidermidis lysate in equal parts.
Inactivated Streptococcus agalactiae lysate, inactivated 6.94 .tg/mL
Streptococcus mix (Streptococcus pyogenes,
Streptococcus pneurnoniae and Enterococcus faecalis)
lysate in equal parts.
Inactivated ? Candida? ans? lysate,? inactivated 6.94 Rg/mL
Candida? parapsilosis? lysate,? inactivated ? Candida
glabrata in equal parts.
Sodium Chloride 7.5 mg/rnL
Sodium phosphate dibasic heptahydrate 0.48 mg/mL
Potassium phosphate monobasic 0.06 mg/mL
Phenol 2.5 mg/mL
Water q.s.
Composition 5:
Component Concentration
PPD 0.004 g/mL
Inactivated Streptococcus pyogenes lysate, inactivated 6.94 I_tg/mL
Streptococcus pneumonie lysate, Enterococcus faecalis
lysate in equal parts.
Inactivated llus fumigatus, llus flavus, and 6.94 ig/mL
Apergillus terreus lysate in equal parts.
Inactivated? dermatophytes? lysate 6.94 lAg/rriL
(Epidermophytonfloccosum, ? Micro sporum? ,
Trichophyton ? mentagrophytes? of? the? interdigitale
variety in equal parts).
Sodium Chloride 7.5 mg/mL
Sodium phosphate dibasic heptahydrate 0.48 mg/mL
Potassium ate sic 0.06 mg/mL
Phenol 2.5 mg/mL
Water q.s.
Composition 6:
Component tration
Koch's Turberculin (inactivated Mycobacterium bovis 0.004 ng/mL
lysate).
Inactivated ococcus pyogenes lysate, inactivated 6.94 ug/mL
Streptococcus pneumonie lysate, Enterococcus faecalis
lysate in equal parts.
Inactivated Neisseria meningitides lysate. 6.94 gg/mL
Inactivated Apergillus fumigatus, Apergillus flavus, and 6.94 !ig/mL
Apergillus terreus lysate in equal parts.
Sodium Chloride 7.5 mg/mL
Sodium phosphate dibasic heptahydrate 0.48 mg/mL
Potassium phosphate monobasic 0.06 mg/mL
Phenol _ 2.5 mg/mL
Water q.s.
Composition 7:
Component Concentration
Koch's Turberculin (inactivated Mycobacterium bovis 0.004 ng/mL
lysate).
vated BCG lysate 50 mg/mL
Inactivated Staphylococcus aureus , inactivated 6.94 i.tg/mL
Staphylococcus epidermidis lysate in equal parts.
Inactivated Streptococcus pyogenes lysate, inactivated 6.94 p.g/mL
Streptococcus pneumonie lysate, Enterococcus is
lysate in equal parts.
Inactivated ? a? albincans? lysate,? inactivated 6.94 1.1g/mL
Candida? ilosis? lysate,? inactivated ? Candida
glabrata in equal parts.
Inactivated Streptococcus equinus, Streptococcus bovis 6.94 p.g/mL
and Streptococcus viridans lysate in equal parts.
Inactivated enteropathogenic (EPEC), "shiga-like" toxin 6.94 p.g/mL
producer? (STEC),? enteroaggregative ? (EAEC),
toxigenic (ETEC), enteroinvasive (EIEC) and
extraintestinal (ExPEC) Escherichia coli lysate in equal
parts.
Inactivated Salmonella typhi, Salmonella paratyphi and 6.94 pg/mL
Salmonella enterica lysate in equal parts.
Inactivated lysate of antigens of the measles virus 10,000
("Schwarz strain"). TDCI50/mL
ol 500 mglmL
Phenol 2.5 mg/mL
Water q.s.
Composition 8:
Component Concentration
Koch's Turberculin (inactivated Mycobacterium bovis 0.004 ng/mL
lysate).
PPD 0.004 g/mL
Inactivated Staphylococcus aureus lysate, inactivated 6.94 p.g/mL
Staphylococcus midis lysate in equal parts.
Inactivated enteropathogenic (EPEC), "shiga-like" toxin 6.94 pg/rnL
producer? (STEC),? enteroaggregative ? (EAEC),
enterotoxigenic (ETEC), enteroinvasive (EIEC) and
extraintestinal ) Escherichia coli lysate in equal
parts.
Streptokinase derived from inactivated beta-hemolytic 0.444 p.g/mL
ococcus lysate cation.
Dornase? derived? from? inactivated? beta-hemolytic 0.111 lig/mL
Streptococcus lysate purification.
Inactivated Streptococcus pyogenes lysate, inactivated 6.94 lAg/mL
ococcus pneumonie lysate, Enterococcus faecalis
lysate in equal parts.
Inactivated Helicobacter pylori lysate. 6.94 ps/mL
Tetanus toxoid 50? units of
Lf/mL
Inactivated ? Candida? albincans? lysate,? inactivated 6.94 1,Lg/mL
Candida? parapsilosis? lysate,? inactivated ? Candida
glabrata in equal parts.
Sodium Chloride 7.5 mg/mL
Sodium phosphate dibasic heptahydrate 0.48 mg/mL
Potassium ate monobasic 0.06 mg/mL
Phenol 2.5 mg/mL
Water q.s.
Composition 9:
Component tration
Inactivated BCG lysate 50 mg/mL
Inactivated Mycobacterium tuberculosis lysate 0.004 ng/mL
Inactivated Staphylococcus aureus , inactivated 6.94 IAg/mL
Staphylococcus epidermidis lysate in equal parts.
Inactivated enteropathogenic (EPEC), "shiga-like" toxin 6.94 p.g/mL
producer? (STEC),? enteroaggregative ? (EAEC),
enterotoxigenic (ETEC), enteroinvasive (EIEC) and
extraintestinal (ExPEC) Escherichia coli lysate in equal
parts.
Inactivated hilus influenza lysate. 6.94 ilg/mL
Inactivated Streptococcus agalactiae lysate, inactivated 6.94 tg/mL
Streptococcus mix (Streptococcus pyogenes,
Streptococcus pneumoniae and Enterococcus faecalis)
lysate in equal parts.
Inactivated Salmonella typhi, Salmonella paratyphi and 6.94 ps/mL
Salmonella enterica lysate in equal parts.
Inactivated ? Proteus? mirabilis,? Proteus? vulgaris,? and 6.94 j_ig/mL
Proteus penerii lysate in equal parts.
Inactivated lysate of antigens of the measles virus 10,000
("Schwarz strain"). TDCI50/mL
Inactivated ? a? ans? lysate,? inactivated 6.94 pig/mL
Candida? parapsilosis? ,? inactivated ? Candida
glabrata in equal parts.
Glycerol 500 mg/mL
Phenol 2.5 mg/mL
Water q.s.
Composition 10:
Component Concentration
Inactivated Mycobacterium africanum lysate. 0.004 ng/mL
Koch's culin (inactivated Mycobacterium bovis 0.004 ng/mL
lysate).
Inactivated enteropathogenic (EPEC), "shiga-like" toxin 6.94 1.tg/mL
producer (STEC), enteroaggregative (EAEC),
enterotoxigenic , enteroinvasive (EIEC) and
ntestinal ) Escherichia coli lysate in equal
parts.
Inactivated Staphylococcus aureus , inactivated 6.94 j.ig/mL
Staphylococcus epidermidis lysate in equal parts.
Inactivated Epidermophyton floccosum, Microsporum 6.94 p.g/mL
cannis,? Trichophyton? mentagrophytes ? of? the
interdigitale variety lysate in equal parts).
Inactivated Streptococcus pyogenes lysate, inactivated 6.94 [Ig/mL
Streptococcus pneumonie lysate, Enterococcus faecalis
lysate in equal parts.
Inactivated obacter baumannii lysate. 6.94 [ig/mL
Inactivated Helicobacter pylori lysate. 6.94 [tg/mL
Inactivated lysate of antigens of the mumps virus (Urabe 10,000
AM9 strain) TDCI50/mL
vated Polio virus lysate 40 UD of type I
antigens; 1.8
UD of type 2
antigens; 32
UD of type 3
antigens
Glycerol 500 mg/mL
Phenol 2.5 mg/mL
Water q.s.
Composition 11:
Component tration
Inactivated Mycobacterium leprae lysate 0.004 ng/mL
Koch's Turberculin (inactivated cterium bovis 0,004 ng/mL
lysate).
Inactivated Staphylococcus aureus lysate, inactivated 6.94 [Ig/mL
Staphylococcus epidermidis lysate in equal parts.
Inactivated ? Candida? albincans? lysate,? inactivated 6.94 mg/mL
Candida? parapsilosis? lysate,? inactivated ? Candida
glabrata in equal parts.
Inactivated Streptococcus agalactiae lysate, inactivated 6.94 [tg/mL
ococcus mix (Streptococcus es,
Streptococcus pneumoniae and Enterococcus faecalis)
lysate in equal parts.
Inactivated Streptococcus s, Streptococcus bovis, 6.94 [tg/mL
and Streptococcus of the viridans group lysate in equal
parts.
Inactivated Haemophilus influenza lysate. 6.94 p,g/mL
vated ? Proteus? mirabilis,? Proteus? vulgaris,? and 6.94 mg/mL
Proteus penerii lysate in equal parts.
Antigens of the a virus (Wistar RA 27/3M strain) 10,000
TDCI50/mL
Inactivate antigen of the Varicella zoster virus lysate 149 231
PFU/mL
Glycerol 500 mg/mL
Phenol 2.5 mg/mL
Water q.s.
Com osition 12:
Component Concentration
Inactivated Mycobacterium avium lysate 0.004 ng/mL
Inactivated Mycobacterium kansasii lysate 0.004 ng/mL
Inactivated Apergillus tus, llus flavus, and 6.94 mg/mL
Apergillus terreus lysate in equal parts.
Inactivated Neisseria hoeae lysate. 6.94 1.tg/mL
vated Streptococcus equinus, Streptococcus bovis, 6.94 lig/mL
and Streptococcus of the viridans group lysate in equal
parts.
vated Epidermophyton floccosum, Microsporum 6.94 ..tg,/mL
cannis, Trichophyton mentagrophytes of the
interdigitale variety lysate in equal parts).
Inactivated Chlamydia trachomatis, Chlamydia psittaci, 6.94 Itg/mL
and Chamydia pneumoniae lysate in equal parts.
Inactivated enteropathogenic (EPEC), "shiga-like" toxin 6.94 ps/mL
producer? (STEC),? enteroaggregative ? (EAEC),
enterotoxigenic (ETEC), enteroinvasive (EIEC) and
extraintestinal (ExPEC) Escherichia coli lysate in equal
parts.
Antigens of the rubella virus r RA 27/3M strain) 10,000
TDCI50/mL
Inactivated antigen of the Vaccinia (smallpox) virus 1? to? 10 x? 109
lysate PFU/mL
Glycerol 500 mg/mL
Phenol 2.5 mg/mL
Water q.s.
ition 13:
Component Concentration
Inactivated Mycobacterium tuberculosis lysate 0.004 ng/mL
Inactivated Mycobacterium avium lysate 0.004 ng/mL
Inactivated ria meningitides lysate 6.94 ug/mL
Diphtheria toxoid 67? units? of
Lf/mL
Inactivated ococcus agalactiae lysate, inactivated 6.94 Rg/mL
Streptococcus mix (Streptococcus pyogenes,
Streptococcus pneumoniae and coccus faecalis)
lysate in equal parts.
Inactivated ? Candida? albincans? lysate,? inactivated 6.94 tA.g/mL
Candida? parapsilosis? lysate,? inactivated? Candida
glabrata in equal parts.
Inactivated Helicobacter pylori lysate. 6.94 11g/mL
Inactivated Serratia cens e Serratia liquefaciens 6.94 1.t.g/mL
lysate
Inactivated antigen of HSV-I and HSV-II lysate 149? 231
PFU/mL
Inactivated antigen of the s virus ("Schwarz 10,000
strain") lysate TDCI50/mL
Glycerol 500 mg/mL
Phenol 2.5 mg/mL
Water q.s.
Comt osition 14:
Component Concentration
Inactivated Mycobacterium africanum lysate 0.004 ng/mL
Inactivated Mycobacterium tuberculosis lysate 0.004 ng/mL
Inactivated Neisseria tonorrhoeae lysate 6.94 rig/n1L
vated Apergillus fumigatus, Apergillus flavus, and 6.94 [1g/mL
Apergillus terreus lysate in equal parts.
Inactivated Neisseria meningitides lysate 6.94 ug/mL
Diphtheria toxoid 67? units of
Lf/mL
Inactivated Epidermophyton floccosum, Microsporum 6.94 ug/mL
cannis, Trichophyton mentagrophytes of the
interdigitale variety lysate in equal parts).
vated Shigella ri and Shigella sonnei lysate 6.94 ug/mL
in equal parts
Inactivated surface antigen of the hepatitis B (HBs AG) 200 ug/mL
virus lysate
Inactivated n of the measles virus arz 10,000
") lysate TDCI50/mL
Glycerol 500 mg/mL
Phenol 2.5 mg/mL
Water q.s.
Com osition 15:
Component Concentration
PPD 0.004 ng/mL
Inactivated BCG lysate 50 mg/mL
Inactivated Streptococcus s, Streptococcus bovis, 6.94 ug/mL
and Streptococcus of the viridans group lysate in equal
parts.
Inactivated Staphylococcus aureus lysate, inactivated 6.94 ug/mL
Staphylococcus epidermidis lysate in equal parts.
Tetanus toxoid 50? units of
Lf/mL
Diphtheria toxoid 67? units of
Lf/mL
Inactivated Acinetobacter baumannii lysate. 6.94 u.g/mL
Inactivated enteropathogenic (EPEC), "shiga-like" toxin 6.94 ug/mL
producer? (STEC),? enteroaggregative ? (EAEC),
enterotoxigenic? (ETEC),? enteroinvasive ? (EIEC)? and
extraintestinal (ExPEC) ichia coli lysate in equal
parts.
Inactivated Apergillus fumigatus, Apergillus flavus, and 6.94 p.g/mL
Apergillus terreus lysate in equal parts.
Inactivated lysate of antigens of the mumps virus (Urabe 10,000
AM9 strain) TDCI50/mL
Glycerol 500 mg/mL
Phenol 2.5 mg/mL
Water q.s.
ition 16:
Component Concentration
Koch's Turberculin ivated Mycobacterium bovis 0.004 ng/mL
lysate).
Inactivated Mycobacterium tuberculosis lysate 0.004 ng/mL
Inactivated Salmonella typhi, ella paratyphi and 6.94 g_tg/mL
Salmonella enterica lysate in equal parts.
Inactivated ococcus pyogenes lysate, inactivated 6.94 1.1g/mL
Streptococcus pneumonie lysate, Enterococcus faecalis
lysate in equal parts.
Inactivated Epidermophyton floccosum, Microsporum 6.94 pz/mL
cannis, Trichophyton mentagrophytes of the
interdigitale variety lysate in equal parts).
Bordetella pertussis toxoid 75 pig/mL
Inactivated Haemophilus influenza lysate. 6.94 pg/mL
Tetanus toxoid 50? units? of
Lf/mL
Inactivated Polio virus lysate 40 UD of type I
antigens; 1.8
UD of type 2
antigens; 32
UD of type 3
antigens
Inactivated antigen of the Vaccinia (smallpox) virus 1? to? 10? x? 10 9
lysate PFU/mL
Glycerol 500 mg/mL
Phenol 2.5 mg/mL
Water q. s.
Composition 17:
Component Concentration
Koch's Turberculin (inactivated Mycobacterium bovis 0.004 ng/mL
lysate).
Inactivated BCG lysate 50 mglmL
PPD 0.004 ng/mL
vated Staphylococcus aureus lysate, inactivated 6.94 ug/mL
Staphylococcus epidermidis lysate in equal parts.
Inactivated Streptococcus es lysate, vated 6.94 lig/mL
Streptococcus pneumonie lysate, Enterococcus faecalis
lysate in equal parts.
Inactivated ? Klebsiella? oxytoca? and? Klebsiella 6.94 i.ig/mL
pneumonia lysate in equal parts
Inactivated Epidermophyton floccosum, Microsporum 6.94 ug/mL
cannis, Trichophyton mentagrophytes of the
igitale y lysate in equal parts).
Inactivated Streptococcus equinus, Streptococcus bovis, 6.94 .ig/mL
and Streptococcus of the viridans group lysate in equal
parts.
Diphtheria toxoid 67? units of
Lf/mL
Inactivated enteropathogenic (EPEC), "shiga-like" toxin 6.94 ug/mL
producer (STEC), enteroaggregative (EAEC),
enterotoxigenic (ETEC), enteroinvasive (EIEC) and
extraintestinal (ExPEC) Escherichia coli lysate in equal
parts.
Inactivated Salmonella typhi, Salmonella paratyphi and 6.94 u.g/mL
Salmonella enterica lysate in equal parts.
Bordetella pertussis toxoid 75 pig/mL
Inactivated Apergillus fumigatus, llus flavus, and 6.94 p.ig/rnL
Apergillus terreus lysate in equal parts.
Inactivated lysate of ns of the measles virus 10,000
("Schwarz strain"). TDCI50/mL
Inactivated ? Candida albincans? lysate,? inactivated 6.94 p.g/mL
Candida? ilosis lysate,? inactivated ? Candida
glabrata in equal parts.
Glycerol 500 mg/mL
Phenol 2.5 mg/mL
Water q.s.
Composition 18:
Component Concentration
PPD 0.004 ng/mL
Inactivated Mycobacterium tuberculosis lysate 0.004 ng/mL
Koch's Turberculin ivated cterium bovis 0.004 ng/mL
lysate),
Inactivated Staphylococcus aureus lysate, inactivated 6.94 ps/mL
Staphylococcus epidermidis lysate in equal parts.
Inactivated Salmonella typhi, Salmonella phi and 6.94 pgimL
Salmonella enterica lysate in equal parts.
Inactivated Streptococcus pyogenes lysate, inactivated 6.94 i.tg/mL
Streptococcus pneumonie , Enterococcus faecalis
lysate in equal parts.
Streptokinase derived from inactivated beta-hemolytic 0.444 Ilg/mL
Streptococcus lysate purification.
Dornase? derived? from? inactivated? beta-hemolytic 0.111 ps/mL
Streptococcus lysate purification.
Inactivated ? Klebsiella? oxytoca? and? ella 6.94 L
pneumonia lysate in equal parts
Inactivated Streptococcus agalactiae lysate, inactivated 6.94 p.g/mL
Streptococcus mix (Streptococcus pyogenes,
Streptococcus pneumoniae and Enterococcus faecalis)
lysate in equal parts.
Inactivated Helicobacter pylori lysate. 6.94 pLg/mL
Tetanus toxoid 50? units of
Lf/mL
Inactivated enteropathogenic (EPEC), "shiga-like" toxin 6.94 L
producer? (STEC),? enteroaggregative ? (EAEC),
enterotoxigenic (ETEC), enteroinvasive (EIEC) and
extraintestinal (ExPEC) Escherichia coli lysate in equal
parts.
Inactivated Candida albicans , inactivated Candida 6.94 1.1g/mL
parapsilosis lysate, inactivated Candida glabrata lysate
■ ✌ ❉■ ❅❑◆❁● ❐❁❒▼▲✎
Inactivated Apergillus fumigatus, Apergillus flavus, and 6.94 ug/mL
Apergillus terreus lysate in equal parts.
Inactivated YF-17D lysate 000
PFU/mL
Glycerol 500 mg/mL
Phenol 2.5 mg/mL
Water q.s.
Composition 19:
Component Concentration
vated BCG lysate 50 mg/mL
Inactivated cterium tuberculosis lysate 0.004 nglmL
Koch's Turberculin (inactivated Mycobacterium bovis 0.004 ng/mL
lysate).
Inactivated Staphylococcus aureus lysate, vated 6.94 p.g/mL
Staphylococcus epidermidis lysate in equal parts.
Inactivated Streptococcus pyogenes lysate, inactivated 6.94 p,g/mL
ococcus pneumonie lysate, Enterococcus faecalis
lysate in equal parts.
Inactivated Serratia marcencens e Serratia liquefaciens 6.94 L
lysate
Inactivated Haemophilus influenza lysate. 6.94 ug/mL
Inactivated Streptococcus agalactiae lysate, inactivated 6.94 1.1.g/mL
Streptococcus mix (Streptococcus pyogenes,
Streptococcus pneumoniae and Enterococcus faecalis)
lysate in equal parts.
Inactivated ? ella? oxytoca? and? Klebsiella 6.94 pg/mL
pneumonia lysate in equal parts
Inactivated Epidermophyton floccosurn, Microsporum 6.94 1.ig/mL
cannis, Trichophyton rophytes of the
interdigitale variety lysate in equal .
Inactivated s ? mirabilis,? Proteus? is,? and 6.94 ug/mL
Proteus penerii lysate in equal parts.
Inactivated Salmonella typhi, Salmonella paratyphi and 6.94 ug/mL
Salmonella enterica lysate in equal parts.
Inactivated lysate of antigens of the measles virus 10,000
("Schwarz strain"). TDCI50/mL
Inactivated Candida albicans , inactivated Candida 6.94 ilg/mL
parapsilosis lysate, inactivated a glabrata lysate
in equal parts.
Inactivated antigen of the ia (smallpox) virus 1? to? 10 x? 109
lysate PFU/mL
Glycerol 500 mg/mL
Phenol 2.5 mg/mL
Water q.s.
Composition 20:
Component Concentration
Inactivated Mycobacterium africanum lysate 0.004 ng/mL
Koch's Turberculin (inactivated Mycobacterium bovis 0.004 ng/mL
lysate).
Inactivated BCG lysate 50 mg/mL
Inactivated Apergillus fumigatus, Apergillus flavus, and 6.94 ilg/mL
Apergillus terreus lysate in equal parts.
Inactivated Staphylococcus aureus lysate, vated 6.94 ps/mL
Staphylococcus epidermidis lysate in equal parts.
Inactivated Neisseria meningitides lysate 6.94 ug/mL
Inactivated Streptococcus pyogenes lysate, inactivated 6.94 u.g/mL
Streptococcus nic lysate, Enterococcus faecalis
lysate in equal parts.
Inactivated enteropathogenic (EPEC), "shiga-like" toxin 6.94 pg/mL
_producer? (STEC),? enteroaggregative ? (EAEC),
enterotoxigenic (ETEC), enteroinvasive ? (EIEC)? and
extraintestinal (ExPEC) Escherichia coli lysate in equal
parts.
Inactivated Salmonella typhi, Salmonella paratyphi and 6.94 pg/mL
Salmonella enterica lysate in equal parts.
Inactivated Acinetobacter nii lysate. 6.94 .tg/mL
Inactivated Helicobacter pylori lysate. 6.94 lig/mL
Inactivated Haemophilus influenza lysate. 6.94 pg/mL
Inactivated lysate of antigens of the mumps virus (Urabe 50,000
AM9 strain) TDCI50/mL
Inactivated Polio virus lysate 40 UD of type I
antigens; 1.8
UD of type 2
antigens; 32
UD of type 3
Inactivated Candida albicans lysate, inactivated a 6.94 1.1g/mL
parapsilosis lysate, inactivated Candida glabrata lysate
in equal parts.
Glycerol 500 mg/mL
Phenol 2.5 mg/mL
Water q.s.
Composition 21:
Component Concentration
Inactivated Mycobacterium leprae lysate 0.004 ng/mL
Koch's Turberculin (inactivated cterium bovis 0.004 nglmL
lysate).
Inactivated Mycobacterium tuberculosis lysate 0.004 ng/mL
Inactivated Staphylococcus aureus lysate, inactivated 6.94 ug/mL
Staphylococcus epidermidis lysate in equal parts.
Inactivated mophyton sum, Microsporum 6.94 ug/mL
cannis, Trichophyton mentagrophytes of the
interdigitale variety lysate in equal parts).
Diphtheria toxoid 67? units of
Lf/mL
Inactivated Streptococcus agalactiae lysate, inactivated 6.94 pg/mL
Streptococcus mix (Streptococcus es,
Streptococcus pneumoniae and Enterococcus faecalis)
lysate in equal parts.
Tetanus toxoid 50? units of
Lf/mL
Inactivated ria meningitides lysate 6.94 lig/mL
Inactivated Haemophilus influenza lysate. 6.94 1,tg/rnL
Inactivated Proteus mirabilis, Proteus ? is,? and 6.94 1.tg/mL
Proteus penerii lysate in equal parts.
Inactivated Serratia marcencens e Serratia liquefaciens 6.94 !..tg/rriL
lysate
Antigens of the rubella virus (Wistar RA 27/3M strain) 10,000
TDCI50/mL
Inactivate antigen of the Varicella zoster virus lysate 149 231
PFU/mL
Inactivated Apergillus fumigatus, Apergillus flavus, and 6.94 mg/mL
Apergillus terreus lysate in equal parts.
Glycerol 500 mg/mL
Phenol 2.5 mg/mL
Water q.s.
Composition 22:
Component Concentration
Inactivated Mycobacterium avium lysate 0.004 ng/mL
Inactivated Mycobacterium kansasii lysate 0.004 ng/mL
Koch's Turberculin (inactivated Mycobacterium bovis 0.004 ng/mL
lysate).
vated llus fumigatus, Apergillus flavus, and 6.94 lig/mL
Apergillus s lysate in equal parts.
Inactivated Neisseria gonorrhoeae lysate 6.94 mg/mL
Tetanus toxoid 50? units of
Lf/mL
Inactivated Streptococcus s, Streptococcus bovis, 6.94 i_tg/mL
and Streptococcus of the viridans group lysate in equal
parts.
Inactivated Candida albicans , inactivated Candida 6.94 ug/mL
parapsilosis lysate, inactivated Candida glabrata lysate
in equal parts.
Inactivated Salmonella typhi, ella paratyphi and 6.94 ug/mL
Salmonella enterica lysate in equal parts.
Inactivated dia trachomatis, Chlamydia psittaci, 6.94 ug/mL
and Chamydia pneumoniae lysate in equal parts.
Inactivated enteropathogenic (EPEC), "shiga-like" toxin 6.94 pg/mL
producer? (STEC),? aggregative ? (EAEC),
enterotoxigenic (ETEC), enteroinvasive (EIEC) and
extraintestinal (ExPEC) Escherichia coli lysate in equal
parts.
Inactivated ? Klebsiella? oxytoca? and? Klebsiella 6.94 1.tg/mL
pneumonia lysate in equal parts
Antigens of the rubella virus (Wistar RA 27/3M strain) 10,000
TDCI50/rnL
Inactivated antigen of the Vaccinia (smallpox) virus 1? to? 10 x? 109
lysate PFU/mL
Inactivated YF-17D lysate 3,000,000
PFU/mL
Glycerol 500 mg/mL
Phenol 2.5 mg/mL
Water q.s.
Composition 23:
Component Concentration
Inactivated cterium tuberculosis lysate 0.004 ng/mL
vated cterium avium lysate 0.004 ng/mL
Koch's Turberculin {inactivated Mycobacterium bovis 0.004 ng/mL
lysate).
Inactivated Neisseria meningitides lysate 6.94 ug/mL
Diphtheria toxoid 67? units of
Lf/mL
Tetanus toxoid 50? units of
Lf/mL
Inactivated Streptococcus agalactiae lysate, vated 6.94 ug/mL
Streptococcus mix (Streptococcus es,
Streptococcus pneumoniae and Enterococcus faecalis)
lysate in equal parts.
Inactivated a albicans lysate, inactivated Candida 6.94 ug/mL
parapsilosis lysate, inactivated Candida glabrata lysate
in equal parts.
Inactivated Epidermophyton floccosum, Microsporum 6.94 ug/mL
cannis, Trichophyton mentagrophytes of the
interdigitale variety lysate in equal parts).
Inactivated Helicobacter pylori lysate. 6.94 ug/mL
Inactivated Serratia marcencens e Serratia aciens 694 ug/mL
lysate
Inactivated Salmonella typhi, ella paratyphi and 6.94 ug/mL
Salmonella enterica lysate in equal parts.
Inactivated antigen of HSV-I and HSV-II lysate 149 231
PFU/mL
Inactivated lysate of antigens of the measles virus 10,000
("Schwarz strain"). TDCI50/mL
Inactivated Apergillus fumigatus, Apergillus flavus, and 6.94 ps/mL
Apergillus terreus lysate in equal parts.
Glycerol 500 mg/mL
Phenol 2.5 mg/mL
Water q.s.
Composition 24:
Component Concentration
Inactivated Mycobacterium africanum lysate 0.004 ng/mL
Inactivated cterium tuberculosis lysate 0.004 ng/mL
PPD 0.004 ng/mL
Inactivated Neisseria hoeae lysate 6.94 mg/mL __
Inactivated Candida albicans lysate, inactivated Candida 6.94 ug/mL
parapsilosis lysate, inactivated a glabrata lysate
in equal parts.
Inactivated Salmonella typhi, Salmonella paratyphi and 6.94 ug/mL
Salmonella enterica lysate in equal parts.
Inactivated Neisseria meningitides lysate 6.94 ug/mL
Diphtheria toxoid 67? units of
Lf/mL
Inactivated Streptococcus s, Streptococcus bovis, 6.94 pig/mL
and Streptococcus of the viridans group lysate in equal
parts.
Tetanus toxoid 50? units of
Lf/mL
Inactivated Shigella flexneri and la sonnei lysate 6.94 gg/mL
in equal parts
Inactivated ? Proteus? mirabilis,? Proteus? vulgaris,? and 6.94 pig/mL
Proteus penerii lysate in equal parts.
Inactivated surface antigen of the hepatitis B (HBs AG) 200 gg/mL
virus lysate
Inactivated lysate of antigens of the measles virus 10,000
arz strain"). TDCI50/mL
Inactivated YF-17D lysate 3,000,000
PFU/mL
Glycerol 500 mglmL
Phenol 2.5 mg/mL
Water q.s.
Composition 25:
Component Concentration
PPD 0.004 ng/mL
Inactivated BCG lysate 50 mg/mL
Koch's Turberculin (inactivated Mycobacterium bovis 0.004 ng/mL
lysate).
Inactivated Streptococcus pyogenes lysate, inactivated 6.94 ug/mL
Streptococcus nie , Enterococcus faecalis
lysate in equal parts.
Inactivated lococcus aureus lysate, inactivated 6.94 li,g/mL
Staphylococcus epidermidis lysate in equal parts.
Diphtheria toxoid 67? units? of
Lf/mL
Tetanus toxoid 50? units? of
Lf/mL
Inactivated ella typhi, Salmonella paratyphi and 6.941.1g/mL
Salmonella enterica lysate in equal parts.
vated mophyton floccosum, Microsporum 6.94 p.g/mL
cannis, phyton mentagrophytes of the
interdigitale variety lysate in equal parts).
vated Acinetobacter baumannii lysate. 6.94 p.g/mL
Inactivated enteropathogenic (EPEC), "shiga-like" toxin 6.94 1.1g/mL
producer? (STEC),? enteroaggregative ? (EAEC),
enterotoxigenic (ETEC), enteroinvasive (EIEC) and
extraintestinal (ExPEC) Escherichia coli lysate in equal
parts.
Inactivated a albicans lysate, inactivated Candida 6.94 fig/mL
parapsilosis lysate, inactivated Candida glabrata lysate
in equal parts.
Inactivated Apergillus fumigatus, Apergillus flavus, and 6.94 jig/mL
Apergillus terreus lysate in equal parts.
Inactivated lysate of antigens of the mumps virus (Urabe 50,000
AM9 strain) TDCI50/mL
Inactivated antigen of the Vaccinia (smallpox) virus 1? to? 10 x? 109
lysate PFU/mL
Glycerol 500 mglmL
Phenol 2.5 mg/mL
Water q.s.
Composition 26:
Component Concentration
Koch's Turberculin (inactivated Mycobacterium bovis 0.004 ng/mL
lysate).
Inactivated Mycobacterium tuberculosis lysate 0.004 ng/mL
Inactivated BCG lysate 50 mg/mL
Inactivated Apergillus fumigatus, Apergillus flavus, and 6.94 ug/mL
Apergillus terreus lysate in equal parts.
Inactivated Streptococcus pyogenes lysate, inactivated 6.94 L
Streptococcus pneumonie lysate, Enterococcus faecalis
lysate in equal parts.
Inactivated Chlamydia trachomatis, Chlamydia ci, 6.94 ug/mL
and Chamydia pneumoniae lysate in equal parts.
ella pertussis toxoid 75 ps/mL
Inactivated Haemophilus influenza lysate. 6.94 [tg/mL
Inactivated Neisseria gonorrhoeae lysate 6.94 mg/mL
Tetanus toxoid 50? units? of
Lf/mL
Inactivated Candida albicans lysate, vated Candida 6.94 pg/mL
parapsilosis lysate, inactivated Candida glabrata lysate
in equal parts.
vated enteropathogenic (EPEC), "shiga-like" toxin 6.94 lig/mL
producer? (STEC),? enteroaggregative ? (EAEC),
enterotoxigenic , enteroinvasive (EIEC) and
ntestinal (ExPEC) Escherichia coli lysate in equal
parts.
Inactivated Polio virus lysate 40 UD of type I
antigens; 1.8
UD of type 2
antigens; 32
UD of type 3
antigens
Inactivated antigen of the Vaccinia (smallpox) virus 1? to? 10 x? 109
lysate PFU/mL
Inactivated YF-17D lysate 3,000,000
PFU/mL
Composition 27:
Component Concentration
Inactivated YF-17D lysate 3,000,000
PFU/mL
Koch's Turberculin (inactivated Mycobacterium bovis 0.004 ng/ml,
lysate).
Inactivated BCG lysate 50 mg/mL
PPD 0.004 ng/mL
Inactivated Mycobacterium tuberculosis lysate 0.004 ng/mL
Inactivated Staphylococcus aureus lysate, inactivated 6.94 lag/mL
Staphylococcus epidermidis lysate in equal parts.
Inactivated Streptococcus pyogenes lysate, inactivated 6.94 1.1g/mL
Streptococcus nic lysate, Enterococcus faecalis
lysate in equal parts.
Inactivated ? Klebsiella? oxytoca? and? Klebsiella 6.94 pig/mL
pneumonia lysate in equal parts
Inactivated Neisseria meningitides lysate 6.94 1,tg/mL
Inactivated Candida ns lysate, inactivated Candida 6.94 L
parapsilosis , inactivated Candida glabrata lysate
in equal parts.
Inactivated Streptococcus equinus, Streptococcus bovis, 6.94 vg/mL
and Streptococcus of the viridans group lysate in equal
parts.
Inactivated Epidermophyton floccosum, Microsporum 6.94 ug/mL
cannis, phyton mentagrophytes of the
interdigitale variety lysate in equal parts).
Inactivated Shigella flexneri and Shigella sonnei lysate 6.94 ug/mL
in equal parts
Inactivated pathogenic (EPEC), "shiga-like" toxin 6.94 lig/mL
producer? (STEC),? aggregative ? (EAEC),
enterotoxigenic (ETEC), enteroinvasive (EIEC) and
ntestinal (ExPEC) Escherichia coli lysate in equal
parts.
Inactivated Salmonella typhi, Salmonella paratyphi and 6.94 pig/mL
Salmonella ca lysate in equal parts.
Bordetella pertussis toxoid 75 ug/mL
Inactivated antigen of the Vaccinia (smallpox) virus 1? to? 10 x 109
lysate PFU/mL
Inactivated Apergillus fumigatus, Apergillus flavus, and 6.94 ug/mL
Apergillus terreus lysate in equal parts.
Inactivated lysate of antigens of the measles virus 10,000
("Schwarz strain"). TDCI50/mL
ol 500 mg/mL
Phenol 2.5 mg/mL
Water q.s.
Composition 28:
ent Concentration
Inactivated Mycobacterium tuberculosis lysate 0.004 ng/mL
Koch's Turberculin (inactivated Mycobacterium bovis 0.004 ng/mL
lysate).
Inactivated Mycobacterium avium lysate 0.004 ng/mL
Inactivated Staphylococcus aureus , vated 6.94 L
Staphylococcus epidermidis lysate in equal parts.
Inactivated Streptococcus pyogenes lysate, inactivated 6.94 ug/mL
Streptococcus pneumonie lysate, Enterococcus faecalis
lysate in equal parts.
Inactivated mophyton floccosum, Microsporum 6.94 L
cannis, Trichophyton mentagrophytes of the
interdigitale y lysate in equal_parts).
Inactivated Neisseria meningitides lysate 6.94 p.g/mL
Streptokinase derived from inactivated beta-hemolytic 0.444 i_tg/mL
Streptococcus lysate purification.
Dornase? derived? from? inactivated ? beta-hemolytic 0.111 i.tg/mL
Streptococcus lysate purification.
Inactivated Salmonella typhi, ella paratyphi and 6.94 ug/mL
Salmonella enterica lysate in equal parts.
Inactivated Streptococcus agalactiae lysate, inactivated 6.94 [tg/mL
Streptococcus mix (Streptococcus pyogenes,
Streptococcus pneumoniae and Enterococcus faecalis)
lysate in equal parts.
Inactivated? Enterobacter ? aerogenes,? Enterobacter 6.94 1.ig/mL
cloacae, and Enterobacter agglomerans group lysate.
Inactivated Helicobacter pylori lysate. 6.94 1,tg/mL
Tetanus toxoid 50? units of
Lf/mL
Inactivated enteropathogenic (EPEC), "shiga-like" toxin 6.94 pLg/mL
producer (STEC), enteroaggregative (EAEC),
enterotoxigenic , enteroinvasive (EIEC) and
extraintestinal (ExPEC) ichia coli lysate in equal
parts.
Inactivated antigen of the Vaccinia (smallpox) virus 1? to? 10? x 109
lysate PFU/mL
Inactivated Candida albicans lysate, inactivated Candida 6.94 .tg/mL
parapsilosis lysate, vated a glabrata lysate
in equal parts.
Inactivated Apergillus fumigatus, Apergillus flavus, and 6.94 .ig/mL
Apergillus terreus lysate in equal parts.
Inactivated YF-17D lysate 3,000,000
PFU/mL
Glycerol 500 mglmL
Phenol 2.5 mg/mL
Water q.s.
Composition 29:
ent Concentration
Inactivated lysate of antigens of the mumps virus (Urabe 50,000
AM9 strain) TDCI50/mL
Inactivated BCG lysate 50 mg/mL
Inactivated Mycobacterium tuberculosis lysate 0.004 ng/mL
Koch's Turberculin (inactivated cterium bovis 0.004 ng/mL
lysate).
Inactivated Mycobacterium leprae lysate 0.004 ng/mL
Inactivated Staphylococcus aureus lysate, inactivated 6.94 ug/mL
lococcus epidermidis lysate in equal parts.
Inactivated Streptococcus equinus, Streptococcus bovis, 6.94 p.g/mL
and Streptococcus of the viridans group lysate in equal
parts.
vated ? Serratia? marcencens? and? Serratia 6.94 1.tg/mL
liquefaciens lysate
vated Epidermophyton floccosum, Microsporum 6.94 p.g/mL
cannis, Trichophyton mentagrophytes of the
interdigitale variety lysate in equal parts).
Inactivated hilus influenza lysate. 6.94 p.g/mL
Inactivated Streptococcus agalactiae lysate, inactivated 6.94 p.g/mL
Streptococcus mix (Streptococcus es,
Streptococcus pneumoniae and Enterococcus is)
lysate in equal parts.
Inactivated enteropathogenic (EPEC), "shiga-like" toxin 6.94 1.1g/mL
producer? (STEC),? enteroaggregative ? (EAEC),
enterotoxigenic (ETEC), enteroinvasive (EIEC) and
extraintestinal (ExPEC) Escherichia coli lysate in equal
parts.
s toxoid 50? units of
Lf/mL
Inactivated Proteus mirabilis, ? Proteus? vulgaris,? and 6.94 pg/mL
Proteus penerii lysate in equal parts.
Inactivated Salmonella typhi, Salmonella paratyphi and 6.94 .tg/mL
Salmonella enterica lysate in equal parts.
Inactivated Apergillus fumigatus, Apergillus flavus, and 6.941.1g/mL
Apergillus terreus lysate in equal parts.
Inactivated lysate of antigens of the measles virus 10,000
("Schwarz strain"). TDCI50/mL
Inactivated Candida albicans , vated Candida 6.94 ug/mL
parapsilosis lysate, inactivated Candida glabrata lysate
in equal parts.
Inactivated antigen of the Vaccinia (smallpox) virus 1? to? 10 x 109
lysate PFU/mL
Glycerol 500 mg/mL
Phenol 2.5 mg/mL
Water q.s.
Composition 30:
Component Concentration
Inactivated Apergillus fumigatus, Apergillus flavus, and 6.94 ug/mL
Apergillus terreus lysate in equal parts.
Inactivated Mycobacterium africanum lysate 0.004 ng/mL
Koch's Turberculin ivated Mycobacterium bovis 0.004 ng/mL
lysate).
Inactivated BCG lysate 50 mg/mL
Inactivated Mycobacterium tuberculosis lysate 0.004 ng/mL
Inactivated Streptococcus equinus, Streptococcus bovis, 6.94 ug/mL
and Streptococcus of the viridans group lysate in equal
parts.
Inactivated Staphylococcus aureus lysate, inactivated 6.94 ug/mL
Staphylococcus epidermidis lysate in equal parts.
Inactivated Neisseria itides lysate 6.94 gg/mL
eria toxoid 67? units? of
Lf/mL
Inactivated pathogenic (EPEC), "shiga-like" toxin 6.94 1.tg/mL
producer? (STEC),? enteroaggregative ? (EAEC),
enterotoxigenic (ETEC), invasive (EIEC) and
extraintestinal (ExPEC) ichia coli lysate in equal
parts.
Inactivated Epidermophyton floccosum, Microsporum 6.94 p.g/mL
cannis, Trichophyton mentagrophytes of the
interdigitale variety lysate in equal parts).
Inactivated Salmonella typhi, Salmonella paratyphi and 6.94 4g/mL
Salmonella enterica lysate in equal parts.
vated Acinetobacter baumannii lysate. 6.94 vg/mL
Inactivated Helicobacter pylori lysate. 6.94 ps/mL
Inactivated Haemophilus nza lysate. 6.94 gg/mL
Inactivated YF-17D lysate 3,000,000
PFU/mL
Inactivated lysate of antigens of the mumps virus (Urabe 50,000
AM9 strain) TDCI50/mL
Inactivated Polio virus lysate 40 UD of type I
antigens; ? 1.8
UD of type 2
antigens; 32 UD
of type 3
antigens
Inactivated Candida albicans lysate, inactivated Candida 6.94 mg/mL
parapsilosis lysate, inactivated Candida glabrata lysate
in equal parts.
Glycerol 500 mg/mL
Phenol 2.5 mg/mL
Water q.s.
Composition 31:
Component Concentration
Inactivated Salmonella typhi, Salmonella paratyphi and 6.94 p.g/mL
ella enterica lysate in equal parts.
Inactivated Mycobacterium leprae lysate 0.004 ng/mL
Koch's Turberculin (inactivated Mycobacterium bovis 0.004 ng/mL
lysate).
vated Mycobacterium tuberculosis lysate 0.004 ng/mL
PPD 0.004 ng/mL
Inactivated Staphylococcus aureus lysate, inactivated 6.94 tg/mL
Staphylococcus epidermidis lysate in equal parts.
vated Streptococcus pyogenes lysate, inactivated 6.94 }ig/mL
Streptococcus pneumonic lysate, Enterococcus faecalis
lysate in equal parts.
Diphtheria toxoid 67? units of
Lf/mL
Inactivated ria gonorrhoeae lysate 6.94 mg/mL
Inactivated Streptococcus tiae lysate, inactivated 6.94 ug/mL
Streptococcus mix (Streptococcus pyogenes,
ococcus pneumoniae and Enterococcus faecalis)
lysate in equal parts.
Inactivated mophyton floccosum, Microsporum 6.94 ug/mL
cannis, Trichophyton mentagrophytes of the
interdigitale variety lysate in equal parts).
Inactivated Neisseria meningitides lysate 6.94 ig/mL
Inactivated enteropathogenic (EPEC), "shiga-like" toxin 6.94 12g/mL
producer? (STEC),? enteroaggregative ? (EAEC),
enterotoxigenic , enteroinvasive (EIEC) and
extraintestinal (ExPEC) ichia coli lysate in equal
parts.
Inactivated Haemophilus influenza lysate. 6.94 p,g/mL
Inactivated? Proteus? mirabilis,? Proteus? vulgaris,? and 6.94 p.g/mL
Proteus penerii lysate in equal parts.
Inactivated Serratia marcencens e Serratia liquefaciens 6.94 p.g/mL
lysate
Inactivated Candida ns lysate, inactivated Candida 6.94 p,g/mL
parapsilosis lysate, inactivated Candida ta lysate
in equal parts.
Antigens of the rubella virus (Wistar RA 27/3M strain) 10,000
vate antigen of the Varicella zoster virus lysate 149 231
PFU/mL
Inactivated Apergillus fumigatus, Apergillus flavus, and 6.94 p.g/mL
Apergillus terreus lysate in equal parts.
Glycerol 500 mg/mL
Phenol 2.5 mg/mL
Water q.s.
Composition 32:
Component Concentration
Inactivated Candida albicans lysate, inactivated Candida 6.94 p.g/mL
ilosis lysate, inactivated Candida glabrata lysate
in equal parts.
Inactivated Mycobacterium avium lysate 0.004 ng/mL
Inactivated Mycobacterium kansasii lysate 0.004 ng/mL
Koch's Turberculin (inactivated Mycobacterium bovis 0.004 ng/mL
lysate),
Inactivated BCG lysate 50 mg/mL
vated Apergillus fumigatus, Apergillus , and 6.94 j.ig/mL
Apergillus terreus lysate in equal parts.
Inactivated Neisseria gonorrhoeae lysate 6.94 mg/mL
Tetanus toxoid 50? units? of
Lf/mL
Inactivated Streptococcus pyogenes lysate, inactivated 6.94 ug/mL
Streptococcus pneumonie lysate, Enterococcus faecalis
lysate in equal parts,
Inactivated Streptococcus equinus, Streptococcus bovis, 6.94 ug/mL
and Streptococcus of the viridans group lysate in equal
parts.
Inactivated Epidermophyton floccosum, Microsporum 6.94 ug/mL
cannis, Trichophyton mentagrophytes of the
igitale variety lysate in equal parts).
Inactivated Salmonella typhi, Salmonella paratyphi and 6.94 ug/mL
Salmonella enterica lysate in equal parts.
Inactivated Helicobacter pylori . 6.94 ug/mL
Inactivated Chlamydia trachomatis, Chlamydia psittaci, 6.94 Ilg/mL
and Chamydia pneumoniae lysate in equal parts.
Inactivated enteropathogenic (EPEC), -like" toxin 6.94 ug/mL
producer? (STEC),? enteroaggregative ? (EAEC),
enterotoxigenic , enteroinvasive (EIEC) and
extraintestinal (ExPEC) Escherichia coli lysate in equal
parts.
Inactivated? Klebsiella? oxytoca? and? Klebsiella 6.94 ug/mL
nia lysate in equal parts
ns of the rubella virus (Wistar RA 27/3M strain) 10,000
TDCI50/mL
Inactivated antigen of the Vaccinia pox) virus 1? to? 10? x? 109
lysate PFU/mL
Inactivated YF-17D lysate 3,000,000
PFU/mL
Glycerol 500 mg/mL
Phenol 2.5 mg/mL
Water q.s.
Com osition 33:
ent Concentration
Inactivated enteropathogenic (EPEC), "shiga-like" toxin 6.94 ug/mL
producer? (STEC),? enteroaggregative ? (EAEC),
toxigenic (ETEC), enteroinvasive (EIEC) and
extraintestinal (ExPEC) Escherichia coli lysate in equal
parts.
Inactivated Mycobacterium leprae lysate 0.004 ng/mL
Inactivated Mycobacterium avium lysate 0.004 ng/mL
Koch's Turberculin (inactivated Mycobacterium bovis 0.004 ng/mL
lysate).
Inactivated Mycobacterium tuberculosis lysate 0.004 ng/mL
Inactivated Neisseria meningitides lysate 6.94 lig/mL
Diphtheria toxoid 67? units of
Lf/mL
Tetanus toxoid 50? units of
Lf/mL
Inactivated Streptococcus pyogenes lysate, inactivated 6.94 ug/mL
Streptococcus pneumonic lysate, Enterococcus faecalis
lysate in equal parts.
Inactivated Apergillus fumigatus, Apergillus flavus, and 6.94 pg/mL
Apergillus terreus lysate in equal parts.
Inactivated Candida ns lysate, inactivated Candida 6.94 ug/mL
parapsilosis , vated Candida glabrata lysate
in equal parts.
Inactivated Shigella flexneri and Shigella sonnei lysate 6.94 mg/mL
in equal parts
Inactivated bacter pylori lysate. 6.94 ug/mL
Inactivated Serratia marcencens e Serratia liquefaciens 6.94 ug/mL
lysate
Inactivated ella typhi, Salmonella paratyphi and 6.94 1.1g/mL
Salmonella ca lysate in equal parts.
Inactivated antigen of the Vaccinia (smallpox) virus 1? to? 10? x 10 9
lysate PFU/mL
Inactivated antigen of HSV-I and HSV-II lysate 149 231
PFU/mL
Inactivated lysate of antigens of the measles virus 10,000
arz strain"). TDCI50/mL
Glycerol 500 mg/mL
Phenol 2.5 mg/mL
Water q.s.
Com osition 34:
Component Concentration
Inactivated Candida albicans lysate, vated a 6.94 pig/mL
parapsilosis lysate, inactivated Candida glabrata lysate
in equal parts.
Inactivated cterium africanum lysate 0.004 ng/mL
Inactivated Mycobacterium tuberculosis lysate 0.004 ng/mL
PPD 0.004 ng/mL
Inactivated BCG lysate 50 mg/mL
Tetanus toxoid 50 units of Lf/mL
Inactivated Streptococcus pyogenes lysate, inactivated 6.94 p,g/mL
Streptococcus pneumonia lysate, Enterococcus faecalis
lysate in equal parts.
Inactivated Salmonella typhi, Salmonella phi and 6.94 pg/mL
Salmonella enterica lysate in equal parts.
Inactivated enteropathogenic (EPEC), "shiga-like" toxin 6.94 pg/rnL
producer? (STEC),? enteroaggregative ? (EAEC),
enterotoxigenic (ETEC), enteroinvasive (EIEC) and
extraintestinal (ExPEC) Escherichia coli lysate in equal
parts.
Inactivated Neisseria meningitides lysate 6.94 14/mL
Diphtheria toxoid 67 units of Lf/mL
vated Streptococcus equinus, Streptococcus bovis, 6.94 pg/mL
and Streptococcus of the viridans group lysate in equal
parts.
vated Apergillus fumigatus, Apergillus flavus, and 6.94 p.g/mL
Apergillus terreus lysate in equal parts.
Inactivated Shigella flexneri and la sonnei lysate 6.94 ug/mL
in equal parts
vated Proteus ? mirabilis,? Proteus? vulgaris,? and 6.94 ug/mL
Proteus penerii lysate in equal parts.
Inactivated surface antigen of the hepatitis B (HBs AG) 200 ug/mL
virus lysate
Inactivated lysate of antigens of the s virus 110,000
("Schwarz strain"). TDCI50/mL
Inactivated YF-17D lysate 3,000,000
PFU/mL
Glycerol 500 mg/mL
Phenol 2.5 mg/mL
Water q.s.
Composition 35:
Component tration
Inactivated Candida albicans lysate, inactivated Candida 6.94 ps/mL
parapsilosis lysate, inactivated Candida glabrata lysate
in equal parts.
PPD 0.004 ng/mL
Inactivated BCG lysate 50 mg/mL
Koch's Turberculin (inactivated Mycobacterium bovis 0.004 ng/mL
lysate).
Inactivated Mycobacterium ulosis lysate 0.004 ng/mL
Inactivated Streptococcus pyogenes lysate, inactivated 6.94 ug/mL
Streptococcus pneumonie lysate, Enterococcus faecalis
lysate in equal parts.
Inactivated Staphylococcus aureus lysate, inactivated 6.94 pig/mL
Staphylococcus epidermidis lysate in equal parts.
Inactivated Epidermophyton floccosum, Microsporum 6.94 [ig/mL
cannis, Trichophyton mentagrophytes of the
interdigitale variety lysate in equal parts).
Inactivated Neisseria meningitides lysate 6.94 p.g/mL
s toxoid 50? units of
Lf/mL
Diphtheria toxoid 67? units of
Lf/mL
Inactivated Streptococcus equinus, Streptococcus bovis, 6.94 .ig/mL
and ococcus of the viridans group lysate in equal
parts.
vated Serratia marcencens e Serratia liquefaciens 6.94 I_tg/mL
lysate
Inactivated Acinetobacter baumannii lysate. 6.94 p.g/mL
Inactivated enteropathogenic , "shiga-like" toxin 6.94 1.tg/mL
producer? (STEC),? enteroaggregative ? (EAEC),
enterotoxigenic (ETEC), enteroinvasive (EIEC) and
extraintestinal (ExPEC) Escherichia coli lysate in equal
parts.
Inactivated Salmonella typhi, Salmonella phi and 6.94 pg/mL
Salmonella enterica lysate in equal parts.
Inactivated YF-17D lysate 3,000,000
PFU/mL
Inactivated Apergillus fumigatus, Apergillus flavus, and 6.94 l_tg/mL
Apergillus terreus lysate in equal parts.
Inactivated lysate of antigens of the mumps virus (Urabe 50,000
AM9 strain) TDCI50/mL
Inactivated antigen of the Vaccinia pox) virus 1? to? 10? x 109
lysate PFU/mL
Glycerol 500 mg/mL
Phenol 2.5 mg/mL
Water q.s.
Composition 36:
Component Concentration
Inactivated llus fumigatus, Apergillus flavus, and 6.94 p.g/mL
llus terreus lysate in equal parts.
Koch's Turberculin (inactivated Mycobacterium bovis 0.004 ng/mL
lysate).
Inactivated Mycobacterium tuberculosis lysate 0.004 ng/mL
Inactivated BCG lysate 50 mg/mL
PPD (purified protein derivative) 0.004 ng/mL
Inactivated Streptococcus pyogenes lysate, inactivated 6.94 ug/mL
Streptococcus pneumonic lysate, Enterococcus faecalis
lysate in equal parts.
Inactivated Chlamydia trachomatis, Chlamydia ci, 6.94 n/mL
and Chamydia pneumoniae lysate in equal parts.
Inactivated Epidermophyton floccosum, Microsporum 6.94 1.tg/mL
, Trichophyton mentagrophytes of the
igitale variety lysate in equal .
Bordetella pertussis toxoid 75 ug/mL
Inactivated Haemophilus nza lysate. 6.94 ug/mL
Streptokinase derived from inactivated emolytic 0.444 ktg/mL
Streptococcus lysate purification.
Dornase? derived? from? inactivated? beta-hemolytic 0.111 ug/mL
Streptococcus lysate purification.
Inactivated Salmonella typhi, Salmonella paratyphi and 6.94 1.1g/mL
ella enterica lysate in equal parts.
Tetanus toxoid 50? units? of
Lf/mL
Inactivated surface antigen of the hepatitis B (HBs AG) 200 ps/mL
virus lysate
vated enteropathogenic (EPEC), "shiga-like" toxin 6.94 Rg/mL
producer? (STEC),? enteroaggregative ? (EAEC),
enterotoxigenic (ETEC), enteroinvasive (EIEC) and
extraintestinal (ExPEC) Escherichia coli lysate in equal
parts.
Inactivated Candida albicans lysate, inactivated Candida 6.94 vg/mL
parapsilosis , inactivated Candida glabrata lysate
in equal parts.
Inactivated Polio virus lysate 40 UD of type I
antigens; 1.8
UD of type 2
antigens; 32 UD
of type 3
antigens
Inactivated antigen of the Vaccinia (smallpox) virus 1? to? 10? x? 109
lysate PFU/mL
Inactivated YF- I 7D lysate 3,000,000
PFU/mL
Glycerol 500 mg/mL
Phenol 2.5 mg/mL
Water q. s.
When there are parasitic diseases, associated or to be fought, the formulations will
preferentially contain antigenic agens of parasitic origin. In this case, according to the
concept bed in the present invention, the formulations should se nic
agents originating from the most ent parasites for which the individuals have
more memory cells, according to the geographic bution and the local and regional
human development (developed or non-developed countries). Such parameters are
determinant for the occurrence of these parasites and the existence of corresponding
memory cells in the immune system of the population of a given .
Composition 37: Association of Composition 2 with:
ent Concentration
Inactivated Toxoplasma gondii lysate 400 .I.,g/mL
Composition 38: Association of Composition 3 with:
Component Concentration
Inactivated Giardi lamblia lysate 400 pig/mL
Composition 39: Association of Composition 4 with:
Component Concentration
Inactivated Entamoeba histolytica lysate 400 p.g/mL
Composition 40: Association of Composition 5 with:
Component Concentration
Inactivated Ascaris lumbricoides lysate 400 i_tg/mL
Composition 41: Association of Composition 6 with:
Component Concentration
vated Enterobius vermicularis lysate 400 1.tg/mL
Composition 42: Association of Composition 7 with:
Component Concentration
Inactivated Entamoeba histolytica lysate 400 ug/mL
Inactivated Ascaris lumbricoides lysate 400 ug/mL
Composition 43: Association of Composition 8 with:
Component tration
Inactivated Giardi lamblia lysate 400 ug/mL
Inactivated bius vermicularis lysate 400 .xg/mL
Composition 44: Association of ition 9 with:
Component Concentration
Inactivated Strongyloides stercoralis lysate 400 ug/mL
Inactivated Entamoeba histolytica lysate 400 pg/mL
Composition 45: Association of Composition 10 with:
Component Concentration
Inactivated a lamblia lysate 400 ig/mL
Inactivated Ascaris lumbricoides lysate 400 tg/mL
ition 46: Association of Composition 11 with:
Component Concentration
Inactivated Toxoplasma gondii lysate 400 ug/mL
Inactivated Entamoeba ytica lysate 400 [tg/mL
Composition 47: Association of Composition 12 with
Component Concentration
Inactivated Strongyloides stercoralis Iysate 400 ug/mL
Inactivated Cryptosporidium spp. lysate 400 ug/mL
Composition 48: Association of Composition 13 with:
Component Concentration
Inactivated Ascaris lumbricoides lysate 400 p,g/mL
Inactivated Toxoplasma gondii lysate 400 ughnL
Composition 49: ation of ition 14 with:
Component Concentration
Inactivated Entamoeba histolytica lysate 400 vg/mL
Inactivated Giardia lamblia lysate 400 [tg/mL
Composition 50: Association of ition 15 with:
Component Concentration
vated Strongyloides stercoralis lysate 400 !ig/mL
Inactivated Enterobius ularis lysate 400 vg/mL
Composition 51: Association of Composition 16 with:
Component Concentration
Inactivated Trichomonas vaginalis lysate 400 m/mL
Inactivated Ascaris lumbricoides lysate 400 ug/mL
Composition 52: Association of Composition 17 with:
Component Concentration
Inactivated Entamoeba histolytica lysate 400 ug/mL
Inactivated Ascaris lumbricoides lysate 400 pz/mL
vated Enterobius vermicularis lysate 4001.tg/mL
Composition 53: Association of Composition 18 with:
Component Concentration
Inactivated Giardia lamblia lysate 400 lig/mL
Inactivated Enterobius vermicularis lysate 400 ug/mL
Inactivated Toxoplasma gondii lysate 400 ug/mL
Composition 54: ation of Composition 19 with:
Component Concentration
Inactivated Strongyloides stercoralis lysate 400 1.tg/mL
Inactivated Entamoeba histolytica lysate 400 ug/mL
Inactivated Giardia lamblia lysate 400 lig/mL
Composition 55: Association of Composition 20 with:
Component Concentration
Inactivated Giardia lamblia lysate 400 p g/mL
Inactivated Ascaris lumbricoides lysate 400 pig/mL
Inactivated Strongyloides stercoralis lysate 400 pgimL
Composition 56: Association of Composition 21 with:
ent Concentration
Inactivated Toxoplasma gondii lysate 400 p g/mL
Inactivated Entamoeba histolytica lysate 400 p g/mL
Inactivated Giardia lamblia lysate 400 ps/mL
Composition 57: Association of ition 22 with:
Component tration
Inactivated yloides stercoralis lysate 400 p.g/mL
Inactivated Cryptosporidium spp. lysate 400pg/mL
Inactivated Entamoeba ytica lysate 400 pg/mL
Composition 58: Association of Composition 23 with:
Component Concentration
Inactivated Ascaris Iumbricoides lysate 400 p,g/mL
Inactivated Toxoplasma gondii lysate 400 pLg/mL
Inactivated Enterobius ularis lysate 400 p. g/mL
Composition 59: Association of Composition 24 with:
Component Concentration
Inactivated Entamoeba histolytica lysate 400 p.g/mL
Inactivated Giardia lamblia lysate 400 ilg/mL
Inactivated Ascaris coides Iysate 4001.1.g/mL
Composition 60: Association of Composition 25 with:
Component Concentration
Inactivated Strongyloides stercoralis lysate 400 p.g/mL
Inactivated Enterobius vermicularis lysate 400 p.g/mL
Inactivated eba histolytica lysate 400 p.g/mL
Composition 61: Association of Composition 26 with:
Component Concentration
Inactivated Trichomonas lis lysate 4001Ag/mL
Inactivated Ascaris lumbricoides lysate 400 p.g/mL
Inactivated Giardia lamblia lysate 400 p.g/mL
Composition 62: Association of Composition 27 with:
Component Concentration
vated Entamoeba ytica lysate 400 pg/mL
Inactivated Ascaris lumbricoides lysate 400 pgimL
Inactivated bius vermicularis lysate 400 pgimL
Inactivated Cryptosporidium spp. lysate 400 pg/mL
Composition 63: Association of Composition 28 with:
Component Concentration
Inactivated Giardia lamblia lysate 400 tg/mL
Inactivated Enterobius vermicularis lysate 400 pg/mL
Inactivated Toxoplasma gondii lysate 400 pgimL
Inactivated Ascaris lumbricoides lysate 400 pg/naL
Composition 64: Association of Composition 29 with:
Component Concentration
Inactivated Strongyloides stercoralis lysate 400 p.g/mL
Inactivated Entamoeba ytica lysate 400 pg/mL
Inactivated Giardia lamblia lysate 400 1.1g/mL
Inactivated Enterobius vermicularis lysate 400? t/mL
Composition 65: Association of Comp osition 30 with:
Component Concentration
Inactivated Giardia a lysate 400 pg/mL
Inactivated Ascaris lumbricoides lysate 400 pgimL
Inactivated yloides stercoralis lysate 400 1.tg/mL
vated Entamoeba histolytica lysate 400 p.g/mL
Composition 66: Association of Composition 31 with:
Component Concentration
Inactivated Toxoplasma gondii lysate 400 p,g/mL
Inactivated Entamoeba ytica lysate 400 1.1g/mL
Inactivated Giardia lamblia lysate 400 pg/mL
Inactivated Enterobius vermicularis lysate 400 1..tg/mL
Composition 67: ation of Composition 32 with:
Component Concentration
Inactivated Strongyloides stercoralis lysate 400 ..ig/mL
Inactivated Cryptosporidium spp. lysate 400 pgimL
Inactivated Entamoeba histolytica lysate 4001..tg/mL
Inactivated Ascaris coides lysate 400 ug/mL
Composition 68: Association of Composition 33 with:
ent Concentration
Inactivated Ascaris lumbricoides lysate 40014/mL
Inactivated Toxoplasma gondii lysate 400 p,g/mL
Inactivated Enterobius ularis lysate 400 pg/mL
Inactivated Cryptosporidium spp. lysate 4001.tg/mL
Composition 69: Association of Comp osition 34 with:
Component Concentration
Inactivated Entamoeba histolytica lysate 400 p.g/mL
Inactivated Giardia lamblia lysate 400 ug/mL
Inactivated Ascaris lumbricoides lysate 40014/mL
Inactivated Trichomonas vaginalis lysate 400 µg/ L
Composition 70: Association of Composition 35 with:
Component Concentration
Inactivated Strongyloides stercoralis lysate 400 p.g/mL
Inactivated Enterobius ularis lysate 400 ug/mL
Inactivated Entamoeba histolytica lysate 400 pg/mL
Inactivated sporidium spp. lysate 400 p.g/mL
Composition 71: Association of Composition 36 with:
Component Concentration
Inactivated Trichomonas vaginalis lysate 400 lig/mL
Inactivated s lumbricoides lysate 400 Rg/mL
Inactivated Giardia lamblia lysate 400 lig/mL
Inactivated Strongyloides stercoralis lysate 400 1.1g/mL
Exemplo 2: Experimental ent model of melanoma on mice using the DECA
antigenic composition
Animals
Specific Pathogen free (SPF) C57BL6 female mice were used (25 — 35g, 8-12 weeks).
The animals were kept within a temperature and humidity controlled environment (22 ±
2 °C and 60 — 80%, respectively), with a 12-hour light/dark cycle, with free access to
water and food up to the moment of the experiment.
Induction of Murine melanoma
Melanoma cells of the B16-F10 cell line were inoculated on day zero (1 x 106 cells in
100 uL of e medium per animal), aneously (s.c.) in the back of the
C57BL/6 male mice (Lee, Y.S., et al. ssion of tumor growth by a new
glycosaminoglycan isolated from the African giant snail Achatina fulica. European
Journal of Pharmacology, 465: 191- 198, 2003). The animals (n=8 per group, table 3)
were treated from the 7th day (and every 4 days afterwards) with excipient ol),
DECA, or L2, as shown on the scheme on table 1. The DECA+IL2 group
received also daily injections of IL-2 (20,000 UI, twice a day, subcutaneously). The
tumor volumes were evaluated with the assistance of a digital caliper and determined
(mm3) according to the following formula: tumor volume (mm 3) = width x length x 0.5
(Lee, Y.S., et al. Suppression of tumor growth by a new glycosaminoglycan isolated
from the African giant snail Achatina fulica. European Journal of Pharmacology, 465:
191- 198, 2003). The volume of the solid tumor mass was evaluated every 3 days
during the 28 day period after the ion of tumoral cells. The survival rate of the
animals was ted for a period of 30 days after the injection of the tumoral cells.
Table 1. Treatment scheme
Start on the 7 th day and subsequently every 4 days
Control GROUP ient)
1 St Systemic saline - 24 intradermal injections of saline solution (NaCL 0.9% sterile) in
pre-determined points in the dorsal and ventral regions.
2nd Intratumoralsaline — two injections (one 0.02mL injection at the center of the lesion
and one 0.02mL injection at the base of the lesion)
3 rd Perilesional saline (6 ation points — with the goal of circling the tumor)
DECA GROUP
1 st Systemic DECA 24 intradermal injections of DECA on (sterile) in predetermined
points in the dorsal and ventral regions. 2 nd Intratumoral DECA — two
injections (one 0.02mL injection at the center of the lesion and one 0.02mL injection at
the base of the lesion). 3 rd PerilesionalDECA (6 application points).
DECA + IL-2 GROUP
1 st Systemic DECA 24 intradermal injections of saline solution (NaCL 0.9% sterile)
in pre-determined points in the dorsal and ventral regions.
2nd Intratumoral DECA — two injections (one 0.02mL ion at the center of the
lesion and one 0.02mL injection at the base of the lesion)
3 rd Perilesional DECA (6 application points — with the goal of ng the tumor)
46 Intratumoral IL-2 20,000 UI (0.02mL injection at the center of the tumor)
th Perilesional IL-2 20,000 UI (1 application point close to the region surrounded by
the DECA application
6th Intraperitonial IL-2 20,000 UI
OBS.: Daily from the 7 th day: 20 000 IU of intraperitoneal IL-2 y)
Results
The results demonstrated that 28 days after the inoculation of the tumoral cells the
tumor volume reached its peak of 6,728,65 ± 2,027.01 mm 3 (mean ± SEM), with a
33,3% survival rate of the animals (3 of the 9 animals part of the study remained alive
days after the inoculation with the B 1 6F10 cells) (Figure 1). Despite the lack of a
significant statistic difference, the group of animals that received the DECA treatment,
on the 28 th day after the start of the model presented a l mass of or volume,
when compared to the control group (3,524.87 ± 871.01 trun 3) and a survival rate of
50% (5 of the 10 animals part of the study). It's important to mention that gh it's
not significant, there was, on the 28 th day, a 47.6% inhibition on the tumor volume
(when compared with the control group) and that the lack of significance may be the
result of the rd error of the mean shown by the control group. For the DECA+IL-
2 group, the s showed that the association was capable of reducing the the tumor
volume in a significant way from the 13 th day (57% inhibition) up to the 28 th day, when
an imately 67% inhibition was observed (2,198.36 ± 450.39 mm3) with a
al rate of 80% (8 of the 10 animals that were part of the study), Furthermore, the
animals showed a good tolerance to the repeated treatment with IL-2. In clinical
practice IL-2 is administered in a high dosage (600,000 — 720,000 UI/Kg) and the toxic
symptoms observed are comparable to the induction of a controlled state of septic
shock (low blood re, low systemic vascular resistance, liver and renal toxicity,
beside pulmonary edema) berg SA, Yang YC, Topalian SL, et al. Treatment of
283 consecutive patients with metastatic melanoma or renal cell cancer using high-dose
bolus interleukin-2. JAMA, 271: 3, 1994). The analysis presented on figure 1B
corroborates the data of figura 1 A, showing that the volume reduction is related to the
reduction of the tumor growth rate (for the DECA+IL-2 group).
Overall, the results demonstrated that treatment with the DECA+IL-2 combination,
besides reducing the growth rate/tumor volume (Figure 1) increased the survival rate of
the animals when compared with the control group (excipient) (Figure 2), ting it
is beneficial for the treatment of melanoma.
Example 3: Treatment of metastatic malignant melanoma in the fourth recurrence
Patient data
Patient MBS, 46 years old, .
Diagnosis
Metastatic malignant melanoma in the fourth recurrence, of Clark level III and Breslow
of 1.32 mm2 diagnosed on 16/05/2006.
Previous convencional treatment
a. First surgical oncologic treatment
Surgery was carried out on 2006, for the expansion of the margin at the site of
the tumor with sentinel lymph node biopsy, which proved negative for ancy.
Complementary immunohistochemical pathologic examination of the lymph node
showed the presence of micrometastases, the greatest of 0.17 mm, confirming, a
posteriori, the diagnosis of metastatic and immunogenic malignant melanoma, by the
presence of the antigen Melan A.
b. Second surgical oncologic treatment
On 20/02/2008 an extraction was performed of two superficial nodules suspected of
recurrence in the left thigh, and the pathologic examination revealed a sis of
atic malignant melanoma. An extension of the al margin was then
performed, with biopsy, of all the lesions operated on, on 09/04/2008.
c. Third surgical oncologic treatment
Eight months later (15/10/2008) there was a second recurrence in the skin of the left
thigh, which showed metastatic malignant melanoma, with a lesion coincident with the
surgical . Again, an enlargement of the surgical margin was held, and in
27/11/2008 a ogic examination revealed no remnants of tumor in the surgical
margin.
d. Fourth surgical oncologic treatment
On 13/05/2010 a new lesion was was diagnosed in the gluteal region, and surgically
removed on 19/05/2010 t a freezing test. The new specimen showed metastatic
melanoma with compromised surgical margins, indicating the third recurrence of the
disease.
e. Results of the fourth surgical oncologic ent, DECA pre-administration.
On 23/06/2010 a PET/CT exam was med which showed that it was a tumoral
lesion, proving the fourth tumor recurrence. The short time in which the fourth
recurrence formed from a residual lesion showed the aggressive nature of the metastatic
cells.
DECA pre-administration immunological evaluation
The logical evaluation consisted in part of in vitro blood tests (complete blood
count, lymphocyte phenotyping, immunoglobulin dosage, RAST test (allergy), acute
phase protein electrophoresis and of munity testing) and in vivo (delayed
hypersensitivity primary and secondary test).
The delayed hypersensitivity tests were performed with a secondary battery of nine
ns (administered att 0.1 cc): 1) Koch's tuberculin 1:100,000; 2) PPD 20UI/mL; 3)
Staphylococcal toxin 1:100; 4) streptococcal toxin 1:100; 5) streptokinase/Dornase
40/10 UDS/mL; 6) Oidiomycin 1:100; 7) trichophytin 1:100; 8) Escherichia coli 1:100;
9) Salmonella spp. 1:100.
Tests for delayed primary hypersensitivity were performed using cutaneous DNCB
0.5% and 2% s.
The result of the immunological evaluation expressed a change in the acute phase
proteins, with an increase in ESR, CRP, alphaacid glycoprotein, showing a systemic
inflammatory effect from the tumor growth, after surgery, according to blood tests
performed on 12/06/ 2010.
The evaluation of primary hypersensitivity proved to be abolished. The secondary
systemic delayed ensitivity showed a decrease of +/++ to +++++ for ellular
antigens and a normal + to other antigens, at a distance from the tumor. In areas
of relapses all antigens showed a much reduced se of 0/+ for intracellular
antigens and of +/+++ to +++++ to other antigens. In the moral region the
reaction proved to be virtually abolished, with 0/0 for intracellular antigens and 0/+ to
other antigens.
These results,of the d secondary hypersensitivity, also showed a significant
immunosuppression.
Treatment with DECA
Started on 26/06/2010 and ended on 04/08/2010 in the waiting period for the release of
the health insurance arrangements for surgery. The immunotherapy treatment was
carried out with the free and informed consent of the patient. The DECA
immunotherapy was carried out as follows:
• Application of 1.8 cc of the antigenic composition divided into 2 ations of 0.9
ml near the 10 major lymphatic territories.
• 3-4 cm distance margin between applications to facilitate the g of the evolution
of the treatment at an al of 4±1 days.
• Administration of nine extra 1.8 cc perilesional sets, in two applications of 0.9 cc per
set, bypassing the scars of the primary tumor's surgery, of the second and third
recurrence, as well as the region of the fourth and fifth recurrence, also with an interval
of 4±1 days.
• Based on the evaluation of the second application, a joint intratumoral application was
made with a volume equivalent to ten compositions of 1,8ml.
• ation of recombinant human interleukin-2 at low doses, at a receptor saturation
level with a concentration of 1 to 2 million units per meter of body surface located at 5
cm from the lesion. For the patient, 1 million units were applied daily, subcutaneously.
In the days of the antigen application, after the ation, two extra doses of 1 million
units were given, one in the intraperilesional region and another in the intratumoral
area. On these occasions these applications totaled 3 million units, still within the limits
of the recommended low dose by body surface.
Thus, up to the time of surgery, 11 sessions of systemic and perilesional
immunotherapy were applied, from 24/06/2010 to 2010, and also 5 concurrent
intratumoral applications at a 4±1 day interval, or one day after the systemic and
perilesional applications.
It is interesting to mention that the Doppler ound examinations (on 19/07/2010
and 04/08/2010) suggest the transformation of the tumor into an inflammatory area
with no angiogenesis.
Evaluation of the DECA immunotherapy ent
On the fifth surgery on 05/08/2010, the frozen section exam showed no tumor in the
treated area, which underwent only a conservative removal of the matory lesion.
Result of the DECA immunotherapy treatment
The postoperative pathological examination on 05/08/2010 showed the presence of
palisading granuloma with central necrosis, skin with dense chronic inflammatory
infiltrate involving the foreign body of the giant cell granuloma described above,
absence of residual neoplasia and cancer-free surgical s.
The immunohistochemical examination revealed the complete absence of tumor cells
from the surgically removed tissue previously treated with DECA according to the
limits of available diagnostic ques (Figure 3).
After the first two applications of the ol described above, the t recovered
from the observed immunosuppression, evidenced by the normalization and
hyperactivation of all the ation points of the immunotherapy, like a normal
patient. These results demonstrate the recovery of the patient's T loop and of the whole
TH1 e cell immunity that was overwhelmed by the tumor. Concomitantly, the
immunotherapy generated an inflammatory process involving the entire tumor,
completely necrotizing it and eliminating it as shown by the ultrasound exams and
proven by histological examination.
From 07/08/2010 to 30/11/2011 the patient was treated in the same systemic and
perilesional way, twice a week and with a recombinant human eukin-2 dose below
the er saturation level, with 600,000 units daily. Since then, the t receives a
weekly administration of antigens and a daily administration of interleukin 2. Thus, the
patient has been tumor free for 18 months.
Conclusion of the case
The evaluated data and clinical outcome of patients, so far, strongly suggest that the
immunotherapy with the immunogenic compositions of the present invention was
responsible for the elimination of the tumor.
Example 4: Fighting a malignant melanoma
t data
Patient PPC, 62 years old, male.
Diagnosis
Malignant melanoma of Clark level II and Breslow 1.2 mm 2 diagnosed on 02/02/2011.
Previous treatments
In this case no prior treatment was performed because the DECA immunotherapy was
performed before cancer surgery of the primary tumor after the application of the term
of free and informed t.
DECA pre-administration immunological evaluation
As there was no time for a prior immunological assessment because of the need to have
the surgery in the shortest time possible, this evaluation was performed by reading the
antigens d during the DECA treatment.
Pre-oncological surgery DECA treatment
In the preoperative period (10/02/2011 to 17/02/2011) treatment of the patient was
d on the following basis:
• Application, along the 10 major lymphatic territories, of 1.8 cc of formulation 1 or
DECA, divided into 2 applications of 0.9 cc.
3-4 cm distance margin between applications to facilitate the reading of the evolution
of the treatment at an interval of 4±1 days.
? Administration of 2 extra 1.8 cc sets of DECA divided into two ations 0.9 cc
for each composition, bypassing the tumor melanoma on the first day of treatment.
• umoral application of five DECA compositions of 1.8 cc each, with a final
volume of 9.0 cc.
• Application of low doses, at a receptor saturation level with a concentration of 1 to 2
million units per m2 of body surface located at 5 cm from the . For the patient, 1
million units were d daily, subcutaneously.
Thus, by the time of surgery, 2 sessions of systemical immunotherapy, 1 session of
perilesional immunotherapy, and 1 session of intratumoral immunotherapy were
applied, these latter two being applied on the first day of treatment. A daily application
of recombinant human interleukin-2 was associated to this treatment, in the dosage and
manner described above.
Result of the pre-oncological y immunotherapy treatment with DECA
In this 8 day period of therapy, the t responded well to the immune treatment
with total sion of the malignant melanoma. The lesion in the tumor transformed
part progressed with an intense local inflammatory process that necrosated and
disappeared giving way to the inflammatory process described in surgical pathology. It
is necessary to mention that the patient showed during this period: episodes of high and
low fevers and intense matory ipsilateral inguinal adenopathy.
Conventional surgical cancer treatment
A complete excision of the primary tumor was ed, with a wide surgical margin
of safety, with intrasurgical sentinel lymph node survey.
Conventional oncological surgery of the primary tumor
On 18/02/2011 the patient was operated on and a te excision of the tumor was
performed, with a wide margin of , and the survey of two satellites nodes
revealed negative for malignancy. For this reason the ganglion ng was not
med.
Results of the conventional oncological surgery of the primary tumor
Pathological examination confirmed complete tumor sion stating:
• on the skin: inflammatory changes with an ulceration area covered by a fibrinleukocyte
cap, presenting an exuberant granulation tissue at the base with mixed
inflammatory infiltrate. This infiltration permeates and extends throughout the
epithelium at the edges of this ulcer, also with multinucleated giant cells of a n
body type. The whitish domed region described in the microscopy corresponds to a
seborrheic keratosis of the papillomatous type with acanthosis, hyperkeratosis and
papillomatosis of the epidermis. All the skin was subjected to a ogical
examination with no residual melanocytic sia being found.
• in the sentinel lymph node I: extensive fibrosis of the hilar region and subcapsular and
sinus histiocytosis, with no metastatic deposits being identified by morphological
examination;
• in the sentinel lymph node II: histological findings similar to those described in I, not
having metastatic deposits in the morphology.
On this date the immunohistochemical examination of sentinel nodes I and II showed
no melanoma mierometastases.
The immunohistochemical examination of the primary tumor revealed complete
absence of tumor cells on surgically removed tissue previously treated with DECA
according to the limits of available diagnostic ques (Figure 4).
Pre-oncologic surgery results of the DECA treatment of the primary tumor
These data produced by surgery within the context and limitations of diagnostic
techniques available, showed surprising results by not detecting the primary tumor after
treatment with DECA immunotherapy.
Post-oncologic surgery DECA treatment
With this complete tumor regression result the immune treatment was continued on the
following bases:
• Application, along the 10 major lymphatic territories, of 1.8 cc of the DECA
composition divided into 2 applications of 0.9 cc.
• 3-4 cm distance margin n applications to facilitate the g of the evolution
of the treatment at an al of 4±1 days.
• Administration of two extra perilesional compositions of 1.8 cc each, with two
applications of 0.9 cc per composition, bypassing the large surgical scar with no space
between them, also with an interval of 4±1 days
• Daily ation of human recombinant eukin 2 in low doses, at a receptor
saturation level with a concentration of 1 to 2 million units per of body surface located
at 5 cm from the surgical scar. 1 million units per m 2 of body surface per application
were used for the patient.
Post-oncological surgery results of the DECA treatment
The surgical area of the removal of the satellite nodes in the al region evolved
with the formation of a fluid collection, confirmed on 16/03/2011 by ultrasonography
that showed: simple cystic formation with 6.0 x 5.2 x 3.1 cm, with blurring of adjacent
fat planes and no abnormal arization or tumor type vascular tions were
observed by color Doppler.
This collection described above evolved with local inflammatory process, reducing its
size and increasing the inflammatory adenopathy ed by ultrasonography on
28/03/2011. No abnormal vascularization in this formation was detected by color
Doppler. Regarding the exam on 16/03/2011 it is noted: 1) marked ion of the
formation that previously had a cystic aspect, suggesting significant reabsorption,
organization and favoring an inflammatory/reactive hypothesis (post-surgical
collection); it was also observed in the region of the left inguinal lymph nodes 2)
increased size of the lymph nodes, preserving a vascularized hilum and a reactive
aspect, situated medial and proximal to the aforementioned formation measuring 1,6 x
0,8 cm and 2.4 x 1.7 cm.
The immunological treatment was continued until 31/07/2011, and the physical
examination revealed complete regression of the lesions and a transformation of an
intense al lymphadenopathy reaction into a al regional lymphadenopathy
reaction.
On the 5 and 8 July 2011, the repetition of the PET/CT and of the soft-tissue "doppler"
color ound, of the left leg and of the left inguinal region, respectively, med
the inflammatory nature and te regression of the lesions, leaving only the
al reaction inflammatory adenopathy. There was also a regression of the diffuse
increase in lic activity in the bone marrow of the axial and appendicular
skeleton, showing an effect of bone marrow stimulation by DECA, in the renewal of
the immune response, which demonstrates its ability to stimulate and regenerate
tissues.
Discussion of the results of the DECA ent, pre- and post- conventional
oncological surgery
It is a case of malignant melanoma of approximately 1 cm, which underwent a single
biopsy without surgical treatment. This tumor was the target of an immunotherapy
treatment with a battery of 9 antigens associated with reduced doses of recombinant
human interleukin-2 as described above. This treatment caused an intense
matory reaction involving the entire lesion, g to necrosis and ulceration of
the whole tumor area that disappeared within 8 days of the treatment.
After this period the patient underwent surgery and the pathological examination
confirmed the replacement of tumor tissue with ulceration with a total absence of tumor
cells, surrounded by intense inflammation with characteristics of foreign body
granuloma (Figure 4B),
Pathological examination of two sentinel lymph nodes proved the reactive lymphoid
hyperplasia with an intense and subcapsular sinus histiocytosis, and extensive fibrosis
of the hilar region, no metastatic deposits being identified. The immunohistochemical
examination confirmed the finding ming the absence of micrometastases in these
lymph nodes.
The region from where the satellite lymph nodes were removed evolved with the
formation of a fluid collection shrouded in an inflammatory process with increased
reactional inflammatory locoregional lymphadenitis showing a good immune response.
With continued ent, an intense inflammatory process nded this fluid
tion g its regression and absorption, accompanied by a non-tumoral
inflammatory reaction of the satellite lymph nodes.
The ultrasonography Doppler exams and the PET-CT demonstrate the suggested the
orous inflammatory aspect by proving the absence of a tumor mass. These tests
show that the intense regional lymphatic reaction and sed bone marrow ty
demonstrate a strong and effective anti-tumor immune response.
Conclusion of the case
The evaluated data, and the clinical outcome to date, ly suggest that the
immunotherapy using the compositions of the t invention, as the only treatment
used in pre-cancer surgery of the primary tumor, was responsible for the observed
tumor ation in 8 days.
Example 5: Fighting an advanced microtubular gastric adenocarcinoma with peritoneal
carcinomatosis and intra-abdominal lymphatic metastatic spread
Patient data
Patient R M, 72 years old, male.
Diagnosis
Advanced microtubular c adenocarcinoma with peritoneal carcinomatosis and
intra-abdominal lymphatic metastatic spread.
Performed tests
a. Conventional upper gastrointestinal endoscopy and pathological
Upper gastrointestinal endoscopy on 12/06/2008 showed an ed and stenosing
gastric antrum neoplasm confirmed by pathological examination on 13/06/2008, and
the biopsy showed:
b. Conventional imagiology
On 20/06/2008 a preoperative tomography abdomen and pelvis was done for checking
the stage of the gastric cancer, with the conclusion that it was an advanced gastric
carcinoma with peritoneal carcinomatosis by disseminating uity and extensive
lymphatic nodes in le areas measuring 4 cm the largest of them (Figure 5, Al -
A3).
c. Postoperative immunological evaluation
The first tation was held on 23/07/2008 after surgery, and tional tests and
immunological tion on 24/07/2008.
Traditional tests showed a mild microcytic anemia (Hb — 11.7 g/dL (NV = 13-18 g/dL,
HT = 37.1% (NV = 40-54%) and VCM = 70 U 3 (NV = 80 to 97 U3 ) and
hyperthrombocytosis (755,000 (NV = 150,000 to 450,000/mm 3)), lymphocytosis
(9.100/mm3 (NV = 4,000 to 11,000/mm3), hyperglycemia (155 mg/dL (NV = up to 99
mg/dL), elevated ESR 110 mm / h, elevated uric acid (7.3 mg/dL (NV = up to 7.0
mg/dL), elevated CRP (0.6 mg/dL VN which is up to 0.5 mg/dL), high alpha-l-acid
glycoprotein (141 mg/dL (NV = up to 140 mg/dl) and ed amylase with 170 U/L
(NV = 25 to 125 U/L).
The immunological evaluation was performed after y with the following in vitro
tests (blood tests) and in vivo (primary and secondary hypersensitivity).
In vitro tests consisted of; ent T globulin levels that appear adjacent to
the maximum normal values (Ig A 324 (NV = 82-453), Ig G 1476 (NV = 751-1560),
IgM 200 (NV = 46-304) and Ig E 61.89 (NRV = 100)), RAST negative to all tests,
beta-2 microglobulin 2496 (NV = up to 2030) normal immunophenotyping of CD3 + T
lymphocytes, with normal CD4 + cells (43.3% (845/mm 3) NV = 27-57% (560 to 2700/
mm3)), decreased CD8 + in te and relative values (242/ mm 3 NV = 14-34% (330-
1400 / mm 3) and a high CD4+/CD8+ ratio (3.49 VN = 0.98 to 3.24).
In vivo tests:
• d primary hypersensitivity: tested with a cutaneous patch of 0.5% and 2%
DNCB.
• delayed secondary hypersensitivity.
The results showed:
• primary ensitivity proved to be abolished.
• systemic secondary delayed hypersensitivity showed decreased 0/+ in +++++ for
intracellular antigens and decreased +/++ to other antigens, at a distance from the
tumor. In the pericicatricial area all antigens trated an abolished the reaction of
0/+ for intracellular antigens and 0/+ in +++++ to other antigens.
These in vivo and in vitro tests, showed a significant immunosuppression of the Thl
e cellular ty, primary and secondary, local and systemic, which is
responsible for antitumor immunity and elimination of tumor cells and tumor escape
mechanism by Th2, with an antibody se rather than a cellular response. The
primary immunosuppression with loss of integrity of the T loop and without the
possibility of drafting a new T response, coupled with the breakdown of cellular
immunity profile TH1 responsible for anti-tumor immunity and prevalence of the
antibody escape response instead of cell response showed a compromised immune
system, overwhelmed by the tumor without chances of containing the disease by itself.
d. Diagnostic conclusion
ing ed microtubule gastric adenocarcinoma with peritoneal
carcinomatosis by contiguous spread and extensive tic metastatic spread in
multiple lymphatic territories with the biggest one measuring 4 cm.
Treatment
e. tional surgical
The treatment (on 11/07/2008) was a partial gastrectomy with a B2 palliative
reconstruction with parcial lymphadenectomy.
The pathology of the partial and palliative gastrectomy and lymphadenectomy of
11/07/2008 showed extensive remaining advanced neoplastic disease.
f. Conventional chemotherapy and radiotherapy
e it was an advanced c oma with peritoneal carcinomatosis and intraabdominal
lymphatic spread without possibility of cure by surgery and chemotherapy,
radiotherapy was proposed, combined with non curative chemotherapy with 5-
fluorouracil and taxotere in cycles of 21 days for control of the tumor mass and to
improve both the y of life and the al chances of the patient. This
chemotherapy was conducted from 14/08/2008 to 26/12/2008. The 25 radiotherapy
sessions started on 10/10/2008 and ended on 13/11/2008.
g. Treatment with DECA
For the above s it a combination of immunotherapy with the palliative
chemotherapy was proposed to improve the patient's conditions and for possible
beneficial results of this pharmacological association.
Immunotherapy was performed one week (two applications of DECA) before the start
of the chemotherapy and continued in the second and third weeks after the first week
and at each 21 day cycle of chemotherapy. Thus, chemotherapy remained
uninterrupted, whereas the therapy was performed for a period of 2 weeks with
a 1 week interval.
DECA protocol was performed as follows:
• Application of 1.8 cc of the DECA composition in two applications of 0.9 cc to 10 of
the major lymphatic territories.
• 3-4 cm distance margin between applications to facilitate the g of the evolution
of the treatment at an interval of 4±1 days.
• From the avaliation of the 4 th application, at which time all responses ized,
becoming hyperergic.
Application of recombinant human interleukin-2 at low doses, at a or saturation
level with a concentration of 1 to 2 million units per m 2 of the patient's body surface at
600,000 units daily, applied near the surgical scar.
h. Results of the treatment
i. Conventional
The conventional treatment alone (surgery) was performed in palliative way to solve
the patient's gastric obstruction.
ii. Treatment with DECA associated with chemotherapy
The delayed y hypersensitivity tests of the patient ized in one month and
the delayed secondary hypersensitivity in two weeks g a recovery of the T loop
cellular response. In two weeks, the signs and symptoms of systemic inflammation and
infection disappeared.
The patient was reassessed after six months of DECA treatment and ated
chemotherapy (started respectively on 06/08/2008 and 14/08/2008). After six months
(09/02/2009) of immunological treatment and associated chemotherapy there was:
• a significant reduction of most of the inal lymphadenomegaly;
• a significant reduction in the signs of carcinomatosis.
• a complete remission of immunosuppression with positivization, after 4 weeks of
treatment, of the secondary delayed hypersensitivity reading showing a positive
on for 3+/4+ in 5+ to the 9 previously tolerated antigens. The primary delayed
hypersensitivity previously hed became ve, also after 1 month of treatment.
After 9 months /2009) of the above mentioned treatment there was:
• reduction of the lymphadenomegaly of the celiac trunk from 2.0-1.6 cm to 1.4 cm
without further lymphadenomegaly (Figure 5, B2 - B3).
• attenuation of the fibrocicatricial aspect showing disappearance of the signs of
carcinomatosis (Figure 5, B1).
• unchanged left pleural effusion.
After 1 year and 2 months (03/10/2009) of the above mentioned treatment there was:
• Significant reduction of the left pleural effusion;
• reduction of the celiac trunk from 1.4 cm to 1.3 cm without further
lymphadenomegaly
• Mitigation of the fibrous scarring change of the surgical .
After 1 year and 8 months (13/04/2010) of the above mentioned treatment there was:
• resolution of the left pleural effusion.
• unchanged lymphadenomegaly of the celiac trunk e 5, C2).
After 1 year and 11 months (31/07/2010) of the above mentioned treatment there was:
• reduction of the celiac trunk from 1.3 cm to 1.1 cm t further
lymphadenomegaly.
• Complete disappearance of liver nodules;
After two years and four months (18/02/2011) of the above mentioned treatment there
was:
• unchanged torax.
• Maintenance of the celiac trunk lymph nodes measuring 1.1 cm.
Conclusion of the case
Association of radio, chemo and immunotherapies conducted from August to
December 2008 brought: complete remission of immunosuppression and a significant
reduction of both the carcinomatosis and of the lymphadenomegaly in the upper
abdomen. The liver s and enlarged lymph nodes of the celiac trunk remained, the
largest at 1.6 cm.
From this assessment, therapy was instituted exclusively until February 2012 .
As a result of this treatment it can be observed: complete remission of the suspicious
liver nodules, disappearance of signs of carcinomatosis and significant reduction of the
lymph nodes from 2.0-1.6 cm to 1.1 cm.
These data strongly suggest that immunotherapy was effective as an t to
radiotherapy and chemotherapy, and when d alone was effective for the induction
and maintenance of tumor remission after 3 years and 6 months of ent (Figure 5,
Cl, C3).
Example 6: Combat to a multiple inflammatory pseudotumor related to human herpes
virus type VIII.
Patient data
Patient A-D, 40 years old, female.
Diagnosis
Multiple inflammatory pseudotumor related to human herpes virus type VIII,
Clinical history
a. Clinical Summary
In a tation on 04/06/2006, presented a history of evening fever (between 37.5 to
37.8 0 C), headache, fatigue and dyspnea on mild exertion. At the clinical examination
the patient was febrile, ic, somewhat prostrate, with sparse rhonchi in both
lungs and significant splenomegaly.
b. Performed tests
Conventional blood tests
Laboratory tests on 05/10/2006 showed an infectious/inflammatory scenario: ESR = 41
mm (NV <= 10 mm), PCR — 3.83 mg / dL (N = <0,50 mg/mL), alphaacid
glycoprotein = I, 66 mg / dL (N = 50 to 120 mg / dL) , hypocalcemia Ca 2 + = 7.4 mg /
dL (N = 8.6 to 10,3 mg / dL), mild thrombocytopenia with platelet count of
143.000/mm3 (NV = 150,000 to 450,000 mm3), proteinuria 0.66 g. On 05/10/2006 the
serological survey was negative for the following etiologic : Toxoplasmosis,
Dengue fever, brucellosis, HIV, hepatitis by virus: A, B and C; Paracoccus spp,
Histoplasma spp., The direct PCR antigen survey was negative for Cryptococcus spp.
and Histoplasma spp. Serology showed previous ion for Cytomegalovirus, EBV
ucleosis) and Rubella. While the test for the IgM herpes virus was ve.
This condition is related to herpes virus type VIII and cross-reactivity between this type
with I and II suggests infection with human serotype VIII.
Conventional imagiology
A computerized aphy of the torax on 09/10/2006 revealed: multiple bilateral
pulmonary nodules of up to 3.0 cm, an irregular area of tumoral aspect of 5.0 cm in the
left apex, right air bronchogram and a lump in the RML d to the pleura (Figure
6A). Tomography of the abdomen confirmed an important contemporary
hepatosplenomegaly with multiple nodes across the root of the mesentery, liver nodules
and splenic nodules. It was also found a scenario of maxillary tis and edema and
hypertrophy of nasal passages.
tional pathological
The pathology proved complex showing an inflammatory process with lots of
histiocytes. The survey was sent to one lung specialist. The analysis of the
histopathologic sis of a rare disease: inflammatory pseudotumor.
Immunological evaluation
The immunological evaluation was held on 2006 with the following in vitro tests
(blood tests) and in vivo tests (primary and secondary hypersensitivity).
The in vitro tests showed the following clinical ion: normal immunoglobulin
dosage (Ig G, Ig A, Ig E), total complement and C3 and C4 according to normal
standards, immunophenotyping of total CD3 ÷ T lymphocytes diminished in absolute
numbers (715/mm 3 - normal minimum = 1035/ mm3) indicating T lymphopenia, with
normal CD4+ (54% (551/mm 3) NV = 35-62% (535 to 2580/mm3)), decreased CD8 + in
absolute values (163/mm 3 NV = 17-43% (255 to 1720/mm 3) and a high CD4+/ CD8+
ratio (3.4 NV = 0.9 to 2.6).
These results showed l immunity and of the normal complement system,
however, non-reactive, i.e. not involved in the immunological response to the ongoing
infection. Immunophenotyping demonstrated an ongoing T lymphopenia and T
response due to the high CD4 +/CD8+ "(helper cells predominated over the
suppressor/cytotoxic cells). The infectious agent caused a zation for a response of
the TH1cell type.
In vivo tests:
• delayed primary hypersensitivity: med with skin patches of 0.5% and the 2%
DNCB
• delayed secondary hypersensitivity.
The results showed:
• primary hypersensitivity proved to be abolished.
• delayed systemic ary hypersensitivity showed as decreased.
The conclusion of the immunological assessment: tests in vivo and in vitro showed that
the infectious agent caused a polarization towards a T cell response of the TH1 type.
This response has been shown ineffective with lymphopenia and T loop e by the
abolition of the delayed primary hypersensitivity indicating inability to perform a new
primary response and d secondary hypersensitivity showing a decreased cellular
memory and compromised or loop.
Diagnostic conclusion
Multiple inflammatory pseudotumor (associated and related to human herpes virus type
VIII) with associated with T immunosuppression.
Treatment
Conventional
al intervention constitutes an effective form of treatment and etiology is related
to the herpes virus VIII which explains the cross-reactivity with the positive IgM for
herpes virus I and II. Cases of recurrence after surgical resection have been described.
In this case, in which there are multiple pulmonary nodules, abdominal nodules (at the
root of the ery) and hepatosplenomegaly with inflammatory systemic
hypocalcemia, there were no similar reports in the scientific literature. ore, the
surgery cannot be ve. It is possible to infer that the observed major T
immunosuppression may have contributed to the unusual and multiple form of a rare
disease.
Treatment with DECA
Due to the observed immunosuppression and the impossibility of surgical treatment
(because of the multiple foci), with the free and informed consent it was decided to
treat this immunosuppression with DECA, for a period of approximately two months,
after which the patient was to be reevaluated. The protocol consisted of:
• Application of three DECA itions of 1.8 cc d into two applications of
0.9 cc per composition, in the abdomen, and two 1.8 cc of DECA divided into two
applications of the composition of 0.9 cc, respectively, in each upper right and left
limbs, with 0.9 cc in the arm and 0.9 cc in the forearm bilaterally next to the 10 main
lymphatic territories.
• 3-4 cm distance margin between applications to facilitate the reading of the evolution
of the treatment at an interval of 7±2 days.
• Application of recombinant human interleukin-2 at low doses, at a or saturation
level with a concentration of 1 to 2 million units per m 2 of the patient's body surface at
600,000 units daily, applied in the abdomen.
I. Treatment results
I. Conventional
In this case there were no therapeutic alternatives, as the surgery would not be effective
t multiple stations of the disease.
II. Treatment with DECA
The patient ized the delayed primary hypersensitivity test results in a month and
the delayed secondary hypersensitivity in two weeks, demonstrating a recovery of the T
loop cellular response. In two weeks, the signs and symptoms of systemic inflammation
and infection disappeared.
After two months of treatment the t was reevaluated. On physical examination,
the patient had no signs of infection or inflammation; there was a sion of the
splenomegaly. Computer tomography of the chest and abdomen held on
11/12/2006 showed:
• Lungs: tenuous ground glass opacities in the right apex sutures cal sequelae),
earance of multiple sparse nodular opacities in both lungs (complete remission of
the ary inflammatory and infectious process) and complete regression of the
right hilar lymph node (Figure 6B)
• In the abdomen: complete remission of hepatosplenomegaly, and a icant
reduction in the mesenteric lymph nodes.
Conclusion of the case
After the treatment period (from 15/10/2006 to 2006) with DECA was: complete
regression of hepatosplenomegaly, of the multiple pulmonary abdominal nodules and
mesenterial lymph node normalization, as well as of the clinical signs of systemic
inflammation and infection in the 11/12/2006 examinations. There was also complete
remission with immunosuppression positivization after 2 weeks of ent, the
reading of delayed hypersensitivity showing a positive reaction of 3+/4+ in 5+. The
previously hed delayed primary hypersensitivity became positive after 1 month of
treatment. These results showed a complete remission: clinical, laboratory and of
imaging of the inflammatory pseudotumor, as well as of the immunosuppression
scenario presented by the patient, by the use of the proposed treatment. The patient is
without signs of disease or relapse for 5 years and 3 months.
e 7: Fighting an acinar adenocarcinoma, Gleason grade 7 (4 +3).
arcinoma located on the prostate, stage T2a.
Patient data
Patient 0-S, 69 years old, male.
Initial diagnosis
Prostatic acinar adenocarcinoma, Gleason grade 7 (4 +3), at a T2a stage.
Idenfication and summary of the clinical history
PSA increased by 20, with biopsy ing an acinar adenocarcinoma, Gleason grade
7 (4 +3) and T2a stage - It is noteworthy that the patient had a comorbid allergic
rhinitis.
Conventional proposed and realized treatment
Total prostatectomy as a form of curative surgery for localized disease (confined to the
prostate). It was held uneventfully on 18/02/2010.
Results of the performed conventional ent and the final diagnosis
The final diagnosis through pathology describes the disease spread with locoregional
adenocarcinoma of the te, Gleason grade 9 (4 +5) with a TNM pT3bNO 2002
stage, affecting 22% of the lar volume (tumor volume of 11.2 cc) and located in
both lobes of the gland. The sm infiltrated the seminal vesicle and periprostatic
fat, but the iliac lymph nodes and bladder neck were free of neoplasia.
Final conclusion: surgical treatment was ineffective since tumor mass remained in the
periprostatic region mising the chance of a proposed cure. The proposed
ent was radiotherapy in two months and oncological follow up every 6 months
for 5 years.
logical evaluation prior to treatment with DECA
The first consultation was held on 09/03/2010 and the patient requested immunological
evaluation and the possibility of itnrnunotherapy to contain the disease before the
radiotherapy that would be held in two months.
An oncological laboratory evaluation was performed on 10/03/2010 with a PSA of
0.15, compatible with a residual tumor due to ineffective prostatectomy status (Figure
The prior immunological evaluation demonstrated by blood tests on 10/03/2010
showed:
• Compatible TH1 cell profile with a good antitumoral response by presenting
antibodies at the lower limit of normal:
Ig G 977 mg/dL (NV = 600-1500);
Ig A 233 mg/dL (NV = 50 to 400 mg/dL)
Ig M 112 mg/dL (NV — 50 to 300 mg/dL)
albumin 3.67 g/dL (3.50 to 4, 85 g/dL)
gamma in 0.97 g/dL (NV = from 0.74 to 1.75 g/dL).
• phenotypically normal T loop with:
CD4+ 846/mm3 ;
CD8+ 504 / mm3 ;
CD4+ / CD8+ ratio 1.7
• Assessment of moderate allergy:
Ig E 204 mg/dL (NV = less than 100 mg/dL);
Dust specific IgE 1.5 mg/dL
(Class 2 moderate);
• evaluation of positive munity for the following markers:
nuclear ANA > 1/640;
nucleolar ANA > 1/640;
In vivo tests (primary and secondary delayed hypersensitivity) were not performed due
to the short remaining time for immunotherapy before herapy.
Conclusion based on the in vitro exams:
1. humoral immunity, complement system and T loop presented themselves
phenotypically normal and without apparent immunodeficiency;
2. TH1 cell profile conducive for a good response to immunotherapy;
3. functional tests not performed because no tests were performed in vivo.
Proposed treatment with DECA
The DECA treatment consisted of:
• Application of 1.8 cc of the DECA composition in two applications of 0.9 cc to 10 of
the major lymphatic territories.
• 3-4 cm distance margin between applications to facilitate the g of the evolution
of the treatment at an interval of 4±1 days.
• Administration of 6 DECA compositions of 1.8 cc each d into two perilesional
applications of 0.9 cc each around the following regions: the upper and lower right and
left al segment totaling four compositions in these regions, as well as a
ubic ition and other composition in the lower abdomen (infraumbilical).
• Application of recombinant human interleukin-2 at low doses, at a receptor saturation
level with a concentration of 1 to 2 million units per m 2 of the patient's body surface
located in the region of the extra DECA applications. Thus, in the days of antigen
application, and afterwards a daily subcutaneous application of million units in the
s listed above.
Thus, up to the time of the radiotherapy, a immunotherapy treatment was chosen with
the free and informed t of the patient, that began on 11/03/2010 with the first
partial reevaluation scheduled for 03/04/2010.
First partial result of the proposed treatment with DECA
After 4 weeks of treatment, the PSA became undetectable e 7), ting a
complete remission induced by immunotherapy which is apparently capable of
eliminating or significantly reducing the tumor mass. By the current state of the art, it is
not possible to differentiate the complete eradication of the tumor mass with a minimal
residual disease, showing that the proposed treatment with DECA showed a surprising
effect.
On this occasion (03/04/2010), it could be verified:
Ig G 1070 mg/dL (NV = 600-1500);
Ig A 248 mg/dL (NV = 50 to 400 mg/dL);
Ig M 129 mg/dL (NV — 50 to 300 mg/dL);
The whole complement system without significant changes (280 on 10/03/2010 to 281
on 03/04/2010);
This maintenance of the complement system can also be found in the C3 (117 to 115)
and C4 (76 to 71);
albumin 3.21 g/dL (3.50 to 4.85 g/dL);
gamma globulin 1.00 g/dL (NV .= 0.74 to 1.75 g/dL).
CD4+ mm3 ;
CD8+ 537mm 3 ;
CD4+/CD8' ratio 2.0.
Ig E 165 mg/dL (NV = less than 100 mg/dL);
nuclear ANA > 1/320;
nucleolar ANA > 1/320;
In vivo tests (secondary delayed hypersensitivity) showed:
• on the first application:
the antigens administered at a the ce from the tumor area with scores of +/++ for
all the antigens;
in the region of DECAs near the residual tumor area reaction was reduced by
presenting a score of +/++ in +++++ attesting to tumor immunosuppression.
• second ation:
The antigens stered at a distance from the tumor became hyperergic with a score
of +++/++++ to all the antigens;
the region of DECAs near the residual tumor area normalized, starting to show a score
of ++/+++ on +++++ confirming a reversal of immunosuppression caused by the
residual l mass.
• in the third application (beginning of the second week of treatment):
the antigens stered at a distance from the tumor became more hyperergic with
scores of ++++/+++++ to all the antigens;
the region of DECAs near the residual tumor area reached the same level of activity
(for ++++/+++++) attesting a complete reversal of the gional
immunosuppression of the residual mass.
These hyperergic reactions continued until the date of the reevaluation of the fourth
week (03/04/2010).
Conclusion of the first partial result of the proposed treatment with DECA
The patient was lly with a preserved systemic immunity with the cell Thl profile.
This cell Thl profile was compromised in regions close to the tumor with an
unresponsive T loop attesting a locoregional tumor immunosuppression.
Immunotherapy made the secondary delayed ensitivity hyperergic in all
territories at a distance from the tumor after the second application of DECA and
reversed locoregional immunosuppression which became hyperergic like the others.
Blood tests corroborate with the functional analysis of the T loop showing an increase
of CD4+thelper cells in absolute and relative numbers and an increase in the
D8+ ratio attesting the mobilization of CD4 + cells at a systemic level that
restored cellular immunity of the patient. Blood tests also showed a ic action of
the DECA composition exclusively on cellular immunity because the antibodies and
the complement system remained unchanged in the first phase of treatment.
In parallel we ed other y and autoimmune benefits:
• reduction of IgE class dies accompanied by complete remission of the comorbid
allergic is manifested in the patient suggesting an antiallergic action of the
proposed DECA treatment.
• Significant ion of the ANA score that went from 1/640 to 1/320 showing a
probable regression to the tendency to autoimmunity;
End result of the proposed treatment with DECA before radiotherapy
On 27/04/2010 a second partial reassessment was held the when the patient presented
painful hyperergic reactions (all with +++++). Given the outcome of undetectable PSA
and it remained so until ry 2012.
The logical treatment that began on 11/03/2010 continued until 10/06/2010
(the day before radiotherapy) totaling 90 days, emphasizing that complete remission of
the tumor was achieved after 4 weeks and the reversal of immunosuppression in 2
weeks.
Results of treatment with DECA
Due to the complete remission of a patient with prostatic adenocarcinoma with a
Gleason grade of 9 (4 +5) and a surgical staging of pT3bNO with a postoperative
al tumor mass, in 4 weeks, it can be inferred that the results are surprising when
compared to the state of the art pointing these cases as ult to reverse.
It is possible to further assume that in this first month of ent, the DECA
immunotherapy demonstrated a potencial antiallergenic ability (reduction of IgE
ated with complete remission of allergic rhinitis), and as a sor of the
tendency to autoimmunity (as evidenced by a reduction by half of the titration of
antibodies against nuclear elements).
Conclusion of the case
These data strongly suggest that the immunotherapy treatment with DECA, provided it
was the only pharmacological treatment adopted while awaiting for the start of the
radiation therapy, was effective in the complete remission of the remaining
locoregional tumor (in 4 weeks) from a prostatectomy, backed by the the sion of
PSA levels until undetectable, thus enting eradication of the tumor mass, since
the current state of the art does not allow to differentiate n the complete
eradication of the tumor mass and minimal residual disease.
Additionally we observed complete remission of allergic rhinitis and improved levels
of ANA (probably the tendency of enhancing autoimmunity).
Example 8: Fighting a septicemia
Patient data
t J-P, 58 years old, male.
Principal diagnosis
Septicemia.
Secondary diagnoses
Polytrauma with:
• Complex infected wounds with major loss of tissue of approximately 40 cm.
• extensive infected tissue necrosis with indication for amputation of the left lower
limb.
infected grade IIIB open fracture with osteomyelitis of the left femur with lateral
exposure.
• open wounds, infected cut-contusion without possibility of suture on the left arm,
back of the left foot and on the right lateral malleolus region.
Identification and summary of the clinical history
On January 12, 2011 the patient was admitted to the Intensive Care Unit of the
Octavian Constantine Hospital das Clinicas of polis, victim of a landslide with a
grade III b open fracture of the left femur with the re of the lateral cut and
medial cut-contusion with an extension of 40 cm in depth that communicated with the
exposure of the side. Lacerations, contusion on the left arm, back of the left foot and
right lateral malleolus region. Evolved to a sepsis scenario in 24 hours, with
iological fication of Pseudomonas aeruginosa.
Conventional proposed and realized treatment
External fixation of the femur in the emergency room, administration of clindamycin,
vancomycin and me, associated to a daily al debridement.
Results of the performed conventional treatment
Initially, it improved the septic scenario, ed by the evolution of the infection of
the left lower limb with extensive areas of muscle necrosis with a high risk of
tion. 15 days after the admission the sepsis got worse, with febrile episodes of
39° C, nd anemia (receiving transfusions) and exchange of the antimicrobial
medication to Tazocim. The patient was transferred with an aerial mobile ICU to Sao
Paulo under medical supervision.
The completion of conventional treatment showed a relapse in sepsis and increased
necrosis of the left leg with an indication for amputation.
Proposed DECA treatment associated with tional surgical treatment
The patient was ed to the ICU of Hospital Alemao Oswaldo Cruz for
debridement and application of treatment with DECA which took the following form:
• Application of 1.8 cc of the DECA composition divided into 2 applications of 0.9 cc
per composition along the 10 main lymphatic territories.
• 3-4 cm distance margin between applications to facilitate the reading of the evolution
of the treatment at an interval of 4±1 days. These applications were made together with
the surgical debridement (on e 1 to 2 times per week).
• stration of 36 extra perilesional itions of 1.8 cc of each DECA in two
applications of 0.9 cc per set, skirting the following open es without possibility of
suture: the left inguinal region, the lateral side of the left thigh, the anterior left thigh
and medial aspect of the left thigh, instep region and left lateral lus of the right
leg.
• Application of recombinant human interleukin-2 at low doses, at a receptor saturation
level with a concentration of 1 to 2 million units per m 2 of the patient's body surface
located in the region of the extra DECA ations. 3 million daily units were
subcutaneously injected in the left thigh or inguinal region for the pacient.
• In the d regions 15 compositions DECA were applied, 1.8 cc each, for
infiltration of exposed raw areas.
• This ive immunotherapy was always applied in the operating days of cleansing
and surgical debridement under general anesthesia.
Thus, the first phase of immunotherapy began on 29/01/2011 and ended on19/03/2011
totalling a total of nine DECA applications in periods ranging from one to two times
per week, once the cleaning and debridement le was being followed, in the
operating room (due to the severity of the pain and risk of infection by the broad
extensive exposure of internal tissues in the raw areas).
Results of the treatment with DECA associated with surgical debridement and
antibiotic therapy
Initial assessment of the patient's injuries in the ing room on 29/01/2011 showed
all wounds bleeding with many clots, with ive areas of necrosis and foul-
smelling pus. After surgical cleaning, tissue continued to perform poorly with a winy
general appearance without any appearance of healthy granulation tissue. As described,
the DECA immunotherapy was applied to these areas. It is interesting to note that on
this occasion cultures of internal secretions and tissue nts were performed.
After 24 hours the first assessment of the surgical treatment associated with DECA
immunotherapy was made and it demonstrated that: red lesions, with the appearance of
healthy granulation tissue, with few necrotic areas with sparse secretion without foul
odor and no active bleeding. The lesions were cleaned and the DECA immunotherapy
was applied as noted above. On this occasion the antibiotic therapy was changed to
Tazocim Meronem, Cubicin and Rifampicin pending culture s.
On 01/02/2011 the result of the cultures from the injury area, peripheral blood and
central er showed:
• in the wound of the left thigh isolation of multidrug-resistant Pseudomonas
aeruginosa, esistant Acinetobacter baunnamii sensitive only to polymyxin B and
multiresistant s mirabiles.
• in the peripheral blood and in the central catheter the isolation of multidrug -resistant
Acinetobacter baunnamii sensitive only to polymyxin B.
Conclusion: These s demonstrated that the poor prognosis of injuries in the left
leg led to a new sepsis episode with Acinetobacter baunnamii and because of its
multidrug resistance and sensitivity only to polymyxin B, did not respond to treatment
with intravenous m. On the other hand, it strongly supports a beneficial effect of
the DECA composition in joint surgical treatment in the local and systemic protection
against this infection, since there was ement in systemic infection and injuries
before the application of xin B could neutralize this etiologic agent.
That day, Meronem was exchanged for 20,000 IU/kg twice daily of Polymyxin B
without changing the other medication.
On 03/02/2011, it was found that the combination antibiotic therapy, debridement and
DECA immunotherapy caused the remission of the septic scenario, which allowed the
transfer of the patient from the ICU to the ward thereafter.
On 06/02/2011, given the toxicity of Polymyxin B administration and other
antimicrobials, the patient presented a picture of acute renal failure with oliguria. As a
consequence, on the period between 06/02/2011 and 15/02/2011 (12 days)
administration of these antibiotics was suspended, with Limezolida (Zyvox) being
introduced for protection against a hospital staphylococcal contamination. On
2011 the te remission of renal failure in the patient was confirmed. In this
12-day , with only the combination therapy of debridement, otic
prophylaxis and DECA immunotherapy, the patient showed excellent overall progress
of the infectious and injuries being, after this period, able to withdraw the external
r, have a surgical cleanup, and introduction of an internal rod for fixing the
fracture on a surgery performed on 17/02/2011. Thus, in this , together with
orthopedic surgery, there was a significant reduction in raw areas without skin with
extensive tissue regeneration and no new infections.
The patient was discharged on 15/03/2011 with complete cure of the infection of all
complex injuries and wounds, including osteomyelitis. The patient was discharged
without antibiotic therapy.
Conclusion of the case
The existence of a severe and widespread infection and of a complex wound infected
with with rug-resistant Acinetobacter baunnamii sensitive only to polymyxin B
which was lled t specific antibiotic therapy with broad progression to the
healing of sepsis, of all exposed lesions, and of yelitis, strongly suggest a
ve role of the DECA immunotherapy, associated with debridement and
antibiotics, to cure the clinical io, in a relatively short time.
Table 2. Result of the association of DECA immunotherapy, antibiotics and surgical
debridement for sepsis and severe ion of complex injuries.
Infected regions Pre-immunotherapy Result of the ation of
cultures (29/01/2011) immunotherapy, otic
therapy, and al
debridement (15/03/2011)
Injury in the left thigh Multiresistant No signs of infection
Pseudomonas? aeroginosa,
multiresistent
Acinetobacter ? baumannii
only sensitive to
Aztreonam and polymyxin
Peripheric blood multiresistent No signs of infection
Acinetobacter ? baumannii
only sensitive to
Aztreonam and polymyxin
Central catheter multiresistent No signs of infection
Acinetobacter ? baumannii
only sensitive to
Aztreonam and polymyxin
In short, the clinical cases ted here demonstrate that illnesses and diseases
considered of a high complexity and with an obscure to very poor prognosis when
analyzed by the knowledge of the prior art, have been addressed differently, more
advantageously and more efficiently through the use of the compositions the t
invention.
Claims (28)
1. Immunogenic composition for preventing and/or treating disease in a human or animal comprising a therapeutically effective amount of three or more either natural or synthetic antigen agents comprising pathogen-associated molecular patterns (PAMPS) and / or danger associated molecular patterns (DAMPS) or groups thereof ed from at least two groups ting of: (A) antigenic agents with molecular patterns associated with bacteria, (B) antigenic agents with molecular pattems associated with Viruses; (C) antigenic agents with molecular patterns associated with fungi and yeasts; 10 (D) nic agents With molecular patterns associated with protozoa; (E) antigenic agents with molecular patterns associated with ths and / or (F) antigenic agents with molecular patterns associated with prions wherein the concentration of each agent is Within the range 0.001 to 500 micrograms per ml and the composition further comprises one or more physiologically acceptable carriers, excipients, diluents or 15 solvents.
2. Immunogenic composition for preventing and/or treating disease, according to claim 1, characterized in that the antigenic agents are selected from at least four groups (A), (B), (C), (D), (E) and (F)-
3. Immunogenic composition for ting and/or treating disease according to one of claims I or 2, characterized in that antigenic agents with molecular patterns associated with bacteria are selected from nic agents with molecular patterns associated with bacteria belonging to the genera Staphylococcus, ococcus, 25 Enterococcus, Coryhehacterium, Bacillus, Listeria, Clostridium, Mycobacz‘erium, Actinomyces, Nocara’ia, Escherichia, Proteus, Klebsiella, ia, bacter, Salmonella, Shigella, Pseudomorzas, Burkholderia, Stehotrophomonas, Acinetobacter, Vibrio, Campylobacter, Helicobacter, Bacteroides, ria, Moraxella, Haemophilus, Bordetella, Brucella, Francisclla, Pasteurella, Yersinia, Legionella, 30 Gardnerella, ema, Leptospira, Borrella, Mycoplasma, tsia and Chlamydia.
4. Immunogenic composition for preventing and/or treating disease ing to one of claims 1 or 3, terized in that antigenic agents with molecular patterns 35 associated with viruses are selected from antigenic agents with molecular patterns associated with Viruses belonging to the families Adenoviridae, Arenaviridae, Bunyaviridae, Coronavirz‘dae, Filovz'rz'dae, Flavivz'ridae, Hepadnaviridae, Deltavz'rus, Caliciviridae, Herpesvirz’dae, Orthomyxovz'rz'dae, virz‘dae, Paramyxovirz‘dae, Parvovz’ridae, Picornavirz‘dae, Poliovirus, Poxyviridae, Reoviridae, Retrovirz’dae, Rhabdoviridae and Togavz'rz'dae.
5. Immunogenic composition for preventing and/or treating disease according to one of claims 1 or 4, characterized in that antigenic agents with molecular patterns associated with fungi and yeasts are selected from antigenic agents with molecular patterns associated with fungi and yeasts belonging to fungi and yeasts belonging to the 10 genera Sporothrz'x, Aspergillus, Blastomyces, Candida, Coccidioides, Cryptococcus, Histoplasma, and Pneumocysris.
6. Immunogenic composition for ting and/or treating disease ing to one of claims 1 or 5, characterized in that antigenic agents with molecular patterns 15 associated with protozoa are selected from antigenic agents with lar patterns associated with protozoa belonging to the genera Criptosporidz’u, Ciclospora, Entamoeba, Naegleria, Giardz'a, ania, Plasmodz‘um, Toxoplasma, Trichomonas, Trypanosoma, Microsporidia and Isospora. 20
7. Immunogenic composition for preventing and/or treating disease according to one of claims 1 or 6, characterized in that antigenic agents With molecular ns associated with helminths are selected from antigenic agents with molecular patterns associated with helminths trematodes, cestodes-and nematodes. 25
8. Immunogenic composition for preventing and/or treating e according to one of claims 1 to 7, characterized in that the antigen agents comprise protein, polysaccharide, lipid molecules and / or synthetic ites that mimic n, ccharide and / or lipid molecules. 3O
9. Immunogenic composition preventing and/or treating disease according to claim 8, characterized in that the immunoactive protein molecules present enzymatic activity.
10. Immunogenic composition for ting and/or ng disease according to claim 9, characterized in that the immunoactive n molecules act as kinases, 35 phosphatases, streptokinases and streptodornases.
ll. Immunogenic composition for preventing and/or treating disease according to one of claims 1 to 10, terized in that it comprises from 4 to 20 antigenic agents selected from the group consisting of antigenic agents derived from: dornase, 5 levedurin, oidiomycin, purified protein derivative of Koch's bacillus (PPD), , streptokinases, Streptococcus toxoid, diphtheria toxoid, tetanus toxoid, Koch’s original tuberculin, inactivated Ascaris lumbricoides lysates, Aspergillus spp., Aspergillus flavus, Aspergillus fumigatus, Aspergillus terreus, a spp., Candida albicans, Candida glabrata, Candida parapsilosis, Chlamydia spp., Chlamydia pneumoniae, 10 Chlamydia psittaci, Chlamydia trachomatis, Cryptosporidium spp., Dermatophytes, Entamoeba hystolitica, Enterobius vermicularis, Enterococcus faecalis, Epidermophyton floccosum, Escherichia coli, Giardia a, hilus influenzae, Microsporum canis, Mycobacterium spp., Mycobacterium bovis, cterium leprae, Mycobacterium tuberculosis, ria gonorrhoeae, Human 15 papillomavirus, Polio virus, Proteus spp., Proteus mirabilis, Proteus penerii, Proteus vulgaris, Salmonella spp., Salmonella bongori, Salmonella enterica, Serratia spp., Serratia liquefaciens, Serratia cens, Shigella spp., Shigella flexneri, Shigella sonnet, Staphylococcus spp., Staphylococcus aureus, Staphylococcus epidermidis, Strongyloides stercoralis, Streptococcus spp., Streptococcus bovis, ococcus 2O Viridans, Streptococcus equinus, Streptococcus pneumoniae, ococcus pyogenes, Toxoplasma gondii, Trichomonas lis, trichophytin, Trichophyton spp., phyton rubrum, Trichophyton tonsurans, Trichophyton mentagrophytes, yellow fever virus, hepatitis B virus, rubella virus, lla zoster virus, variola virus, mumps virus, measles virus, herpetic virus and ia virus or synthetic analogues present 25 pathogen-associated molecular patterns (PAMPS) and / or danger-associated molecular patterns (DAMPS) associated with these antigenic .
12. Immunogenic composition for preventing and/or treating disease, ing to claim 11, characterized by comprising inactivated Mycobacterium bovis lysate, purified 30 protein derivative of M. tuberculosis, inactivated Staphylococcus aureus lysate, inactivated Staphylococcus epidermidis lysate, inactivated Steptococcus pyogenes lysate, inactivated Streptococcus pneumonia lysate, inactivated Enterococcus faecalis lysate, okinase/dornase, inactivated Candida albicans lysate, inactivated a ta lysate, inactivated Epidermophyton floccosum lysate, inactivated 35 porum canis lysate, inactivated Trichophyton mentagrophytes of the interdigitale variety lysate, inactivated enteropathogenic Escherichia coli lysate, inactivated Salmonella bongori lysate, inactivated Salmonella enterica lysate and inactivated Salmonella subterranea .
13. Immunogenic composition for ting the immune system, according to claim 12, comprising from 0.001 to 1 ng/ml of inactivated Mycobacierium bovis , 0.001 to 1 ng/ml of purified protein derivative of M. tuberculosis, 0.1 to 100 ug/ml of inactivated Staphylococcus aureus lysate, 0.1 to 100 ug/ml of inactivated Staphylococcus epidermidis lysate; 0.1 to 100 ug/ml of inactivated Steptococcus pyogenes lysate; 0.1 to 100 ug/ml of inactivated ococcus pneumonia lysate; 0.1 to 10 100 ug/ml of inactivated Enterococcus faecalis lysate, 0.01 to 10 ug/ml of streptokinase, 0.01 to 10 ug/ml of dornase; 0.1 to 100 ug/ml of inactivated Candida albicans lysate; 0.1 to 100 ug/ml of inactivated Candida glabrala lysate, 0.1 to 100 ug/ml of inactivated Epidermophyton floccosum lysate; 0.1 to 100 pig/ml of inactivated Microsporum canis lysate, 0.1 to 100 ug/ml of inactivated Trichophyton 15 menragrophyies of the interdigitale variety lysate; 0.1 to 100 ug/ml of vated pathogenic Escherichia coli lysate; 0.1 to 100 ug/ml inactivated Salmonella bongori lysate, 0.1 to 100 ug/ml inactivated Salmonella enterica lysate and 0.1 to 100 ug/ml of inactivated Salmonella subterranea lysate. 20
14. Immunogenic composition for preventing and/or treating disease according to one of claims 1 to 13, characterized in that it further comprises cytokines and/or chemokines.
15. Immunogenic ition for preventing and/or treating disease, according to 25 claim 14, characterized in that it ses GM—CSF, 1L2, 1L4, 1L5, 1L7, IL12, IL15, IL21 and/or interferon gamma.
16. Immunogenic composition for preventing and/or ng disease, according to claim 15, characterized in that it comprises 1L2.
17. Immunogenic composition for preventing and/or treating e according to any one of claims 1 to 16, characterized in that the antigenic agents are encapsulated in the form of capsules, microparticles, nanoparticles, dragees, or liposomes. 35
18. Immunogenic composition for preventing and/or treating disease ing to any one of claims 1 to 17, terized by being for administration to humans or animals by oral, intradermal, parenteral, subcutaneous, intravenous, intramuscular, and also through the nasal and/or oral mucosa.
19. lmmunogenic composition for preventing and/or treating disease according to one of claims 1 to 18, characterized in that the disease is cancer or sepsis.
20. Use of one or more immunogenic compositions as defined in any one of claims 1 to 19, characterized in that it is used in the manufacture of a medicament for prevention and/or treatment of a disease selected from: infectious diseases, autoimmune diseases, 10 allergic diseases, ation, arthritis, atory es, transplant rejection, conditions caused by vascular disorders, es caused by hemorrhagic or ischemic cardiovascular accidents, ia, myocardial infarction and hemorrhage leading to tissue damage, cardiac, renal, respiratory or liver insufficiency, cancer, sepsis, neoplasms, and malignant and benign tumors.
21. Use according to claim 20, characterized in that the disease is cancer or sepsis.
22. Use according to claim 20, characterized in that infectious diseases may be of viral, bacterial, fungal or parasitic infection.
23. Use according to claim 22, characterized in that the viral diseases are caused by the following viruses: HIV, hepatitis virus, herpes virus, virus, rubella Virus, ox Virus, poxvirus, paramyxovirus and morbillivirus. 25
24. Use, according to claim 22, characterized in that the bacterial diseases are caused by the following bacteria: Pneumococcus, Staphylococcus, Bacillus, Streptococcus, Meningococcus, Gonococcus, Escherichia, Klebsiella, Proteus, Pseudomonas, Salmonella, la, ilus, Yersinia, ia, Corynebacterium, Vibrio, tdia, Chlamydia, Mycobacterium, Helicobacter, and Treponema.
25. Use according to claim 22, characterized in that the fungal diseases are caused by the following fungi: Candida, Aspergillus, Cryptococcus neoformans, and/or fungi that cause cial and deep mycosis.
26. Use according to claim 22, characterized in that the diseases caused by tes are caused by the following parasites: Trypanosoma, Schistosoma, Leishmania, amoebas and tapeworm.
27. Use, according to claim 20, characterizedby the fact of being for the prevention and/or ent of localized and systemic lupus erythematosus, rheumatoid arthritis, polyarteritis nodosa, polymyositis and gradual miosite, progressive systemic sclerosis, e scleroderma, glomerulonephritis, myasthenia gravis, Sjogren‘s syndrome, Hashimoto's disease, Graves' disease, adrenalitis hypoparathyroidism, 10 pernicious anemia, diabetes, multiple sclerosis, diseases dismielinizantes, uveitis, pemphigus, pemphigoid cirrhosis, ulcerative colitis, myocarditis, regional enteritis, respiratory distress me in adults, local manifestations of drug reactions, atopic dermatitis, infantile , contact dermatitis, psoriasis, Lichen planus, allergic enteropathies, bronchial asthma, transplant rejection, post streptococcal disease such as 15 cardiac manifestations, renal and articular tic fever and other related events, multiple and various forms of cancer, such as carcinoma, adenocarcinoma, melanoma, sarcoma, malignant ytoma, hepatoma, hypernephroma, ma and melanoma, among others. 20
28. Use, according to claim 20, characterized in that it is to induce cellular repair, tissue regeneration, organ regeneration and regeneration of organic systems such as the circulatory , nervous system and endocrine system.
Applications Claiming Priority (3)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| BRPI1100857-1 | 2011-03-18 | ||
| BRPI1100857-1A BRPI1100857A2 (en) | 2011-03-18 | 2011-03-18 | immunomodulatory agent and combinations thereof, their use and immunotherapeutic method for real time recontextualization, reprogramming and rebuilding of the immune system |
| PCT/BR2012/000072 WO2012122618A1 (en) | 2011-03-17 | 2012-03-19 | Immunogenic composition for immune system modulation and use thereof, method for treating and preventing diseases, method for inducing cell regeneration and method for restoring immune response |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| NZ616823A NZ616823A (en) | 2016-08-26 |
| NZ616823B2 true NZ616823B2 (en) | 2016-11-29 |
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