NZ617722B2 - Hendra and nipah virus g glycoprotein immunogenic compositions - Google Patents
Hendra and nipah virus g glycoprotein immunogenic compositions Download PDFInfo
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- NZ617722B2 NZ617722B2 NZ617722A NZ61772212A NZ617722B2 NZ 617722 B2 NZ617722 B2 NZ 617722B2 NZ 617722 A NZ617722 A NZ 617722A NZ 61772212 A NZ61772212 A NZ 61772212A NZ 617722 B2 NZ617722 B2 NZ 617722B2
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- New Zealand
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- hendra
- glycoprotein
- immunogenic composition
- hev
- virus
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Abstract
Discloses an immunogenic composition comprising a soluble fragment of the Hendra G glycoprotein, said fragment consisting of amino acids 73 to 604 of (SEQ ID NO: 2) or a sequence at least 90% identical thereto, an immunostimulatory complex (ISC), said ISC comprising a saponin, a phospholipid and a steroid, and one or more excipients, wherein the concentration of the soluble fragment of the Hendra virus G glycoprotein in the composition is 5-100 ?g per ml of ISC, wherein the sequences are as defined in the complete specification. teroid, and one or more excipients, wherein the concentration of the soluble fragment of the Hendra virus G glycoprotein in the composition is 5-100 ?g per ml of ISC, wherein the sequences are as defined in the complete specification.
Description
HENDRA AND NIPAH VIRUS G GLYCOPROTEIN IMMUNOGENIC COMPOSITIONS
Field of the Invention
The present invention relates to immunogenic and vaccine compositions comprising a
G glycoprotein from Hendra virus (HeV) and/or Nipah virus (NW) and to s of use
‘ relating thereto.
Description of the ound
Recurrent outbreaks of NW resulting in significant numbers of human fatalities have
recently been problematic (see 6.9. Butler (2000) Nature 429, 7). HeV is also known to
cause fatalities in human and animals and is genetically and immunologically closely related
to NW. There are presently no vaccines or therapeutics for prevention of infection or disease
caused by Nipah virus or Hendra virus. Both Nipah virus and Hendra virus are United States,
National Institute of Allergy and Infectious Disease, category C priority agents of biodefense
n. Further, as these viruses are zoonotic Biological Safety Level-4 agents (ESL—4),
production of es and/or diagnostics, with safety is very costly and difficult. Thus, there
is a need for Nipah virus or Hendra virus vaccines and diagnostics that allow for high
throughput production of vaccines and/or diagnostics.
Paramyxoviruses such as HeV and NW s two major membrane-anchored
glycoproteins in the envelope of the viral particle. One rotein is required for virion
attachment to receptors on host cells and is designated as either hemagglutinin-
neuraminidase protein (HN) or hemagglutinin protein (H), and the other is glycoprotein (G),
which has neither lutination nor neuraminidase ties. The attachment
glycoproteins are type II membrane proteins, where the molecule's amino (N) terminus is
oriented toward the cytoplasm and the protein's carboxy (C) terminus is extracellular. The
other major rotein is the fusion (F) rotein, which is a trimeric class I fusogenic
envelope glycoprotein containing two heptad repeat (HR) s and a hydrophobic fusion
peptide. HeV and NW infect cells though a pH-independent membrane fusion process into
receptive host cells through the concerted action of their attachment G glycoprotein and F
glycoprotein following receptor binding. The primary function of the HeV and NW attachment
G glycoprotein is to engage appropriate ors on the surfaces of host cells, which for the
ty of well-characterized paramyxoviruses are sialic acid moieties. The HeV and NW G
glycoproteins utilize the host cell protein receptors ephrin B2 and/or ephrin B3 and antibodies
have been developed which block viral attachment by the G glycoprotein (W)2006137931,
Bishop (2008) J. Virol. 82: 11398-11409). Further, vaccines have been ped which also
use the G glycoprotein as a means for generating an immunoprotective response against HeV
and NiV infection (WO2009117035).
ite reactivity is a major concern for both the veterinary and human use of Quil A in
vaccine preparations. One way to avoid this toxicity of Quil A is the use of immunostimulating
complexes (Rajput (2007) J. Zhejiang Univ. Sci. B, 8: 153-161). This is primarily because Quil A
is less reactive when orated into immunostimulating complexes, because its association
with cholesterol in the complex reduces its ability to extract terol from cell membranes
and hence its cell lytic s. In on, a lesser amount of Quil A is required to generate a
similar level of adjuvant effect. The immunomodulatory properties of the Quil A saponins and
the addition benefits to be derived from these saponins when they are orated into an
immunostimulating complex have been bed in WO2000041720.
The ation of HeV and/or NiV G glycoproteins with stimulating complexes
in a single vaccine represents an advancement in developing effective HeV and NiV vaccines
given the potential for enhanced immunoreactivity with decreased adjuvant side effects when
these components are administered in combination.
Summary of the Invention
The invention encompasses an immunogenic composition comprising Hendra and/or
Nipah virus G protein, an immunostimulatory complex (ISC) and one or more excipients in an
amount effective to elicit production of lizing antibodies against the Hendra and/or Nipah
virus following administration to a subject. In some embodiments, the immunogenic composition
comprises a saponin, a phospholipid, and a steroid.
[0006a] In a first aspect there is provided an immunogenic composition comprising a soluble
fragment of the Hendra G glycoprotein, said fragment consisting of amino acids 73 to 604 of
(SEQ ID NO: 2) or a sequence at least 90% identical thereto, an immunostimulatory complex
(ISC), said ISC comprising a saponin, a phospholipid and a steroid, and one or more ents,
n the concentration of the soluble fragment of the Hendra virus G glycoprotein in the
composition is 5-100 μg per ml of ISC.
[0006b] In a second aspect there is provided use of an genic composition for the
manufacture of a ment for producing a neutralizing antibody response against a Hendra
and/or Nipah virus in a t, wherein the immunogenic composition comprises the
immunogenic composition of any of claims 1 -11.
[0006c] In a third aspect there is provided use of an immunogenic composition for the
cture of a medicament for treatment of Hendra and/or Nipah virus infection, wherein the
immunogenic composition comprises (1) a soluble fragment of the Hendra G glycoprotein in an
amount of 5-100 μg in the immunogenic composition, said nt consisting of amino acids
73 to 604 of (SEQ ID NO: 2) or a sequence at least 90% identical thereto, and (2) an
immunostimulatory complex (ISC), said ISC comprising a saponin,a phospholipid and a steroid,
and one or more excipients, wherein the immunogenic composition is administered to the
subject in an amount and duration effective to treat the subject for Hendra and/or Nipah virus
infection.
[0006d] It is to be noted that, throughout the description and claims of this ication, the
word 'comprise' and variations of the word, such as 'comprising' and 'comprises', is not intended
to exclude other variants or additional components, integers or steps. Modifications and
ements to the ion will be readily apparent to those d in the art. Such
modifications and ements are intended to be within the scope of this invention.
[0006e] Any reference to or discussion of any document, act or item of knowledge in this
specification is included solely for the purpose of providing a context for the present invention. It
is not suggested or represented that any of these matters or any combination thereof formed at
the priority date part of the common general knowledge, or was known to be relevant to an
attempt to solve any problem with which this specification is concerned.
In some embodiments soluble Hendra virus G glycoprotein consists of amino acids 73 to
604 of the native Hendra G glycoprotein (SEQ ID NO: 2). In some embodiments, the soluble
Hendra virus G glycoprotein is encoded by a tide sequence comprising nucleotides 64 to
1662 of SEQ ID NO: 16. In some embodiments, the soluble Hendra virus G protein is present in
dimer form wherein each soluble Hendra virus G glycoprotein dimer subunit is connected by
one or more disulfide bonds. In some embodiments, the soluble
Hendra virus G protein is present in tetramer form. In some embodiments, the tetramer form
exists as a dimer of dimers non-covalently linked and/or connected by one or more disulfide
bonds. The concentration of soluble Hendra virus G protein can be about 5 to 100 ug/ml in
the immunogenic composition.
In some embodiments, the n is isolated from Quillaja saponaria Molina and
may be selected from QH-A, QH-B, QH-C or 0821. In some embodiments, the phospholipid
is selected from the group consisting of phosphatidyl choline (PC), dipalmitoyl phosphatidyl
choline , phosphatidic acid (phosphatidate) (PA), phosphatidylethanolamine (PE),
phosphatidylserine (PS), phosphatidylinositol (Pl) phosphatidylinositol phosphate (PIP),
phosphatidylinositol bisphosphate (PIP2), phosphatidylinositol triphosphate (PlP3),
phosphorylcholine (SPH), ceramide phosphorylethanolamine (Cer—PE) and ceramide
phosphorylglycerol. In some embodiments the saponin is Quil A, the phospholipid is DPPC
and the d is terol and the ratio of Quil A: DPPC: cholesterol in the composition is
521:1 by weight.
The invention also encompasses a method of producing a neutralizing antibody
response against a Hendra and/or Nipah virus in a subject comprising administering to the
subject the immunogenic composition described herein in an amount and duration ive
to produce the neutralizing antibody response. In some embodiments, the neutralizing
antibody response reduces Hendra and/or Nipah virus reproduction in the subject and may
also reduce Hendra and/or Nipah virus shedding in the subject. In some embodiments, the
subject has been d to Hendra and/or Nipah virus while in other embodiments, the
subject is suffering from a Hendra and/or Nipah virus infection. In some embodiments, the
ion encompasses a method of ing a neutralizing antibody se t a
Hendra virus in a subject sing administering to the subject the immunogenic
composition bed herein in an amount and on effective to produce the neutralizing
antibody response. In some embodiments, the invention encompasses a method of
producing a neutralizing dy response against a Nipah virus in a subject comprising
administering to the subject the immunogenic composition described herein in an amount
and duration effective to produce the neutralizing antibody response.
In some embodiments, the immunogenic composition is administered intramuscularly.
In some embodiments, the immunogenic composition is administered in multiple doses and
the first dose is followed by a second dose at least about twenty-one days to about twenty-
eight days after the first dose. In some embodiments, each dose contains about 50 or about
100 ug of soluble Hendra virus G protein.
The invention further encompasses a method of differentiating a subject vaccinated
with the immunogenic composition described herein from a subject d to Hendra
and/or Nipah virus comprising detecting the presence of an antibody in a biological sample
isolated from the subject against at least one of any of the following HeV and/or NiV viral
proteins selected from the group consisting of fusion protein (F), matrix protein (M),
phosphoprotein (P), large n (L) and nucleocapsid n (N).
The immunogenic compositions and methods of the invention can be administered to
a subject such as a human, horse, cow, sheep, pig, goat, chicken, dog or cat.
The invention also encompasses a method of ing a neutralizing antibody
response against a Hendra and/or Nipah virus in a human subject comprising stering
to the subject an immunogenic composition comprising a Hendra virus soluble G
glycoprotein in an amount and duration effective to produce the neutralizing antibody
response. In some ments, the immunogenic composition further ses an
adjuvant.
Description of the Figures
Figure 1 shows the rectal temperature over time for horses stered inant
Hendra virus soluble rotein ($6) at 50 or 100 ug/dose adjuvanted with 250 pg of
immune stimulating complex followed by exposure to live Hendra virus at day 0.
Figure 2 shows the heart rate over time for horses administered recombinant Hendra
virus soluble glycoprotein (sG) at 50 or 100 ug/dose adjuvanted with 250 pg of immune
stimulating complex followed by exposure to live Hendra virus at day 0.
Figure 3 depicts a schematic for the preparation of an lmmunostimulatory Complex.
Figure 4 depicts a schematic diagram of sGHeV vaccination and NW challenge
le. Dates of sGHeV vaccination, NiV challenge and asia are indicated by
arrows. Blood and swab specimens were collected on days —42, -7, 0, 3, 5, 7, 10, 14, 21 and
28 post-challenge as indicated (*). Gray text denotes challenge timeline (top row); black text
denotes vaccination timeline (bottom row). African green monkey (AGM) number for
subjects in each vaccine dose group and one control subject are shown.
Figure 5 depicts the survival curve of fected subjects. Data from control
subjects (n=2) and sGHeV vaccinated subjects (n=9) were used to generate the Kaplan-
Meier survival curve. Control included data from one additional historical control subject.
Vaccinated subjects received 10 pg, 50 pg or 100 pg sGHeV administered subcutaneously
twice. Average time to end stage disease was 11 days in control subjects whereas all
vaccinated subjects survived until euthanasia at the end of the study.
Figure 6 depicts NiV- and HeV- c Immunoglobulin (lg) in vaccinated subjects.
Serum and nasal swabs were collected from vaccinated subjects and lgG, lgA and lgM
responses were ted using sGHeV, and sGNiV multiplexed microsphere assays. Sera
or swabs from subjects in the same vaccine dose group (n=3) were d individually and
the mean of microsphere median fluorescence intensities (M.F.|.) was calculated which is
shown on the Y-axis. Error bars ent the standard error of the mean. Serum sG-
specific lg is shown in black (sGHeV (open triangles), sGNiV (solid les» and mucosal
sG-specific lgA is shown in gray s (sGHeV (open triangles), sGNiV (solid triangles)).
Description of the Invention
Vaccine & genic Compositions
The vaccine and immunogenic composition of the present invention induces at least
one of a number of humoral and cellular immune responses in a subject who has been
administered the composition or is effective in enhancing at least one immune response
against at least one strain of HeV and/or NiV, such that the administration is suitable for
vaccination purposes and/or prevention of HeV and/or NiV infection by one or more strains of
HeV and/or NW. The composition of the present invention delivers to a subject in need
thereof a G glycoprotein, including soluble G glycoproteins from HeV and/or NW and an
lmmunostimulatory x (ISC) which acts as an adjuvant. In some embodiments, the
amount of G glycoprotein includes, but is not limited to, 5, 10, 15, 20, 25, 30, 35, 40, 45, 50,
75, 100, 150, 200 or 250 pg per ml which can also contain 100, 125, 150, 175, 200, 225,
250, 275 or 300 pg per ml of ISC. In some embodiments, the amount of G rotein is 5,
50 or 100 and the amount of ISC is 250 pg per ml.
A. HeV and NW G proteins
In some embodiments, the vaccine and immunogenic compositions comprise one or
more HeV and/or NiV G glycoproteins as described herein. The term protein is used broadly
herein to include polypeptide or fragments thereof. By way of example, and not limitation, a
HeV G glycoprotein may in e form and comprise amino acids 73-604 of the amino acid
sequence for a HeV G glycoprotein in Wang (2000) J. Virol. 74, 9972-9979 (see also Yu
(1998) Virology 251, 227-233). Also by way of example and not limitation, a NiV G
glycoprotein may be in soluble form and comprise amino acids 71-602 of the amino acid
sequence for a NiV G glycoprotein in Harcourt (2000) Virology 271: 9, 2000 (see also
Chua (2000) e, 288, 1432-1).
Generally, the soluble forms of the HeV and NW G glycoproteins comprise all or part
of the ectodomain (e.g. extracellular) of the G glycoprotein of a HeV or NW and are generally
produced by deleting all or part of the transmembrane domain of the G glycoprotein and all
or part of the cytoplasmic tail of the G glycoprotein. By way of e, a soluble G
glycoprotein may comprise the complete main of a HeV or NiV G glycoprotein. Also
by way of example, and not limitation a soluble G glycoprotein may se all or part of the
ectodomain and part of the transmembrane domain of a HeV or NiV G glycoprotein.
The soluble HeV or NiV G glycoproteins of the invention, generally retain one or more
characteristics of the corresponding native viral glycoprotein, such as, ability to interact or
bind the viral host cell receptor, can be produced in oligomeric form or forms, orvthe ability to
elicit antibodies (including, but not limited to, viral neutralizing antibodies) capable of
recognizing native G glycoprotein. Examples of additional characteristics include, but are not
limited to, the ability to block or prevent infection of a host cell. tional methodology
may be utilized to evaluate soluble HeV or NiV G glycoproteins for one of more of the
characteristics.
By way of e, and not limitation, a polynucleotide ng a soluble HeV G
glycoprotein may comprise a cleotide sequence encoding about amino acids 73-604
of the amino acid sequence for an HeV G glycoprotein in Wang (2000) J. Virol. 74, 9972-
9979 (SEQ ID NO: 2). Also by way of example, and not limitation, a polynucleotide ng
a soluble HeV G glycoprotein may comprise nucleotides 9129 to 10727 of the polynucleotide
sequence for an HeV G glycoprotein in Wang (2000) J. Virol. 74, 9972-9979. In addition,
codon optimized polynucleotide sequence encoding about amino acids 73-604 of the amino
acid sequence for an HeV G glycoprotein (SEQ ID NO: 2) can also be utilized. In some
embodiments, these codon optimized ces comprises or consist of nucleotides 64 to
1662 of SEQ ID NO: 16. In further embodiments, the codon optimized sequences comprises
or consists of SEQ ID NO: 16 which includes nucleotides encoding an ng leader sequence.
By way of example, and not limitation, a NiV G glycoprotein may in soluble form and
se amino acids 71-602 of the amino acid sequence for the NW G glycoprotein in
Harcourt (2000) Virology 271, 334-349. Non—limiting examples of sequences that may be
used to construct a soluble NiV G glycoprotein can be found in Harcourt (2000) Virology 271,
334-349. Generally, G glycoprotein sequences from any Nipah virus isolate or strain may be
utilized to derive the polynucleotides and polypeptides of the invention.
By way of example, and not limitation, a polynucleotide encoding a e NiV G
rotein may comprise a polynucleotide sequence encoding about amino acids 71—602
of the amino acid ce for an NiV G Glycoprotein in Harcourt (2000) Virology 271, 334-
349. Also by way of example, and not limitation, a cleotide encoding a soluble NiV G
glycoprotein may comprise 234-2042 of the polynucleotide sequence for an NiV G
glycoprotein in rt (2000) Virology 271, 334-349 (SEQ ID NO: 4). In addition, codon
optimized polynucleotide sequence encoding about amino acids 71-602 of the amino acid
sequence for an NiV G glycoprotein can also be utilized.
Functional equivalents of these G glycoproteins can be used in the immunogenic and
vaccine compositions of the invention. By way of example and not tion functionally
lent ptides possess one or more of the following characteristics: ability to
interact or bind the viral host cell receptor, can be produced in dimeric or tetrameric form or
forms, the ability to elicit antibodies (including, but not limited to, HeV and/or NiV viral
neutralizing dies) capable of izing native G glycoprotein and/or the ability to
block or prevent infection of a host cell.
In some embodiments, the G glycoprotein may be in dimeric and/or tetrameric form.
Such dimers depend upon the formation of disulfide bonds formed between cysteine
residues in the G glycoprotein. Such disulfide bonds can correspond to those formed in the
native G glycoprotein (e.g. location of es remains unchanged) when expressed in the
surface of HeV or NiV or may be altered in the presence or location (e.g. by altering the
location of cysteine(s) in the amino acid ce) of the G glycoprotein so as to form
different dimeric and/or tetrameric forms of the G glycoprotein which enhance antigenicity.
Additionally, non-dimerized and tetramerized forms are also within the invention, again taking
into t that G glycoprotein presents us conformation-dependent epitopes (i.e.
that arise from a tertiary three dimensional structure) and that preservation numerous of such
natural epitopes is highly preferred so as to impart a neutralizing dy response.
The HeV immunogenic and vaccine compositions of the invention may contain
proteins of variable length but include the amino acid residues 73 to 604 of SEQ ID NO: 2.
In one embodiment of the present invention, envelope proteins of the ion are at least
about 85, 90, 91, 92, 93, 94, 95 or 99% cal to the HeV glycoprotein of SEQ
, 96, 97, 98,
ID NO: 2 (including amino acids 73 to 604). Accordingly, the HeV G glycoproteins of the
invention comprise immunogenic fragments of the native HeV G glycoprotein with sufficient
number of amino acids to produce conformational epitopes. miting examples of
immunogenic fragments include amino acid sequences which may be at least 530, 531, 532,
533, 534 or 535 or more amino acids in length. In some embodiments, the HeV G
glycoprotein comprises or consists of SEQ ID NO: 2 or tic constructs further
comprising an ng leader sequence (SEQ ID NO: 15).
The NiV immunogenic and vaccine compositions of the invention may contain
proteins of variable length but include the amino acid residues 71 to 602 of SEQ ID NO: 4.
In one embodiment of the present invention, envelope proteins of the invention are at least
about 85, 90, 91, 92, 93, 94, 95, 96, 97, 98, or 99% identical to the NW glycoprotein of SEQ
ID NO: 4 (including amino acids 71 to 602). Accordingly, the NW G glycoproteins of the
invention comprise immunogenic fragments of the native NiV G glycoprotein with sufficient
number of amino acids to e mational epitopes. Non-limiting examples of
immunogenic fragments include amino acid ces which may be at least 528, 529, 530,
531, 532, or 533 or more amino acids in length. In some embodiments, the NW G
glycoprotein comprises or consists of SEQ ID NO: 4 or synthetic constructs further
sing a leader sequence.
lmmunogenic fragments as described herein will contain at least one epitope of the
antigen and display HeV and/or NiV antigenicity and are capable of raising an immune
response when presented in a suitable construct, such as for example when fused to other
HeV and/or NiV antigens or presented on a r, the immune response being directed
against the native n. In one embodiment of the present invention, the genic
fragments contain at least 20 contiguous amino acids from the HeV and/or NiV antigen, for
example, at least 50, 75, or 100 contiguous amino acids from the HeV and/or NiV antigen.
HeV and NW G glycoprotein embodiments further include an isolated polypeptide
comprising an amino acid sequence having at least a 85, 90, 91, 92, 93, 94, 95, 96, 97, 98,
99 or 100% identity to native HeV or NiV G glycoproteins, n said polypeptide
sequence may be identical to the native HeV or NiV G glycoprotein amino acid sequence or
may include up to a certain integer number of amino acid tions as compared to the
native HeV or NiV G protein amino acid sequence, wherein said alterations are selected from
the group consisting of at least one amino acid deletion, tution, including conservative
and non-conservative substitution, or insertion, and wherein said alterations may occur at the
amino— or carboxy-terminal positions of the reference polypeptide sequence or anywhere
between those terminal positions, interspersed either individually among the amino acids in
the reference ce or in one or more uous groups within the native HeV or NiV G
rotein amino acid sequence.
Sequence identity or homology at the amino acid sequence level can be determined
by BLAST (Basic Local Alignment Search Tool) analysis using the thm employed by the
ms blastp, blastn, blastx, tblastn and tblastx (Altschul (1997) Nucleic Acids Res. 25,
3389-3402 and Karlin (1990) Proc. Natl. Acad. Sci. USA 87, 2264-2268) which are tailored
for sequence similarity searching. The approach used by the BLAST program is to first
consider similar segments, with gaps (non-contiguous) and without gaps (contiguous),
between a query sequence and a database sequence, then to evaluate the statistical
significance of all matches that are identified and finally to ize only those matches
which satisfy a preselected threshold of significance. For a discussion of basic issues in
similarity searching of sequence databases, see ul (1994) Nature Genetics 6, 119-129.
The search ters for histogram, descriptions, alignments, expect (i.e., the tical
significance old for reporting matches against database sequences), cutoff, matrix and
filter (low complexity) are at the default settings. The default scoring matrix used by blastp,
blastx, tblastn. and tblastx is the BLOSUM62 matrix (Henikoff (1992) Proc. Natl. Acad. Sci.
USA 89, 10915-10919), recommended for query sequences over 85 amino acids in length.
The vaccine and immunogenic compositions of the present invention may further
se additional HeV and/or NiV G proteins from different strains that may further
potentiate the immunization methods of the invention.
B. lmmunostimulatory Complexes
Generally this invention provides immunogenic compositions, including vaccine
compositions, comprising e forms of HeV and/or NiV G glycoprotein envelope protein
in ation with an immune stimulatory complex (ISO) and to methods for using these
compositions for ting and ng HeV and/or NiV_ infections in a subject. In the
present invention, the vaccine and/or immunogenic composition comprise an
immunostimulatory complex which acts as an adjuvant. As used herein, ant" refers to
an agent which, while not having any specific antigenic effect in itself, may stimulate the
immune system, increasing the response to an antigen.
ISO have a number of features that makes it an ideal adjuvant for certain
applications:
Antigen sparing: As noted for example in Wee (2008) Mucosal Immunol. 1, 489-496
in situations where antigen availability is limited or antigen costs are high, ISO has been
shown to allow antigen sparing as much as 10 to 100 fold. Most likely this due to a
ation of increased efficiency or more appropriate mechanism of action compared to
other adjuvants.
Cross-presentation: As noted for e in Schnurr (2009) J. Immunol. 182, 1253-
1259, presentation of antigen by antigen presenting cells (APCs) usually follows one of two
ys. n antigen is usually engulfed by APCs and then processed and reexpressed
on the surface of APC in the context of Major Histocompatibility Complex (MHC)
class II les. They are then able to be seen by lymphocytes and, if the right co-
stimulatory s/signals are present, be responded to as appropriate. Self or cancer
antigens and viral ns are normally processed and expressed in the context of Class I
molecules as they are present in the cytoplasm of APCs. Effective immunity to cancer and
viral antigens requires access to the Class | pathway. This occurs naturally during viral
infection or cellular tasis (cellular turnover of internal antigens). Antigens (viral or
self) introduced as vaccines need to find their way from outside the cell to antigen processing
machinery of the cell and entry into the Class‘ II pathway to the Class I pathway. This can
occur lly in Dendritic Cells (DCs - specialist APCs) or can be achieved by vaccinating
with antigens mixed with ISO as adjuvant. This process of externally derived antigen finding
its way into the Class | pathway of antigen presentation is called presentation. The
precise mechanism by which lSC achieves cross-presentation of antigen has not been fully
elucidated but may rely on membrane perturbation of ISO components.
2012/037839
Humoral and cell mediated responses: As noted, for example in Maraskovsky (2009)
lmmunol. Cell Biol. 87, 371-376), by virtue of the mechanism of action of ISC both humoral
and cellular arms of the adaptive immune system are engaged. In some species this is
paralleled the profile of cytokines stimulated by ation with this adjuvant. Type 1
immune responses terized by Interleukin-2 and IFN-gamma expression and protection
against intracellular pathogens (bacteria, protozoa and viruses) and type 2 responses
characterized by expression of Interleukin-4 and generation of neutralizing antibody for anti-
toxin and anti-pathogen related immunity. ISC provides a balanced cytokine profile between
these two extremes allowing for greater breadth of immune response. Additionally, a number
of studies have shown that ISC can be effective if vaccines are delivered asally. This
allows for sensitization of mucosal surfaces and thus providing relevant immunity at the site
of pathogen entry, of particular relevance in this case (mucosal immunity), see also Sjolander
(2001) Vaccine 19, 4072-4080.
Sterile filterable and consistent manufacturing criteria: The size of the ISC particle is
routinely 40 nm in diameter allowing it to pass through filters used to sterilize preparations
late in ation. onally, the natural tendency for triterpenoid saponins as found in
Quil A to associate with terol and phospholipids has been taken advantage of in
developing manufacturing methods for ISC. Quil A species that do not form ISC particles are
dialyzed away from the final product. By controlling ratios of the components a consistent
t is generated from a heterogeneous spectrum of Quil A saponins. This ratio is
important as ion leads to ures that are not characteristic 40 nm particles (helices,
sheets etc.). The free-flowing nature of the ISC colloid and its y to be measured using
transmission electron microscopy, HPLC and other techniques make this adjuvant amenable
to pment of release assays and other measures of quality.
Thus, based on the above, in some embodiments, the formulation of an
immunostimulating complex with an optimal amount of G glycoprotein includes a saponin, a
phospholipid and a d molecule. In some embodiments, the molar ratio of saponin,
olipid, steroid molecule in a ratio of 5:1 :1. An immunostimulating complex may
contain, for example, 5 to 10% by weight saponin, 1 to 5% steroid molecule and phospholipid
and the remainder comprising G glycoprotein. G glycoprotein can be incorporated into the
immunostimulating complex either directly or by chemical coupling to a carrier protein (e.g.
ic or fusion protein) after incorporation of protein into immunostimulating complexes.
Reference to an immunostimulating complex should be understood to e reference to
derivatives, chemical equivalents and analogs thereof. In some embodiments, the ISC is
admixed separately from the HeV and/or NiV G glycoprotein then the G glycoprotein is
admixed with the ISC. In some embodiments, the G glycoprotein is admixed directly with the
saponin, olipid and steroid molecule.
In some embodiments, the saponin for use in the present invention is Quil A and/or
its derivatives. Quil A is a saponin preparation isolated from the South American tree
ja saponaria Molina and was first described as having nt activity by Dalsgaard
(1974) n adjuvants, Archiv. fiir die gesamte Virusforschung, Vol. 44, Springer Verlag,
pp. 243-254. Purified nts of Quil A have been isolated by HPLC which retain adjuvant
activity without the toxicity associated with Quil A (EP 8), for example 087 and 0821
(also known as QA7 and QA21). QSZ1 is a natural n derived from the bark of Quillaja
saponaria Molina which induces CDB+ xic T cells (CTL), Th1 cells and a predominant
lgG2a antibody response and is a saponin for use in the context of the present invention.
Other suitable saponins for use in the ISC e, but are not limited to, the QH-A, QH-B
and QH-C subfractions of Quil A, those from species other than Quil/aia saponaria such as
those from the genera Panax (ginseng), Astragalus, Achyranthes, Soy bean, Acacia and
Codonopsis. In some embodiments, the saponin is isolated from a species other than
Quillaia saponaria.
Non-limiting examples of phospholipids for use in the immunogenic and vaccine
compositions of the invention include molecules with diacylglyceride structures and
phosphosphingolipids. Non-limiting examples of phospholipids with diacyglyceride structures
include phosphatidic acid (phosphatidate) (PA), atidylethanolamine (cephalin) (PE),
phosphatidylcholine (lecithin) (PC), dipalmitoyl atidylcholine (DPPC) or
phosphatidylserine (PS). Another non-limiting example of phospholipids with diacylgylceride
structures includes phosphoinositides. Exemplary phosphoinositides include, but are not
limited to, phosphatidylinositol (Pl), phosphatidylinositol phosphate (PIP),
phosphatidylinositol bisphosphate (PlP2) or phosphatidylinositol triphosphate (PIP3). Non-
limiting examples of ospingolipids include, ceramide phosphorylcholine
(Sphingomyelin) (SPH), ceramide phosphorylethanolamine (Sphingomyelin) (Cer-PE) or
ceramide phosphorylglycerol.
Steroid molecules for use in the genic and vaccine compositions of the
invention include molecules which incorporate a steroid as part of their structure. Non-
limiting examples of d molecules include cholesterol, pregnenolone, 17-alpha-hyrdroxy
pregnenolone, dehydroepiandrosterone, androstenediol, progesterone, 17-alpha-hydroxy
progesterone, androstenedione, testosterone, dihyrdroxytestorone, deoxycorticosterone, 11—
deoxycorticosterone, cortisol, corticosterone, aldosterone, estrone, estradiol or estriol.
In some embodiments, immunostimulating complexes are lly, but not limited to,
small cage like structures 30-40 nM in diameter. In some ments, the formulation of an
immunostimulating complex has a molar ratio of Quil A, cholesterol, phosphatidylcholine and
G glycoprotein in a ratio of 5:1 :1. An immunostimulating complex may contain, for example, 5
to 10% by weight Quil A, 1 to 5% cholesterol and phospholipids and the remainder
comprising G glycoprotein. G glycoprotein can be incorporated into the immunostimulating
x either directly or by coupling to a carrier protein (eg. a chimeric or fusion protein)
after incorporation of protein into immunostimulating complexes. Reference to an
immunostimulating complex should be understood to include reference to derivatives,
chemical equivalents and analogs thereof. For example, reference to a tive of an
immunostimulating complex es nce to an immunostimulating complex in which
one or more of Quil A, terol, phosphatidylcholine or protein, for example, are deleted,
substituted for, or where a component in addition to Quil A, cholesterol, phosphatidylcholine
or protein is added to the complex. The functional equivalent of an immunostimulating
complex may be an immunostimulating x in which one or more of its four components
are replaced with a functional equivalent. In some embodiment of the t invention, the
G glycoprotein component of the immunostimulating complex is deleted. This type of
immunostimulating complex is herein referred to as a protein-free immunostimulating
In some embodiments the present invention includes, but is not limited to, an
genic composition sing an isolated HeV or NiV G protein capable of inducing
the production of a cross-reactive neutralizing anti-serum against multiple strains of HeV
and/or NiV in vitro and an nt comprising Quil A, DPPC and terol, for example
wherein the composition contains: 5, 50 or 100 pg of soluble HeV or NiV G protein, and
appropriate amounts of Quil A, DPPC, and terol. Further exemplary embodiments of
immunostimulatory complexes, and the preparation thereof, are described in EP 024238081
and EP 481, and also W02000041720 (see, for example, pages 3 and 9 n,
referring to: Cox & Coulter (1992) Advances in Adjuvant logy and Application in
Animal te Control tJtilizing Biotechnology, Chapter 4, Yong (ed.), CRC Press; Dalsgard
(1974) Gesamte Virusforsch, 44, 243-254; lian Patent Specification Nos. 558258,
589915, 590904 & . See also the entative protocols described in US. Patent
6,506,386, and reference therein to the well known fact that immunostimulatory xes
can be used wherein the protein antigen is included in the immunostimulatory complex when
formed (see EP 0109942B1), or alternatively, preformed immunostimulatory complexes are
provided which are then mixed with a separately added aliquot of antigen to form the vaccine
(see EP 043662081). As will be generally recognized, the protein antigen can also be
covaltently attached to the immunostimulatory complex (see again EP 0180564B1). As is
also well recognized in the art, stimulatory complexes may be administered via
muscosal vaccination (see Mowat (1991) |mmun0logy 72, 317-322) and stimulatory
complexes of the present invention may be further ed for al vaccination by
inclusion of membrane targeting proteins (WO 9730728).
In some embodiments the t invention includes, but is not limited to, an
immunogenic composition comprising an isolated HeV or NiV G protein capable of inducing
the production of a cross-reactive neutralizing anti-serum against multiple strains of HeV
and/or NiV in vitro and an adjuvant comprising Quil A, DPPC and cholesterol, for example
wherein the composition contains: 5, 50 or 100 pg of soluble HeV or NiV G protein, and
appropriate amounts of Quil A, DPPC, and cholesterol. Further exemplary embodiments of
immunostimulatory xes are described in W02000041720.
In another embodiment of the invention, the vaccine and immunogenic compositions
may be part of a pharmaceutical composition. The pharmaceutical compositions of the
present invention may contain suitable pharmaceutically acceptable carriers comprising
ents and auxiliaries that facilitate processing of the active compounds into preparations
that can be used pharmaceutically for delivery to the site of action.
C. Excipients
The immunogenic and vaccine compositions of the invention can further comprise
pharmaceutically acceptable carriers, excipients and/or stabilizers (see eg. Remington: The
Science and practice of Pharmacy (2005) cott VWliams), in the form of lyophilized
formulations or aqueous solutions. Acceptable carriers, excipients, or stabilizers are
WO 58643
nontoxic to recipients at the dosages and concentrations, and may comprise buffers such as
. phosphate, citrate, and other organic acids; antioxidants including ascorbic acid and
methionine; preservatives (such as y((o-carboxyphenyl)thio)ethy| sodium salt
(THlOMERSAL), octadecyldimethylbenzyl ammonium chloride; hexamethonium chloride;
benzalkonium chloride, benzethonium chloride; phenol, butyl or benzyl alcohol; alkyl
parabens such as methyl or propyl n; catechol; resorcinol; cyclohexanol; 3-pentanol;
and m-cresol); proteins, such as serum albumin, gelatin, or globulins; hydrophilic
polymers such as nylpyrrolidone; amino acids such as glycine, glutamine, gine,
histidine, arginine, or ; monosaccharides, disaccharides, and other carbohydrates
including glucose, mannose, or dextrans; ing agents such as EDTA; sugars such as
sucrose, mannitol, trehalose or sorbitol; salt-forming counter-ions such as sodium; metal
complexes (e.g. Zn-protein complexes); and/or non-ionic surfactants such as polyethylene
glycol (PEG), TWEEN or PLURONICS.
The compositions of the invention can be in dosages suspended in any appropriate
pharmaceutical e or carrier in sufficient volume to carry the dosage. Generally, the
final volume, ing carriers, adjuvants, and the like, typically will be at least 1.0 ml. The
upper limit is governed by the practicality of the amount to be administered, generally no
more than about 0.5 ml to about 2.0 ml.
Methods of Use
The invention encompasses methods of preventing and/or treating Hendra and/or
Nipah virus infection comprising administering the immunogenic and vaccine compositions of
the invention in any mammalian subject. Active immunity elicited by vaccination with a HeV
and/or NiV G rotein with the adjuvants described herein can prime or boost a cellular
or humoral immune response. An effective amount of the HeV and/or NiV G glycoprotein or
nic fragments thereof can be prepared in an admixture with an adjuvant to prepare a
vaccine.
The invention encompasses methods of preventing and/or treating Hendra and/or
Nipah virus infection in a human subject comprising administering an immunogenic and/or ,
vaccine composition comprising a soluble HeV and/or NiV G rotein or combinations
thereof either by itself or in combination with at least one adjuvant le for use in
humans. Adjuvants suitable for use in humans may be used alone or in combination.
Examples of adjuvants suitable for use in humans e, but are not limited to, aluminum
salts. Examples of aluminum salts include. but are not limited to, aluminum hydroxide,
aluminium hydroxide gel (Alhydrogelm), aluminum phosphate, alum (potassium aluminum
sulfate), or mixed aluminum salts. Additional examples of adjuvants suitable for use in
humans include, but are not limited to, water-in-oil emulsions, oil-in-water emulsions, and
A804 (combination of aluminum hydroxide and monophosphoryl lipid A) and CpG
oligodeoxynucleotides. CpG eoxynucleotides are synthetic oligonucleotides that
contain unmethylated CpG dinucleotides in particular sequence contexts (CpG motifs).
These CpG motifs are present at a d greater frequency in bacterial DNA compared to
mammalian DNA. CpG oligodeoxynucleotides are ized by Toll-like or 9 (TLR9)
leading to strong immunostimulatory effects.
The administration of a vaccine or immunogenic composition comprising HeV and/or
NiV G glycoprotein with one or more adjuvants described herein, can be for either a
prophylactic or therapeutic purpose. In one aspect of the present ion the composition is
useful for prophylactic purposes. When provided prophylactically, the vaccine composition is
provided in advance of any detection or symptom of HeV and/or NiV infection. The
prophylactic administration of an effective amount of the compound(s) serves to prevent or
attenuate any subsequent HeV and/or NiV infection.
When ed therapeutically, the vaccine is provided in an ive amount upon
the detection of a symptom of actual infection. A composition is said to be
“pharmacologically acceptable" if its administration can be tolerated by a recipient. Such a
composition is said to be administered in a “therapeutically or prophylactically effective
amount” if the amount stered is logically significant. A vaccine or immunogenic
composition of the present invention is physiologically significant if its presence results in a
detectable change in the physiology of a recipient patient, for example, by ing a
broadly reactive humoral or cellular immune response to one or more strains of HeV and/or
NW. The protection provided need not be absolute (i.e., the HeV or NiV infection need not
' be totally ted or ated), provided that there is a statistically significant
improvement relative to a control tion. Protection can be limited to mitigating the
severity or rapidity of onset of symptoms of the disease.
A vaccine or immunogenic composition of the present invention can confer resistance
to multiple s of HeV and/or NiV. As used herein, a e is said to prevent or
2012/037839
attenuate an infection if its administration to a subject results either in the total or partial
ation (i.e., suppression) of a symptom or condition of the infection, or in the total or
partial immunity of the individual to the infection.
At least one vaccine or immunogenic ition of the present invention can be
administered by any means that achieve the intended purpose, using a pharmaceutical
composition as described herein. For example, administration of such a composition can be
by various parenteral routes such as subcutaneous, intravenous, intradermal, intramuscular,
intraperitoneal, intranasal, transdermal, or buccal routes. In one embodiment of the present
invention, the composition is administered by subcutaneously. Parenteral stration can
be by bolus injection or by gradual perfusion over time.
A typical n for preventing, suppressing, or treating a e or condition which
can be alleviated by a cellular immune response by active specific cellular immunotherapy,
ses administration of an effective amount of a vaccine composition as described
above, administered as a single treatment, or ed as enhancing or booster s,
over a period up to and including one week to about twenty-four months. Non-limiting
examples include a first dose ed by a second dose about at least 10, 11, 12, 13, 14,
, 16, 17, 18, 19, 20, 21, 22, 23 or 24 days after the first dose (day 0). The amount of the
dose of the immunogenic or vaccine composition may be the less than, the same as, or
greater than the first dose administered at day 0.
According to the present invention, an “effective amount" of a vaccine or
immunogenic composition is one which is sufficient to achieve a desired biological effect, in
this case at least one of cellular or humoral immune response to one or more strains of HeV
and/or NiV. It is understood that the effective dosage will be dependent upon the age, sex,
health, and weight of the subject, kind of concurrent treatment, if any, frequency of treatment,
and the nature of the effect desired. The ranges of effective doses provided below are not
intended to limit the invention and represent examples of dose ranges which may be suitable
for administering compositions of the present invention. However, the dosage may be
tailored to the dual subject, as is understood and determinable by one of skill in the art,
without undue experimentation.
The ents of the vaccine and immunogenic itions of the present invention
can be any t which can acquire specific immunity via a cellular or humoral immune
response to HeV and/or NiV, where the cellular response is mediated by an MHC class i or
WO 58643
class ii protein. Among s. the recipients may be mammals of the orders primata
(including , chimpanzees, apes and monkeys). In one embodiment of the present
invention there is provided a method of treating humans with the vaccine or immunogenic
compositions of the invention. The subjects may be infected with HeV and/or NiV or provide
a model of HeV or NiV infection as in experimental studies. In some embodiments, the
subject is a domesticated mammal including, but not limited to, a horse, cow, oxen, water
o, sheep, pig (Mingyi (2010) Vet. Res. 41, 33), goat, dog curity Alert — Hendra
Virus Update, 27 July 2011, Press Release, Biosecurity Queensland) or cat. In some
embodiments, the subject is a fowl, including a chicken.
Vaccines of the present invention also provide for cross-protection against Nipah
virus ion at doses used to protect against Hendra virus infection and thus also provide
ive vaccination against Nipah virus.
Reference to an effective immune response should be understood as a reference to
an immune response which either directly or indirectly leads to a beneficial prophylactic or
therapeutic effect. In the case where the immunogen comprises a HeV or NiV G glycoprotein
as described herein, such a response includes the reduction or blocking of viral reproduction
and/or viral shedding and/or reduction in disease symptoms in an animal. It should be
understood that efficacy is a functional measure and is not defined by reference to eV
and/or iV antibody titre alone since the presence of circulating antibody alone is not
arily indicative of the capacity of said circulating antibody to block viral reproduction
and shedding.
Also by way of example, and not limitation, if a e G protein ptide of the
invention is being administered to augment the immune response in a subject ed with
or suspected of being infected with Hendra or Nipah and/or if antibodies of the present
invention are being administered as a form of passive immunotherapy the composition can
further comprise, for example, other therapeutic agents (e.g., anti-viral ).
Example 4 below provides information on certain preferred compositions for use in
vaccinating horses. In regard of other s that may be infected with Hendra virus, and
which therefore warrant vaccination to protect both animals and thus humans from both
Hendra and Nipah virus infection, the following information is generally applicable and can
readily be adapted by those skilled in the art. Generally speaking, companion animals (dogs
and cats) warrant approximately 25 micrograms of Hendra antigen, and can benefit from an
ISO adjuvant in the range of 25-150 micrograms, with a 5:1 :1 ratio of saponin, olipid
and sterol being among the preferred ISC itions while using any of the component
species as disclosed herein. For companion s it is preferred that the final dose be
about 1 ml. nTM (MVP Technologies), a mer based adjuvant, may also be used
at preferably about 5-15% (v/v).
Generally speaking, for larger farm animals (sheep, cows, pigs, etc.) the antigen and
adjuvant dosing (and final dosing volume) s othenivise provided herein for horses are
applicable, that is, from 50-100 micrograms of antigen, and typically about 250 micrograms
of ISO may be used, final volume 1-3 ml for example). In regard of pigs, an alternative and
effective adjuvant formulation involves (for approximately the same amount of antigen) a
blend of lSC and ionic polysaccharide, cally 100 mg DEAE dextran and 800
micrograms ISO in 1-3 ml final dose volume (again 5:1 :1 of Quil Azphoshatidyl
e:cholesterol (see )).
Differentiation of Vaccinated Animals
The invention also encompasses methods of differentiating healthy vaccinated
animals from animals exposed to, or infected with HeV and/or NiV. During viral infection,
HeV and NW express additional ns other than G glycoprotein (G) including fusion
protein (F), matrix protein (M), phosphoprotein (P), large protein (L) and nucleocapsid protein
(N). These additional proteins have the potential to induce immune responses in s in
the form of antibodies which bind to these proteins or T cell immunity. The level of antibody
response to these other proteins can normally be measured by assays such as enzyme-
linked immune assay (EIA). The immunogenic and vaccine formulations of the present
invention, in some embodiments, contain only G glycoprotein as an HeV and/or NiV antigen
and will therefore induce immune responses with antibodies only to the G glycoprotein of
HeV and/or NiV. Animals vaccinated with the immunogenic compositions described herein
which are subsequently ed by HeV or NiV will mount a booster immune se to the
G glycoprotein, but will also show changes of antibody presentation to some other HeV and
NW proteins other than G glycoprotein. Thus, the presence of antibodies to any of the fusion
protein (F), matrix protein (M), phosphoprotein (P), large protein (L) and nucleocapsid protein
(N) can be measured in an EIA to ine the presence or absence of antibodies specific
to these proteins in serum samples. If antibody to any of these other proteins (i.e. other than
G glycoprotein) is detected, then the animal hasbeen exposed to HeV and/or NiV.
Alternatively, if no antibody to these other proteins is found and only antibodies binding to G
protein are detected, then the animal has only been ated.
The ElA of the present ion are both highly specific and highly selective in
detecting and differentiating between animals infected with HeV and/or NW and healthy
animals which have been vaccinated with the immunogenic compositions described herein.
The present invention may utilize a variety of assay procedures including ELISA in both
homogenous and heterogenous environments. The assay ures may be conducted on
samples such as blood, serum, milk, or any other body fluid containing antibodies.
In some embodiments, the antibodies used in the EIA may uniquely compete with
antibodies induced by vaccination with the G rotein, but not antibodies induced in
animals by infection with HeV and/or NiV. This allows not only serologic diagnosis of HeV
and NW infection, but differentiation of vaccination from infection in a single assay. The EIA
procedure may be performed on standard blood serum samples or any body fluids or
secretions containing antibodies. The EIA procedure may employ either monoclonal and/or
onal antibodies to G glycoprotein and any other HeV and/or NiV viral protein (e.g.
fusion protein (F), matrix protein (M), oprotein (P), large protein (L) and capsid
protein (N) as such proteins are not t in ated healthy animals which have not
been exposed to HeV and/or NW). The EIA may be carried out in any number of
commercially available fixed or portable-manual, semi-automated or robotics-automated
ELISA equipment with or without computer assisted data analysis reduction re and
hardware. In some embodiments, the methods of differentiating healthy vaccinated animals
from animals exposed to, or infected with HeV and/or NiV may be conducted on a biological
sample isolated from a domesticated mammal including, but not limited to, a horse, cow,
sheep, pig, goat, dog or cat. In some embodiments, the subject is a fowl, including a chicken.
In some embodiments, the subject is a human.
Examples
The ing examples illustrate only certain and not all embodiments of the
ion, and thus, should not be viewed as limiting the scope of the invention.
Example 1: Vector Constructs
Vectors were constructed to express transmembrane/cytoplasmic tail-deleted HeV G
or NiV G. The cloned cDNA of ength HeV or NiV G protein were amplified by PCR to
generate nts about 2600 nucleotides encoding the embrane
domain/cytoplasmic tail-deleted HeV or NiV G protein.
The following oligonucleotide primers were synthesized for amplification of HeV G.
sHGS: 5'-GTCGACCACCATGCAAAATTACACCAGAACGACTGATAAT—3' (SEQ ID NO: 5).
sHGAS: 5'-GTTTAAACGTCGACCAATCAACTCTCTGAACATTG
GGCAGGTATC-3'. (SEQ ID NO: 6).
The following oligonucleotide primers were synthesized for amplification of NW G.
sNGS: 5'-CTCGAGCACCATGCAAAATTACACAAGATCAACAGACAA-3' (SEQ ID NO: 7).
sNGAS: 5'-CTCGAGTAGCAGCCGGATCAAGCTTATGTACATT
GTATC-S'. (SEQ ID NO: 8).
All PCR ons were done using Accupol DNA polymerase (PGS Scientifics Corp) with the
following settings: 94°C for 5 minutes initially and then 94°C for 1 minute, 56°C for 2 minutes,
72°C for 4 minutes; 25 cycles. These primers generated a PCR product for the sHeV G ORF
flanked by Sal 1 sites and the sNiV G ORF flanked by Xho 1 sites. PCR products were gel
purified (Qiagen). After gel purification, sHeV G and sNiV G were subcloned into a TOPO
vector (lnvitrogen).
PSectagZB (lnvitrogen) was purchased and d to contain a S-peptide tag or a
myc-epitope tag. Overlapping oligonucleotides were sized that encoded the sequence
for the S-peptide and ed Kpn 1 and EcoR1 overhangs.
SPEPS: 5'-CAAGGAGACCGCTGCTGCTAAGTTCGAACGCCAGCACATGGATT
CT-3' (SEQ ID NO: 9). SPEPAS: 5'AATTAGAATCCATGTGCTGGCGTTCGAACTT
AGCAGCAGCGGTCTCCTTGGTAC-3’. (SEQ ID NO: 10).
Overlapping oligonucleotides were synthesized that encoded the sequence for the
myc-epitope tag and digested Kpn 1 and EcoR1 overhangs.
MTS: 5'-CGAACAAAAGCTCATCTCAGAAGAGGATCTG-s' (SEQ ID NO: 11). MTAS
'-AATTCAGATCCTCTTCTGAGATGAGCTTTTGTTCGGTAC-B' (SEQ ID NO: 12).
64 pmol SPEPS and 64 pmol SPEPAS were mixed and heated to 65°C for 5 minutes
and cooled slowly to 50°C. 64 pmol MTS and 64 pmol MTAS were mixed and heated to
22 .
65°C for 5 minutes and cooled slowly to 50°C. The two mixtures were diluted and cloned
into Kpn1-EcoR1 digested pSecTagZB to te S-peptide modified pSecTagZB or myc-
epitope modified pSecTagZB. All constructs were initially screened by restriction digest and
further verified by sequencing.
The TOPO sG construct was digested with Sal 1 gel d (Qiagen) and ned
in frame into the Xho 1 site of the S-peptide modified pSecTagZB or myc-epitope modified
pSecTang. All constructs were initially screened by restriction digest and further verified by
cing.
The IgK Ieader—S-peptide—s HeVG (sGs.,ag) and the IgK leader-myc tag-sHeVG (sGmyc,
tag) constructs were then subcloned into the vaccinia shuttle vector pMC02. Oligonucleotide
SEQS: ACCCACCATGGAGACAGACACACTCCTGCTA-B' (SEQ ID NO: 13) was
synthesized and used in combination with ucleotide sHGAS to amplify by FOR the sGS-
tag and sGmymg. All PCR reactions were done using l DNA polymerase (PGS
Scientifics Corp.) with the following settings: 94°C for 5 s initially and then 94°C for 1
minute, 56°C for 2 minutes, 72°C for 4 minutes; 25 cycles. These primers generated PCR
products flanked by Sal 1 sites. PCR products were gel d (Qiagen). After gel
purification, sGstag and sGmyG.£19 were subcloned into a TOPO vector (lnvitrogen). sG S-tag
and sG myc-tag were digested with Sal 1 and ned into the Sal 1 site of pMC02. All
constructs were initially screened by restriction digest and further verified by sequencing. A
codon optimized nucleotide sequence was subsequently generated to facilitate production in
euckaryotic cell lines which is depicted in SEQ lD NO: 16.
Example 2: Protein Production of Soluble G Protein using Vaccinia
For protein production the genetic constructs ning the codon optimized
sequences were used to generate recombinant us vectors (vaccinia virus, strain WR).
Recombinant poxvirus was then obtained using standard techniques employing tk-selection
and GUS staining. Briefly, CV—1 cells were transfected with either pMC02 sHeV G fusion or
pMC02 sNiV on using a calcium phosphate transfection kit ga). These
monolayers were then infected with Western Reserve (WR) wild-type strain of vaccinia virus
at a multiplicity of infection (MOI) of 0.05 PFU/cell. After 2 days the cell pellets were
collected as crude recombinant virus stocks. TK‘ cells were infected with the recombinant
crude stocks in the presence of 25 ug/ml o—2'-deoxyuridine (BrdU) (Calbiochem).
After 2 hours the virus was replaced with an EMEM-10 overlay containing 1% low melting
point (LMP) agarose (Life Technologies) and 25 ug/ml BrdU. After 2 days of incubation an
additional EMEM-10 overlay containing 1% LMP agarose, 25 pig/ml BrdU, and 0.2 mg/ml 5-
Bromo—4-chloroindolyI-B-D—glucuronic acid (X-GLUC) (Clontech) was added. Within 24-48
hours blue s were evident, picked and subject to two more rounds of double selection
plaque purification. The recombinant vaccinia viruses vKB16 (sHeV G fusion) and vKBZ2
(sNiV G fusion) were then amplified and purified by standard methods. Briefly, recombinant
vaccinia viruses are purified by plaque purification, cell-culture amplification, sucrose cushion
pelleting in an ultracentrifuge and ion by plaque assay. Expression of sHeV G was
verified in cell lysates and e supernatants.
Example 3: Protein Production of e G Protein using 293F Cells
c constructs containing the codon zed ces were used to
transform 293F cells (lnvitrogen) to produce a stable cell line which expresses HeV soluble G
glycoprotein. CHO~S cells (lnvitrogen) may also be used for transformation and expression of
HeV soluble G glycoprotein. Transformed cells are plated on 162 cm2 tissue culture flask with
ml DMEM-10. Cells were allowed to adhere and grow at 37°C with 5-8% 002 for l
days. When cells were confluent, they were split into multiple flasks with DMEM-10 with 150
ug/ml ycin B (30 ml per flask). When the cells are 70-80% confluent, they were
washed twice with 30 ml PBS, then 20 ml of 293 SFM || (lnvitrogen) was added and the cells
were incubated at 37°C with 5-8% C02 overnight. On the next day, cells were transferred
into Erlenmeyer flasks with 200 ml SFM || media. Cells were allowed to grow at 37°C with 5-
8% CO; at 125 rpm for 5-6 days until cells started to die. At that time, the supernatant is
collected.
Media from each Erlenmeyer flask is centrifuged at 3,500 rpm for 30 minutes. The
supernatant was then transferred into 250 ml centrifuge s and spun at 10,000 rpm for
one hour. The resulting supernatant is collected and protease inhibitor is added according to
manufacturer’s recommendation along with Triton X-100 to final concentration of 0.1%. The
supernatant is then filtered through a 0.2 pm low protein binding filter membrane.
HeVsG is purified through use of an S-protein agarose affinity column. A 20 ml bed
volume of S-protein agarose (Novagen) is loaded into a XK 26 column (GE Healthcare). The
column is washed with 10x bed volumes of Bind/Wash buffer (0.15 M NaCl, 20 mM Tris-HCI,
pH 7.5 and 0.1% Triton X-100). The prepared supernatant of HeV $6 is applied to the
column to maintain a flow rate of 3 ml/min. The column is washed with 10x bed volumes (200
ml) of ash buffer I followed by 6x bed volumes (120 ml) of wash buffer 1x Wash
Buffer (0.15 M NaCl, and 20 mM Tris-HCI, pH 7.5).
The pump is then stopped and the Wash Buffer is allowed to drain until it reaches the
surface of the beads when 30 ml of Elution Buffer (0.2 M Citric Acid, pH 2) is added. The
first 10 ml of flow through (this should still be the wash ) is collected and then the
elution buffer is incubated with the beads for 10 s. Next, 15 ml of the eluate is
collected into a 50 mL sterile conical fuge tube containing 25 ml of neutralization buffer
(1 M Tris, pH 8). The pH is adjusted to neutral and the elution and tion is repeated
three times. All of the neutralized eluate is combined and concentrated to about 4 ml. The
collected HeV 3G (4 ml) is purified through a 0.2 pm low protein binding filter membrane
(Acrodisc 13 mm Syringe Filter with 0.2 pm HT Tuffryn Membrane.
Gel tion can be utilized to further purify the HeV sG. After quality l analysis
and confirmation of purity and oligomeric state, aliquot HeV sG pooled fractions of
tetramer+dimer, dimer and monomer are stored at -80°C.
Example 4: Preparation of Vaccine Formulation
A schematic summarizing the preparation of ISO is set forth in Figure 3 and is further
described below.
Step 1: A solution of 90 g/L decanoyl-n-methylglucamide (Mega-1O detergent) is
prepared in Water For Injection-(WFI). The solution is heated to ensure total dissolution of
Mega 10 then it is either used immediately in Step 2 or filter sterilized.
Step 2: A solution containing 25 g/L cholesterol and 25 g/L dipalmitoyl phosphatidyl
choline (DPPC) is prepared by ving these components in the stock solution of Mega 10
ent. The solution is heated to dissolve all components then either used immediately in
Step 3 or filter sterilized.
Step 3: Buffered ic Saline, 10 mM phosphate buffer, pH 6.2 i 1 (BIS) is
prepared with WFI and sterile filtered if not used ately.
Step 4: Quil A is prepared in BIS to final concentration of 100 g/L and sterile filtered if
not used immediately.
Step 5: ISO is formulated in an agitated temperature controlled vessel (22-37°C) by
tial addition of pre-heated BIS, cholesterol/DPPC in 0 on (160 ml/L), and
Quil A solution (200 ml/L). The reaction is brought to target volume by addition of BIS.
Step 6: The entire formulation is equilibrated to the required temperature (Target
27°C with acceptable operating range 22-37°C) then incubated for 15 minutes with agitation
to tate ISC formation. The ISC solution is either processed further in Step 7 or sterile
filtered for intermediate storage.
Step 7: The ISC on mixture is washed by dialysis (Membrane: Hydrosart 30 kDa
(Sartorius AG ngen)) for a minimum of 20 volume exchanges against BIS under
temperature control (Target 27°C with acceptable operating range 21-37°C) to remove
uncomplexed components.
Step 8: Dialyzed ISO is concentrated approximately 2-fold by ultra-filtration using the
same membrane as that used for dialysis. The filtration system is rinsed with BIS to restore
ISO to original volume.
Step 9: ISO is transferred to a sterile storage container via sterile filtration through a
0.22 pm cellulose acetate filter.
Step 10: ISO adjuvant is stored at 2-8°C until released for use in vaccine formulation.
The immunostimulatory composition (250 ug/ml) is then combined with riate
amounts of soluble HeV G glycoprotein (eg. 5, 50, 100 pg/ml) and ed to volume in
BIS.
Example 5: First Clinical Experiment in Horses
Test vaccine 1: Recombinant Hendra virus soluble glycoprotein (sG) at 100 ug/dose
adjuvanted with 250 pg of immune stimulating complex; volume is adjusted to 1 ml/dose with
saline on.
Test vaccine 2: Recombinant Hendra virus soluble glycoprotein (sG) at 50 pg/dose
nted with 250 pg of immune stimulating complex; volume is ed to 1 ml/dose with
saline solution.
Test vaccine 3: Recombinant Hendra virus soluble glycoprotein (sG) at 5 pg/dose
adjuvanted with 250 ug of immune stimulating complex; volume is adjusted to 1 mI/dose with
saline solution.
Serological and challenge protection data from horses has been collected from two
lots of horses given the vaccines containing the higher levels of antigen (50 ug/dose and 100
pg/dose).
gy: Two horses were each immunized with two vaccine doses (100 pg 3G with
ISO) 21 days apart. Post-priming and pre-challenge serology confirmed vaccine-induced
seroconversion to HeV (Table 1). Pre-challenge virus neutralizing antibody levels were
comparable to those which had been found to be protective in cats exposed to an otherwise
lethal dose of the closely related Nipah virus. The horse receiving adjuvant only (negative
control) did not develop antibody to HeV prior to viral challenge.
Table 1
Horse No. Baseline titre rime Pre-challenge
titre titre
V1 32 1024
V2 32 512
V3 (Control) <2
Accordingly, each horse was exposed to live HeV in a BSL4 containment
facility 27 days after ing the booster immunization. Virus was administered intranasally
(1 x 10 6TCle) and orally (1 x 10 6TCleo). At the time of challenge and for the period of
observation thereafter, the identity of the control horse was not known by staff involved in this
part of the work.
CliniCal observations for V1: This horse remained clinically well during the
period of observation ing exposure to HeV apart from a zed ion of the entry
site of the indwelling jugular catheter noted on day 8 hallenge. This was not associated
with any constitutional signs of disease. The horse was vely euthanized on day 9 after
viral challenge. Abnormalities at gross post mortem examination were confined to a 10 cm
mesenteric lipoma (incidental finding) and mild dilation of lymphatic vessels at the l tip
of the left cardiac lung lobe that was attributed to barbiturate. lnitial screening of tissues has
found no evidence of either lesions or HeV antigen in this horse.
Clinical observations for V2: This horse developed a mild transient nasal
discharge on day 3, but then remained otherwise well until a temperature rise on day 6
associated with a localized atory reaction at the site of her indwelling jugular
catheter. The catheter was removed, but the lesion continued to enlarge and the horse was
becoming quite irritable so on the following day (d 7) the mare was treated with long-acting
penicillin. Both her temperature and her temperament had returned to normal on day 8 and
she was vely euthanized. Abnormalities at gross post mortem examination were
confined to mild dilation of lymphatic vessels at the ventral tip of the right cardiac lung lobe
that was attributed to barbiturate. l screening of tissues has found no evidence of either
lesions or HeV n in this horse; detailed examination is currently being ted.
Clinical observations for V3: This horse developed a mild transient nasal
discharge on day 4, but then remained otherwise well until a temperature rise on day 6
without localizing signs. Her heart rate had also risen, and she had slight tenting of the skin
tent with mild dehydration and a tucked-up appearance. This constellation of signs is
typical of acute HeV infection under our laboratory conditions. Her temperature and heart
rate continued to increase over the g 12 hours (Figure 1 and 2), she was slightly
depressed, and so she was euthanized on humane grounds on day 7. At post mortem
examination there was moderately severe dilation of lymphatic vessels on the cardiac lobes
of the lung with involvement of the ventral 8-10 cm accompanied by pleural ning and
edema.
On histological examination there was ary vasculitis with id
necrosis of vascular walls, edema of interlobular septa and fOCal necrotizing alveolitis. There
was extensive deposition of HeV antigen in the endothelium and media of blood vessels in
the lung; meninges; brain parenchyma; trigeminal ganglion; submandibular, bronchial,
inguinal and renal lymph nodes; spleen; liver; heart; soft ; adrenal gland; renal
glomeruli; small and large intestines; ovary; pharynx and turbinates as well as germinal
centers in the spleen and occasional cardiac myocytes. Spinal cord, guttural pouch, bladder,
and ory pole of the brain were negative. The histology and immunohistology was
consistent with peracute HeV infection.
lar analysis of clinical samples. There was no ce for shedding of
HeV in any biological sample collected from immunized horses V1 and V2 throughout the
period of clinical observation. Specifically, no genome was red from either deep nasal
swabs or from blood on any day post-exposure.
In contrast, in the non-immunized horse V3, viral genome was detected in
nasal swabs from day 3 after challenge. Decreasing Ct values on successive ng days
is suggestive of viral replication in upper respiratory tract and is consistent with earlier
observations from our laboratory following exposure of naive horses to HeV Redlands 2008.
The finding of viral genome in blood ately prior to the onset of fever, and in all
secretions thereafter, coinciding with the earliest recognition of other al signs such as
depression is also consistent with r observations.
A V _ ESamp_le dayi V _i
U U U U U U U
u u U U u U U
u U U u U U U
U U U u U U U
Faeces U U U U U U U ‘
l EDTAblood Ur ,U “WU U ,U U U ,.
= I i
' HorseWZ E l 2
_ l,
Oral swab U U U U U 4-241, U U .
Rectal swab U U U U U U U U
i Nasal swab U U U U U U U U
Urine u u U U U u U u
Faeces U U U U U U U U
y A
EDTA blood UN cam , U U U a 7U _
_ U, U
, .
h _ . _._.% ; , ,
-. _c_,, .3. V , ,wfil i, -.
-Jiqrzettvé,,- '
A , ,
, . , ;
A._9.'3L5_“LaL” U U U U U
_ .; -_
{Jectgljm_ U U U U U U U _____:
L,_Na§§|.§vxyb__ U U
l Urine U U U u U u «1.34;
i Faeces . U U U U U U U m
i EDrAbIood ~ AL, U U ,___
i U a U m-
Post mortem samples. TaqMan PCR (HeV N-gene) confirmed replication of
the challenge virus in V3 (Control) with dissemination of infection to multiple s (Table
3). Highest levels of replication ed to be present in lung, spleen, kidney, myocardium,
and lymphoid tissues associated with the upper and lower respiratory tracts as previously
reported. There was no evidence of virus replication in tissues of immunized horses (V1 and
V2).
Table 3
Tissue Type Horse #V1 Horse # V2 Horse #V3
Adrenal
Bladder
Brain
Gutteral Pouch
Heart Horse
Kidney Horse
Large lntestine
Liver
Lung
Lymph-Bronchial
Lymph-Head {:5a
Inguinal
Lymph- Man cfibular
Lymph—Renal
Meninges
NasaI turbinate
Nerve
Olfactory Lobe
Ovaries , 411]
Pharynx
Small Intestine
Spinal Cord
Spleen
Trigeminal ganglion
Uterus ECCCCCCCCCCCCCCCCCCC CCCCCCCCCCCCCCéCCCCCCCCCCC
Vin—o i
U= Negative LficafiQn) V
[001 O8] Post-challenge serology. lmmunized horses V1 and V2 did not have a boost in
titre following HeV challenge (Table 4). This is consistent with no significant replication of the
challenge virus in these animals. No dy was detected in the control horse V3 at the
time of euthanasia on hallenge day 7. It was considered that there had been
insufficient time between virus exposure and death of this animal for generation of detectable
antibody, and is consistent with previous observations in our laboratory with HeV Redlands in
the horse.
Table 4
Horse No. Baseline Post-prime Pre-challenge Terminal titre
titre titre titre
V1 32 1024 128, 128 da 9
V2 32 512 128, 256 (day 8)
V3 (Control) <2 <2, <2 (day 7)
Two horses (V1 and V2) that were vaccinated with 100 ug sG + ISC adjuvant
in a prime-boost regime seroconverted to HeV prior to HeV exposure. One horse (V3) that
received ISC only ed seronegative to the challenge virus.
Following challenge with an othen/vise lethal dose of HeV, immunized horses
ed ally well throughout the period of observation, which surpassed the time of
onset of all experimentally induced cases of HeV in horses. The horse with no gical
evidence of immunity (V3) was ized after developing clinical signs consistent with
acute HeV. No boosting of antibody titre was ed following challenge in zed
horses, consistent with no ation of the challenge virus in these animals.
There was no evidence of viral shedding by immunized horses, as reflected by
PCR negative test results on all daily clinical samples. In the non-immunized control, viral
genome was detected in nasal swabs from day 3 after exposure to virus, in blood
immediately prior to the onset of fever, and in all clinical samples from the time fever was
established. This pattern of shedding is tent with that found in naive horses exposed to
HeV in an earlier study at this facility.
There was no evidence of HeV viral replication in any tissue of immunized
horses collected at post mortem examination, following euthanasia during what would be
expected to be the period of acute infection. In contrast, HeV genome and antigen were
buted throughout the tissues of the control horse in a pattern consistent with acute HeV
infection, and vasculopathy typical of HeV infection was also identified.
Example 6: Second Clinical Trial in Horses
Three horses were each immunized with two vaccine doses (50 pg 56 with
ISO) 21 days apart. Post-priming and pre-challenge serology confirmed vaccine-induced
seroconversion to HeV (Table 5). Pre—challenge virus neutralizing antibody levels were
comparable to those which had been found to be protective in cats d to an otherwise
lethal dose of the closely related Nipah virus and to horses exposed to HeV in the first clinical
trial described herein. A horse receiving adjuvant only did not develop antibody to HeV prior
to viral challenge of immunized horses (data not displayed).
Table 5
Baseline titre Post-prime Pre—challenge
titre titre
256/128
2048/>8192
512/1024
Accordingly, each immunized horse was exposed to live HeV in a BSL4
nment facility 27 days after receiving the booster immunization. Virus was administered
intranasally (1 x 106 TCIDso) and orally (1 x 106 . Four guinea pigs were employed in
this study as pathogenicity controls with the expectation that at least one of these would
b to HeV disease. Guinea pigs were exposed to 50,000 TCIDso HeV by the
intraperitoneal route.
Clinical ations for V4: This horse remained clinically well during the
period of observation following re to HeV and temperature and heart rate remained
within normal limits. The horse was electively euthanized on day 8 after viral challenge. No
abnormalities were noted at gross postmortem examination. Initial ing of tissues has
found no evidence of either lesions or HeV antigen in this horse; detailed examination is
currently being completed.
[001 16] Clinical observations for V5: This horse remained clinically well during the
period of ation following exposure to HeV and temperature and heart rate remained
within normal limits (Figure 2). The horse was electively euthanized on day 7 after viral
challenge. No abnormalities were noted at gross post mortem examination. Initial screening
of tissues has found no ce of either lesions or HeV antigen in this horse; detailed
ation is currently being completed.
Clinical observations for V6: This horse ed clinically well during the
period of observation following re to HeV and temperature and heart rate remained
within normal limits (Figure 2). The horse was electively euthanized on day 9 after viral
challenge. No alities were noted at gross post mortem examination. initial screening
of tissues has found no evidence of either s or HeV antigen in this horse; detailed
examination is currently being completed.
Guinea pigs: One of 4 guinea pigs (No. 3) started to lose weight on day 3 after
HeV challenge. Weight loss progressed until day 5 when the animal exhibited neurological
signs (head tilt, tremor) and was euthanized. Abnormalities at post mortem examination were
confined to edema of the retroperitoneal tive tissues.
On histological examination there was pulmonary vasculitis, vasculitis of peri—
renal blood vessels, oophoritis, and non-suppurative encephalitis associated with deposition
of HeV antigen. The histology and immunohistology were consistent with acute HeV
infection and confirmed the pathogenicity of the challenge virus.
There was no evidence for ng of HeV in any biological sample collected
from V4, V5 or V6 hout the period of clinical observation apart from a rectal swab from
V6 on day 3 in which a Ct value (HeV N gene) of 36.2 was observed by TaqMan PCR in one
of two replicate wells with the second well exhibiting no amplification (Table 6). Specifically,
no genome was recovered from either deep nasal swabs or from blood on any day post-
exposure.
WO 58643
Table 6
, 'e'n'ei‘lia'o Mangare‘émtgsgfi
1 .Deily samples day
, Sample l
0 N u 4 01 0')
Horse #V4
Oral swab
Rectal swab
—_ uasal
swab
Urine
Faeces
,_ .,
; "E-DTA blood cccccc “cccccc ‘jcccccc, ,cccccc
Horse W5
Oral swab u u
Rectal swab u u
l Nasal swab u u
Urine u u
fleeces u U
EDTA blood CCCCCC U _U,
-Jgraewe-‘
. , ,Qra'éwk M
Bscglswab _
‘. ,Nssabwab .,
Urine
Faeces
EDTA blood ‘CCCCCC CCCCCC,
, _
Colour code:
Post mortem s. There was no evidence of virus replication in tissues
of immunized horses V4, V5 or V6. In one guinea pig (No. 3), viral genome was detected in
blood (Ct 34.2), brain, lung, and spleen on day 5 after challenge corroborating the clinical,
histological and immunohistological findings of acute HeV infection in this animal (Table 7).
Table 7
{TjgyeIme ,.
H. rse #V4i“ Arjl-jor—se # V5 Home _#V6
. 7—..- "TGuinea-pig #3
_- , _ oer... __r_.e.-._ fiv-’ -
i__ _._ ,4-» __
Kaenal —__‘ H
Blgddfl U
_ _
,Bgm1_ U
, -
‘csr U
ESSLtteeLEwL ,_._ _ U
%.H§§r1591§e___ U
:Kidggy. Horse ____~ U
{Lstgflniesfinem ._§ U
éLiver
____- U
, ,__-~
lymph-Bronchial U
lymph-Head U
inal .. CCCCCCCCCCCCCC U
iymph- Mandibular U
:Lyrnph-Ben.a1__ :3 U
LMeAi299§____ U
ymdzioete.--‘ w U
=N_er_V.e U
:Olfactory_l_.o_b_e _ U
:9y1ri55m_ ,,____. U
flew! U
3Small Intestine I U
f§pinal Cord 5 U
3Spleen g ’IvU- ”V
{ETg‘geminalAggnglion 1
§ Uterus. fccccccccccc‘ "CCCCCCCCCCCCCCCCCCCCCCCCCCI
Colour code:
Post-challenge serology. lmmunized horses V4, V5 and V6 did not have a
boost in titre following HeV challenge (Table 8). This is tent with no significant
replication of the challenge virus in these animals.
Table 8
Horse No. Baseline titre Post-prime Pre-challenge Terminal titre
' titre
V4 256/128 256/32 da 8
V5 2048l>8192 1024/512 da 7
V6 512/1024 28/256 da 9
Three horses (V4, V5 and V6) that were vaccinated with 50 pg sG + ISC
adjuvant in a prime-boost regime nverted to HeV prior to HeV exposure. One horse
that received ISC only remained seronegative to the challenge virus.
Following challenge with an otherwise lethal dose of HeV, immunized horses
remained clinically well throughout the period of ation, which surpassed the time of
onset of all experimentally induced cases of HeV in horses. One guinea pig used as a
pathogenicity control was euthanized after developing clinical signs consistent with acute
HeV. No boosting of dy titre was detected following challenge in immunized horses,
consistent with no replication of the challenge virus in these animals.
] There was no evidence of viral ng by immunized horses, as reflected by
PCR negative test results on all daily clinical s apart from one replicate from a rectal
swab from V6 on day 3. This test is being repeated; should a similar result be observed one
explanation is that this represents a low level of residual inoculum. In one non-immunized
guinea pig, viral genome was ed in major organs and blood on day 5 after exposure to
virus.
There was no evidence of HeV viral replication in any tissue of immunized
horses collected at post mortem examination, following euthanasia during what would be
ed to be the period of acute infection. In contrast, HeV genome and antigen were
distributed throughout the tissues of a susceptible guinea pig in a pattern consistent with
acute HeV infection, and vasculopathy typical of HeV infection was also identified in this
animal.
Example 7: Clinical Trial in Primates for Nipah Virus
Statistics. Conducting animal studies, in particular non-human e
studies, in biosafety level 4 (ESL-4) ly restricts the number of animal subjects, the
volume of biological s that can be obtained and the ability to repeat assays
independently and thus limit statistical analysis. Consequently, data are presented as the
mean or median calculated from replicate s, not replicate assays, and error bars
represent the standard deviation across replicates.
Viruses. NiV—Malaysia (GenBank Accession No. AF212302) was ed
from the Special Pathogens Branch of the Centers for Disease Control and Prevention,
Atlanta, Georgia. NiV was propagated and titered on Vero cells as described for HeV in
Rockx et al. (2010) J. Virol. 84, 9831.
Vaccine formulation. Three e formulations of sGHeV were employed
(10 pg, 50 pg or 100 pg). Production and purification of sGHeV was done as previously
bed in Pallister (2011) Vaccine 29, 5623. Each vaccine formulation also contained
AllhydrogelTM (Accurate Chemical & Scientific Corporation) and CpG oligodeoxynucleotide
(ODN) 2006 (lnvivogen) containing a fully phosphorothioate backbone. Vaccine doses
containing fixed amount of ODN 2006, g amounts of sGHeV and aluminum ion (at a
weight ratio of 1:25) were formulated as follows: 100 pg dose: 100 pg sGHeV, 2.5 mg
aluminum ion and 150 pg of ODN 2006; 50 pg dose: 50 pg sGHeV, 1.25 mg aluminum ion
and 150 pg of ODN 2006; and 10 pg dose: 5 pg sGHeV, 250 pg aluminum ion and 150 pg of
ODN 2006. For all doses, ogelTM and sGHeV were mixed first before ODN 2006 was
added. Each vaccine dose was adjusted to 1 ml with PBS and es were incubated on a
rotating wheel at room ature for at least two to three hours prior to injection. Each
t received the same 1 ml dose for prime and boost and all vaccine doses were given
via intramuscular injection.
Animals. Ten young adult African Green Monkeys (AGM) ocebus
aethiops), weighing 4-6 kg (Three Springs Scientific Inc.) were caged individually. Subjects
were anesthetized by uscular injection of ketamine (10-15 mg/kg) and vaccinated with
sGHeV on day -42 (prime) and day —21 (boost). Three subjects received two 10 pg doses
(AGM 16, AGM 17, AGM 18), three subjects received two 50 pg doses (AGM 13, AGM 14,
AGM 15), three animals received two 100 pg doses (AGM 10, AGM 11, AGM 12) and one
subject (AGM 9) received adjuvant-alone. On day 0, subjects were anesthetized and
inoculated intratracheally with 1 x 105 TCIDso n tissue culture infectious dose) of NW
in 4 ml of Dulbecco’s minimal essential medium (DMEM) (Sigma-Aldrich). Subjects were
anesthetized for clinical examinations including temperature, respiration rate, chest
radiographs, blood draw and swabs of nasal, oral and rectal mucosa on days 0, 3, 5, 7, 10,
14, 21 and 28 post-infection (p.i.). The control subject (AGM 9) had to be euthanized
according to approved humane end points on day 10 post-infection. All other subjects
survived until the end of the study and were euthanized on day 28 post-infection. Upon
necropsy, various s were collected for virology and histopathology. Tissues sampled
include: conjunctiva, tonsil, oro/naso pharynx, nasal mucosa, trachea, right bronchus, left
bronchus, right lung upper lobe, right lung middle lobe, right lung lower lobe, light lung upper
lobe, light lung middle lobe, light lung lower lobe, bronchial lymph node (LN), heart, liver,
spleen, kidney, adrenal gland, as, jejunum, colon transversum, brain (frontal), brain
(cerebellum), brain stem, cervical spinal cord, pituitary gland, mandibular LN, salivary LN,
inguinal LN, axillary LN, mesenteric LN, urinary bladder, testes or ovaries, l bone
marrow. Vaccination was done under BSL-2 containment. A timeline of the ation
schedule, challenge and biological specimen collection days is shown in Figure 4.
Vaccination and NW challenge. Previously, we have trated that
intratracheal inoculation of AGMs with 105 TCleo (median tissue culture infectious dose) of
NW caused a uniformly lethal outcome (Rockx et al. (2010) J. Virol. 84, 9831). Rapidly
ssive clinical illness was noted in these studies; clinical signs included severe
depression, respiratory disease leading to acute respiratory ss, severe ogical
disease and severely reduced mobility; and time to reach approved humane endpoint ia
for euthanasia ranged from 7 to 12 days. Here we sought to determine if vaccination with
sGHeV could prevent NiV infection and disease in AGMs. Doses of 10, 50 or 100 pg sGHeV
were mixed with alum and CpG moieties as described in the Methods. Each vaccine
formulation was administered subcutaneously to three subjects on day 0 (prime) and again
on day 21 (boost) and one control t (AGM 9) received an adjuvant alone prime and
boost on the same days. On day 42. all subjects were inoculated intratracheally with 105
TCleo NW. The control subject (AGM 9) showed loss of appetite, severe sustained behavior
s (depression, decreased activity, hunched e), decreases in platelet number
and a gradual increase in respiratory rate at end-stage disease. Subsequently, AGM 9
ped acute respiratory distress and had to be euthanized according to approved
humane end points on day 10 post-infection. In contrast, none of the vaccinated ts
had al disease and all survived until the end of the study. A Kaplan-Meier survival
graph is shown in Figure 5.
W0 2012/158643
NiV-mediated disease in the control t. Gross pathological changes in
the control subject were tent with those found previously in NiV-infected AGMs
(Geisbert et al. (2010) PLoS One 5, ). Splenomegaly and congestion of blood
vessels on surface of brain were present and all lung lobeswere wet and heavy. NiV RNA
and infectious virus were not recovered from AGM 9 blood samples and there was no
evidence of a. AGM 9 had significant levels of NiV-specific lgM and detectable NiV-
specific lgG and lgA. Further analysis of tissue samples ed an extensive NiV tissue
tropism similar to the wide-spread NiV infection seen previously in AGMs (Geisbert et al.
(2010) PLoS One 5, e10690). AGM 9 had NiV RNA in the majority of tissues as ted
and infectious virus was recovered from numerous tissues. Significant lesions included
interstitial pneumonia, subacute encephalitis and necrosis and hemorrhage of the splenic
white pulp. Alveolar spaces were filled by edema fluid, fibrin, karyorrhectic and cellular
debris, and alveolar macrophages. Multifocal encephalitis was characterized by ion
of Virchow-Robins space by moderate s of lymphocytes and fewer neutrophils.
Smaller numbers of these inflammatory cells extended into the adjacent parenchyma.
Numerous neurons were swollen and ated (degeneration) or were fragmented with
karyolysis (necrosis). Multifocal germinal centers of follicles/in splenic white pulp were
effaced by hemorrhage and fibrin, as well as small numbers of neutrophils and cellular and
karyorrhectic . These findings were consistent with is and loss of the germinal
centers in the spleen. Extensive s of viral antigen were present in the brainstem
ght the extensive damage NiV causes in the central nervous system.
Protection of sGHeV-vaccinated subjects. All biological specimens, including
all blood samples collected following challenge and all tissues collected upon necropsy, were
negative for NiV RNA and infectious virus was not isolated from any specimen. Upon closer
examination of tissue sections from vaccinated subjects, tissue architecture appeared normal
and NW antigen was not detected in any tissue using immunohistochemical techniques. To
further dissect the vaccine-elicited mechanisms of tion, serum and mucosal sGNiV—
and specific lgM, lgG and lgA as well as NW and HeV serum neutralization titers
were ed in vaccinated animals. As demonstrated in Figure 6, seven days prior to
challenge, subjects receiving the lowest sGHeV dose had detectable antigen-specific serum
lgM and the highest level of sGHeV-specific serum lgG. Subjects given 50 ug sGHeV also
had detectable levels of serum lgM and their highest levels of serum lgG seven days prior to
challenge. High dose subjects had no able serum lgM and serum lgG levels were
significantly less on day -7 as compared to the other two groups. By the day of NW
nge, serum lgG levels in the high dose subjects had increased and all vaccinated
subjects had similar lgG levels. Serum lgM levels did not change in any subject following
NiV challenge. Serum lgG levels decreased in the medium dose subjects the day of NW
challenge and lgG levels decreased in low dose subjects just after NiV challenge.
stingly, lgG levels increased in both of these groups by day 3 and day 5 pi. but never
surpassed the lgG levels present seven days prior to challenge and in both groups titer
decreased significantly by day 28 pi.
Conversely, serum lgG levels in the high dose group remained high and were
at their highest of day 28 pi. Antigen-specific serum lgA was detectable in all subjects
following vaccination; however, levels were very low and pre- and hallenge levels did
not appear to be significantly different (Figure 6). A minimal increase in mucosal antigen-
specific lgA was detected in nasal swabs from low dose subjects on day 14 p.i., however, the
levels were so low these mucosal antibodies likely played no role in preventing the spread of
NW following challenge. Results from serum neutralization tests (SNTs) are shown in Table
9. For all vaccinated subjects, ecific neutralization titer remained the same or
sed by day 28 pi. and NiV-specific neutralization titer did not change significantly by
day 7 p.i., even in ts that had the lowest titer prior to challenge. One low dose and one
high dose subject had a log se in NW SNT titer by day 14 pi. and one medium dose
subject had a log increase in NW SNT titer by day 21 pi. For all other vaccinated animals,
changes in SNT titer were either inconsistent (titer would increase and then decrease) or
insignificant (titer increased by 3—4 fold but not more than a log). y, seroconversion to
the NW fusion (F) pe glycoprotein was measured in vaccinated subjects following NiV
challenge. Minimal levels of serum anti-NiV F lgM were detected in the low and medium
dose subjects on day 10 and day 21 p.i., respectively, and these low M.F.l. values t a
weak primary antibody response following NiV challenge. Serum anti-NiV-F lgM was not
detected in the high dose subjects suggesting these animals had little to no circulating virus
following challenge.
<20 <20 <
<20 379 226 2147
<20 134 134 453
537 <20 189 134 189 453 '
13 <20 >2560 >2560 >2560 757 <20 379 189 189
50 H9 14 <20 1514 >2560 >2560 537 <20 28 47 226 4 134
<20 2147 757 >2560 905 <20 67 95 757 1074-
<20 >2560 2147 1810 453 <20 67 113 268 453
100 HQ 11 <20 >2560 >2560 >2560 1514 <20 134 189 905 1514
12 <20 >2560 >2560 >2560 757 <20 189 226 >2560 1514
Example 8: Clinical Trial in Primates for Hendra Virus
] A second clinical trial was conducted in AGM to assess vaccination and
challenge with Hendra virus. The same formulation as set forth in Example 7 was utilized as
a vaccine but was also compared to another group that received sGHeV with AlhydrogelTM
alone as an adjuvant (no ODN 2006 was present). Animals were vaccinated day -21,
boosted on day 0, and challenged on day 21. Unless othenNise indicated, all conditions were
the same as those on Example 7. An experimental y is below:
Ema—I__
100 ug/dose Hendra sG vaccine +
ane +. 1 b°ngigparated by 3
nts (150 ug CpG ODN 2006 + 119
I Alh dro-el
100 ug/dose Hendra sG vaccine + Prime + 1 boost separated by 3
nt 250 I Alh dro-el weeks
ane + 1 bofizgiiparated by 3
Adjuvant only (150 pg CpG ODN 2006)
u Ad'uvants onl 250 IAIh dro-el Same schedule as Grou-s A-B
_—IEI_
Result: All animals (n=4) in both groups (A and B) survived Hendra virus
challenge after being inoculated intratracheally with 105 TCleo Hendra virus. Control
subjects died on day 8. No clinical illness was observed in any of the ated subjects
and they remained healthy and well until study endpoint.
Other embodiments and uses of the invention will be apparent to those skilled
in the art from consideration of the cation and practice of the invention disclosed
herein. All references cited herein, including all publications, US. and foreign patents and
patent applications, are cally and entirely incorporated by reference. It is intended that
the cation and examples be considered exemplary only with the true scope and spirit
of the invention indicated by the following claims.
Claims (27)
1. An immunogenic composition comprising a e fragment of the Hendra G
glycoprotein, said fragment consisting of amino acids 73 to 604 of (SEQ ID NO: 2) or a
sequence at least 90% identical thereto, an stimulatory complex (ISC), said ISC
sing a saponin,a phospholipid and a steroid, and one or more excipients, wherein
the concentration of the soluble fragment of the Hendra virus G glycoprotein in the
composition is 5-100 μg per ml of ISC.
2. The immunogenic composition of claim 1, wherein the concentration of soluble Hendra
virus G n is 10-50 μg per ml of ISC.
3. The immunogenic composition of claim 1, wherein the concentration of e Hendra
virus G protein is 25-50 μg per ml of ISC.
4. The immunogenic composition of claim 1, wherein the tration of soluble Hendra
virus G protein is 25-100 μg per ml of ISC.
5. The immunogenic composition of any one of claims 1 to ,4 wherein the soluble Hendra
virus G glycoprotein is encoded by a nucleotide ce comprising nucleotides 64 to
1662 of SEQ ID NO: 16.
6. The immunogenic composition of any one of claims 1 to 5 wherein the soluble Hendra
virus G glycoprotein is present in dimer form.
7. The immunogenic composition any one of claims 1 to 5, wherein the soluble Hendra
virus G glycoprotein is present in tetramer form.
9. The immunogenic composition of any one of claims 1 to 7, wherein the phospholipid is
selected from the group consisting of phosphatidyl choline (PC), dipalmitoyl phosphatidyl
choline , phosphatidic acid (phosphatidate) (PA), phosphatidylethanolamine
(PE), phosphatidylserine (PS), phosphatidylinositol (PI) Phosphatidylinositol phosphate
(PIP), phosphatidylinositol bisphosphate (PIP2), phosphatidylinositol sphate
(PIP3), phosphorylcholine (SPH), ceramide phosphorylethanolamine (Cer-PE) and
ceramide phosphorylglycerol.
10. The immunogenic composition of any one of claims 1 to 9, n the saponin is Quil
A, the phospholipid is DPPC and the steroid is cholesterol.
11. The immunogenic composition of claim 10, wherein the ratio of Quil A: DPPC:
cholesterol in the composition is 5:1:1 by .
12. Use of an immunogenic ition for the manufacture of a medicament for producing
a neutralizing antibody response against a Hendra and/or Nipah virus in a subject,
wherein the immunogenic composition comprises the genic ition of any
of claims 1 -11.
13. The use of claim 12, n the neutralizing antibody response reduces Hendra and/or
Nipah virus reproduction in the subject.
14. The use of claim 12 or 13, wherein the neutralizing dy response reduces Hendra
and/or Nipah virus shedding in the subject.
15. The use of any one of claims 12 to 14, wherein the subject has been exposed to Hendra
and/or Nipah virus.
16. The use of any one of claims 12 to 15, wherein the subject is suffering from a Hendra
and/or Nipah virus infection.
17. The use of any one of claims 12 to 16, wherein the immunogenic composition is
administered intramuscularly.
18. The use of any one of claims 12 to 17, wherein the immunogenic composition is
administered in multiple doses.
19. The use of claim 18, wherein the first dose is followed by a second dose at least about
twenty-one days to about twenty-eight days after the first dose.
20. The use of claim 18 or 19, wherein each dose contains about 50 or about 100 μg of
soluble Hendra virus G glycoprotein in oneml of ISC.
21. The use of any one of claims 12-20, wherein the subject is a horse.
22. Use of an immunogenic composition for the manufacture of a medicament for treatment
of Hendra and/or Nipah virus infection, wherein the immunogenic composition comprises
(1) a e fragment of the Hendra G glycoprotein in an amount of 5-100 μg in the
immunogenic composition, said fragment consisting of amino acids 73 to 604 of (SEQ ID
NO: 2) or a sequence at least 90% identical thereto, and (2) an immunostimulatory
x (ISC), said ISC comprising a saponin, a phospholipid and a steroid, and one or
more excipients, wherein the immunogenic composition is administered to the subject in
an amount and duration ive to treat the t for Hendra and/or Nipah virus
infection.
23 The use of claim 22, n the immunogenic composition is administered
intramuscularly.
24. The use of claim 22 or 23, wherein the immunogenic composition is administered in
multiple doses.
25. The use of any one of claims 22 to 24, wherein the first dose is followed by a second
dose at least about twenty-one days to about twenty-eight days after the first dose.
26. The use of claim 24 or 25, wherein each dose contains about 50 or about 100 μg of
soluble Hendra virus G glycoprotein in one ml of ISC.
27. The use of any one of claims 22-26, wherein the subject is a horse.
Applications Claiming Priority (3)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| US201161485992P | 2011-05-13 | 2011-05-13 | |
| US61/485,992 | 2011-05-13 | ||
| PCT/US2012/037839 WO2012158643A1 (en) | 2011-05-13 | 2012-05-14 | Hendra and nipah virus g glycoprotein immunogenic compositions |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| NZ617722A NZ617722A (en) | 2016-03-31 |
| NZ617722B2 true NZ617722B2 (en) | 2016-07-01 |
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