AP661A

AP661A - Induction of cytotoxic T- lymphocite responses.

Info

Publication number: AP661A
Application number: APAP/P/1997/001056A
Authority: AP
Inventors: Syamal Raychaudhuri; William Rastetter
Original assignee: Idec Pharma Corp
Priority date: 1994-12-07
Filing date: 1995-11-29
Publication date: 1998-08-19
Also published as: BG101656A; FI972431A7; MX9704097A; AR002255A1; MD1586F2; CN1515319A; CN1109046C; FI972431L; NO972521D0; IS4479A; HUP9800946A2; UA49814C2; EP0801656A1; CZ174197A3; JPH10510264A; HK1008226A1; LT97115A; GEP20012556B; BG63262B1; US5709860A

Abstract

Methods and compositions useful for inducing a cyctotoxic t-lymphocyte (ctl)in a human or domesticated or agriculturally important animal. The method includes the steps of providing the antigen to which the ctl response is desired and providing an antigen formulation which comprises, consists, or consists essentially of two or more of a stabilizing detergent, a micelle-forming agent, and an oil. This antigen formulation is preferably lacking in an immunostimulating peptide component, or has sufficiently low levels of such a component that the desired ctl response is not diminished. The formulation is provided as a stable oil-in-water emulsion.

Description

INDUCTION OF CYTOTOXIC T-LYMPHOCYTE RESPONSES

Background of the Invention

Pending U.S. Serial No. 08/919,787 .filed July 24, 1992; and U.S. Serial No. 07/735,069, filed July 25, 1991, both entitled Induction of Cytotoxic T-Lymphocyte

Responses,” by Syamal Raychaudhuri and William H. Rastetter (now abandoned), are incorporated by reference in their entirety in the present application. This invention relates to methods and compositions useful for inducing cytotoxic T-cell mediated responses in humans, and domesticated or agricultural animals.

Cytotoxic T-lymphocytes (CTLs) are believed to be the major host defense mechanism in response to a variety of viral infections and neoplastic or cancerous growth. These cells eliminate infected or transformed cells by recognizing antigen fragments in association with various molecules (termed class I MHC molecules) on the infected or transformed cells. CTLs may be induced experimentally by cytoplasmic loading of certain soluble antigens within specific cells. Immunization with the soluble antigen alone is generally insufficient for specific cytotoxic Tlymphocyte induction.

One method by which CTL response may be induced involves the use of recombinant engineering techniques to incorporate critical components of an antigen in question into the genome of a benign infectious agent. The aim of such a strategy is to generate antigen-specific cytotoxic T-lymphocyte responses to the desired epitope by subjecting the host to a mild, self-limiting infection. Chimeric vectors have been described using vaccinia, polio, adeno3 0 and retro-viruses, as well as bacteria such as Listeria and

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BCG. For example, Takahashi et al. 85 Proc. Natl. Acad.

Sci. , USA 3105, 1988 describe use of recombinant vaccinia virus expressing the HIV gpl60 envelope gene as a potential tool for induction of cytotoxic T-lymphocytes.

A second method by which a cell mediated response may be induced involves the use of adjuvants. While the art appears replete with discussion of the use of adjuvants, it is unclear in such art whether cell mediated immunity was induced and whether such cell mediated immunity included a cytotoxic T-lymphocyte response. The following, however, are representative of various publications in this area.

Stover et al., 351 Nature 456, 1991 (not admitted to be prior art to the present application) describes a CTL response to /3-galactosidase using recombinant BCG containing a /3-galactosidase gene. No such response was detected using incomplete Freund's adjuvant and βgalactosidase.

Mitchell et al., 8 J. Clinical Oncology 856, 1990 (which is not admitted to be prior art to the present invention) describe treatment of metatastic melanoma patients with an adjuvant termed DETOX and allogeneic melanoma lysates administered five' times over a period of six weeks. In a small portion of the patients an increase in cytolytic T-cells was observed. The authors describe a need to enhance the level of cytotoxic T-lymphocyte production, and suggest a combined therapy of adjuvant with Interleukin-2, as well as a pretreatment with cyclophosphamide to diminish the level of tumor specific T30 suppressor cells that might exist. DETOX includes detoxified endotoxin (monophosphoryl lipid A) from Salmonella minnesota, cell wall skeletons of Mycobacterium phlei. squalene oil and emulsifier.

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Allison and Gregoriadis, 11 Immunology Today 427, 1990 (which is not admitted to be prior art to the present invention) note that the only adjuvant authorized for use in human vaccines is aluminum salts (alum) which does not consistently elicit cell mediated immunity. Allison and Gregoriadis state ”[t]here is, therefore, a need to develop adjuvants with the efficacy of Freund's complete adjuvant but without its various side effects such as granulomas. They go on to state that three possible strategies exist, for example, the use of liposomes; the use of adjuvants, termed immunostimulating complexes (ISCOMs, which include saponin or Quil A (a triterpenoid with two carbohydrate chains), cholesterol, and phosphatidyl choline) which are authorized for use in an influenza vaccine for horses (Morein et al., Immunological Adjuvants and Vaccines.

Plenum Press, 153) ; and the use of an emulsion (SAF) of sgualene or Sgualane (with or without a pluronic agent) and muramyl dipeptide (MDP). SAF is said to elicit a cell mediated immunity in mice, although it has long been thought that subunit antigens cannot elicit cytotoxic Tcell (CTL) responses.

Takahashi et al., 344 Nature 873, 1990, describe class II restricted helper and cytotoxic T-lymphocyte induction by use of ISCOMs with a single subcutaneous immunization in mice. They state that Freund's adjuvant, incomplete Freund's adjuvant, and phosphate buffered saline did not induce cytotoxic T-lymphocyte activity against the targets in which they were interested. They state that, in contrast to results with other forms of exogenous soluble

0 protein antigen, they have shown that it is possible to prime antigen specific MHC class I restricted CD8 ⁺ CD4' CTL by immunization with exogenous intact protein using ISCOMs. They also state that the experiments described suggest that it may be possible to elicit human CTL by using ISCOMs

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AP . Ο Ο 6 6 1 containing HIV proteins, and that ISCOM-based vaccines may achieve the long sought goal of induction of both CTL and antibodies by a purified protein.

Byars and Allison, 5 Vaccines 223, 1987 describe 5 use of SAF-1 which includes TWEEN 80, PLURONIC L121, and squalene or Squalane, with or without muramyl dipeptide, and suggest that their data indicate that the formulation with muramyl dipeptide will be useful for human and veterinary vaccines. Booster shots of the adjuvant were provided without the muramyl dipeptide. The muramyl dipeptide is said to increase antibody production significantly over use of the adjuvant without muramyl dipeptide. Cell mediated immunity was measured as delayed type hypersensitivity by skin tests to determine T-helper cell induction. Such hypersensitivity was stronger and - more sustained when muramyl dipeptide was provided in the adjuvant. Similar adjuvants are described by Allison et al., U.S. Patent 4,770,874 (where it is stated that the combination of muramyl dipeptide and pluronic polyol is essential to elicit a powerful cell mediated and humoral response against egg albumin); Allison et al., U.S. Patent 4,772,466; Murphy-Corb et al., 246 Science 1293, 1989 (where it is stated that the use of combined adjuvants with muramyl dipeptide might enhance induction of both humoral and cellular arms of the immune response); Allison and

Byars, 87 Vaccines 56, 1987 (where it is stated that cell mediated immunity is elicited by SAP (with muramyl dipeptide) as shown by delayed type hypersensitivity, by proliferative responses of T-cells to antigen, by production of Interleukin-2, and by specific genetically restricted lysis of target cells bearing the immunizing antigen) ; Allison and Byars, Immunooharmacolocrv of Infectious Diseases: Vaccine Adjuvants and Modulators of

Non-Specific Resistance 191-201, 1987; Morgan et al. , 29 J.

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Medical Virology 74, 1989; Kenney et al., 121 J. Immunological Methods 157, 1989; Allison and Byars, 95 J. Immunological Methods 157, 1986 (where aluminum salts and mineral oil emulsions were shown to increase antibody formation, but not cell mediated immunity; and muramyl dipeptide formulations were shown to elicit cell mediated immunity); Byars et al., 8 Vaccine 49, 1990 (not admitted to be prior art to the present application, where it is stated that their adjuvant formulation markedly increases humoral responses, and to a lesser degree enhances cell mediated reactions to influenzae haemagglutinin antigen); Allison and Byars, 28 Molecular Immunology 279, 1991 (not admitted to be prior art to the present application; which states that the function of the muramyl dipeptide is to induce expression of cytokines and increase expression of major histocompatibility (MHC) genes; and that better antibody and cellular responses were obtained than with other adjuvants, and that it is hoped to ascertain whether similar strategies are efficacious in humans); Allison and

Byars, Technology Advances in Vaccine Development 401, 1988 (which describes cell mediated immunity using SAF);

Epstein et al., 4 Advance Drug Delivery Reviews 223, 1990 (which provides an overview of various adjuvants used in preparation of vaccines) ; Allison and Byars, 95 J.

Immunological Methods 157, 1986 (which states that the addition of the muramyl dipeptide to the adjuvant markedly augments cell mediated responses to a variety of antigens, including monoclonal immunoglobulins and virus antigens); and Morgan et al., 29 J. Medical Virolocrv 74, 1989 (which describes use of SAF-1 for preparation of a vaccine for Epstein-Barr virus).

Kwak et al., Idiotvoe Networks in Biolocrv and Medicine, Elsevier Science Publishers, p. 163, 1990 (not admitted to be prior art to the present application)

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AP . ο Ο 6 6 1 describe use of SAF without muramyl dipeptide as an adjuvant for a B-cell lymphoma idiotype in a human. Specifically, an emulsion of Pluronic L121, Sgualane, and 0.4% TWEEN-80 in phosphate buffered saline-was administered with the idiotype. They state that [ajddition of an adjuvant should further augment ... humoral responses, and may facilitate induction of cellular responses as well.

Other immunological preparations include liposomes (Allison et al., U.S. Patents 4,053,585, and

4,117,113); cyclic peptides (Dreesman et al., U.S. Patent

4,778,784); Freunds Complete Adjuvant (Asherson et al., 22 Immunology 465, 1972; Berman et al. , 2 International J. Cancer 539, 1967; Allison, 18 Immunopotentiation 73, 1973; and Allison, Non-Specific Factors Influencing Host

Resistance 247, 1973); ISCOMs (Letvin et al., 87 Vaccines 209, 1987); adjuvants containing non-ionic block polymer agents formed with mineral oil, a surface active agent and TWEEN 80 (Hunter and Bennett, 133 J. Immunology 3167, 1984; and Hunter et al., 127 J. Immunology 1244, 1981); adjuvants composed of mineral oil and emulsifying agent with or without killed mycobacteria (Sanchez-Pescador et al., 141 J. Immunology 1720, 1988); and other adjuvants such as a lipophilic derivative of muramyl tripeptide, and a muranyl dipeptide covalently conjugated to recombinant protein (id.).

Summary of the Invention

Applicant has discovered a safe and advantageous method and compositions by which CTL responses may be induced in humans and domesticated or agriculturally important animals. The method involves the use of an antigen formulation which has little or no toxicity to animals, and lacks an immunostimulating peptide, fe.g.. muramyl dipeptide) the presence of which would decrease the desired cellular response. In addition, the methodology is

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AP. Ο Ο β 6 1 simple to use and does not require extensive in vivo work to alter existing cells by recombinant DNA techniques to make them more antigenic. This discovery is surprising since it was unexpected that such a CTL response could be induced by use of such an antigen formulation lacking immunostimulating peptides or their equivalent.

Applicant's findings allow the use of such antigen formulations in a broad spectrum of disease states, or as a prophylactic agent. For example, such antigen formulation administration can be used for the treatment of viral diseases in which a CTL response is important, for example, in the treatment of HIV infection or influenza; it can also be extended to use in treatment of bacterial infections, cancer, parasitic infections, and the like. As a prophylactic agent, the antigen formulation combined with a - suitable antigen is useful in prevention of infection by viruses responsible for the aforementioned viral diseases, particularly the prophylaxis of HIV infection, and also for prophylaxis of patients at risk of cancer, for example, after resection of a primary tumor.

Thus, in a first aspect the invention features a method for inducing a CTL response in a human or domesticated fe.a. , a cat or dog) 'or agriculturally important animal (e.g. . a horse, cow or pig) to an antigen other than B-cell lymphoma antigen or egg albumin. The method includes the steps of providing the antigen to which the CTL response is desired, and providing a non-toxic antigen formulation which comprises, consists, or consists essentially of, a stabilizing detergent, a micelle-forming

0 agent, and a biodegradable and biocompatible oil. This antigen formulation preferably lacks any immunostimulating peptide component, or has sufficiently low levels of such a component that the desired cellular response is not diminished. This formulation is preferably provided as a

AP/P/ 9 7 / 0 1 0 56 stable oil-in-water emulsion. That is, each of the various components are chosen such that the emulsion will remain in an emulsion state for a period of at least one month, and preferably for more than one year, without phase separation. In the method the antigen and antigen formulation are mixed together to form a mixture (preferably by microfluidization), and that mixture administered to the animal in an amount sufficient to induce CTL response in the animal. Such administration is required only once.

By stabilizing detergent is meant a detergent that allows the components of the emulsion to remain as a stable emulsion. Such detergents include polysorbate, 80 (TWEEN) (Sorbitan-mono-9-octadecenoate-poly(oxy-l,215 ethanediyl; manufactured by ICI Americas, Wilmington, DE) , TWEEN 40, TWEEN 20, TWEEN 60, Zwittergent 3-12, TEEPOL HB7, and SPAN 85. These detergents are usually provided in an amount of approximately 0.05 to 0.5%, preferably at about 0.2%.

By micelle-forming agent is meant an agent which is able to stabilize the emulsion formed with the other components such that a micelle-like structure is formed. Such agents preferably cause some irritation at the site of injection in order to recruit macrophages to enhance the cellular response. Examples of such agents include polymer surfactants described by BASF Wyandotte publications, e.g.. Schmolka, 54 J. Am. Oil. Chem. Soc.

110, 1977, and Hunter et al., 129 J. Immunol 1244, 1981, both hereby incorporated by reference, PLURONIC L62LF,

L101, and L64, PEG1000, and TETRONIC 1501, 150R1, 701, 901,

1301, and 130R1. The chemical structures of such agents are well known in the art. Preferably, the agent is chosen to have a hydrophile-lipophile balance (HLB) of between 0 and 2, as defined by Hunter and Bennett, 133 Journal of

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Immunology 3167, 1984. The agent is preferably provided in an amount between 0.5 and 10%, most preferably in an amount between 1.25 and 5%.

The oil is chosen to promote the retention of the antigen in oil-in-water emulsion, i.e.. to provide a vehicle for the desired antigen, and preferably has a melting temperature of less than 65°C such that emulsion is formed either at room temperature (about 20°C to 25°C), or once the temperature of the emulsion is brought down to room temperature. Examples of such oils include squalene, Squalane, EICOSANE, tetratetracontane, glycerol, and peanut oil or other vegetable oils. The oil is preferably provided in an amount between 1 and 10%, most preferably between 2.5 and 5%. It is important that the oil is biodegradable and biocompatible so that the body can break down the oil over time, and so that no adverse affects, such as granulomas, are evident upon use of the oil.

It is important in the above formulation that a peptide component, especially a muramyl dipeptide (MDP) be lacking. Such a peptide will interfere with induction of a CTL response if it provided in an amount greater than about 2 0 micrograms per normal human formulation administration. It is preferred that such peptides be completely absent from the antigen formulation, despite their apparent stimulation of the humoral compartment of the immune system. That is, applicant has found that, although such peptides may enhance the humoral response, they are disadvantageous when a cytotoxic T-lymphocyte response is desired.

in other related aspects, the antigen formulation is formed from only two of the above three components and used with any desired antigen (which term includes proteins, polypeptides, and fragments thereof which are immunogenic) except egg albumin (or other albumins, e.g.,

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ΗΞΑ, BSA and ovalbumin) , to induce a CTL response in the above animals or humans.

Applicant believes that the above formulations are significantly advantageous over prior formulations (including ISCOMs, DETOX, and SAF) for use in humans.

Unlike such formulations, the present formulation both includes a micelle-forming agent, and has no peptides, cell wall skeletons, or bacterial cell components. The present formulation also induces a CTL response which either does not occur with the prior formulations, or is significantly enhanced compared to those formulations.

By non-toxic is meant that little or no side effect of the antigen formulation is observed in the treated animal or human. Those of ordinary skill in the' medical or veterinary arts will recognize that this term has a broad meaning. For example, in a substantially healthy animal or human only slight toxicity may be tolerated, whereas in a human suffering from an imminently disease substantially more toxicity may be tolerated.

In preferred embodiments, the antigen formulation consists essentially of two or three of the detergent, agent, and oil; the method consists essentially of a single administration of the mixture (antigen plus antigen formulation) to the human or the animal; the human or animal is infected with a virus and suffers one or more symptoms (as generally defined by medical doctors in the relevant field) of infection from the virus; and the antigen formulation is non-toxic to the human or animal.

In other preferred embodiments, the antigen is chosen from antigenic portions of the HIV antigens: gpl60, gag, pol, Nef, Tat, and Rev; the malaria antigens: CS protein and Sporozoite surface protein 2; the Hepatitis B surface antigens: Pre-Si, Pre-S2, HBc Ag, and HBe Ag; the influenza antigens: HA, NP and NA; Hepatitis A surface

9S0 I 0 / £6 /d/dV

AP . Ο Ο 6 6 1 antigens; the Herpes virus antigens: EBV gp340, EBV gp85, HSV gB, HSV gD, HSV gH, HSV early protein product, human papillomavirus antigens (e.g., HPV antigens, such as Ll,

E4, E6, E7 antigens, in particular the E6 and E7 antigens from HPV16 and 18, the two most common HPV types associated with cervical carcinoma, E4 and Ll derived from HPV6 and HPVil, the two most common HPV types associated with condyloma acuminata; the prostate specific antigen (PSA), cytomegalovirus gB, cytomegalovirus gH, and IE protein gP72; the respiratory syncytial virus antigens: F protein,

G protein, and N protein; and the tumor antigens carcinoma CEA, carcinoma associated mucin, carcinoma P21, carcinoma P53, melanoma WPG, melanoma p97, and carcinoma Neu oncogene product, carcinoma p53 gene product, the melanoma antigen called MAGE, and mutated p21 ras protein presented in a variety of malignant tumors.

In related aspect, the invention features a composition comprising, consisting, or consisting essentially of an antigen mixed with an antigen formulation

0 described above, and the antigen is chosen from those antigenic portions listed above.

In other related aspects, the invention features methods of treating a patient infected with HIV virus, suffering from malaria, suffering from influenza, suffering from hepatitis, suffering from a cancer, infected with herpes virus, suffering from cervical cancer, suffering from condyloma acuminata (genital warts), or infected with respiratory syncytial virus, by administering a composition including an appropriate antigen (e.g.. selected from those listed above) mixed with one of the above antigen formulations. These antigens and treatments are only exemplary of antigens which may be used in the subject antigen formulations.

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Other features and advantages of the invention will be apparent from the following description of the preferred embodiments thereof, and from the claims.

Description of the Preferred Embodiments 5 The drawings will first briefly be described.

Drawings

FIGS. IA - 1C and 4A - 4C are graphical presentations of data comparing CTL induction by various ovalbumin formulations; E:T represents effector to target ratio in all Figures.

FIGS. 2A and 2B are graphical presentations of data comparing CTL induction by various /3-galactosidase formulations;

FIG. 3 is a graphical presentation of data 15 _comparing CTL induction by ovalbumin in a liposome and in an antigen formulation;

FIGS. 5 and 6 are graphical presentations of data showing the effect of CD4 and CD8 cell depletion on CTL induction;

FIG. 7 is a graphical representation of data showing CTL induction by gpl20;

FIG. 8 is a graphical representation of data showing CTL induction by a mixture of pluronic and TWEEN and an antigen;

FIG. 9 is a graphical representation of data showing CTL induction with a mixture of squalane and pluronic and an antigen;

FIG. 10 is a graphical representation of data showing CTL induction by a mixture of squalane and pluronic and an antigen;

FIG. 11 is a graphical representation of the effect of OVA with various antigen formulations on CTL response;

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FIG. 12 is a graphical representation of the induction of anti-gpl20IIIb antibodies in monkeys with various antigen formulations;

FIG. 13 depicts antitumor activity of HOPE2 cells 5 ten days after a single immunization of soluble E7 protein in adjuvant; and

FIG. 14 depicts antitumor activity of HOPE2 cells at days 10, 19 after two immunizations with soluble E7 protein in adjuvant.

Antigen Formulation

Antigen formulations useful in this invention are generally described above. Those of ordinary skill in this art will recognize that equivalent Formulations are readily prepared and can be expected to have equivalent properties in induction of a CTL response. Such Formulations are readily tested for their properties using techniques equivalent to those described in the examples below.

There follow examples of the invention with the use of an antigen formulation (AF) composed of about 2.5% squalane, 5% pluronic acid, and TWEEN 80 in a phosphate buffered saline. Specifically, an emulsion of the AF included : 15 mg squalane, 37.5 mg poloxamer 401 (PLURONIC L121), 6 mg polysorbate 80 (TWEEN 80), 0.184 mg potassium chloride, 0.552 mg potassium phosphate monobasic, 7.36 mg.

sodium chloride, 3.3 mg sodium phosphate dibasic (anhydrous), per 1 ml water, pH 7.4. This emulsion was microfluidized using standard technique (Microfluidics Model M110F) with a back-pressure module at 11-14,000 psi with gradual return to atmosphere pressure, cooling and packing in wet ice.

In other examples, antigen was mixed-with the microfluidized squalane (S), pluronic (P) and TWEEN 80 (T) mixture to achieve a final concentration of 0.2% TWEEN 80,

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1.25% pluronic and 5% squalane respectively. To determine the sub-components necessary for an antigen specific immune response induction, Squalane-TWEEN 80, pluronic-TWEEN 80 or Squalane-pluronic were prepared at the same concentration as for the three components mixture. Pluronic, Squalane or TWEEN 80 was also prepared individually to determine the effect of individual component on the CTL induction. Substitutions of TWEEN 20, TWEEN 40 or Zwittergent for TWEEN 80 were also made to determine the effect of various

TWEEN derivative on the CTL induction in the ova system. Substitutions of Squalane in the three component formulation were made with Eicosone or Triacontone and substitution for the co-polymer pluronic in the same three components formulation were made by PEG 1000, Pleuronic

L62LF, and the Tetronics 1501 and 150R1. As two component formulations, various analogs in various combinations were mixed and tested for ova specific CTL induction. They are a mixture of cholesterol - TWEEN 80, Squalane - TWEEN 20, Pristane - TWEEN 80 or olive oil - TWEEN 80. For a stabilization study, the microfluidized mixture of Squalane-TWEEN 80 was mixed with dextrose to a final concentration of 5%. In all cases the combinations of excipients were mixed in a microfluidizer to made a stable emulsion. In some experiments, two components formulations were mixed with various concentration of MDP for CTL and humoral response inductions. Table 1 describes a comprehensive list of various formulations used in this study.

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Table I

Effect of various substitution in three or two component systems

Substitution in three component formulations

STP

Tween 40(T)

Tween 20(T)

T15O1(P)

T15OR1(P)

Pluronic L62LF(P)

Eicosane(S)

PEG1000(P)

Triacontane(S)

Zwittergent(T)

Substitution in two component formulations

ST

PT SP

Cholesterol(S) + Tween 80 Squalane + Tween 29(T)

Pristane(S) + Tween 80

Olive Oil(S) + Tween 80 percent kill at E:T 100:1 *

« *

* component formulation

Pluronic L121 Squalane Tween 80

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Squalane + Tween 80 + 5% dextrose * CTL assay is being repeated

Syntex adjuvant formulation (microfluidized;

0 SAFm) was used as an adjuvant control and consists of two parts. Part I consists of phosphate buffered saline containing a final concentration of 5% Squalane, 1.25% pluronic and 0.2% TWEEN 80 (vehicle or I-SAF) . Part. II consists of N-Acetylmuramyl-L-Threonyl-D-Isoglutamine (Thr35 MDP) , a derivative of mycobacterium cell wall component.

For immunization purposes, antigen is mixed with /VP . Ο Ο 6 6 A microfluidized vehicle (part I) to obtain a homogeneous emulsion. MDP is added to made SAFm, and vortexed briefly. The MDP concentration in the mixture was varied to determine if there was an optimum concentration for CTL induction. As an adjuvant control, mice were also immunized with soluble antigens mixed with alum according to the manufacturer's manual (Pierce Chemical, Rockford,

IL) or with Complete Freund's Adjuvant (CFA).

This antigen formulation is used for induction of 10 cytotoxic T-lymphocyte responses in mice. Those of ordinary skill in the art will recognize that such a mouse model is indicative that equivalent experiments or treatments will similarly induce cytotoxic T-lymphocyte responses in humans, domesticated, or agricultural animals.

The amount of antigen formulation and antigen useful to produce the desired cellular response may be determined empirically by standard procedures, well known to those of ordinary skill in the art, without undue experimentation. Thus, if desired to minimize the side effects of treatment with such a mixture those of ordinary skill in the art may determine a minimum level of such a mixture for administration to a human, domesticated, or agricultural animal in order to elicit a CTL response, and thereby induce immunity to a desired antigen. In normal use, such a mixture will be injected by any one of a number of standard procedures, but particularly preferred is an intramuscular injection at a location which will allow the emulsion to remain in a stable form for a period of several days or several weeks.

Methods

The following materials and methods were used in the examples provided below unless otherwise noted:

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Mice

Female C57BL/6 (H-2^b) and BALB/c (H-2^d) mice were purchased from Harlen Sprague (San Diego, California) .

Antigens

Ovalbumin (ova, Grade VII; Sigma Chemical Co.,

St. Louis, MO) was used in the native form, βgalactosidase, (β-gal, Grade VIII; BRL) was used in the native form and after boiling in 1 M NaOH for 2 min to give an alkali digest. Recombinant gp!20 was purchased from

American Biotechnology.

Tumor Cells and Transfectants

The tumor cells used were the Ia‘ lines EL4 (C57BL/6, H-2^b thymoma) and P815 (DBA/2, H-2^d mastocytoma) . Derivation of the ova-producing EL4 transfectant, EG7-ova, is described previously by Moore et al., 54 Cell 777, 1988. The /S-gal-producing transf ectant, P13.1, was derived by electroporation of 10⁷ P815 cells in 1 ml of phosphate buffered saline (PBS) with 10 mg of Pstl linearized pCHHO (Pharmacia LKB Biotechnology Inc., Piscataway, NJ) and 1 mg of Pvul linearized pSV2 neo (Southern et al., 1 J. Mol.

ApdI. Genet. 327, 1982) followed by selection in 400 μg/ml of the antibiotic G418. The C3-4-transfectant was derived from the BALB/c hybridoma Igm 6 62 by transfecting with a plasmid encoding the β-gal gene fused to the third and fourth exon of IgM heavy chain (Rammensee et al., 3 0

Zmmunoqenetics 296, 1989). The gplSOIIIb expressing 3T3 fibroblast, 15-12, was provided by Dr. Germain of NIH (Bethesda, MD) . The K^b transfected L cell line was provided by Dr. Carbone, Monash University, Australia. The

0 D^d and L^d transfected L cell lines were provided by Dr. Ted Hensen, Washington University, St. Louis.

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Immunization

Mice were immunized. intravenously with a 200 μΐ suspension of 25 x 10⁶ splenocytes, after a cytoplasmic loading as described by Moore et. al. supra. and Carbone et al., J. Exp. Med. 169:603, 1989). For ova-antigen formulation or /J-gal-antigen formulation immunization, 30 /xg of each protein antigen was injected per mouse in the footpad and the tailbase subcutaneously. Each injection consists of 67 μΐ of microfluidized antigen formulation (made following standard procedures) and 3 0 vg of protein antigen in a final volume of 200 μΐ. The final volume was made up with HBSS, see. Whittaker manual (Welkersville,

MD) . MDP was provided in concentrations between 0 and 3 00 !tg. Where stated, mice were immunized with soluble antigens in CFA, or in alum in a total volume of 200 μΐ.

In vitro stimulation of effector populations

Spleen cells (3 0 x 10⁶) from normal or immunized mice which had been primed at least 14 days earlier were incubated with 1.5 x 10⁶ EG7-ova (irradiated with 20,000 rad) for ova responses or 1.5 x 10⁶ C3-4 cells (irradiated with 20,000 rad) for 0-gal response in 24 well plates at 37 C in 7% CO₂/air. All the tissue cultures were performed in a complete medium consisting of. IMDM medium, see. Whittaker Manual (Welkersville, MD) supplemented with 10% fetal calf serum (FCS) , 2mM glutamine, gentamycin and 2 x 10'^J M 2-mercaptoethanol. For the in vitro depletion experiments, in vivo primed or in vitro stimulated spleen cells were treated with monoclonal antibodies (mAbs) RL.172 (anti-CD4) or mAbs 3.168 (anti-CD8) for removal of CD4⁺ or

CD8⁺ T cells (Sarmiento et al., 125 J. Immunol. 2665, 1980, and Ceredig et al., 314 Nature 98, 1985). The mAb RL.172 and mAb 3.168 were obtained from Dr. Jonathan Sprent at Scripps Clinic and Research Foundation, La Jolla, CA.

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Spleen cells (30 x 10⁶) from normal or immunized mice which had been primed at least 21 days earlier were incubated with 1.5 x 10⁶ 15-12 cells (treated with 200ug of mitomycin C for 45 minutes per 10* cells) , or with 500 gg of 18IHb peptide containing the dominant CTL epitope in Balb/c mice in complete IMDM media (Irvine Scientific,

Santa Ana, CA) containing 10% pre-screened FCS (ICN Flow; ICN Biochemicals, Inc., Costa Mesa, CA), 2mM glutamine, gentamycin and 2 x 10'^J M 2-mercaptoethanol. For in vitro stimulation with peptides, spleen cells were cultured in complete IMDM containing 5% ConA supernatant.

For depletion experiments, in vivo primed or in vitro stimulated spleen cells were treated with mAbs RL.172 (anti-CD4) or mAbs 3.168 (anti-CD8) in presence of low tox.

rabbit complement (Cederlane Laboratories, Ltd., Hornby Ontario, Canada) for removal of CD4⁺ or CD8⁺ T cells (22, 23). The mAb RL.172 and mAb 3.168 were a gift from Dr. Jonathan Sprent at Scripps Clinic and Research Foundation, La Jolla, CA.

Cvtoxicitv Assay

Target cells (lx 10⁶) were labeled with 100 gCi [^5lCr] sodium chromate for 60 min. For peptide pulsed targets, 50 μΐ of a 1 mg/ml peptide solution in HBSS was added during the targets labeling with ⁵¹Cr. After washing,

10⁴ labeled targets and serial dilutions of effector cells were incubated in 200 μΐ of RP10 for 4 h at 37’C. 100 μΐ of supernatant was collected and the specific lysis was determined as: Percent specific lysis = 100 x {(release by CTL - spontaneous release) / (maximal release - spontaneous release)}. Spontaneous release in the absence of cytotoxic T-lymphocyte (CTL) was <25% of maximal release by detergent in all experiments.

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Determination of Antibody Responses in Mice and

Monkeys

Each well of 96-well, U bottomed plates (Costar, Cambridge, MA) were coated with 150 ng of ova or gpl20 in

50 ul of HBSS and incubated overnight at 4°C. For the determination of anti-gpl20 and anti-ova antibody responses in mice, plates were blocked with 1% BSA for 1 hr.

Serially diluted sera were added in 25 μΐ volume per well and incubated for 2 hrs. Plates were washed and 50 μΐ of

1:1000 dilution of goat anti-mouse IgG conjugated to HRPO (SBT, Alabama) in 1% BSA were added per well. After 1 hr of incubation, plates were washed and 100 μΐ of substrate was added per well. The 0D_4Q5 was taken after 10 to 15 minutes. For the determination of monkey anti-gpl20 antibody response, all the steps were the same except both the blocking of plates and the dilution of sera were done in 5% normal goat serum in Hank's balanced salt solution.

Peptide Synthesis

Synthetic peptides corresponding to amino acid sequences 253-276 (Sequence Listing No. 1:

EQLESIINFEKLTEWTSSNVMEER; where the standard one letter code is used to represent each amino acid) of ovalbumin (ova 253-276), amino acid sequences 84-102 of myelin basic protein (MBP 84-102) (Sequence Listing No. 2:

DENPWHFFKNIVTPRTPP), and synthetic peptides corresponding to amino acid sequences 308-322 (18111b sequence) of gpl20IIIb, were assembled by solid phase peptide synthesis using an Applied Biosystems 430A synthesizer. Amino acids were coupled via pre-formed symmetric anhydrides with the exception of asparagine, glutamine and arginine which were coupled as hydroxybenzotriazole esters. Coupling efficiency was monitored by ninhydrin reaction following the method of Kaiser et al. 34 Anal. Biochem. 595, 1970.

The peptides were released from the support with HF

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AP.00661 following the low-high procedure described by Tam, et al. 21 J. Am. Chem. Soc. 6442, 1983, and the peptides extracted from the resin with 10% acetic acid. After lyophilization, peptides were desalted on a Sephadex G-25 column, and samples of the peptides then HPLC purified by reverse phase chromatography on a Vydac preparative C-18 column.

Purified peptides (98%) were solubilized in HBSS at a final concentration of 10 mg/ml and diluted to the desired concentration in the complete media.

CNBr Digest

Samples of protein (e.g. . /3-galactosidase) were treated with 100 fold molar excess of cyanogen bromide in a solution of 100 mM trifluoroacetic acid. The reaction was allowed to proceed for 18 hours at room temperature (about

20°C) with rotation. Following the prescribed reaction

- time, the peptide fragments were separated from the reactant using a SEP-PAK C-18 apparatus (Waters), eluted with 95% acetonitrile, and lyophilized.

Alkaline digest

Protein samples (e.g. . j3-galactosidase) were treated with 1 N NaOH and boiled for 2 minutes, and the resulting peptide fragments were separated from the reactants using a C-18 SEP-PAK apparatus (Waters), and eluted with 95% acetonitrile and lyophilized.

Example 1: Class I restricted CTL priming

Moore et al., 113 UCLA Svmp. Mol. Cell. Biol.

1989 and Carbone and Bevan, 171 J. Exp. Medicine 377, 199 0, demonstrate that mice immunized with spleen cells loaded cytoplasmically with soluble ova, were primed for ova specific, class I restricted CTL response. The ova-expressing EL4 transfectant EG7-ova was employed for in vitro stimulation of in vivo primed splenic lymphocytes and also used as target for ova specific CTL mediated killing. This study also demonstrated that CD8⁺ effectors induced by

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AP . Ο Ο 6 6 1

EG7-ova transfectant or by spleen cells cytoplasmically loaded with ova, recognize a determinant mapped by the peptide ova 258-276 in the context of H-2K⁰, lyse EG7-ova, and also kill EL4 cells coated with ova 258-27 6. Thus, in order to assess whether an endogenous class I restricted CD8⁺ T cell pathway can be induced by a soluble antigen, the above system was used to determine whether certain antigen formulations can be used to drive soluble antigen into a class I restricted pathway.

a) ova €5731^/6 mice were immunized once with various amounts of ova (3 0 /xg - 1 mg per mouse) with or without an antigen formulation. Mice were injected subcutaneously and in the tailbase. Spleen cells were taken from the immunized mice at least two weeks after the immunizations and in vitro stimulated with the EG7-ova transfectants. An ova concentration as low as 3 0 μο was as effective as a 1 mg dose. Therefore, the CTL studies were routinely performed with spleen cells from 30 jig ova-primed mice.

0 After five days of in vitro culture with EG7-ova, priming was assessed by the presence of ova specific effectors capable of lysing EG7-ova.

Mice injected with soluble ova in HBSS as high as 1 mg, showed no evidence of CTL priming (FIG. IA). However mice immunized with 3 0 pg ova in the antigen formulation described above (shown as AF in the figures) showed a significant transfectant specific CTL response (FIG. 1C) . Furthermore, the extent of EG7-ova killing by the ova-AF immunized spleen cells was comparable to that of ova-loaded spleen cells immunized mice (FIG. IB).

That the specificity of CTL priming in. vivo was antigen specific was shown by the lack of spleen cells from /3-galactosidase immunized mice to manifest secondary CTL

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AP.00661 response in vitro when stimulated with EG7-ova. No ova specific CTL induction was observed.

b) fl-qalactosidase

Similar results were obtained using another 5 soluble protein antigen, β-gal. For assaying β-galspecific CTL response, the target used was BALB/c derived β-gal-expressing C3-4 transfectant. Immunization of BALB/c mice with soluble β-gal gave background CTL response. Therefore, for the determination of specific CTL response, harvesting was postponed for at least eight weeks before spleen lymphocytes were harvested, and cultured for five days in the presence of irradiated C3-4 transfectants.

FIG. 2B demonstrates that 30 μg of β-galactosidase in AF induced strong specific CTL response against transfectant. At an effector-to-target (E:T) ratio - of 3:1, β-gal-AF immunized mice showed about 80% of specific C3-4 killing. However, only 20% killing of the same target was achieved with effectors isolated from β-gal in HBSS immunized mice at the same E:T ratio (FIG. 2A) .

Since neither EL4 nor P815 expresses class II MHC gene products and the lysis shows syngeneic restriction, these ova and β-gal specific effectors are class I MHC restricted.

To demonstrate the usefulness of the antigen formulation, mice were immunized with soluble ova encapsuled in two types of liposomes, one of which was a pH sensitive liposome. One week later, spleen cells were stimulated in vitro, as described above, and tested against ^J1Cr-labeled EG7-ova or EL4. FIG. 3 shows a representative

0 result demonstrating that ova in liposome could not prime mice for substantial CTL induction. Similar results were observed when ova was immunized in alum.

Example 2: Recognition of epitope bv CTL

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Carbone and Bevan, supra, demonstrated that CTL induced in C57BL/6 mice by EG7-ova transfectant, and by cytoplasmically ova-loaded splenocytes recognize EL4 cells coated with the peptide ova 258-276. To determine whether soluble ovalbumin in AF induces similar CTL responses, spleen cells were prepared from immunized mice and stimulated in vitro with EG7-ova. The effectors were tested against EL4 cells coated with the peptide ova 253-276, or with a control peptide derived from myelin basic protein (MBP 84-102). The results demonstrate that ova-AF primed CTL with a similar specificity to those primed by transfectants, or by cytoplasmically loaded ova (FIGS. IA, IB and 1C). ova-AF primed effector cells effectively lysed EG7-ova, and an untransfected EL4 cells coated with 50 /ig/10⁸ cells of ova peptide, but did not lyse EL4 cells coated with 50 Mg/10*cells of MBP peptide.

In the β-galactosidase system, Carbone and Bevan, supra. indicated that β-gal expressing transfectant and splenocytes cytoplasmically loaded with soluble β-galactosidase, induced CTL which lysed β-gal expressing transfectant and nontransfectant P815 cells coated with alkali digested β-galactosidase. Soluble β-galactosidase induces CTL having similar specificity when immunized in AF (FIG. 2) .

Example 3: CTL effectors are CD8⁺ T cells

That soluble protein antigens in AF induce CD8⁺ effector T cells was shown as follows. Splenocytes from immunized mice were cultured for five days with irradiated transfectants in vitro. Thereafter, cells were harvested and depleted of CD4⁺ or CD8 ⁺ T cells by using monoclonal anti-CD4 or anti-CD8 antibodies plus complement.’ Depleted populations were then tested against ^5ICr-EG7-ova in the ova system or ⁵¹Cr-Pl3.1 in the β-gal system. The data shown in

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FIG. 4 indicates that, in the ova system, depletion of CDS* T cells abrogated cytolytic activity conferred by the whole effector cell population. However, depletion of CD4* T cell population did not have any effect on the lysis of

EG7-ova.

Similarly, in the 0-gal system, depletion of CD8+ T cells abrogated the cytolytic activity of 0-gal-antigen formulation immunized spleen cells.

Example 4: Soluble ova in AF prime CD8* T cells 10 To demonstrate that ova-AF primes CD8⁺T cell populations in vivo, and is critical for in vitro secondary response, CD4⁺ or CD8⁺ populations were depleted from spleens of ova-AF immunized mice and from naive mice.

These treated populations were then stimulated in vitro with EG7-ova alone, or in a combination of CD4⁺ and CD8 ⁺ T cells from ova-AF immunized mice, or in various combination of CD4⁺ or CD8⁺ T cells from ova-AF immunized mice with the CD4⁺ or CD8* cells from naive mice. FIG. 5 shows that primed CD8⁺ cells are essential for the manifestation of a secondary CTL response in vitro. These data also indicate that for the effective secondary CTL response in vitro,

CD4⁺ T cells are required. CD4⁺ cells are not needed for priming. Similarly, CD8⁺ T cells were required for the manifestation of B-gal specific secondary CTL response in vitro.

The above examples demonstrate the effect of the antigen formulation on the induction of class I restricted CTL responses against soluble protein antigens. The antigen formulation mediated soluble antigen induced CTL priming, and is similar in activity to that induced by transfectants and by splenocytes cytoplasmically loaded with soluble ova or /?-gal. In the ovalbumin system,

EG7-ova, cytoplasmically loaded ova splenocytes, and ova-AF

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AP . Ο Ο 6 6 1 induced: (a) class I restricted CD8 ⁺ CTL; (b) CTL that recognize target sensitized with ova 253-276 synthetic peptide; and (c) long lived CTL after only one immunization. In the £-galactosidase system, the jS-gal-AF induced CTL that recognize β-gal expressing transfectant C3-4, and also the untransfected P815 cells sensitized with alkali digested β-gal. This is analogous to what was observed with CTL induced by immunization with spleen cells cytoplasmically loaded with #-galactosidase. The induction of ova-specific CTL by antigen formulation is unique because neither ova encapsulated in a pH sensitive liposome, nor in alum, could induce CTL priming in vivo.

These examples indicate that the antigen formulation used above, and its equivalents, are useful in human therapy and in vaccine development for the induction - of CTL in various cancers and viral diseases.

Example 5:

This is a specific example to show the use of the above AF on producing class I restricted CTL priming by soluble gpl20 from HIV.

The gpl60 IIIB expressing cell line (15-12) was produced in the Balb/c fibroblast-derived 3T3 cell line.

It was obtained from Drs. Ron Germain and Jay Berzofsky, National Institute of Health, Bethesda, M.D. The gpl60 expressing cell line was employed for in vitro stimulation of in vivo primed splenic lymphocytes, and also used as target for gpl60 specific CTL induction. Balb/c mice were immunized once with 10 μg of gpl60 per mouse with or without AF. Mice were injected at footpads and tailbase subcutaneously. Spleen cells were taken from the immunized mice after two weeks of immunizations and in vitro stimulated with irradiated gpl60 transfectants. After five days of culture in vitro, priming was assessed by the

S 0 I· 0 / L 6 /d/dV

AP . ύ Ο 6 6 1 presence of specific effectors capable of lysing gpl60 transfectants, and not the untransfected cell lines. The results are shown in Fig. 7, where CTL response is potentiated with AF and gpl20.

The following example demonstrates the use of antigen formulations of this invention with use of only one or two components. These examples demonstrate that CTLresponses can be induced with only two of the above three components.

Example 6: Determination of critical components necessary for CTL induction

To determine whether all the above-noted components are necessary for antigen specific CTL induction, mice were immunized with ovalbumin in a microfluidized formulation of various combinations of two of the three components presented in the AF above. Two component combinations used were as follows;

Squalane/TWEEN in PBS, Sgualane/Pluronic in PBS or Pluronic/TWEEN in PBS. Another set of groups were included where mice were immunized with ova formulated in a one component system i.e.. Squalane in PBS, Pluronic in PBS or TWEEN in PBS only. The above three component antigen formulation was modified to exclude one component at a time, constituting PBS in its place.

The above antigen formulations consist of:

0.300g TWEEN 80 (Aldrich, Wl), 1.875g Pluronic L121 (BASF, NJ), and 7.5g Squalane (Aldrich, WI) , brought to 50 ml with PBS.

The two-component formulations were:

Squalane/TWEEN: 0.300g TWEEN 80, and 7.5g Squalane, brought to 50 ml with PBS.

Pluronic/TWEEN: 1.875g Pluronic L121, and 0.300 g TWEEN

80, brought to 50 ml with PBS.

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AP . Ο Ο 6 6 1

Pluronic/Squalane: 1.875g Pluronic L121, and 7.5g

Squalane, brought to 50 ml with PBS.

The samples were then processed through a microfluidizer, model HOT, Microfluidics corp, and bottled and stored at 4°C until use.

Ovalbumin (Sigma, . MO) was weighted and brought to a 0.3mg/ml solution in HBSS (Whittaker, Supra). The stock 0.3mg/ml solution was combined with the two component formulation in the following amounts: 5 parts Ovalbumin

0.3 mg/ml solution, 3.3 parts 2 component formulation, and

1.7 parts HBSS.

The formulation was vortexed and kept on ice until injected. All solutions were combined just prior to injection.

Each mouse received 2 00 μ.1 of one formulation containing 3 0 μΐ of OVA by injection in both hind footpads and any remaining solution was injected subcutaneously at the tail base. Mice were allowed to rest for two to four weeks prior to spleen harvest.

Two weeks after immunizations, spleen cells were prepared and in vitro stimulated with irradiated EG7-OVA. After five days of culture, the presence of OVA specific CTL was measured by testing against ^5lCr-EG7-OVA or ⁵¹Cr-EL4 in a 4 hour ⁵¹Cr release assay. The data shown in FIGS. 825 10 demonstrate that Ovalbumin formulated in microfluidized two component system can prime OVA specific CTLs in vivo.

We further evaluated the relative contribution of the individual components for their ability to induce CTL when combined with protein antigens. For immunization purposes soluble antigen was mixed with microfluidized excipients to obtain a stable homogeneous emulsion with particle sizes ranging from 250-300 nm. To further define the components of squalane-Tween 80-pluronic (STP) formulation responsible for CTL induction, we immunized

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AP. Ο Ο 6 6 1 mice with ova in squalane-Tween 8 0 (ST) mixture, pluronicTween 80 (PT) mixture or squalane-pluronic (SP) mixture and as a control, in squalane (S) , Tween 80 (T) or pluronic (P) . Mice were also immunized with ova-SAFm (containing 70 ug of MDP) or ova-alum as adjuvant controls. For a positive control, mice were immunized with spleen cells cytoplasmically loaded with soluble ova. Other combinations and substitutes were also used, and the results are presented in Table 1.

For the detection of CTL priming studies, mice were immunized once. Two weeks after the immunization, spleen cells were mixed with irradiated EG7-ova (the ova expressing EL4 cells) for five days and tested against ^5lCrEG7-ova or ^5ICr-EL4 cells. The results (Fig. 11) demonstrate that 30 μg of ova in combination with STP or ST primes class I restricted CTL response in mice. The priming of ova specific CTL by ova in STP or by ova in ST appears to be better than that induced by spleen cells cytoplasmically loaded with soluble ova. Ova in PT or in

SP could induce ova specific CTL responses in mice but inconsistently and poorly. Unlike SAFm, the addition of MDP to ST formulation did not compromise the ova specific CTL induction in mice (Table 2) . No ova specific CTL induction occurred when mice were immunized with ova mixed with the individual components, S, P or T nor when mice were immunized with ova-SAFm or ova-alum. Mice immunized with as much as 1 mg ova in (a) HBSS, in (b) SAFm or (c) absorbed to alum did not prime ova specific CTL.

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Tabb 2

Induction of ova specific CTL response ia not blocked by ST + MDP < cytotoxicity in mice immunized with*

Stimobtor Taut:***

EG7-ova EG7-ova 100:1

33:1 11:1 3:1 1:1 3:1

£T	. ova-ST
0	100	c
0	S6	67
0	33	39
0	6	13
0	0	0
0	0	0

ota-ST-MDP eva-ST-MDP

300 ai mouse 71ur mouse mice were immunized with 30« ova in various formulations % cytoxicity was calculated by subtracting the percent kill against antigen non-expressing cells lines

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Example 7: Components Necessary for ova Specific Antibody

Production

Mice were immunized three times at 2 week intervals with 3 0 of ova in EBSS_Z STP, ST, PT or SP. As a positive control, mice were also immunized with ova-SAFm, as SAFm is known to induce a strong antibody response.

Seven days after the second and third immunizations, mice were bled and the sera tested for ova specific antibody response. The results are shown in Table 3. They indicate that mice immunized with ova in STP, ST or in SAFm display similar anti-ova responses after two immunizations.

AP . Ο Ο 6 6 1

Table 3

Induction of anti-ova antibody raappnaa

3Opg ova/animal / slice responded/ 1/dilution formulation_# mice injected_sera titer

BBSS	0/3
STP	3/3
ST	3/3
PT	NA
s?	NA
SAF-M	3/3

* N/A; not available <1/20, <1/20, <1/20 <1/4860, >1/4860, <1/4860 >1/4860, >1/4860, >1/4860 NA, NA, ra

NA, NA, BA

1/4860, 1/4860, 1/4860

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Example 8: HIV crpl20 Specific CTL Induction

HIV gpl20 IIIB was used as a second antigen system to determine CTL induction in STP, ST or in MP-T. Mice were immunized with 1 pg of gpl20 Illh in HBSS, STP,

PT or in ST. As a control, mice were immunized with 1 pq of gpl20IIIb in SAFm or CFA (Complete Freund's Adjuvant) or in RIBI adjuvant system containing MPL (monophoshoryl lipid A) and TDM (trehalose dimycolite) . Three weeks after the immunization, spleen cells were prepared and stimulated in vitro with mitomycin treated transfectant cells 15-12 or with the 18111b peptide. After five days of culture, the resultant effector cells were tested against vaccinia:gpl60 IIIB, or parental vaccinia infected P815 cells as targets. The results demonstrate that the gpl20-Squalane-TWEEN 80 formulation and not gp!20-Scrualane-TWEEN 80 pluronic

AP . Ο Ο 6 6 1 formulation or gpl2O-E3SS induced gpl20 specific CTL pgsOonse in mice (Table 4)Table 4

Inducuon of βΐΙΐΟ specific CTL icaponae ia mica

				% cvtotoxjcitv m mica	immtmiztd wnh··
Stimulator	Tct«~	£1	ro!20-HBSS	rel20-ST	»ol20-STP
ismb/H2	vac: jp 120	100:1	23	42	NA-—
		33:1	23	33	NA
		11:1	0	0	NA
		3:1	0	35	NA

isna/nh	13-12	100:1	50
		33:1	35
		11:1	27
		3.1	IS

ISmh/H_2	3T3 + lSIHb	100:1	59	13
		33:1	59	2
		11:1	57	0
		3:1	29	0

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15-12	vac:gpl2Q	100:1 33:1	35 19	S4 65	NA NA
		11:1	12	37	NA
		3:1	0	22	NA
		1:1	0	0	NA

mice were immunized with 1 jig of gp 120ΠΪ in venous formulations % gytptgxjeiry was calculated by subtracting the percent kin against antigen non-expressing cell lines NA; not available

Example 9: Induction of cp12 0 Specific Humoral Response in

Mice

For the induction of gpl20 specific humoral responses^ mice were immunized with 1 pg of gpl20IIIb three times at two-week intervals. The animals were bled and tested for the presence of IgG antibodies detecting gpl20IIIb in a solid phase ELISA assay. The results demonstrate that gpl20-ST is a better immunogen than gpl20HBSS, gpl20SAFm (Table 5), or gp!20-STP.

Table 5

Induction of anti-gpl20 antibody response

l/zg gpl20/animal	/ mice responded/	1/dilution
formulation	# mice injected	sera titer
SBSS	0/3	<1/20, <1/20, <1/20
ST?	1/3	<1/20, >1/4860, <1/20
ST	3/3	>1/4860, >1/4860, >1/4860
PT	3/3	>1/4860, >1/4860, >1/4860
SP	2/3	<1/20, 1/540, 1/540
Saf-M	2/3	1/180, >1/4860, 1/540

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Example 10: crp!20 Specific antibody Responses in monkeys

Monkeys (two per group) were immunized with gpl20-SAFm, gpl20-SPT, gpl20-ST, or gpl20-HBSS. As a control, a group of monkeys were immunized with recombinant vaccinia containing gpl60 IHb. Monkeys were immunized at two week intervals and bled two weeks and three weeks after the second immunization. Pre- and immune sera from each monkey was serially diluted and assayed for anti-gpl20 activity in an ELISA as described in the materials and methods. The data (Figure 12) indicate that monkeys immunized with gpl20-STP or gpl20-SAFm induced similar responses in monkeys. One monkey immunized with gpl20-ST, induced anti-gpl20 response similar to the gpl20-SAFm or gpl20-SPT immunized group. One monkey immunized with gpl20-ST did not induce a strong anti-gpl20 response after ' two immunizations.

Example 11: In vivo activity of AF in combination with HPV 16 E7

1. Generation of recombinant HPV 16 E7 Protein for Immunization

a) PCR and cloning of the E7 gene

The HPV 16 E7 gene was cloned from a plasmid obtained from Dr. Karen Vousden (Ludwig Institute) encoding the E7 gene derived from the carcinoma cell line CaSki.

The coding regions were amplified by PCR using primers that encode the 5' and 2' ends of the genes flanked by Bam HI and Sal I cloning sites. The E7 PCR product was ligated into the pGEX - 4T-1 expression vector (Pharmacia Biotech) resulting in the pGEX.E7 expression plasmid. E. coli

0 strain XL1 - blue (stratagene) was transfected with the pGEX.E7 expression plasmid. The sequence of the E7 was

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AP . Ο Ο 6 6 1 obtained from the plasmids of the resulting colonies and was identical to the E7 sequence obtained from CaSki cells.

b) Production of purification of bacteriallyexpressed E7

The pGEX.E7 bacterial expression plasmid encodes a glutathione-S-transferase (GST) fusion protein consisting of the GST at the amino-terminus, a thrombin protease cleavage site and the E7 protein at the carboxy-terminus.

E7 protein was produced and purified as described in the product information literature from the manufacturer of the pGEX-4T-l vector (Pharmacia Biotech). Briefly, bacteria containing the pGEX.E7 expression plasmid was induced to express the fusion protein by the addition of isopropyl bD-thiogalactosidase to the culture medium. The cells were

15' harvested and lysed by mild sonication. The lysate was applied to Glutathione Sepharose 4B (Pharmacia Biotech). After the fusion protein bound to the matrix, the resin was washed to remove ηση-specifically bound proteins. The bound fusion protein was digested with thrombin to release the E7 protein from the GST fusion partner.

The E7 protein preparation was analyzed by SDSPAGE and the E7 protein concentration was determined by Bradford analysis (BioRad). 9 mg soluble E7 protein was obtained per liter of bacterial culture.

2. Generation of the X21 E7 Transfectant

Coding sequences for the HPV16 E7 protein (see above) have been inserted into the IDEC proprietary eukaryotic expression plasmid INPEP4. Within this vector, E7 expression is controlled by the Cytomegalovirus promoter/enhancer transcriptional elements. In addition, the first three nucleotides of the E7 coding sequence have

AP/P/ 97/01056

AP.. 0 0 6.6 1 been removed and replaced with an immunoglobulin light chain leader sequence placed immediately upstream and in frame with the E7 coding region. Following transfection into the mouse cell line X21 individual G418 resistant clones were examined by northern blot analyses for E7 message production. Every clone displayed detectable E7 message. Western blot analysis of cell lysates from the two of those clones, 4E7 and 1C7, (HOPEI and HOPE2 respectively) were then performed and demonstrated E7 protein production.

3. In vivo Activity of E7/AF Soluble Antigen Immunization

Female mice of C3H background (H2^k/t, Harlan Sprague Dawley) were used in these studies. Animals were maintained according to Guide for the Care and Use of Laboratory Animals (DHHS Publication No. NIH 86-23, Bethesda, MD:NIH, 1985), and received food and water ad libitum. The E7 transfectant cell line HOPE2 H2^k/k) was used in these studies. The tumor cell line was maintained by serial passage in vitro.

This cell line has been' shown to maintain E7 cytoplasmic antigen expression, as detected by western blot analysis, following repeated in vitro passages. Tumors were initiated in syngeneic C3H mice by subcutaneous injection of 150,000 in vitro passaged cells.

Tumors were measured in 2 perpendicular directions at biweekly intervals. Tumor volume (V) was calculated according to the following formula:

V (mm³) = (LxW²) divided by 2 where:

L = longest axis measurement in mm W = perpendicular axis (mm)

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Data in Table 6 are presented as tumor Mice (number of tumor bearing animals over the total number of animals injected). Data in Figures 13 and 14 are presented as median tumor size (mm³) of each treatment or control group. Each treatment group was compared to a control group that did not receive therapy. Therapy began 10 days after incoculation of HOPE2 cells, when a majority of the tumors were palpable (approx. 50-75 mm³) . Therapy was initiated by immunization of mice with soluble E7 protein in AF or Alum adjuvants (subcutaneously in a total volume of 0.2 ml). Directly before immunization, AF was mixed for 60 seconds with E7 protein in Hanks Balanced Salt Solution (HBSS) such that each mouse received either 30 ug or 90 ug E7 protein 0.2 ml. Alum (Pierce Chemical Co.) was mixed with E7 protein, according to instructions by the manufacture, such that each animal received 90 ug E7 protein in 0.2 ml per mouse. Animals in a second treatment group received a second immunization 9 days later (19 days after tumor cell inoculation). Booster Immunization were prepared immediately before inoculation, as described above.

In this example (Table 6: Xp #233), 41 days after tumor cell inoculation only 4/8 and 5/8 of mice receiving a single injection of soluble E7 in aF (30 ug or 90 ug respectively) had measurable tumors. In contrast, all of the mice immunized with E7 protein in Alum (8/8) had actively growing tumors. Additionally, as shown in Figure 13, significant inhibition of tumor growth was observed only in treatment groups immunized with E7 protein in aF as compared to control (untreated) or Alum treatment groups. Inhibition of tumor growth (Figure 13) or increased tumor regression rates (Table 6 was not observed in mice that received a single injection of E7 in Alum.

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AP . Ο Ο 6 6 1

Similar results were also observed using treatment groups that received two immunizations at days 10 and 19 after tumor challenge (Table 6 and Figure 14), although some tumor growth retardation was observed with mice receiving two injections of E7 in Alum.

The results indicate that significant antitumor activity as measured by a decreased number of tumor bearing mice and inhibition of tumor growth was observed following iτητηηηί zati on of soluble E7 in AF. In contrast, all animals immunized with either a single or double injection of soluble E7 protein in Alum had growing tumors. In su-m-ma-ry, immunization with soluble E7 protein in AF resulted in a significant inhibition of tumor cell growth that was not observed using soluble E7 immunization in Alum.

15- Table 6: Antitumor activity of soluble E7 immunization in adjuvant

Exp. #	Treatment	Dose (ug/mouse)	Tumor Animals¹ Day 41
223	Control	-	7/8
223	E7 in AF	3 0 ug x l^b	4/8
223	E7 in AF	90 ug x 1	5/3
223	E7 in Alum	90 ug x 1	8/8
223	E7 in AF	3 0 ug x 2^C	3/8
223	E7 in AF	90 ug x 2	1/4
223	E7 in Alum	90 ug x 2	8/8

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a. Number of tumor bearing mice/total number inoculated

b. All immunizations started on Day 10 post implant

c. Second immunication (x2) on Day 19 post implant

Other embodiments are within the following claims.

Claims

CLAIMS:

antigen formulation comprising: stabilizing detergent, micelle-forming agent, and biodegradable and biocomDatible oil.

1. A composition comprising an antigen mixed with a microfluidized (a) a

5 (b) a (c) a said antigen formulation being formulated as a stable oilin-water emulsion, said antigen formulation being substantially free of immunostimulating peptides and

10 wherein said composition upon administration to an animal selected from the group consisting of humans, domesticated animals and agricultural animals is capable of inducing a specific cytotoxic T-lymphocyte response against the antigen contained in the composition.

15
2. The composition of claim 1, wherein said antigen is chosen from antigenic portions of the HIV antigens: gpl60, gag, pol, Nef, Tat, and Rev; the malaria antigens: CS protein and Sporozoite surface protein 2; the

Hepatitis B surface antigens: Pre-Si, Pre-S2, HBc Ag, and

20 HBe Ag; the influenza antigens: HA, NP and NA; Hepatitis A surface antigens; the Herpes virus antigens: EBV gp340,

EBV gp85, HSV gB, HSV gD, HSV gH, HSV early protein product, cytomegalovirus gB, cytomegalovirus gH, and IE protein gp72; the respiratory syncytial virus antigens: F

25 protein, G protein, and N protein; and the tumor antigens: carcinoma CEA, carcinoma associated mucin, carcinoma P21, carcinoma P53, melanoma MPG, melanoma p97, carcinoma Neu oncogene product, carcinoma p53 gene product, and mutated p21 ras protein.

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3. A composition comprising an antigen mixed with a microfluidized antigen formulation comprising:

(a) a stabilizing detergent, (b) a micelle-forming agent, and (c) a biodegradable and biocompatible oil, said antigen formulation being formulated as a stable oilin-water emulsion, said antigen formulation lacking immunostimulating peptides and wherein said composition upon administration to an animal selected from the group consisting of humans, domesticated animals and agricultural animals is capable of inducing a specific cytotoxic T-lymphocyte response against the antigen contained in the composition. .
4. The composition of claim 3, wherein said 15 antigen formulation consists essentially of said detergent, agent, and oil.
5. The composition of claim 3, wherein said antigen formulation is non-toxic to said human or domesticated or agricultural animal.

AP/P/ 97 / 0 1 0 56

20 6. The composition of claim 3, wherein said antigen is chosen from the HIV antigens: gpl60, gag, pol, Nef, Tat, and Rev; the malaria antigens: CS protein and Sporozoite surface protein 2; the Hepatitis B surface antigens: Pre-S1, Pre-S2, HBc Ag, and HBe Ag; the

25 influenza antigens: HA, NP and NA; Hepatitis A surface antigens; the Herpes virus antigens: EBV gp340, EBV gp85, HSV gB, HSV gD, HSV gH, HSV early protein product, cytomegalovirus gB, cytomegalovirus gH, and IE protein gP72; the respiratory syncytial virus antigens:· F protein,

3 0 G protein, and N - protein; and the tumor antigens:

carcinoma CEA, carcinoma associated mucin, carcinoma P21,

AP.00661

Ί .

An admixture comprising an antigen and a microfluidized antigen formulation, said antigen formulation comprising:

(a) a stabilising detergent, (b) a micelle-forming agent, and (c) a biodegradable and biocompatible oil, said antigen formulation lacking an immunostimulating peptide component, said antigen formulation being formulated as a stable oil-in-water emulsion; wherein said admixture is administered to said animal in an amount sufficient to induce a cytotoxic Tlymphocyte response in said animal which is specific for the antigen contained in said admixture for use in a method for inducing a cytotoxic T-lymphocyte response in an animal selected from the group consisting of humans, domesticated animals and agricultural animals.

8.

The admixture of claim 7, wherein said antigen formulation consists essentially of said detergent, agent, and oil.

9 .

The admixture of claim 7, wherein said method consists essentially of a single administration of said mixture to said human or said animal.

10 .

The admixture of claim 7, wherein said human or said animal is infected with a virus or suffers one or more symptoms of infection from said virus.

11.

The admixture of claim 7, wherein said antigen formulation is non-toxic to said human or said animal.

12 .

The admixture of claim 7, wherein said antigen is chose from the HIV antigens: gpl60, gag, pol, Nef, Tat, and Rev; the malaria antigens: CS protein and Sporozoite surface protein 2; the Hepatitis B surface antigens: Pre-Si, Pre-S2, HBc Ag, and Hbe Ag; the influenza antigens: HA, NP, and HA; Hepatitis A surface antigens; the Herpes virus antigens: CBV gp340, EBV gp85, HSV gB, HSV gD, HSV gH, HSV early protein product, cytomegalovirus gB, cytomegalovirus gH, and IE protein gP72; the respiratory syncytial virus antigens: F protein, G protein, and N protein; and the tumor antigens: carcinoma CEA, carcinoma associated mucin, carcinoma P21,'carcinoma P53, melanoma MPG, melanoma p97, and carcinoma Neu oncogene product, carcinoma p53 gene product, and mutated p21 raj protein.

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13 .

An,HIV antigen mixed with a microfluidized antigen formulation comprising:

(a) a stabilizing detergent, (b) a micelle-forming agent, and (c) biodegradable and biocompatible oil, said antigen formulation lacking an immunostimulating peptide component, and being formulated as a stable oil-in-water emulsion; wherein said composition is administered to said patient in an amount sufficient to induce a qytotoxic Tlymphocyte response in said patient for use in a method of treating a patient infected with HIV virus.

14.

The antigen of claim 13, wherein said HIV antigen is selected from gpl60, gag, pol, Nef, Tat, and Rev.

15.

A microfluidized composition comprising a malaria-associated antigen mixed with an antigen formulation comprising:

(a) a stabilizing detergent, (b) a micelle-forming agent, and (c) a biodegradable and biocompatible oil, said antigen formulation lacking an immunostimulating peptide component, and being formulated as a stable oil-in-water emulsion; wherein said composition is administrated to said patient in an amount sufficient to induce a cytotoxic Tlymphocyte response in said patient for use in a method of treating a patient suffering from malaria.

16 .

The composition of claim 15, wherein said malaria-associated antigen is selected from CS protein, and Sporozoite surface protein 2.

17 .

A composition comprising an influenza-associated antigen mixed with a microfluidized antigen formulation comprising:

(a) a stabilizing detergent, (b) a micelle-forming agent, and (c) a biodegradable and biocompatible oil, said antigen formulation lacking an immunostimulating peptide component, and being formulated as a stable oil-in-water emulsion; wherein said composition is administered to said patient in an amount sufficient to induce a cytotoxic Tlymphocyte response in said patient for use in a method of treating a patient suffering from influenza.

18 .

The composition of claim 17, wherein said influenza-associated antigen is selected from HA, NP, and NA.

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19.

A composition comprising a hepatitis-associated antigen mixed with a microfluidized antigen formulation comprising:

(a) a stabilizing detergent, (b) a micelle-forming agent, and (c) a biodegradable and biocompatible oil, said antigen formulation lacking an immunostimulating peptide component, and being formulated as a stable oil-in-water emulsion; wherein said composition is. administered to said patient in an amount sufficient to induce a cytotoxic Tlymphocyte response in said patient for use in a method of treating a patient suffering from hepatitis.

20.

The composition of claim 19, wherein said hepatitis-associated antigen is selected from hepatitis A surface antigen, Pre-Si, Pre-S2, HBc Ag, and HBe AG.

21.

A composition comprising a cancer-associated antigen mixed with a microfluidized antigen formulation comprising:

(a) a stabilizing detergent, (b) a micelle-forming agent, and (c) a biodegradable and biocompatible oil, said antigen formulation lacking an immunostimulating peptide component, and being formulated as a stable oil-in-water emulsion; wherein said composition is administered to said patient in an amount sufficient to induce a cytotoxic Tlymphocyte response in said patient for use in a method of treating a patient suffering from a cancer.

22 .

The composition of claim 21, wherein said cancer-associated antigen is selected from Carcinoma CEA, Carcinoma associated mucin P21, carcinoma P53, melanoma MPG, melanoma p97, and carcinoma Neu oncogene product, carcinoma p53 gene product, and mutated p21 ras protein.

23 :

A composition comprising a herpes antigen mixed with a microfluidized antigen formulation comprising:

(a) a stabilizing detergent, (b) a micelle-forming agent, and (c) a biodegradable and biocompatible oil, said antigen formulation lacking an immunostimulating peptide component, and being formulated as a stable oil-in-water emulsion; wherein said composition is administered to said patient in an amount sufficient to induce a cytotoxic Tlymphocyte response in said patient for use in a method of treating a patient infected with herpes virus.

AP.00661

24.

The composition of claim 23, wherein said herpes virus antigen is selected from EBV gp340, EBV gp85, HSV gB, HSV gD, HSV gH, HSV early protein product, cytomegalovirus gB, cytomegalovirus gH and IE protein gp72.

25.

A composition comprising a respiratory syncytial antigen mixed with a microfluidized antigen formulation comprising:

(a) a stabilizing detergent, (b) a micelle-forming agent, and (c) a biodegradable and biocompatible oil, said antigen formulation lacking an immunostimulating peptide component, and being formulated as a stable oil-in-water emulsion; wherein said composition is administered to said patient in an amount sufficient to induce a cytotoxic Tlymphocyte response in said patient for use in a method of treating a patient infected with respiratory syncytial virus.

26.

The composition of claim 25, wherein said Respiratory Syncytial virus antigen is selected from F protein, G protein and N protein .

27 .

A mixture of an antigen mixed with a microfluidized antigen formulation consisting essentially of two of:

(a) a stabilizing detergent, (b) a micelle-forming agent, and (c) a biodegradable and biocompatible oil, said antigen formulation being formulated as a stable oil-inwater emulsion; wherein said mixture is administered to said human or animal in an amount sufficient to induce a cytotoxic Tlymphocyte response in said human or animal for use in a method for inducing a cytotoxic T-lymphocyte response in a human or domesticated or agricultural animal.

28 .

The mixture of claim 2.7, wherein said human or domesticated or agricultural animal is infected with a virus and suffers one or more symptoms of infection from said virus.

29 .

The mixture of claim 27, wherein said antigen formulation is nontoxic to said human or domesticated or agricultural animal.

AP . Ο Ο 6 6 1

30.

The mixture of claim 27, wherein said antigen is chosen from antigenic portions or the HIV antigens: gpl60, gag, pol, Nef, Tat and Rev; rhe malaria antigens: CS protein and Sporozoite surface protein 2; the Hepatitis B surface antigens: Pre-Si, Pre-S2, HBc Ag, and HBe Ag; the influenza antigens: HA, NP , and NA; Hepatitis A surface antigens; the Herpes virus antigens: EBV gp340, EBV gp85, HSV gB, HSV gD, HSV gH, HSV early protein product, cytomegalovirus gB, cytomegalovirus gH, and IE protein gp72; the respiratory syncytial virus antigens: F protein, G protein, and N protein; and the tumor antigens carcinoma CEA, carcinoma associated mucin, carcinoma P21, carcinoma P53, melanoma MPG, melanoma p97 and carcinoma Neu oncogene product, carcinoma p53 gene product and mutated p21 ras protein.

31.

A composition comprising an HIV antigen mixed with a microfluidized antigen formulation consisting essentially of two of:

(a) a stabilizing detergent, (b) a micelle-forming agent, and (c) a biodegradable and biocompatible oil, said antigen formulation being formulated as a szable oil-inwater emulsion; wherein said composition is administered to said patient in an amount sufficient to induce a cytotoxic Tlymphocyte response in said patient for use in a method of treating a patient infected with HIV virus.

32.

The composition of claim 31, wherein said HIV antigen is selected from gpl60, gag, pol, Nef, Tat, and Rv.

33.

A composition comprising a malaria-associated antigen mixed with a microfluidized antigen formulation consisting essentially of two of :

(a) a stabilizing detergent, (b) a micelle-forming agent, and (c) a biodegradable and biocompatible oil, said antigen formulation being formulated as a stable oil-inwater emulsion; wherein said composition is administered to said patient in an amount sufficient to induce a cytotoxic Tlymphocyte response in said patient for use in a method of treating a patient suffering from malaria.

34.

The composition of claim 33, wherein said malaria-associated antigen is selected from CS protein, and Sporozoite surface protein 2.

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35.

A composition comprising an influenza-associated antigen mixed with a microfluidized antigen formulation consisting essentially of two of :

(a) a stabilizing detergent, (b) a micelle-forming agent, and (c) a biodegradable and biocompatible oil, said antigen formulation being formulated as a stable oil-inwater emulsion; wherein said composition is administered to said patient in an amount sufficient to induce a cytotoxic Tlymphocyte response in said patient for use in a method of treating a patient suffering from influenza.

36.

The composition of claim 35, wherein said influenza-associated antigen is selected from HA, NP, and NA.

37.

A composition comprising a hepatitis-associated antigen mixed with a microfluidized antigen formulation consisting essentially of two of :

(a) a stabilizing detergent, (b) a micelle-forming agent, and (c) a biodegradable and biocompatible oil, said antigen formulation being formulated as a stable oil-inwater emulsion; wherein said composition is administered to said patient in an amount sufficient to induce a cytotoxic Tlymphocyte response in said patient for use in a method of treating a patient suffering from hepatitis.

38.

The composition of claim 37, wherein said hepatitis-associated antigen is selected from hepatitis A surface antigen, Pre-Si, Pre-. S2, HgC Ag, and HBe Ag.

AP/P/97/0 1 0 56

39 .

A composition comprising an cancer-associated antigen mixed with a microfluidized antigen formulation consisting essentially of two of :

(a) a stabilizing detergent, (b) a micelle-forming agent, and (c) a biodegradable and biocompatible oil, said antigen formulation being formulated as a stable oil-inwater emulsion; wherein said composition is administered to said patient in an amount sufficient to induce a cytotoxic Tlymphocyte response in said patient for use in a method of treating a patient suffering from a cancer.

AP.00661

40.

The composition of claim 39, wherein said cancer-associated antigen is selected from Carcinoma CEA, Carcinoma associated mucin, P3.1, carcinoma P53, melanoma MPG, melanoma p97, and carcinoma Neu oncogene product, carcinoma p53 gene product, and mutated p21 ras protein.

41.

A composition comprising a herpes antigen mixed with a microfluidized antigen formulation consisting essentially of two of: (a) a stabilizing detergent, (b) a micelle-forming agent, and (c) a biodegradable and biocompatible oil, said antigen formulation being formulated as a stable oil-inwater emulsion; wherein said composition is administered to said patient in an amount sufficient to induce a cytotoxic Tlymphocyte response in said patient for use in a method of treating a patient suffering with herpes virus.

42 .

The composition of claim 41, wherein said herpes virus antigen is selected from EBV gp340, EBV gp85, HSV gB, HSV gD, HSV gH, HSV early protein product, cytomegalovirus gB, cytomegalovirus gH and IE protein gP72.

43 .

A respiratory syncytial antigen mixed with a microfluidized antigen formulation consisting essentially of two of:

(a) a stabilizing detergent, (b) a micelle-forming agent, and (c) a biodegradable and biocompatible oil, said antigen formulation being formulated as a stable oil-inwater emulsion; wherein said composition is administered to said patient in an amount sufficient to induce a cytotoxic Tlymphocyte response in said patient for use in a method of treating a patient infected with respiratory syncytial virus.

44 .

The mixture of claim 43 wherein said respiratory syncytial virus antigen is selected from F protein, C protein and N protein.

45 .

The mixture or composition of any of claims 25-44 wherein said antigen formulation consists essentially of said detergent and said micelle-forming agent.

46.

The mixture or composition of any of claims 25-44 wherein said antigen formulation consists essentially of said detergent and said oil.

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47 .

The mixture or composition of any of claims 25-44 wherein said antigen formulation consists essentially of said oil and said micelle-forming agent.

48.

The composition of claim 6 wherein said papillomavirus antigen is selected from the group consisting of the HPV16 E6 antigen, HPV16 E7 antigen, HPV18 E6 antigen, HPV18 E7 antigen, HPV6 E4 antigen, HPV6 LI antigen, HPV11 E4 antigen and HPV11 LI antigen.

49 .

An effective amount of a human papillomavirus antigen formulation according to claim 48 for use in a method for treating cervical cancer.

⁵⁰ ·

An effective amount of a papillomavirus antigen formulation according to claim 48 for use in a method for treating condyloma acuminata.

51.

A composition according to claim 6 wherein the antigen is the prostate specific antigen for use in a method for treating prostate cancer.

52 .

The composition of claim 1 wherein the stabilizing detergent is selected from the group consisting of polysorbate 80, Tween 20, Tween 40, Tween 60, Zwittergent 3-12, Teepol HB7 and Span 85.

53 .

The composition of claim 1 wherein said detergent is provided in an amount ranging from approximately 0.05 to 0.5%.

54 .

The composition of claim 53 wherein said amount of detergent is about 0.2%

55.

The composition of claim 1 wherein said micelle-forming agent comprises a hydrophile-lipophile balance of between 0 and 2.

56 .

The composition of claim 1 wherein said micelle-forming agent is selected from the group consisting of poloxamer 401, Pluronic f, U7τ,E, Pluronic L101 Pluronic L64, PEG1000, Tetronic 1501,

Tetronic 150R1, Tetronic 701, Tetronic 901, Tetronic 1301, and Tetronic 13 0R1.

57 .

The composition of claim 1 wherein the amount of said micelleforming agent ranges from between 0.5 to 10%.

58.

The composition of claim 57 wherein the amount of said micelleforming agent ranges from between 1.25 and 5%.

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59.

The composition of claim 1 wherein the oil exhibits a melting temperature less than 60°C.

60.

The composition of claim 59 wherein the oil is selected- from the group consisting of squalene, squalane, eicosane, tetratetracontane, pristane, glycerol, and vegetable oils.

61.

The composition of claim 1 wherein the amount of the oil ranges from between 1 and 10%.

62 .

The composition of claim Si wherein the amount of the oil ranges from between 2.5 and 5%.

63 .

The composition of claim 1 which comprises less than 20 micrograms of muramyl dipeptide.

64.

The composition of claim 63 does not comprise any muramyl dipeptide .

65 .

The composition of claim 1 wherein the detergent is polysorbate BO, and the micelle-forming agent is poloxamer 401.

66.

The composition of claim 65 wherein the oil is squalane.

67 .

The composition of claim 1 wherein the detergent is selected from the group consisting of Tween 20, Tween 40 and Tween 80; the oil is selected from the group consisting of squalane, eicosane, and pristane and the micelle-forming agent is selected from the group consisting of Pluronic L62LF and polyoxamer 401.

68 .

The admixture of claim 7 wherein the detergent is selected from the group consisting of polysorbate 80, Tween 20, Tween 40, Tween 60, Zwittergent 3-12, Teepol HB7 and Span 85.

69.

The admixture of claim 7 wherein said detergent is provided in an amount ranging from approximately 0.05 to 0.5%.

70 .

The admixture of claim 69 wherein the amount of detergent is about 0.2%.

71.

The admixture of claim 7 wherein said micelle-forming agent comprise a hydrophile-lipophile balance of between 0 and 2.

AP/P/ 9 7 / 0 1 0 5 6

AP. 0 0 6 6 1 ’ 72.

The admixture of claim 7 wherein said micelle-forming agent is selected from the group consisting polyoxamer 401, Pluronic L61LF, Pluronic L101, Pluronic L64, PEG1000, Tetronic 1501,

Tetronic 150R1, Tetronic 701, Tetronic 901, Tetronic 1301 and Tetronic 130R1.

73 .

The admixutre of claim 7 wherein the amount of said micelleforming agent ranges from between 0.5 to 10%.

74.

The admixture of claim 71 wherein the amount of said micelleforming agent ranges from between 1.25 and 5%.

75 .

The admixture of claim 7 wherein the oil exhibits a melting temperature of less than 60°C.

76.

The admixture of claim 7 wherein the oil is selected from the group consisting of squalene, eicosane, tetratetracontane, glycerol, pristane, and vegetable oils.

77 .

The admixture between 1 and of claim 10% . 7 wherein the amount of oil ranges from 78. The admixture of claim between 2.5 and 5%. 77 wherein the amount of oil ranges from 79. The admixture of claim 7 wherein the admixture comprises less

AP/P/ 9 7/01056 than 20 micrograms of muramyl dipeptide.

80.

The admixture of claim 7 wherein the admixture does not contain any muramyl dipeptides.

81.

The admixture of claim 7 wherein the detergent is polysorbate 80 and the micelle-forming agent is poloxamer 401.

82 .

The admixture of claim 8| wherein the oil is squalane.

83 .

The admixture of claim 7 wherein the detergent is selected from the group consisting of Tween 20, Tween 40 and Tween 80, the oil is selected from the group consisting of squalane, eicosane, olive oil and pristane and the micelle-forming agent is selected from the group consisting of polyoxamer 401, and Pluronic L62LF.

84 .

The admixture of claim 7 wherein the particle sizes in the admixture range from 250 to 300 nm.

AP . u ύ 6 6 1

85.

The composition of claim 1 wherein the particle sizes in the composition range from 250 to 300 nm.