AU722078B2 - Conjugate vaccine against group B Streptococcus - Google Patents

Description

t P00011 Regulation 3.2

AUSTRALIA

Patents Act, 1990

ORIGINAL

COMPLETE SPECIFICATION STANDARD PATENT 9e a a. a a a TO BE COMPLETED BY THE APPLICANT NAME OF APPLICANTS: ACTUAL INVENTORS: THE GENERAL HOSPITAL CORPORATION and BRIGHAM AND WOMEN'S HOSPITAL JAMES L MICHEL; DENNIS L KASPER; FREDERICK M AUSUBEL; LAWRENCE C

MADOFF

ADDRESS FOR SERVICE: Peter Maxwell Associates Level 6 60 Pitt Street SYDNEY NSW 2000 INVENTION TITLE: CONJUGATE VACCINE AGAINST GROUP B STREPTOCOCCUS The following statement is a full description of this invention including the best method of performing it known to me:- -1a- This invention relates to the fields of microbiology and vaccine technology, and concerns the administration of a vaccine capable of conferring immunity to infection by group B Streptococcus.

Related Art Bacteria of the Streptococcus genus have been implicated as casual agents of disease in humans and animals. The Streptococci have been divided into immunological groups based upon the presence of specific carbohydrate antigens on their cell surfaces. At present, groups A through °O are recognized (Davis, B.D. et aL, In: Microbiology, 3rd. Edition, page 609, (Harper Row, 1980). Streptococci are among the most common and important bacteria causing human disease. Although Streptococci of ~the B group are associated with animal disease (such as mastitis in cattle), *e

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-2- Streptococcus agalactiae (a group B Streptococci) has emerged as the most common cause of human neonatal sepsis in the United States and is thought to be responsible for over 6000 deaths annually (Hill, H.R. et al., Sexually Transmitted Diseases, McGraw Hill, pp. 397-407). Group B Streptococcus is also an important pathogen in late-onset meningitis in infants, in postpartum endometritis, and in infections in immunocompromised adults (Patterson, M.J. et al., Bact. Rev. 40:774-792 (1976)). Although the organism is sensitive to antibiotics, the high attack rate and rapid onset of sepsis in neonates and meningitis in infants results 10 in both high morbidity and mortality (Baker, C.J. et al., New Eng. J. Med. (Editorial) 314(26):1702-1704 (1986); Baker, C.J. et al., J.

Infect. Dis. 136:137-152 (1977)).

Group B Streptococcus is a common component of normal human vaginal and colonic flora. While the most common route of neonatal infection is intrapartum from vaginal colonization, nosocomial spread in newborn nurseries has also been described (Patterson, M.J. et al., Bact.

Rev. 40:774-792 (1976)). However, only a small percentage of infants colonized with group B Streptococcus develop serious infections. The role of both host factors and bacterial virulence determinants in the transition from colonization to infection is not well understood.

Several proteins from group B Streptococcus are thought to have a role in virulence and immunity (Ferrieri, P, Rev. Infect. Dis. 10:S363 (1988)). In 1975, Lancefield defined the C proteins of group B Streptococcus by their ability to elicit protective immunity (Lancefield, R.C, et al., J. Exp. Med. 142:165-179 (1975)). This group of proteins is thought to contain several different polypeptides and antigenic determinants. In view of these findings, efforts to prevent infections with

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-2agroup B Streptococcus have been directed towards the use of prophylactic antibiotics and the development of a vaccine against group B Streptococcus (Baker, C.J. et al., Rev. of Infect. Dis. 7:458-467 (1985), Baker, C.J. et al., New Eng. J. Med. (Editorial) 314(26):1702-1704 (1986)). Polysaccharide vaccines against group B Streptococcus are described by Kasper, D.L. Patent 4,207,414 and U.S. Reissue Patent a a a RE31672, and U.S. Patent Nos. 4,324,887, 4,356,263, 4,367,221, 4,367,222, and 4,367,223), by Carlo, D.J. Patent 4,413,057, European Patent Publication 38,265), and by Yavordios, D. et al. (European Patent Publication 71,515), all of which references are incorporated herein by reference.

Except for the small sub-population of infants in whom both maternal colonization with group B Streptococcus and other perinatal risk factors can be identified, the use of prophylactic antibiotics has not been practical or efficacious in preventing the majority of cases (Boyer, K.M, et al., New Eng.

J. Med. 314(26):1665-1669 (1986)). Intrapartum chemoprophylaxis has not gained wide acceptance for the following reasons: It has not been possible to identify maternal colonization by group B Streptococcus in a fast, reliable and cost-effective manner; About 40% of neonatal cases occur in low-risk settings; It has not been considered practical to screen and/or treat all mothers or infants who are potentially at risk; and antibiotic prophylaxis has not appeared to be feasible in preventing late-onset meningitis (7200 cases per year in the United States) or postpartum endometritis (45,000 cases annually) (Baker, C.J. et al., New Eng. J. Med. (Editorial) 314:1702-1704 (1986)).

Deposit of Microorganisms S 20 Plasmids pJMS1 and pJMS23 are derivatives of plasmid pUX12 which contain DNA capable of encoding antigenic Streptococci proteins that may be used in accordance with the present invention. Plasmid pUX12 is a derivative of plasmid pUC12. Plasmids pJMS1 and pJMS23 were deposited on September 15, 1989, at the American Type Culture Collection, Rockville, MD. and given the designations ATCC 40659 and ATCC 40660, respectively.

4 Summary of the Invention Streptococcus agalactiae is the most common cause of neonatal sepsis in the United States and is responsible for between 6,000 and 10,000 deaths per year. While the type-specific polysaccharide capsule of group B Streptococcus is immunogenic and carries important protective antigens, clinical trials of a polysaccharide vaccine have shown a poor response rate (Baker, C.J. et a., New Engl. J. Med. 319:1180 (1980); Insel, et al., New Eng. J. Med.

(Editorial) 319(18):1219-1220 (1988)).

The present invention concerns the development of a conjugate vaccine to group B Streptococcus, Streptococcus agalactiae) that utilizes to a protective protein antigen expressed from a gene cloned from Group B Streptococcus. This novel conjugate vaccine has the advantages both of eliciting T-cell dependent protection via the adjuvant action of the carrier 15 protein and also providing additional protective epitopes that are present on the cloned group B Streptococcus protein (Insel, et al., New Eng. J. Med.

-(Editorial) 319(18:1219-1220 (1988); Baker, et al, Rev. of Infec. Dis.

*0 7:458-467 (1985)).

According to the present invention, there is provided a method for preventing or attenuating an infection caused by a group B Streptococcus which comprises administering to an individual suspected of being at risk for such an infection an effective amount of a conjugate vaccine capable of conferring host immunity to said infection, said vaccine comprising: a group B Streptococcus polysaccharide conjugated to at least one functional C 25 protein alpha antigen derivative as hereinbefore defined, wherein said at least *s one derivative is capable of eliciting protective antibodies against said group B Streptococcus, wherein said at least one C protein alpha antigen derivative is 12/05/00 selected from the group consisting of N, C, N-C, R 1

R

2 R3, R4, R5, R6, R 7

R

8

R

9 R9', N-R1, N-R 2

N-R

3

N-R

4 N-Rs, N-R 6

N-R

8 N-R9, N-R 9 RI-C, R2- C, R 3

R

4

R

5

R

6

R

7

R

8

R

9 and R 9 wherein is the amino acid flanking sequence that is found in the sequence shown on Figures 6A- 6C (SEQ ID NO: 15), with or without the signal sequence, is the 48 amino acid C-terminal anchor sequence as shown on Figure 6, is one copy of the 82 amino acid repeat that begins at amino acid 227 of the sequence of Figures 6A-6C (SEQ ID NO: 15), and "Rx" is number of tandem copies of this repeat, tandemly joined at the carboxyl end of one R unit to the amino terminal end of the adjoining R unit, and 9 represents the sequence of amino acids 227-975 as shown in Figures 6A-6C (SEQ ID NO: The present invention also provides a method for preventing or attenuating infection caused by a group B Streptococcus which comprises administering to a female an effective amount of a conjugate vaccine capable 15 of conferring immunity to said infection to an unborn potential or existing offspring of said female, said vaccine comprising: a group B Streptococcus polysaccharide conjugated to at least one functional C protein alpha antigen derivative as hereinbefore defined, wherein said at least one derivative is capable of eliciting protective antibodies against said group B Streptococcus, wherein said at least one C protein alpha antigen derivative is selected from the group consisting of N, C, N-C, R 1

R

2 R3, R4, R 5

R

6

R

7

R

8 R9, R 9

N-R

1 N-R2, N-R3, N-R4, N-R 5 N-R6, N-R7, N-R9, N-Rg 9

R

2

R

3

R

4

-C,

R

6 R7-C, RB-C, R9-C, and R 9 wherein is the 5' amino acid flanking sequence that is found in the sequence shown on Figures 6A- 6C 25 (SEQ ID NO: 15), with or without the signal sequence, is the 48 amino acid C-terminal anchor sequence as shown on Figure 6, is one copy of the 82 amino acid repeat that begins at amino acid 227 of the sequence of Figures 12/05/00 6A-6C (SEQ ID NO: 15), and is number of tandem copies of this repeat, tandemly joined at the carboxyl end of one R unit to the amino terminal end of the adjoining R unit, and 9' represents the sequence of amino acids 227- 975 as shown in Figures 6A-6C (SEQ ID NO: Still further, the present invention provides a method for preventing or attenuating an infection caused by a group B Streptococcus which comprises administering to an individual suspected of being at risk for such an infection an effective amount of an antisera elicited from the exposure of a second individual to a conjugate vaccine capable of conferring host immunity to said infection, said vaccine comprising: a group B Streptococcus polysaccharide conjugated to at least one functional C protein alpha antigen derivative as hereinbefore defined, wherein said at least one derivative is capable of eliciting protective antibodies against said group B Streptococcus, wherein said at least one C protein alpha antigen derivative is selected from .o 15 the group consisting of N, C, N-C, R 2 R R, R 7 R 8 R 9 R, R 9

N-R,,

N-R

2

N-R

3

N-R

4

N-R

5

N-R

6

N-R

7

N-R

8 N-R9, N-R 9 g, R 1

R

2

R

3

R

4

-C,

R

5

R

6

R

7

R

8

R

9 and R 9 wherein is the 5' amino acid .S flanking sequence that is found in the sequence shown on Figures 6A- 6C (SEQ ID NO: 15), with or without the signal sequence, is the 48 amino acid S. 20 C-terminal anchor sequence as shown on Figure 6, is one copy of the 82 amino acid repeat that begins at amino acid 227 of the sequence of Figures 1 6A-6C (SEQ ID NO: 15), and "Rx" is number of tandem copies of this repeat, tandemly joined at the carboxyl end of one R unit to the amino terminal end of the adjoining R unit, and 9' represents the sequence of amino acids 227- 25 975 as shown in Figures 6A-6C (SEQ ID NO: 12/05/00 Brief Description of the Figures Figure 1 shows the modifications of pUC12 to create the plasmid pUX12.

Figure 2 shows the restriction and transcriptional map of the plasmid pUX12.

Figure 3 shows the modifications which were made to pUX12 in order to produce the +1 reading frame plasmid pUX12+1 and which produce the -1 reading frame plasmid pUX12-1 shows a construction which is additionally capable of resulting in a -1 reading frame plasmid.

Figure 4 shows the result of mouse protection studies employing rabbit antisera against S1 and S23. Protection was observed in mice inoculated with anti-S1 antisera (p<0.002) or with anti-S23 antisera (p<0.022). Due to the sample size used, this difference in the observed statistical significance between the S1 and S23 experiments is not significant. In the Figure, the mice o• 15 surviving per total tested is reported as a fraction above each bar.

Figure 5 shows the sequencing strategy and restriction endonuclease map of bca. The partial restriction endonuclease map encompasses the region 0. of pJMS23 from an Nde 1 site to a Sty 1 site located at nucleotide 3594 for oo 2/05/00 (4 (t 6 which the nucleotide sequence of bca and flanking region was determined.

The open reading frame is illustrated by an open box. Transposon mutations (triangles) serve to prime nucleotide sequencing in both directions from each of the insertions. The regions of sequence obtained from oligonucleotide primers (open arrows) and the nested deletions (closed arrows) are also shown. Restrictioh endonuclease cleavage sites are abbreviated as follows: A, Alu I; B,Bsm I; F, Fok I; H, Hincll; N, Nde I; S, Sty I. bp, base pairs.

Figure 6 shows the nucleotide [SEQ ID NO: 14] and deduced amino S. 10 acid sequences [SEQ ID NO: 15] of bca and the flanking regions. The DNA .strand is shown 5' to and nucleotides are listed on the upper line beginning 78 base pairs upstream from the open reading frame. The deduced amino acid sequence for the open reading frame is below the nucleic acid sequence. The G +C content of 40% and the codon usage are similar to other steptococcal genes (Hollingshead, S.K. et J. Biol. Chem.

261:1677-1686 (1986). Highlighted features include the -10 (TATAAT) promoter consensus site, ribosomal binding site (RBS), signal sequence, repeat region 1, the C terminus, with the termination codon (TAA) at position 3161, and two regions of dyad symmetry that are potential transcriptional terminators.

Figures 7A and 7B show homologies to the putative signal sequences and C-terminal membrane anchor of the C protein alpha antigen, respectively. Figure 7A: the N terminus of the C protein alpha antigen on the top line (sequence I) [SEQ ID NO: 16] and is compared with the following Gram-positive signal sequences (accession codes are listed for each of the sequence numbers): sequence 2 [SEQ ID NO: 17], the C protein beta antigen (S15330; STRBAGBA) and four M proteins of group A Streptococcus; sequence 3 [SEQ ID NO: 18], ennX (STRENNX); sequence 4 [SEQ ID NO: 19], emm24 (STREMM24); sequence 5 [SEQ ID NO: M1 (S00767); sequence 6 [SEQ ID NO: 21], S01260. Lysine and arginine R residues preceding the underlined hydrophobic stretch are in boldface type, as are serine and threonine residues preceding the probable signal cleavage sites. The probable cleavage site for the alpha signal is following the valine at position 41; however, alternative cleavage sites exist at positions 53-56. Figure 7B: The C terminus of the C protein alpha antigen is shown on the top line (sequence 1) [SEQ ID NO: 22] and 10 compared with the following Gram-positive membrane anchor peptides: sequence 2 [SEQ ID NO: 23], M5 (A28616), M6 (A26297), and M24 (A28549); sequence 3 [SEQ ID NO: 24], ennX (STREENX); sequence 4 [SEQ ID NO: 25], S00128, STRPROTG, and A26314; sequence 5 [SEQ ID aNO: 26], spg (A24496); sequence 6 [SEQ ID NO: 27], arp4 (S05568) and S 15 emm49 (STRM49NX, STRMM24); and sequence 7 [SEQ ID NO: 28], emml2 (STR12M), M5, M6, M24, emml2, emm49, and ennX are all M proteins; arp4 is a binding protein of group A Streptococcus. S001 28, STRPROTG, spg, and A26314 are IgG binding proteins of group G Streptococcus. Sequence 8 [SEQ ID NO: 29] illustrates the membrane anchor for the beta antigen, which lacks the PPFFXXAA [SEQ ID NO: 1] motif. Highlighted areas include lysine residues preceding the LPXTGE [SEQ ID NO: 2] motif (boxed), the hydrophobic region (underlined) with the PPFFXXAA [SEQ ID NO: 1] consensus (boxed and underlined), and the terminal amino acid aspartic acid or asparagine Figure 8 shows a comparison of the cloned and native gene products of bca. Surface proteins of the A909 strain of group B Streptococcus (type la/C) and C protein alpha antigen clone pJMS23-1 were analyzed by W,

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7a SDS/PAGE and Western blotting and were probed with the alpha antigen specific monoclonal antibody 4G8. Arrowheads illustrate an example of the difference between proteins. Molecular mass markers (in kDa) are shown on the right.

Figure 9 shows a schematic of the open reading frame of bca.

Summary of the structural features of the open reading frame of the C protein alpha antigen based on analysis of the amino acid sequence deduced from the nucleotide sequence of bca. The numbers above the boxes indicate the S e o nucleotide position, and the numbers below are the amino acid residues of the mature protein within the open reading frame.

Detailed Description of the Preferred Embodiments Significance and Clinical Perspective Maternal immunoprophylaxis with a vaccine to group B Streptococcus has been proposed as a potential route for protecting against infection both in the mother and in the young infant through the peripartum transfer of antibodies (Baker, C.J. et al., New Eng. J. Med. (Editorial) 314(26):1702- 1704 (1986); Baker, C.J. et al., New Eng. J. Med. 319:1180 (1988); Baker, 10 C.J. et al., J. Infect. Dis. 7:458 (1985)). As is the case with other '9 encapsulated bacteria, susceptibility to infection correlates with the absence of type-specific antibody (Kasper, et al., J. Clin. Invest. 72:260-269 (1983), Kasper, et al., Antibiot. Chemother. 35:90-100 (1985)). The lack of opsonically active type-specific anti-capsular antibodies to group B 15 Streptococcus is a risk factor for the development of disease following colonization with group B Streptococcus (Kasper, D.L. et al., J. Infec. Dis.

153:407-415 (1986)).

'One approach has been to vaccinate with purified type-specific capsular polysaccharides. Methods of producing such vaccines, and the use of such vaccines to immunize against group B Streptococcus are disclosed by Kasper, D.L. Patent 4,207,414 and U.S. Reissue Patent RE31672, and U.S.

Patent Nos. 4,324,887, 4,356,263, 4,367,221, 4,367,222, and 4,367,223), by Carlo, D.J. Patent 4,413,057, European Patent Publication 38,265), and by Yavordios, D. et al. (European Patent Publication 71,515), all of which references are incorporated herein by reference.

Although the polysaccharide capsule of group B Streptococcus is well characterized and has been shown to play a role in both virulence and immunity (Kasper, D.L. J. Infect. Dis. 153:407 (1986)), these capsular components have been found to vary in their immunogenicity depending both on the specificcapsular type and on factors in the host's immune system (Baker, C.J, et al., Rev. of Infec. Dis. 7:458-467 (1985)). A recently completed clinical trial evaluating a capsular polysaccharide vaccine of group B Streptococcus showed an overall response rate of 63 and indicated that such a vaccine was not optimally immunogenic (Baker C.J, et al., New Eng. J.

Med. 319(18):1180-1185 (1988)).

Differences in immunogenicity have also been observed with the capsular polysaccharides of other bacteria. For example, the vaccine against the type C meningococcal capsule is highly active while the group B meningococcal polysaccharide vaccine is not immunogenic (Kasper, D.L. et al., J. Infec. Dis. 153:407-415 (1986)). T-cell independent functions of the host's immune system are often required for mounting an antibody response to polysaccharide antigens. The lack of a T-cell independent response to polysaccharide antigens may be responsible for the low levels of antibody against group B Streptococcus present in mothers whose children subsequently develop an infection with group B Streptococcus. In addition, children prior to 18 or 24 months of age havea poorly developed immune response to T-cell independent antigens.

Determinants of Virulence and Immunity in group B Streptococcus There are five serotypes of group B Streptococcus that share a common group specific polysaccharide antigen. However, antibody of the group antigen is not protective in animal models. Lancefield originally classified group B Streptococcus into four serotypes (la, Ib, II and III) using precipitin techniques. The composition and structure of the unique type-specific capsular polysaccharides for each of the serotypes was subsequently determined (Jennings, H.J, et al., Biochem. 22:1258-1264 (1983), Kasper, D.L. et al., J.

Infec. Dis. 153:407-415 (1986), Wessels, M.R, et al., Trans. Assoc. Amer.

Phys. 98:384-391 (1985)). Wilkinson defined a fifth serotype, Ic, by the identification of a protein antigen (originally called the Ibc protein) present on all strains of serotype Ib and some strains with the type la capsule (Wilkinson, H.W, et al., J. Bacteriol. 97:629-634 (1969), Wilkinson, H.W, et al., Infec.

and Immun. 4:596-604 (1971)). This protein was later found to vary in prevalence between the different serotypes of group B Streptococcus but was absent in serotype Ia (Johnson, D.R, et al., J. Clin. Microbiol. 19:506-510 (1984)).

The nomenclature has recently been changed to classify the serotypes of group B Streptococcus solely by the capsular type-specific polysaccharides, and a fifth capsular type has also been described (type IV) (Pritchard, D.G, et al., Rev. Infec. Dis. 10(8):5367-5371 (1988)). Therefore, the typing of ,0 group B Streptococcus strains is no longer based on the antigenic Ibc protein, which is now called the C protein. The type Ic strain is reclassified as serotype Ia on the basis of its capsular polysaccharide composition, with the additional information that it also carries the C protein.

Immunological, epidemiological and genetic data suggest that the typee specific capsule plays an important role in immunity to group B Streptococcus infections. The composition and structure of the type-specific capsular polysaccharides and their role in virulence and immunity have been the subjects of intensive investigation (Ferrieri, P. et al., Infec. Immun. 27:1023- 1032 (1980), Krause, R.M, et al., J. Exp. Med. 142:165-179 (1975), Levy, S* N.J, et al., J. Infec. Dis. 149:851-860 (1984), Wagner, B, et al., J. Gen.

Microbiol. 118:95-105 (1980), Wessels, M.R, et al., Trans. Assoc. Amer.

Phys. 98:384-391 (1985)).

Controversy has existed regarding the structural arrangement of the type-specific and group B streptococcal polysaccharides on the cell surface, on the immunologically important determinants with in the type-specific polysaccharide, and on the mechanisms of capsule determined virulence of group B Streptococcus (Kasper, D.L. et al., J. Infec. Dis. 153:407-415 (1986)). To study the role of the capsule in virulence, Rubens et al. used transposon -mutagenesis to create an isogeneic strain of type Ill group B Streptococcus that is unencapsulated (Rubens, C.E, et al., Proc. Natl. Acad.

Sci. USA 84:7208-7212 (1987)). They demonstrated that the loss of capsule expression results in significant loss of virulence in a neonatal rat model.

However, the virulence of clinical isolates with similar capsular composition varies widely. This suggests that other bacterial virulence factors, in addition to capsule, play a role in the pathogenesis of group B Streptococcus.

A number of proteins and other bacterial products have been described in group B Streptococcus whose roles in virulence and immunity have not been established, CAMP (Christine Atkins-Much Peterson) factor, pigment (probably carotenoid), R antigen, X antigen, anti-phagocytic factors and poorly o *o defined "pulmonary toxins" (Ferrieri, P, et al., J. Exp. Med. 151:56-68 (1980); Ferrieri, P. et al., Rev. Inf. Dis. 10(2):1004-1071 (1988); Hill, H.R.

et al., Sexually Transmitted Diseases, McGraw-Hill, pp. 397-407). The C proteins are discussed below.

Isogeneic strains of group B Streptococcus lacking hemolysin show no lo decrease in virulence in the neonatal rat model (Weiser, J.N, etal., Infec. and Immun. 55.2314-2316 (1987)). Both hemolysin and neuraminidase are not always present in clinical isolates associated with infection. The CAMP. factor is an extracellular protein of group B Streptococcus with a molecule weight of 20 23,500 daltons 'that in the presence of staphylococcal beta-toxin (a Ssphingomyelinase) leads to the lysis of erythrocyte membranes. The gene for the CAMP factor in group B Streptococcus was recently cloned and expressed in E. coli (Schneewind, O, et al., Infec. and Immun. 56:2174-2179 (1988)).

The role, if any, of the CAMP factor, X and R antigens, and other factors listed above in the pathogenesis of group B Streptococcus is not disclosed in the prior art (Fehrenbach, F.J, et al., In: Bacterial Protein Toxins, Gustav Fischer Verlag, Stuttgart (1988); Hill, H.R. et al., Sexually Transmitted Diseases, McGraw-Hill, NY, pp. 397-407 (1984)).

The C protein(s) are a group of a cell surface associated protein antigens of group B Streptococcus that were originally extracted from group B Streptococcus by Wilkinson et al. (Wilkinson, H.W, et al., J. Bacteriol.

C. -12- 97:629-634 (1969), Wilkinson, H.W, et al., Infec. and Immun. 4:596-604 (1971)). They used hot hydrochloric acid (HCI) to extract the cell wall and trichloroacetic acid (TCA) to precipitate protein antigens. Two antigenically distinct populations of C proteins have been described: A group of proteins that are sensitive to degradation by pepsin but not by trypsin, and called either TR (trypsin resistant) or alpha Another group of group B Streptococcus proteins that are sensitive to degradation by both pepsin and trypsin, and called TS (trypsin sensitive) or beta (Bevanger, L, et al., Acta Path. Microbiol. Scand Sect. B. 87:51-54 (1979), Bevanger, L, et al., Acta Path. Microbiol. Scand. Sect. B. 89:205-209 (1981), Bevanger, L. et al., Acta Path. Microbiol. Scand. Sect. B. 91:231-234 (1983), Bevanger, L. et al., Acta Path. Microbiol. Scand. Sect. B. 93:113-119 (1985), Bevanger, L, et al., Acta Path. Microbiol. Immunol. Scand. Sect. B. 93:121-124 (1985), Johnson, D.R, et al., J. Clin. Microbiol. 19:506-510 (1984), Russell-Jones, G.J, et al., J.

Exp. Med. 160:1476-1484 (1984)).

In 1975, Lancefield et al. used mouse protection studies with antisera raised in rabbits to define the C proteins functionally for their ability to confer protective immunity against group B Streptococcus strains carrying similar protein antigens (Lancefield, R.C, et al., J. Exp. Med. 142:165-179 (1975)).

Numerous investigators have obtained crude preparations of antigenic proteins i, from group B Streptococcus, that have been called C proteins, bya chemical extraction from the cell wall using either HCI or detergents (Bevanger, L, et al., Acta Path. Microbiol. Scand. Sect. B. 89:205-209 (1981), Bevanger, L.

et al., Acta Path. Microbiol. Scand. Sect. B. 93:113-119 (1985), Russell- Jones, G.J, et al., J. Exp. Med. 160:1476-1484 (1984), Valtonen, M.V, et al., Microb. Path. 1:191-204 (1986), Wilkinson, H.W, et al., Infec. and Immun.

4:596-604 (1971)). The reported sizes for these antigens have varied between and 190 kilodaltons, and a single protein species has not been isolated or characterized (Ferrieri, P. et al., Rev. Inf. Dis. 10(2):1004-1071 (1988)).

By screening with protective antisera, C proteins can be detected in about 60% of clinical isolates of group B Streptococcus, and are found in all serotypes but with differing frequencies (Johnson, D.R, et al., J. Clin.

Microbiol. 19:506-510 (1984)). Individual group B Streptococcus isolates may have both the TR and TS antigens, or only one, or neither of these antigens.

Except for the ability of the partially purified antigens to elicit protective immunity, the role of these antigens in pathogenesis has not been studied in vitro. In vivo studies with group B Streptococcus strains that carry C proteins provides some evidence that the C proteins may be responsible for resistance to opsonization (Payne, N.R, et al., J. Infec. Dis. 151:672-681 (1985)), and the C proteins may inhibit the intracellular killing of group B Streptococcus 10 following phagocytosis (Payne, N.R, et al., Infect. andlmmun. 55:1243-1251 (1987)). It has been shown that type II strains of group B Streptococcus carrying the C proteins are more virulent in the neonatal rat sepsis model (Ferrieri, P, et al., Infect. Immun. 27:1023-1032 (1980), Ferrieri, P. et al., Rev. Inf. Dis. 10(2):1004-1071 (1988)). Since there is no genetic data on the C proteins, isogeneic strains lacking the C proteins have not previously been studied. There is evidence that one of the TS, or 3, C proteins binds to IgA (Russell-Jones, G.J, et al., J. Exp. Med. 160:1476-1484 (1984)). The role, if any, that the binding of IgA by the C proteins has on virulence is, however, not disclosed.

In 1986, Valtonen et al. isolated group B Streptococcus proteins from culture supernatants that elicit protection in the mouse model (Valtonen, M.V, S" et al., Microb. Path. 1:191-204 (1986)). They identified, and partially purified, a trypsin resistant group B Streptococcus protein with a molecular weight of 14,000 daltons. Antisera raised to this protein in rabbits protected mice against subsequent challenge with type Ib group B Streptococcus (89% protection). This protein is, by Lancefield's definition, a C protein.

However, when antisera raised against this protein were used to immunoprecipitate extracts of group B Streptococcus antigens, a number of higher molecular weight proteins were found to be reactive. This suggested that the 14,000 m.w. protein may represent a common epitope of several group B Streptococcus proteins, or that it is a degradation product found in the S. tI -14supernatants of group B Streptococcus cultures. The diversity in the sizes in C proteins isolated from both the bacterial cells and supernatants suggests that the C proteins may represent a gene family, and maintain antigenic diversity as a mechanism for protection against the immune system.

The range of reported molecular weights and difficulties encountered in purifying individual C proteins are similar to the problems that many investigators have faced in isolating the M protein of group A Streptococcus (Dale, J.B, et al., Infec. and Immun. 46(1):267-269 (1984), Fischetti, V.A, et al., J. Exp. Med. 144:32-53 (1976), Fischetti, V.A, et al., J. Exp. Med 146:1108-1123 (1977)). The gene for the M protein has now been cloned and sequenced, and found to contain a number of repeated DNA sequences .0 (Hollingshead, S.K, etal., J. Biol. Chem. 261:1677-1686 (1986), Scott, J.R, et al., Proc. Natl. Acad. Sci USA 82:1822-1826 (1986), Scott, J.R, et al., Infec. and Immun. 52:609-612 (1986)). These repeated sequences may be 15 responsible for post-transcriptional processing that results in a diversity in the size of M proteins that are produced. The mechanism by which this occurs is not understood. The range of molecular weights described for the C proteins of group B Streptococcus might result from a similar process.

Cleat et al. attempted to clone the C proteins by using two preparations of antisera to group B Streptococcus obtained from Bevanger and to it screen a library of group B Streptococcus DNA inE. coli (Bevanger, L. et al., Acta Path. Microbiol. Immunol. Scand. Sect. B. 93:113-119 (1985), Cleat, P.H, et al., Infec. and Immun. 55(5):1151-1155 (1987), which references are incorporated herein by reference). These investigators described two clones that produce proteins that bind to antistreptococcal antibodies. However, they failed to determine whether either of the cloned proteins had the ability to elicit protective antibody, or whether the prevalence of these genes correlated the with group B Streptococcus strains known to carry the C proteins. The role of the cloned gene sequences in the virulence of group B Streptococcus was not investigated. Since the C proteins are defined by their ability to elicit protective antibodies, this work failed to provide evidence that either of the clones encodes a C protein.

The Conjugated Vaccine of the Present Invention The present invention surmounts the above-discussed deficiencies of prior vaccines to group B Streptococcus through the development of a conjugate vaccine in which the capsular polysaccharides are covalently linked to a protein backbone. This approach supports the development of a T-cell dependent antibody response to the capsular polysaccharide antigens and le (a e circumvents the T-cell independent requirements for antibody production 10 (Baker, C.J, et al., Rev. oflnfec. Dis. 7:458-467 (1985), Kasper, D.L. et al., J. Infec. Dis. 153:407-415 (1986), which references are incorporated herein

W*

by reference).

In a conjugate vaccine, an antigenic molecule, such as the capsular polysaccharides of group B Streptococcus (discussed above), is covalently linked to a "carrier" protein or polypeptide. The linkage serves to increase the antigenicity of the conjugated molecule. Methods for forming conjugate vaccines from an antigenic molecule and a "carrier" protein or polypeptide are known in the art (Jacob, C.O, et al., Eur. J. Immunol. 16:1057-1062 (1986); f Parker, J.M.R. et al., In: Modern Approaches to Vaccines, Chanock, R.M.

et al., eds, pp. 133-138, Cold Spring Harbor Laboratory, Cold Spring Harbor, NY (1983); Zurawski, V.R, et al., J. Immunol. 121:122-129 (1978); Klipstein, F.A, et al., Infect. Immun. 37:550-557 (1982); Bessler, W.G, Immunobiol. 170:239-244 (1985); Posnett, D.N, et al., J. Biol. Chem.

263:1719-1725 (1988); Ghose, A.C, et al., Molec. Immunol. 25:223-230 (1988); all of which references are incorporated herein by reference).

A prototype model for conjugate vaccines was developed against Hemophilus influenzae (Anderson, P, Infec. and Immun. 39:223-238 (1983); Chu, C, et al., Infect. Immun. 40:245-256 (1983); Lepow, M, Pediat. Infect.

Dis. J. 6:804-807 (1987), which references are incorporated herein by -16reference), and this model may be employed in constructing the novel vaccines of the present invention. Additional methods for producing such a conjugate vaccine are disclosed by Anderson, P.W. et al, European Patent Publication 245,045; Anderson, P.W. et al., U.S. Patent Nos. 4,673,574 and 4,761,283; Frank, R. et al., U.S. Patent No. 4,789,735; European Patent Publication No. 206,852; Gordon, L.K, U.S. Patent No. 4,619,828; and Beachey, E.H, U.S. Patent No. 4,284,537, all of which references are incorporated herein by reference.

The protein backbones for conjugate vaccines such as the 10 Hemophilus influenzae vaccine have utilized proteins that do not share antigenic properties with the target organism from which the bacterial capsular polysaccharides were obtained (Ward. J. et al., In: Vaccines, Plotkin, etlal., eds, Saunders, Philadelphia, page 300 (1988).

o: ~In contrast, the conjugate vaccine of the present invention employs immunogenic proteins of group B Streptococcus as the backbone for a S" conjugate vaccine. Such an approach is believed to lead to more effective '0 vaccines (Insel, et New Eng. J. Med. (Editorial) 319(18):1219g 1220 (1988)). The conjugated, protein-polysaccharide vaccine of the present invention is the first to specifically characterise group B Streptococcus proteins that may be used in a conjugate vaccine. Any protein which is characteristic of group B Streptococcus may be employed as the protein in the conjugate vaccines of the present invention. It is, however, preferred to employ a C protein of a group B Streptococcus for this purpose. As discussed more fully below, plasmids pJMS1 and pJMS23 contain DNA which encode Streptococcus C protein. The most preferred C proteins are those obtained upon the expression of such DNA in bacteria.

-17- As indicated above, the present invention concerns the cloning and expression of genes which encode the protective group B Streptococcus protein antigens. Such proteins are preferably used as the protein backbone to which the one or more of the polysaccharides of the group B Streptococcus can be conjugated in order to form a conjugate vaccine against these bacteria. Alternatively, one or more proteins as described herein may be conjugated to the structure of a polysaccharide of the group B Streptococcus.

The role of these proteins in the virulence and immunity of group B 10 Streptococcus may be exploited to develop an additional therapy against group B Streptococcus infection. The isolation and characterisation of these genes of a bacterial origin allows the manipulation of the gene products to optimise both the adjuvant and antigenic properties of the polypeptide backbone/carrier of the conjugate vaccine.

Genetic Studies of the C Proteins S• The present invention thus concerns the cloning of the C proteins of 5 group B Streptococcus, their role in virulence and immunity, and their ability to serve as an immunogen for a conjugate vaccine against group B Streptococcus.

Despite the extensive literature available on cloning in many groups of Streptococci, only limited genetic manipulations have been accomplished in group B Streptococcus (Macrina, F.L, Ann. Rev. Microbiol. 38:193-219 (1984), Wanger, A.R, et Infec. and Immun. 55:1170-1175 (1987)).

The most widely used technique in group B Streptococcus has been the development of Tn916 and its use in transposon mutagenesis (Rubens, C.E, et Proc. Natl. Acad. Sci USA 84:7208-7212 (1987), Wanger, A.R, et al., Res. Vet. Sci. 38:202-208 (1985)). However, since it would -17aappear that there is more than one gene for the C proteins and the protective antisera bind to several proteins, screening for the C protein genes by transposon mutagenesis is impractical.

The present invention accomplishes the cloning of the C proteins (and of any other proteins which are involved in the virulence of the group B Streptococcus, or which affect host immunity to the group B Streptococcus) through the use of a novel plasmid vector. For this purpose, it is desirable to employ a cloning vector that could be rapidly screened for expression of 0 o.

4 o• 0 -18proteins which bind to naturally elicited antibodies to group B Streptococcus.

Since such antibodies are heterologous polyclonal antibodies and not monoclonal antibodies, it was necessary that a vector be employed which could be easily screened through many positive clones to identify genes of interest.

A number of techniques were available for screening clones for the expression of antigens that bind to a specific antisera (Aruffo, A, et al., Proc.

Natl. Acad. Sci. USA 84:8573-8577 (1987)). The most widely used system, Xgtll, was developed by Young and Davis (Huynh, T.V. et al., In: DNA Cloning, A Practical Approach, Vol. 1 (Glover, D.M, Ed.) IRL Press, Washington pp. 49-78 (1985); Wong, W.W, et al., J. Immunol. Methods.

82:303-313 (1985), which references are incorporated herein by reference).

This technique allows for the rapid screening of clones expressed in the lysogenic phage whose products are released by phage lysis. Commonly faced problems with this system include the requirement for subcloning DNA fragments into plasmid vectors for detailed endonuclease restriction mapping, preparing probes and DNA sequencing. In addition, the preparation of DNA from phage stocks is cumbersome and limits the number of potentially positive clones that can be studied efficiently. Finally, the preparation of crude protein extracts from cloned genes is problematic in phage vector hosts.

To circumvent these problems, the present invention provides a plasmid vector which was developed for screening cloned bacterial chromosomal DNA for the expression of proteins involved in virulence and/or immunity. The present invention thus further concerns the development and use of an efficient cloning vector that can be rapidly screened for expression of proteins which bind to naturally elicited antibodies to group B Streptococcus. The vector was prepared by modifying the commonly used plasmid cloning vector, pUC12 (Messing, J, et al., Gene 19:269-276 (1982); Norrander, J, et al., Gene 26:101-106 (1983); Vieira, J, et al., Gene 19:259-268 (1982); which references are incorporated herein by reference). The invention concerns the vector described below, and its functional equivalents.

Using this system, plasmid clones can be easily manipulated, mapped with restriction endonucleases and their DNA inserts sequences, probes prepared and gene products studied without the necessity for subcloning.

pUC12 is a 2.73 kilobase (kb) high copy number plasmid that carries a ColEl origin of replication, ampicillin resistance and a polylinker in the lacZ gene (Ausubel, F.M, et al., Current Topics in Molecular Biology; Greene Publ.

Assn./ Wiley Interscience, NY (1987) which reference is incorporated herein by reference).

Several modifications were made in the polylinker of pUC12 (Aruffo, A, et al., Proc. Natl. Acad. Sci. USA 84:8573-8577 (1987) which reference is incorporated herein by reference). The overall plan in altering pUC12 was to modify the polylinker to present identical but non-cohesive BstXI sites for cloning, to add a "stuffer" fragment to allow for easy separation of the linear host plasmid, and to provide for expression from the lac promoter in all three translational reading frames.

In order to provide a site for the insertion of foreign DNA with a high efficiency and to minimize the possibility for self-ligation of the plasmid, inverted, non-cohesive BstXI ends were added to the polylinker. As shown in Figure 1, pUC12 was first cut with BamHI (Step 1) and the plasmid was mixed with two synthetic oligonucleotide adaptors that are partially S* complementary: a 15-mer (GATCCATTGTGCTGG) [SEQ ID NO: 3] and an 11-mer (GTAACACGACC) [SEQ ID NO: 4] (Step When the adaptors are ligated into pUC12, two new BstI sites are created but the original BamHI sites are also restored (Step The plasmid was then treated with polynucleotide kinase and ligated to form a closed circular plasmid (Step 4).

When this plasmid is treated with BstXI, the resulting ends are identical and not cohesive (both have GTGT overhangs) (Step A second modification in the polylinker was done to allow for the purification of the linear plasmid for cloning without contamination from partially cut plasmid that can self-ligate. A blunt end, 365 base pair (bp), FnuD2 fragment was obtained from the plasmid pCDM. This cassette or "stuffer" fragment, which does not contain a BstXI site, was blunt end ligated to two synthetic oligonucleotides that are partially complementary: a 12-mer (ACACGAGATTTC) [SEQ ID NO: 5] and an 8-mer (CTCTAAAG) (Step 6).

The resulting fragment with adaptors has 4 bp overhangs (ACAC) that are complementary to the ends of the modified pUC12 plasmid shown in Step The modified pUC12 plasmid was ligated to the pCDM insert with adaptors; the resulting construct, named pUX12, is shown in Figure 2. The pUX12 plasmid can be recreated from plasmids pJMS1 or pJMS23 by excision of the introduced Streptococcus DNA sequences. Alternatively, it may be formed by recombinant methods (or by homologous recombination), using plasmid pUC12.

Since pUX12 is to be used as an expression vector, it is preferable to .further modified the polylinker such that it will contain all three potential reading frames for the lac promoter. These changes allow for the correct translational reading frame for cloned gene fragments with a frequency of one in six. For example, a cloned fragment can insert in the vector in one of two orientations and one of three reading frames. To construct a +1 reading frame, the pUX12 plasmid was cut with the restriction enzyme EcoRI which cleaves at a unique site in the polylinker. The single stranded 5' sticky ends were filled.in using the polymerase activity of T4 DNA polymerase, and the two blunt ends ligated. This resulted in the loss of the EcoRI site, and the creation of a new XmnI site (Figure 3A). This construction was confirmed by demonstrating the loss of the EcoRI site and confirming the presence of a new Xmn! site in the polylinker. In addition, double stranded DNA sequencing on the +1 modified pUX12 plasmid was performed using standard sequencing primers (Ausubel, F.M, et al., Current Topics in Molecular Biology; Greene Publ. Assn./ Wiley Interscience, NY (1987)). The DNA sequence showed the -21addition of 4 base pairs to the polylinker and confirmed the modification of pUX12 to a +1 reading frame. This plasmid is called pUX12+1.

In order to construct a -1 reading frame, the pUX12 vector was cut with the restriction enzyme SacI which cuts at a unique site in the polylinker of pUX12. The single stranded 3' sticky ends were cut back to blunt ends using the exonuclease activity of T4 polymerase, and the resulting blunt ends ligated. The resulting sequence should eliminate the SacI site while resulting in a new FnuD2 site (Figure 3B). However, restriction mapping of the pUX12-1 plasmids showed that while the Sac site was absent, there was no FnuD2 site present. In addition, the SmalIXmaI sites on the polylinker were no longer present. Several potential pUX12-1 constructs were sequenced from mini-prep, double-stranded DNA. Of the six modified plasmids sequenced, one was found with ten nucleotides absent, thereby creating a -1 reading frame (Figure 3C). This suggests that the T4 DNA polymerase has 15 additional exonuclease activity and cuts back additional double stranded portions of the polylinker. Nevertheless, the resulting plasmid had a -1 reading frame. The plasmid was named pUX12-1.

The use of the pUX12 vectors in the cloning of antigenic proteins of group B Streptococcus are discussed in detail in the Examples below. In brief, 20 DNA derived from group B Streptococcus, or complementary to such DNA is introduced into the pUX12, pUX12+ or pUX12-1 vectors and transformed S: into Escherichia coli. The cloned DNA is expressed in E. coli and the cellular lysate is tested to determine whether it contains any protein capable of binding to antisera to group B Streptococcus.

There are a number of potentially interesting modifications of pUX12 that could increase its utility. For example, the lac promoter could be replaced by another promoter, the origin of replication could be modified to produce a lower copy number vector and the drug resistance marker could be changed.

Any vector capable of providing the desired genetic information to the desired host cell may be used to provide genetic sequences encoding the alpha 1* -22antigen derivatives of the invention to a host cell. For example, in addition to plasmids, such vectors include linear DNA, cosmids, transposons, and phage.

The host cell is not limited to E. coli. Any bacterial or yeast (such as S. cerevisiae) host that is capable of expressing the derivatives of the invention may be used as an appropriate host. For example, B. subtilis and the group B Streptococcus may be used as hosts. Methods for cloning and into such hosts are known. For example, for Gram-positive hosts, see Harwood, et al., eds., "Molecular Biological Methods for Bacillus, Wiley-Interscience, New York, 1991) for a description of culture methods, genetic analysis plasmids, gene cloning techniques, the use of transposons, phage, and integrational vectors for mutagenesis and the construction of gene fusions, and methods of measuring gene expression. Appropriate hosts are available from stock centers such as the American Type Culture Collection (Rockville, Maryland, USA) and the Bacillus Genetic Stock Center (Ohio State Univ., Columbus, OH,

USA).

The present invention concerns a vaccine comprising a polysaccharide (such as the capsular polysaccharide) which is characteristic of the group B Streptococcus conjugated to a protein which is also characteristic of the group B Streptococcus. The "polysaccharide" and "protein" of such a conjugated vaccine may be identical to a molecule which is characteristic of the group B i Streptococcus, or they may be functional derivatives of such molecules.

For the purposes of the present invention, a group B Streptococcus polysaccharide is any group B-specific or type-specific polysaccharide.

Preferably, such polysaccharide is one which, when introduced into a mammal (either animal or human) elicits antibodies which are capable of reacting with group B Streptococcus may be employed. Examples of the preferred polysaccharides of the present invention include the capsular polysaccharide of the group B Streptococcus, or their equivalents. For the purposes of the present invention, any protein which when introduced into a mammal (either animal or human) either elicits antibodies which are capable of reacting a -23protein expressed by group B Streptococcus, or which increases the immunogenicity of a polysaccharide to elicit antibodies to a polysaccharide of the group B Streptococcus may be employed. Examples of the preferred proteins of the present invention include the C proteins of the group B Streptococcus, or their equivalents.

Examples of functional derivatives of the peptide antigens include fragments of a natural protein, such as N-terminal fragment, C-terminal fragment or internal sequence fragments of the group B Streptococcus C protein alpha antigen that retain their ability to elicit protective antibodies 10 against the group B Streptococcus. The term functional derivatives is also intended to include variants of a natural protein (such as proteins having changes in amino acid sequence but which retain the ability to elicit an immunogenic, virulence or antigenic property as exhibited by the natural molecule), for example, the variants of the alpha antigen recited below that possess fewer of the internal repeats than does the native alpha antigen, and/or an altered flanking sequence.

The peptide antigen that is conjugated to the polysaccharide in the vaccine of the invention may be a peptide encoding the native amino acid sequence of the alpha antigen, as encoded on plasmid pJMS23 (with or without the signal peptide sequence) or it may be a functional derivative of the native sequence. The native group B Streptococcus C protein alpha antigen as encoded on pJMS23 contains an open reading frame of 3060 nucleotides and encodes a precursor protein of 108,705 daltons. Cleavage of the putative signal sequence of 41 amino acids yields a mature protein of 104,106 daltons. The 20,417 dalton N-terminal region of the alpha antigen shows no homology to previously described protein sequences and is followed by a series of nine tandem repeating units that make up 74% of -23athe mature protein. Each repeating unit (denoted herein as is identical and consists of 82 amino acids with a molecular mass of 8665 daltons, which is encoded by 246 nucleotides. The size of the repeating units corresponds to the observed size differences in the heterogeneous ladder of alpha C proteins naturally expressed '4 4 r 444.

4 'o (o4 n. 4o r* .4/ 4* '4 ,o ,oo o• *o gO

LI

II II u 24 by the group B Streptococcus. The C-terminal region of the alpha antigen contains a membrane anchor domain motif that is shared by a number of Gram-positive surface proteins. The large region of identical repeating units in this gene, (termed the bca gene, for group B Streptococcus C protein alpha antigen) defines protective epitopes and may be used to generate diversity of alpha antigen functional derivatives that are useful in the vaccines of the invention.

Preferably, the sequence of such a functional alpha antigen derivative contains 1-9 copies of the 82 amino acid repeat (246 nucleotides) that o begin at amino acid 227 of the DNA sequence of Figure 6 [SEQ ID NO: 14], (as used herein, the partial repeat designated as repeat 9' therein is also useful in this regard). The functional derivative may lack the 185 amino acid 5' flanking sequence (555 nucleotides) that is found in the native protein prior to the repeating sequence or it may retain this sequence 9 and/or the derivative may lack the 48 amino acid (246 nucleotides) Cterminal anchor sequence or it may retain this sequence. The functional derivative may be the N-terminal fragment that precedes the start of the alpha antigen repeating unit(s) or the functional derivative may be only the C-terminal fragment that follows the end of the alpha antigen repeating unit(s) or the functional derivative may be a hybrid of the N-terminal fragment and C-terminal fragment with no copies of the units as defined below. The amino terminal sequence of the native alpha antigen may or may not contain the signal sequence. Either of the alpha antigen's amino terminal sequence or carboxy terminal sequence may be used in the conjugate vaccines of the invention, with or without one or more copies of the sequence that is repeated in the core of the native alpha antigen protein.

As used herein, represents one copy of the 82 amino acid repeat that begins at amino acid 227 of the alpha antigen DNA sequence of Figure 6 [SEQ ID NO: 14], "Rx" represents number of tandem copies of this repeat, tandemly joined at the carboxyl end of one R unit to the amino terminal end of the adjoining R unit, represents the 5' amino acid flanking sequence that is found in the sequence shown on Figure 6 [SEQ ID NO: 15], with or without the signal sequence; when the signal sequence is lacking, is a 185 amino acid 5' flanking sequence that is found in the native protein as shown on Figure 6 [SEQ ID NO: 15]; when the signal 10 sequence is present, is a 226 amino acid 5' flanking sequence as shown in Figure 6 [SEQ ID NO: 15]. represents the 48 amino acid Cterminal anchor sequence as shown on Figure 6 [SEQ ID NO. 15]. Using this notation, the following species are examples of derivatives of the native protein that may be constructed according to the invention: 1. R1 eo* 2. N 3. C 4. N-C

N-R,

6. R-C 7. N-R 1

-C

8. R 2 9. N-R 2

R

2

-C

I,

11. N-R 2

-C

12. R 3 13. N-R 3 14. R 3

-C

N-R

3

-C

16. R 4 10 17. N-R 4 18. R 4

-C

19. N-R 4

-C

R 21. N-R 22. R 5

-C

N-R

5

-C

24. R6 209 24. NR 6 26 R 6

-C

27. N-R 6

-C

t U I I -26- 28.

R

7 29. N-R 7

R

7

-C

31. N-R 7

-C

32. R 8 33. N-R 8 34. R 8

-C

N-R

8

-C

36. R 9 37. N-R, 38. R -C 39. N-R,-C 40. Rio 41. N-Ro 15 42. Rio-C 43. N-Rio-C.

Greater than 10 repeating R units, including, for example, 11, 12, 13, 14, 16, 17, 18, 19 or 20 R units, may be constructed in a similar manner. In addition, fragments of R, N, or C may be used if such fragments enhance the 9.o functional ability of the derivative to elicit protective antibodies against the group B Streptococcus, or if such fragment provides another desired property to the construct, such as a secretion signal or membrane localization signal.

Alpha antigens from other strains of the group B Streptococcus may be prepared and used in a similar manner as a slight variability in the sequence of the protein, such as in the N terminus or C terminus or R repeat would not alter the biological properties and their functional ability to elicit protective antibodies. For example, a group B Streptococcus alpha antigen isolated from a different strain of the group BStreptococcusand having the same repeat unit but a different N-terminal amino acid sequence is intended to be within the scope of the invention.

The peptides of the invention, whether encoding a native protein or a functional derivative thereof, are conjugated to a group B Streptococcus carbohydrate moiety by any means that retains the ability of these proteins to induce protective antibodies against the group B Streptococcus.

,t -27- Heterogeneity in the vaccine may be provided by mixing specific conjugated species. For example, the vaccine preparation may contain one or more copies of one of the peptide forms conjugated to the carbohydrate, or the vaccine preparation may be prepared to contain more than one form of the above functional derivatives and/or the native sequence, each conjugated to a polysaccharide used therein. Conjugates providing a peptide (such as one of the peptides exemplified in group numbers 1-43) can be mixed with conjugates providing any other peptide (such as a second example from group numbers 1-43) to arrive at a "compound" 10 conjugate vaccine. A multivalent vaccine may also be prepared by mixing 1 9- the group B-specific conjugates as prepared above with other proteins, such as diphtheria toxin or tetanus toxin, and/or other polysaccharides, using techniques known in the art.

~Heterogeneity in the vaccine may also be provided by utilising group B Streptococcal preparations from group B Streptococcal hosts (especially into Streptococcus agalactine), that have been transformed with the ••iv 000. recombinant constructs of the invention such that the Streptococcal host expresses the alph antigen protein or functional derivative thereof. In such 66 Socases, homologous recombination between the genetic sequences encoding the repeating R units will result in spontaneous mutation of the host, such that a population of hosts is easily generated and such hosts express a wide range of antigenic alpha antigen functional derivatives useful in the vaccines of the invention. Such spontaneous mutation usually results in the deletion of R units, or portions thereof, although mutation of other regions of the alpha antigen may also occur.

As used herein, a polysaccharide or protein is "characteristic" of a bacteria if it is substantially similar in structure or sequence to a molecule -27anaturally associated with the bacteria. The term is intended to include both molecules which are specific to the organism, as well as molecules which, though present on other organisms, are involved in the virulence or antigenicity of the bacteria in a human or animal host.

0 V 00 0 0 *O *0 a

I

-28- The vaccine of the present invention may confer resistance to group B Streptococcus by either passive immunization or active immunization. In one embodiment of passive immunization, the vaccine is provided to a host (i.e.

a human or mammal) volunteer, and the elicited antisera is recovered and directly provided to a recipient suspected of having an infection caused by a group B Streptococcus.

The ability to label antibodies, or fragments of antibodies, with toxin labels provides an additional method for treating group B Streptococcus infections when this type of passive immunization is conducted. In this embodiment, antibodies, or fragments of antibodies which are capable of 6 recognizing the group B Streptococcus antigens are labeled with toxin molecules prior to their administration to the patient. When such a toxin derivatized molecule binds to a group B Streptococcus cell, the toxin moiety will cause the death of the cell.

In a second embodiment, the vaccine is provided to a female (at or prior to pregnancy or parturition), under conditions of time and amount sufficient to cause the production of antisera which serve to protect both the female and the fetus or newborn (via passive incorporation of the antibodies o across the placenta).

20 The present invention thus concerns and provides a means for preventing or attenuating infection by group B Streptococcus, or by organisms which have antigens that can be recognized and bound by antisera to the polysaccharide and/or protein of the conjugated vaccine. As used herein, a vaccine is said to prevent or attenuate a disease if its administration to an individual results either in the total or partial attenuation suppression) of a symptom or condition of the disease, or in the total or partial immunity of the individual to the disease.

The administration of the vaccine (or the antisera which it elicits) may be for either a "prophylactic" or "therapeutic" purpose. When provided prophylactically, the compound(s) are provided in advance of any symptom of group B Streptococcus infection. The prophylactic administration of the

Y

-29compound(s) serves to prevent or attenuate any subsequent infection. When provided therapeutically, the compound(s) is provided upon the detection of a symptom of actual infection. The therapeutic administration of the compound(s) serves to attenuate any actual infection.

The anti-inflammatory agents of the present invention may, thus, be provided either prior to the onset of infection (so as to prevent or attenuate an anticipated infection) or after the initiation of an actual infection.

A composition is said to be "pharmacologically acceptable" if its administration can be tolerated by a recipient patient. Such an agent is said to be administered in a "therapeutically effective amount" if the amount administered is physiologically significant. An agent is physiologically significant if its presence results in a detectable change in the physiology of a recipient patient.

1As would be understood by one of ordinary skill in the art, when the vaccine of the present invention is provided to an individual, it may be in a composition which may contain salts, buffers, adjuvants, or other substances which are desirable for improving the efficacy of the composition. Adjuvants are substances that can be used to specifically augment a specific immune response. Normally, the adjuvant and the composition are mixed prior to 20 presentation to the immune system, or presented separately, but into the same site of the animal being immunized. Adjuvants can be loosely divided into several groups based upon their composition. These groups include oil adjuvants (for example, Freund's complete and incomplete), mineral salts (for example, AIK(SO4) 2 AINa(SO,) 2

AINH

4 (SO4), silica, kaolin, and carbon), polynucleotides (for example, poly IC and poly AU acids), and certain natural substances (for example, wax D from Mycobacterium tuberculosis, as well as substances found in Corynebacterium parvum, or Bordetella pertussis, and members of the genus Brucella. Among those substances particularly useful as adjuvants are the saponins such as, for example, Quil A. (Superfos A/S, Denmark). Examples of materials suitable for use in vaccine compositions are provided in.Remington's Pharmaceutical Sciences (Osol, A, Ed, Mack Publishing Co, Easton, PA, pp. 1324-1341 (1980), which reference is incorporated herein by reference).

The therapeutic compositions of the present invention can be administered parenrerally by injection, rapid infusion, nasopharyngeal absorption (intranasopharangeally), dermoabsorption, or orally. The compositions may alternatively be administered intramuscularly, or intravenously. Compositions for parenteral administration include sterile aqueous or non-aqueous solutions, suspensions, and emulsions. Examples of non-aqueous solvents are propylene glycol, polyethylene glycol, vegetable oi.l-s such as olive oil, and injectable organic esters such as ethyl oleate. Carriers or occlusive dressings can be used to increase skin permeability and enhance antigen absorption. Liquid dosage forms for oral administration may generally comprise a liposome solution containing the liquid dosage form. Suitable forms for suspending liposomes include emulsions, suspensions, solutions, syrups, and elixirs containing inert diluents commonly used in the art, such as purified water. Besides the inert diluents, such compositions can also include adjuvants, wetting agents, emulsifying and suspending agents, or sweetening, flavoring, or perfuming agents.

Many different techniques exist for the timing of the immunizations 20 when a multiple administration regimen is utilized. It is possible to use the compositions of the:invention more than once to increase the levels and diversities of expression of the immunoglobulin repertoire expressed by the immunized animal. -Typically, if multiple immunizations are given, they will be given one to two months apart.

According to the present invention, an "effective amount" of a therapeutic composition is one which is sufficient to achieve a desired biological effect. Generally, the dosage needed to provide an effective amount of the composition will vary depending upon such factors as the animal's or human's age, condition, sex, and extent of disease, if any, and other variables which can be adjusted by one of ordinary skill in the art.

The antigenic preparations of the invention can be administered by either single or multiple dosages of an effective amount. Effective amounts of the compositions of the invention can vary from 0.01-1,000 tg/ml per dose, more preferably 0.1-500 Vg/ml per dose, and most preferably 10-300 Ig/ml per dose.

Having now generally described the invention, the same will be more readily understood through reference to the following examples which are provided by way of illustration, and are not intended to be limiting of the present invention, unless specified.

10 Example 1 Cloning Efficiency of the pUX12 Vectors Several experiments were designed to test the cloning efficiency of the pUX12 vectors and to determine whether the modified reading frames transcribed correctly. The results of these experiments will be briefly 15 summarized below: 1. To clone a DNA fragment into pUX12, the three constructs, pUX12 (the original "zero" reading frame construction), pUX12+1 and pUX12-1, were mixed in equimolar concentrations. The plasmids were then cut with BstXI to cleave the stuffer fragment within the polylinker. The 20 stuffer fragment was separated from the plasmid using either low melting point agarose or a potassium acetate gradient (Aruffo, A, et al., Proc. Natl. Acad.

Sci. USA 84:8573-8577 (1987), Ausubel, F.M, et al., Current Topics in Molecular Biology; Greene Publ. Assn./ Wiley Interscience, NY (1987)). The DNA to be cloned was cut with a restriction enzyme that gives blunt ends (any such restriction enzyme may be employed). If necessary, double stranded DNA with signal stranded ends can be modified to create blunt ends. The blunt ends of the DNA fragments were mixed with the two synthetic oligonucleotide adaptors. These are the same 12-mer and 8-mer used in preparing the stuffer fragment. The modified DNA fragments were separated L1

U

-32from the unincorporated synthetic oligonucleotides on a potassium acetate gradient. These fragments were then ligated into the linear pUX12 family of plasmids and used to transform E. coli.

To verify that the pUX12 vectors self-ligate at a low frequency under conditions optimize for the cloning of inserts with adaptors, a second drug resistance marker was cloned into pUX12. As shown in Figure 1, pUX12 has a O-lactamase gene and carriers resistance to ampicillin (ampR). The rationale for cloning a second marker was to compare the ratio of clones that contained both drug resistance markers to those pUX12 plasmids that self-ligated under typical cloning conditions and therefore only expressed resistance to ampicillin. The tetracycline resistance gene (tetR) from the plasmid pBR322 was cloned into the polylinker of pUX12 with the adaptors described above. A group of test ligations were run to establish the optimal concentration of oligonucleotide adaptor to fragment ends, and the ratio of modified insert to 15 linear pUX12 plasmid for ligation and transformation. By using the tetR gene as a marker, we were able to determine cloning parameters so that greater than 99% of the transformants selected on ampicillin containing plates also carried the tetR marker. Thus, the frequency ofself-ligation is very low in this system and it is not necessary to screen for the presence of an insert in the 20 polylinker prior to screening a library in pUX12.

2. To confirm the position of the translational reading frame in the polylinker of pUX12, a structural gene whose sequence and product are known, and that lacks its own promoter, was cloned.

For this purpose, a mutant of the tox structural gene carried on the plasmid (Costa, J.J, et al., J. Bacteriol. 148(1):124-130 (1981), Michel, J.L, et al., J. Virol. 42:510-518 (1982) which references are incorporated herein by reference) was chosen. The plasmid, pABC402, was treated simultaneously with the restriction endonucleases ApaI and Hindll (Bishai, W.R, et al., J. Bacteriol. 169:1554-1563 (1987), Bishai, et al., J.

Bacteriol. 169:5140-5151 (1987) which references are incorporated herein by reference). The Apal site is within the structural gene near the N-terminal and -33the HindIII site lies just outside of the C-terminal of the tox gene. This 1.2 kb restriction fragment was separated from the remaining 4.1 kb of the pABC402 vector using low melting point agarose.

To create blunt ends for cloning, the tox fragment was treated with T4 DNA polymerase. The exonuclease activity of the polymerase cut back the ApaI 3' ends and the polymerase activity filled in the 5' overhand at the HindIII site (Maniatis, T. et al., Molecular Cloning, A Laboratory Manual, Cold Spring Harbor Press, Cold Spring Harbor, NY (1982)). This purified fragment with blunt ends was ligated into the mixture of pUX12 that contains all three reading frames. Individual transformants were randomly picked and screened by restriction mapping to determine the orientation and reading frame of the inserts. In addition, the nucleotide sequences of the polylinker/adaptor/insert regions were determined. All six potential orientation and reading frame combinations were identified. Finally, extracts from these clones were screened using Western blots probed with antisera to diphtheria toxin (Blake, et al., Anal. Biochem. 136:175-179 (1984), Murphy, et al., Curr. Topics Microbiol. and Immun. 118:235-251 (1985)).

Reactive toxin related proteins were only detected from clones that contained the structural gene in the correct orientation and reading frame.

This plasmid is called pUDTAH-1; the DNA sequence of the polylinker and beginning of the tox structural gene is shown in Table 1. The depicted sequence is the DNA sequence of the beginning of the tox' structural gene in pUDTAH-1. ATG is the start signal for the transcript (lacZ'), GAT begins the modified polylinker of pUX12 and GCC starts the correct translational reading frame for the tox' gene.

a, -34- Table 1 Sequences of Plasmid pUDTAH ATGACCATGATTACGAATTCGAG CTCG CCCGGG GATCCATTGTGCTGGAAAG CCACC [SEQ ID NO: 6] Polylinker Oligonucleotide Diphtheria (ATG=LacZ Translation Adaptors Tox' Gene Initiation Codon) Example 2 Purification of Chromosomal DNA from Group B Streptococcus To accomplish the purification of chromosomal DNA from group B Streptococcus chromosomal DNA was isolated from the A909 strain of group B Streptococcus (Lancefield, et al., J. Exp. Med. 142:165-179 (1975)) by the method of Hull et al. (Hull, et al., Infect. and Immun. 33:933- 938 (1981)) as modified by Rubens et al. (Rubens, et al., Proc. Natl.

'Acad. Sci USA 84:7208-7212 (1987) both of which references are incorporated 15 herein by reference). In brief, mutanolysin was used to convert the group B Streptococcus strain A909 (la/c) strain into protoplasts. The resulting surface extract was found to contain numerous proteins that immunoreact with protective antisera raised to the intact bacteria. An insoluble protein fraction was partially purified using conventional column chromatography. Two 20 fractions, including one which was highly concentrated for a single 14 kilodalton (kd) species, were used to immunize rabbits. Antisera raised against these partially purified group B Streptococcus proteins were found to be able to confer passive protection in a mouse virulence assay against a heterologous capsule type of group B Streptococcus which carries the C proteins.

Group B Streptococcus DNA was purified by centrifugation in a buoyant-density cesium chloride (CsCI) gradient, and the chromosomal DNA was dialyzed exhaustively against TAE buffer, pH 8.0 (Maniatis, T. et al..

Molecular Cloning, A Laboratory Manual, Cold Spring Harbor Press, Cold Spring Harbor, NY (1982). The A909 strain of group B Streptococcus has a type 1 capsule, expresses the C proteins and has been used previously in studies of the C proteins (Valtonen, et al., Microb. Path. 1:191-204 (1986)). It is also the strain of group B Streptococcus that was used in preparing the protective antisera for screening.

The yield of Group B Streptococcus chromosomal DNA averages 3 to mg for each 500 ml of an overnight culture of group B Streptococcus. The purified DNA was digested separately with 24 commonly used restriction endonucleases and the resulting fragments were run on a 1.0% agarose gel.

A wide range of enzymes were chosen, including those that have unique sites on the polylinkers commonly used in cloning vectors. Ethidium bromide S.:i (EtBr) staining of the gel showed that all of the restriction enzymes yielded a distribution of discrete fragment sizes of group B Streptococcus DNA. This suggests that group B Streptococcus DNA is not modified for any of the restriction enzymes tested.

In order to determine whether there were any inhibitors present to block ligation of the DNA, the restriction endonuclease digestions described above were ethanol precipitated, placed in a ligation buffer and incubated 20 overnight at 14°C with DNA ligase. These samples were again run on a 1.0% agarose gel and stained with EtBr.. The.resulting. restriction patterns showed a higher molecular weight distribution. Therefore, there was no inhibition of the ligation of group B Streptococcus DNA.- I -36- Example 3 Preparation of a Library of Group B Streptococcus Chromosomal DNA The preparation of a library of group B Streptococcus chromosomal DNA in pUX12 and its transformation into E. coli was performed as follows.

To cleave the group B Streptococcus chromosomal DNA for cloning, four restriction enzymes were chosen that give a broad distribution of restriction fragment sizes, The pUX12 vector and adaptors are most efficient when blunt ended fragments, are cloned. The enzymes chosen recognize four base pair 10 sites and leave blunt ends. Group B Streptococcus DNA was partially digested individually with AluI, FunD2, HaeIl and Rsal.

The resulting fragments were mixed, purified with phenol/chloroform, ethanol precipitated and resuspended in a ligation buffer (Maniatis, T. et al., Molecular Cloning, A Laboratory Manual, Cold Spring Harbor Press, Cold 15 Spring Harbor, NY (1982)). One /g of the group B Streptococcus DNA fragments was mixed with 3 jig of the 12-mer and 2 yg of the 8-mer oligonucleotide adaptors. Three microliters of T4 DNA ligase (600 units, New England Biolabs), were added and the reaction was maintained overnight at 14°C. The free linkers were separated from the group B Streptococcus DNA 20 fragments on a potassium acetate velocity gradient (Aruffo, et al., Proc.

Natl. Acad. Sci. USA 84:8573-8577 (1987)).

The pUX12 plasmid containing all three translational reading frames was digested with BstXI and the stuffer fragment was removed using a low melting point agarose gel. The group B Streptococcus library was prepared by mixing 10 ng of the adapted group B Streptococcus fragments with 100 ng of the linear pUX12 vector in 100 Mil of ligation buffer to which 0.1% T4 DNA ligase was added. The ligation reaction was maintained overnight at 14°C and then used to transform the MC1061 strain of E. coli on plates containing ampicillin (Ausubel, et al., Current Topics in Molecular Biology (1987)).

-37- Sixteen of the resulting transformants were isolated, grown overnight in LB and plasmid DNA isolated by mini-preps. The plasmid DNA was digested with BamHI, and run on a 1.0% agarose gel. All of the plasmids screened contained inserts in the pUX12 vector, and the average insert size was 1.4 kb. To date, the plasmid DNA obtained from over 200 clones have been screened and only one clone was found that appeared to lack an insert in the polylinker.

Example 4 Characterization of Protective Antisera 10 to be Used in Screening the Library As discussed earlier, the C proteins have been partially purified by a variety of techniques and protective antisera have been prepared by a number of investigators (Bevanger, et al., Acta Path. Microbiol. Scand. Sect. B.

93:113-119 (1985), Russell-Jones, et al., J. Exp. Med. 160:1476-1484 15 (1984), Wilkinson, et al., Infec. and Immun. 4:596-604 (1971)).

A set of experiments was performed to duplicate the work of Valtonen, Kasper and Levy who isolated a 14,000 mw protein from supernatants of 't group B Streptococcus that elicits protective antibody (Valtonen, et al., Microb. Path. 1:191-204 (1982) which reference is incorporated herein by 20 reference). This experiment revealed that when proteolytic inhibitors to the supernatants of group B Streptococcus cultures are added prior to the concentration and purification of the C proteins (Wong, et al., J.

Immunol. Methods. 82:303-313 (1985)), the 14,000 mw protein was no longer a prominent protein in the supernatant. This indicated that this protein results from the proteolysis of larger molecular weight C proteins in the supernatants of group B Streptococcus cultures.

,0 -38- Example Optimizing Conditions for Screening for Expression in a Plasmid-Based Vector As discussed above, the most commonly used vectors for the detection of expression are based on Xgtl 1 (Young, et al., Proc. Natl. Acad. Sci.

USA 80:1194-1198 (1983)). We were able to increase the sensitivity of detection of expression from the pUX12 plasmid vector by combining two previously described procedures for antibody screening of bacterial colonies.

The transformants from the library were plated overnight and the resulting 10 colonies transferred to nitrocellulose filters (Bio-Rad). The colonies were lysed by placing the filters in an atmosphere saturated with chloroform

(CHCI

3 in a closed container for 30 minutes. The filters were then placed in a lysis buffer and incubated overnight as described by Helfman et al.

S(Helfman, et al., Proc. Natl. Acad. USA 80:31-35 (1983)). The 15 antibody screening was done utilizing commercially prepared E. coli lysate (ratio 1:200) and Horseradish Peroxidase Conjugated, Affinity Purified Goat Anti-Rabbit IgG (ratio 1:3000) in the Express-Blot Assay Kit prepared by Bio- Rad Laboratories. By pretreating, the colonies with chloroform and the overnight incubation with DNase and lysozyme described, above, it was 20 possible to reduce the ratio of primary antibody required from 1:500 to 1:5000.

Example 6 Initial Analysis of Positive Clones and Their Protein Products The library of group B Streptococcus chromosomal DNA in the pUX12 vector was screened with the above-discussed protective anti-C proteins antisera. The group B Streptococcus library had an average fragment size of 1.4 kb. Transformants were screened as described above, and then subcloned 1. -39and rescreened with the antisera three times. Of 20,000 clones screened, there were 35 independently isolated clones that reacted with the protective antisera.

The clones were denominated S1-S35, and the plasmids containing the clones were denominated pJMSl-pJMS35. The clones ranged in size from 0.9 to 13.7 kb and have an average size of 4.5 kb.

Plasmid DNA was isolated from the clones by minipreps and the inserts surveyed with four restriction endonucleases. Fourteen of the clones can be divided into three groups based on sharing identical insert sizes and common restriction endonuclease mapping patterns within each group. Clones Si and S23, discussed below, were found to be members of different groups.

By further comparing the restriction patterns of the individual clones it was possible to identify 24 clones that shared common restriction fragments.

Clones S1 and S23 were not found to share any common restriction fragments.

Extracts of the clones were prepared, run on Western blots and probed 15 with the antisera used in screening the library. Six size classes of protein antigens were identified By combining data from the restriction endonuclease mapping and the Western blots it was possible to classify 24 of the 35 clones into 6 different protein antigen patterns (Table This initial classification was done only to get a rough survey of the potential number of 20 genes involved. S1 was found to be 3.5 kd in size, and to belong to antigen protein pattern A. S23 was found to be 13.7 kd in size, and to belong to Santigen protein patrn D.

antigen protein pattern D.

fe .2 *2 9 9 .99 9 Table 2 Preliminary Classification of the Group B Streptococcus C Protein Clones Protein Number Molecular Weight Coding Capacity Size of Antigen Profile of clones of insert (kb) of DNA insert (in daltons) A 6 3.5 136,000 115,000 B 3 1.9 76,000 50,000 C 7 4.4 174,000 130,000 D 6 13.7 500,000 110,000 E 1 1.7 67,000 50,000 F 1 0.9 36,000 15,000 When Western blots of extracts of the clones were probed with antisera to a group B Streptococcus strain that does not express the C proteins, only one group of clones was positive (Protein Profile This indicates that the majority of positive clones express proteins that are unique to strains that carry the C proteins; these proteins are not common to all strains of group B Streptococcus.

Example 7 Characterization of the Cloned Gene Sequences The actual number of C proteins that are expressed by group B Streptococcus has not been determined. Recent immunological studies by Brady et al. characterizing C protein typing antisera from the C.D.C. identified four separate antigens (Brady, et al., J. Infect. Dis. 158(5):965-972 (1988)). Preliminary genetic and immunological characterization of the putative C protein clones of group B Streptococcus suggests that four or five genes encode proteins that are present on strains of group B Streptococcus that are known to carry the C proteins. Two groups of experiments were conducted to determine whether the cloned gene products represent C proteins.

*5 *5* 5* S

S.

4*

S

S. As discussed above, studies of the C proteins had defined two phenotypes: one group of proteins that was sensitive to degradation by pepsin but not trypsin (called TR or a) and another group of proteins that was sensitive to degradation by both pepsin and trypsin (called TS or 0) (Johnson, et al., J. Clin. Microbiol. 19:506-510 (1984), Russell-Jones, et al., J. Exp. Med. 160:1476-1484 (1984)).

The typing antisera, a and were used to screen the cloned gene products on Western blots (Bevanger, et al., Acta Path. Microbiol. Scand.

Sect. B. 87:51-54 (1979); Bevanger, et al., Acta. Path. Microbiol. Scand.

Sect. B. 89:205-209 (1981); Bevanger, et al., Acta. Path. Microbiol.

Scand. Sec. B. 91:231-234 (1983); Bevanger, et al., Acta. Path. Microbiol. Scand. Sect. B. 93:113-119 (1985); Bevanger, et al., Acta. Path.

Microbiol. Immuol. Scand. Sec. B. 93:121-124 (1985) which references are incorporated herein by reference).

The a typing sera identified Protein Profile D, and the typing antisera identified Protein Profile A. These proteins were subjected to digestion with pepsin and trypsin. Protein Profile D is sensitive to pepsin but not trypsin, and Protein Profile A is sensitive to both pepsin and trypsin.

These results are consistent with previous studies and confirm that at least two of the C protein genes have been cloned.

The most important and characteristic property of the C proteins is their ability to elicit protective antibodies against group B Streptococcus strains that express C proteins. Several approaches could be used to prepare antisera against the cloned gene products. For example, lysates of the E. coli clones could be directly injected into rabbits in order to determine if the lysates contain proteins capable of eliciting antibodies to any of the E. coli or group B Streptococcus proteins introduced. The resulting antisera can be preabsorbed with a lysate of E. coli prior to testing the antisera to reduce the number of cross-reacting antibodies. Such a lysate can be used to reduce the number of cross-reacting antibodies in both colony blots used for screening the clones for expression and in Western blots used to study both cellular extracts 20

S.

2 it oil i

I*

-42of group B Streptococcus and partially purified group B Streptococcus proteins.

Representative clones from Protein Profiles A, B and D are sonicated and injected into rabbits to raise antisera against the cloned group B Streptococcus protein antigens (Lancefield, et al., J. Exp. Med.

142:165-179 (1975), Valtonen, et al., Microb. Path. 1:191-204 (1986)). The control rabbits are injected with E. coli that carries pUX12 without an insert in the polylinker. The antisera is preadsorbed with an E.

coli lysate and screened first on Western blots against extracts of the clones in the library. Therefore, it is possible to determine if there are cross-reacting epitopes between the clones and to confirm that these antisera are directed •against the cloned proteins identified during the preliminary round of screening.

Alternatively, the preadsorbed antisera may be tested in the mouse 15 protection model. In this classic model, the mice are injected intraperitoneally with rabbit antisera (Lancefield, et al., J. Exp. Med. 142:165-179 (1975)). The following day they are again injected intraperitoneally with an LDgo of viable group B Streptococcus that are known to carry C proteins. The endpoint is the death of the mice over a 48 hour period.

20 In order to test the immunogenicity of the proteins expressed by the cloned gene sequences, Escherichia coli cells containing pJMS1 and pJMS23 were grown, and used to prepare cellular extracts. These extracts were then used to immunize rabbits. Antisera raised in response to immunization with the Sl and the S23 extracts were tested using the mouse protection model.

When the mouse protection model experiment was performed, the antisera raised from the clones representing Protein Profiles A and D (S and S23, respectively), were each found to be protective. Antisera from a clone representing Protein Profile C was not protective and the control antisera also did not show protection. The antisera raised against the clones expressing Protein Profile C also binds to proteins extracted from strains of group B Streptococcus that do not carry the C protein. Therefore, this group of clones 3 Il -43do not encode C proteins. In summary, five of the six groups of clones do not encode proteins that are unique to strains of group B Streptococcus that express C proteins.

The initial biochemical, immunological and functional analysis of two of the groups of clones demonstrates that at least two C proteins genes (S 1 and S23) have been successfully cloned. This is the first demonstration that single polypeptide gene products cloned from group B Streptococcus can elicit protective immunity. Antibodies to Sl were found to be able to bind two bands of the A909 extract at 50 and 60 kd. Antibodies to S23 were found to be able to bind to a regularly repeating pattern of bands in the group B Streptococcus surface extract which ranged in MW from 180 kd to 40 kd.

A monoclonal antibody derived from the A909 extract showed this same repeating pattern of immunoreactivity. This indicates that a single epitope was recognized in different molecular weight proteins and suggests a regularly 15 repeating structure. The proteins recognized by the Sl 1 antiserum were susceptible to pepsin and trypsin degradation whereas those recognized by the S23 antiserum were susceptible to pepsin but not to trypsin. This experiment Sshows that these proteins partially purified from group B Streptococcus and expressed from the group B Streptococcus cloned genes represent the alpha 20 and beta antigens of the C protein of group B Streptococcus.

The 35 potential C protein clones described above may be evaluated both genetically and immunologically to determine the number of genes that are present. In addition, the isolation of these clones permits the genes which confer protective immunity to group B Streptococcus infection may be identified. It is likely that the protective antisera used to obtain the initial clones also detected proteins other than the C proteins. The use of such other proteins in a therapy against Streptococcus B infection is also contemplated by the present invention. Since a major goal of the present invention is the isolation and identification of the proteins involved in immunity, antisera prepared against the proteins expressed by these clones may be studied in the mouse protection model. Those genes that express proteins that are protective are preferred proteins for a conjugate vaccine.

As discussed above, the initial screening of group B Streptococcus chromosomal DNA in an E. coli/pUX12 vector library with protective antisera resulted in 35 independently isolated clones. By combining data from restriction endonuclease mapping of the cloned fragments and Western blots of protein extracts from the clones, it was possible to tentatively classify 24 of the 35 clones into 6 different protein antigen patterns (Table This survey permitted a determination of the potential number of genes isolated.

To further characterize such clones, colony blots are preferably used to determine which clones share common DNA sequences. For such blots, a single colony of each of the clones is placed in a well of microtiter dish containing LB broth and grown at 37 0 C overnight. Control colonies include the host E. coli strain and the E. coli strain containing pUX12. The overnight cultures are transferred onto a nitrocellulose filter on an agar plate containing the same culture medium. These plates are grown up over 8 hours at 37°C and the nitrocellulose filter containing the freshly grown colonies is prepared to be screened for DNA-DNA hybridization. The probes are prepared from the group B Streptococcus DNA inserts in the pUX12 library. Mini-preps are used to obtain plasmid DNA from the clones. The polylinker in pUX12 has both a BamHI and BstXI site on either side of the insert; therefore, the group B Streptococcus insert is excised from the plasmid using either BamHI or BstXI. Fortunately, the chromosomal DNA of group B Streptococcus contains few BamHI sites and many of the inserts are removed from the vector in one fragment as the result of digestion with BamHI. Low melting point agarose is used to separate the plasmid vector from the inserts. The inserts will be.cut from the agarose gel and directly labelled by random prime labelling. The labelled inserts are then used to probe the colony blots. This results in the identification of clones that share DNA sequences.

I.

9 9 9 oooo 99 9 99* 9 9 99* 9 9 99* 9999 9.* 9 9 o *o o Thus, on the basis of the information obtained from the colony blots described above, the 35 clones are placed into groups that share DNA sequences. These groups are mapped with multiple restriction endonucleases to determine the relationship of each clone to the others within that region of the DNA. Since the host plasmid, pUX12, contains many unique restriction endonucleases sites that are present only in the polylinker, much of the restriction mapping can be done utilizing the plasmid mini-prep DNA without needing to purify the inserts separately. By combining the colony blot data with detailed restriction mapping it is possible to get a reasonable assessment of the number of genetic loci involved. If some of the groups of clones do not represent the genes of interest in their entirety, it may be necessary to use these clones to isolate other more complete copies of the genes from the chromosomal library. However, given the large average size distribution of the initial 35 clones isolated, it is likely that some may represent a complete open reading frame.

Before proceeding with a genetic analysis, antisera is preferably prepared against the cloned gene products; and utilized in the mouse protection model to determine the ability of these antisera to protect against infection with group B Streptococcus (Lancefield, et al., J. Exp..Med. 142:165-179 (1975), Valtonen, et al., Microb. Path.' 1:191-204 (1986)).

A clone whose expressed protein is able to elicit protective antibodies is a preferred candidate for use in a conjugate vaccine. Clones whose expressed protein fails to elicit protective antibodies may be further analyzed to determine whether they are also candidates for a vaccine. Since the C proteins are membrane associated, a failure of protein expressed by a clone to elicit protective antibodies may reflect the fact that the protein may not be stable in E. coli, and in a high copy number vector. This problem has occurred in cloning other membrane proteins from both group A and group B Streptococcus (Kehoe, M. et al., Kehoe, et al., Infect. and Immun.

43:804-810 (1984), Schneewind, et al., Infect. and Immun. 56:2174-2179 (1988)). Several of the 35 clones isolated in the preliminary studies show a 9 9 o.

oo -46small colony morphology. In addition, some of these clones are unstable and have been found to delete part of the group B Streptococcus DNA insert from the pUX12 polylinker. There are several techniques that can be used to stabilize these clones including: cloning into a low copy number vector or behind a promoter that can be down-regulated, growing the clones at instead of 37°C, cloning into a vector that has been adapted to accumulate membrane proteins. In addition, it is possible to transform the plasmids into an E. coli host, pcnB, that restricts the copy number of pBR322 derived plasmids like pUX12 (Lopilato et al., Mol. Gen. Genet. 205:285-290 (1986) which reference is incorporated herein by reference).

A failure of a clone to express protein which elicits protective antibodies may also indicate that the expressed protein lacks an epitope which is important for protection. This could be the case if the entire gene was not cloned or could not be expressed in E. coli. It might also be problem if there is post-transcriptional processing of the C proteins in group B Streptococcus but not for the cloned C protein genes in E. coli. It might be necessary either to subclone out the complete gene and/or transfer it into an alternate host background where it can be expressed.

A failure of a clone to express protein which elicits protective antibodies may also indicate that antibodies elicitedfrom, antigens produced in Escherichia coli may differ from those elicited from an animal by the native C proteins on group B Streptococcus. In addition, the lysed bacterial extracts used to immunize the rabbits contain a number of E. coli protein antigens.

Therefore, it may be necessary to obtain antisera for testing in the animal model from partially purified gene products instead of from the entire organism.

Any cloned group B Streptococcus proteins that are able to elicit protective antibodies can be called C proteins. The antisera prepared for this group of experiments will also be used for localizing these protein.

I.

-47- Example 8 Mapping, Characterization and Sequencing of the C Protein Genes a. a *aa.

a *aa.

a a.

120 In order to further characterize the C protein genes, a fine structure genetic map of C protein gene clones described above may be prepared and their DNA sequence(s) determined. Such mapping is preferably accomplished utilizing genomic Southern blots. By determining the DNA sequences of the C protein genes, one can determine the structure of the genes including their ribosomal binding sites, potential promoters, signal sequences, and any unusual repetitive sequences. The DNA sequences are preferably compared to a library of known DNA sequences to see if there is homology with other genes that have been characterized. In addition, the protein sequences of the C proteins can be determined from DNA sequences of their genes. It is often possible to make predictions about the structure, function and cellular location of a protein from the analysis of its protein sequence.

Genomic Southern blots are, thus, preferably used to determine if any of the genes are linked. For this technique, group B Streptococcus chromosomal DNA is digested individually with several different restriction endonucleases that identify sequences containing six or more base pairs. The purpose is to obtain larger segments of chromosomal DNA that may carry more'than one gene. The individual endonuclease digestions are then run out on an agarose gel and transferred onto nitrocellulose. The Southern blots are then probed with the labelled inserts derived from the above-described library.

If two clones that did not appear related by the colony blots or endonuclease mapping bind to similar chromosomal bands, this would indicate that either they are part of the same gene, or that they are two genes that are closely linked on the chromosome. In either case, there are several ways to clone out these larger gene segments for further study. One technique is to prepare a cosmid library of group B Streptococcus and screen for hybridization with one of the probes of interest. When a clone is obtained that contains two or more genes of interest it could be endonuclease mapped and studied for the expression of protective antigens as described for the previously described clones.

The identification of the above-described clones permits their DNA sequences to be determined. If the clones are on the pUX12 plasmid, it is possible to use double stranded DNA sequencing with reverse transcriptase to sequence from oligonucleotide primers prepared to the polylinker. This technique was used earlier in characterizing the pUX12 plasmid and is a rapid way to sequence multiple additional oligonucleotide primers to sequence a gene that is larger than 600 base pairs. Therefore, the DNA sequencing for the C protein genes is preferably performed by subcloning into an M13, single stranded DNA sequencing system (Ausubel, et al., Current Topics in Molecular Biology (1987)).

The elucidation of the DNA sequences of the C proteins provides substantial information regarding the structure, function and regulation of the genes and their protein products. As discussed earlier, the heterogeneity in the sizes of C proteins isolated by many investigators and their apparent e antigenic diversity suggests the possibility of either a gene family, or a posttranscriptional mechanism for modifying the protein products of the C protein genes (Ferrieri, et al., Infect. Immun. 27:1023-1032 (1980)). The M protein of group A Streptococcus was discussed earlier as an example of this phenomenon (Scott, J.R.,,et al., Proc. Natl. Acad. Sci._USA 82:1822-1826 S(1985)). Although the DNA sequence of M protein shows no homology with group B Streptococcus chromosomal DNA by hybridization, there may be structural homologies between their DNA sequences (Hollingshead, et al., J. Biol. Chem. 261:1677-1686 (1986), Scott, et al., Proc. Natl.

Acad. Sci. USA 82:1822-1826 (1985), Scott, et al., Infect. and Immun.

52:609-612 (1986)). The DNA sequences of the C proteins are preferably compared with a library of known DNA sequences. In addition, the amino acid sequences derived from the DNA sequences are compared with a library of known amino acid sequences.

Example 9 Prevalence of the C Protein Genes To determine the prevalence of the C protein genes, chromosomal DNA from clinical and laboratory isolates of the various serotypes of group B Streptococcus are probed on genomic Southern blots with the C protein genes. In addition, comparison of the phenotypic expression as determined by precipitin techniques with genetic composition as shown by DNA-DNA hybridization is preformed in order to provide information regarding the regulation of expression of the C protein genes. The probes of the C protein 10 genes are used to screen chromosomal DNA from other types of Streptococcus, and other bacterial pathogens.

Probes are prepared and labelled from the C protein genes of isolates of group B Streptococcus which includes most of the original typing strains used by Lancefield (Lancefield, et al., J. Exp. Med. 142:165-179 15 (1975)). Colony blots of the 24 clinical and laboratory isolates of group B Streptococcus are screened using the microtiter technique described above.

:The ability of the various strains to hybridize to the C protein genes is then compared with the phenotypic characteristics of these organisms in binding to typing antisera directed against the C proteins. In this manner, it is possible 20 to determine what strains carry any of all of the C protein genes, and whether some strains carry silent or cryptic copies of these genes.

Those strains that hybridize to the C protein gene probes on colony blots are then screened using genomic Southern blots to determine the size, structure and location of their C protein genes. Chromosomal DNA isolated from the strains of group B Streptococcus that show binding on the colony blots is digested with restriction endonucleases, run on an agarose gel and blotted onto nitrocellulose. These Southern blots are probed with probes of the C protein genes. In this manner, it is possible to determine if there are differences in the location and size of these genes in the different serotypes of group B Streptococcus and to compare clinical potentially virulent)

L

'i isolates with laboratory strains (and with those which colonize clinically but are not associated with infection).

The C protein gene probes are also preferably used to screen other streptococcal strains and a variety of pathogenic bacteria. Streptococcal strains are known to share other proteins associated with virulence including the M and G proteins (Fahnestock, et al., J. Bact. 167(3):870-880 (1986), Heath, et al., Infec. and Immun. 55:1233-1238 (1987), Scott, et al., Infec. and Immun. 52:609-612 (1986), Walker, et al., Infec. and Immun. 55:1184-1189 (1987) which references are incorporated herein by reference). The strains to be tested are first screened using colony blots to determine whether they have any homologous sequences with the C protein genes probes. Genomic Southern blots are then prepared with the chromosomal DNA of the bacterial strains that test positive on the colony blots. These blots are then probed with the C protein genes to localize and define the areas of homology, such as a region of a C protein which serves as a membrane anchor, binds to the Fc region of immunoglobulins, or shares regions of homology with other genes with similar functions in other bacteria.

Example Modification of the C Protein Genes 20 in Group B Streptococcus A number of potential virulence associated properties have been ascribed to the C proteins including resistance opsonization and inhibition of intracellular killing following phagocytosis (Payne, N.R, et al., J. Infec. Dis.

151:672-681 (1985), Payne, et al., Infect. and Immun. 55:1243-1251 (1987)). To better understand the roles of the C proteins in virulence, isogeneic strains are constructed in which the C protein genes are individually mutated. These strains will be tested for virulence in the neonatal rat model (Zeligs, et al., Infec. and Immun. 37:255-263 (1982). Two methods may be utilized to create isogeneic strains to evaluate the role of the C -51proteins in the virulence of group B Streptococcus. Preferably, tranposon mutagenesis with the self-conjugative transposon tn916 may be employed.

Alternatively, site-directed mutagenesis may be used. The lack of efficient methods for genetic manipulation in group B Streptococcus necessitates the development of new genetic techniques to modify genes in group B Streptococcus and create isogeneic strains for studying virulence (Lopilato, J., et al., Mol. Gen. Genet. 205:285-290 (1986) which reference is incorporated herein by reference).

Transposon insertional mutagenesis is a commonly used technique for 10 constructing isogeneic strains that differ in the expression of antigens associated with virulence, and its use in group B Streptococcus is well described (Caparon, et al., Proc. Natl. Acad. Sci. USA 84:8677-8681 (1987), Rubens, et al., Proc. Natl. Acad. Sci USA 84:7208-7212 (1987), Wanger, A.R, Res. Vet. Sci. 38:202-208 (1985), Weiser, Trans Assoc. Amer. Phys. 98:384-391 (1985) which references are incorporated 0 herein by reference). Rubens, et al. have demonstrated the utility of Tn916 in studies of the group B Streptococcus capsule (Rubens, Proc. Natl.

Acad. Sci. USA 84:7208-7212 (1987). The self-conjugating transposon TN916 may be made from Streptococcus faecalis into group B Streptococcus as previously described (Wanger, Res. Vet. Sci. 38:202-208 (1985) which reference is incorporated herein by reference). Strains are selected for the acquisition of an antibiotic resistance marker, and screened on colony blots for the absence of expression of the C proteins as detected by the specific antisera prepared as described above. Isolates that do not appear to express the C proteins can be further mapped using genomic Southern blots to localize the insertion within the C protein genes. The original Tn916 strain carried tetR; however, an erythromycin resistance marker has recently been cloned into Tn916 (Rubens, et al., Plasmid 20:137-142 (1988)). It is necessary to show that, following mutagenesis with Tn916, only one copy of the transposon is carried by the mutant strain and that the transposon is localized within the C protein gene.

The application of these techniques to deleting the C protein genes in group B Streptococcus is straightforward, unless a C protein genes is essential to the survival of group B Streptococcus. However, strains of group B Streptococcus have been described that lack any detectable C protein and it is unusual for a bacterial virulence determinant to be an essential gene for survival in vitro. An additional use of Tn916 that will be explored is the identification of potential regulatory elements of the C protein genes.

In the event that specific defined mutations are desired or if the C protein gene is essential for the viability of group B Streptococcus, techniques 10 of site-directed mutagenesis may be employed (for example to produce conditional mutants). Site-directed mutagenesis may thus be used for the genetic analysis of group B Streptococcus proteins. One problem that has delayed the development of these techniques in group B Streptococcus is the difficulty encountered in transforming group B Streptococcus. Electroporation has proven valuable in introducing DNA into bacteria that are otherwise difficult to transform (Shigekawa, et al., BioTech. 6:742-751 (1988) which reference is incorporated herein by reference). Conditions for transforming group B Streptococcus utilizing electroporation may be utilized to surmount

W

this obstacle. It is thus possible to do site directed mutagenesis, to evaluate complementation, and to introduce C protein genes into group B Streptococcus strains that do not express the C proteins. Any of several approaches may be utilized to insert native or mutated C protein genes into strains of group B Streptococcus. For example, a drug resistance marker may be inserted within the C protein gene clones in pUX12. A drug resistance marker that can be expressed in group B Streptococcus, but that is not normally present, is preferred. This modified pUX12 protein clone is transformed into group B Streptococcus using electroporation (Shigekawa, et al., BioTech 6:742-751 (1988) which reference is incorporated herein by reference). Since the pUX12 plasmid cannot replicate in group B Streptococcus, those strains that acquire the drug resistance phenotype would likely do so by homologous recombination between the C protein gene on the host GB chromosome and -53the mutated C protein carried on the pUX12 plasmid. The mutants are screened as described above. If there are no homologous sequences in the recipient strain, it is possible to construct a vector with the C protein gene inserted within a known Streptococcal gene, a native drug resistance marker gene from group B Streptococcus. Following electroporation, such a plasmid construct would integrate into the chromosome via homologous recombination.

Alternatively, modified C protein genes could be introduced into the 0 group B Streptococcus chromosome by inserting the genes into the self- 10 conjugating transposon Tn916 and introducing the modified transposons (o (o via mating from Streptococcus faecalis. This technique was used to **o successfully modify Tn916 with an erythromycin gene and insert this gene into the chromosome of group B Streptococcus (Rubens, et al., ,Plasmid 20:137-142 (1988)). It is necessary to show that, following mutagenesis with Tn916, only one copy of the transposon is carried by the mutant strain and that the transposon is localized within the C protein gene.

Example 11 Evaluation of the Role of the C Proteins in Virulance of Group B Streptococcus Previous studies that compared strains of group B Streptococcus that do and do not carry C proteins involved isolates that were not known to be isogeneic (Ferrieri, et al, Rev. Inf. Dis. 10(2):1004-1071 (1988)).

Therefore, it was not possible to determine whether the differences in virulence observed are related to the C proteins or to some other virulence i -53adeterminant. The construction of isogeneic strains having either intact C protein genes or C protein gene deletions permit a characterization of the role of the C protein in virulence. The strains are preferably tested in the neonatal rat model for virulence and in the mouse protection model for their immunological properties. A second important test of virulence is the ability 6* (0

(O

(9 r of a gene to restore virulence through reversion of allelic replacement in a mutant strain. By inserting the C protein genes into group B Streptococcus strains that either do not carry the gene or which carry inactivated C protein genes, it is possible to determine the effect of the C protein by examining the virulence of the resulting construct in the above animal models.

Isogeneic strains of group B Streptococcus in which the C protein genes are individually mutated may be created using either transposon mutagenesis or site-directed mutagenesis. Such strains are preferably characterized on genomic Southern blots to determine that only a single insertion is present on 10 the chromosome. The location of these insertions may be ascertained using the fine structure genetic mapping techniques discussed above. The isogeneic strains are then tested for virulence in the neonatal rat model (Zeligs, et al., Infec. and Immun. 37:255-263 (1982)).

I. Transposon mutagenesis permits the identification of genes involved in regulating the expression of the C proteins. For example, strains carrying the wild type C protein genes which are found to no longer express C proteins following transposon mutagenesis and in which transposon is not located within the C protein structural gene, carry mutations in sequences involved in 0.4.0. the regulation of expression of the C protein genes. This approach was.used successfully in characterizing the mry locus in group A Streptococcus that is involved in regulation of the M protein (Caparon, et al., Proc. Natl.

"Acad. Sci. USA 84:8677-8681 (1987), Robbins, et al., J. Bacteriol.

169:5633-5640 (1987) which references are incorporated herein by reference).

Such methods may also be used to produce strains which overexpresses the C proteins, or which produce C proteins of altered virulence or immunity.

Example 12 Localization of the C Proteins on Group B Streptococcus and Evaluation of Their Ability to Bind to Immunoglobulins Lancefield and others have shown that antibody to the C proteins binds to the outer membrane of group B Streptococcus (Lancefield, et al., J.

Exp. Med. 142:165-179 (1975), Wagner, et al., J. Gen. Microbiol.

118:95-105 (1980)). This suggests that the C protein is an outer membrane protein. C proteins can also be isolated from the supernatants of cultures of group B Streptococcus, indicating that these proteins may be either secreted 10 by group B Streptococcus or lost at a high rate from the cell surface. The .i DNA and protein sequences derived from the C protein genes are valuable in determining the structure and function of the C proteins. One potential virulence determinant commonly described for the C proteins is the ability to bind to the immunoglobulin, IgA (Ferrieri, et al., Rev. Inf. Dis.

15 10(2):1004-1071 (1988), Russell-Jones, et al., J. Exp. Med. 160:1467- 1475 (1984)).

Immuno-electron microscopy has been utilized to localize cell surface determinants that are detected by specific antibody. Antisera raised againstthe C protein clones of group B Streptococcus is. incubated with group B 20 Streptoc b c cus strains that carry the C proteins. Ferritin-conjugated goat antirabbit IgG is used to detect the antigen on the cell surface as previously described (Rubens, et al., Proc. Natl. Acad. Sci. USA 84:7208-7212 (1987), Wagner et al., J. Gen. Microbiol. 118:95-105 (1980)).

A simple determination of the ability of C proteins to bind to immunoglobulins can be assessed using Western blots. Cellular extracts of both the E. coli clones containing the C protein genes and of group B Streptococcus strains that carry the C proteins can be run on SDS-PAGE and blotted onto nitrocellulose. Controls include extracts of E coli carrying the wild type pUX12 plasmid, strains of group B Streptococcus that do not carry the C protein genes, and isogeneic group B Streptococcus strains in which the 1 -56- C protein genes have been inactivated. The Western blots can be probed individually with labelled immunoglobulins, IgG, IgM, IgA, and their components, the Fc or F(ab) 2 fragments (Health, et. aL, Infect.

and Immun. 55:1233-1238 (1987), Russell-Jones, et al, J. Exp.

Med. 160:1467-1475 (1984)). The immunoglobulins are preferably iodinated using either iodogen or chloramine T.

A more specific way to measure the ability of the C proteins to bind to immunoglobulins and their components involves purifying the C proteins and using them directly in a binding assay (Fahnestock, et al, J. Bact.

10 167(3):870-880 (1986), Health, et al., Infect, and Immun. 55:1233- .o 1238 (1987)). Using the protein sequence, one can purify the C protein.

In addition, since it is possible to express the C protein genes in E. coli, one may construct E. coli strains that overproduce the C proteins and thereby obtain larger amounts of C proteins for purification.

Example 13 'Use of the Cloned C Protein Antigens of Group B Streptococcus in a Conjugate Vaccine The above-described protective C protein antigens of group B Streptococcus were tested for their potential in a conjugate vaccine. To assess this potential, cellular extracts of E. coli containing pJMS1 or pJMS23 were prepared as described above, and used to immunize rabbits.

The resulting antisera was tested in the mouse lethality model for its ability to protect mice from infection by the group B Streptococcus strain H36B.

Strain H36B carries the C protein of group B Streptococcus. As a control, the ability of the antisera to protect the mice against infection by Streptococcus strain 515 (which does not carry the C protein) was determined. The results of this experiment are shown in Figure 4.

Example 14 The Sequence of the C Protein Alpha Antigen and Its Repeating Units As stated above, Streptococcus agalactine [group B Streptococcus (GBS)] is an important pathogen in neonatal sepsis and meningitis, postpartum endometritis, and infections in adults, in particular in diabetics and immunocompromised hosts (Baker, et al., in Infectious Diseases of the Fetus and Newborn Infant, Remington, J.S. et al. Saunders, Philadelphia, (1990) pp. 742-811)). The best-studied GBS virulence determinants are the 10 type-specific capsular polysaccharides that are essential for pathogenesis (Rubens, et al., Proc. Natl. Acad. Sci. USA 84:7208-7212 (1987); Wessels, et al., Proc. Natl. Acad. Sci. USA 86:8983-8987 (1989)).

The roles of GBS surface proteins in infection are less well understood (Ferrieri, P. Rev. Infect. Dis. S363-S366 (1988); Michel, et al. in 15 Genetics and Molecular Biology of Streptococci, Lactococci, and Enterococci, Dunny, G.M. et al. eds., Am. Soc. Microbiol., Washington (1991), pp. 214- 218). The C proteins are surface-associated antigens expressed by most clinical isolates of capsular types. Ia, Ib, and II and are thought to play a role in both virulence and immunity (Johnson, et al., J. Clin. Microbiol.

20 19:506-510 (1984); Madoff, et al., Infect. Immun. 59:2638-2644 (1991)). Two C protein antigens, alpha and beta, have been described biochemically and immunologically (Michel, et al. in Genetics and Molecular Biology of Streptococci, Lactococci, and Enterococci, Dunny, G.M.

et al. eds., Am. Soc. Microbiol., Washington (1991), pp. 214-218).

In 1975, Lancefield et al. (Lancefield, et al., J. Exp. Med.

142:165-179 (1975)) showed that antibodies raised to the C proteins in rabbits protected mice challenged with GBS bearing the C proteins. A monoclonal antibody to the alpha antigen (4G8) that induces opsonic killing of GBS and protects mice from lethal challenge with GBS has been described (Madoff, et dl., Infect. Immun. 59:204-210 (1991), incorporated herein by reference). As shown above, the gene encoding the encoding alpha and beta antigens were cloned and expressed in Escherichia coli. It was shown that antibodies raised to the clones of both alpha and beta encode different C proteins that define unique protective epitopes (Michel, et al, Infect.

Immun. 59:2023-2028 (1991)). The alpha and beta antigens are independently expressed and antigenically distinct proteins.

The C protein beta antigen that specifically binds to human serum IgA has been cloned (Michel, et al., Infect. Immun. 59:2023-2028 (1991); Cleat, et al., Infect. Immun. 55:1151-1155 (1987)) and sequenced (Heden, et al., Eur. J. Immunol. 21:1481-1490 (1991); Jerlstrom, et al., Mol. Microbiol. 5:843-849 (1991)). However, the role of the beta antigen and IgA binding in virulence is not known. Studies by Ferrieri 99et al. (Payne, et al., J. Infect. Dis. 151:672-681 (1985); Payne, N.R., et al., Infect. Immun. 55:1243-1251 (1987)) showed that C protein-bearing strains of GBS resist phagocytosis and inhibit intracellular killing.

Opsonophagocytic killing in the presence of alpha antigen-specific monoclonal antibody (4G8) correlated directly with increasing molecular mass of the alpha antigen and with the quantity of alpha antigen expressed on the bacterial cell o* surface (Madoff, et al., Infect. Immun. 59:2638-2644 (1991)). GBS strains expressing the alpha antigen were resistant to killing by polymorphonuclear leukocytes in the absence of specific antibody; however, o. this resistance was not dependent on the size of the alpha antigen.

The completed nucleotide sequence of bca and flanking regions reported here provides information regarding the size, structure, and composition of the alpha antigen gene. An interesting feature of both the native and cloned gene products of the alpha antigen is that they exhibit protein heterogeneity by expressing a regularly repeating ladder of proteins differing by approximately 8000 Da (Madoff, et al., Infect. Immun.

59:2638-2644 (1991); Michel, et al., Infect. Immun. 59:2023-2028 (1991)). Since the protective monoclonal antibody 4G8 binds to the repeat region, this region defines a protective epitope (Madoff, Infect. Immun.

59:2023-2028 (1991)). Smaller tandemly repeated sequences encoding immunodominant epitopes have been reported in a number of pathogens but have not been associated with the protein heterogeneity seen in the alpha antigen (Enes, et al., Science 225:628-630 (1984); Fischetti, et al., Rev. Infect. Dis. 1O(Supp. 2):S356-S359 (1988); Pereira, et al., J. Exp.

Med. 174:179-191 (1991); Fischetti, et al., in Genetics and Molecular Biology of Streptococci, Lactococci, and Enterococci, Dunny et al. eds. Am.

Soc. Microbiol., Washington (1991), pp. 290-294; Dailey, et al., Infect.

Immun. 59:2083-2088 (1991); vonEichel-Streiber, et al., Gene 96:107-1-13 10 (1990)). Though the maximum molecular size of the alpha antigen differs among strains of GBS, this protein heterogeneity is a constant feature (Madoff, et al., Infect. Immun. 59:2638-2644 (1991)).

The nucleotide sequence of bca contains nine identical 246-nucleotide s* tandem repeating units. The estimated size of the peptide encoded by each of S. 15 these repeats is 8665 Da and correlates with the intervals found in the heterogeneous laddering of the alpha antigen. The amino acid sequence derived from the DNA sequence revealed both significant homologies and important differences between the alpha antigen and other streptococcal proteins (Heden, et al., Eur. J. Immunol. 21:1481-1490 (1991); Jerlstrom, et al., Mol. Microbiol. 5:843-849(1991); Fischetti, V.A., et al., in Genetics and Molecular Biology of Streptococci, Lactococci, and Enterococci, Dunny et al. eds. Am. Soc. Microbiol., Washington (1991), pp.

290-294). The repeating units of the alpha antigen suggest possible mechanisms for phenotypic and genotypic variability and provide natural sites for gene rearrangements that could generate antigen diversity.

Materials and Methods Bacterial Strains, Plasmids, Transposons, and Media. GBS strain A909 (type (Lancefield, et al., J. Exp. Med. 142:165-179 (1975)), E. coli strains MC1061 and DK1 (Ausubel, et al., Current Protocols in Molecular Biology, Wiley, New York (1990)), pCNB (Lopilato, J. et al., Mol. Gen. Genet. 205:285-290 (1986)), DH5c (a derivative of DH1; GIBCO/BRL), and NK-8032; E. coli plasmids and clones pUC12, pUX12, and pJMS23; and the transposon Tn5seql have been described (Michel, J.L., et al., Infect. Immun. 59:2023-2028 (1991)). The plasmid pGEM-7Zf(-) was 10 purchased from Promega, Madison, WI, USA. Additional subclones of pJMS23 (pJMS23-1, and -10) are described below. Growth media for GBS and E. coli and antibiotics for selection have been described (Michel, et al., Infect. Immun. 59:2023-2028 (1991)).

DNA Procedures and Nucleotide Sequencing Strategy. Standard 15 procedures for the preparation of plasmid DNA, synthesis and purification of oligonucleotides, restriction endonuclease mapping, agarose .gel electrophoresis, and Southern blot hybridization are from Ausubel et al.

(Ausubel, et al., Current Protocols in Molecular Biology, Wiley,New York (1990)). Restriction endonucleases and other enzymes for manipulation 20 of DNA DNase',RNase, and ligase) were obtaiined from New England Biolabs and Boehringer Manneheim. Transposon mutagenesis utilized lambda- (Nag, et al., Gene 64:135-145 (1988)).

Nucleotide sequencing of double-stranded DNA used plasmids containing transposon Tn5seql insertions using primers of Sp6 or T7 promoters for bidirectional sequencing, synthetic oligonucleotide primers, and nested deletions using Erase-a-Base (Promega, Madison WI, USA; Henikoff, Gene 28:351 (1984)). A total of 12 primers were prepared to obtain the sequence in both directions for the areas of the gene flanking the repeat region. Sequencing of the region of repetitive DNA was completed with -61exonuclease Ill-generated nested deletions. All sequencing employed Sequenase kit, version 2, used according to manufacturer's specifications for double-stranded sequencing (United States Biochemical). Adenosine ["S]thio]triphosphate was obtained from Amersham. GenAmp PCR kit with AmpliTaq. polymerase was used according to manufacturer's instructions (Perkin-Elmer/Cetus).

Subclones pJMS23-1, pJMS23-7, and pJMS23-10 were prepared for transposon mutagenesis to target smaller regions within bca (Michel, J.L.

et al., Infect. Immun. 59:2023-2028 (1991)). Subclone pJMS23-1 contains a 5.9-kilobase HindIII fragment in pUX12; pJMS23-7 contains 2.8-kilobase Alu I fragment from pJMS23-1 ligated into the HincI site in the polylinker of pUC12; and pJMS23-10 is a BsaBl/Sma I double restriction endonuclease .o digestion of pJMS23-7 that yielded a 2.3 kilobase insert containing the repeat region. For nested deletions the Alu I fragment from pJMS23-1 was ligated into the Sma I site on pGEM-7Zf(-) to create pJMS23-9. Nested deletions were constructed in the forward direction from the HindIII and Nsi I sites and in the reverse direction from EcoRI and Sph I sites. The sizes of the subclones, mutants, and deletions used for sequencing were confirmed by restriction endonuclease mapping and/or PCR with primers to the pUC12 polylinker and to Tn5seql (Sp6 and T7). Data analysis used the Department of Molecular'Biology computer at o..

Massachusetts General Hospital (Boston) with Genetics Computer Group (Madison, WI) version 7 software and the BLAST network of the National Center for Biotechnology Information of the National Institutes of Health (Bethesda, MD).

Monoclonal Antibodies, SDS/PAGE, and Western Immunoblots.

Extracts of GBS and E. coli proteins, SDS/PAGE, immunoblotting, and probing with the alpha antigen monoclonal antibody 4G8 were performed as described in Madoff, et al., Infect. Immun. 59:2638-2644 (1991), in Madoff, et al., Infect. Immun. 59:204-210 (1991), and in Michel, J.L., et al., Infect. Immun. 59:2023-2028 (1991).

-62- Results Nucleotide Sequence of bca. Subclones of pJMS23, which encodes the bca locus from GBS strain A909 (type la/C) and expresses the alpha antigen in E. coli, were used for determining the sequence of bca (Michel, et al., Infect. Immun. 59:2023-2028 (1991)). As is often the case with Gram-positive genes cloned into E. coli, many of the subclones were unstable (Schneewind, et al., Inect. Immun. 56:2174-2179 (1988)). This problem is compounded in bca by a large region of repetitive DNA that provides multiple, fixed sites for homologous recombination.

10 Homologous recombination such as this may be purposely taken advantage of to generate a population of recombinant hosts that express a variety of alpha antigen functional derivatives. Such a population would be a mixtures of the alpha antigens and their functional derivatives and may be utilized in the vaccines of the invention to provide a wide range of alpha 15 antigen sequences against which the host may direct the immune response.

To verify that pJMS23 encodes the complete native gene without deletions, Southern blots of genomic DNA from A909 were probed with gene fragments from the clone. There were no differences found in the restriction maps of bca between A909 and pJMS23. The complete nucleotide sequence 20 of bca was obtained independently on both stands using three strategies: transposon mutagenesis with Tn5seql, synthetic oligonucleotide primers, and exonuclease III nested deletions (Figure The complete nucleotide sequence of the bca locus and derived amino acid sequence for a single, large open reading frame are shown in Figure 6.

The structural gene consists of 3063 nucleotides, encodes 1020 amino acids, and has a calculated molecular mass of 108,705 Da. There is a prokaryotic promoter consensus sequence (TATAAT) upstream (at -10) from the initiating codon (Doi, et al., Microbiol. Rev. 50:227-243 (1986)). There are no clear homologies in the -35 region assuming a spacing of 5-19 bases upstream from the -10 region (Hawley, et al., Nucleic Acids Res. 11:2237-2255 1I -63- (1983)). The probable ribosomal binding site flanking the 5' end of bca is AGGAGA (Shine, et al., Proc. Natl. Acad. Sci. USA 71:1342-1346 (1974); Gold, etal., Annu. Rev. Microbiol. 38:365-403 (1981)).

Downstream of the TAA termination codon are two regions with dyad symmetry that could function as transcription terminators (Brendel, et al., Nucleic Acids Res. 12:4411-4127 (1984)).

The derived amino acid sequence of the mature peptide of bca predicts a pK, of 4.49, which is close to the experimentally measured values for both the native and the cloned C protein alpha antigen. The alpha antigen contains 10 no cysteine and only a single methionine at the initiation codon. The alpha antigen is rich in proline (11% in the mature protein) but does not show the XPZ motif identified in the C protein beta antigen of GBS (Heden, et al., Eur. J. Immunol. 21:1481-1490 (1991); Jerlstrom, P.G. et al., Mol.

Microbiol. 5:843-849 (1991)) or the proline repeat motifs described in M protein of group A streptococci (Fischetti, et al., Mol. Microbiol.

4:1603-1605 (1990)).

Deduced Signal Sequence of bca and Homologies. As a cell surfaceassociated protein, alpha antigen may use a signal sequence to be exported from the cytoplasm. A BLAST search identified five Gram-positive surface proteins with homology to the first 41 amino acids of the alpha antigen (Figure 7A). Based on the pattern described for other Gram-positive signal sequences, it is likely that the first 41 amino acids of alpha antigen comprise a signal sequence (vonHeijne, Eur. J. Biochem. 133:17-21 (1983); vonHeijne, G.

et al., FEBS Lett. 244:439-446 (1989)). There is a high proportion of arginine and lysine residues near the N terminal, followed by a hydrophobic region, a serine at position 36, and a valine at position 41. Other possibilities are cleavages after valine at position 54 or either of the alanine residues at positions 55 and 56 that follow a serine at position 52. Assuming that the signal sequence is cleaved following amino acid 41, the mature protein would contain 979 amino acids with a molecular mass of 104,106 Da. This suggests that the signal sequence is encoded by 123 nucleotides, making up 4% of the -64gene, and has a molecular mass of 4616 Da. Further support for a signal sequence of this size comes from Western blots comparing the sizes of the native and cloned alpha antigens probed with the monoclonal antibody 4G8.

As shown in Figure 8, each of the steps of the alpha antigen protein ladder from clone pJMS23 is slightly larger than that of the native protein from GBS A909, which suggests that the signal sequence may not be processed in E. coli as it would be in the GBS. The size difference is about 4 kDa, which would correspond to a shorter (41 amino acids) rather than a larger (53-55 amino acids) signal sequence.in bca.

Analysis of the N Terminus of bca. Following the putative signal sequence, there is a region of 185 amino acids before the repeated sequences.

The N-terminal region contains 555 nucleotides, accounts for 18 of the gene, and encodes a polypeptide with a predicted molecular. mass of 20,417 Da. A computer search comparing the primary nucleotide sequence and the derived amino acid sequence in all six reading frames of the N terminus of bca with sequences in GenBank and Swiss-Prot using the BLAST network of programs found no homologies, thus suggesting that this region of the gene is unlike any o. previously sequenced or described nucleic acid .or amino acid sequence.

Repeating Unit Region of bca. Beginning at amino acid 679 of the DNA sequence, there are nine large tandem repeating units with identical nucleic acid and amino acid structures that encompass 74% of the gene. The size and repetitive nature of this region of bca are illustrated in Figure 9.

Each repeating unit consists of 246 nucleotides encoding 82 amino acids with a calculated molecular mass of 8665 Da. The entire repeat region contains 749 amino acids and consists of the nine identical repeating units and a partial repeating unit designated The calculated molecular mass of this region is 79,053 Da.

The determination of the beginning and end of the repeat is somewhat arbitrary. Here, the determination starts from the N terminus, beginning with the first codon that was in the open reading frame. If desired, the repeating units could also be defined as beginning out of frame or starting at the Cterminal side. BLAST computer searches for nucleic acid and derived amino acid homologies showed to significant matches for the repeat units. Therefore, these repeating units appear to be unique to the alpha antigen and are different in size and structure from those described for other streptococcal proteins (Heden, et al.Eur. J. Immunol. 21:1481-1490 (1991); Jerlstrom, P.G., et al., Mol. Microbiol. 5:843-849 (1991); Fischetti, et al., in Genetics and Molecular Diology of Streptococci, Lactococci, and Enterococci, Dunny et al. eds. Am. Soc. Microbiol., Washington (1991), pp. 290-294; Yother, J., et al., J. Bacteriol. 174:601-609 (1992)).

C-Terminal Anchor of bca and Homologies. Following the repeating units is a small C-terminal region containing 148 nucleotides and making up 4.4% of the gene. This region encodes 45 amino acids with a calculated molecular mass of 4672 Da. A BLAST search for amino acid homologies identified a class of Gram-positive surface proteins with a common membrane anchor motif (Figure 7B), including the M proteins of group A Streptococcus and IgG binding proteins from both group A and group G Streptococcus (Wren, Mol. Microbiol. 5:797-803 (1991)). The amino acid composition at the C terminus is characteristic of the peptide membrane anchor, including a hydrophilic stretch with lysine before the LPXTGE [SEQ ID NO: 2] motif (Figure 7B) (Fischetti, V.A. et al., Mol. Microbiol. 4:1603- S1605 (1990)). This is followed by a hydrophobic region with the consensus SPPFFXXAA [SEQ ID NO: where X designates a hydrophobic amino acid.

Finally, there is a hydrophilic tail ending in aspartic acid that presumably extends into the cytoplasm of the cell.

Analysis of the Nucleotide Sequence and the Deduced Alpha Antigen Protein.

Figure 9 illustrates four distinct regions within the open reading frame of bca as determined from the nucleotide and derived amino acid sequences.

A hydrophobicity plot of the amino acid sequence shows that the putative signal sequence has a short, hydrophilic N terminus, followed by a hydrophobic stretch, and ending in a hydrophilic region, whereas the Cpeptide membrane anchor has a hydrophobic wall-spanning domain and a small hydrophilic tail (Engelman, et al., Annu. Rev. Biophys. Biophys.

Chem. 15:321-353 (1986); Kyte, et al., J. Mol. Biol. 157:105-132 (1982)).

The native alpha antigen demonstrates a ladder of polypeptides at regularly repeating intervals that is also seen with the cloned gene product (Figure The size of the individual repeats in bca could code for a polypeptide of 8665 Da, which corresponds to the size differences in the protein ladder. To look at possible mechanisms generating protein heterogeneity, bca nucleotide and derived RNA and protein sequences were 10 surveyed. Analysis of the nucleotide sequence of bca failed to show codons within the repeat regions that could cause early termination of translation. In addition, the amino acid sequence of the repeat region was screened with the Genetics Computer Group program for potential sites for proteolytic cleavage.

A unique site within each repeat was sensitive to pH.2.5, represented by aspartic acid followed by proline. However, these sites were also found in the N terminus. Although the alpha antigen is relatively resistant to trypsin, there G .4 were numerous potential trypsin cleavage sites found in the sequence. Finally, modeling of RNA sequence and tertiary structure failed to identify regions within the repeats that might be involved with RNA-mediated self-cleavage.

20 Discussion o4 Two biological properties identified for the alpha antigen of GBS are the ability to resist opsomophagocytosis in the absence of specific antibody and the expression of epitopes that elicit protective antibodies (Madoff, L.C., et al., Infect. Immun. 59:2638-2644 (1991); Lancefield, et al., J. Exp.

Med. 142:165-179 (1975); Payne, et al., J. Infect. Dis. 151:672-681 (1985); Payne, et al., Infect. Immun. 55:1243-1251 (1987)). Analysis of the sequence of the alpha antigen shows four distinct structural domains.

The putative N-terminal signal sequence and the C-terminal membrane anchor support the hypothesis that the alpha antigen is a surface-associated membrane protein. These properties, along with the repeating unit motif, are shared by a number of Gram-positive proteins that are thought to be involved in the pathogenesis of bacterial infections (Fischetti, et al., in Genetics and Molecular Diology of Streptococci, Lactococci, and Enterococci, Dunny et al.

eds. Am. Soc. Microbiol., Washington (1991), pp. 290-294).

The alpha antigen sequence identified a region of large, identical, tandem repeats composing 74% of the gene and demonstrating no homology to previously described protein or nucleic acids sequences. However, a number of virulence-associated proteins contain multiple repetitive elements.

10 The M protein of group A Streptococcus, which is antiphagocytic, carries protective epitopes and displays variability in antigen size and presentation, o contains two extended tandem repeat regions and one nontandem repeat region occupying nearly two-thirds of the gene (Fischetti, et al., Rev. Infect.

Dis. S356-S359 (1988); Hollingshead, et al., J. Biol. Chem. 261:1677- 15 1686 (1986); Haanes, et al., J. Bacteriol. 171:6397-6408 (1989)). The individual repeats are smaller in M protein than in the alpha antigen and range Sfrom 21 to 81 base pairs. In addition, there is divergence between the repeating units at the ends of the repeat region, while those in the middle are nearly identical. Pneumococcal surface protein A contains a region containing 20 up to 10 repetitive segments of 20 amino acids each (Yother, J. et al., J.

Bacteriol. 174:601-609 (1992)). Both M protein and pneumococcal surface protein A demonstrate antigenic variability and changes in protein/gene size thought to be mediated by repetitive DNA sequences in their structural genes (Fischetti, et al., in Genetics and Molecular Diology of Streptococci, Lactococci, and Enterococci, Dunny et al. eds. Am. Soc. Microbiol., Washington (1991), pp. 290-294; Yother, et al., J. Bacteriol. 174:601-609 (1992); Haanes, et al., J. Bacteriol. 171:6397-6408 (1989)). Other Gram-positive genes with repetitive motifs include the glycotransferase genes from Streptococcus sobrinus and Streptococcus mutans (Ferretti, et al., J. Bacteriol. 169:4271-4278 (1987); Shiroza, et al., J. Bacteriol. 170:810- 816 (1988)). Immunodominant epitopes associated with repetitive sequences i.

II Y -68have been identified in a number of other pathogens including Rickettsia rickettsii, Trichomonas vaginalis, and Clostridium difficile (Dailey, D.C., et al., Infect. Immun.. 59:2083-2088 (1991); Anderson, et al., Infect.

Immun. 58:2760-2769 (1990); vonEichel-Streiber, et al., Gene 96:107-113 (1990)). The repeats found in alpha antigens are unique for three reasons: They are larger than those found for other Gram-positive surface proteins.

(ii) They are identical at the nucleic acid level and do not diverge. (iii) The size of protein encoded by the repeating units corresponds to the laddering seen in the native and cloned alpha antigens.

10 The findings of large tandem repeating units raises many questions o* about the genotypic and phenotypic variability of the alpha antigen. When probed on Western immunoblots with the 4G8 monoclonal antibody, both the .o native and the cloned alpha antigen display a regular ladder of proteins varying by about 8 kDa, and the size of the alpha antigen varies between strains 15 (Madoff, et al.Infect. Immun. 59:2638-2644 (1991)). Restriction endonuclease mapping of the original alpha antigen clone pJMS23 showed multiple Sty I fragments of about 270 base pairs (Michel, et al., Infect.

Immun. 59:2023-2028 (1991)). .Since strain A909 contains only one copy of bca it was proposed that these fragments may be responsible for the protein 20 heterogeneity. The nucleotide sequence confirms the repetitive nature of the gene but does not identify the mechanism of protein laddering.

Since multiple protein sizes are seen in both native and cloned backgrounds and since there is no evidence for a gene family, we postulate that laddering results from a mechanism common to both E. coli and GBS and/or is mediated by a property specific to the alpha antigen. Western blots on Tn5 transposon insertion mutations within the repeat region still show laddering, which demonstrates that the C terminus is not required for heterogeneity, suggesting that either the N-terminal or repeat region determines laddering.

Studies of the alpha antigen among GBS isolates using a monoclonal antibody showed that the maximum molecular size of the alpha antigen is

(I

-69constant for a given isolate but varies widely among different isolates (Madoff, et al., Infect. Immun. 59:2638-2644 (1991)). The tandem repeating units could provide convenient fixed recombination sites for deletion or duplication of the repeat region. Deletion would reduce the size of the gene and might occur during DNA replication by unequal crossover or mispaired template slippage, which would occur in frame (Harayama, et al., J.

Bacteriol 173:7540-7548 (1991)). Duplication of DNA could be a mechanism to amplify mutations within a repeat and create antigenic diversity. However, we have no evidence that the variation in the protein size of the alpha antigen 10 is accompanied by antigenic diversity and the expression of different protective or opsonic epitopes.

The nine complete tandem repeats in the alpha antigen from A909 are identical at the nucleic acid level, which demonstrates a highly conserved structure. This suggests that the duplication causing the repeats is a recent 15 event, that there are properties internal to the repeats that maintain their integrity, or that their structure is essential for the gene. Southern blots of genomic DNA from alpha antigen-bearing strains of GBS probed with alpha antigen-specific DNA show variability in gene size among strains. To look at the mechanism of genotypic diversity among strains, it will be necessary to 20 clone and sequence bca from other phenotypic variants and to determine the Sphylogenetic relationships among C protein-bearing strains of GBS (Michel, et al. in Genetics and Molecular Biology of Streptococci, Lactococci, andEnterococci, Dunny, et al. eds., Am. Soc. Microbiol., Washington (1991), pp. 214-218; Michel, et al., Infect. Immun. 59:2023-2028 (1991); Cleat, et al., Infect. Immun. 55:1151-1155 (1987); Heden, L.et al.Eur. J. Immunol. 21:1481-1490 (1991); Lindahl, et al., Eur. J.

Immunol. 20:2241-2247 (1990)).

Therefore, in summary, Western blots of both the native alpha antigen and the cloned gene product demonstrate a regularly laddered pattern of heterogeneous polypeptides. The nucleotide sequence of the bca locus reveals an open reading frame of 3060 nucleotides.encoding a precursor protein of 108,705 Da. Cleavage of a putative signal sequence of 41 amino acids yields a mature protein of 104,106 Da. The 20,417-Da N-terminal region of the alpha antigen shows no homology to previously described protein sequences and is followed by a series of nine tandem repeating units that make up 74% of the mature protein. Each repeating unit is identical and consists of 82 amino acids with a molecular mass of 8665 Da, which is encoded by 246 nucleotides. The size of the repeating units corresponds to the observed size differences in the heterogeneous ladder of alpha C proteins expressed by GBS.

The C-terminal region of the alpha antigen contains a membrane anchor 10 domain motif that is shared by a number of Gram-positive surface proteins.

The large region of identical repeating units in bca defines protective epitopes and its structure may be manipulated for the construction of protective vaccines that are directed to the.phenotypic and genotypic diversity of the alpha antigen.

15 Example A Vaccine Containing C Protein Alpha Antigen Functional Derivatives Having at Least One of the Native Repeating Units The above-described protective C protein alpha antigen functional derivatives (such as a protein moiety of N, C, N-C, R 2

R

3

R

4

R,,

R

8

R

9

N-R

3

N-R

4 N-Rs, N-R 6

N-R

7

N-R

9

R,-C,

R

3

R

4

R

5

R

6

R

7 Re-C, R 9

N-R

3

-C,

N-R

4

N-R

6 N-Rg-C, or may be prepared by recombinant means using recombinant methods similar to those described above for cloning and expressing the native group B Streptococcus alpha antigen and beta antigen in hosts such as E. coli. Any technique may be utilized to synthesize the desired alpha antigen functional derivative sequence, including those described above for the recombinant production of these proteins, and those described by Williams, et al., US 5,089,406 tL I -71- ("Method of Producing a Gene Cassette Coding for Polypeptides with Repeating Amino Acid Sequences," incorporated herein by reference) and by McPherson, ed., "Directed Mutagenesis, A Practical Approach", IRL Press, New York, 1991.

The recombinantly expressed, above-described protective C protein alpha antigen functional derivatives (such as a protein moiety of N, C, N-C,

R

1

R

2

R

3

R

4

R

5

R

6

R

7

R

8

R

9

N-R

1 N-R2, N-R 3

N-R

4 N-Rs, N-R6, N-R 7 N-R, N-R 9 Ri-C, R 2

R

3

R

4

R

5

R

6

R

7

R

8

R

9

N-R

1

-C,

N-R

2

N-R

3

N-R

4

N-R

5

N-R

6

N-R

7

N-R

8 or N-R 9 may be 10 purified, if necessary, from the recombinant host or medium using techniques known in the art and then tested for their potential in a conjugate vaccine. Each peptide species may be tested alone, or in combination with other peptides. To assess this potential, cellular extracts of E. coli containing recombinant plasmids are prepared as described above, S. 15 and used to immunize rabbits. The resulting antisera are tested in the mouse lethality model for their ability to protect mice from infection by the group B Streptococcus strain H36B. Strain H36B carries the C protein of group B Streptococcus. As a control, the ability of the antisera to protect the mice against infection by Streptococcus strain 515 (which does not carry the C protein) is determined.

A similar assay may be used to assess the conjugated form wherein the peptide is conjugated to a group B Streptococcus polysaccharide using the above described techniques known in the art. Preferably, this is a group B Streptococcus capsid polysaccharide. The conjugates are used to immunize rabbits. The resulting antisera are tested in the mouse lethality model for their ability to protect mice from infection by the group B Streptococcus strain H36B. Strain H36B carries the C protein of group B -72- Streptococcus. As a control, the ability of the antisera to protect the mice against infection by Streptococcus strain 515 (which does not carry the C protein) is determined.

Although the foregoing refers to particular preferred embodiments, it will be understood that the present invention is not so limited. It will occur to those ordinarily skilled in the art that various modifications may be made to the disclosed embodiments and that such modifications are intended to be within the scope of the present invention.

*o o .:o **o ,f o* e• SEQUENCE LISTING GENERAL INFORMATION: APPLICANTS: THE GENERAL HOSPITAL CORPORATION Fruit Street Boston, Massachusetts 02114 United States of America BRIGHAM AND WOMEN'S HOSPITAL Francis Street Boston, Massachusetts 02115 United States of America (ii) TITLE OF INVENTION: Conjugate Vaccine Against Group B Streptococcus (iii) NUMBER OF SEQUENCES: 29 (iv) CORRESPONDENCE ADDRESS: ADDRESSEE: Sterne, Kessler, Goldstein Fox STREET: 1100 New York Ave., Suite 600 CITY: Washington STATE: D.C.

COUNTRY: U.S.A.

ZIP: 20005 COMPUTER READABLE FORM: MEDIUM TYPE: Floppy disk COMPUTER: IBM PC compatible OPERATING SYSTEM: PC-DOS/MS-DOS SOFTWARE: PatentIn Release Version #1.25 (vi) CURRENT APPLICATION DATA: APPLICATION NUMBER: PCT/US93/10506 FILING DATE:. 02-NOV-1993

CLASSIFICATION:

(vii) PRIOR APPLICATION DATA: APPLICATION NUMBER: US 07/968,866 FILING DATE: 02-NOV-1992

CLASSIFICATION:

(viii) ATTORNEY/AGENT

INFORMATION:

S NAME: Cimbala, Michele A.

REGISTRATION NUMBER: 33,851 REFERENCE/DOCKET NUMBER: 0609.237PC01 (ix) TELECOMMUNICATION

INFORMATION:

TELEPHONE: (202) 371-2600 TELEFAX: (202) 371-2540 TELEX: 248636 SSK INFORMATION FOR SEQ ID NO:1: SEQUENCE CHARACTERISTICS: LENGTH: 8 amino acids TYPE: amino acid TOPOLOGY: both (ii) MOLECULE TYPE: peptide (xi) SEQUENCE DESCRIPTION: SEQ ID NO:1: Pro Pro Phe Phe Xaa Xaa Ala Ala 1 -74 INFORMATION FOR SEQ ID NO:2: SEQUENCE CHARACTERISTICS: LENGTH: 6 amino acids TYPE: amino acid TOPOLOGY: both (ii) MOLECULE TYPE: peptide (xi) SEQUENCE DESCRIPTION: SEQ ID NO:2: Leu Pro Xaa Thr Gly Glu 1 INFORMATION FOR SEQ ID NO:3: SEQUENCE

CHARACTERISTICS:

LENGTH: 15 base pairs TYPE: nucleic acid STRANDEDNESS: single TOPOLOGY: both (xi) SEQUENCE DESCRIPTION: SEQ ID NO:3: GATCCATTGT GCTGG INFORMATION FOR SEQ ID NO:4: SEQUENCE

CHARACTERISTICS:

LENGTH: 11 base pairs TYPE: nucleic acid STRANDEDNESS: single TOPOLOGY: both (xi) SEQUENCE DESCRIPTION: SEQ ID NO:4: 11 **1 GTAACACGAC

C

INFORMATION FOR SEQ ID o SEQUENCE CHARACTERISTICS: LENGTH: 12 base pairs TYPE: nucleic acid STRANDEDNESS: single TOPOLOGY: both (xi) SEQUENCE DESCRIPTION: SEQ ID 12 ACACGAGATT TC INFORMATION FOR SEQ ID NO:6: SEQUENCE CHARACTERISTICS: LENGTH: 57 base pairs TYPE: nucleic acid STRANDEDNESS: single TOPOLOGY: both (xi) SEQUENCE DESCRIPTION: SEQ ID NO:6: ATGACCATGA TTACGAATTC GAGCTCGCCC GGGGATCCAT TGTGCTGGAA AGCCACC 57 INFORMATION FOR SEQ ID NO:7: SEQUENCE CHARACTERISTICS: LENGTH: 16 base pairs TYPE: nucleic acid STRANDEDNESS: double f TOPOLOGY: both (xi) SEQUENCE DESCRIPTION: SEQ ID NO:7: GGATCCATTG TGCTGG 16 INFORMATION FOR SEQ ID NO:8: SEQUENCE CHARACTERISTICS: LENGTH: 32 base pairs TYPE: nucleic acid STRANDEDNESS: double TOPOLOGY: both (xi) SEQUENCE DESCRIPTION: SEQ ID NO:8: GGATCCATTG TGCTGGCCAG CACAATGGAT CC 32 INFORMATION FOR SEQ ID NO:9: o: SEQUENCE CHARACTERISTICS: LENGTH: 12 base pairs TYPE: nucleic acid o STRANDEDNESS: single TOPOLOGY: both (xi) SEQUENCE DESCRIPTION: SEQ ID NO:9: SGGATCCATTG TG 12 INFORMATION FOR SEQ ID SEQUENCE CHARACTERISTICS: LENGTH: 20 base pairs TYPE: nucleic acid STRANDEDNESS: double TOPOLOGY: both o• (xi) SEQUENCE DESCRIPTION: SEQ ID GGATCCATTG TGCTCTAAAG 0, INFORMATION FOR SEQ ID NO:11: SEQUENCE CHARACTERISTICS: LENGTH: 12 base pairs TYPE: nucleic acid STRANDEDNESS: double TOPOLOGY: both (xi) SEQUENCE DESCRIPTION: SEQ ID NO:11: CGAATTAATT CG 12 INFORMATION FOR SEQ ID NO:12: SEQUENCE CHARACTERISTICS: LENGTH: 13 base pairs TYPE: nucleic acid STRANDEDNESS: single TOPOLOGY: both (xi) SEQUENCE DESCRIPTION: SEQ ID NO:12: TCGAGCGGGC CCC 13 INFORMATION FOR SEQ ID NO:13: SEQUENCE CHARACTERISTICS: LENGTH: 15 base pairs TYPE: nucleic acid STRANDEDNESS: double TOPOLOGY: both (xi) SEQUENCE DESCRIPTION: SEQ ID NO:13: 1.

A I* 9 .9 9* t* *9 A 9 9. *r 9* AATTCGCGCC CGGGG 1

L

INFORMATION FOR SEQ ID NO:14: SEQUENCE CHARACTERISTICS: LENGTH: 1380 base pairs TYPE: nucleic acid STRANDEDNESS: single TOPOLOGY: linear (ix) FEATURE: NAME/KEY: CDS LOCATION: 79..1173 (ix) FEATURE: NAME/KEY: misc_feature LOCATION: 1004 OTHER INFORMATION: /note= "This feature is to signify that the nucleotide sequence from position 757 through 1003 is inserted at position 1004 and can be repeated up to eight times (for a total of nine repeating copies of these sequences within the polynucleotide)." (xi) SEQUENCE DESCRIPTION: SEQ ID NO:14: AGCATAGATA TTCTAATATT TGTTGTTTAA GCCTATAATT TACTCTGTAT AGAGTTATAC AGAGTAAAGG AGAATATT ATG TTT AGA AGG TCT AAA Met Phe Arg Arg Ser Lys 1 AAT AAC AGT TAT GAT Asn Asn Ser Tyr Asp ACT TCA CAG Thr Ser Gin GCA GCT TCT Ala Ala Ser ACG AAA CAA CGG TTT TCA ATT AAG AAG TTC AAG TTT GGT Thr Lys Gin Arg Phe Ile Lye Lys Phe Lys Phe Gly GTT ACA CAA Val Thr Gin GTA CTA ATT GGT Val Leu Ile Gly AGT TTT TTG GGT Ser Phe Leu Gly 111 159 207 255 303 351 GGT AAT CTT AAT ATT TTT Gly Asn Leu Asn Ile Phe GAG TCA ATA GTT Glu Ser Ile Val GCA TCT ACA ATT Ala Ser Thr Ile GGG AGT GCA GCG Gly Ser Ala Ala TTA AAT ACA Leu Asn Thr AGC ATC Ser Ile ACT AAA AAT ATA Thr Lys Asn Ile AAC GGA AAT GCT Asn Gly Asn Ala

TAC

Tyr ATA GAT TTA TAT Ile Asp Leu Tyr GTA AAA TTA GGT Val Lys Leu Gly AAA ATA Lys Ile GAT CCA TTA CAA TTA ATT GTT TTA GAA CAA GGT TTT ACA GCA AAG TAT Asp Pro Leu Gin Leu Ile Val Leu Glu Gin Gly Phe Thr Ala Lys Tyr 100 105 GTT TTT AGA Val Phe Arg 110 CAA GGT ACT AAA Gin Gly Thr Lys TAT GGG GAT GTT TCT CAG TTG CAG Tyr Gly Asp Val Ser Gln Leu Gin 120 AGT ACA GGA AGG GCT AGT CTT ACC TAT AAT ATA TTT GGT GAA GAT GGA 77 Asn Ser Thr Cly Arg Ala 125 Ser Leu Thr Tyr Phe Gly Glu Asp Gly 135 130 CTA CCA CAT GTA AAG ACT GAT GGA CAA ATT GAT 9999 9 *9e 9 '0' 9.

Wwo 0 9 99 9.

9 9 9999 9.

9 9 9 .9 9 .9 .9 .9 9 9 9 9'9.* Leu 140

TTA

Leu

AGA

Arg

GTT

Vai

AAG

Lye

GAG

Glu 220

ACA

Thr

CAA

Glu

ACA

Thr

GTA

Pro

ACT

Thr

ACG

Thr

TTA

Leu

ACG

Thr 205

AAA

Lys

GGA

Gly

ATC

Ile

GTT

Val

ACG

His

ATT

Ile

AAT

Asn

ACA

Thr 190

CAA

Gin

TTG

Leu

GGG

Gly

ACA

Thr

GTI

Val 270

GTP

Val

TAT

Tyr

GCA

Ala 175

GGA

Gly

ACA

Thr

TTA

Leu

GAA

Glu

GAC

Asp 255

GGT

Gly

GAA

Lys

GAT

Asp 160

AAC

Asn

TTA

Leu

CAT

Asp

GTA

Val

ACA

Thr 240

TTA

Leu

GAT

Asp

GT?

Thr T 145 TCA I Ser 1

CAT

Asp I

CAT

Asp ATT 4 Ile

TTG

Leu 225

ACA

Thr

CTT

Vai

CGT

Arg

ACC

Thr 3 ACA L Thr 305

GCT

3 Ala

D

3 AAT i Asn isp G ~CA A 'hr I

'CT

Pro I CA 2 Thr 3AT Asp 210

TCA

Ser

GTA

Val

AAC

Lys

CCA

Pro

TAT

Tyr 290

CCA

Pro

CAC

Gin

OCA

Ala ;ly

ICC

Ihr

AG

kTT lie L95

AGT

Ser

GTA

Val

CCC

Pro

ATT

Ile

CAT

Asp 275

CCA

Pro

AAA

Lye CA7 Glr

AC'

Th Gin

TTC

Leu

TGG

Trp 180

AAC

Lys

AAA

Lys

CCC

Pro

CAA

Gin

CCA

Pro 260

ACT

Thr

CAT

Asp

CCA

Pro

GT(

i Val r CC) r Prc 3:4 A TTJ Ile A 1 AGG G Arg A 165 ACG G Thr G ACA G Thr A ATT C Ile I GAT 2 Asp

GGG

Cly 245

CAT

Asp

AAC

Asn

OGA

Gly

GTA

Val

AAC

Asn 325 k TTC D Phe !i TCT sp 50

AT

Sp

AA

lu

;AT

isp

TT

lal

%AA

30 230 ATA CTT A Ile Val S AAG ATT C Lys Ile GAA AGT Clu Ser 2 ATT CAT Ile Asp 200 GAG GTT Glu Val 215 GAT AAA Asp Lys Val Thr Val Giu Val 285

ACA

rhr

GGC

Gly

GTT

Val

ACA

Thr

CCG

Pro 310

CGT

Cly

TTT

Phe

CTT

Val CCA I Pro

TCA

Ser

CCT

Pro

AAC

Lye 295

GAT

Asp

AAA

Lys

AAT

Asn

TCT

GTT

Val

AAA

Lys

GGA

Gly 280

CAT

Asp

AAA

Lye

GGA

Gly

CTT

Val

AAC

GCT CTT CCT er Val Ala 155 :AA GAA CTT flu Clu Val 170 CGT ACT GAG %rg Thr Clu AAT AAT CCT Asn Asn Pro AAT GAA TTA Asn Glu Leu TAT CAT CCA Tyr Asp Pro 235 TCA CAT AAA Ser Asp Lys 250 GGG GTT CCC Cly Val Pro 265 CAT CAT AAA Asp His Lys ACA CTA CAA Thr Val Glu CAT AAA TAT Asp Lys'Tyr 315 AAT AAA CTA Asn Lys Leu 330 CCA OCT TTC Ala Ala Leu 345 AAA AAA GAG Lys Lys Glu 543 591 639 687 735 783 831 879 927 975 1023 1071 1119 1167

GTA

Val 300

GAT

Asp

CCA

Pro

ACG

Thr

CCA

Pro

CCA

Ala

GTT

Val

ACA

Thr

ACA

Thr

CAT

His

GGT

Gly

GGT

Cly 335 ACA ATT ATA TCA TCA Thr Ile Ile Ser Ser 350 CTT GGT TT Val Gly Leu Leu Ser 355 Ser Lys 360 CAT TAATCTTTTC ACCTAAAATC TCACTAAATT TTTCACCATT TATTGGTGTG Asp 365 AACACATTAA TAAACTTATG CATCTCTCTC CAACAAAATT AATTAAACTG TTTCAATTTT TCCAGATTAA TTCTTGAAAA AAGCCTATCC ACATTATTAA TTTCCATAGG CTTTTCATTT TGTGTAAGCG TCCAATATAC CTTCTTATTG GACGCTTACT 1220 1280 1340 1380 1, -78- INFORMATION FOR SEQ ID SEQUENCE CHARACTERISTICS: (A)LENGTH: 364 amino acids TYPE: amino acid TOPOLOGY: linear (ii) MOLECULE TYPE: protein (ix) FEATURE: NAME/KEY: misc feature LOCATION: 310 OTHER INFORMATION: /note= "This feature indicates that the amino acid sequence from position 227 through 309 is inserted at position 310 and may repeat up to eight times (for a total of nine repeating copies of these sequences within the polypeptide) (xi) SEQUENCE Met Phe Arg Arg Ser 1 5 DESCRIPTION: SEQ ID Lys .Asn Asn Ser Tyr 10 NO: Asp Thr Ser Gin Thr Lys 49 9 9 99 9 99 99 9 9 9~ 9 9 99* 99 9 9.

9.

9999 99 99 99 9 .9 9 9 99 *9.9 .9.9 99 99 9. 9 9 99 9 9~,9~ 9 Gin Ile Phe Leu 35 Phe Giu Giu Ser Ile Val Ala Thr 65 Ile Ile Thr Ser.

Thr 145 Ser Asp Asp Leu Asp Val Lys Leu 130 Asp Thr Pro Thr Asn Leu Leu Tyr 115 Thr Gly Thr Lys Ile 195 Thr Tyr Glu 100 Tyr Tyr Gin Leu Trp 180 Lys Ser Asp 85 Gin Gly Asn Ile Arg 165 Thr Thr Ile 70 Val Gly Asp Ile Asp 150 Asp Glu Asp S5 rhr Lys Phe Val Phe 135 Ile Lys Giu I le Phe I Gly 40 Ala Lys Leu Thr Ser 120 Gly Val Ile Ser Asp 200 Phe Thr Ala Asn Ser Thr Ile Pro Gly Ser Ala Ala.

Leu Leu Ile Asn Gly Ala 105 Gin Glu Ser Giu Arg 185 Asn Ile Lys 90 Lys Leu Asp Val Glu 170 Thr Asn Gin 75 Ilie Tyr Gin Gly Ala 155 Val Glu Pro Asn Gly Asp Pro Val Phe Ser Thr 125 Leu Pro 140 Leu Thr Arg Thr Val Leu Lys Thr 205 Giu Lys 220 Thr Gly Asn Leu Arg 110 Gly His Ile Asn Thr 190 Gin Leu Gly Ala Gin Gin Arg Val Tyr Ala 175 Gly Thr Leu Glu Tyr Leu Gly Ala Lys Asp 160 Asn Leu Asp Val Thr 240 Ile Asp 210 Ser Lys Ile Val Giu Val Asn Giu Leu Leu Ser Val Pro Asp Lys Asp Lys Tyr Asp Prc 225 230 23E Thr Val Pro Gin Thr Pro Val Ser Lys Giu Ile Thr Asp Leu 255 Val Lys Ile Pro Asp Gly Ser Lys Gly Val 260 265 Pro Thr Val Val Gly Asp 270 C. 79 Arg Pro Asp Thr Asn Val Pro Gly Asp His Lys Val Thr Val Glu Val 275 280 285 Thr Tyr Pro Asp Gly Thr Lys Asp Thr Val Glu Val Thr Val His Val 290 295 300 Thr Pro Lys Pro Val Pro Asp Lys Asp Lys Tyr Asp Pro Thr Gly Lys 305 310 315 320 Ala Gin Gin Val Asn Gly Lys Gly Asn Lys Leu Pro Ala Thr Gly Glu 325 330 335 Asn Ala Thr Pro Phe Phe Asn Val Ala Ala Leu Thr Ile Ile Ser Ser 340 345 350 Val Gly Leu Leu Ser Val Ser Lys Lys Lys Glu Asp 355 360 INFORMATION FOR SEQ ID NO:16: SEQUENCE CHARACTERISTICS: S. LENGTH: 56 amino acids TYPE: amino acid TOPOLOGY: both (ii) MOLECULE TYPE: peptide o** (xi) SEQUENCE DESCRIPTION: SEQ ID NO:16: Met Phe Arg Arg Ser Lys Asn Asn Ser Tyr Asp Thr Ser Gin Thr Lys 1 5 10 S* Gin Arg Phe Ser Ile Lys Lys Phe Lys Phe Gly Ala Ala Ser Val Leu 25 Ile Gly Leu Ser Phe Leu Gly Gly Val Thr Gin Gly Asn Leu Asn Ile S 35 40 Phe Glu Glu Ser Ile Val Ala Ala S(2) INFORMATION FOR SEQ ID NO:17: SEQUENCE CHARACTERISTICS: LENGTH: 37 amino acids TYPE: amino acid TOPOLOGY: both (ii) MOLECULE TYPE: peptide (xi) SEQUENCE DESCRIPTION: SEQ ID NO:17: Met Phe Lys Ser Asn Tyr Glu Arg Lys Met Arg Tyr Ser Ile Arg Lys 1 5 10 Phe Ser Val Gly Val Ala Ser Val Ala Val Arg Ser Leu Phe Met Gly 25 Ser Val Ala His Ala INFORMATION FOR SEQ ID NO:18: SEQUENCE CHARACTERISTICS: LENGTH: 41 amino acids TYPE: amino acid TOPOLOGY: both 1' (ii) MOLECULE TYPE: peptide (xi) SEQUENCE DESCRIPTION: SEQ ID NO:18: Met Ala Arg Gin Gin Thr Lys Lys Asn Tyr Ser Leu Arg Lys Leu Lys 1 5 10 Thr Gly Thr Ala Ser Val Ala Val Ala Leu Thr Val Leu Gly Ala Gly 25 Phe Ala Asn Gln Thr Glu Val Arg Ala INFORMATION FOR SEQ ID NO:19: SEQUENCE CHARACTERISTICS: LENGTH: 42 amino acids TYPE: amino acid TOPOLOGY: both (ii) MOLECULE TYPE: peptide (xi) SEQUENCE DESCRIPTION: SEQ ID NO:19: Met Thr Lys Asn Asn Thr Asn Arg His Tyr Ser Leu Arg Lys Leu Lys 1 5 10 Thr Gly Thr Ala Ser Val Ala Val Ala Leu Thr Val Leu Gly Ala Gly 25 Leu Val Val Asn Thr Asn Glu Val Ser Ala INFORMATION FOR SEQ ID SEQUENCE CHARACTERISTICS: LENGTH: 41 amino acids TYPE: amino acid TOPOLOGY: both (ii) MOLECULE TYPE: peptide (xi) SEQUENCE DESCRIPTION: SEQ ID Met Ala Lys Asn Asn Thr Asn Arg His Tyr Ser Leu Arg Lys Leu Lys 1 5 10 Thr Gly Thr Ala Ser Val Ala Val Ala Leu Thr Val Leu Gly Ala Gly 25 Phe Ala Asn Gin Thr Glu Val Lys Ala INFORMATION FOR SEQ ID NO:21: SEQUENCE CHARACTERISTICS: LENGTH: 50 amino acids TYPE: amino acid TOPOLOGY: both (ii) MOLECULE TYPE: peptide (xi) SEQUENCE DESCRIPTION: SEQ ID NO:21: 81 Met Ala Lys Asn Asn Thr Asn Arg His Tyr Ser Leu Arg Lys Leu Lys 1 5 10 Thr Gly Thr Ala Ser Val Ala Val Ala Leu Thr Val Leu Gly Ala Gly 25 Phe Ala Asn Gln Thr Glu Val Lys Ala Asn Gly Asp Gly Asn Pro Arg 40 Glu Val INFORMATION FOR SEQ ID NO:22: SEQUENCE CHARACTERISTICS: LENGTH: 45 amino acids TYPE: amino acid TOPOLOGY: both (ii) MOLECULE TYPE: peptide (xi) SEQUENCE DESCRIPTION: SEQ ID NO:22: Lys Ala Gln Gln Val Asn Gly Lys Gly Asn Lys Leu Pro Ala Thr Gly S1 5 10 Glu Asn Ala Thr Pro Phe Phe Asn Val Ala Ala Leu Thr Ile Ile Ser 25 Ser Val Gly Leu Leu Ser Val Ser Lys Lys Lys Glu Asp 40 INFORMATION FOR SEQ ID NO:23: SEQUENCE CHARACTERISTICS: LENGTH: 46 amino acids TYPE: amino acid .o TOPOLOGY: both (ii) MOLECULE TYPE: peptide (xi) SEQUENCE DESCRIPTION: SEQ ID NO:23: Asn Lys Ala Pro Met Lys Glu Thr Lys Arg Gln Leu Pro Tyr Thr.Gly 1 5 10 Val Thr Ala Asn Pro Phe Phe Thr Ala Ala Ala Leu Thr Val Met Ala 25 Thr Ala Gly Val Ala Ala Val Val Lys Arg Lys Glu Glu Asn 40 INFORMATION FOR SEQ ID NO:24: SEQUENCE CHARACTERISTICS: LENGTH: 45 amino acids TYPE: amino acid TOPOLOGY: both (ii) MOLECULE TYPE: peptide (xi) SEQUENCE DESCRIPTION: SEQ ID NO:24: Arg Pro. Ser Gln Asn Lys Gly Met Arg Ser Gln Leu Pro Ser Thr Gly 1 5 10 Glu Ala Ala Asn Pro Phe Phe Thr Ala Ala Ala Ala Thr Val Met Val 25 82 Ser Ala Gly Met Leu Ala Leu Lys Arg Lys Glu Glu Asn 40 INFORMATION FOR SEQ ID SEQUENCE CHARACTERISTICS: LENGTH: 46 amino acids TYPE: amino acid TOPOLOGY: both (ii) MOLECULE TYPE: peptide (xi) SEQUENCE DESCRIPTION: SEQ ID Ala Lys Lys Glu Asp Ala Lys Lys Ala Glu Thr Leu Pro Thr Thr Gly 1 5 10 Glu Gly Ser Asn Pro Phe Phe Thr Ala Ala Ala Leu Ala Val Met Ala 25 Gly Ala Gly Ala Leu Ala Val Ala Ser Lys Arg Lys Glu Asp 40 INFORMATION FOR SEQ ID NO:26: SEQUENCE CHARACTERISTICS: LENGTH: 46 amino acids TYPE: amino acid TOPOLOGY: both (ii) MOLECULE TYPE: peptide (xi) SEQUENCE DESCRIPTION: SEQ ID NO:26: Ala Lys Lys Asp Asp Ala Lys Lys Ala Glu Thr Leu Pro Thr Thr Gly 1 5 10 Glu Gly Ser Asn Pro Phe Phe Thr Ala Ala Ala Leu Ala Val Met Ala 20 25 Gly Ala Gly Ala Leu Ala Val Ala Ser Lys Arg Lys Glu Asp S. 35 40 INFORMATION FOR SEQ ID NO:27: SEQUENCE CHARACTERISTICS: LENGTH: 45 amino acids TYPE: amino acid TOPOLOGY: both (ii) MOLECULE TYPE: peptide (xi) SEQUENCE DESCRIPTION: SEQ ID NO:27: Ser Arg Ser Ala Met Thr Gln Gin Lys Arg Thr Leu Pro Ser Thr Gly 1 5 10 Glu Thr Ala Asn Pro Phe Phe Thr Ala Ala Ala Ala Thr Val Met Val 25 Ser Ala Gly Met Leu Ala Leu Lys Arg Lys Glu Glu Asn 40 INFORMATION FOR SEQ ID NO:28: SEQUENCE CHARACTERISTICS: LENGTH: 34 amino acids TYPE: amino acid 83 TOPOLOGY: both (ii) MOLECULE TYPE: peptide (xi) SEQUENCE DESCRIPTION: SEQ ID NO:28: Asn Lys Ala Pro Met Lys Glu Thr Lys Arg Gin Leu Pro Ser Thr Gly 1 5 10 Glu Thr Ala Asn Pro Phe Phe Thr Ala Ala Ala Leu Thr Val Met Ala 25 Ala Ala INFORMATION FOR SEQ ID NO:29: SEQUENCE CHARACTERISTICS: LENGTH: 44 amino acids TYPE: amino acid S* TOPOLOGY: both (ii) MOLECULE TYPE: peptide (xi) SEQUENCE DESCRIPTION: SEQ ID NO:29: SLys Gly Asn Pro Thr Ser Thr Thr Glu Lys Lys Leu Pro Tyr Thr Gly 1 5 10 Val Ala Ser Asn Leu Val Leu Glu Ile Met Gly Leu Leu Gly Leu Ile 25 Gly Thr Ser Phe Ile Ala Met Lys Arg Arg Lys Ser j* INDICATrIONS REL1ATlING TO A DEPOSITEI) MICROORGANISM (PCT Rule 13bis) A. The indications made below relate to the microorganism referred to in the description on page 3 line 2nl B. IDENTIFICATION OF DEPOSIT Further deposits are identified on an additional sheet E Name of depositary institution .AMERICAN TYPE CULTURE COLLECTION Address of depositary institution (including postal code and country) 12301 Parkiawn Drive Rockville, Maryland 20852 United States of.America Date of deposit Accession Number ST~tpmhp'r 1gF89 40659 C. ADDITIONAL INDICATIONS (leavye blank if not applicable) This information is continued on an additional sheet[J Plasmid DNA, pJMS 1 D. DESIGNATED STATES FOR WHICH INDICATIONS ARE M1ADE (i e indications arenofor all desgntedStats) E. SEPARATE FURNISHING OF INDICATIONS (leave blank if not applicable) The indications listed below will be submitted to the Internat ionalI Bureau later (specify thicgeneral nature of the indications 'Accession Number of Deposits) P For receiving Office use only This sheet was received with the international application For international Bureau use only []This sheet was received by the International Bureau on: Authorized officer -6 0 8 INDICATIONS RELATING TO A DEPOSITED

MICROORGANISM

(PCT Rule l3bis) A- The indications made below relate to the mniaoorganism referred to in the description on page 3 ,line B. IDENTIFICATION OF DEPOSIT Further deposits are ide Name of depositary institution :ntified on an additional sheet -I

S

AMERICAN TYPE CULTURE COLLECTION Address of depositary institution (including postal code and country) 12301 Parkiawn Drive United.States of America C. ADDITIONAL INDICATIONS (leave blank if not applicabl e) This information is eontinued on an additional sheet L Plasmid DNA, pJMS23 D. DESIGNATED STATES FOR WHICH INDICATIONS ARE MADE (ifth idicati ons are not for all designaled Stats) S E. SEPARATE FURNISHING OF INDIICATIONS (leave blank if not applicable) The indications listed below will be submitted to the International [3urea u la ter (spccifytie generalnature of the indications 'Accession Number of Deposif') For receiving Office use only 2 This sheet was received with the international application Authorize 7 I Form 1'CF/R /134 (J uly 199.2) For international Bureau use only LIThis sheet was received by the International Bureau on: 1Autjorizcd tfficer

Claims (9)

1. A method for preventing or attenuating an infection caused by a group B Streptococcus which comprises administering to an individual suspected of being at risk for such an infection an effective amount of a conjugate vaccine capable of conferring host immunity to said infection, said vaccine comprising: a group B Streptococcus polysaccharide conjugated to at least one functional C protein alpha antigen derivative as hereinbefore defined, wherein said at least one derivative is capable of eliciting protective antibodies against said group B Streptococcus, wherein said at least one C protein alpha antigen derivative is selected from the group consisting of N, C, N-C, R 1 R 2 R 3 R 4 R 5 R 6 R 7 Re, R 9 R 9 N-R1, N-R 2 N-R 3 N-R4, N-R 5 N-Re, N-R 7 N-R 8 N-R 9 N-R 9 R-C, R 2 R 3 R 4 R 5 R 6 R 7 R 8 R 9 and R 9 wherein "N" is the 5' amino acid flanking sequence that is found in the sequence shown on Figures 6A- 6C (SEQ ID NO: 15), with or without the signal sequence, is S* the 48 amino acid C-terminal anchor sequence as shown on Figure 6, is a one copy of the 82 amino acid repeat that begins at amino acid 227 of the i sequence of Figures 6A-6C (SEQ ID NO: 15), and "Rx" is number of tandem copies of this repeat, tandemly joined at the carboxyl end of one R unit to the amino terminal end of the adjoining R unit, and 9' represents the sequence of amino acids 227-975 as shown in Figures 6A-6C (SEQ ID NO: T

2. A method for preventing or attenuating infection caused by a group B Streptococcus which comprises administering to a female an effective amount of a conjugate vaccine capable of conferring immunity to said infection to an unborn potential or existing offspring of said female, said vaccine comprising: unborn potential or existing offspring of said female, said vaccine comprising: 12/05/00 87 a group B Streptococcus polysaccharide conjugated to at least one functional C protein alpha antigen derivative as hereinbefore defined, wherein said at least one derivative is capable of eliciting protective antibodies against said group B Streptococcus, wherein said at least one C protein alpha antigen derivative is selected from the group consisting of N, C, N-C, R 2 R 3 R 4 R 5 R 6 R 7 R 8 R 9 R 9 g, N-R 1 N-R 2 N-R 3 N-R 4 N-R 5 N-R 6 N-R 7 N-R 8 N-R9, N-R 9 RI-C, R 2 R 3 R 4 R 5 R 6 R 7 Re-C, R 9 and R 9 wherein "N" is the 5' amino acid flanking sequence that is found in the sequence shown on Figures 6A- 6C (SEQ ID NO: 15), with or without the signal sequence, is the 48 amino acid C-terminal anchor sequence as shown on Figure 6, is one copy of the 82 amino acid repeat that begins at amino acid 227 of the sequence of Figures 6A-6C (SEQ ID NO: 15), and "Rx" is number of tandem copies of this repeat, tandemly joined at the carboxyl end of one R unit to the amino terminal end of the adjoining R unit, and 9' represents the S, sequence of amino acids 227-975 as shown in Figures 6A-6C (SEQ ID NO:

3. A method for preventing or attenuating an infection caused by a group B Streptococcus which comprises administering to an individual suspected of Sbeing at risk for such an infection an effective amount of an antisera elicited from the exposure of a second individual to a conjugate vaccine capable of conferring host immunity to said infection, said vaccine comprising: a group B Streptococcus polysaccharide conjugated to at least one functional C protein alpha antigen derivative as hereinbefore defined, wherein said at least one derivative is capable of eliciting protective antibodies against said group B Streptococcus, wherein said at least one C protein alpha antigen derivative is Sselected from the group consisting of N, C, N-C, RI, R 2 R 3 R

4 R

5 R

6 R

7 Rs, 12/05/00 88 R 9 R 9 N-R 1 N-R 2 N-R 3 N-R 4 N-R s N-R 6 N-R 7 N-R

8 N-R9, N-R

9 R 1 R 2 C, R 3 R 4 R 5 R 6 R 7 RB-C, R 9 and R 9 wherein is the amino acid flanking sequence that is found in the sequence shown on Figures 6A- 6C (SEQ ID NO: 15), with or without the signal sequence, is the 48 amino acid C-terminal anchor sequence as shown on Figure 6, is one copy of the 82 amino acid repeat that begins at amino acid 227 of the sequence of Figures 6A-6C (SEQ ID NO: 15), and "Rx" is number of tandem copies of this repeat, tandemly joined at the carboxyl end of one R unit to the amino terminal end of the adjoining R unit, and 9- represents the sequence of amino acids 227-975 as shown in Figures 6A-6C (SEQ ID NO: Dated this 12th day of May 2000 THE GENERAL HOSPITAL CORPORATION and BRIGHAM AND WOMEN'S HOSPITAL *0 Patent Attorneys for the Applicants PETER MAXWELL ASSOCIATES 9 e* 0 12/05/00