US20140286981A1 - Broadly reactive mosaic peptide for influenza vaccine - Google Patents
Broadly reactive mosaic peptide for influenza vaccine Download PDFInfo
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- US20140286981A1 US20140286981A1 US14/207,123 US201414207123A US2014286981A1 US 20140286981 A1 US20140286981 A1 US 20140286981A1 US 201414207123 A US201414207123 A US 201414207123A US 2014286981 A1 US2014286981 A1 US 2014286981A1
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Definitions
- Influenza viruses are a significant health concern for animals and humans.
- the World Health Organization (WHO) estimates that every year influenza virus infects up to 1 billion people, with 3-5 million cases of severe disease and 300,000-500,000 deaths annually (Meltzer et al., 1999).
- the traditional approach to controlling influenza A virus is based on diagnosis, treatment and prevention through vaccination.
- Each of these approaches has flaws (e.g., antiviral resistance, incomplete protection, and improper vaccine distribution), e.g., treating every case with antiviral drugs is not a viable option because it is often ineffective and leads to viral resistance.
- HPAI Highly pathogenic avian influenza
- H5N1 viruses have spread as far as Eurasia and Africa since their first emergence in 1996. These viruses infect a range of domestic and wild avian species as well as mammals (Pollack et al., 1998; Lazzari and Stohr, 2004), and pose a pandemic threat (Allen, 2006; Anonymous, 2005; Conly and Johmston, 2004).
- INV inactivated vaccines
- Live vaccines elicit both humoral and cellular immune responses. However, they are not recommended in infants, elderly, or immuno-compromised individuals because they can cause pathogenic reactions (Jefferson et al., 2005; Kunisaki and Janoff, 2009; Mostow et al., 1969; Peck, 1968). Moreover, live vaccines can revert to wild-type viruses, potentially leading to vaccine failure and disease outbreaks (Mostow et al., 1979).
- H5N1 viruses Multiple approaches have been studied to develop a universal influenza vaccine that could be applied to H5N1 viruses.
- One approach is to use conserved sequences such as the stalk region of HA or the internal NP or M1 proteins.
- Another approach involves consensus sequences that combine many H5N1 hemagglutinin sequences into a single gene. Of these approaches, only the consensus approach has shown partial protection against a diverse panel of H5N1 isolates. Nevertheless, a broadly effective strategy for H5N1, or other pandemic viruses, control remains elusive.
- a mosaic influenza virus sequence is generated in silico from natural sequences with an emphasis on current strains and is optimized for maximum T cell epitope coverage (e.g., maintaining contiguous epitope sequences) rather than on consensus residues.
- MVA modified vaccinia Ankara
- H5M mosaic H5 HA gene
- the invention thus provides a universal influenza vaccine with a mosaic (synthetic) antigen.
- the invention provides an isolated polynucleotide comprising a nucleic acid segment for an influenza virus HA having SEQ ID NO:1 or a polypeptide having at least 95%, e.g., at least 99%, amino acid sequence identity thereto, an influenza virus HA having SEQ ID NO:2 or a polypeptide having at least 95%, e.g., at least 99%, amino acid sequence identity thereto, an influenza virus HA having SEQ ID NO:3 or a polypeptide having at least 95%, e.g., at least 99%, amino acid sequence identity thereto, an influenza virus HA having SEQ ID NO:4 or a polypeptide having at least 95%, e.g., at least 99%, amino acid sequence identity thereto, an influenza virus HA having SEQ ID NO:5 or a polypeptide having at least 95%, e.g., at least 99%, amino acid sequence identity there
- nucleic acid segment is operably linked to a promoter and/or a transcription termination sequence.
- influenza HA subtype and NA subtype sequences were compiled.
- a sequence for a mosaic H5 antigen was generated in silico using over two thousand published influenza virus H5 sequences from the Influenza Research Database that represent (nonduplicated) sequences of primary isolates and/or circulating isolates.
- the sequences represent circulating viruses from clades 1, 2.1.3, 2.2, 2.2.1, 2.3.2, 2.3.4 and/or 7, or from clades 0 1, 2.1.1, 2.1.2, 2.1.3, 2.2, 2.2.1, 2.3.1, 2.3.2, 2.3.3 2.3.4, 2.4, 2.6, 3, 4, 5, 6, 7, 8 and/or 9.
- the efficacy of one of the generated sequences was tested in a highly pathogenic avian influenza (HPAI) model in mice using a recombinant poxvirus (the attenuated MVA vector).
- HPAI highly pathogenic avian influenza
- the mosaic H5 (H5M) sequence was found to be quite effective and provided broad protection against viruses from different clades, including protection against Clade 0, Clade 1, and Clade 2 viruses.
- a mosaic influenza virus antigen may be employed as a vaccine that is administered as isolated protein, isolated nucleic acid or via a delivery vehicle, including a viral vector or virus like particle.
- the viral vector may be a heterologous viral vector, e.g., a vector from poxvirus, avipoxviruses such as fowlpox (FPV) or canarypox viruses, Newcastle Disease virus, adenovirus, alphaviruses, or other viruses, or an influenza virus such as a live attenuated influenza virus.
- the present invention thus relates to new influenza vaccine constructs, and methods of making and using those constructs.
- a genetic algorithm is employed to generate, select and recombine in silico potential T-cell epitopes and/or B-cell epitopes, into “mosaic” protein sequences that are antigenic and can provide greater coverage of global viral variants than any single wild-type protein.
- T-cell epitopes are generally from about 8 to about 15 amino acid residues in length
- B cell epitopes are generally from about 12 up to about 35 amino acid residues in length.
- the combination of epitopes in a full length mosaic HA or NA sequence may be employed in nucleic acid vectors for administration or for protein expression, or a fragment of the sequence which is immunogenic may also be employed.
- an “immunogenic portion” of a full length sequence may be as few as 8 amino acids in length and up to one or more residues shorter than a full length polypeptide, e.g., a full length HA-1.
- an immunogenic portion of a polypeptide is a polypeptide that is about 50%, 60%, 70%, 80%, 85%, 90%, 95% or 99% of the length of a corresponding full length polypeptide, such as a full length HA or HA-1, or NA, and elicits an immunogenic response that is at least 30%, 40%, 50%, or more, of the immunogenic response of the corresponding full-length polypeptide.
- mosaic sequences may include characteristic residues at one or more positions, and in one embodiment, immunogenic portions of the mosaic sequences also have those characteristic residue(s).
- the genetic algorithm based approach to mosaic sequence generation has been employed with other HA A subtypes, e.g., H1, H3, H7, H9, and H10, HA B, and other influenza virus proteins, e.g., NA subtypes N1, N2 and N7. Because the approach incorporates a plurality of influenza epitopes into a mosaic sequence, the resulting sequences are likely useful in a subtype specific universal influenza vaccine that can provide both domesticated animals and humans, and/or avians, the maximum possible protection against this devastating respiratory disease.
- the invention provides a composition
- a composition comprising a recombinant nucleic acid molecule having a nucleotide sequence, e.g., in a viral vector such as live recombinant poxvirus, that encodes a mosaic influenza virus antigen as described herein.
- the viral vector genome comprises at least one expression cassette having a promoter operably linked to a heterologous open reading frame comprising the nucleotide sequence that elicits neutralizing antibodies and/or a cytotoxic T cell response.
- the composition includes more than one nucleotide sequence, each encoding a different antigen, at least one of which is a mosaic antigen, e.g., a mosaic HA or NA polypeptide.
- the composition may include more than one live recombinant poxvirus, e.g., different isolates having different antigens or one virus encoding more than one influenza virus antigen.
- the antigen(s) is expressed in an amount effective to induce an immune response.
- a live recombinant virus may be obtained from a culture of isolated mammalian cells transfected or transformed with a recombinant virus genome comprising the at least one expression cassette.
- Any cell e.g., any avian or mammalian cell, such as a human, canine, bovine, equine, feline, swine, ovine, mink, or non-human primate cell, including mutant cells, which supports efficient replication of virus can be employed to isolate and/or propagate the viruses.
- host cells are continuous mammalian or avian cell lines or cell strains.
- Viral vectors useful in the invention include but are not limited to recombinant adenovirus, retrovirus, lentivirus, herpesvirus, poxvirus, papilloma virus, or adeno-associated virus.
- Viral and non-viral vectors may be present in liposomes, e.g., neutral or cationic liposomes, such as DOSPA/DOPE, DOGS/DOPE or DMRIE/DOPE liposomes, and/or associated with other molecules such as DNA-anti-DNA antibody-cationic lipid (DOTMA/DOPE) complexes.
- neutral or cationic liposomes such as DOSPA/DOPE, DOGS/DOPE or DMRIE/DOPE liposomes
- DOTMA/DOPE DNA-anti-DNA antibody-cationic lipid
- the recombinant nucleic acid, viral vector or mosaic protein of the invention may be administered via any route including, but not limited to, intramuscular, subcutaneous, intranasal, buccal, rectal, intravenous or intracoronary administration, and transfer to host cells may be enhanced using electroporation and/or iontophoresis.
- PFU plaque forming units
- TCID 50 e.g., from 1 ⁇ 10 4 to 1 ⁇ 10 8 PFU or TCID 50
- each dose may include from 1 ⁇ 10 4 to 1 ⁇ 10 8 PFU or TCID 50 , e.g., from 1 ⁇ 10 4
- each dose may have the same number of PFU or TCID 50 , or the booster dose(s) may have higher or lower amounts relative to the initial (priming) dose.
- the priming dose and/or booster dose(s) may include an adjuvant.
- the vector used for prime and boost may be different. For example, a pox virus expressing the mosaic antigen may be used for a primary dose, while another viral vector, DNA vector, RNA vector, or protein is used for the secondary dose, or vice versa.
- a composition of the invention encodes or comprises an influenza virus HA and/or NA, which may induce a humoral response, a cellular response, or both, and so likely provides cross-protection.
- the vaccine confers from 50 to 100% protection against heterologous challenge (cross protection).
- the administration of a composition of the invention to avians or mammals provides for enhanced survival, e.g., after exposure to influenza virus, including survival rates of at least 35% or greater, for instance, survival rates of 50%, 60%, 70%, 75%, 80%, 85%, 90% or greater, relative to survival rates in the absence of the administration of that composition or any other prophylactic or therapeutic agent.
- the compositions of the invention are useful prophylactically or therapeutically, e.g., against seasonal flu.
- FIG. 1 Schematic mechanisms for immune response evasion by influenza virus.
- AR, TC, EEM are abbreviations for amino acids.
- FIG. 2 Exemplary mosaic vaccine approach.
- FIG. 3 Exemplary mosaic (synthetic) H5 protein sequence (SEQ ID NO:1).
- the mosaic H5N1 hemagglutinin (H5M) sequence was deduced from 2, 145 HA sequences. Lines above the sequence indicate known T-helper cell (blue), B-cell (green) or TCL (Red) epitopes that were found in the H5M (Influenza research database (IRD)).
- FIG. 4 Selection of divergent challenge stains.
- FIG. 5 MVA-H5M vaccine expresses higher level of protein than MVA expressing wild type hemaggutinin (MVA-HA) and elicits broad neutralizing antibodies against avian influenza viruses.
- A Western blot analysis of MVA-H5M, MVA-HA and MVA-LUC (negative control) infected CEF cell lysates.
- HA from MVA-H5M was expressed as a cleavable protein as same as HA wildtype of MVA-HA.
- the sizes of HA0, HA1 and HA2 are 75 kDa, 50 kDa and 25 kDa, respectively.
- FIG. 6 MVA-H5M elicits broader epitope coverage than wild type hemagglutinin based vaccine.
- IFN- ⁇ -producing CD4 + T cells from mice that were vaccinated with MVA-H5M or MVA-HA.
- Splenocytes from vaccinated mice were collected and stimulated with HA peptide pools from H5N1 viruses (as indicated with p1-p11). *P ⁇ 0.05 or **P ⁇ 0.01, Student's T test.
- FIG. 7 Results of microneutralization assay against VN/1203/04, MONG/244/05 and Hong Kong/483/97 in mice immunized with H5M, inactivated virus or vector (MVA) alone.
- FIG. 8 Neutralization titers comparison between MVA-H5M and MVA-HA vaccines against H5N1 viruses.
- FIG. 9 MVA-H5M elicits T cells responses against PR8HA peptides.
- Splenocytes from vaccinated mice were collected and stimulated with HA peptide pools from H1N1 viruses (as indicated with p1-p9). *P ⁇ 0.05, Student's T test.
- FIG. 10 Survival over time in mice immunized with H5M, inactivated virus or vector (MVA) alone and challenged with VN/1203/04 (A); MONG/244/05(B); and HK/483/97 (C).
- FIG. 11 Percent weight loss over time in mice immunized with H5M, inactivated virus or vector (MVA) alone and challenged with VN/1203/04 (A); MONG/244/05 (B); and HK/483/97 (C).
- FIG. 12 Lung viral titers in mice immunized with H5M, inactivated virus or vector (MVA) alone, for VN/1203/04 (A); MONG/244/05 (B); and HK/483/97 (C).
- VA inactivated virus or vector
- FIG. 14 MVA-H5M provides short- and long-term immunities.
- A-B BALB/c mice were immunized with single dose MVA-H5M or MVA-LUC. 10 days or 6 months post-vaccination, mice were challenged with a lethal dose of influenza A/HK/483/97.
- C Neutralization titers from vaccinated mice at 10 days and 6 months post-vaccination.
- D CD4+ and CD8+ T cells responses at 5 months post-vaccination.
- FIG. 15 Histopathology in mice immunized with H5M, inactivated virus or vector (MVA) alone and challenged with VN/1203/04 (A); MONG/244/05 (B); and HK/483/97 (C).
- FIG. 16 MVA-H5M reduces lung pathology and prevents viral replication in the lung after challenged with avian influenza viruses.
- Lungs of mice vaccinated with MVA-H5M (A, E, I, M, C, G, K and O) or MVA-LUC (B, F, J, N, D, H, L and P), challenged with A/VN/1203/04 (A-D), A/MG/244/05 (E-H), A/HK/483/97 virus (I-L) or A/Egypt/1/08 (M-P).
- MVA-H5M vaccinated mice showed normal to mild lung lesions compared to MVA-LUC-vaccinated mice, which showed severe lung lesions including lung consolidation, WBCs infiltration, thickening of alveolar septa and alveolar edema.
- Lungs from mice that were administered MVA-H5M (C, G, K and O) or MVA-LUC (D, H, L and P) were processed by immunohistochemistry with H5N1 specific antibody. Brown staining for viral antigen is indicated with arrow heads.
- FIG. 17 Other exemplary mosaic influenza antigen sequences HIM (SEQ ID NO:2), HIM (SEQ ID NO:3), HIM (SEQ ID NO:4), HIM (SEQ ID NO:5), H2M (SEQ ID NO:6), H3M (SEQ ID NO:7), H7M (SEQ ID NO:8), H9M (SEQ ID NO:9), H10M (SEQ ID NO:10), HBM (SEQ ID NO:11), N1 (SEQ ID NO:12), N2 (SEQ ID NO:13), and N7 (SEQ ID NO:14).
- FIG. 18 conserved motifs in some of the sequences shown in FIG. 11 . With regard to sequences that are related but include one or more substitutions to those sequences, those substitutions may be in the conserved regions but generally not in any signature residue.
- FIG. 19 Codon usage tables for exemplary organisms.
- isolated refers to in vitro preparation and/or isolation of a nucleic acid molecule, e.g., vector or plasmid, peptide or polypeptide (protein), or virus of the invention, so that it is not associated with in vivo substances, or is substantially purified from in vitro substances.
- An isolated virus preparation is generally obtained by in vitro culture and propagation, and is substantially free from other infectious agents.
- a “recombinant” virus is one which has been manipulated in vitro, e.g., using recombinant DNA techniques, to introduce changes to the viral genome.
- the term “recombinant nucleic acid” or “recombinant DNA sequence or segment” refers to a nucleic acid, e.g., to DNA, that has been derived or isolated from a source, that may be subsequently chemically altered in vitro, so that its sequence is not naturally occurring, or corresponds to naturally occurring sequences that are not positioned as they would be positioned in the native genome.
- An example of DNA “derived” from a source would be a DNA sequence that is identified as a useful fragment, and which is then chemically synthesized in essentially pure form.
- DNA “isolated” from a source would be a useful DNA sequence that is excised or removed from said source by chemical means, e.g., by the use of restriction endonucleases, so that it can be further manipulated, e.g., amplified, for use in the invention, by the methodology of genetic engineering.
- influenza virus vaccine Because of antigenic drift of influenza viruses, the components of an influenza virus vaccine are tailored annually to match the strains that would most likely be dominant in the population for the upcoming influenza season. Yearly vaccinations are required because each seasonal vaccine elicits neutralizing antibodies that are specific only for the vaccine strains and closely related isolates. In case of a new pandemic strain, it takes several months to reformulate the vaccine that matches to the new strain.
- conserved influenza virus sequences from different strains, or consensus sequences have been employed to provide an antigen with broad protective properties.
- conserved influenza virus proteins include NP and M1, which are targets for cellular immunity.
- M1 immunogenic region of M1 (M58-66: GILGFVFTL) that is evolutionarily conserved (Thomas et al., 2006) and is 100% conserved in almost all the strains of influenza virus including H1N1, H5N1, H3N2 and pandemic H1N1, and the extracellular N-terminal domain of M2 protein (eM2), a 23 amino acid peptide, is highly conserved in all human influenza A strains.
- Universal neutralizing antibodies have been isolated against the conserved HA2 region of hemagglutinin (HA) (Ekiert et al., 2009; Steel et al., 2010). However, universal neutralizing antibodies are rare, have low affinity, and cannot be induced in large quantities during infection or vaccination.
- Sequence alignments are relied on to yield a “consensus” sequence, where many genetic sequences are incorporated into a single sequence.
- a consensus sequence may thus minimize the genetic distance between vaccine strains and viruses and so may elicit more cross-reactive immune responses than an immunogen derived from any single influenza virus.
- the consensus sequence approach is limited because the consensus sequence is dependent on the input sequences, which are usually heavily biased databases (e.g., temporal and spatial collection biases) based on how sequences are reported to a database, such as the National Center for Biotechnology Information (NCBI).
- NCBI National Center for Biotechnology Information
- the sequences that are most reported to NCBI are not necessarily representative of circulating strains. Consequently, the synthetic consensus sequence does not necessarily represent currently circulating diversity.
- a consensus sequence is 100% synthetic, it might not be functional or conformationally “correct”.
- the mosaic protein sequences disclosed herein were generated using an objective scoring mechanism that optimizes for maximum T cell epitope coverage of the known diversity of wild-type influenza. Consequently, the synthetic protein that is generated is less subject to the inherent biases in the data.
- the utility of the mosaic antigen approach, and its superiority to a consensus sequence approach, was demonstrated in vivo for a mosaic H5 HA antigen (H5M).
- H5M vaccine can elicit protection against H5N1 HPAI clades 0, clade 1 and clade 2.
- Even recent consensus approaches that have tried to control for the most diversity of input sequence have failed to simultaneously elicit immune responses against all of these clades (see, e.g., Hessel et al., 2011).
- the present invention relates to compositions and methods which employ recombinant nucleic acid sequence or vectors, or isolated protein, e.g., HA or NA having at least 80%, 85%, 90%, 92%, 95%, 97%, 98%, or 99% amino acid sequence identity to one of SEQ ID NOs:1-14, e.g., a recombinant virus or recombinant cell which expresses one or more of the recombinant gene products, or extracts of those cells, or inactivated recombinant virus, e.g., inactivated via chemical or heat treatment, which expresses one or more of the protein(s).
- the recombinant virus or isolated protein may be obtained from a recombinant bacterial cell, avian cell or mammalian cell.
- compositions and methods are useful for preventing, inhibiting or treating influenza virus infection in animals including avians and mammals.
- the compositions of the invention for example, a single dose thereof, are broad spectrum immunotherapeutics and provide for prophylactic and/or therapeutic activity against a variety of influenza virus isolates.
- the method includes administering a composition of the invention to a mammal having or suspected of having an influenza virus infection.
- a composition comprises an effective amount of recombinant isolated protein e.g., a protein having at least 80%, 85%, 90%, 92%, 95%, 97%, 98%, or 99% amino acid sequence identity to one of SEQ ID NOs:1-14, or an immunogenic portion thereof, or a recombinant virus or cell, such as an attenuated or avirulent virus, which expresses one or more recombinant gene products one of which is a mosaic protein of the invention, or soluble extracts of those cells.
- the composition or method employs a recombinant vector that express a protein having at least 80%, 85%, 90%, 92%, 95%, 97%, 98%, or 99% amino acid sequence identity to SEQ ID NO:1.
- the composition further comprises a pharmaceutically acceptable carrier.
- the composition is administered orally, for instance, in a formulation suitable to deliver protein(s).
- the composition is administered through various other acceptable delivery routes, for example, through parenteral injection, intranasally, or via an intra-muscular injection.
- the composition is administered to the animal one or more times, at times including but not limited to 1 to 7 days, 1 to 3 weeks or about 1, 2, 3, 4 or more, e.g., up to 6, months, before the mammal or avian is exposed to influenza virus.
- the composition is administered to the mammal or avian one or more times after exposure to the virus, e.g., at 1 hour, 6 hours, 12 hours, 1 day, 2 days, 4 days or more, e.g., up to about 2 weeks, after exposure.
- the invention provides a recombinant nucleic acid molecule having a nucleotide sequence encoding an immunogenic influenza virus HA polypeptide having one of SEQ ID NOs:1-11, a sequence with at least 99% amino acid sequence identity thereto, or a portion thereof, which provides cross-clade reactivity.
- the invention provides a recombinant nucleic acid molecule having a nucleotide sequence encoding an immunogenic H5 HA polypeptide having SEQ ID NO:1, or a sequence with at least 95% amino acid sequence identity thereto or an immunogenic portion thereof, wherein the HA has Ile at position 87, Thr at position 172, Val at position 226 or Thr at position 279, or a combination thereof.
- nucleic acid molecule having a nucleotide sequence encoding an immunogenic H1 HA polypeptide having SEQ ID NO:2, 3, 4, or 5, a sequence with at least 95% amino acid sequence identity thereto or an immunogenic portion thereof, wherein the HA i) has Arg at position 206, Leu at position 432, or Val at position 434, or a combination hereof; ii) has Ile at position 125 and Val at position 564; or iii) has Lys at position 62, Ile at position 64, Gln at position 68, Asn at position 71, Ser at position 73, Val at position 74, Leu at position 86, Ile at position 88, Ser at position 89, Lys at position 90, Glu at position 91, Lys at position 99, Pro at position 100, Asn at position 101, Pro at position 102, Glu at position 103, His at position 111, or Ala at position 113, or a combination thereof.
- the invention provides a recombinant nucleic acid molecule having a nucleotide sequence encoding an immunogenic H2 HA polypeptide having SEQ ID NO:6, a sequence with at least 95% amino acid sequence identity thereto or an immunogenic portion thereof, wherein the HA has Ala at position 24, Lys at position 45, Ser at position 87, Thr at position 258, Asn at position 260, or Leu at position 261, or a combination thereof.
- the invention also provides a recombinant nucleic acid molecule having a nucleotide sequence encoding an immunogenic H7 HA polypeptide having SEQ ID NO:8, a sequence with at least 95% amino acid sequence identity thereto or an immunogenic portion thereof, wherein the HA has Ser at position 91, Ser at position 92, Arg at position 122, Gly at position 127, Glu at position 195, Val at position 197, or Ser at position 198, or a combination thereof, a recombinant nucleic acid molecule having a nucleotide sequence encoding an immunogenic H9 HA polypeptide having SEQ ID NO:9, a sequence with at least 95% amino acid sequence identity thereto or an immunogenic portion thereof, wherein the HA has Gln at position 180, Glu at position 215, or Tyr at position 240, or a combination thereof, a recombinant nucleic acid molecule having a nucleotide sequence encoding an influenza B HA polypeptide
- the invention provides a recombinant nucleic acid molecule having a nucleotide sequence encoding an immunogenic influenza virus NA polypeptide having one of SEQ ID NOs:12-14, a sequence with at least 95% amino acid sequence identity to SEQ ID NO:12 having Ala at position 35, Ser at position 42, Asn at position 44, His at position 45, Thr at position 46, Gly at position 47, Ile at position 48, Arg at position 52, Ser at position 59, His at position 64, Asn at position 70, Val at position 74, Val at position 75, Ala at position 76, Gly at position 77, Asp at position 79, Lys at position 80, Thr at position 81, Ile at position 99, or Ser at position 105, or a combination thereof; a sequence with at least 99% amino acid sequence identity to SEQ ID NO:13 having Lys at position 199, Asn at position 221, or Gln at position 433, or a combination thereof; or a sequence with at least 99% amino acid
- the recombinant nucleic acid molecule may be in the form of an expression vector, such as a recombinant virus, linked to the nucleotide sequence of the invention, e.g., forming a promoter operable in avian or mammalian cells,
- a recombinant poxvirus may include a nucleotide sequence encoding an immunogenic polypeptide having one of SEQ ID NOs.1-14, a sequence with at least 95% amino acid sequence identity thereto or a portion thereof that provides cross-clade reactivity.
- the invention provides an isolated immunogenic influenza virus HA polypeptide having one of SEQ ID NOs:1-11, a sequence with at least 95% amino acid sequence identity thereto or a portion thereof, which provides cross-clade reactivity, e.g., the HA polypeptide has at least or has greater than 99% amino acid sequence identity to one of SEQ ID NOs:1-11.
- the polypeptide having SEQ ID NO:1, the sequence with at least 95% amino acid sequence identity thereto or the portion thereof has Ile at position 87, Thr at position 172, Val at position 226 or Thr at position 279, or a combination thereof.
- the polypeptide having SEQ ID NO:2, 3, 4, or 5, the sequence with at least 95% amino acid sequence identity thereto or the portion thereof i) has Arg at position 206, Leu at position 432, or Val at position 434, or a combination hereof; ii) has Ile at position 125 and Val at position 564: or iii) has Lys at position 62, Ile at position 64, Gln at position 68, Asn at position 71, Ser at position 73, Val at position 74, Leu at position 86, Ile at position 88, Ser at position 89, Lys at position 90, Glu at position 91, Lys at position 99, Pro at position 100, Asn at position 101, Pro at position 102, Glu at position 103, His at position 111, or Ala at position 113, or a combination thereof.
- the polypeptide having SEQ ID NO:6, a sequence with at least 95% amino acid sequence identity thereto or an immunogenic portion thereof has Ala at position 24, Lys at position 45, Ser at position 86, Thr at position 258, Asn at position 260, or Leu at position 261, or a combination thereof.
- the polypeptide having SEQ ID NO:8, the sequence with at least 95% amino acid sequence identity thereto or the portion thereof has Ser at position 91, Ser at position 92, Arg at position 122, Gly at position 127, Glu at position 195, Val at position 197, or Ser at position 198, or a combination thereof.
- polypeptide having SEQ ID NO:9, the sequence with at least 95% amino acid sequence identity thereto or the portion thereof has Gln at position 180, Glu at position 215, or Tyr at position 240, or a combination thereof.
- polypeptide having SEQ ID NO:11, the sequence with at least 95% amino acid sequence identity thereto or the portion thereof has Met at position 86, Val at position 88, Thr at position 90, Thr at position 91, Lys at position 95, Ala at position 96, or Val at position 161, or a combination thereof.
- the invention also provides an isolated immunogenic influenza virus NA polypeptide having one of SEQ ID NOs:12-14, a sequence with at least 95% amino acid sequence identity to SEQ ID NO: 12 or at least 99% amino acid sequence identity to one of SEQ ID NOs. 13-14, thereto or an immunogenic portion thereof.
- the sequence with at least 95% amino acid sequence identity to SEQ ID NO:12 has Ala at position 35, Ser at position 42, Asn at position 44, His at position 45, Thr at position 46, Gly at position 47, Ile at position 48, Arg at position 52, Ser at position 59, His a position 64, Asn at position 70, Val at position 74, Val at position 75, Ala at position 76, Gly at position 77, Asp at position 79, Lys at position 80, Thr at position 81, Ile at position 99, or Ser at position 105, or a combination thereof; the sequence with at least 99% amino acid sequences identity to SEQ ID NO:13 has Lys at position 199, Asn at position 221, or Gln at position 433, or a combination thereof; or the sequence with at least 99% amino acid sequence identity to SEQ ID NO:14 has Ile at position 353; or an immunogenic portion thereof.
- the recombinant nucleic acid e.g., a recombinant virus or recombinant polypeptide may be employed as vaccine.
- the invention provides a vaccine comprising a recombinant virus, the genome of which comprises at least one expression cassette having a promoter operably linked to a heterologous open reading frame comprising a nucleotide sequence for an influenza virus polypeptide having one of SEQ ID NOs: 1-14, a polypeptide with at least 95% amino acid sequence thereto or an immunogenic portion thereof, or a combination thereof, which provides cross-clade reactivity.
- the vaccine further comprises an adjuvant.
- the vaccine further comprises a different virus.
- the vaccine further comprises a pharmaceutically acceptable carrier, e.g., wherein the carrier is suitable for intranasal or intramuscular administration.
- the vaccine is in freeze-dried form.
- the vaccine is adapted for mucosal, intramuscular or intradermal delivery.
- a method to prevent, inhibit or treat influenza virus infection comprising administering to an avian or a mammal an effective amount of a composition comprising the recombinant nucleic acid molecule, the recombinant virus, or the recombinant polypeptide of the invention.
- a recombinant method to immunize an animal against influenza infection comprising: administering to an animal or an egg thereof, a composition comprising an amount of at least one recombinant virus comprising a recombinant nucleic acid molecule of the invention effective to induce an adaptive immune response to influenza virus.
- the animal is an avian or a mammal.
- the composition is intradermally administered.
- the composition is intramuscularly, or mucosally, administered. In one embodiment, the effective amount is administered in more than one dose. In one embodiment, the composition further comprises an adjuvant. In one embodiment, the composition is parenterally administered. In one embodiment, the composition is administered intranasally or is administered orally.
- the invention provides a method to prevent influenza virus infection of an animal.
- the method includes administering to a mammal an effective amount of a live recombinant virus, the genome of which comprises at least one expression cassette having a promoter operably linked to a heterologous open reading frame comprising a nucleotide sequence for a mosaic antigen of an influenza virus protein that elicits neutralizing antibodies and/or a cellular immune response.
- the method includes administering to the mucosa of an animal, e.g., orally administering, an effective amount of one or more live recombinant poxviruses, the genome of at least one of which comprises at least one expression cassette having a promoter operably linked to a heterologous open reading frame comprising a nucleotide sequence for a mosaic antigen that elicits neutralizing antibodies and/or a cellular immune response.
- the effective amount may be from 1 ⁇ 10 4 to 1 ⁇ 10 8 PFU or TCID 50 , e.g., from 1 ⁇ 10 6 to 1 ⁇ 10 7 PFU or TCID 50 , which may be administered as a single dose or in two or more doses, or each dose may include from 1 ⁇ 10 4 to 1 ⁇ 10 8 PFU or TCID 50 , e.g., from 1 ⁇ 10 6 to 1 ⁇ 10 7 PFU or TCID 50 .
- each dose may have the same number of PFU, or the booster dose(s) may have higher or lower amounts relative to the initial dose.
- the initial booster may be administered from 2 to 8 weeks after the priming dose, for instance 3 to 4 weeks after the priming dose.
- the priming dose and/or booster dose(s) may include an adjuvant.
- mucosal delivery of the recombinant virus and adjuvant is employed.
- the method includes administering to the avian or an egg thereof an effective amount of isolated mosaic influenza virus protein or a live recombinant virus, the genome of which comprises at least one expression cassette having a promoter operably linked to a heterologous open reading frame comprising a nucleotide sequence for a mosaic influenza virus protein that elicits neutralizing antibodies and/or a cellular immune response.
- the immunized avian may be one of a population of avians, e.g., a flock of chickens, where at least one of the population has symptoms of infection or anti-influenza virus antibodies.
- the antigen is a mosaic HA polypeptide.
- the method includes administering to the mucosa of an avian or mammal, e.g., orally or nasally administering, an effective amount of one or more recombinant viruses, the genome of at least one of which comprises at least one expression cassette having a promoter operably linked to a heterologous open reading frame comprising a nucleotide sequence for a mosaic influenza virus antigen that elicits neutralizing antibodies and/or a cellular immune response.
- the effective amount may be from 1 ⁇ 10 4 to 1 ⁇ 10 8 PFU or TCID 50 , e.g., from 1 ⁇ 10 6 to 1 ⁇ 10 7 PFU or TCID 50 , which may be administered as a single dose or in two or more doses, or each dose may include from 1 ⁇ 10 4 to 1 ⁇ 10 8 PFU or TCID 50 , e.g., from 1 ⁇ 10 6 to 1 ⁇ 10 7 PFU or TCID 50 .
- each dose may have the same number of PFU, or the booster dose(s) may have higher or lower amounts relative to the initial dose.
- the initial booster may be administered from 2 to 8 weeks after the priming dose, for instance 3 to 4 weeks after the priming dose.
- the priming dose and/or booster dose(s) may include an adjuvant.
- mucosal delivery of the recombinant virus and adjuvant is employed, e.g., a recombinant virus encoding influenza HA and an adjuvant, which adjuvant may be delivered via a recombinant virus.
- the invention provides a mosaic H5 polypeptide sequence with characteristic residues at positions 87, 172, 226 or 279, or a combination thereof, of HA (numbering of positions is that in a protein having SEQ ID NO:1; in a HA sequence a signal peptide may be from 15 to 20 residues in length, and the signal peptide in SEQ ID NO:1 is 17 residues in length).
- SEQ ID NO:1 has a 17 amino acid signal peptide), e.g., the residue at position 87 of HA is not threonine, the residue at position 172 is not alanine, the residue at position 226 is not alanine, and/or the residue at position 279 is not alanine, or a combination thereof.
- the isolated H5M of the invention has a residue at position 87 with an aliphatic side chain, e.g., Ile, a residue at position 172 with a hydroxyl side chain, e.g., Thr, a residue at position 226 with an aliphatic side chain, e.g., Val, and/or a residue at position 279 with a hydroxyl side chain, e.g., Thr.
- an aliphatic side chain e.g., Ile
- a residue at position 172 with a hydroxyl side chain e.g., Thr
- a residue at position 226 with an aliphatic side chain e.g., Val
- a residue at position 279 with a hydroxyl side chain e.g., Thr.
- a group of amino acids having aliphatic side chains is glycine, alanine, valine, leucine, and isoleucine; a group of amino acids having aliphatic-hydroxyl side chains is serine and threonine; a group of amino acids having amide-containing side chains is asparagine and glutamine; a group of amino acids having aromatic side chains is phenylalanine, tyrosine and tryptophan; a group of amino acids having basic side chains is lysine, arginine and histidine; and a group of amino acids having sulfur-containing side chain is cysteine and methionine.
- conservative amino acid substitution groups are: threonine-valine-leucine-isoleucine-alanine; phenylalanine-tyrosine; lysine-arginine; alanine-valine; glutamic-aspartic; and asparagine-glutamine.
- the recombinant nucleic acid molecule or virus of the invention encodes one or more influenza viral proteins (polypeptides) having at least 95%, e.g., 96%, 97%, 98% or 99%, amino acid sequence identity to one of SEQ ID NOs:1-14, so long as the polypeptide is immunogenic.
- An amino acid sequence having at least 95%, e.g., 96%, 97%, 98% or 99%, amino acid sequence identity includes sequences with deletions or insertions, and/or substitutions, e.g., conservative substitutions, so long as the polypeptide is immunogenic.
- the one or more residues which are not identical may be nonconservative substitutions.
- the polypeptide has one or more, for instance, 2, 5, 10, 15, 20 or more, amino acid substitutions, e.g., conservative substitutions of up to 5% of the residues of the full-length, mature form of a polypeptide having SEQ ID NOs:1-14.
- the isolated recombinant nucleic acid molecule includes a nucleic acid sequence for the mosaic antigen that has codon optimized sequences, a reduced number of RNA secondary structures, a reduced number of RNA destabilization sequences, and/or a reduced number of or no transcription terminator sequences, relative to an unmodified nucleotide sequence.
- isolated recombinant nucleic acid molecule or virus, or isolated mosaic polypeptide, of the invention may be employed alone or with one or more other immunogenic agents, such as other virus in a vaccine, to raise virus-specific antisera, in gene therapy, and/or in diagnostics.
- the isolated recombinant nucleic acid molecule of the invention may be employed in a vector to express influenza proteins, e.g., for recombinant protein vaccine production or to raise antisera, as a nucleic acid vaccine, for use in diagnostics or, for vRNA production, to prepare chimeric genes, e.g., with other viral genes including other influenza virus genes, and/or to prepare recombinant virus.
- the invention also provides isolated viral polypeptides, recombinant virus, and host cells contacted (e.g., infected or transfected) with the nucleic acid molecule(s) and/or recombinant virus of the invention, as well as isolated virus-specific antibodies, for instance, obtained from mammals infected with the virus or immunized with an isolated viral polypeptide or polynucleotide encoding one or more viral polypeptides.
- the invention also provides a method to induce an immune response in a mammal, e.g., to immunize a mammal, or an avian against one more influenza virus isolates.
- An immunological response to a composition or vaccine is the development in the host organism of a cellular and/or antibody-mediated immune response to a viral polypeptide, e.g., an administered viral preparation, polypeptide or one encoded by an administered nucleic acid molecule, which can prevent or inhibit infection to closely structurally related viruses as well as more distantly related viruses.
- a response consists of the subject producing antibodies, B cells, helper T cells, suppressor T cells, and/or cytotoxic T cells directed specifically to an antigen or antigens included in the composition or vaccine of interest.
- the method includes administering to the host organism, e.g., a mammal, an effective amount of the recombinant nucleic acid molecule, protein or virus of the invention, e.g., an attenuated live virus, optionally in combination with an adjuvant and/or a carrier, e.g., in an amount effective to prevent or ameliorate infection of an animal, such as a mammal, by a plurality of different influenza viruses, e.g., from different clades and/or subtypes.
- the virus is administered intramuscularly while in another embodiment, the virus is administered intranasally.
- all doses may be administered intramuscularly or intranasally, while in others a combination of intramuscular and intranasal administration is employed.
- the vaccine may further contain other recombinant viruses, other antigens, additional biological agents or microbial components.
- a composition of the invention comprises one or more isolated proteins, or recombinant virus or cells expressing one or more proteins, including a protein of the invention, in an amount effective to elicit an anti-influenza virus response.
- recombinant protein may be isolated from a suitable expression system, such as bacteria, insect cells or yeast, e.g., E. coli, L. lactis, Pichia or S. cerevisiae or other bacterial, insect or yeast expression systems, or mammalian expression systems such as T-RExTM (Invitrogen).
- a suitable expression system such as bacteria, insect cells or yeast, e.g., E. coli, L. lactis, Pichia or S. cerevisiae or other bacterial, insect or yeast expression systems, or mammalian expression systems such as T-RExTM (Invitrogen).
- any suitable host cell may be employed, e.g., E. coli or yeast, or infected host cells, to express those proteins.
- Those cellular expression systems may also be employed as delivery systems, e.g., where the protein is one expressed on the cell surface or in a secreted form.
- a suitable cellular delivery system may be one for oral delivery.
- a recombinant protein useful in the compositions and methods of the invention may be expressed on the surface of a prokaryotic or eukaryotic cell, or may be secreted by that cell, and may be expressed as a fusion or may be linked to a molecule that alters solubility (e.g., prevents aggregation) or half-life, e.g., a PEGylated molecule, of the resulting chimeric molecule.
- the composition of the invention may comprise a recombinant cell expressing one or more recombinant proteins, e.g., on the cell surface or as a secreted protein.
- nucleic acid molecule comprising a nucleic acid sequence which is optimized for expression in at least one selected host.
- Optimized sequences include sequences which are codon optimized, i.e., codons which are employed more frequently in one organism relative to another organism, e.g., a distantly related organism, or balance the usage of codons so that the most frequently used codon is not used to exhaustion.
- Other modifications can include addition or modification of Kozak sequences and/or introns, and/or to remove undesirable sequences, for instance, potential transcription factor binding sites.
- the polynucleotide includes a nucleic acid sequence encoding a mosaic antigen of the invention, which nucleic acid sequence is optimized for expression in a mammalian host cell.
- an optimized polynucleotide no longer hybridizes to a corresponding non-optimized (wild-type) sequence, e.g., does not hybridize to the non-optimized sequence under medium or high stringency conditions.
- stringency is used in reference to the conditions of temperature, ionic strength, and the presence of other compounds, under which nucleic acid hybridizations are conducted. With “high stringency” conditions, nucleic acid base pairing will occur only between nucleic acid fragments that have a high frequency of complementary base sequences.
- conditions of “medium” or “low” stringency are often required when it is desired that nucleic acids that are not completely complementary to one another be hybridized or annealed together.
- the art knows well that numerous equivalent conditions can be employed to comprise medium or low stringency conditions.
- Exemplary “high stringency conditions” when used in reference to nucleic acid hybridization comprise conditions equivalent to binding or hybridization at 42° C. in a solution consisting of 5 ⁇ SSPE (43.8 g/l NaCl, 6.9 g/l NaH 2 PO 4 H 2 O and 1.85 g/l EDTA, pH adjusted to 7.4 with NaOH), 0.5% SDS, 5 ⁇ Denhardt's reagent and 100 ⁇ g/ml denatured salmon sperm DNA followed by washing in a solution comprising 0.1 ⁇ SSPE, 1.0% SDS at 42° C. when a probe of about 500 nucleotides in length is employed.
- 5 ⁇ SSPE 43.8 g/l NaCl, 6.9 g/l NaH 2 PO 4 H 2 O and 1.85 g/l EDTA, pH adjusted to 7.4 with NaOH
- SDS 5 ⁇ Denhardt's reagent
- 100 ⁇ g/ml denatured salmon sperm DNA followed by washing in a solution comprising 0.1 ⁇ SS
- Exemplary “medium stringency conditions” when used in reference to nucleic acid hybridization comprise conditions equivalent to binding or hybridization at 42° C. in a solution consisting of 5 ⁇ SSPE (43.8 g/l NaCl, 6.9 g/l NaH 2 PO 4 H 2 O and 1.85 g/l EDTA, pH adjusted to 7.4 with NaOH), 0.5% SDS, 5 ⁇ Denhardt's reagent and 100 ⁇ g/ml denatured salmon sperm DNA followed by washing in a solution comprising 1.0 ⁇ SSPE, 1.0% SDS at 42° C. when a probe of about 500 nucleotides in length is employed.
- 5 ⁇ SSPE 43.8 g/l NaCl, 6.9 g/l NaH 2 PO 4 H 2 O and 1.85 g/l EDTA, pH adjusted to 7.4 with NaOH
- SDS 5 ⁇ Denhardt's reagent
- 100 ⁇ g/ml denatured salmon sperm DNA followed by washing in a solution comprising 1.0 ⁇
- the polynucleotide has less than 90%, e.g., less than 80%, nucleic acid sequence identity to a corresponding non-optimized (wild-type) sequence.
- Constructs, e.g., expression cassettes, and vectors comprising the isolated nucleic acid molecule, e.g., with optimized nucleic acid sequence, as well as kits comprising the isolated nucleic acid molecule, construct or vector are also provided.
- a nucleic acid molecule comprising a nucleic acid sequence encoding a mosaic antigen of the invention is optionally optimized for expression in a particular host cell and also optionally operably linked to transcription regulatory sequences, e.g., one or more enhancers, a promoter, a transcription termination sequence or a combination thereof, to form an expression cassette.
- transcription regulatory sequences e.g., one or more enhancers, a promoter, a transcription termination sequence or a combination thereof
- a nucleic acid sequence encoding a mosaic antigen of the invention is optimized by replacing codons, e.g., at least 25% of the codons, in a wild type sequence with codons which are preferentially employed in a particular (selected) cell.
- Preferred codons have a relatively high codon usage frequency in a selected cell, and their introduction results in the introduction of relatively few undesirable structural attributes.
- the optimized nucleic acid product may have an improved level of expression due to improved codon usage frequency, and a reduced number of undesirable transcription regulatory sequences.
- An isolated and optimized nucleic acid molecule may have a codon composition that differs from that of the corresponding wild-type nucleic acid sequence at more than 30%, 35%, 40% or more than 45%, e.g., 50%, 55%, 60% or more of the codons.
- Exemplary codons for use in the invention are those which are employed more frequently than at least one other codon for the same amino acid in a particular organism and, in one embodiment, are also not low-usage codons in that organism and are not low-usage codons in the organism used to clone or screen for the expression of the nucleic acid molecule.
- codons for certain amino acids may include two or more codons that are employed more frequently than the other (non-preferred) codon(s).
- the presence of codons in the nucleic acid molecule that are employed more frequently in one organism than in another organism results in a nucleic acid molecule which, when introduced into the cells of the organism that employs those codons more frequently, is expressed in those cells at a level that is greater than the expression of the wild type or parent nucleic acid sequence in those cells.
- the codons that are different are those employed more frequently in a mammal. Codons for different organisms are known to the art, e.g., see www.kazusa.or.jp./codon/.
- a particular type of mammal e.g., a human, may have a different set of more frequently employed codons than another type of mammal.
- at least a majority of the codons are codons employed in mammals (e.g., humans).
- codons employed more frequently in humans include, but are not limited to, CGC (Arg), CTG (Leu), TCT (Ser), AGC (Ser), ACC (Thr), CCA (Pro), CCT (Pro), GCC (Ala), GGC (Gly), GTG (Val), ATC (Ile), ATT (Ile), MG (Lys), AAC (Asn), CAG (Gln), CAC (His), GAG (Glu), GAC (Asp), TAC (Tyr), TGC (Cys) and TTC (Phe).
- nucleic acid molecules of the invention have a codon composition where at least a majority of codons are frequently employed codons in humans, e.g., CGC, CTG, TCT, AGC, ACC, CCA, CCT, GCC, GGC, GTG, ATC, ATT, AAG, AAC, CAG, CAC, GAG, GAC, TAC, TGC, TTC, or any combination thereof.
- the nucleic acid molecule of the invention may CTG or TTG leucine-encoding codons, GTG or GTC valine-encoding codons, GGC or GGT glycine-encoding codons, ATC or ATT isoleucine-encoding codons, CCA or CCT proline-encoding codons, CGC or CGT arginine-encoding codons, AGC or TCT serine-encoding codons, ACC or ACT threonine-encoding codon, GCC or GCT alanine-encoding codons, or any combination thereof. See FIG. 13 for codon usage tables for four different organisms.
- compositions of this invention may be formulated with conventional carriers and excipients, which will be selected in accord with ordinary practice.
- Aqueous formulations are prepared in sterile form, and when intended for delivery by other than oral administration, will generally be isotonic. All formulations will optionally contain excipients such as those set forth in the Handbook of Pharmaceutical Excipients (1986). Excipients include ascorbic acid and other antioxidants, chelating agents such as EDTA, carbohydrates such as dextrin, hydroxyalkylcellulose, hydroxyalkylmethylcellulose, stearic acid and the like.
- the pH of the formulations ranges from about 3 to about 11, but is ordinarily about 7 to 10 or about 8 to 9, e.g., for poxviruses.
- the active ingredients While it is possible for the active ingredients to be administered alone they may be present as pharmaceutical formulations.
- the formulations, both for veterinary and for human use, of the invention comprise at least one active ingredient, as above defined, together with one or more acceptable carriers therefor and optionally other therapeutic ingredients.
- the carrier(s) must be “acceptable” in the sense of being compatible with the other ingredients of the formulation and physiologically innocuous to the recipient thereof.
- the formulations include those suitable for the foregoing administration routes.
- the formulations may conveniently be presented in unit dosage form and may be prepared by any of the methods well known in the art of pharmacy. Techniques and formulations generally are found in Remington's Pharmaceutical Sciences (Mack Publishing Co., Easton, Pa.). Such methods include the step of bringing into association the active ingredient with the carrier which constitutes one or more accessory ingredients.
- the formulations are prepared by uniformly and intimately bringing into association the active ingredient with liquid carriers or finely divided solid carriers or both, and then, if necessary, shaping the product.
- Formulations of the present invention suitable for oral administration may be presented as discrete units such as capsules, cachets or tablets each containing a predetermined amount of the active ingredient; as a powder or granules; as a solution or a suspension in an aqueous or non-aqueous liquid; or as an oil-in-water liquid emulsion or a water-in-oil liquid emulsion.
- the active ingredient may also be administered as a bolus, electuary or paste.
- compositions according to the present invention may include one or more pharmaceutically acceptable carriers or excipients and optionally other therapeutic agents.
- Pharmaceutical formulations containing the active ingredient may be in any form suitable for the intended method of administration.
- tablets, troches, lozenges, aqueous or oil suspensions, dispersible powders or granules, emulsions, hard or soft capsules, syrups or elixirs may be prepared.
- Compositions intended for oral use may be prepared according to any method known to the art for the manufacture of pharmaceutical compositions and such compositions may contain one or more agents including sweetening agents, flavoring agents, coloring agents and preserving agents, in order to provide a palatable preparation.
- Formulations for oral use may be also presented as hard gelatin capsules where the active ingredient is mixed with an inert solid diluent, for example calcium phosphate or kaolin, or as soft gelatin capsules wherein the active ingredient is mixed with water or an oil medium, such as peanut oil, liquid paraffin or olive oil.
- an inert solid diluent for example calcium phosphate or kaolin
- an oil medium such as peanut oil, liquid paraffin or olive oil.
- Aqueous suspensions of the invention contain the active materials in admixture with excipients suitable for the manufacture of aqueous suspensions.
- excipients include a suspending agent, such as sodium carboxymethylcellulose, methylcellulose, hydroxypropyl methylcelluose, sodium alginate, polyvinylpyrrolidone, gum tragacanth and gum acacia, and dispersing or wetting agents such as a naturally occurring phosphatide (e.g., lecithin), a condensation product of an alkylene oxide with a fatty acid (e.g., polyoxyethylene stearate), a condensation product of ethylene oxide with a long chain aliphatic alcohol (e.g., heptadecaethyleneoxycetanol), a condensation product of ethylene oxide with a partial ester derived from a fatty acid and a hexitol anhydride (e.g., polyoxyethylene sorbitan monooleate).
- a suspending agent
- the aqueous suspension may also contain one or more preservatives such as ethyl or n-propyl p-hydroxy-benzoate, one or more coloring agents, one or more flavoring agents and one or more sweetening agents, such as sucrose or saccharin.
- Oil suspensions may be formulated by suspending the active ingredient in a vegetable oil, such as arachis oil, olive oil, sesame oil or coconut oil, or in a mineral oil such as liquid paraffin.
- the oral suspensions may contain a thickening agent, such as beeswax, hard paraffin or cetyl alcohol.
- Sweetening agents, such as those set forth above, and flavoring agents may be added to provide a palatable oral preparation.
- These compositions may be preserved by the addition of an antioxidant such as ascorbic acid.
- a time-release formulation intended for oral administration to humans may contain approximately 1 to 1000 mg of active material compounded with an appropriate and convenient amount of carrier material which may vary from about 5 to about 95% of the total compositions (weight:weight).
- the pharmaceutical composition can be prepared to provide easily measurable amounts for administration.
- an aqueous solution intended for intravenous infusion may contain from about 3 to 500 ⁇ g of the active ingredient per milliliter of solution in order that infusion of a suitable volume at a rate of about 30 mL/hr can occur.
- Formulations suitable for intrapulmonary or nasal administration may have a particle size for example in the range of 0.1 to 500 microns (including particle sizes in a range between 0.1 and 500 microns in increments microns such as 0.5, 1, 30 microns, 35 microns, etc.), which is administered by rapid inhalation through the nasal passage or by inhalation through the mouth so as to reach the alveolar sacs.
- Suitable formulations include aqueous or oily solutions of the active ingredient.
- Formulations suitable for aerosol or dry powder administration may be prepared according to conventional methods and may be delivered with other therapeutic agents such as compounds heretofore used in the treatment or prophylaxis of a given condition.
- Formulations suitable for parenteral administration include aqueous and non-aqueous sterile injection solutions which may contain anti-oxidants, buffers, bacteriostats and solutes which render the formulation isotonic with the blood of the intended recipient; and aqueous and non-aqueous sterile suspensions which may include suspending agents and thickening agents.
- the formulations may be presented in unit-dose or multi-dose containers, for example sealed ampoules and vials, and may be stored in a freeze-dried (lyophilized) condition requiring only the addition of the sterile liquid carrier, for example water for injection, immediately prior to use.
- sterile liquid carrier for example water for injection
- Extemporaneous injection solutions and suspensions are prepared from sterile powders, granules and tablets of the kind previously described.
- Exemplary unit dosage formulations are those containing a daily dose or unit daily sub-dose, as herein above recited, or an appropriate fraction thereof, of the active ingredient.
- formulations of this invention may include other agents conventional in the art having regard to the type of formulation in question, for example those suitable for oral administration may include flavoring agents.
- the invention further provides veterinary compositions comprising at least one active ingredient as above defined together with a veterinary carrier therefor.
- Veterinary carriers are materials useful for the purpose of administering the composition and may be solid, liquid or gaseous materials which are otherwise inert or acceptable in the veterinary art and are compatible with the active ingredient. These veterinary compositions may be administered orally, parenterally or by any other desired route.
- compositions of the present invention suitable for inoculation, e.g., nasal, ocular, parenteral or oral administration, comprise one or more recombinant nucleic acid molecules, virus isolates, and/or isolated protein of the invention, optionally further comprising sterile aqueous or non-aqueous solutions, suspensions, and emulsions.
- the compositions can further comprise auxiliary agents or excipients, as known in the art.
- the composition of the invention is generally presented in the form of individual doses (unit doses).
- influenza virus vaccines generally contain about 0.1 to 200 ⁇ g, e.g., 30 to 100 ⁇ g or 15 to about 100 ug, of influenza virus HA from each of the strains entering into their composition.
- the vaccine forming the main constituent of the vaccine composition of the invention may comprise a single virus encoding an influenza virus mosaic antigen, or one or more viruses encoding antigens from a combination of subtypes or combination of antigens, for example, at least two or three different influenza virus antigens, one of which is a mosaic antigen.
- Preparations for parenteral administration include sterile aqueous or non-aqueous solutions, suspensions, and/or emulsions, which may contain auxiliary agents or excipients known in the art.
- non-aqueous solvents are propylene glycol, polyethylene glycol, vegetable oils 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.
- the optimal concentration of the active agent in a composition of the invention will necessarily depend upon the specific agent(s) used, the characteristics of the avian or mammal, the type and amount of adjuvant, if any, and/or the nature of the infection. These factors can be determined by those of skill in the medical and pharmaceutical arts in view of the present disclosure.
- Specific dosages may be adjusted depending on conditions of disease, the age, body weight, ethnic background, general health conditions, sex, diet, lifestyle and/or current therapeutic regimen of the mammal, as well as for intended dose intervals, administration routes, excretion rate, and combinations of drugs. Any of the dosage forms described herein containing effective amounts are well within the bounds of routine experimentation and therefore, well within the scope of the instant disclosure.
- the composition of the invention may further comprise one or more suitable pharmaceutically acceptable carriers.
- pharmaceutically acceptable carrier refers to an acceptable vehicle for administering a composition to mammals comprising one or more non-toxic excipients which do not react with or reduce the effectiveness of the pharmacologically active agents contained therein.
- the proportion and type of pharmaceutically acceptable carrier in the composition may vary, depending on the chosen route of administration.
- Suitable pharmaceutically acceptable carriers for the compositions of the present disclosure are described in the standard pharmaceutical texts. See, e.g., “Remington's Pharmaceutical Sciences”, 18 th Ed., Mack Publishing Company, Easton, Pa. (1990).
- Specific non-limiting examples of suitable pharmaceutically acceptable carriers include water, saline, dextrose, glycerol, ethanol, or the like and combinations thereof.
- composition may further comprise minor amounts of auxiliary substances such as agents that enhance the effectiveness of the preparation, stabilizers, preservatives, and the like.
- the composition may also comprise a bile acid or a derivative thereof, in particular in the form of a salt.
- a bile acid or a derivative thereof include derivatives of cholic acid and salts thereof, in particular sodium salts of cholic acid or cholic acid derivatives.
- bile acids and derivatives thereof include cholic acid, deoxycholic acid, chenodeoxycholic acid, lithocholic acid, ursodeoxycholic acid, hyodeoxycholic acid and derivatives such as glyco-, tauro-, amidopropyl-1-propanesulfonic-, amidopropyl-2-hydroxy-1-propanesulfonic derivatives of the aforementioned bile acids, or N,N-bis(3Dgluconoamidopropyl)deoxycholamide.
- NaDOC sodium deoxycholate
- Suitable stabilizers include protease inhibitors, sugars such as sucrose and glycerol, encapsulating polymers, chelating agents such as ethylene-diaminetetracetic acid (EDTA), proteins and polypeptides such as gelatin and polyglycine and combinations thereof.
- EDTA ethylene-diaminetetracetic acid
- the composition may further comprise an adjuvant in addition to the recombinant virus, recombinant cells or isolated protein described herein.
- adjuvants for inclusion in the compositions of the present disclosure include those that are well known in the art, such as complete Freund's adjuvant (CFA) that is not used in humans, incomplete Freund's adjuvant (IFA), squalene, squalane, alum, and various oils, all of which are well known in the art, and are available commercially from several sources, such as Novartis (e.g., Novartis' MF59 adjuvant).
- compositions may take the form of a solution, suspension, emulsion, or the like.
- a composition of the invention can be administered intranasally or through enteral administration, such as orally, or through subcutaneous injection, intra-muscular injection, intravenous injection, intraperitoneal injection, or intra-dermal injection to a mammal, e.g., humans, horses, other mammals, etc.
- Compositions may be formulated for a particular route of delivery, e.g., formulated for oral delivery.
- the composition of the invention may be administered by intravenous, subcutaneous, intramuscular, intraperitoneal, or intradermal injection, and may further comprise pharmaceutically accepted carriers.
- the composition may be in a solution in a sterile aqueous vehicle which may also contain other solutes such as buffers or preservatives as well as sufficient quantities of pharmaceutically acceptable salts or of glucose to make the solution isotonic.
- the composition may be delivered to the respiratory system, for example to the nose, sinus cavities, sinus membranes or lungs, in any suitable manner, such as by inhalation via the mouth or intranasally.
- the composition may be dispensed as a powdered or liquid nasal spray, suspension, nose drops, a gel or ointment, through a tube or catheter, by syringe, by packtail, by pledget, or by submucosal infusion.
- the composition may be conveniently delivered in the form of an aerosol spray using a pressurized pack or a nebulizer and a suitable propellant, e.g., without limitation, dichlorodifluoromethane, trichlorofluoromethane, dichlorotetrafluoroethane or carbon dioxide.
- a suitable propellant e.g., without limitation, dichlorodifluoromethane, trichlorofluoromethane, dichlorotetrafluoroethane or carbon dioxide.
- the dosage unit may be controlled by providing a valve to deliver a metered amount.
- Capsules and cartridges of, for example, gelatin for use in an inhaler or insufflator may be formulated containing a powder mix of the composition and a suitable powder base such as lactose or starch.
- a propellant for an aerosol formulation may include compressed air, nitrogen, carbon dioxide, or a hydrocarbon based low boiling solvent.
- the composition of the invention may be conveniently delivered in the form of an aerosol spray presentation from a nebulizer or the like.
- the active ingredients are suitably micronized so as to permit inhalation of substantially all of the active ingredients into the lungs upon administration of the dry powder formulation, thus the active ingredients will have a particle size of less than 100 microns, desirably less than 20 microns, such as in the range 1 to 10 microns or 0.2 to 0.4 microns.
- the composition is packaged into a device that can deliver a predetermined, and generally effective, amount of the composition via inhalation, for example a nasal spray or inhaler.
- the vaccines of the present disclosure may further comprise one or more suitable pharmaceutically acceptable carriers.
- pharmaceutically acceptable carrier refers to an acceptable vehicle for administering a vaccine to mammals comprising one or more non-toxic excipients which do not react with or reduce the effectiveness of the pharmacologically active agents contained therein.
- the proportion and type of pharmaceutically acceptable carrier in the vaccine may vary, depending on the chosen route of administration.
- Suitable pharmaceutically acceptable carriers for the vaccines of the present disclosure are described in the standard pharmaceutical texts. See, e.g., “Remington's Pharmaceutical Sciences”, 18 th Ed., Mack Publishing Company, Easton, Pa. (1990).
- Specific non-limiting examples of suitable pharmaceutically acceptable carriers include saline (e.g., PBS), dextrose, glycerol, or the like and combinations thereof.
- the vaccine can further contain minor amounts of auxiliary substances such as agents that enhance the antiviral effectiveness of the composition, stabilizers, preservatives, and the like.
- the vaccine may take the form of a solution, suspension, emulsion, or the like.
- a vaccine of the present disclosure can be administered orally, intranasally, or through parenteral administration, such as through sub-cutaneous injection, intra-muscular injection, intravenous injection, intraperitoneal injection, or intra-dermal injection to a mammal, e.g., humans, horses, other mammals, etc.
- the vaccine is administered through intramuscular or intradermal injection, or orally.
- the vaccines of the present disclosure may be administered by intravenous, subcutaneous, intramuscular, intraperitoneal, or intradermal injection, which optionally may further comprise pharmaceutically accepted carriers.
- the vaccine may be a solution in a sterile aqueous vehicle which may also contain other solutes such as buffers or preservatives as well as sufficient quantities of pharmaceutically acceptable salts or of glucose to make the solution isotonic.
- the vaccine may be delivered locally to the respiratory system, for example to the nose, sinus cavities, sinus membranes or lungs, in any suitable manner, such as by inhalation via the mouth or intranasally.
- the vaccines can be dispensed as a powdered or liquid nasal spray, suspension, nose drops, a gel or ointment, through a tube or catheter, by syringe, by packtail, by pledget, or by submucosal infusion.
- the vaccines may be conveniently delivered in the form of an aerosol spray using a pressurized pack or a nebulizer and a suitable propellant, e.g., without limitation, dichlorodifluoromethane, trichlorofluoromethane, dichlorotetrafluoroethane or carbon dioxide.
- a suitable propellant e.g., without limitation, dichlorodifluoromethane, trichlorofluoromethane, dichlorotetrafluoroethane or carbon dioxide.
- the dosage unit may be controlled by providing a valve to deliver a metered amount.
- Capsules and cartridges of, for example, gelatin for use in an inhaler or insufflator may be formulated containing a powder mix of the vaccine and a suitable powder base such as lactose or starch.
- a propellant for an aerosol formulation may include compressed air, nitrogen, carbon dioxide, or a hydrocarbon based low boiling solvent.
- the vaccines of the present disclosure can be conveniently delivered in the form of an aerosol spray presentation from a nebulizer or the like.
- the active ingredients are suitably micronized so as to permit inhalation of substantially all of the active ingredients into the lungs upon administration of the dry powder formulation, thus the active ingredients will have a particle size of less than 100 microns, desirably less than 20 microns, and preferably in the range 1 to 10 microns or 0.2 to 0.4 microns.
- the vaccine is packaged into a device that can deliver a predetermined, and generally effective, amount of the vaccine via inhalation, for example a nasal spray or inhaler.
- the vaccines of the present disclosure are administered prophylactically.
- administration of the vaccine may be commenced before or at the time of infection.
- the vaccines may be administered up to about 1 month or more, or more particularly up to about 4 months or more before the mammal is exposed to the microbe.
- the vaccines may be administered as soon as 1 week before infection, or more particularly 1 to 5 days before infection.
- the desired vaccine dose may be presented in a single dose or as divided doses administered at appropriate intervals, for example as two, three, four or more sub-doses per day.
- a dose of vaccine may be administered on one day, followed by one or more booster doses spaced as desired thereinafter.
- an initial vaccination is given, followed by a boost of the same vaccine approximately one week to 15 days later.
- the dosage of a live virus vaccine for an animal such as a mammalian adult organism can be from about 10 2 -10 15 , e.g., 10 3 -10 12 , plaque forming units (PFU)/kg, or any range or value therein.
- PFU plaque forming units
- the dosage of PFU or immunoreactive HA in each dose of replicated virus vaccine may be standardized to contain a suitable amount, e.g., 30 to 100 ⁇ g, such as 15 to 100 ug, or any range or value therein, or the amount recommended by government agencies or recognized professional organizations.
- the poxvirus expresses a different influenza virus protein, that protein may be standardized.
- the quantity of NA may also be standardized, however, this glycoprotein may be labile during purification and storage.
- CEFs Chicken embryo fibroblasts
- MDCK Mardin-Darby canine kidney cells
- DMEM Dulbecco's Modified Eagle's Medium
- FBS fetal bovine serum
- H5N1 Highly pathogenic avian influenza (H5N1) virus A/Vietnam/1203/04 was kindly provided by Dr. Yoshihiro Kawaoka (University of Wisconsin-Madison, Wis., USA).
- H5N1 Highly pathogenic avian influenza (H5N1) viruses, A/Hongkong/483/97, A/Mongolia/Whooper swan/244/05 and A/Egypt/1/08 and seasonal influenza viruses including A/Puerto Rico/8/34 (PR8, H1N1) and A/Aichi/2/1968 (H 3 N 2 ) were kindly provided by Dr. Stacey Schultz-Chemy and Dr. Ghazi Kayali (St. Jude children's research hospital, Memphis, Term.). All viruses were propagated and titrated in MDCK cells with DMEM that contained 1% bovine serum albumin and 20 Mm HEPES. Viruses were stored at ⁇ 80° C. until use. Viral titers were determined and expressed as 50% tissue culture infective dose (TCID 50 ). All experimental studies with HPAI H5N1 viruses were conducted in a BSL3+ facility in compliance with the UW Madison Office of Biological Safety.
- H5N1 A total of 3,069 HA protein sequences from H5N1 viruses available in National Center for Biotechnology Information (NCBI) database were downloaded and screened to exclude incomplete and redundant sequences. The resulting 2,145 HA sequences were selected to generate one mosaic protein sequence as previously described (Fischer et al., 2007). T cell epitopes were set to 12 amino acid length (12-mer) in an attempt to match the length of natural T helper cell epitopes (Goglak et al., 2000). The resulting mosaic H5N1 sequence (H5M) was back-translated and codon optimized for mice. The optimized H5M sequence was then synthesized commercially (GenScript USA Inc.) and cloned into MVA-shuttle vector (Brewoo et al., 2013).
- MVA-H5M Recombinant MVA expressing a mosaic H5
- CEF cells as described elsewhere (Earl et al., 2001a; Earl et al., 2001b).
- MVA expressing wild type HA from avian influenza A/VN/1203/04 (MVA-HA) was constructed as described in Brewor et al. (2013) and kindly provided by Inviragen, Inc.
- the hemagglutin expressed by MVA-H5M was analyzed by western blot analysis.
- CEF cells were infected with 1 multiplicity of infection (MOI) of 1 PFU/cell of MVA-H5M, MVA-HA and MVA-LUC constructs.
- MOI multiplicity of infection
- Infected cell pellets were harvested 48 hours post-infection and lysed with Laemmli sample buffer (BioRad). Protein was fractionated via SDS PAGE and proteins were transferred onto nitrocellulose membrane for hemaggutinin detection by specific anti-HA antibody. 3,3′,5,5′-tetramethylbenzidine (TMB) was used to visualized HA protein in the membranes.
- TMB 3,3′,5,5′-tetramethylbenzidine
- H5M hemagglutination assay
- mice Groups of 5 week-old BALB/c mice were vaccinated with 1 ⁇ 10 7 plaque forming unit (pfu) of either recombinant MVA-H5M, or MVA-expressing luciferase (MVA-LUC) via the intradermal (ID) route. Intradermal inoculations were done by injecting 50 ⁇ L of PBS-containing virus into footpads. Four weeks after vaccination, blood samples were collected for serological analysis.
- plaque forming unit pfu
- MVA-H5M recombinant MVA-H5M
- MVA-LUC MVA-expressing luciferase
- mice were challenged by intranasal (IN) instillation under isoflurane anesthesia with 100 LD 50 of A/Vietnam/1203/04 (1 ⁇ 10 4 TCID 50 ), A/Hongkong/483/97 (4 ⁇ 10 3 TCID 50 ), A/Mongolia/Whooper swan/244/05 virus (1 ⁇ 10 3 TCID 50 ) or A/Egypt/1/08 (3.56 ⁇ 10 4 TCID 50 ) contained in 20 ⁇ L of PBS. Two mice from each group were euthanized at day five post-challenge and lung tissues were collected for viral titrations and histopathology.
- lung tissues were minced in PBS using a mechanical homogenizer (MP Biochemicals, Solon, Ohio), and viral titers in homogenates were quantified by plaque assay on MDCK cells. The remaining lung tissue was fixed in 10% formalin. The remaining animals in each group were observed daily for 14 days, and survival and clinical parameters including clinical score and body weight were recorded. Mice showing at least 20% body weight loss were humanely euthanized.
- mice were vaccinated with MVA-H5M or MVA-LUC as above.
- blood samples were collected for serological analysis.
- mice were challenged by intranasal (IN) instillation under isofluorane anesthesia with 50 ⁇ L of PBS containing 100 LD 50 of PR8 (6.15 ⁇ 10 3 TCID 50 ) or A/Aichi/2/1968 (5 ⁇ 10 6 TCID 50 ).
- Two mice from each group were euthanized at day three post-challenge and lung tissues were collected as above. The remaining animals in each group were observed daily for 14 days as described above.
- Serum antibody titers were determined by microneutralization assay. Briefly, serum was incubated at 56° C. for 30 minutes to inactivate complement and then serially diluted two fold in microtiter plates. 200 TCID 50 units of virus were added to each well and incubated at 37° C. for 1 hour. The virus-serum mixture was added to duplicate wells of MDCK cell in 96-well plates, incubated at 37° C. for 72 hours, then fixed and stained with 10% (W/V) crystal violet in 10% (V/V) formalin to determine the TCID 50 . The titer was determined as the serum dilution resulting in the complete neutralization of the virus.
- Lung samples for histological analysis were processed by the histopathology laboratory at The School of Veterinary Medicine, (UW-Madison, Wis.) and stained with H&E.
- tissue sections were deparaffinized and rehydrated as previously described (Brown et al., 1992; Chamnanpood et al., 2011). Slides were treated with antigen retrieval buffer followed up with 3% H 2 O 2 . Slides were placed in blocking solution and incubated in goat-anti-HA (BEI resource #NR-2705) (1/300 dilution) avian influenza polyclonal antibody for 24 hours. Secondary HRP-conjugated anti-goat antibody at 1/5000 diluted were added onto slides and incubated for 1 hour. Then, slides were stained with 0.05% 3,3′-diaminobenzidine (DAB) substrate to visualize the presence of avian influenza antigens.
- DAB 3,3′-diaminobenzidine
- mice At five months post-vaccination, two MVA-H5M vaccinated mice were euthanized and spleens were aseptically removed. Splenocytes from individual animals were suspended in RPMI-1640 medium supplemented with 10% heat-inactivated fetal calf serum, 100 I.U./mL penicillin, 100 ⁇ g/mL streptomycin and 0.14 mM ⁇ -mercaptoethanol. Red blood cells were lysed with 1 ⁇ BD Pharm LyseTM buffer.
- splenocytes were surface stained with anti-mouse CD4 FITC (RM4-5) and anti-mouse CD8a PerCP (53-6.7) mAbs.
- 1 ⁇ 10 6 splenocytes were plated onto a 96-well flat-bottom plate and stimulated with diverse H5N1 HA peptide pools (5 ⁇ g/mL) in 200 ⁇ l total volume for 16 hours.
- Bredfeldin A (BD GolgiPlug) was added at a final concentration of 1 ⁇ g/ml for the last 5 hrs of incubation to block protein transport.
- a “genetic algorithm” e.g., “Mosaic Vaccine Tool Suite,” developed by Los Alamos National Labs for HIV work
- a “genetic algorithm” e.g., “Mosaic Vaccine Tool Suite,” developed by Los Alamos National Labs for HIV work
- to generate, select, and “recombine” (in silico) potential T and B cell epitopes (about 9-12 amino acids in length) into “mosaic” proteins can provide greater coverage of global viral variants, and thus optimized immunogenicity, than any single wild-type protein.
- the mosaic sequence accounts for the complete or full-length sequence of the protein and/or regions of interest, as well as the full diversity of the ‘core’ sequences provided.
- FIG. 2 is a schematic of an exemplary mosaic vaccine approach.
- Natural sequences e.g., from field isolates and not from viruses passed in culture, that represent the diversity found in current or currently circulating strains, and that represent a specific subtype are selected. Repeats of sequences are eliminated. Recombined sequence populations (about 500) are generated in silico and the coverage of a sequence from each population is compared to the natural sequence, e.g., as if it were the representative sequence for the population. A representative mosaic sequence from each population is evaluated for its fitness. Representative sequences with rare T cell epitopes are generally excluded.
- parent mosaic sequences e.g., pairs of random parental sequences, can be recombined in silico to generate child sequences.
- the fitness of one or more random child sequences is/are determined and if the fitness has better coverage of the input sequences, the parental with the lowest score is replaced with the higher scoring child sequence or, if the child score is the highest for the population, it is the representative for that population.
- the scoring of representative sequences in a population may be repeated until the fitness is no longer being improved, e.g., for a number of cycles such as 10 cycles.
- a mosaic vaccine that targets the hemagglutinin protein of influenza H5N1 virus was constructed.
- the HA mosaic was generated using an input of 2,145 HA sequences from H5N1 influenza viruses available in GenBank. To maximize T helper cell epitope coverage, the in silico algorithm was set to an amino acid length of 12 mer (Gogolak et al., 2000). HA sequences from H5N1 strains (2,145 sequences) were used to generate a mosaic sequence ( FIG. 3 ):
- the mosaic H5 (H5M) sequence was back-translated into DNA and cloned into Modified Vaccinia Ankara (MVA) to generate MVA-H5M. That nucleotide sequence may be altered to improve expression, e.g., by codon optimization for mammalian cells such as mice (the model for testing), eliminating RNA secondary structure, eliminating RNA destabilization sequences, removing transcription termination sequences (e.g., TTTTTNT), and/or adding a Kozak sequence to the 5′ end.
- the poxvirus encoding H5M was used to infect chicken embryo fibroblasts and supernatants that were harvested 48 hours after infection were analyzed by Western blot ( FIG. 5 ).
- Recombinant H5M was expressed as cleavable HA that resembled a wild-type (wt) HA from avian influenza A/VN/1203/04.
- the level of protein expression from MVA-H5M infected cell pellets was higher than the MVA expressing wild-type hemagglutinin from ANN/1203/04 (MVA-HA) (Brewoo et al., 2013) ( FIG. 5 ).
- MVA-HA wild-type hemagglutinin from ANN/1203/04
- FIG. 5 MVA expressing wild-type hemagglutinin from ANN/1203/04
- in vitro functional analysis of H5M resulted in hemaglutination of RBC at similar levels to wt HA (data not shown).
- mice were intradermally inoculated with MVA-H5M, MVA-LUC, or PBS; and antibody titers from immunized mice were measured against A/VN/1203/04, A/MG/244/05, A/HK/483/97 and A/Egypt/1/08 challenge viruses.
- MVA-H5M elicited significant neutralizing antibody (Ab) titers and protected against all four H5N1 strains (FIGS. 5 B & 13 A-C&G).
- MVA-H5M-vaccinated mice showed no to mild lung lesions compared to the MVA-LUC-vaccinated groups. Lesions included thickening of alveolar wall, lung consolidation with white blood cell infiltration, necrosis of alveolar walls and pulmonary edema. Immunohistochemistry staining revealed high quantities of viral antigen in the MVA-LUC control group ( FIGS. 16D , H, L & P). In contrast, viral antigen was not detected in lungs of mice that received MVA-H5M ( FIGS. 16C , J, K & O). These data demonstrate the ability of MVA-H5M to confer both broad and strong protection against multiple clades of avian influenza viruses.
- MVA-H5M construct The ability of the MVA-H5M construct to protect mice against seasonal influenza viruses was also evaluated. Vaccination followed the same protocol as with H5N1 viruses, except mice were challenged with A/Puerto Rico/8/1934 (PR8; H1N1) and A/Aichi/2/1968 (H3N2). At four weeks post-vaccination, neutralizing Ab titers were below detectable levels against both seasonal influenza viruses ( FIG. 5B ). Despite the lack of detectable neutralizing Ab, MVA-H5M conferred complete protection against PR8 (H1N1) with no significant weight loss observed ( FIGS. 13H and K). In contrast, no protection was observed against A/Aichi/2/68 (H 3 N 2 ) challenge ( FIGS. 13I and L).
- mice challenged with PR8 had significantly lower viral lung titers than mice vaccinated with MVA-LUC controls ( FIG. 13N ).
- vaccination with MVA-H5M had no effect on viral replication in the lungs of mice challenged with A/Aichi/2/68 ( FIG. 13N ).
- mice vaccinated with a single dose MVA-H5M were challenged at either 10 days or 6 months.
- MVA-H5M provided full protection against a lethal dose of A/HK/483/97, at both 10 days and 6 months post-vaccination ( FIGS. 14A and B).
- neutralizing antibodies against A/HK/483/97 were detected at both 10 days and 6 months post-vaccination ( FIG. 14C ).
- Microneutralization assays were conducted using A/HK/483/97 because it is the most virulent strain among the four H5N1 strains used in the present study.
- MVA-H5M broadly protective vaccine
- the mosaic approach minimizes genetic differences between selected vaccine antigenic sequences and circulating influenza strains while maximizing the overall breadth of cross-protective immune responses.
- MVA-H5M mosaic H5 hemaglutinin
- PR8 H1 subtype virus
- a second mechanism that may explain the breadth of protection conferred by the MVA-H5M vaccine is that the mosaic approach maintains intact antigenic structure and presumably physiological function (Santra et al., 2010; Kaur et al., 2011). It has been previously reported that most universal neutralizing antibodies are elicited by peptides in the stalk regions (Kaminski et al., 2011; Kaur et al., 2011).
- the MVA-H5M vaccine has normal hemagglutination function and also is expressed as a cleavable protein.
- the mosaic H5 might provide higher accessibility to the stalk region and stimulate a more robust neutralizing antibody response against epitopes in the stalk region. Crystallography of expressed mosaic H5 would likely be required to reveal the actual structure of this protein and compare it to the known structure of H5 hemagglutinin.
- the MVA-H5M provided sterilizing lung protection with no mortality and no morbidity against H5N1 viruses ( FIG. 13 ). Moreover, no viral antigens were detected in the lung after challenge ( FIG. 14 ). These results are likely due to high neutralizing antibodies (at least 1:32 end-point titer) ( FIG. 5 ). Previous reports have demonstrated that a minimum neutralizing antibody concentration of 1:16 end-point titer is sufficient to provide complete protection against H5N1 viruses (Howard et al., 2011). Although antibody mediated protection is suggested to be the main contributor of protection in the present vaccine, T cells may also play a role.
- H5M expression by MVA induced high levels of cross reactive neutralizing antibodies as well as HA-specific IFN- ⁇ -secreting CD4 + and CD8 + T cells.
- Specific CD4 + and CD8 + T cells that were induced by MVA-H5M vaccine recognized different regions of diverse H5N1 peptides ( FIG. 6 ), as well as recognizing specific conserved epitopes that had been previously reported (Kuwano et al., 1991).
- the protective efficacy of the H5M antigen as a recombinant protein may require the use of adjuvants and multiple doses to achieve desired protection.
- the mosaic approach has been previously used for developing vaccines against the highly variable HIV viruses, capturing potential CD8 T cell epitopes with a length of nine amino acids (Barouch et al., 2010; Fischer et al., 2007) while still maintaining normal protein structure. Because complete protection against influenza viruses is based primarily on humoral immunity (Chiu et al., 2013; Niqueux et al., 2010), the algorithm for epitopes of 12 amino acids was modified in order to capture potential T helper cell epitopes (Gogolak et al., 2000; Ben-Yedidia and Amon, 2005) in order to target antibody producing plasma cell via T helper cells activation. This strategy may have facilitated MVA-H5M achieving high neutralizing antibody with single dose ( FIG. 5 ).
- the vaccine elicited strong humoral responses against multiple H5N1 viruses but no cross-neutralizing antibodies against seasonal influenza viruses (H1N1 and H3N2). Despite the lack of neutralizing antibodies against H1N1 PR8 virus, the MVA-H5M vaccine provided 100% protection against PR8. This suggests a substantial role of cellular immune responses against PR8 virus, as shown in FIG. 9 , likely because the H5M protein possesses some CLT epitopes of PR8 (Bui et al., 2007).
- H5 and H1 hemagglutinin subtypes can also be explained by the genetic relationship between the H5 and H1 hemagglutinin subtypes, as both belong to group 1 (Liu et al., 2009), and it elicits high amount of cross non-neutralizing antibody which then target and destroy H1N1 virus via antibody-dependent cellular cytotoxicity (ADCC) mechanism (Jegaskanda et al., 2013).
- ADCC antibody-dependent cellular cytotoxicity
- the MVA-H5M vaccine did not protect immunized mice against influenza A/Aichi/2168, which likely is due to antigenic differences as the H3 belongs to group 2 hemagglutinin.
- the MVA vector can be designed to contain multiple inserts, future constructs will contain mosaics from several hemagglutinin groups, including important seasonal (e.g H3s) and emerging (e.g., H7s) pathogens. Since this vaccine provides broad protection and a long duration of immunity, utilizing an MVA vector expressing seasonal mosaics might diminish the need for annual vaccination.
- important seasonal e.g H3s
- emerging e.g., H7s
- MVA-H5M vaccine to confer broad protective immunity against various homologous strains as well as heterosubtypic strains makes the mosaic approach a very promising strategy to combat the antigenic diversity of influenza viruses.
- this approach promises to increase the broad efficacy of influenza vaccines substantially. Should this and similar approaches prove effective for other viruses in other animal models, it could help reduce or eliminate the need for annual seasonal influenza vaccine “updates,” as well as providing a framework for a “pandemic preparedness” vaccine.
- FIG. 7 shows the antibody titers for three different strains of influenza virus in mice immunized with H5M/MVA, inactivated vikeus (Baxter) or MVA alone.
- the antisera in immunized mice were reactive against three distinct viral clades (HPAI Clade 0, Clade 1, and Clade 2 viruses) after a single dose.
- the presence of neutralizing antibodies at 4 weeks indicates that the H5M vaccine provides rapid immunity and the immunity is higher than inactivated against the homologous virus. Even recent consensus approaches that have tried to control for the most diversity of input sequence have failed to simultaneously elicit immune responses against all of these clades.
- mice protected 100% of the mice against all three challenge strains ( FIG. 10 ).
- the MVA-H5M vaccine elicited robust and cross protective immunity in mice against avian influenza strains clade 0, clade 1 and clade 2.2.
- MVA-H5M lowered weight loss, viral lung titers and prevented severe lung lesions ( FIGS. 10-12 ).
- the genetic algorithm was used to generate other mosaic sequences.
- 4,809 H1 sequences were used to generate 4 H1M sequences, e.g., using default parameters or modified parameters such as a different random seed number.
- a characteristic residue in one set of those sequences (SEQ ID Nos. 2 and 3) may be at position 125 (Ile), and a characteristic residue in the other set (SEQ ID Nos.
- positions 62 and 4 and 5 may be at one or more of positions 62 (Lys), 64 (Ile), 68 (Gln), 71 (Asn), 73 (Ser), 74 (Val), 86 (Leu), 88-91 (IleSerLysGlu), 99-103 (LysProAsnProGlu), 111 (His), or 113 (Ala), or corresponding positions (depending on the length of the signal peptide).
- H2M sequences were used to generate a H2M sequence (SEQ ID NO:6).
- a characteristic residue in H2M may be at one or more of positions 24 (Ala), 45 (Lys), 86 (Ser), 258 (Thr), 260 (Asn), or 261 (Leu), or corresponding positions.
- H7M sequences were used to generate a H7M sequence (SEQ ID NO:8).
- a characteristic residue in H7M may be at one or more of positions 91 (Ser), 92 (Ser), 122 (Arg), 127 (Gly), 195 (Glu), 197 (Val), or 198 (Ser), or corresponding positions.
- H9M sequences were used to generate a H9M sequence (SEQ ID NO:9).
- a characteristic residue in H9M may be at one or more of positions 180 (Gln), 215 (Glu) or 240 (Tyr), or corresponding positions.
- H10M sequences were used to generate a H10M sequence (SEQ ID NO:10).
- a characteristic residue in H10M may be at position 77 (Val), or a corresponding position.
- HBM sequence 1,085 HA B sequences were used to generate a HBM sequence (SEQ ID NO:11).
- a characteristic residue in HBM may be at one or more of positions 86 (Met), 88 (Val), 90 (Thr), 91 (Thr), 95 (Lys), 96 (Ala), or 161 (Val), or corresponding positions.
- a characteristic residue in N1M may be at one or more of positions 35 (Ala), 44-48 (AsnHisThrGlyIle), 52 (Arg), 59 (Ser), 64 (His), 70 (Asn), 74-77 (ValValAlaGly), 79-81 (AspLysThr), 99 (Ile), or 105 (Ser).
- a characteristic residue in N2M may be at one or more of positions 199 (Lys) or 221 (Asn), or corresponding positions.
- the approach may thus be employed with any subtype of influenza virus HA or NA, as well as influenza B virus, to generate one or more mosaic influenza antigens that are incorporated into a universal influenza vaccine which provides both domesticated animals and humans with the maximum possible protection against this devastating respiratory disease.
- polyvalent mosaic sequences based on HA and NA may be employed to develop a universal influenza vaccine.
- poxvirus as a delivery vehicle for the mosaic antigen facilitates immune protection because its replication triggers innate immunity as well as T cell and B cell responses, and the poxvirus can be used in both birds and humans; further, it can be given orally.
- position coverage of mosaic sequences includes residues 13-39, 60-75, 111-124, 300-314, 351-388, 401-438, 451-477, 513-516, and 530-537;
- SEQ ID NO:2 includes 21-39, 88-89, 115-125, 284-287, 363-370, 436-439, 472-477, 528-532, and 552-555;
- SEQ ID NO:3 includes 21-24, 37-39, 363-369, 433-438, and 469-476;
- SEQ ID NO:4 (H1) includes 21-39, 88-89, 115-125, 363-370, 401-404, 422-423, 433-438, 469-477, and 528-532;
- SEQ ID NO:5 includes 21-24, 37
- the conserved regions are those that are included in the mosaic sequences of the invention and may be substituted, e.g., up to 5%, 10% or 20%, relative to the corresponding sequences in any of SEQ ID Nos. 1-14.
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Abstract
The invention provides for mosaic influenza virus HA and NA sequences and uses thereof.
Description
- This application claims the benefit of the filing date of U.S. application Ser. No. 61/785,071, field on Mar. 14, 2013, the disclosure of which is incorporated by reference herein.
- This invention was made with government support under 2008-55620-19132 awarded by the USDA/NIFA. The government has certain rights in the invention.
- Influenza viruses are a significant health concern for animals and humans. The World Health Organization (WHO) estimates that every year influenza virus infects up to 1 billion people, with 3-5 million cases of severe disease and 300,000-500,000 deaths annually (Meltzer et al., 1999). The traditional approach to controlling influenza A virus is based on diagnosis, treatment and prevention through vaccination. Each of these approaches, however, has flaws (e.g., antiviral resistance, incomplete protection, and improper vaccine distribution), e.g., treating every case with antiviral drugs is not a viable option because it is often ineffective and leads to viral resistance.
- Highly pathogenic avian influenza (HPAI) H5N1 viruses have spread as far as Eurasia and Africa since their first emergence in 1996. These viruses infect a range of domestic and wild avian species as well as mammals (Pollack et al., 1998; Lazzari and Stohr, 2004), and pose a pandemic threat (Allen, 2006; Anonymous, 2005; Conly and Johmston, 2004). Current prevention and treatment strategies for H5N1 virus are antiviral, vaccine-based, or involve non-pharmaceutical measures, such as patient isolation or hand sanitation (Alexander et al., 2007; Ferguson et al., 2005; Ferguson et al., 2006; Iwami et al., 2008; Lipsitch et al., 2007; Stilanakis et al., 1998). However, these approaches have flaws (Iwami et al., 2008; Lipsitch et al., 2007; Lipsitch et al., 2009; Gandon et al., 2001).
- Generation of inactivated vaccines (INV) has been optimized for seasonal flu, but presents several challenges for H5N1 viruses, including: 1) continual evolution of the viruses makes predicting a vaccine strain difficult; 2) egg propagation of vaccine stock is hindered due to the high lethality of H5N1 viruses to eggs and the poultry that provide them; and 3) the six to nine month time-period required to produce INV may be too long to protect large populations during a pandemic. In addition, initial studies in mice, ferrets and
phase 1 human clinical trials have demonstrated that INV and other split-virion vaccines may require higher doses of antigen than traditional INV, with more than one administration needed to provide protective immunity (Cox et al., 2004; Ehrlich et al., 2008; Wright, 2008). Live vaccines elicit both humoral and cellular immune responses. However, they are not recommended in infants, elderly, or immuno-compromised individuals because they can cause pathogenic reactions (Jefferson et al., 2005; Kunisaki and Janoff, 2009; Mostow et al., 1969; Peck, 1968). Moreover, live vaccines can revert to wild-type viruses, potentially leading to vaccine failure and disease outbreaks (Mostow et al., 1979). - Current vaccines need to be improved to overcome limited cross protection, short duration of immunity and/or lack of robust protection. For instance, a critical failure in preparation for influenza pandemics and seasonal epidemics is the absence of a universal vaccine. This is due in part to the extraordinary genetic and antigenic variation of the virus, a consequence of rapid evolution in the form of antigenic drift and shift. Indeed, influenza strains vary by 1-2% per year, and vaccines generally do not elicit protection from one year to the next, necessitating frequent vaccine updates. This diversity represents a significant challenge to the development of a broadly effective vaccine, as no single viral variant can induce immunity across observed field strains, and incorporating all circulating variants into one multivalent vaccine isn't feasible.
- Multiple approaches have been studied to develop a universal influenza vaccine that could be applied to H5N1 viruses. One approach is to use conserved sequences such as the stalk region of HA or the internal NP or M1 proteins. Another approach involves consensus sequences that combine many H5N1 hemagglutinin sequences into a single gene. Of these approaches, only the consensus approach has shown partial protection against a diverse panel of H5N1 isolates. Nevertheless, a broadly effective strategy for H5N1, or other pandemic viruses, control remains elusive.
- A mosaic influenza virus sequence is generated in silico from natural sequences with an emphasis on current strains and is optimized for maximum T cell epitope coverage (e.g., maintaining contiguous epitope sequences) rather than on consensus residues. A mosaic sequence having a linear string of primarily natural occurring influenza virus T cell epitopes, optionally including B cell epitopes and/or T cytotoxic lymphocyte (TCL) epitopes, would likely provide robust and broad protection against challenge. That is because an objective scoring mechanism is employed that optimizes for maximum T cell epitope coverage of the known diversity of wild-type influenza. Consequently, the synthetic protein that is generated is less subject to the inherent biases in the body of publically-available data. Moreover, the mosaic sequence is more likely to be functional and properly folded.
- As described below, a modified vaccinia Ankara (MVA) vector was used to express a mosaic H5 HA gene (H5M). The MVA vector offers several advantages such as 1) safety, 2) stability, 3) rapid induction of humoral and cellular responses, and 4) multiple routes of inoculation. In mice, a single dose of MVA-H5M construct provided sterilizing immunity (no detectable virus in lung tissues post challenge) against
0, 1 and 2 viruses. Furthermore, MVA-H5M provided full protection as early as 10 days post exposure and as long as 6 months post-vaccination. Both neutralizing antibodies and antigen-specific CD4+ and CD8+ T cells were detected at 5 months post-vaccination. In addition, MVA-H5M also provided cross subtype protection against H1N1 virus (PR8) challenged. These results indicate that the mosaic vaccine approach has great potential for broadening the efficacy of influenza vaccines, perhaps including protection against all influenza subtypes.H5N1 HPAI clades - The invention thus provides a universal influenza vaccine with a mosaic (synthetic) antigen. In one embodiment, the invention provides an isolated polynucleotide comprising a nucleic acid segment for an influenza virus HA having SEQ ID NO:1 or a polypeptide having at least 95%, e.g., at least 99%, amino acid sequence identity thereto, an influenza virus HA having SEQ ID NO:2 or a polypeptide having at least 95%, e.g., at least 99%, amino acid sequence identity thereto, an influenza virus HA having SEQ ID NO:3 or a polypeptide having at least 95%, e.g., at least 99%, amino acid sequence identity thereto, an influenza virus HA having SEQ ID NO:4 or a polypeptide having at least 95%, e.g., at least 99%, amino acid sequence identity thereto, an influenza virus HA having SEQ ID NO:5 or a polypeptide having at least 95%, e.g., at least 99%, amino acid sequence identity thereto, an influenza virus HA having SEQ ID NO:6 or a polypeptide having at least 95%, e.g., at least 99%, amino acid sequence identity thereto, an influenza virus HA having SEQ ID NO:7 or a polypeptide having at least 95%, e.g., at least 99%, amino acid sequence identity thereto, an influenza virus HA having SEQ ID NO:8 or a polypeptide having at least 95%, e.g., at least 99%, amino acid sequence identity thereto, an influenza virus HA having SEQ ID NO:9 or a polypeptide having at least 95%, e.g., at least 99%, amino acid sequence identity thereto, an influenza virus HA having SEQ ID NO:10 or a polypeptide having at least 95%, e.g., at least 99%, amino acid sequence identity thereto, an influenza virus HA having SEQ ID NO:11 or a polypeptide having at least 95%, e.g., at least 99%, amino acid sequence identity thereto, an influenza virus NA having SEQ ID NO:12 or a polypeptide having at least 95%, e.g., at least 99%, amino acid sequence identity thereto, an influenza virus NA having SEQ ID NO:13 or a polypeptide having at least 95%, e.g., at least 99%, amino acid sequence identity thereto, or an influenza virus NA having SEQ ID NO:14 or a polypeptide having at least 95%, e.g., at least 99%, amino acid sequence identity thereto, or the complement of the nucleic acid segment, which polypeptide is immunogenic, e.g., providing subtype protection against two or more distinct viruses, e.g., from different clades (cross clade is two or more clades). Sequences included are those with one or a few amino acid insertions, so long as the resulting sequences result in the immunogenicity, e.g., providing subtype protection against two or more distinct viruses, e.g., from different clades. In one embodiment, the nucleic acid segment is operably linked to a promoter and/or a transcription termination sequence.
- To generate the synthetic antigens of the invention, which include epitopes representing a large number of primary influenza virus isolates, e.g., from circulating strains, influenza HA subtype and NA subtype sequences were compiled. For example, a sequence for a mosaic H5 antigen was generated in silico using over two thousand published influenza virus H5 sequences from the Influenza Research Database that represent (nonduplicated) sequences of primary isolates and/or circulating isolates. In one embodiment, the sequences represent circulating viruses from
clades 1, 2.1.3, 2.2, 2.2.1, 2.3.2, 2.3.4 and/or 7, or fromclades 0 1, 2.1.1, 2.1.2, 2.1.3, 2.2, 2.2.1, 2.3.1, 2.3.2, 2.3.3 2.3.4, 2.4, 2.6, 3, 4, 5, 6, 7, 8 and/or 9. The efficacy of one of the generated sequences (SEQ ID NO:1) was tested in a highly pathogenic avian influenza (HPAI) model in mice using a recombinant poxvirus (the attenuated MVA vector). The mosaic H5 (H5M) sequence was found to be quite effective and provided broad protection against viruses from different clades, including protection againstClade 0,Clade 1, andClade 2 viruses. Thus, a mosaic influenza virus antigen may be employed as a vaccine that is administered as isolated protein, isolated nucleic acid or via a delivery vehicle, including a viral vector or virus like particle. The viral vector may be a heterologous viral vector, e.g., a vector from poxvirus, avipoxviruses such as fowlpox (FPV) or canarypox viruses, Newcastle Disease virus, adenovirus, alphaviruses, or other viruses, or an influenza virus such as a live attenuated influenza virus. The present invention thus relates to new influenza vaccine constructs, and methods of making and using those constructs. - In one embodiment, to generate a mosaic sequence, a genetic algorithm is employed to generate, select and recombine in silico potential T-cell epitopes and/or B-cell epitopes, into “mosaic” protein sequences that are antigenic and can provide greater coverage of global viral variants than any single wild-type protein. T-cell epitopes are generally from about 8 to about 15 amino acid residues in length, and B cell epitopes are generally from about 12 up to about 35 amino acid residues in length. The combination of epitopes in a full length mosaic HA or NA sequence may be employed in nucleic acid vectors for administration or for protein expression, or a fragment of the sequence which is immunogenic may also be employed. An “immunogenic portion” of a full length sequence may be as few as 8 amino acids in length and up to one or more residues shorter than a full length polypeptide, e.g., a full length HA-1. For instance, an immunogenic portion of a polypeptide is a polypeptide that is about 50%, 60%, 70%, 80%, 85%, 90%, 95% or 99% of the length of a corresponding full length polypeptide, such as a full length HA or HA-1, or NA, and elicits an immunogenic response that is at least 30%, 40%, 50%, or more, of the immunogenic response of the corresponding full-length polypeptide. As described herein, mosaic sequences may include characteristic residues at one or more positions, and in one embodiment, immunogenic portions of the mosaic sequences also have those characteristic residue(s).
- The genetic algorithm based approach to mosaic sequence generation has been employed with other HA A subtypes, e.g., H1, H3, H7, H9, and H10, HA B, and other influenza virus proteins, e.g., NA subtypes N1, N2 and N7. Because the approach incorporates a plurality of influenza epitopes into a mosaic sequence, the resulting sequences are likely useful in a subtype specific universal influenza vaccine that can provide both domesticated animals and humans, and/or avians, the maximum possible protection against this devastating respiratory disease.
- Thus, the invention provides a composition comprising a recombinant nucleic acid molecule having a nucleotide sequence, e.g., in a viral vector such as live recombinant poxvirus, that encodes a mosaic influenza virus antigen as described herein. In one embodiment, the viral vector genome comprises at least one expression cassette having a promoter operably linked to a heterologous open reading frame comprising the nucleotide sequence that elicits neutralizing antibodies and/or a cytotoxic T cell response. In one embodiment, the composition includes more than one nucleotide sequence, each encoding a different antigen, at least one of which is a mosaic antigen, e.g., a mosaic HA or NA polypeptide. For example, the composition may include more than one live recombinant poxvirus, e.g., different isolates having different antigens or one virus encoding more than one influenza virus antigen. Once the recombinant virus infects cells of a host animal, the antigen(s) is expressed in an amount effective to induce an immune response. In one embodiment, a live recombinant virus may be obtained from a culture of isolated mammalian cells transfected or transformed with a recombinant virus genome comprising the at least one expression cassette. Any cell, e.g., any avian or mammalian cell, such as a human, canine, bovine, equine, feline, swine, ovine, mink, or non-human primate cell, including mutant cells, which supports efficient replication of virus can be employed to isolate and/or propagate the viruses. In another embodiment, host cells are continuous mammalian or avian cell lines or cell strains. Viral vectors useful in the invention include but are not limited to recombinant adenovirus, retrovirus, lentivirus, herpesvirus, poxvirus, papilloma virus, or adeno-associated virus. Viral and non-viral vectors may be present in liposomes, e.g., neutral or cationic liposomes, such as DOSPA/DOPE, DOGS/DOPE or DMRIE/DOPE liposomes, and/or associated with other molecules such as DNA-anti-DNA antibody-cationic lipid (DOTMA/DOPE) complexes.
- The recombinant nucleic acid, viral vector or mosaic protein of the invention may be administered via any route including, but not limited to, intramuscular, subcutaneous, intranasal, buccal, rectal, intravenous or intracoronary administration, and transfer to host cells may be enhanced using electroporation and/or iontophoresis.
- In one embodiment, a composition of the invention, such as a vaccine, e.g., for in ovo, mucosal, or parenteral administration, having a recombinant virus may include doses ranging from 1×104 to 1×108 plaque forming units (PFU) or TCID50, e.g., from 1×104 to 1×108 PFU or TCID50, which may be administered as a single dose or in two or more doses, or each dose may include from 1×104 to 1×108 PFU or TCID50, e.g., from 1×104 to 1×108 PFU or TCID50, of recombinant virus, such as poxvirus. For instance, each dose may have the same number of PFU or TCID50, or the booster dose(s) may have higher or lower amounts relative to the initial (priming) dose. The priming dose and/or booster dose(s) may include an adjuvant. Additionally, the vector used for prime and boost may be different. For example, a pox virus expressing the mosaic antigen may be used for a primary dose, while another viral vector, DNA vector, RNA vector, or protein is used for the secondary dose, or vice versa.
- In one embodiment, a composition of the invention encodes or comprises an influenza virus HA and/or NA, which may induce a humoral response, a cellular response, or both, and so likely provides cross-protection. In one embodiment, the vaccine confers from 50 to 100% protection against heterologous challenge (cross protection). In one embodiment, the administration of a composition of the invention to avians or mammals provides for enhanced survival, e.g., after exposure to influenza virus, including survival rates of at least 35% or greater, for instance, survival rates of 50%, 60%, 70%, 75%, 80%, 85%, 90% or greater, relative to survival rates in the absence of the administration of that composition or any other prophylactic or therapeutic agent. The compositions of the invention are useful prophylactically or therapeutically, e.g., against seasonal flu.
-
FIG. 1 . Schematic mechanisms for immune response evasion by influenza virus. AR, TC, EEM are abbreviations for amino acids. -
FIG. 2 . Exemplary mosaic vaccine approach. -
FIG. 3 . Exemplary mosaic (synthetic) H5 protein sequence (SEQ ID NO:1). The mosaic H5N1 hemagglutinin (H5M) sequence was deduced from 2, 145 HA sequences. Lines above the sequence indicate known T-helper cell (blue), B-cell (green) or TCL (Red) epitopes that were found in the H5M (Influenza research database (IRD)). -
FIG. 4 . Selection of divergent challenge stains. -
FIG. 5 . MVA-H5M vaccine expresses higher level of protein than MVA expressing wild type hemaggutinin (MVA-HA) and elicits broad neutralizing antibodies against avian influenza viruses. (A) Western blot analysis of MVA-H5M, MVA-HA and MVA-LUC (negative control) infected CEF cell lysates. HA from MVA-H5M was expressed as a cleavable protein as same as HA wildtype of MVA-HA. The sizes of HA0, HA1 and HA2 are 75 kDa, 50 kDa and 25 kDa, respectively. (B) Neutralizing antibody titers of vaccinated mice were measured at 4 week post-vaccination against influenza A/VN/1203/04, A/MG/244/05, A/HK/483/97, A/Egypt/1/08, PR8 (H1N1) or A/Aichi/2/1968 (H3N2) virus. -
FIG. 6 . MVA-H5M elicits broader epitope coverage than wild type hemagglutinin based vaccine. IFN-γ-producing CD4+ T cells from mice that were vaccinated with MVA-H5M or MVA-HA. Splenocytes from vaccinated mice were collected and stimulated with HA peptide pools from H5N1 viruses (as indicated with p1-p11). *P<0.05 or **P<0.01, Student's T test. -
FIG. 7 . Results of microneutralization assay against VN/1203/04, MONG/244/05 and Hong Kong/483/97 in mice immunized with H5M, inactivated virus or vector (MVA) alone. -
FIG. 8 . Neutralization titers comparison between MVA-H5M and MVA-HA vaccines against H5N1 viruses. -
FIG. 9 . MVA-H5M elicits T cells responses against PR8HA peptides. IFN-γ-producing CD8+ T cells from mice that were vaccinated with MVA-H5M or MVA-HA vaccine. Splenocytes from vaccinated mice were collected and stimulated with HA peptide pools from H1N1 viruses (as indicated with p1-p9). *P<0.05, Student's T test. -
FIG. 10 . Survival over time in mice immunized with H5M, inactivated virus or vector (MVA) alone and challenged with VN/1203/04 (A); MONG/244/05(B); and HK/483/97 (C). -
FIG. 11 . Percent weight loss over time in mice immunized with H5M, inactivated virus or vector (MVA) alone and challenged with VN/1203/04 (A); MONG/244/05 (B); and HK/483/97 (C). -
FIG. 12 . Lung viral titers in mice immunized with H5M, inactivated virus or vector (MVA) alone, for VN/1203/04 (A); MONG/244/05 (B); and HK/483/97 (C). -
FIG. 13 . MVA-H5M provides broad protection against multiple clades of avian influenza virus, and H1N1 virus. Vaccine efficacies of a single dose of MVA-H5M or MVA-LUC against highly pathogenic avian influenza viruses (A-G, J and M) and seasonal influenza viruses (H-I, K-L and N). Vaccinated mice were challenged atweek 5 post-vaccination, and survival data were monitored for 14 days (n=8 per group). -
FIG. 14 . MVA-H5M provides short- and long-term immunities. (A-B) BALB/c mice were immunized with single dose MVA-H5M or MVA-LUC. 10 days or 6 months post-vaccination, mice were challenged with a lethal dose of influenza A/HK/483/97. (C) Neutralization titers from vaccinated mice at 10 days and 6 months post-vaccination. (D) CD4+ and CD8+ T cells responses at 5 months post-vaccination. -
FIG. 15 . Histopathology in mice immunized with H5M, inactivated virus or vector (MVA) alone and challenged with VN/1203/04 (A); MONG/244/05 (B); and HK/483/97 (C). -
FIG. 16 . MVA-H5M reduces lung pathology and prevents viral replication in the lung after challenged with avian influenza viruses. Lungs of mice vaccinated with MVA-H5M (A, E, I, M, C, G, K and O) or MVA-LUC (B, F, J, N, D, H, L and P), challenged with A/VN/1203/04 (A-D), A/MG/244/05 (E-H), A/HK/483/97 virus (I-L) or A/Egypt/1/08 (M-P). MVA-H5M vaccinated mice showed normal to mild lung lesions compared to MVA-LUC-vaccinated mice, which showed severe lung lesions including lung consolidation, WBCs infiltration, thickening of alveolar septa and alveolar edema. Lungs from mice that were administered MVA-H5M (C, G, K and O) or MVA-LUC (D, H, L and P) were processed by immunohistochemistry with H5N1 specific antibody. Brown staining for viral antigen is indicated with arrow heads. -
FIG. 17 . Other exemplary mosaic influenza antigen sequences HIM (SEQ ID NO:2), HIM (SEQ ID NO:3), HIM (SEQ ID NO:4), HIM (SEQ ID NO:5), H2M (SEQ ID NO:6), H3M (SEQ ID NO:7), H7M (SEQ ID NO:8), H9M (SEQ ID NO:9), H10M (SEQ ID NO:10), HBM (SEQ ID NO:11), N1 (SEQ ID NO:12), N2 (SEQ ID NO:13), and N7 (SEQ ID NO:14). -
FIG. 18 . Conserved motifs in some of the sequences shown inFIG. 11 . With regard to sequences that are related but include one or more substitutions to those sequences, those substitutions may be in the conserved regions but generally not in any signature residue. -
FIG. 19 . Codon usage tables for exemplary organisms. - As used herein, the term “isolated” refers to in vitro preparation and/or isolation of a nucleic acid molecule, e.g., vector or plasmid, peptide or polypeptide (protein), or virus of the invention, so that it is not associated with in vivo substances, or is substantially purified from in vitro substances. An isolated virus preparation is generally obtained by in vitro culture and propagation, and is substantially free from other infectious agents.
- A “recombinant” virus is one which has been manipulated in vitro, e.g., using recombinant DNA techniques, to introduce changes to the viral genome.
- As used herein, the term “recombinant nucleic acid” or “recombinant DNA sequence or segment” refers to a nucleic acid, e.g., to DNA, that has been derived or isolated from a source, that may be subsequently chemically altered in vitro, so that its sequence is not naturally occurring, or corresponds to naturally occurring sequences that are not positioned as they would be positioned in the native genome. An example of DNA “derived” from a source, would be a DNA sequence that is identified as a useful fragment, and which is then chemically synthesized in essentially pure form. An example of such DNA “isolated” from a source would be a useful DNA sequence that is excised or removed from said source by chemical means, e.g., by the use of restriction endonucleases, so that it can be further manipulated, e.g., amplified, for use in the invention, by the methodology of genetic engineering.
- In an effort to develop vaccines that maximize the representation of antigenic features present in diverse vial populations, a series of strategies have been proposed. The approaches have included concatenating commonly recognized T-cell epitopes (Palker et al., 1989), creating psuedoprotein strings of T-cell epitopes (De Groot et al., 2005) and generating consensus overlapping peptide sets from proteins (Thomson et al., 2005). Evolutionary approaches such as the use of consensus sequences (Gao et al., 2004, 2005; Gaschen et al., 2002), and the most recent common ancestor (MRCA) of viral populations, have also been proposed with the assumption that these approaches capture viral diversity (Gaschen et al., 2002). Unfortunately, experimental studies in animal models using these strategies have documented underwhelming humoral immune responses (Doria-Rose et al., 2005; Gao et al., 2005).
- Because of antigenic drift of influenza viruses, the components of an influenza virus vaccine are tailored annually to match the strains that would most likely be dominant in the population for the upcoming influenza season. Yearly vaccinations are required because each seasonal vaccine elicits neutralizing antibodies that are specific only for the vaccine strains and closely related isolates. In case of a new pandemic strain, it takes several months to reformulate the vaccine that matches to the new strain.
- To overcome these problems and to stop the spread of influenza indefinitely, a single broadly protective vaccine or universal vaccine is needed. Thus, conserved influenza virus sequences from different strains, or consensus sequences, have been employed to provide an antigen with broad protective properties. For example, conserved influenza virus proteins include NP and M1, which are targets for cellular immunity. There is a certain immunogenic region of M1 (M58-66: GILGFVFTL) that is evolutionarily conserved (Thomas et al., 2006) and is 100% conserved in almost all the strains of influenza virus including H1N1, H5N1, H3N2 and pandemic H1N1, and the extracellular N-terminal domain of M2 protein (eM2), a 23 amino acid peptide, is highly conserved in all human influenza A strains. Universal neutralizing antibodies have been isolated against the conserved HA2 region of hemagglutinin (HA) (Ekiert et al., 2009; Steel et al., 2010). However, universal neutralizing antibodies are rare, have low affinity, and cannot be induced in large quantities during infection or vaccination.
- Sequence alignments are relied on to yield a “consensus” sequence, where many genetic sequences are incorporated into a single sequence. A consensus sequence may thus minimize the genetic distance between vaccine strains and viruses and so may elicit more cross-reactive immune responses than an immunogen derived from any single influenza virus.
- The consensus sequence approach is limited because the consensus sequence is dependent on the input sequences, which are usually heavily biased databases (e.g., temporal and spatial collection biases) based on how sequences are reported to a database, such as the National Center for Biotechnology Information (NCBI). The sequences that are most reported to NCBI are not necessarily representative of circulating strains. Consequently, the synthetic consensus sequence does not necessarily represent currently circulating diversity. Moreover, since a consensus sequence is 100% synthetic, it might not be functional or conformationally “correct”.
- In contrast, the mosaic protein sequences disclosed herein were generated using an objective scoring mechanism that optimizes for maximum T cell epitope coverage of the known diversity of wild-type influenza. Consequently, the synthetic protein that is generated is less subject to the inherent biases in the data. The utility of the mosaic antigen approach, and its superiority to a consensus sequence approach, was demonstrated in vivo for a mosaic H5 HA antigen (H5M). The H5M vaccine can elicit protection against
H5N1 HPAI clades 0,clade 1 andclade 2. Even recent consensus approaches that have tried to control for the most diversity of input sequence have failed to simultaneously elicit immune responses against all of these clades (see, e.g., Hessel et al., 2011). - The present invention relates to compositions and methods which employ recombinant nucleic acid sequence or vectors, or isolated protein, e.g., HA or NA having at least 80%, 85%, 90%, 92%, 95%, 97%, 98%, or 99% amino acid sequence identity to one of SEQ ID NOs:1-14, e.g., a recombinant virus or recombinant cell which expresses one or more of the recombinant gene products, or extracts of those cells, or inactivated recombinant virus, e.g., inactivated via chemical or heat treatment, which expresses one or more of the protein(s). In one embodiment, the recombinant virus or isolated protein may be obtained from a recombinant bacterial cell, avian cell or mammalian cell.
- The compositions and methods are useful for preventing, inhibiting or treating influenza virus infection in animals including avians and mammals. The compositions of the invention, for example, a single dose thereof, are broad spectrum immunotherapeutics and provide for prophylactic and/or therapeutic activity against a variety of influenza virus isolates. In one embodiment, the method includes administering a composition of the invention to a mammal having or suspected of having an influenza virus infection. In one embodiment, a composition comprises an effective amount of recombinant isolated protein e.g., a protein having at least 80%, 85%, 90%, 92%, 95%, 97%, 98%, or 99% amino acid sequence identity to one of SEQ ID NOs:1-14, or an immunogenic portion thereof, or a recombinant virus or cell, such as an attenuated or avirulent virus, which expresses one or more recombinant gene products one of which is a mosaic protein of the invention, or soluble extracts of those cells. In one embodiment, the composition or method employs a recombinant vector that express a protein having at least 80%, 85%, 90%, 92%, 95%, 97%, 98%, or 99% amino acid sequence identity to SEQ ID NO:1.
- In one embodiment, the composition further comprises a pharmaceutically acceptable carrier. In one embodiment, the composition is administered orally, for instance, in a formulation suitable to deliver protein(s). In another embodiment, the composition is administered through various other acceptable delivery routes, for example, through parenteral injection, intranasally, or via an intra-muscular injection. In one embodiment, the composition is administered to the animal one or more times, at times including but not limited to 1 to 7 days, 1 to 3 weeks or about 1, 2, 3, 4 or more, e.g., up to 6, months, before the mammal or avian is exposed to influenza virus. In one embodiment, the composition is administered to the mammal or avian one or more times after exposure to the virus, e.g., at 1 hour, 6 hours, 12 hours, 1 day, 2 days, 4 days or more, e.g., up to about 2 weeks, after exposure.
- In one embodiment, the invention provides a recombinant nucleic acid molecule having a nucleotide sequence encoding an immunogenic influenza virus HA polypeptide having one of SEQ ID NOs:1-11, a sequence with at least 99% amino acid sequence identity thereto, or a portion thereof, which provides cross-clade reactivity. In one embodiment, the invention provides a recombinant nucleic acid molecule having a nucleotide sequence encoding an immunogenic H5 HA polypeptide having SEQ ID NO:1, or a sequence with at least 95% amino acid sequence identity thereto or an immunogenic portion thereof, wherein the HA has Ile at position 87, Thr at position 172, Val at position 226 or Thr at position 279, or a combination thereof. Further provided is a recombinant nucleic acid molecule having a nucleotide sequence encoding an immunogenic H1 HA polypeptide having SEQ ID NO:2, 3, 4, or 5, a sequence with at least 95% amino acid sequence identity thereto or an immunogenic portion thereof, wherein the HA i) has Arg at position 206, Leu at position 432, or Val at position 434, or a combination hereof; ii) has Ile at position 125 and Val at position 564; or iii) has Lys at
position 62, Ile atposition 64, Gln at position 68, Asn at position 71, Ser at position 73, Val at position 74, Leu at position 86, Ile at position 88, Ser at position 89, Lys atposition 90, Glu at position 91, Lys at position 99, Pro atposition 100, Asn at position 101, Pro at position 102, Glu at position 103, His at position 111, or Ala at position 113, or a combination thereof. In addition, the invention provides a recombinant nucleic acid molecule having a nucleotide sequence encoding an immunogenic H2 HA polypeptide having SEQ ID NO:6, a sequence with at least 95% amino acid sequence identity thereto or an immunogenic portion thereof, wherein the HA has Ala at position 24, Lys at position 45, Ser at position 87, Thr at position 258, Asn at position 260, or Leu at position 261, or a combination thereof. The invention also provides a recombinant nucleic acid molecule having a nucleotide sequence encoding an immunogenic H7 HA polypeptide having SEQ ID NO:8, a sequence with at least 95% amino acid sequence identity thereto or an immunogenic portion thereof, wherein the HA has Ser at position 91, Ser at position 92, Arg at position 122, Gly at position 127, Glu at position 195, Val at position 197, or Ser at position 198, or a combination thereof, a recombinant nucleic acid molecule having a nucleotide sequence encoding an immunogenic H9 HA polypeptide having SEQ ID NO:9, a sequence with at least 95% amino acid sequence identity thereto or an immunogenic portion thereof, wherein the HA has Gln at position 180, Glu at position 215, or Tyr at position 240, or a combination thereof, a recombinant nucleic acid molecule having a nucleotide sequence encoding an influenza B HA polypeptide having SEQ ID NO:11, a sequence with at least 95% amino acid sequence identity thereto or an immunogenic portion thereof, wherein the HA has Met at position 86, Val at position 88, Thr at position 90, Thr at position 91, Lys at position 95, Ala at position 96, or Val at position 161, or a combination thereof, or a recombinant nucleic acid molecule having a nucleotide sequence encoding a H3 HA polypeptide having SEQ ID NO:7, and/or a recombinant nucleic acid molecule having a nucleotide sequence encoding a H10 HA polypeptide having having SEQ ID NO:10. - In one embodiment, the invention provides a recombinant nucleic acid molecule having a nucleotide sequence encoding an immunogenic influenza virus NA polypeptide having one of SEQ ID NOs:12-14, a sequence with at least 95% amino acid sequence identity to SEQ ID NO:12 having Ala at position 35, Ser at position 42, Asn at position 44, His at position 45, Thr at position 46, Gly at position 47, Ile at
position 48, Arg at position 52, Ser at position 59, His atposition 64, Asn atposition 70, Val at position 74, Val atposition 75, Ala at position 76, Gly at position 77, Asp at position 79, Lys atposition 80, Thr at position 81, Ile at position 99, or Ser at position 105, or a combination thereof; a sequence with at least 99% amino acid sequence identity to SEQ ID NO:13 having Lys at position 199, Asn at position 221, or Gln at position 433, or a combination thereof; or a sequence with at least 99% amino acid sequence identity to SEQ ID NO:14 having Ile at position 353; or an immunogenic portion thereof. - The recombinant nucleic acid molecule may be in the form of an expression vector, such as a recombinant virus, linked to the nucleotide sequence of the invention, e.g., forming a promoter operable in avian or mammalian cells, A recombinant poxvirus may include a nucleotide sequence encoding an immunogenic polypeptide having one of SEQ ID NOs.1-14, a sequence with at least 95% amino acid sequence identity thereto or a portion thereof that provides cross-clade reactivity.
- The invention provides an isolated immunogenic influenza virus HA polypeptide having one of SEQ ID NOs:1-11, a sequence with at least 95% amino acid sequence identity thereto or a portion thereof, which provides cross-clade reactivity, e.g., the HA polypeptide has at least or has greater than 99% amino acid sequence identity to one of SEQ ID NOs:1-11. In one embodiment, the polypeptide having SEQ ID NO:1, the sequence with at least 95% amino acid sequence identity thereto or the portion thereof, has Ile at position 87, Thr at position 172, Val at position 226 or Thr at position 279, or a combination thereof. In one embodiment, the polypeptide having SEQ ID NO:2, 3, 4, or 5, the sequence with at least 95% amino acid sequence identity thereto or the portion thereof, i) has Arg at position 206, Leu at position 432, or Val at position 434, or a combination hereof; ii) has Ile at position 125 and Val at position 564: or iii) has Lys at
position 62, Ile atposition 64, Gln at position 68, Asn at position 71, Ser at position 73, Val at position 74, Leu at position 86, Ile at position 88, Ser at position 89, Lys atposition 90, Glu at position 91, Lys at position 99, Pro atposition 100, Asn at position 101, Pro at position 102, Glu at position 103, His at position 111, or Ala at position 113, or a combination thereof. In one embodiment, the polypeptide having SEQ ID NO:6, a sequence with at least 95% amino acid sequence identity thereto or an immunogenic portion thereof has Ala at position 24, Lys at position 45, Ser at position 86, Thr at position 258, Asn at position 260, or Leu at position 261, or a combination thereof. In one embodiment, the polypeptide having SEQ ID NO:8, the sequence with at least 95% amino acid sequence identity thereto or the portion thereof, has Ser at position 91, Ser at position 92, Arg at position 122, Gly at position 127, Glu at position 195, Val at position 197, or Ser at position 198, or a combination thereof. In another embodiment, the polypeptide having SEQ ID NO:9, the sequence with at least 95% amino acid sequence identity thereto or the portion thereof has Gln at position 180, Glu at position 215, or Tyr at position 240, or a combination thereof. In yet another embodiment, the polypeptide having SEQ ID NO:11, the sequence with at least 95% amino acid sequence identity thereto or the portion thereof has Met at position 86, Val at position 88, Thr atposition 90, Thr at position 91, Lys at position 95, Ala atposition 96, or Val at position 161, or a combination thereof. The invention also provides an isolated immunogenic influenza virus NA polypeptide having one of SEQ ID NOs:12-14, a sequence with at least 95% amino acid sequence identity to SEQ ID NO: 12 or at least 99% amino acid sequence identity to one of SEQ ID NOs. 13-14, thereto or an immunogenic portion thereof. For example, the sequence with at least 95% amino acid sequence identity to SEQ ID NO:12 has Ala at position 35, Ser at position 42, Asn at position 44, His at position 45, Thr at position 46, Gly at position 47, Ile atposition 48, Arg at position 52, Ser at position 59, His aposition 64, Asn atposition 70, Val at position 74, Val atposition 75, Ala at position 76, Gly at position 77, Asp at position 79, Lys atposition 80, Thr at position 81, Ile at position 99, or Ser at position 105, or a combination thereof; the sequence with at least 99% amino acid sequences identity to SEQ ID NO:13 has Lys at position 199, Asn at position 221, or Gln at position 433, or a combination thereof; or the sequence with at least 99% amino acid sequence identity to SEQ ID NO:14 has Ile at position 353; or an immunogenic portion thereof. - The recombinant nucleic acid, e.g., a recombinant virus or recombinant polypeptide may be employed as vaccine. In one embodiment, the invention provides a vaccine comprising a recombinant virus, the genome of which comprises at least one expression cassette having a promoter operably linked to a heterologous open reading frame comprising a nucleotide sequence for an influenza virus polypeptide having one of SEQ ID NOs: 1-14, a polypeptide with at least 95% amino acid sequence thereto or an immunogenic portion thereof, or a combination thereof, which provides cross-clade reactivity. In one embodiment, the vaccine further comprises an adjuvant. In one embodiment, the vaccine further comprises a different virus. In one embodiment, the vaccine further comprises a pharmaceutically acceptable carrier, e.g., wherein the carrier is suitable for intranasal or intramuscular administration. In one embodiment, the vaccine is in freeze-dried form. In one embodiment, the vaccine is adapted for mucosal, intramuscular or intradermal delivery.
- Also provided is a method to prevent, inhibit or treat influenza virus infection comprising administering to an avian or a mammal an effective amount of a composition comprising the recombinant nucleic acid molecule, the recombinant virus, or the recombinant polypeptide of the invention. Also provided is a recombinant method to immunize an animal against influenza infection, comprising: administering to an animal or an egg thereof, a composition comprising an amount of at least one recombinant virus comprising a recombinant nucleic acid molecule of the invention effective to induce an adaptive immune response to influenza virus. In one embodiment, the animal is an avian or a mammal. In one embodiment, the composition is intradermally administered. In one embodiment, the composition is intramuscularly, or mucosally, administered. In one embodiment, the effective amount is administered in more than one dose. In one embodiment, the composition further comprises an adjuvant. In one embodiment, the composition is parenterally administered. In one embodiment, the composition is administered intranasally or is administered orally.
- In one embodiment, the invention provides a method to prevent influenza virus infection of an animal. The method includes administering to a mammal an effective amount of a live recombinant virus, the genome of which comprises at least one expression cassette having a promoter operably linked to a heterologous open reading frame comprising a nucleotide sequence for a mosaic antigen of an influenza virus protein that elicits neutralizing antibodies and/or a cellular immune response. In one embodiment, the method includes administering to the mucosa of an animal, e.g., orally administering, an effective amount of one or more live recombinant poxviruses, the genome of at least one of which comprises at least one expression cassette having a promoter operably linked to a heterologous open reading frame comprising a nucleotide sequence for a mosaic antigen that elicits neutralizing antibodies and/or a cellular immune response. For example, the effective amount may be from 1×104 to 1×108 PFU or TCID50, e.g., from 1×106 to 1×107 PFU or TCID50, which may be administered as a single dose or in two or more doses, or each dose may include from 1×104 to 1×108 PFU or TCID50, e.g., from 1×106 to 1×107 PFU or TCID50. For instance, each dose may have the same number of PFU, or the booster dose(s) may have higher or lower amounts relative to the initial dose. The initial booster may be administered from 2 to 8 weeks after the priming dose, for
instance 3 to 4 weeks after the priming dose. The priming dose and/or booster dose(s) may include an adjuvant. In one embodiment, mucosal delivery of the recombinant virus and adjuvant is employed. - Also provided is a method to immunize an avian or an egg thereof against influenza virus. The method includes administering to the avian or an egg thereof an effective amount of isolated mosaic influenza virus protein or a live recombinant virus, the genome of which comprises at least one expression cassette having a promoter operably linked to a heterologous open reading frame comprising a nucleotide sequence for a mosaic influenza virus protein that elicits neutralizing antibodies and/or a cellular immune response. The immunized avian may be one of a population of avians, e.g., a flock of chickens, where at least one of the population has symptoms of infection or anti-influenza virus antibodies. In one embodiment, the antigen is a mosaic HA polypeptide.
- In one embodiment, the method includes administering to the mucosa of an avian or mammal, e.g., orally or nasally administering, an effective amount of one or more recombinant viruses, the genome of at least one of which comprises at least one expression cassette having a promoter operably linked to a heterologous open reading frame comprising a nucleotide sequence for a mosaic influenza virus antigen that elicits neutralizing antibodies and/or a cellular immune response. For example, the effective amount may be from 1×104 to 1×108 PFU or TCID50, e.g., from 1×106 to 1×107 PFU or TCID50, which may be administered as a single dose or in two or more doses, or each dose may include from 1×104 to 1×108 PFU or TCID50, e.g., from 1×106 to 1×107 PFU or TCID50. For instance, each dose may have the same number of PFU, or the booster dose(s) may have higher or lower amounts relative to the initial dose. The initial booster may be administered from 2 to 8 weeks after the priming dose, for
instance 3 to 4 weeks after the priming dose. The priming dose and/or booster dose(s) may include an adjuvant. In one embodiment, mucosal delivery of the recombinant virus and adjuvant is employed, e.g., a recombinant virus encoding influenza HA and an adjuvant, which adjuvant may be delivered via a recombinant virus. - In one embodiment, the invention provides a mosaic H5 polypeptide sequence with characteristic residues at positions 87, 172, 226 or 279, or a combination thereof, of HA (numbering of positions is that in a protein having SEQ ID NO:1; in a HA sequence a signal peptide may be from 15 to 20 residues in length, and the signal peptide in SEQ ID NO:1 is 17 residues in length). For example, SEQ ID NO:1 has a 17 amino acid signal peptide), e.g., the residue at position 87 of HA is not threonine, the residue at position 172 is not alanine, the residue at position 226 is not alanine, and/or the residue at position 279 is not alanine, or a combination thereof. In one embodiment, the isolated H5M of the invention has a residue at position 87 with an aliphatic side chain, e.g., Ile, a residue at position 172 with a hydroxyl side chain, e.g., Thr, a residue at position 226 with an aliphatic side chain, e.g., Val, and/or a residue at position 279 with a hydroxyl side chain, e.g., Thr. For example, a group of amino acids having aliphatic side chains is glycine, alanine, valine, leucine, and isoleucine; a group of amino acids having aliphatic-hydroxyl side chains is serine and threonine; a group of amino acids having amide-containing side chains is asparagine and glutamine; a group of amino acids having aromatic side chains is phenylalanine, tyrosine and tryptophan; a group of amino acids having basic side chains is lysine, arginine and histidine; and a group of amino acids having sulfur-containing side chain is cysteine and methionine. In one embodiment, conservative amino acid substitution groups are: threonine-valine-leucine-isoleucine-alanine; phenylalanine-tyrosine; lysine-arginine; alanine-valine; glutamic-aspartic; and asparagine-glutamine.
- In one embodiment, the recombinant nucleic acid molecule or virus of the invention encodes one or more influenza viral proteins (polypeptides) having at least 95%, e.g., 96%, 97%, 98% or 99%, amino acid sequence identity to one of SEQ ID NOs:1-14, so long as the polypeptide is immunogenic. An amino acid sequence having at least 95%, e.g., 96%, 97%, 98% or 99%, amino acid sequence identity includes sequences with deletions or insertions, and/or substitutions, e.g., conservative substitutions, so long as the polypeptide is immunogenic. In one embodiment, the one or more residues which are not identical may be nonconservative substitutions. In one embodiment, the polypeptide has one or more, for instance, 2, 5, 10, 15, 20 or more, amino acid substitutions, e.g., conservative substitutions of up to 5% of the residues of the full-length, mature form of a polypeptide having SEQ ID NOs:1-14. In one embodiment, the isolated recombinant nucleic acid molecule includes a nucleic acid sequence for the mosaic antigen that has codon optimized sequences, a reduced number of RNA secondary structures, a reduced number of RNA destabilization sequences, and/or a reduced number of or no transcription terminator sequences, relative to an unmodified nucleotide sequence. The isolated recombinant nucleic acid molecule or virus, or isolated mosaic polypeptide, of the invention may be employed alone or with one or more other immunogenic agents, such as other virus in a vaccine, to raise virus-specific antisera, in gene therapy, and/or in diagnostics.
- The isolated recombinant nucleic acid molecule of the invention may be employed in a vector to express influenza proteins, e.g., for recombinant protein vaccine production or to raise antisera, as a nucleic acid vaccine, for use in diagnostics or, for vRNA production, to prepare chimeric genes, e.g., with other viral genes including other influenza virus genes, and/or to prepare recombinant virus. Thus, the invention also provides isolated viral polypeptides, recombinant virus, and host cells contacted (e.g., infected or transfected) with the nucleic acid molecule(s) and/or recombinant virus of the invention, as well as isolated virus-specific antibodies, for instance, obtained from mammals infected with the virus or immunized with an isolated viral polypeptide or polynucleotide encoding one or more viral polypeptides.
- The invention also provides a method to induce an immune response in a mammal, e.g., to immunize a mammal, or an avian against one more influenza virus isolates. An immunological response to a composition or vaccine is the development in the host organism of a cellular and/or antibody-mediated immune response to a viral polypeptide, e.g., an administered viral preparation, polypeptide or one encoded by an administered nucleic acid molecule, which can prevent or inhibit infection to closely structurally related viruses as well as more distantly related viruses. Usually, such a response consists of the subject producing antibodies, B cells, helper T cells, suppressor T cells, and/or cytotoxic T cells directed specifically to an antigen or antigens included in the composition or vaccine of interest. The method includes administering to the host organism, e.g., a mammal, an effective amount of the recombinant nucleic acid molecule, protein or virus of the invention, e.g., an attenuated live virus, optionally in combination with an adjuvant and/or a carrier, e.g., in an amount effective to prevent or ameliorate infection of an animal, such as a mammal, by a plurality of different influenza viruses, e.g., from different clades and/or subtypes. In one embodiment, the virus is administered intramuscularly while in another embodiment, the virus is administered intranasally. In some dosing protocols, all doses may be administered intramuscularly or intranasally, while in others a combination of intramuscular and intranasal administration is employed. The vaccine may further contain other recombinant viruses, other antigens, additional biological agents or microbial components.
- In one embodiment, a composition of the invention comprises one or more isolated proteins, or recombinant virus or cells expressing one or more proteins, including a protein of the invention, in an amount effective to elicit an anti-influenza virus response. For instance, recombinant protein may be isolated from a suitable expression system, such as bacteria, insect cells or yeast, e.g., E. coli, L. lactis, Pichia or S. cerevisiae or other bacterial, insect or yeast expression systems, or mammalian expression systems such as T-REx™ (Invitrogen). For example, to prepare isolated recombinant proteins, any suitable host cell may be employed, e.g., E. coli or yeast, or infected host cells, to express those proteins. Those cellular expression systems may also be employed as delivery systems, e.g., where the protein is one expressed on the cell surface or in a secreted form. A suitable cellular delivery system may be one for oral delivery. A recombinant protein useful in the compositions and methods of the invention may be expressed on the surface of a prokaryotic or eukaryotic cell, or may be secreted by that cell, and may be expressed as a fusion or may be linked to a molecule that alters solubility (e.g., prevents aggregation) or half-life, e.g., a PEGylated molecule, of the resulting chimeric molecule. In one embodiment, the composition of the invention may comprise a recombinant cell expressing one or more recombinant proteins, e.g., on the cell surface or as a secreted protein.
- Also provided is an isolated nucleic acid molecule (polynucleotide) comprising a nucleic acid sequence which is optimized for expression in at least one selected host. Optimized sequences include sequences which are codon optimized, i.e., codons which are employed more frequently in one organism relative to another organism, e.g., a distantly related organism, or balance the usage of codons so that the most frequently used codon is not used to exhaustion. Other modifications can include addition or modification of Kozak sequences and/or introns, and/or to remove undesirable sequences, for instance, potential transcription factor binding sites.
- In one embodiment, the polynucleotide includes a nucleic acid sequence encoding a mosaic antigen of the invention, which nucleic acid sequence is optimized for expression in a mammalian host cell. In one embodiment, an optimized polynucleotide no longer hybridizes to a corresponding non-optimized (wild-type) sequence, e.g., does not hybridize to the non-optimized sequence under medium or high stringency conditions. The term “stringency” is used in reference to the conditions of temperature, ionic strength, and the presence of other compounds, under which nucleic acid hybridizations are conducted. With “high stringency” conditions, nucleic acid base pairing will occur only between nucleic acid fragments that have a high frequency of complementary base sequences. Thus, conditions of “medium” or “low” stringency are often required when it is desired that nucleic acids that are not completely complementary to one another be hybridized or annealed together. The art knows well that numerous equivalent conditions can be employed to comprise medium or low stringency conditions.
- Exemplary “high stringency conditions” when used in reference to nucleic acid hybridization comprise conditions equivalent to binding or hybridization at 42° C. in a solution consisting of 5×SSPE (43.8 g/l NaCl, 6.9 g/l NaH2PO4H2O and 1.85 g/l EDTA, pH adjusted to 7.4 with NaOH), 0.5% SDS, 5×Denhardt's reagent and 100 μg/ml denatured salmon sperm DNA followed by washing in a solution comprising 0.1×SSPE, 1.0% SDS at 42° C. when a probe of about 500 nucleotides in length is employed. Exemplary “medium stringency conditions” when used in reference to nucleic acid hybridization comprise conditions equivalent to binding or hybridization at 42° C. in a solution consisting of 5×SSPE (43.8 g/l NaCl, 6.9 g/l NaH2PO4H2O and 1.85 g/l EDTA, pH adjusted to 7.4 with NaOH), 0.5% SDS, 5×Denhardt's reagent and 100 μg/ml denatured salmon sperm DNA followed by washing in a solution comprising 1.0×SSPE, 1.0% SDS at 42° C. when a probe of about 500 nucleotides in length is employed.
- In another embodiment, the polynucleotide has less than 90%, e.g., less than 80%, nucleic acid sequence identity to a corresponding non-optimized (wild-type) sequence. Constructs, e.g., expression cassettes, and vectors comprising the isolated nucleic acid molecule, e.g., with optimized nucleic acid sequence, as well as kits comprising the isolated nucleic acid molecule, construct or vector are also provided.
- A nucleic acid molecule comprising a nucleic acid sequence encoding a mosaic antigen of the invention is optionally optimized for expression in a particular host cell and also optionally operably linked to transcription regulatory sequences, e.g., one or more enhancers, a promoter, a transcription termination sequence or a combination thereof, to form an expression cassette.
- In one embodiment, a nucleic acid sequence encoding a mosaic antigen of the invention is optimized by replacing codons, e.g., at least 25% of the codons, in a wild type sequence with codons which are preferentially employed in a particular (selected) cell. Preferred codons have a relatively high codon usage frequency in a selected cell, and their introduction results in the introduction of relatively few undesirable structural attributes. Thus, the optimized nucleic acid product may have an improved level of expression due to improved codon usage frequency, and a reduced number of undesirable transcription regulatory sequences.
- An isolated and optimized nucleic acid molecule may have a codon composition that differs from that of the corresponding wild-type nucleic acid sequence at more than 30%, 35%, 40% or more than 45%, e.g., 50%, 55%, 60% or more of the codons. Exemplary codons for use in the invention are those which are employed more frequently than at least one other codon for the same amino acid in a particular organism and, in one embodiment, are also not low-usage codons in that organism and are not low-usage codons in the organism used to clone or screen for the expression of the nucleic acid molecule. Moreover, codons for certain amino acids (i.e., those amino acids that have three or more codons), may include two or more codons that are employed more frequently than the other (non-preferred) codon(s). The presence of codons in the nucleic acid molecule that are employed more frequently in one organism than in another organism results in a nucleic acid molecule which, when introduced into the cells of the organism that employs those codons more frequently, is expressed in those cells at a level that is greater than the expression of the wild type or parent nucleic acid sequence in those cells.
- In one embodiment of the invention, the codons that are different are those employed more frequently in a mammal. Codons for different organisms are known to the art, e.g., see www.kazusa.or.jp./codon/. A particular type of mammal, e.g., a human, may have a different set of more frequently employed codons than another type of mammal. In one embodiment of the invention, at least a majority of the codons are codons employed in mammals (e.g., humans). For example, codons employed more frequently in humans include, but are not limited to, CGC (Arg), CTG (Leu), TCT (Ser), AGC (Ser), ACC (Thr), CCA (Pro), CCT (Pro), GCC (Ala), GGC (Gly), GTG (Val), ATC (Ile), ATT (Ile), MG (Lys), AAC (Asn), CAG (Gln), CAC (His), GAG (Glu), GAC (Asp), TAC (Tyr), TGC (Cys) and TTC (Phe). Thus, in one embodiment, nucleic acid molecules of the invention have a codon composition where at least a majority of codons are frequently employed codons in humans, e.g., CGC, CTG, TCT, AGC, ACC, CCA, CCT, GCC, GGC, GTG, ATC, ATT, AAG, AAC, CAG, CAC, GAG, GAC, TAC, TGC, TTC, or any combination thereof. For example, the nucleic acid molecule of the invention may CTG or TTG leucine-encoding codons, GTG or GTC valine-encoding codons, GGC or GGT glycine-encoding codons, ATC or ATT isoleucine-encoding codons, CCA or CCT proline-encoding codons, CGC or CGT arginine-encoding codons, AGC or TCT serine-encoding codons, ACC or ACT threonine-encoding codon, GCC or GCT alanine-encoding codons, or any combination thereof. See
FIG. 13 for codon usage tables for four different organisms. - The compositions of this invention may be formulated with conventional carriers and excipients, which will be selected in accord with ordinary practice. Aqueous formulations are prepared in sterile form, and when intended for delivery by other than oral administration, will generally be isotonic. All formulations will optionally contain excipients such as those set forth in the Handbook of Pharmaceutical Excipients (1986). Excipients include ascorbic acid and other antioxidants, chelating agents such as EDTA, carbohydrates such as dextrin, hydroxyalkylcellulose, hydroxyalkylmethylcellulose, stearic acid and the like. The pH of the formulations ranges from about 3 to about 11, but is ordinarily about 7 to 10 or about 8 to 9, e.g., for poxviruses.
- While it is possible for the active ingredients to be administered alone they may be present as pharmaceutical formulations. The formulations, both for veterinary and for human use, of the invention comprise at least one active ingredient, as above defined, together with one or more acceptable carriers therefor and optionally other therapeutic ingredients. The carrier(s) must be “acceptable” in the sense of being compatible with the other ingredients of the formulation and physiologically innocuous to the recipient thereof.
- The formulations include those suitable for the foregoing administration routes. The formulations may conveniently be presented in unit dosage form and may be prepared by any of the methods well known in the art of pharmacy. Techniques and formulations generally are found in Remington's Pharmaceutical Sciences (Mack Publishing Co., Easton, Pa.). Such methods include the step of bringing into association the active ingredient with the carrier which constitutes one or more accessory ingredients. In general the formulations are prepared by uniformly and intimately bringing into association the active ingredient with liquid carriers or finely divided solid carriers or both, and then, if necessary, shaping the product.
- Formulations of the present invention suitable for oral administration may be presented as discrete units such as capsules, cachets or tablets each containing a predetermined amount of the active ingredient; as a powder or granules; as a solution or a suspension in an aqueous or non-aqueous liquid; or as an oil-in-water liquid emulsion or a water-in-oil liquid emulsion. The active ingredient may also be administered as a bolus, electuary or paste.
- Pharmaceutical formulations according to the present invention may include one or more pharmaceutically acceptable carriers or excipients and optionally other therapeutic agents. Pharmaceutical formulations containing the active ingredient may be in any form suitable for the intended method of administration. When used for oral use for example, tablets, troches, lozenges, aqueous or oil suspensions, dispersible powders or granules, emulsions, hard or soft capsules, syrups or elixirs may be prepared. Compositions intended for oral use may be prepared according to any method known to the art for the manufacture of pharmaceutical compositions and such compositions may contain one or more agents including sweetening agents, flavoring agents, coloring agents and preserving agents, in order to provide a palatable preparation.
- Formulations for oral use may be also presented as hard gelatin capsules where the active ingredient is mixed with an inert solid diluent, for example calcium phosphate or kaolin, or as soft gelatin capsules wherein the active ingredient is mixed with water or an oil medium, such as peanut oil, liquid paraffin or olive oil.
- Aqueous suspensions of the invention contain the active materials in admixture with excipients suitable for the manufacture of aqueous suspensions. Such excipients include a suspending agent, such as sodium carboxymethylcellulose, methylcellulose, hydroxypropyl methylcelluose, sodium alginate, polyvinylpyrrolidone, gum tragacanth and gum acacia, and dispersing or wetting agents such as a naturally occurring phosphatide (e.g., lecithin), a condensation product of an alkylene oxide with a fatty acid (e.g., polyoxyethylene stearate), a condensation product of ethylene oxide with a long chain aliphatic alcohol (e.g., heptadecaethyleneoxycetanol), a condensation product of ethylene oxide with a partial ester derived from a fatty acid and a hexitol anhydride (e.g., polyoxyethylene sorbitan monooleate). The aqueous suspension may also contain one or more preservatives such as ethyl or n-propyl p-hydroxy-benzoate, one or more coloring agents, one or more flavoring agents and one or more sweetening agents, such as sucrose or saccharin.
- Oil suspensions may be formulated by suspending the active ingredient in a vegetable oil, such as arachis oil, olive oil, sesame oil or coconut oil, or in a mineral oil such as liquid paraffin. The oral suspensions may contain a thickening agent, such as beeswax, hard paraffin or cetyl alcohol. Sweetening agents, such as those set forth above, and flavoring agents may be added to provide a palatable oral preparation. These compositions may be preserved by the addition of an antioxidant such as ascorbic acid.
- The amount of active ingredient that may be combined with the carrier material to produce a single dosage form will vary depending upon the host treated and the particular mode of administration. For example, a time-release formulation intended for oral administration to humans may contain approximately 1 to 1000 mg of active material compounded with an appropriate and convenient amount of carrier material which may vary from about 5 to about 95% of the total compositions (weight:weight). The pharmaceutical composition can be prepared to provide easily measurable amounts for administration. For example, an aqueous solution intended for intravenous infusion may contain from about 3 to 500 μg of the active ingredient per milliliter of solution in order that infusion of a suitable volume at a rate of about 30 mL/hr can occur.
- Formulations suitable for intrapulmonary or nasal administration may have a particle size for example in the range of 0.1 to 500 microns (including particle sizes in a range between 0.1 and 500 microns in increments microns such as 0.5, 1, 30 microns, 35 microns, etc.), which is administered by rapid inhalation through the nasal passage or by inhalation through the mouth so as to reach the alveolar sacs. Suitable formulations include aqueous or oily solutions of the active ingredient. Formulations suitable for aerosol or dry powder administration may be prepared according to conventional methods and may be delivered with other therapeutic agents such as compounds heretofore used in the treatment or prophylaxis of a given condition.
- Formulations suitable for parenteral administration include aqueous and non-aqueous sterile injection solutions which may contain anti-oxidants, buffers, bacteriostats and solutes which render the formulation isotonic with the blood of the intended recipient; and aqueous and non-aqueous sterile suspensions which may include suspending agents and thickening agents.
- The formulations may be presented in unit-dose or multi-dose containers, for example sealed ampoules and vials, and may be stored in a freeze-dried (lyophilized) condition requiring only the addition of the sterile liquid carrier, for example water for injection, immediately prior to use. Extemporaneous injection solutions and suspensions are prepared from sterile powders, granules and tablets of the kind previously described. Exemplary unit dosage formulations are those containing a daily dose or unit daily sub-dose, as herein above recited, or an appropriate fraction thereof, of the active ingredient.
- It should be understood that in addition to the ingredients particularly mentioned above the formulations of this invention may include other agents conventional in the art having regard to the type of formulation in question, for example those suitable for oral administration may include flavoring agents.
- The invention further provides veterinary compositions comprising at least one active ingredient as above defined together with a veterinary carrier therefor.
- Veterinary carriers are materials useful for the purpose of administering the composition and may be solid, liquid or gaseous materials which are otherwise inert or acceptable in the veterinary art and are compatible with the active ingredient. These veterinary compositions may be administered orally, parenterally or by any other desired route.
- Pharmaceutical compositions of the present invention, suitable for inoculation, e.g., nasal, ocular, parenteral or oral administration, comprise one or more recombinant nucleic acid molecules, virus isolates, and/or isolated protein of the invention, optionally further comprising sterile aqueous or non-aqueous solutions, suspensions, and emulsions. The compositions can further comprise auxiliary agents or excipients, as known in the art. The composition of the invention is generally presented in the form of individual doses (unit doses).
- For example, for influenza virus vaccines, conventional vaccines generally contain about 0.1 to 200 μg, e.g., 30 to 100 μg or 15 to about 100 ug, of influenza virus HA from each of the strains entering into their composition. The vaccine forming the main constituent of the vaccine composition of the invention may comprise a single virus encoding an influenza virus mosaic antigen, or one or more viruses encoding antigens from a combination of subtypes or combination of antigens, for example, at least two or three different influenza virus antigens, one of which is a mosaic antigen.
- Preparations for parenteral administration include sterile aqueous or non-aqueous solutions, suspensions, and/or emulsions, which may contain auxiliary agents or excipients known in the art. Examples of non-aqueous solvents are propylene glycol, polyethylene glycol, vegetable oils 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.
- As will be apparent to one skilled in the art, the optimal concentration of the active agent in a composition of the invention will necessarily depend upon the specific agent(s) used, the characteristics of the avian or mammal, the type and amount of adjuvant, if any, and/or the nature of the infection. These factors can be determined by those of skill in the medical and pharmaceutical arts in view of the present disclosure.
- Specific dosages may be adjusted depending on conditions of disease, the age, body weight, ethnic background, general health conditions, sex, diet, lifestyle and/or current therapeutic regimen of the mammal, as well as for intended dose intervals, administration routes, excretion rate, and combinations of drugs. Any of the dosage forms described herein containing effective amounts are well within the bounds of routine experimentation and therefore, well within the scope of the instant disclosure.
- In addition to the recombinant virus, recombinant cells or isolated protein, or combinations thereof, the composition of the invention may further comprise one or more suitable pharmaceutically acceptable carriers. As used herein, the term “pharmaceutically acceptable carrier” refers to an acceptable vehicle for administering a composition to mammals comprising one or more non-toxic excipients which do not react with or reduce the effectiveness of the pharmacologically active agents contained therein. The proportion and type of pharmaceutically acceptable carrier in the composition may vary, depending on the chosen route of administration. Suitable pharmaceutically acceptable carriers for the compositions of the present disclosure are described in the standard pharmaceutical texts. See, e.g., “Remington's Pharmaceutical Sciences”, 18th Ed., Mack Publishing Company, Easton, Pa. (1990). Specific non-limiting examples of suitable pharmaceutically acceptable carriers include water, saline, dextrose, glycerol, ethanol, or the like and combinations thereof.
- Optionally, the composition may further comprise minor amounts of auxiliary substances such as agents that enhance the effectiveness of the preparation, stabilizers, preservatives, and the like.
- In one embodiment, the composition may also comprise a bile acid or a derivative thereof, in particular in the form of a salt. These include derivatives of cholic acid and salts thereof, in particular sodium salts of cholic acid or cholic acid derivatives. Examples of bile acids and derivatives thereof include cholic acid, deoxycholic acid, chenodeoxycholic acid, lithocholic acid, ursodeoxycholic acid, hyodeoxycholic acid and derivatives such as glyco-, tauro-, amidopropyl-1-propanesulfonic-, amidopropyl-2-hydroxy-1-propanesulfonic derivatives of the aforementioned bile acids, or N,N-bis(3Dgluconoamidopropyl)deoxycholamide. A particular example is sodium deoxycholate (NaDOC).
- Examples of suitable stabilizers include protease inhibitors, sugars such as sucrose and glycerol, encapsulating polymers, chelating agents such as ethylene-diaminetetracetic acid (EDTA), proteins and polypeptides such as gelatin and polyglycine and combinations thereof.
- Optionally, the composition may further comprise an adjuvant in addition to the recombinant virus, recombinant cells or isolated protein described herein. Suitable adjuvants for inclusion in the compositions of the present disclosure include those that are well known in the art, such as complete Freund's adjuvant (CFA) that is not used in humans, incomplete Freund's adjuvant (IFA), squalene, squalane, alum, and various oils, all of which are well known in the art, and are available commercially from several sources, such as Novartis (e.g., Novartis' MF59 adjuvant).
- Depending on the route of administration, the compositions may take the form of a solution, suspension, emulsion, or the like. A composition of the invention can be administered intranasally or through enteral administration, such as orally, or through subcutaneous injection, intra-muscular injection, intravenous injection, intraperitoneal injection, or intra-dermal injection to a mammal, e.g., humans, horses, other mammals, etc. Compositions may be formulated for a particular route of delivery, e.g., formulated for oral delivery.
- For parenteral administration, the composition of the invention may be administered by intravenous, subcutaneous, intramuscular, intraperitoneal, or intradermal injection, and may further comprise pharmaceutically accepted carriers. For administration by injection, the composition may be in a solution in a sterile aqueous vehicle which may also contain other solutes such as buffers or preservatives as well as sufficient quantities of pharmaceutically acceptable salts or of glucose to make the solution isotonic.
- The composition may be delivered to the respiratory system, for example to the nose, sinus cavities, sinus membranes or lungs, in any suitable manner, such as by inhalation via the mouth or intranasally. The composition may be dispensed as a powdered or liquid nasal spray, suspension, nose drops, a gel or ointment, through a tube or catheter, by syringe, by packtail, by pledget, or by submucosal infusion. The composition may be conveniently delivered in the form of an aerosol spray using a pressurized pack or a nebulizer and a suitable propellant, e.g., without limitation, dichlorodifluoromethane, trichlorofluoromethane, dichlorotetrafluoroethane or carbon dioxide. In the case of a pressurized aerosol, the dosage unit may be controlled by providing a valve to deliver a metered amount. Capsules and cartridges of, for example, gelatin for use in an inhaler or insufflator may be formulated containing a powder mix of the composition and a suitable powder base such as lactose or starch. Examples of intranasal formulations and methods of administration can be found in PCT publications WO 01/41782, WO 00/33813, and U.S. Pat. Nos. 6,180,603; 6,313,093; and 5,624,898, all of which are incorporated herein by reference and for all purposes. A propellant for an aerosol formulation may include compressed air, nitrogen, carbon dioxide, or a hydrocarbon based low boiling solvent. The composition of the invention may be conveniently delivered in the form of an aerosol spray presentation from a nebulizer or the like. In some aspects, the active ingredients are suitably micronized so as to permit inhalation of substantially all of the active ingredients into the lungs upon administration of the dry powder formulation, thus the active ingredients will have a particle size of less than 100 microns, desirably less than 20 microns, such as in the
range 1 to 10 microns or 0.2 to 0.4 microns. In one embodiment, the composition is packaged into a device that can deliver a predetermined, and generally effective, amount of the composition via inhalation, for example a nasal spray or inhaler. - The vaccines of the present disclosure may further comprise one or more suitable pharmaceutically acceptable carriers. As used herein, the term “pharmaceutically acceptable carrier” refers to an acceptable vehicle for administering a vaccine to mammals comprising one or more non-toxic excipients which do not react with or reduce the effectiveness of the pharmacologically active agents contained therein. The proportion and type of pharmaceutically acceptable carrier in the vaccine may vary, depending on the chosen route of administration. Suitable pharmaceutically acceptable carriers for the vaccines of the present disclosure are described in the standard pharmaceutical texts. See, e.g., “Remington's Pharmaceutical Sciences”, 18th Ed., Mack Publishing Company, Easton, Pa. (1990). Specific non-limiting examples of suitable pharmaceutically acceptable carriers include saline (e.g., PBS), dextrose, glycerol, or the like and combinations thereof.
- In addition, if desired, the vaccine can further contain minor amounts of auxiliary substances such as agents that enhance the antiviral effectiveness of the composition, stabilizers, preservatives, and the like.
- Depending on the route of administration, the vaccine may take the form of a solution, suspension, emulsion, or the like. A vaccine of the present disclosure can be administered orally, intranasally, or through parenteral administration, such as through sub-cutaneous injection, intra-muscular injection, intravenous injection, intraperitoneal injection, or intra-dermal injection to a mammal, e.g., humans, horses, other mammals, etc. Typically, the vaccine is administered through intramuscular or intradermal injection, or orally.
- For parenteral administration, the vaccines of the present disclosure may be administered by intravenous, subcutaneous, intramuscular, intraperitoneal, or intradermal injection, which optionally may further comprise pharmaceutically accepted carriers. For administration by injection, the vaccine may be a solution in a sterile aqueous vehicle which may also contain other solutes such as buffers or preservatives as well as sufficient quantities of pharmaceutically acceptable salts or of glucose to make the solution isotonic.
- The vaccine may be delivered locally to the respiratory system, for example to the nose, sinus cavities, sinus membranes or lungs, in any suitable manner, such as by inhalation via the mouth or intranasally. The vaccines can be dispensed as a powdered or liquid nasal spray, suspension, nose drops, a gel or ointment, through a tube or catheter, by syringe, by packtail, by pledget, or by submucosal infusion. The vaccines may be conveniently delivered in the form of an aerosol spray using a pressurized pack or a nebulizer and a suitable propellant, e.g., without limitation, dichlorodifluoromethane, trichlorofluoromethane, dichlorotetrafluoroethane or carbon dioxide. In the case of a pressurized aerosol, the dosage unit may be controlled by providing a valve to deliver a metered amount. Capsules and cartridges of, for example, gelatin for use in an inhaler or insufflator may be formulated containing a powder mix of the vaccine and a suitable powder base such as lactose or starch. Examples of intranasal formulations and methods of administration can be found in PCT publications WO 01/41782, WO 00/33813, and U.S. Pat. Nos. 6,180,603; 6,313,093; and 5,624,898, all of which are incorporated herein by reference and for all purposes. A propellant for an aerosol formulation may include compressed air, nitrogen, carbon dioxide, or a hydrocarbon based low boiling solvent. The vaccines of the present disclosure can be conveniently delivered in the form of an aerosol spray presentation from a nebulizer or the like. In some aspects, the active ingredients are suitably micronized so as to permit inhalation of substantially all of the active ingredients into the lungs upon administration of the dry powder formulation, thus the active ingredients will have a particle size of less than 100 microns, desirably less than 20 microns, and preferably in the
range 1 to 10 microns or 0.2 to 0.4 microns. In one embodiment, the vaccine is packaged into a device that can deliver a predetermined, and generally effective, amount of the vaccine via inhalation, for example a nasal spray or inhaler. - The vaccines of the present disclosure are administered prophylactically. For instance, administration of the vaccine may be commenced before or at the time of infection. In particular, the vaccines may be administered up to about 1 month or more, or more particularly up to about 4 months or more before the mammal is exposed to the microbe. Optionally, the vaccines may be administered as soon as 1 week before infection, or more particularly 1 to 5 days before infection.
- The desired vaccine dose may be presented in a single dose or as divided doses administered at appropriate intervals, for example as two, three, four or more sub-doses per day. Optionally, a dose of vaccine may be administered on one day, followed by one or more booster doses spaced as desired thereinafter. In one exemplary embodiment, an initial vaccination is given, followed by a boost of the same vaccine approximately one week to 15 days later.
- The dosage of a live virus vaccine for an animal such as a mammalian adult organism can be from about 102-1015, e.g., 103-1012, plaque forming units (PFU)/kg, or any range or value therein. For poxviruses that express influenza virus HA, the dosage of PFU or immunoreactive HA in each dose of replicated virus vaccine may be standardized to contain a suitable amount, e.g., 30 to 100 μg, such as 15 to 100 ug, or any range or value therein, or the amount recommended by government agencies or recognized professional organizations. If the poxvirus expresses a different influenza virus protein, that protein may be standardized. For example, the quantity of NA may also be standardized, however, this glycoprotein may be labile during purification and storage.
- The invention will be further described by the following non-limiting examples.
- Chicken embryo fibroblasts (CEFs) and Mardin-Darby canine kidney (MDCK) cells were obtained from Charles River Laboratories, Inc. (Wilmington, Wash.) and the American Type Culture Collection (ATCC, Manassas, Va.), respectively. Cells were cultured in Dulbecco's Modified Eagle's Medium (DMEM) supplemented with 10% fetal bovine serum (FBS) and antibiotics. CEFs were used for propagating MVA virus. Highly pathogenic avian influenza (H5N1) virus A/
Vietnam/ 1203/04 was kindly provided by Dr. Yoshihiro Kawaoka (University of Wisconsin-Madison, Wis., USA). Highly pathogenic avian influenza (H5N1) viruses, A/Hongkong/483/97, A/Mongolia/Whooper swan/244/05 and A/Egypt/1/08 and seasonal influenza viruses including A/Puerto Rico/8/34 (PR8, H1N1) and A/Aichi/2/1968 (H3N2) were kindly provided by Dr. Stacey Schultz-Chemy and Dr. Ghazi Kayali (St. Jude children's research hospital, Memphis, Term.). All viruses were propagated and titrated in MDCK cells with DMEM that contained 1% bovine serum albumin and 20 Mm HEPES. Viruses were stored at −80° C. until use. Viral titers were determined and expressed as 50% tissue culture infective dose (TCID50). All experimental studies with HPAI H5N1 viruses were conducted in a BSL3+ facility in compliance with the UW Madison Office of Biological Safety. - A total of 3,069 HA protein sequences from H5N1 viruses available in National Center for Biotechnology Information (NCBI) database were downloaded and screened to exclude incomplete and redundant sequences. The resulting 2,145 HA sequences were selected to generate one mosaic protein sequence as previously described (Fischer et al., 2007). T cell epitopes were set to 12 amino acid length (12-mer) in an attempt to match the length of natural T helper cell epitopes (Goglak et al., 2000). The resulting mosaic H5N1 sequence (H5M) was back-translated and codon optimized for mice. The optimized H5M sequence was then synthesized commercially (GenScript USA Inc.) and cloned into MVA-shuttle vector (Brewoo et al., 2013). Recombinant MVA expressing a mosaic H5 (MVA-H5M) was generated in CEF cells as described elsewhere (Earl et al., 2001a; Earl et al., 2001b). MVA expressing wild type HA from avian influenza A/VN/1203/04 (MVA-HA) was constructed as described in Brewor et al. (2013) and kindly provided by Inviragen, Inc.
- The hemagglutin expressed by MVA-H5M was analyzed by western blot analysis. CEF cells were infected with 1 multiplicity of infection (MOI) of 1 PFU/cell of MVA-H5M, MVA-HA and MVA-LUC constructs. Infected cell pellets were harvested 48 hours post-infection and lysed with Laemmli sample buffer (BioRad). Protein was fractionated via SDS PAGE and proteins were transferred onto nitrocellulose membrane for hemaggutinin detection by specific anti-HA antibody. 3,3′,5,5′-tetramethylbenzidine (TMB) was used to visualized HA protein in the membranes.
- Functional analysis of H5M was done by hemagglutination assay (Killian (2008)). CEF cells were infected with 1 MOI of 1 PFU/cell of MVA-H5M, MVA-HA and MVA-LUC. After 48 hours post-infection, cells were harvested and 2-fold dilutions with PBS were made in round bottom 96 well plates. Chicken red blood cells were added into each well and incubated for 30 minutes. Lattice formations were observed in positive wells which is indicative of the ability of HA to agglutinate RBC.
- All mouse studies were conducted at University of Wisconsin-Madison animal facilities and were approved by the Inter-institutional Animal Care and Use Committee (IACUC). Challenge experiments involving H5N1 viruses were conducted at ABSL3+ facilities. Challenge studies for seasonal influenza, A/Puerto Rico/8/34 (PR8, H1N1), and A/Aichi/2/1968 (H3N2) were conducted under the BSL2 conditions to facilitate animal monitoring.
- Groups of 5 week-old BALB/c mice were vaccinated with 1×107 plaque forming unit (pfu) of either recombinant MVA-H5M, or MVA-expressing luciferase (MVA-LUC) via the intradermal (ID) route. Intradermal inoculations were done by injecting 50 μL of PBS-containing virus into footpads. Four weeks after vaccination, blood samples were collected for serological analysis. At week five post vaccination, mice were challenged by intranasal (IN) instillation under isoflurane anesthesia with 100 LD50 of A/Vietnam/1203/04 (1×104 TCID50), A/Hongkong/483/97 (4×103 TCID50), A/Mongolia/Whooper swan/244/05 virus (1×103 TCID50) or A/Egypt/1/08 (3.56×104 TCID50) contained in 20 μL of PBS. Two mice from each group were euthanized at day five post-challenge and lung tissues were collected for viral titrations and histopathology. For isolation of virus, lung tissues were minced in PBS using a mechanical homogenizer (MP Biochemicals, Solon, Ohio), and viral titers in homogenates were quantified by plaque assay on MDCK cells. The remaining lung tissue was fixed in 10% formalin. The remaining animals in each group were observed daily for 14 days, and survival and clinical parameters including clinical score and body weight were recorded. Mice showing at least 20% body weight loss were humanely euthanized.
- A second study evaluated the protective efficacies of the MVA-H5M vaccine against seasonal influenza virus, PR8 (H1N1) or A/Aichi/2/1968 (H3N2). Groups of 5 week-old BALB/c mice were vaccinated with MVA-H5M or MVA-LUC as above. Four weeks after vaccination, blood samples were collected for serological analysis. At week five post vaccination, mice were challenged by intranasal (IN) instillation under isofluorane anesthesia with 50 μL of PBS containing 100 LD50 of PR8 (6.15×103 TCID50) or A/Aichi/2/1968 (5×106 TCID50). Two mice from each group were euthanized at day three post-challenge and lung tissues were collected as above. The remaining animals in each group were observed daily for 14 days as described above.
- Serum antibody titers were determined by microneutralization assay. Briefly, serum was incubated at 56° C. for 30 minutes to inactivate complement and then serially diluted two fold in microtiter plates. 200 TCID50 units of virus were added to each well and incubated at 37° C. for 1 hour. The virus-serum mixture was added to duplicate wells of MDCK cell in 96-well plates, incubated at 37° C. for 72 hours, then fixed and stained with 10% (W/V) crystal violet in 10% (V/V) formalin to determine the TCID50. The titer was determined as the serum dilution resulting in the complete neutralization of the virus.
- Lung samples for histological analysis were processed by the histopathology laboratory at The School of Veterinary Medicine, (UW-Madison, Wis.) and stained with H&E. For immunohistochemistry, tissue sections were deparaffinized and rehydrated as previously described (Brown et al., 1992; Chamnanpood et al., 2011). Slides were treated with antigen retrieval buffer followed up with 3% H2O2. Slides were placed in blocking solution and incubated in goat-anti-HA (BEI resource #NR-2705) (1/300 dilution) avian influenza polyclonal antibody for 24 hours. Secondary HRP-conjugated anti-goat antibody at 1/5000 diluted were added onto slides and incubated for 1 hour. Then, slides were stained with 0.05% 3,3′-diaminobenzidine (DAB) substrate to visualize the presence of avian influenza antigens.
- At five months post-vaccination, two MVA-H5M vaccinated mice were euthanized and spleens were aseptically removed. Splenocytes from individual animals were suspended in RPMI-1640 medium supplemented with 10% heat-inactivated fetal calf serum, 100 I.U./mL penicillin, 100 μg/mL streptomycin and 0.14 mM β-mercaptoethanol. Red blood cells were lysed with 1×BD Pharm Lyse™ buffer. Following washing with RPMI medium, cells were resuspended in the same medium and 1×106 splenocytes were surface stained with anti-mouse CD4 FITC (RM4-5) and anti-mouse CD8a PerCP (53-6.7) mAbs. In order to study intracellular cytokine responses, 1×106 splenocytes were plated onto a 96-well flat-bottom plate and stimulated with diverse H5N1 HA peptide pools (5 μg/mL) in 200 μl total volume for 16 hours. Bredfeldin A (BD GolgiPlug) was added at a final concentration of 1 μg/ml for the last 5 hrs of incubation to block protein transport. Cells were stained intracellularly for IFN-γ APC (XMG1.2) and IL-2 PE (JES6-5H4) after surface staining for CD4 and CD8a. All antibodies were from BD Bioscience except where noted. The samples were acquired on BD FACSCalibur and analyzed with FlowJo v10.0.6 (Tree star). The cytokine background from medium-treated groups was subtracted from each sample. The frequency of cytokine-positive T cells was presented as the percentage of gated CD4+ or CD8+ T cells.
- Student's T-tests were used to evaluate viral lung titers and antibody titers between groups. Survival analyses were performed to assess vaccine effectiveness against challenge viruses. Probability values <0.05 were considered significant.
GraphPad Prism 6 software (La jolla, CA) was used for all statistical analyses. - The use of a “genetic algorithm” (e.g., “Mosaic Vaccine Tool Suite,” developed by Los Alamos National Labs for HIV work) to generate, select, and “recombine” (in silico) potential T and B cell epitopes (about 9-12 amino acids in length) into “mosaic” proteins, can provide greater coverage of global viral variants, and thus optimized immunogenicity, than any single wild-type protein. The mosaic sequence accounts for the complete or full-length sequence of the protein and/or regions of interest, as well as the full diversity of the ‘core’ sequences provided. The use of a mosaic sequence for an HIV-1 vaccine, which recombined potential T cell epitopes into Gag, Pol and Env proteins, has been reported (Fischer et al., 2007). Mosaic HIV-1 vaccines expanded the breadth and depth of cellular immune responses in rhesus monkeys compared to consensus sequences (Barouch et al., 2010).
-
FIG. 2 is a schematic of an exemplary mosaic vaccine approach. Natural sequences, e.g., from field isolates and not from viruses passed in culture, that represent the diversity found in current or currently circulating strains, and that represent a specific subtype are selected. Repeats of sequences are eliminated. Recombined sequence populations (about 500) are generated in silico and the coverage of a sequence from each population is compared to the natural sequence, e.g., as if it were the representative sequence for the population. A representative mosaic sequence from each population is evaluated for its fitness. Representative sequences with rare T cell epitopes are generally excluded. To further evolve the sequences, parent mosaic sequences, e.g., pairs of random parental sequences, can be recombined in silico to generate child sequences. The fitness of one or more random child sequences is/are determined and if the fitness has better coverage of the input sequences, the parental with the lowest score is replaced with the higher scoring child sequence or, if the child score is the highest for the population, it is the representative for that population. The scoring of representative sequences in a population may be repeated until the fitness is no longer being improved, e.g., for a number of cycles such as 10 cycles. - A mosaic vaccine that targets the hemagglutinin protein of influenza H5N1 virus was constructed. The HA mosaic was generated using an input of 2,145 HA sequences from H5N1 influenza viruses available in GenBank. To maximize T helper cell epitope coverage, the in silico algorithm was set to an amino acid length of 12 mer (Gogolak et al., 2000). HA sequences from H5N1 strains (2,145 sequences) were used to generate a mosaic sequence (
FIG. 3 ): - MEKIVLLLAIVSLVKSDQICIGYHANNSTEQVDTIMEKNVTVTHAQDILEKTHNGKLCDLDGVKPLILRDCSV AGWLLGNPMCDEFINVPEWSYIVEKANPANDLCYPGNFNDYEELKHLLSRINHFEKIQIIPKSSWSDHEAS SGVSSACPYQGRSSFFRNVVWLIKKNSTYPTIKRSYNNTNQEDLLVLWGIHHPNDAAEQTRLYQNPTTYI SVGTSTLNQRLVPKIATRSKVNGQSGRMEFFWTILKPNDAINFESNGNFIAPEYAYKIVKKGDSTIMKSELE YGNCNTKCQTPMGAINSSMPFHNIHPLTIGECPKYVKSNRLVLATGLRNSPQRERRRKKRGLFGAIAGFIE GGWQGMVDGWYGYHHSNEQGSGYAADKESTQKAIDGVTNKVNSIIDKMNTQFEAVGREFNNLERRIEN LNKKMEDGFLDVWTYNAELLVLMENERTLDFHDSNVKNLYDKVRLQLRDNAKELGNGCFEFYHKCDNEC MESVRNGTYDYPQYSEEARLKREEISGVKLESIGTYQILSIYSTVASSLALAIMVAGLSLWMCSNGSLQCRI CI (SEQ ID NO:1). The mosaic H5 (H5M) sequence was back-translated into DNA and cloned into Modified Vaccinia Ankara (MVA) to generate MVA-H5M. That nucleotide sequence may be altered to improve expression, e.g., by codon optimization for mammalian cells such as mice (the model for testing), eliminating RNA secondary structure, eliminating RNA destabilization sequences, removing transcription termination sequences (e.g., TTTTTNT), and/or adding a Kozak sequence to the 5′ end. The poxvirus encoding H5M was used to infect chicken embryo fibroblasts and supernatants that were harvested 48 hours after infection were analyzed by Western blot (
FIG. 5 ). Recombinant H5M was expressed as cleavable HA that resembled a wild-type (wt) HA from avian influenza A/VN/1203/04. Interestingly, the level of protein expression from MVA-H5M infected cell pellets was higher than the MVA expressing wild-type hemagglutinin from ANN/1203/04 (MVA-HA) (Brewoo et al., 2013) (FIG. 5 ). Additionally, in vitro functional analysis of H5M resulted in hemaglutination of RBC at similar levels to wt HA (data not shown). These data thus demonstrate the successful generation of an MVA vector expressing a mosaic H5N1 HA gene. - To determine whether antibodies to MVA-H5M had virus neutralizing activity, mice were intradermally inoculated with MVA-H5M, MVA-LUC, or PBS; and antibody titers from immunized mice were measured against A/VN/1203/04, A/MG/244/05, A/HK/483/97 and A/Egypt/1/08 challenge viruses. At four weeks post-immunization, MVA-H5M elicited significant neutralizing antibody (Ab) titers and protected against all four H5N1 strains (FIGS. 5B & 13A-C&G). Geometric mean titers (GMT) of Ab against A/VN/1203/04, A/MG/244/05 and A/HK/483/97 did not differ significantly. In contrast, GMT of Ab against A/Egypt/1/08 was significantly lower than for the other three H5N1 viruses. None of the MVA-LUC control injected animals survived challenge (
FIGS. 13A-C and G). Notably, no virus replication was detected in the lungs of any of the MVA-H5M vaccinated mice challenged with any of the four H5N1 viruses (FIG. 13M ). Furthermore, vaccination with MVA-H5M reduced lung pathology after challenge with avian influenza viruses (FIG. 16 ). MVA-H5M-vaccinated mice showed no to mild lung lesions compared to the MVA-LUC-vaccinated groups. Lesions included thickening of alveolar wall, lung consolidation with white blood cell infiltration, necrosis of alveolar walls and pulmonary edema. Immunohistochemistry staining revealed high quantities of viral antigen in the MVA-LUC control group (FIGS. 16D , H, L & P). In contrast, viral antigen was not detected in lungs of mice that received MVA-H5M (FIGS. 16C , J, K & O). These data demonstrate the ability of MVA-H5M to confer both broad and strong protection against multiple clades of avian influenza viruses. - The ability of the MVA-H5M construct to protect mice against seasonal influenza viruses was also evaluated. Vaccination followed the same protocol as with H5N1 viruses, except mice were challenged with A/Puerto Rico/8/1934 (PR8; H1N1) and A/Aichi/2/1968 (H3N2). At four weeks post-vaccination, neutralizing Ab titers were below detectable levels against both seasonal influenza viruses (
FIG. 5B ). Despite the lack of detectable neutralizing Ab, MVA-H5M conferred complete protection against PR8 (H1N1) with no significant weight loss observed (FIGS. 13H and K). In contrast, no protection was observed against A/Aichi/2/68 (H3N2) challenge (FIGS. 13I and L). Regardless of strain, viral replication was observed in the lungs of mice vaccinated with MVA-H5M and challenged with seasonal influenza viruses; however, mice challenged with PR8 had significantly lower viral lung titers than mice vaccinated with MVA-LUC controls (FIG. 13N ). In contrast, vaccination with MVA-H5M had no effect on viral replication in the lungs of mice challenged with A/Aichi/2/68 (FIG. 13N ). - To assess the ability of the MVA-H5M construct to confer both short- and long-term immunity, groups of mice vaccinated with a single dose MVA-H5M were challenged at either 10 days or 6 months. MVA-H5M provided full protection against a lethal dose of A/HK/483/97, at both 10 days and 6 months post-vaccination (
FIGS. 14A and B). Additionally, neutralizing antibodies against A/HK/483/97 were detected at both 10 days and 6 months post-vaccination (FIG. 14C ). Microneutralization assays were conducted using A/HK/483/97 because it is the most virulent strain among the four H5N1 strains used in the present study. Surprisingly, GMT Ab titers at 6 months were substantially higher than those detected at 4 weeks post-vaccination (FIGS. 15B & 4C ). In these animals, H5N1-specific IFN-γ CD4+ and CD8+ T cell responses were detected using flow cytometry. IFN-γ-releasing CD4+ and CD8+ T cells were found in MVA-H5Mvaccinated mice 5 months after dosing (2 weeks before challenged in long-term protection study), indicating a long-term memory response (FIG. 14D ). - The rapid evolution of influenza viruses poses global health challenges necessitating development of vaccines with broad cross-protective immunity. Herein, the development of a broadly protective vaccine, MVA-H5M, based on a mosaic epitope approach, is described. The mosaic approach minimizes genetic differences between selected vaccine antigenic sequences and circulating influenza strains while maximizing the overall breadth of cross-protective immune responses. The present results demonstrated that a single dose of MVA expressing a mosaic H5 hemaglutinin (MVA-H5M) provided broad protection against multiple H5N1 viruses, including the highly pathogenic Egyptian strains, and also an H1 subtype virus (PR8). The MVA-H5M vaccine provided robust and prolonged protection against a lethal dose of highly pathogenic avian influenza as early as 10 days and as long as 6 months post vaccination.
- In the past few years, commercially available vaccines have failed to induce the expected level of protection against the currently circulating clade 2.2.1 in Egypt (Bahgat et al., 2009; Hafez et al., 2010). It is very important that an H5N1 influenza vaccine provide broad cross-clade protection against these 2.2.1 viruses particularly the A/Egypt/1/08 strain, because this strain possess one of the four mutations that are necessary to sustain human to human transmission (Herft et al., 2012). The MVA-H5M vaccine showed complete protection against this H5N1 strain in mice. The ability to provide complete protection against H5N1 viruses with a single dose is also important for implementation; societal acceptance of a single dose vaccine would likely be higher than for a multi-dose vaccine, especially during a pandemic.
- Several plausible hypotheses exist for the exact mechanism by which the mosaic vaccine confers broad protection against influenza virus challenge. One possible explanation is that the 12-mer mosaic sequence captured more T-helper eptitopes, in which case the broad protective ability of MVA-H5M likely results from greater epitope coverage for the mosaic than for previous approaches (Santra et al., 2010 and
FIG. 6 ). This could translate to a higher level of CD4+ T cells and broader antibody responses than induced by wild-type sequence (MVA-HA). This hypothesis is supported by the fact that MVA-H5M showed broader IFNγ-CD4+ T cell epitope coverage and broader cross-clade neutralizing antibody responses (FIGS. 8 and 9 ). However, other immunological aspects of the MVA-H5M vaccine still need to be further characterized. For example, data on CD8+ T cell responses, cytokine profiles, antibody epitope coverage and mapping would all be necessary to fully understand the mechanism responsible for protection. - A second mechanism that may explain the breadth of protection conferred by the MVA-H5M vaccine is that the mosaic approach maintains intact antigenic structure and presumably physiological function (Santra et al., 2010; Kaur et al., 2011). It has been previously reported that most universal neutralizing antibodies are elicited by peptides in the stalk regions (Kaminski et al., 2011; Kaur et al., 2011). The MVA-H5M vaccine has normal hemagglutination function and also is expressed as a cleavable protein. Furthermore, the mosaic H5 might provide higher accessibility to the stalk region and stimulate a more robust neutralizing antibody response against epitopes in the stalk region. Crystallography of expressed mosaic H5 would likely be required to reveal the actual structure of this protein and compare it to the known structure of H5 hemagglutinin.
- The MVA-H5M provided sterilizing lung protection with no mortality and no morbidity against H5N1 viruses (
FIG. 13 ). Moreover, no viral antigens were detected in the lung after challenge (FIG. 14 ). These results are likely due to high neutralizing antibodies (at least 1:32 end-point titer) (FIG. 5 ). Previous reports have demonstrated that a minimum neutralizing antibody concentration of 1:16 end-point titer is sufficient to provide complete protection against H5N1 viruses (Howard et al., 2011). Although antibody mediated protection is suggested to be the main contributor of protection in the present vaccine, T cells may also play a role. - It is currently unclear whether the use of a live viral vector such as MVA contributed to the increased cross-protection described herein. It is possible that H5M expression by MVA induced high levels of cross reactive neutralizing antibodies as well as HA-specific IFN-γ-secreting CD4+ and CD8+ T cells. Specific CD4+ and CD8+ T cells that were induced by MVA-H5M vaccine recognized different regions of diverse H5N1 peptides (
FIG. 6 ), as well as recognizing specific conserved epitopes that had been previously reported (Kuwano et al., 1991). The protective efficacy of the H5M antigen as a recombinant protein may require the use of adjuvants and multiple doses to achieve desired protection. - The mosaic approach has been previously used for developing vaccines against the highly variable HIV viruses, capturing potential CD8 T cell epitopes with a length of nine amino acids (Barouch et al., 2010; Fischer et al., 2007) while still maintaining normal protein structure. Because complete protection against influenza viruses is based primarily on humoral immunity (Chiu et al., 2013; Niqueux et al., 2010), the algorithm for epitopes of 12 amino acids was modified in order to capture potential T helper cell epitopes (Gogolak et al., 2000; Ben-Yedidia and Amon, 2005) in order to target antibody producing plasma cell via T helper cells activation. This strategy may have facilitated MVA-H5M achieving high neutralizing antibody with single dose (
FIG. 5 ). - The vaccine elicited strong humoral responses against multiple H5N1 viruses but no cross-neutralizing antibodies against seasonal influenza viruses (H1N1 and H3N2). Despite the lack of neutralizing antibodies against H1N1 PR8 virus, the MVA-H5M vaccine provided 100% protection against PR8. This suggests a substantial role of cellular immune responses against PR8 virus, as shown in
FIG. 9 , likely because the H5M protein possesses some CLT epitopes of PR8 (Bui et al., 2007). This protection can also be explained by the genetic relationship between the H5 and H1 hemagglutinin subtypes, as both belong to group 1 (Liu et al., 2009), and it elicits high amount of cross non-neutralizing antibody which then target and destroy H1N1 virus via antibody-dependent cellular cytotoxicity (ADCC) mechanism (Jegaskanda et al., 2013). However, the MVA-H5M vaccine did not protect immunized mice against influenza A/Aichi/2168, which likely is due to antigenic differences as the H3 belongs togroup 2 hemagglutinin. Because the MVA vector can be designed to contain multiple inserts, future constructs will contain mosaics from several hemagglutinin groups, including important seasonal (e.g H3s) and emerging (e.g., H7s) pathogens. Since this vaccine provides broad protection and a long duration of immunity, utilizing an MVA vector expressing seasonal mosaics might diminish the need for annual vaccination. - The ability of MVA-H5M vaccine to confer broad protective immunity against various homologous strains as well as heterosubtypic strains makes the mosaic approach a very promising strategy to combat the antigenic diversity of influenza viruses. Taken together with codon optimization of HA for high level of protein expression and using MVA vector as a backbone for cellular immunity activation, this approach promises to increase the broad efficacy of influenza vaccines substantially. Should this and similar approaches prove effective for other viruses in other animal models, it could help reduce or eliminate the need for annual seasonal influenza vaccine “updates,” as well as providing a framework for a “pandemic preparedness” vaccine.
- Samples were collected for a microneutralization test at 4 weeks post-immunization.
FIG. 7 shows the antibody titers for three different strains of influenza virus in mice immunized with H5M/MVA, inactivated vikeus (Baxter) or MVA alone. The antisera in immunized mice were reactive against three distinct viral clades (HPAI Clade 0,Clade 1, andClade 2 viruses) after a single dose. The presence of neutralizing antibodies at 4 weeks indicates that the H5M vaccine provides rapid immunity and the immunity is higher than inactivated against the homologous virus. Even recent consensus approaches that have tried to control for the most diversity of input sequence have failed to simultaneously elicit immune responses against all of these clades. -
TABLE 1 Grp Constructs Route N = Challenge stains 1 MVA- H5M ID 8 HK/483/97 2 Inactivated H5N1 SC 8 HK/483/97 3 MVA/LUC - control ID 5 HK/483/97 4 MVA- H5M ID 8 MONG/244/05 5 Inactivated H5N1 SC 8 MONG/244/05 6 MVA/LUC - control ID 5 MONG/244/05 7 MVA- H5M ID 8 VN/1203/04 8 Inactivated H5N1 SC 8 VN/1203/04 9 MVA/LUC - control ID 5 VN/1203/04 - The vaccine protected 100% of the mice against all three challenge strains (
FIG. 10 ). Thus, the MVA-H5M vaccine elicited robust and cross protective immunity in mice against avian influenza strainsclade 0,clade 1 and clade 2.2. MVA-H5M lowered weight loss, viral lung titers and prevented severe lung lesions (FIGS. 10-12 ). - The genetic algorithm was used to generate other mosaic sequences. 4,809 H1 sequences were used to generate 4 H1M sequences, e.g., using default parameters or modified parameters such as a different random seed number. A characteristic residue in one set of those sequences (SEQ ID Nos. 2 and 3) may be at position 125 (Ile), and a characteristic residue in the other set (SEQ ID Nos. 4 and 5) may be at one or more of positions 62 (Lys), 64 (Ile), 68 (Gln), 71 (Asn), 73 (Ser), 74 (Val), 86 (Leu), 88-91 (IleSerLysGlu), 99-103 (LysProAsnProGlu), 111 (His), or 113 (Ala), or corresponding positions (depending on the length of the signal peptide).
- 2,931 H3 sequences were used to generate a H3M sequence (SEQ ID NO:7).
- 393 H2 sequences were used to generate a H2M sequence (SEQ ID NO:6). A characteristic residue in H2M may be at one or more of positions 24 (Ala), 45 (Lys), 86 (Ser), 258 (Thr), 260 (Asn), or 261 (Leu), or corresponding positions.
- 799 H7 sequences were used to generate a H7M sequence (SEQ ID NO:8). A characteristic residue in H7M may be at one or more of positions 91 (Ser), 92 (Ser), 122 (Arg), 127 (Gly), 195 (Glu), 197 (Val), or 198 (Ser), or corresponding positions.
- 927 H9 sequences were used to generate a H9M sequence (SEQ ID NO:9). A characteristic residue in H9M may be at one or more of positions 180 (Gln), 215 (Glu) or 240 (Tyr), or corresponding positions.
- 212 H10 sequences were used to generate a H10M sequence (SEQ ID NO:10). A characteristic residue in H10M may be at position 77 (Val), or a corresponding position.
- 1,085 HA B sequences were used to generate a HBM sequence (SEQ ID NO:11). A characteristic residue in HBM may be at one or more of positions 86 (Met), 88 (Val), 90 (Thr), 91 (Thr), 95 (Lys), 96 (Ala), or 161 (Val), or corresponding positions.
- 3,347 sequences were used generated a N1M sequence (SEQ ID NO:12), 4,444 Mosaic sequences were used generated for N2 (SEQ ID NO:13) and 169 sequences were used generated a N7 (SEQ ID NO:14). A characteristic residue in N1M may be at one or more of positions 35 (Ala), 44-48 (AsnHisThrGlyIle), 52 (Arg), 59 (Ser), 64 (His), 70 (Asn), 74-77 (ValValAlaGly), 79-81 (AspLysThr), 99 (Ile), or 105 (Ser). A characteristic residue in N2M may be at one or more of positions 199 (Lys) or 221 (Asn), or corresponding positions.
- The approach may thus be employed with any subtype of influenza virus HA or NA, as well as influenza B virus, to generate one or more mosaic influenza antigens that are incorporated into a universal influenza vaccine which provides both domesticated animals and humans with the maximum possible protection against this devastating respiratory disease. Moreover, polyvalent mosaic sequences based on HA and NA may be employed to develop a universal influenza vaccine. The use of poxvirus as a delivery vehicle for the mosaic antigen facilitates immune protection because its replication triggers innate immunity as well as T cell and B cell responses, and the poxvirus can be used in both birds and humans; further, it can be given orally.
- To modify the sequences described above, conserved regions may be identified (see
FIG. 12 ). For example, position coverage of mosaic sequences, e.g., for greater than or equal to 80% coverage for SEQ ID NO:1 (H5) includes residues 13-39, 60-75, 111-124, 300-314, 351-388, 401-438, 451-477, 513-516, and 530-537; for SEQ ID NO:2 (H1) includes 21-39, 88-89, 115-125, 284-287, 363-370, 436-439, 472-477, 528-532, and 552-555; for SEQ ID NO:3 (H1) includes 21-24, 37-39, 363-369, 433-438, and 469-476; for SEQ ID NO:4 (H1) includes 21-39, 88-89, 115-125, 363-370, 401-404, 422-423, 433-438, 469-477, and 528-532; for SEQ ID NO:5 (H1) includes 21-24, 37-39, 363-369, 469-476, 528-531, and 552-555; for SEQ ID NO:6 (H2) includes 25-33, 61-75, 104-108, 155-157, 253-271, 287-289, 309-310, 325-339, 351-373, 386-389, 416-439, 457-458, 474-481, 501-508, and 521-531; for SEQ ID NO:7 (H3) includes 24-29, 51-54, 111-125, 301-303, 324-339, 351, 364-365, 378-379, 403-439, 451-454, 470-483, 506-534, and 551-555; for SEQ ID NO:8 (H7) includes 131, 151-153, 293-300, 351-376, 423-431, 464-474, and 511-512; for SEQ ID NO:9 (H9) includes 26-28, 51, 67, 108-109, 254-255, 337-339, 354-360, 414-417, 430-439, and 451-457; for SEQ ID NO:10 (H10) includes 16, 78-86, 101-114, 127-133, 151-154, 167-171, 201-234, 251-259, 301-310, 351-389, 401-415, 419-439, 451-471, 488, 501-513, and 526-530; for SEQ ID NO:11 (HA B) includes 1-39, 101-119, 224-232, 251-254, 283-288, 301-338, 351-388, 401-438, 451-481, 501-508, 521-538, 551-553, and 570-574; for SEQ ID NO:12 (N1) includes 107-143, 174-176, 190-202, 290-299, 398-404, 436-438, 474-484, 506-525, and 538-539; for SEQ ID NO:13 (N2) includes 1-4, 94-113, 156-160, 173-182, 222-237, 287-290, 314-316, 415-419, and 438-451; for SEQ ID NO:14 (N7) includes 1-7, 20-27, 106-114, 127-152, 264-272, 286-290, 338-344, 359-370, 392-402, 417-435, and 456-460. - The conserved regions are those that are included in the mosaic sequences of the invention and may be substituted, e.g., up to 5%, 10% or 20%, relative to the corresponding sequences in any of SEQ ID Nos. 1-14.
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- Zhao et al., Virol. J., 7:9 (2010). All publications, patents and patent applications are incorporated herein by reference. While in the foregoing specification, this invention has been described in relation to certain preferred embodiments thereof, and many details have been set forth for purposes of illustration, it will be apparent to those skilled in the art that the invention is susceptible to additional embodiments and that certain of the details herein may be varied considerably without departing from the basic principles of the invention.
Claims (20)
1. A recombinant nucleic acid molecule having a) a nucleotide sequence encoding an immunogenic influenza virus HA polypeptide having one of SEQ ID NOs:1-11, a sequence with at least 99% amino acid sequence identity thereto, or a portion thereof, which provides cross-clade reactivity; b) a nucleotide sequence encoding an immunogenic H5 HA polypeptide having SEQ ID NO:1, or a sequence with at least 95% amino acid sequence identity thereto or an immunogenic portion thereof, wherein the HA has Ile at position 87, Thr at position 172, Val at position 226 or Thr at position 279, or a combination thereof; c) a nucleotide sequence encoding an immunogenic H1 HA polypeptide having SEQ ID NO:2, 3, 4, or 5, a sequence with at least 95% amino acid sequence identity thereto or an immunogenic portion thereof, wherein the HA i) has Arg at position 206, Leu at position 432, or Val at position 434, or a combination hereof; ii) has Ile at position 125 and Val at position 564; or iii) has Lys at position 62, Ile at position 64, Gln at position 68, Asn at position 71, Ser at position 73, Val at position 74, Leu at position 86, Ile at position 88, Ser at position 89, Lys at position 90, Glu at position 91, Lys at position 99, Pro at position 100, Asn at position 101, Pro at position 102, Glu at position 103, His at position 111, or Ala at position 113, or a combination thereof; d) a nucleotide sequence encoding an immunogenic H2 HA polypeptide having SEQ ID NO:6, a sequence with at least 95% amino acid sequence identity thereto or an immunogenic portion thereof, wherein the HA has Ala at position 24, Lys at position 45, Ser at position 87, Thr at position 258, Asn at position 260, or Leu at position 261, or a combination thereof; e) a nucleotide sequence encoding an immunogenic H7 HA polypeptide having SEQ ID NO:8, a sequence with at least 95% amino acid sequence identity thereto or an immunogenic portion thereof, wherein the HA has Ser at position 91, Ser at position 92, Arg at position 122, Gly at position 127, Glu at position 195, Val at position 197, or Ser at position 198, or a combination thereof; f) a nucleotide sequence encoding an immunogenic H9 HA polypeptide having SEQ ID NO:9, a sequence with at least 95% amino acid sequence identity thereto or an immunogenic portion thereof, wherein the HA has Gln at position 180, Glu at position 215, or Tyr at position 240, or a combination thereof; g) a nucleotide sequence encoding an influenza B HA polypeptide having SEQ ID NO:11, a sequence with at least 95% amino acid sequence identity thereto or an immunogenic portion thereof, wherein the HA has Met at position 86, Val at position 88, Thr at position 90, Thr at position 91, Lys at position 95, Ala at position 96, or Val at position 161, or a combination thereof; h) a nucleotide sequence encoding a H3 HA polypeptide having SEQ ID NO:7; i) a nucleotide sequence encoding a H10 HA polypeptide having having SEQ ID NO:10; j) a nucleotide sequence encoding an immunogenic influenza virus NA polypeptide having one of SEQ ID NOs:12-14; k) a sequence with at least 95% amino acid sequence identity to SEQ ID NO:12 having Ala at position 35, Ser at position 42, Asn at position 44, His at position 45, Thr at position 46, Gly at position 47, Ile at position 48, Arg at position 52, Ser at position 59, His at position 64, Asn at position 70, Val at position 74, Val at position 75, Ala at position 76, Gly at position 77, Asp at position 79, Lys at position 80, Thr at position 81, Ile at position 99, or Ser at position 105, or a combination thereof; I) a sequence with at least 99% amino acid sequence identity to SEQ ID NO:13 having Lys at position 199, Asn at position 221, or Gln at position 433, or a combination thereof; or m) a sequence with at least 99% amino acid sequence identity to SEQ ID NO:14 having Ile at position 353; or an immunogenic portion thereof.
2. The recombinant nucleic acid molecule of claim 1 wherein the nucleotide sequence is linked to a promoter operable in avian or mammalian cells.
3. A vaccine comprising a recombinant virus, the genome of which comprises at least one expression cassette having a promoter operably linked to a heterologous open reading frame comprising a nucleotide sequence for an influenza virus polypeptide having one of SEQ ID NOs: 1-14, a polypeptide with at least 95% amino acid sequence thereto or an immunogenic portion thereof, or a combination thereof, which provides cross-clade reactivity.
4. The vaccine of claim 3 further comprising an adjuvant.
5. The vaccine of claim 3 further comprising a different virus.
6. The vaccine of claim 3 further comprising a pharmaceutically acceptable carrier.
7. The vaccine of claim 3 wherein the carrier is suitable for intranasal or intramuscular administration.
8. The vaccine of claim 3 which is in freeze-dried form.
9. The vaccine of claim 3 which is adapted for mucosal, intramuscular or intradermal delivery.
10. A method to prevent, inhibit or treat influenza virus infection comprising administering to an animal or an egg thereof, a composition comprising an amount of at least one recombinant virus, the genome of which comprises at least one expression cassette having a promoter operably linked to the recombinant nucleic acid molecule of claim 1 , effective to induce an adaptive immune response to influenza virus.
11. The method of claim 10 wherein the animal is an avian or a mammal.
12. The method of claim 10 wherein the composition is intradermally administered.
13. The method of claim 10 wherein the composition is intramuscularly administered.
14. The method of claim 10 wherein the composition is mucosally administered.
15. The method of claim 10 wherein the effective amount is administered in more than one dose.
16. The method of claim 10 wherein the composition further comprises an adjuvant.
17. The method of claim 10 wherein the composition is parenterally administered.
18. The method of claim 10 wherein the composition is administered intranasally.
19. The method of claim 10 where the composition is administered orally.
20. The method of claim 10 wherein the amount prevents or inhibits influenza virus infection across two or more clades.
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| US14/735,911 US10729758B2 (en) | 2013-03-14 | 2015-06-10 | Broadly reactive mosaic peptide for influenza vaccine |
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| WO2017210599A1 (en) * | 2016-06-02 | 2017-12-07 | Sanofi Pasteur Inc. | Engineered influenza antigenic polypeptides and immunogenic compositions thereof |
| WO2017210592A1 (en) | 2016-06-03 | 2017-12-07 | Sanofi Pasteur Inc. | Modification of engineered influenza hemagglutinin polypeptides |
| EP3303368A2 (en) * | 2015-06-02 | 2018-04-11 | Sanofi Pasteur Inc. | Engineered influenza antigenic polypeptides and immunogenic compositions thereof |
| US10022434B2 (en) | 2013-03-15 | 2018-07-17 | The Trustees Of The University Of Pennsylvania | Influenza nucleic acid molecules and vaccines made therefrom |
| US10729758B2 (en) | 2013-03-14 | 2020-08-04 | Wisconsin Alumni Research Foundation (Warf) | Broadly reactive mosaic peptide for influenza vaccine |
| WO2021198701A1 (en) * | 2020-04-01 | 2021-10-07 | Diosynvax Ltd | Influenza vaccines |
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| US10022434B2 (en) | 2013-03-15 | 2018-07-17 | The Trustees Of The University Of Pennsylvania | Influenza nucleic acid molecules and vaccines made therefrom |
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| US20150352202A1 (en) | 2015-12-10 |
| US10729758B2 (en) | 2020-08-04 |
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