US20040170647A1 - Recombinant adenovirus vaccines - Google Patents
Recombinant adenovirus vaccines Download PDFInfo
- Publication number
- US20040170647A1 US20040170647A1 US10/794,876 US79487604A US2004170647A1 US 20040170647 A1 US20040170647 A1 US 20040170647A1 US 79487604 A US79487604 A US 79487604A US 2004170647 A1 US2004170647 A1 US 2004170647A1
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- hiv
- env
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- C12N2710/10011—Adenoviridae
- C12N2710/10311—Mastadenovirus, e.g. human or simian adenoviruses
- C12N2710/10341—Use of virus, viral particle or viral elements as a vector
- C12N2710/10343—Use of virus, viral particle or viral elements as a vector viral genome or elements thereof as genetic vector
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- C12N2740/00011—Details
- C12N2740/10011—Retroviridae
- C12N2740/16011—Human Immunodeficiency Virus, HIV
- C12N2740/16111—Human Immunodeficiency Virus, HIV concerning HIV env
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Definitions
- adenovaccine comprises live, infectious adenoviruses in an enteric-coated dosage form. Upon administration to the patient to be vaccinated, the virus is carried past the upper-respiratory system (where disease-producing infection is thought to occur), and is released in the intestine. In the intestine, the virus reproduces in the gut wall, where, although it is not capable of causing adenoviral disease, nevertheless induces the formation of adenovirus antibodies, thus conferring immunity to adenoviral disease.
- live, infectious adenovirus which has been engineered to contain genes coding for antigens produced by other disease-causing organisms.
- live virus Upon release the virus will reproduce and separately express both the adenoviral antigen and the pathogen antigen, thereby inducing the formation of antibodies or induce cell mediated immunity to both adenovirus and the other disease-causing organism.
- live virus is meant, in contradistinction to “killed” virus, a virus which is, either by itself or in conjunction with additional genetic material, capable of producing identical progeny.
- infectious is meant having the capability to deliver the viral genome into cells.
- HIV-1 Human immunodeficiency virus type 1
- AIDS acquired immunodeficiency syndrome
- AIDS Human immunodeficiency virus type 1
- AIDS is now a worldwide epidemic for which, currently, there is no vaccine or cure.
- Most of the effort for vaccine development has focused on the envelope (env) glycoprotein as an antigen which might provide protective immunity.
- Antisera prepared against purified gp 120 can neutralize HIV-1 in vitro.
- HIV-1 envelope antigen has been produced in different expression systems including Escherichia coli [Crowl, R., Cell 41: 979 (1985); Chang, T., Bio/Technology 3: 905 (1985); Dawson, G., J. Infect. Dis. 157: 149 (1988)] as well as mammalian [Chakrabarti, S., Nature 320: 535 (1986); Dewar, R., J. Virol.
- Zagury [Nature 332: 728 (1988)] have demonstrated both anamnestic humoral and cellular immune reaction in humans using a vaccine virus recombinant expressing gp 160. [Chakrabarti, S., Nature 320: 535 (1986); Hahn, B., Proc. Natl. Acad. Sci. USA 82: 4813 (1985)]. Both group-specific cell-mediated immunity and cell-mediated cytotoxicity against infected T4 cells were also found. These results indicate that an immune state against HIV-1 can be obtained in humans using recombinant env-based vaccine. Recently, Desrosiers has shown that vaccination with inactivated whole simian immunodeficiency virus (SIV) can protect macaques against challenge with live SIV. [Proc. Natl. Acad. Sci. USA 86: 6353 (1989)]. These data provide hope that vaccine protection against human AIDS virus, HIV-1, infection may be possible.
- SIV whole simian immunodeficiency virus
- Chanda discloses high level expression of the envelope glycoproteins of HIV-1 in the presence of rev gene using helper-independent adenovirus type 7 recombinants. [Virology 175: 535 (1990)]. Vernon discloses the ultrastructural characterization of HIV-1 gag subunit in a recombinant adenovirus vector system. [J. Gen. Virology 72: 1243 (1991)]. Vernon also discloses the preparation of the HIV-1 recombinant adenoviruses Ad7-rev-gag and Ad4-rev-gag.
- This invention provides a method of producing antibodies or cell mediated immunity to an infectious organism in a warm blooded mammal which comprises administering to said warm blooded mammal intranasally, intramuscularly, or subcutaneously, live recombinant adenoviruses in which the virion structural protein is unchanged from that in the native adenovirus from which the recombinant adenovirus is produced, and which contain the gene coding for the antigen corresponding to said antibodies or inducing said cell mediated immunity.
- the warm blooded mammal is preferably a primate, most preferably a human.
- this invention provides a method of producing antibodies to human immunodeficiency virus (HIV-1), hepatitis B, hepatitis C, human papilloma virus, respiratory syncytial virus, rotavirus, or parainfluenza virus in a warm blooded mammal which comprises administering to said warm blooded mammal intranasally, intramuscularly, or subcutaneously, live recombinant adenoviruses in which the virion structural protein is unchanged from that in the native adenovirus from which the recombinant adenovirus is produced and which contain the gene coding for, respectively, human immunodeficiency virus, hepatitis B, hepatitis C, human papilloma virus, respiratory syncytial virus, rotavirus, or parainfluenza virus.
- HCV-1 human immunodeficiency virus
- hepatitis B, hepatitis C human papilloma virus, respiratory sy
- compositions for producing antibodies or cell mediated immunity to an infectious organism in a warm blooded mammal comprising live recombinant adenoviruses in which the virion structural protein is unchanged from that in the native adenovirus from which the recombinant adenovirus is produced, and which contain the gene coding for the antigen corresponding to said antibodies or inducing said cell mediated immunity, said composition being formulated in an intranasal, intramuscular, or subcutaneous dosage form.
- our invention provides vaccines against any infectious agent containing an antigen to which a warm-blooded animal will produce antibodies or cell mediated immunity, and which antigen is coded for by a gene composed of up to about 3000 base pairs.
- infectious agent containing an antigen to which a warm-blooded animal will produce antibodies or cell mediated immunity, and which antigen is coded for by a gene composed of up to about 3000 base pairs.
- immunization against such diseases as influenza, hepatitis A, cholera, E. coli , pertussis, diphtheria, tetanus, shigellosis, gonorrhea, mycoplasma pneumonia, and the like.
- the method is a method of protecting a primate against HIV-1 infection comprising intranasal or intramuscular administration to said primate of an intranasal or intramuscular dosage of a recombinant adenovirus having a deletion in the E3 gene and an expression cassette containing a major late promoter, a tripartite leader sequence, part or all of the HIV-1 gp160 sequence and a polyadenylation signal sequence.
- the primate is a human.
- the expression cassette is inserted into the recombinant adenovirus between the E4 promoter and the inverted terminal repeat.
- the intranasal or intramuscular administration of recombinant adenovirus is followed by one or more intranasal or intramuscular booster administrations of the recombinant adenovirus.
- the recombinant adenovirus is a serotype 4, 5 or 7 serotype adenovirus and optionally the expression cassette additionally comprises part of all of the coding sequence for the HIV-1 rev gene inserted in frame after the HIV-1 gp160 sequence and before the polyadenylation signal sequence.
- the HIV-1 gp160 sequence can be from the MN strain gp160 sequence or the LAV strain gp160 sequence.
- Ad7-env Ad7-tplenv-tplHrev VR-2299 Ad7-gag Ad7-tplgag-tplHrev VR-2393 Ad7-gag-1 Ad7-rev-gag VR-2392 Ad4-env Ad4-tplenv-tplHrev VR-2293 Ad4-gag Ad4-tplgag-tplHrev VR-2391 Ad4-gag-1 Ad4-rev-gag VR-2390 Ad5-env Ad5-tplenv-tplHrev VR-2297 Ad5-gag Ad5-tplgag-tplHrev VR-2298 Ad7-env MN Ad7-tplenv MN -tplHrev VR- Ad4-env MN Ad4-tplenv MN -tplHrev VR- Ad5-env MN Ad5-tplenv MN -t
- the constructs designated Ad7-env, Ad7-gag, Ad7-gag-1, Ad4-env, Ad4-gag, Ad4-gag-1, Ad5-env, and Ad5-gag contain either the gag or the env gene from the LAV strain of HIV and the constructs Ad7-env MN , Ad4-env MN , and Ad5-env MN contain the env gene from the MN strain of HIV.
- the recombinant adenoviruses made from the LAV and MN strains of HIV-1 are illustrative of recombinant adenoviruses covered by this invention. This invention also covers recombinant adenoviruses which include the env and/or gag genes from other strains of HIV-1.
- Ad-env and Ad-env MN adenoviruses were shown to replicate in human A549 cells and expressed recombinant env antigen in vitro demonstrating their capability of generating cell mediated, humoral, and secretory immunity in a mammal.
- Ad7 The first set of recombinant viruses (Ad7) appeared to be shed the longest period of time and induce the best anti-Ad antibody response.
- Optimum immune responses directed at HIV antigens required primary infection one booster immunization with a heterotypic recombinant Ad-HIV to elicit strong anti-HIV binding antibodies.
- Intranasal administration of the Ad-HIV viruses effectively primed chimpanzees to respond with high titered neutralizing antibodies to HIV-1 following subsequent HIV-1 subunit protein booster immunization.
- FIG. 1 shows the inhibition of gp120 binding to CD4 by sera induced in dogs by recombinant Ad-HIV vaccines.
- a DNA fragment containing the entire gag and pro coding regions (bp 335 to 2165) of HIV-1 strain LAV [Wain-Hobson, S., Cell 40: 9, (1985)] was constructed with a unique Sa/I site in front of the AUG codon of the gag gene and an XbaI site at bp 2165, for the insertion of the viral rev-responsive element (rre; bp 7178 to 7698).
- a 2.37 kb SaI fragment containing the three HIV-1 sequences was inserted at a SaI site in an expression cassette containing the adenovirus type 7 (Ad7) major late promoter (MLP), the tripartite leader (TPL) with an intervening sequence between the first and second leaders, and the hexon polyadenylation site (poly A) as described in Chanda [Virology 175: 535 (1990)].
- the cassette was inserted 159 bp from the right end of an Ad7 genome [Sussenbach, The Adenoviruses, Ginsberg, ed., Plenum Press, pp.
- This plasmid was then inserted in the deleted E3 region of Ad5 Marietta strain (78.8-85.7 mu deletion) at 78.8 mu.
- This plasmid was linearized with BglI enzyme and then mixed with 0-87 mu SnaB1 fragment that was derived from the wild-type purified Ad5 virus. After A549 cells were transfected with the DNA mixtures, recombinant virus plaques were picked, plaque purified three times, and their genomic structures were confirmed by restriction endonuclease site analysis of DNA extracted from infected cells by the method of Hirt. [J. Mol Bio. 26: 365 (1967)].
- Ad5-tplgag-tplHrev contains the entire gag and pro region as well as the modified rev gene, Hrev.
- a copy of the Ad5 synthetic tripartite leader was placed in front of the gag and Hrev genes.
- a DNA fragment containing the entire gag and pro regions (bp 335 to 2165 of LAV strain of HIV-1) was constructed with a unique SalI site in front of AUG codon of the gag gene and an xba site at bp 2165, for the insertion of the viral rev-responsive element (rre; bp 7178-7698).
- Ad5-tplgag Two separate plasmids Ad5-tplgag as well as Ad5-tplHrev were constructed in a similar way as described for Ad5-tplenv-tplHrev. Then the Ad5-tplHrev fragment was inserted behind Ad5-tplgag to create the plasmid Ad5-tplgag-tplHrev. Then the fragment Ad5-tplgag-tplHrev was inserted at the unique XbaI site at map position 78.8 of the Ad5 Marietta strain with an E3 deletion (78.8-85.7 mu E3 deletion).
- the final plasmid containing the Ad5 sequence was linearized and then mixed with the 0-87 mu SnaB1 viral fragment for transfection. Recombinant plaques were picked up, plaque purified three times, and were checked by Hirt analysis of DNA extracted from the infected cells.
- Recombinant adenoviruses were grown in A549 cells and harvested following 3 cycles of freeze-thawing. Clarified infected cell lysates were lypholized and 60 to 100 mg were packed into #2 gelatin capsules using a 1 ml syringe plunger under dehumidified conditions. The capsules were coated with a 10% cellulose acetate phthalate in acetone/100% Ethanol (1:1) by manually dipping each end 6 times with air drying between dips. A coating between 69 to 77 mg of cellulose acetate phthalate was formed under these conditions. Sample capsules were tested for resistance to simulated gastric fluid (0.32% pepsin, 0.2% NaCl pH 1.2) at 37° C.
- the NheI+XbaI fragment of Hrev gene was then isolated from the plasmid, pAd7tplHrev 18RD.
- the clone that was obtained after ligating these two fragments together was designated as pAD7tpl MN envtplHrev.
- This plasmid was then digested with NheI+XbaI and then ligated to the E3 deletion plasmid of Ad7, pAd7 ⁇ E3 (68 m.u. to 100 m.u. deletion) that was also digested with XbaI and then treated with CIAP.
- the transferred proteins were immunostained with anti-env reagents.
- the resulting immunoblot was scanned by a densitometer and the amount of recombinant env determined. There were no significant differences seen between wild type adenoviruses and the recombinant adenoviruses expressing either the LAV or MN env gene. Both types of recombinant adenoviruses, LAV or MN, produced similar amounts of env antigen.
- Ad4 wild type 5.4 0 Ad4-env 9.1 2.1 Ad4-env MN 6.8 2.7 Ad5 wild type 22 0 Ad5-env 86 5.4 Ad5-env MN 18 5.7 Ad7 wild type 18 0 Ad7-env 11 3.1 Ad7-env MN 7.8 3.6
- Immunogenicity of the recombinant adenoviruses for HIV was evaluated in chimpanzees under four treatment regimens (1, 2, 3, and 6), and in dogs two treatment regimens (4 and 5). Protection against HIV-1 infection was evaluated in chimpanzees in the sixth treatment regimen.
- the first regimen consisted of administering the recombinant adenovirus orally via an enterically coated capsule (Example 5) at 0, 7, and 26 weeks followed by an env+gag subunit protein booster using alum as an adjuvant.
- the second regimen consisted of further treating the chimpanzees that received regimen 1 at 46 and 58 weeks with additional boosters of recombinant adenovirus administered intranasally.
- the third treatment regimen consisted of administering recombinant adenovirus intranasally to naive chimpanzees at weeks 0, 24, and 52 followed by an env subunit booster at week 75.
- the fourth treatment regimen consisted of administering recombinant adenoviruses derived from both the LAV and MN strains of HIV-1 to dogs.
- Each group consisted of 6 dogs that were previously immunized, as described above, and 2 control dogs. Each group received 50 ⁇ g of the subunit in adjuvant at 0 weeks (20-28 weeks from the last Ad-env administration).
- Group A received gp120 SF2 in MF59 adjuvant;
- Group B received CHO-derived gp120 MN (antibody purified) in SAF-m;
- Group C received Ad5-gp160 MN -derived gp160 MN (lentil lectin purified) in SAF-m;
- Group D received Ad5-gp160 MN -derived gp160 MN (lentil lectin purified) in MF59;
- Group E received HA-env K17K (expressing a portion of the HIV env V3 loop). Twelve weeks later dogs were identically boosted with the same subunit, with the exception of Group D dogs which were reboosted with the HA-env Kl7K .
- chimpanzees (2 males and 1 female) that were screened negative for the presence of neutralizing antibodies to human adenoviruses type 4, and 7 were evaluated using treatment regimen 1. Enteric-coated capsules containing recombinant adenoviruses were given using a stomach tube under anesthesia on three consecutive days. Two chimpanzees (1 and 2) received both env and gag recombinant viruses while the third chimp (3) received only env recombinant viruses.
- Adenovirus-derived subunit preparations containing env or gag gene products were purified from infected A549 cell cultures [see Vernon, S., J. Gen. Virology 72: 1243 (1991) and Natuk, R., Proc. Natl. Acad. Sci. USA 89: 7777 (1992)].
- Recombinant antigens were formulated with alum adjuvant and administered intramuscularly, 200 ug/dose env and 500 ug/dose gag particles.
- Detection of anti-HIV antibodies Chimpanzee antibody responses to HIV-1 antigens were measured by testing various dilutions by commercial ELISA and Western blot kits as instructed by the manufacturers (DuPont, Wilmington, Del.).
- Feces were collected from each chimpanzee prior to and after virus inoculation and stored at ⁇ 70° C. Ten percent suspensions were prepared from each sample and were used to infect confluent A549 cell monolayers. After 7-10 days viral plaques were identified by neutral red staining and the cell monolayers were transferred to nitrocellulose membranes. Representative samples were hybridized with various labeled oligo-probes to detect sequences specific for Ad4, Ad5, Ad7, HIV-env, or HIV-gag genes. Identification of specific recombinant Ad-HIV viruses could be determined by this plaque hybridization technique. None of the recombinant viruses were shed into the feces for longer than 7 days p.i.
- Seroconversion to the serotype of the adenovirus vectors employed was determined by neutralization test procedures. Very low to modest anti-adenovirus serum titers were measured to all 3 serotypes used in each of the chimpanzees.
- Seroconversion to recombinant HIV gene products were determined by either ELISA or Western blotting techniques. No ELISA response was detected in any of the chimpanzees prior to the second booster inoculation with the Ad5-env recombinant. Two weeks following Ad5-env inoculation anti-env responses could be measured in 2 of the 3 animals. Intramuscular injection of gag and/or env preparations had a slight boosting effect in 1 of the 3 animals. Western blot analysis appeared to be much more sensitive than the ELISA and had the further advantage of identification of which env and/or gag gene products were being recognized as being immunogenic.
- Lymphoproliferative assays were performed to determine whether purified recombinant env (gp160, gp120) or gag (p24) preparations were capable of stimulating blastogenesis. No proliferation was measured after the primary inoculum and only 1 of the 3 animals show a lymphoproliferative response following administration of the first boost with Ad4 recombinant viruses. All 3 animals responded with proliferative responses after the second booster (Ad5-env) and the third boost (subunit preparations).
- chimpanzees (2 males and 1 female) that were previously inoculated with Ad-HIV recombinant viruses in enteric-coated capsules and boosted with adenovirus-derived gag and/or env subunits (treatment regimen 1) were infected intranasally with Ad7-HIV viruses (week 46) and 12 weeks later (week 58) with Ad4-HIV viruses.
- Recombinant adenoviruses were given in tissue culture media diluted with phosphate saline buffer dropwise into the nostrils of chimpanzees under anesthesia.
- Two chimpanzees (numbers 1 and 2) received both env and gag recombinant viruses while the third chimp (number 3) received only env recombinant viruses.
- chimpanzees (2 males and 1 female) that were screened negative for the presence of neutralizing antibodies to human adenoviruses type 4, 5, and 7 were evaluated using treatment regimen 3.
- Two chimpanzees (numbers 4 and 5) received both env and gag recombinant viruses while the third chimp (number 6) received only env recombinant viruses.
- Antibiotics were administered prophylactically to the chimpanzees and no respiratory disorders were observed.
- This assay is designed to measure the ability of chimpanzee anti-env antibodies to block the interaction of the HIV gp120 antigen with in natural ligand CD4.
- Various dilutions of chimpanzee sera were incubated with purified recombinant gp120 (1 ug/ml) 37° C. for 1 hour.
- HeLa CD4 positive cells (5 ⁇ 10 5 ) were added to this mixture and incubated at 4° C. for 1 hour.
- the cells were washed 3 times with PBS-5% BSA and mixed with a FITC-labeled monoclonal antibody directed at the CD4 antigen (same site the gp120 binds to) and incubated at 4° C. for 1 hour.
- the cells were washed three times with the PBS-5% BSA and analyzed by flow cytometry.
- 1st Booster Immunization with Ad4-recombinants Recombinant Ad4 viruses were shed into feces for 14-28 days post-infection. Examination of nasal swabs indicated that recombinant Ad4 viruses could be detected in all 3 chimpanzees for at least 7 days post-infection. Significant anti-Ad4 responses were mounted against the Ad4 serotype following intranasal administration. The magnitude was slightly lower then that measured against the Ad7-recombinant viruses. Excellent booster responses to gag and/or env antigens were measured in all three animals. Low titered (1:2) anti-gag and/or anti-env responses were measured in nasal swabs from Chimpanzees 4 and 5. Still no anti-HIV neutralizing antibodies were measured in any of the animals.
- 2nd Booster Immunization with Ad5-recombinants Recombinant Ad5 viruses were shed into feces for 8 days post-infection. No recombinant viruses could be detected in nasal swabs at 0, 1, or 2 weeks post-inoculation. Anti-HIV IgG and IgA antibody response against env and gag could be measured in nasal swabs taken from 2 of 3 chimpanzees following Ad5-recombinant booster immunization by Western blot analysis. IgG and IgA anti-env and/or anti-gag antibodies were detected in saliva samples collected from 2 of 3 chimpanzees. Anti-env and -gag antibodies of the IgG class were detected in vaginal swabs taken from the single female chimpanzee.
- 3rd Booster Immunization with env Subunit The strongest anti-env antibody responses were measured following subunit administration of these chimpanzees that had been primed with live recombinant adenoviruses. Anti-env antibody responses were detected in both serum and in various secretory samples collected from the nasal-oral cavity, vagina, and rectum. Peak antibody titers were detected at 4 weeks post administration with env subunit.
- Serum anti-HIV neutralizing antibody titers of 320-640 were observed in all 3 chimpanzees. Antibodies directed against the gp120 V3 loop were detected by ELISA and against the gp120 CD4 binding site were detected by a FACS blocking assay. All three chimpanzees produced high ELISA titers (1000-9000) directed at the V3 loop (a region which contains the major neutralization determinant for HIV).
- Nasal swab anti-env antibody titers of the IgG and IgA classes of immunoglobulins were boosted in 3 of 3 and 2 of 3 chimpanzees, respectively, following booster immunization with the env subunit. Similar results were observed in the saliva samples taken from these chimpanzees. Two of three chimpanzees had IgG anti-env antibodies present in rectal swabs and the single female chimpanzee had a strong IgG anti-env booster response measured in vaginal swabs. The presence of anti-HIV antibodies in mucosal secretions is critical because certain mucosal surfaces represent major sites for HIV infection.
- Ad-env MN recombinant viruses When compared directly to other dogs treated with LAV recombinant Ad-env viruses, Ad-env MN recombinant viruses appeared to elicit higher type-specific neutralization titers in the dog standard pharmacological test procedure. Finally, the use of a “recombinant cocktail” which contains both MN and LAV recombinants appears to be capable of eliciting neutralizing antibodies to both strains of HIV.
- HIV specific CTL activity was measured by determining lysis of syngenic target cells that were infected with vaccinia virus recombinants that express either the HIV-env gene products, the HIV-gag gene products, or the lac gene product (control for nonspecific cytotoxicity).
- Chimpanzee 11 which received the (Ad5-env)/(Ad7-env)/(Ad4-env) combination also showed an excellent anti-env antibody booster response.
- Excellent anti-env IgG antibody responses were observed in vaginal, nasal, and saliva specimens.
- a weak anti-env response was observed in pharyngeal secretions. The subunit did not have a significant effect on the anti-env antibody response (serum or secretory) of chimpanzee 10 (the strongly anti-Ad seropositive animal).
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Abstract
This invention provides a method of protecting a primate from an infectious organism by stimulating the production of antibodies or cell mediated immunity to the infectious organism which comprises administering to said primate intranasally, intramuscularly, or subcutaneously, live recombinant adenoviruses in which the virion structural protein is unchanged from that in the native adenovirus from which the recombinant adenovirus is produced, and which contain the gene coding for the antigen corresponding to said antibodies or inducing said cell mediated immunity. Preferably, the infectious organism is HIV and the primate is a human.
Description
- This application is a continuation in part of Ser. No. 08/276,289, filed Jul. 20, 1994, which is a continuation in part of Ser. No. 08/105,232, filed Aug. 11, 1993, which is a continuation-in-part of Ser. No. 07/926,491, filed Aug. 7, 1992.
- A major goal of biomedical research is to provide protection against viral disease through immunization. One approach has been to use killed vaccines. However, large quantities of material are required for killed vaccine in order to retain sufficient antigenic mass. In addition, killed vaccines are often contaminated with undesirable products during their preparation. Heterologous live vaccines, using appropriately engineered adenovirus, which is itself a vaccine, seems like an excellent immunogen [Chanock R., JAMA, 195, 151 (1967)]. Our invention concerns vaccines using adenovirus as a vector.
- Presently marketed adenovaccine comprises live, infectious adenoviruses in an enteric-coated dosage form. Upon administration to the patient to be vaccinated, the virus is carried past the upper-respiratory system (where disease-producing infection is thought to occur), and is released in the intestine. In the intestine, the virus reproduces in the gut wall, where, although it is not capable of causing adenoviral disease, nevertheless induces the formation of adenovirus antibodies, thus conferring immunity to adenoviral disease. In our invention, live, infectious adenovirus which has been engineered to contain genes coding for antigens produced by other disease-causing organisms. Upon release the virus will reproduce and separately express both the adenoviral antigen and the pathogen antigen, thereby inducing the formation of antibodies or induce cell mediated immunity to both adenovirus and the other disease-causing organism. By “live virus” is meant, in contradistinction to “killed” virus, a virus which is, either by itself or in conjunction with additional genetic material, capable of producing identical progeny. By “infectious” is meant having the capability to deliver the viral genome into cells.
- Roy, in European Patent Publication 80,806 (1983), proposed a method for producing immunity to microbial diseases by the administration of a microbe containing a foreign gene which will express an antigen of a second microbe to which immunity is conferred. He states that preferred oral preparations are enteric coated. Dubelcco proposed recombinant adenovirus vaccines in which the surface protein of adenovirus is modified to contain in its structure a segment of foreign protein which will produce a desired biological response on administration to animals. [PCT International Publication WO 83/02393 (1983)]. Davis discloses oral vaccines derived from recombinant adenoviruses. [UK Patent GB 2166349 B].
- Human immunodeficiency virus type 1 (HIV-1) has been etiologically associated with acquired immunodeficiency syndrome (AIDS) and related disorders. [Barre-Sinoussi, F., Science 220: 868 (1983); Gallo, R., Science 224: 500 (1984); Popovic, M., Science 224: 497 (1984); Sarngadharan, M., Science 224: 506 (1984)]. AIDS is now a worldwide epidemic for which, currently, there is no vaccine or cure. Most of the effort for vaccine development has focused on the envelope (env) glycoprotein as an antigen which might provide protective immunity. Antisera prepared against purified gp 120 can neutralize HIV-1 in vitro. [Crowl, R., Cell 41: 979 (1985); Putney, S., Science 234: 1392 (1986); Ho, D., J. Virol. 61: 2024 (1987); Nara, P., Proc. Natl. Acad. Sci. USA 84: 3797 (1987)]. HIV-1 envelope antigen has been produced in different expression systems includingEscherichia coli [Crowl, R., Cell 41: 979 (1985); Chang, T., Bio/Technology 3: 905 (1985); Dawson, G., J. Infect. Dis. 157: 149 (1988)] as well as mammalian [Chakrabarti, S., Nature 320: 535 (1986); Dewar, R., J. Virol. 63: 129 (1989); Rekosh, D., Proc. Natl. Acad. Sci. USA 85: 334 (1988); Whealy, M., J. Virol. 62: 4185 (1988)] yeast [Barr, P., Vaccine 5: 90 (1987)] and insect cells [Hu, S., Nature 328: 721 (1978); Rusche, J., Proc. Natl. Acad. Sci. USA 84: 6294 (1987)].
- Live recombinant vaccinia virus expressing the entire HIV-1 env glycoprotein [Hu, S., J. Virol. 61: 3617 (1987)] or purified recombinant gp 120 env glycoprotein [Berman, P., Proc. Natl. Acad. Sci. USA 85: 5200 (1988)] were evaluated in chimpanzees as vaccine candidates. Active immunization with these vaccines induced a good cell-mediated immune response as well as cytotoxic T-cell activity to the env antigen [Zarling, J., J. Immunol. 139: 988 (1987)]. All experimental animals seroconverted as assayed by ELISA and Western blotting. However, immunized chimpanzees developed no or only low titers of neutralizing antibody to HIV-1. Challenge with live virus failed to protect chimpanzees against these vaccines. Type-specific HIV-1 neutralizing antibodies were found in chimpanzees early in infection against a variable domain (V3) within the C-terminus half of gp 120 [Goudsmit, J., Proc. Natl. Acad. Sci. USA 85: 4478 (1988)]. The recombinant gp 120 made in insect cells has also been shown to induce humoral immune response in goat (Rusche J., Proc. Natl. Acad. Sci. USA 84: 6294 (1987)]. Zagury [Nature 332: 728 (1988)] have demonstrated both anamnestic humoral and cellular immune reaction in humans using a vaccine virus recombinant expressing
gp 160. [Chakrabarti, S., Nature 320: 535 (1986); Hahn, B., Proc. Natl. Acad. Sci. USA 82: 4813 (1985)]. Both group-specific cell-mediated immunity and cell-mediated cytotoxicity against infected T4 cells were also found. These results indicate that an immune state against HIV-1 can be obtained in humans using recombinant env-based vaccine. Recently, Desrosiers has shown that vaccination with inactivated whole simian immunodeficiency virus (SIV) can protect macaques against challenge with live SIV. [Proc. Natl. Acad. Sci. USA 86: 6353 (1989)]. These data provide hope that vaccine protection against human AIDS virus, HIV-1, infection may be possible. - Chanda discloses high level expression of the envelope glycoproteins of HIV-1 in the presence of rev gene using helper-
independent adenovirus type 7 recombinants. [Virology 175: 535 (1990)]. Vernon discloses the ultrastructural characterization of HIV-1 gag subunit in a recombinant adenovirus vector system. [J. Gen. Virology 72: 1243 (1991)]. Vernon also discloses the preparation of the HIV-1 recombinant adenoviruses Ad7-rev-gag and Ad4-rev-gag. - This invention provides a method of producing antibodies or cell mediated immunity to an infectious organism in a warm blooded mammal which comprises administering to said warm blooded mammal intranasally, intramuscularly, or subcutaneously, live recombinant adenoviruses in which the virion structural protein is unchanged from that in the native adenovirus from which the recombinant adenovirus is produced, and which contain the gene coding for the antigen corresponding to said antibodies or inducing said cell mediated immunity. The warm blooded mammal is preferably a primate, most preferably a human.
- In its preferred embodiments, this invention provides a method of producing antibodies to human immunodeficiency virus (HIV-1), hepatitis B, hepatitis C, human papilloma virus, respiratory syncytial virus, rotavirus, or parainfluenza virus in a warm blooded mammal which comprises administering to said warm blooded mammal intranasally, intramuscularly, or subcutaneously, live recombinant adenoviruses in which the virion structural protein is unchanged from that in the native adenovirus from which the recombinant adenovirus is produced and which contain the gene coding for, respectively, human immunodeficiency virus, hepatitis B, hepatitis C, human papilloma virus, respiratory syncytial virus, rotavirus, or parainfluenza virus.
- This invention also provides composition for producing antibodies or cell mediated immunity to an infectious organism in a warm blooded mammal, comprising live recombinant adenoviruses in which the virion structural protein is unchanged from that in the native adenovirus from which the recombinant adenovirus is produced, and which contain the gene coding for the antigen corresponding to said antibodies or inducing said cell mediated immunity, said composition being formulated in an intranasal, intramuscular, or subcutaneous dosage form.
- Although this specification specifically refers to adenovirus of
types - In one embodiment, the method of treatment includes administering the recombinant adenovirus both prophylactically to an HIV-1 susceptible mammal and as immunotherapy following detection of HIV in said mammal. Regimens containing the following recombinant adenoviruses were used to produce the anti-HIV responses.
- In a preferred embodiment, the method is a method of protecting a primate against HIV-1 infection comprising intranasal or intramuscular administration to said primate of an intranasal or intramuscular dosage of a recombinant adenovirus having a deletion in the E3 gene and an expression cassette containing a major late promoter, a tripartite leader sequence, part or all of the HIV-1 gp160 sequence and a polyadenylation signal sequence. Preferably the primate is a human. The expression cassette is inserted into the recombinant adenovirus between the E4 promoter and the inverted terminal repeat. Optionally the intranasal or intramuscular administration of recombinant adenovirus is followed by one or more intranasal or intramuscular booster administrations of the recombinant adenovirus. The recombinant adenovirus is a
serotype Virus Name Descriptive Name ATCC Name Ad7-env Ad7-tplenv-tplHrev VR-2299 Ad7-gag Ad7-tplgag-tplHrev VR-2393 Ad7-gag-1 Ad7-rev-gag VR-2392 Ad4-env Ad4-tplenv-tplHrev VR-2293 Ad4-gag Ad4-tplgag-tplHrev VR-2391 Ad4-gag-1 Ad4-rev-gag VR-2390 Ad5-env Ad5-tplenv-tplHrev VR-2297 Ad5-gag Ad5-tplgag-tplHrev VR-2298 Ad7-envMN Ad7-tplenvMN-tplHrev VR- Ad4-envMN Ad4-tplenvMN-tplHrev VR- Ad5-envMN Ad5-tplenvMN-tplHrev VR- - Referring to the above table Ad4, Ad5, and Ad7 refer to
human adenoviruses types - Both the Ad-env and Ad-envMN adenoviruses were shown to replicate in human A549 cells and expressed recombinant env antigen in vitro demonstrating their capability of generating cell mediated, humoral, and secretory immunity in a mammal.
- As described in detail below, intranasal administration of Ad-HIV recombinant viruses to naive chimpanzees resulted in both priming and boosting of both humoral and cell-mediated immune responses directed at HIV recombinant antigens. The recombinant adenoviruses administered to chimpanzees were shown to produce antibodies to the env and gag proteins of HIV. IgG antibodies specific for HIV were observed in nasal, saliva, and vaginal secretions following administration of the recombinant adenoviruses and IgA antibodies specific for HIV were observed in nasal and saliva secretions. The first set of recombinant viruses (Ad7) appeared to be shed the longest period of time and induce the best anti-Ad antibody response. The results also showed that administration of Ad-HIV vaccines by the intranasal route was superior to administration of enteric-coated recombinant viruses by the oral route.
- Optimum immune responses directed at HIV antigens required primary infection one booster immunization with a heterotypic recombinant Ad-HIV to elicit strong anti-HIV binding antibodies. Intranasal administration of the Ad-HIV viruses effectively primed chimpanzees to respond with high titered neutralizing antibodies to HIV-1 following subsequent HIV-1 subunit protein booster immunization.
- FIG. 1 shows the inhibition of gp120 binding to CD4 by sera induced in dogs by recombinant Ad-HIV vaccines.
- FIG. 2 illustrates the DNA sequence of the expression cassette containing the HIV gp160 coding sequence and the Hrev coding sequence inserted into the E3 deleted region of
Adenovirus serotype 7 as described in Example 6. - Preparation of Representative Recombinant Adenoviruses
- The following Examples show the construction of representative recombinant adenoviruses of this invention. The recombinant viruses were propagated on A549 cells and subsequently titered on A549 cells.
- The construction of recombinant adenoviruses containing the gene for the HIV envelope protein has been described [Chanda, P., Virology 175: 535 (1990)]; a similar procedure was used to incorporate gag and pro [see Vernon, S., J. Gen. Virology 72: 1243 (1991)]. Briefly, a DNA fragment containing the entire gag and pro coding regions (bp 335 to 2165) of HIV-1 strain LAV [Wain-Hobson, S., Cell 40: 9, (1985)] was constructed with a unique Sa/I site in front of the AUG codon of the gag gene and an XbaI site at bp 2165, for the insertion of the viral rev-responsive element (rre; bp 7178 to 7698). A 2.37 kb SaI fragment containing the three HIV-1 sequences was inserted at a SaI site in an expression cassette containing the adenovirus type 7 (Ad7) major late promoter (MLP), the tripartite leader (TPL) with an intervening sequence between the first and second leaders, and the hexon polyadenylation site (poly A) as described in Chanda [Virology 175: 535 (1990)]. The cassette was inserted 159 bp from the right end of an Ad7 genome [Sussenbach, The Adenoviruses, Ginsberg, ed., Plenum Press, pp. 34-124 (1984)] containing the HIV-1 rev gene [Feinberg, M., Cell 46: 807 (1986); Sodroski, J., Nature 321: 412 (1986)] in a deleted [79.5 to 88.4 map units (m.u.)] E3 region [Chanda, P., Virology 175: 535 (1990)].
- Following the procedure for the construction of the Ad7-gag-1 recombinant adenovirus in Example 1, a similar expression cassette containing analogous Ad4 sequences and the three HIV coding regions were inserted at a site 139 bp from the right end of an Ad4 genome which contained HIV-1 rev in an E3 deletion between 76 and 86 m.u.
- Ad5-tplenv-tplHrev contains the entire coding sequence of HIV-1 (LAV strain) gp160 and a modified version of the rev gene, called Hrev. Both the env as well as rev gene are preceded by a synthetic copy of the Ad5 tripartite leader (Ad5-tpl). Ad5-tpl was chemically synthesized and was cloned in pTZ vector. Then the
gp 160 DNA sequence was inserted behind the Ad5-tpl to create Ad5-tplenv/PTZ18R clone. The Hrev (˜360 bp) was also chemically synthesized where the nucleotide sequences were changed without changing the amino acid sequence with the help of the codon usage. This was done to avoid homologous recombination as some identical sequences exist between env and rev. In an analogous way like Ad5-tplenv construct, Hrev gene was also inserted behind tpl in pTZ18R vector to create the plasmid, Ad5-tplHrev. The entire sequence containing Ad5-tplHrev was excised out and then inserted behind Ad5-tplenv to create the plasmid, Ad5-tplenv-tplHrev. This plasmid was then inserted in the deleted E3 region of Ad5 Marietta strain (78.8-85.7 mu deletion) at 78.8 mu. This plasmid was linearized with BglI enzyme and then mixed with 0-87 mu SnaB1 fragment that was derived from the wild-type purified Ad5 virus. After A549 cells were transfected with the DNA mixtures, recombinant virus plaques were picked, plaque purified three times, and their genomic structures were confirmed by restriction endonuclease site analysis of DNA extracted from infected cells by the method of Hirt. [J. Mol Bio. 26: 365 (1967)]. - Ad5-tplgag-tplHrev contains the entire gag and pro region as well as the modified rev gene, Hrev. A copy of the Ad5 synthetic tripartite leader was placed in front of the gag and Hrev genes. A DNA fragment containing the entire gag and pro regions (bp 335 to 2165 of LAV strain of HIV-1) was constructed with a unique SalI site in front of AUG codon of the gag gene and an xba site at bp 2165, for the insertion of the viral rev-responsive element (rre; bp 7178-7698). Two separate plasmids Ad5-tplgag as well as Ad5-tplHrev were constructed in a similar way as described for Ad5-tplenv-tplHrev. Then the Ad5-tplHrev fragment was inserted behind Ad5-tplgag to create the plasmid Ad5-tplgag-tplHrev. Then the fragment Ad5-tplgag-tplHrev was inserted at the unique XbaI site at map position 78.8 of the Ad5 Marietta strain with an E3 deletion (78.8-85.7 mu E3 deletion). Then the final plasmid containing the Ad5 sequence was linearized and then mixed with the 0-87 mu SnaB1 viral fragment for transfection. Recombinant plaques were picked up, plaque purified three times, and were checked by Hirt analysis of DNA extracted from the infected cells.
- Recombinant adenoviruses were grown in A549 cells and harvested following 3 cycles of freeze-thawing. Clarified infected cell lysates were lypholized and 60 to 100 mg were packed into #2 gelatin capsules using a 1 ml syringe plunger under dehumidified conditions. The capsules were coated with a 10% cellulose acetate phthalate in acetone/100% Ethanol (1:1) by manually dipping each
end 6 times with air drying between dips. A coating between 69 to 77 mg of cellulose acetate phthalate was formed under these conditions. Sample capsules were tested for resistance to simulated gastric fluid (0.32% pepsin, 0.2% NaCl pH 1.2) at 37° C. using a VanKel Disintegration Testor apparatus for 1 hr. The capsules were inspected for holes or cracks and transferred to a 15 ml tube containing 10 ml of simulated intestinal fluid (1.0% pancreatin, 0.05 M monobasic potassium phosphate pH 7.5) and rotated at 37° C. All capsules tested were resistant to simulated gastric fluid for 1 hr at 37° C. with agitation and began to dissolve within 15 min. in simulated intestinal fluid. The amount of virus was titrated on confluent A549 cell monolayers by a plaque assay and the viral DNA stability confirmed by Hirt analysis. - The construction of recombinant adenoviruses containing the coding sequence of the env (gp 160) gene of MN strain of HIV-1 is described briefly as follows: The 125 bp (6243 to 6367) fragment of the amino (NH 2) terminus of the env (gp160) gene including the initiation codon (ATG) as well as consensus Kozak sequence was amplified by polymerase chain reaction (PCR) from the clone pMNST 1-8-9. This fragment was then cloned in pGEM vector and the resultant clone was designated as pGEMMNenv. The following fragments of DNA were isolated by digesting with the restriction enzymes KpnI and XbaI from the clone PAd5tplMNenv 223 (6367 bp to 8816 bp), XhoI+KpnI fragment from PGEMenv and salI+XbaI fragment from pAd7tpl 18RD. All of these fragments were ligated together and the resultant clone was designated as pAd7tplMNenv. This plasmid was then digested with XbaI and treated with calf intestine alkaline phosphatase (CIAP). The NheI+XbaI fragment of Hrev gene was then isolated from the plasmid, pAd7tplHrev 18RD. The clone that was obtained after ligating these two fragments together was designated as pAD7tplMNenvtplHrev. This plasmid was then digested with NheI+XbaI and then ligated to the E3 deletion plasmid of Ad7, pAd7ΔE3 (68 m.u. to 100 m.u. deletion) that was also digested with XbaI and then treated with CIAP. The resultant plasmid was designated as pAD7ΔE3tplMNenvtplMNHrev. This plasmid was digested with EcoRI and mixed with the EcoRI (0-87 m.u.) fragment of the Ad7 genomic DNA. A549 cells were then transfected with these DNAs. Recombinant plaques obtained from in vivo recombination were identified by the appropriate restriction digestion analyses of the Hirt DNA. The plaques were also identified by the production of gp160, gp120, and gp41 using appropriate antibodies on Western blots.
- FIG. 2 illustrates the complete DNA sequence of the expression cassette containing the HIV gp160 coding sequence and the Hrev coding sequence inserted into the E3 deleted region of
Adenovirus serotype 7 as described above. The first 200 bp tripartite leader sequence begins at bp 88, theHIV gp 160 sequence extends from bp 306 through bp 2879, the second tripartite leader sequence extends from bp 2886 through bp 3085 and the Hrev sequence extends from bp 3099 through 3449 in the Ad7 deleted E3 region. - The construction of Ad4 and Ad5 recombinants are the same as that of Ad7-envMN except that for Ad4, EcoRI digested DNA from pAd4ΔE3tplMNenvtplHrev was combined with the BclI (0-87 m.u.) fragment from the Ad4 genomic DNA to produce the recombinant Ad4 virus. Similarly for Ad5, MluI-digested DNA from pAd5ΔE3tplMNenvtplHrev was combined with the SpeI (0-75 m.u.) fragment of Ad5 genomic DNA to produce the recombinant Ad5 adenovirus. Like Ad7, both Ad4 and Ad5 recombinants were obtained from A549 cells.
- gp-120MN was prepared according to Kaufman, R. J., Nucleic Acid Res. 19: 4485 (1991) and was used in SAF-m adjuvant (Allison, A. C., J. Imm. Meth. 95: 157 (1986). gp-120SF2 was prepared according to Scandella, C. J., AIDS Res. Human Retroviruses 9: 1233 (1993) and was used in MF-59 adjuvant (Keitel, W., Vaccine 11: 909 (1993)). HA-envKl17K was prepared according to Kalayan, N., Vaccine 12: 753 (1994) and was used in SAF-m adjuvant.
- Measurement of Repilcation and Antigen Expression
- Human A549 cells were infected (MOI 10:1) with
recombinant adenovirus types ADENOVIRUS REPLICATION AND ANTIGEN EXPRESSION Adenovirus pfu/cell × 102 μg env/106 cells Ad4 wild type 5.4 0 Ad4-env 9.1 2.1 Ad4-envMN 6.8 2.7 Ad5 wild type 22 0 Ad5-env 86 5.4 Ad5-envMN 18 5.7 Ad7 wild type 18 0 Ad7-env 11 3.1 Ad7-envMN 7.8 3.6 - Treatment Regimens
- Immunogenicity of the recombinant adenoviruses for HIV was evaluated in chimpanzees under four treatment regimens (1, 2, 3, and 6), and in dogs two treatment regimens (4 and 5). Protection against HIV-1 infection was evaluated in chimpanzees in the sixth treatment regimen. The first regimen consisted of administering the recombinant adenovirus orally via an enterically coated capsule (Example 5) at 0, 7, and 26 weeks followed by an env+gag subunit protein booster using alum as an adjuvant. The second regimen consisted of further treating the chimpanzees that received
regimen 1 at 46 and 58 weeks with additional boosters of recombinant adenovirus administered intranasally. The third treatment regimen consisted of administering recombinant adenovirus intranasally to naive chimpanzees atweeks 0, 24, and 52 followed by an env subunit booster at week 75. The fourth treatment regimen consisted of administering recombinant adenoviruses derived from both the LAV and MN strains of HIV-1 to dogs. - The fifth treatment regiment consisted of administering env subunit boosters to either previously immunized or control dogs. Each treatment group consisted of 6 previously immunized dogs and 2 control dogs. Of the previously immunized dogs, six had received Treatment Regimen 4 (Group A); six had received Treatment Regimen 4 (Group D); six had received Ad-envHXB2 (expressing a portion of the HIV env V3 loop, derived from the LAV strain of HIV); and twelve had previously received Ad-envHXB2 (expressing a portion of the HIV env V3 loop, derived from the MN strain of HIV) (prepared according to Robert-Guroff, M., J. Virol 68: 3459 (1994) and Veronese, F. D., J. Biol. Chem. 268: 25894 (1993)).
- The sixth treatment regimen consisted of administering Ad-envMN recombinants to chimpanzees, followed by 0, 1 or 2 Ad-envMN booster immunizations using heterologous Ad vectors. The chimpanzees were then given one or two booster immunizations with env (gp120SF2) subunit antigen preparations, followed by a challenge with the SF2 strain of HIV.
- The following table summarizes
treatment regimens TREATMENT REGIMENS 1 AND 2Immunization Time Chimpanzees 1 and 2 Chimpanzee 3 Regimen 1Primary* 0 weeks 1.5 × 107 pfu Ad7-env 1.5 × 107 pfu 2.0 × 109 pfu Ad7-gag-1 Ad7-env 1st Booster* 7 weeks 1.1 × 1010 pfu Ad4-env 1.1 × 1010 pfu 1.0 × 1010 pfu Ad4-gag-1 Ad4-env 2nd Booster* 26 weeks 7.9 × 1010 pfu Ad5-env 7.9 × 1010 pfu Ad5-env 3rd Booster+ 34 weeks 200 ug env in 0.2 % alum 200 μg env in alum 500 ug env in 0.2% alum 0.2 % Regimen 2 1st Intranasal 46 weeks 1.0 × 108 pfu Ad7-env 1.0 × 108 pfu Boost 1.0 × 108 pfu Ad7-gag Ad7-env 2nd Intranasal 58 weeks 1.0 × 108 pfu Ad4-env 1.0 × 108 pfu Boost 1.0 × 108 pfu Ad4-gag Ad4-env - The following table summarizes treatment regimen 3.
TREATMENT REGIMEN 3 Immunization Time Chimpanzees 4 and 5 Chimpanzee 6Primary* 0 weeks 1.0 × 107 pfu Ad7-env 1.5 × 107 pfu Ad7- 1.0 × 107 pfu Ad7-gag env 1st Booster* 24 weeks 1.0 × 107 pfu Ad4-env 1.5 × 107 pfu Ad4- 1.0 × 107 pfu Ad4-gag env 2nd Booster* 52 weeks 1.0 × 107 pfu Ad5-env 1.5 × 107 pfu Ad5- 1.0 × 107 pfu Ad5-gag env 3rd Booster+ 75 weeks 0.5 mg env 0.5 mg env - The following Table summarizes
treatment regimen 4.TREATMENT REGIMEN 4Group A Group B Group C Group D Immunization Time (n = 6) (n = 3) (n = 3) (n = 6) Primary* 0 weeks Ad7-envMN Ad7-env Ad7-envMN + Ad7-env Ad5-envMN 1st Booster* 12 weeks Ad5-envMN Ad5-env Ad5-envMN + Ad5-env Ad4-envMN - The following summarizes
treatment regimen 5. Each group consisted of 6 dogs that were previously immunized, as described above, and 2 control dogs. Each group received 50 μg of the subunit in adjuvant at 0 weeks (20-28 weeks from the last Ad-env administration). Group A received gp120SF2 in MF59 adjuvant; Group B received CHO-derived gp120MN (antibody purified) in SAF-m; Group C received Ad5-gp160MN-derived gp160MN (lentil lectin purified) in SAF-m; Group D received Ad5-gp160MN-derived gp160MN (lentil lectin purified) in MF59; and Group E received HA-envK17K (expressing a portion of the HIV env V3 loop). Twelve weeks later dogs were identically boosted with the same subunit, with the exception of Group D dogs which were reboosted with the HA-envKl7K. - The following table summarizes
treatment regimen 6.TREATMENT REGIMEN 6Time Chimpanzee Number Immunization (weeks) 7 8 & 9 10 11 12 Primary 0 Ad5-envMN + Ad5-envMN Ad5-envMN, Ad5-envMN Ad5 wild type Ad7-envMN, Ad4-envMN 1st Booster 12 — Ad7-envMN Ad5-envMN, Ad7-envMN Ad7 wild type Ad7-envMN, Ad4-envMN 2nd Booster 24 — — — Ad4-envMN Ad4 wild type Subunit Boost 26 gp120SF2 * — — — — Subunit Boost 38 gp120SF2 gp120SF2 gp120SF2 — Subunit Boost 48 — — — gp120SF2 MF59 Challenge # HIVSF2 HIVSF2 — HIVSF2 HIVSF2 - Measurement of Immunogenicity:
Treatment Regimen 1 - Chimpanzee Inoculations
- Three chimpanzees (2 males and 1 female) that were screened negative for the presence of neutralizing antibodies to
human adenoviruses type treatment regimen 1. Enteric-coated capsules containing recombinant adenoviruses were given using a stomach tube under anesthesia on three consecutive days. Two chimpanzees (1 and 2) received both env and gag recombinant viruses while the third chimp (3) received only env recombinant viruses. - Adenovirus-derived subunit preparations containing env or gag gene products were purified from infected A549 cell cultures [see Vernon, S., J. Gen. Virology 72: 1243 (1991) and Natuk, R., Proc. Natl. Acad. Sci. USA 89: 7777 (1992)]. Recombinant antigens were formulated with alum adjuvant and administered intramuscularly, 200 ug/dose env and 500 ug/dose gag particles.
- Whole blood, serum, and stool samples were collected at different times during the course of the experiment. Whole blood was processed to obtain white blood cell populations for FACS, HIV CTL (using recombinant vaccinia viruses expressing HIV-env, HIV-gag, or the lac gene products), and for lymphoproliferative assays to purified HIV recombinant gp160, gp120, and p24. Serum and stool specimens were stored at −70° C. until use.
- Detection of Recombinant Adenoviruses in Stool Specimens
- Chimpanzee stool specimens were thawed and 10% (V/V) suspensions were made into antibiotic containing DMEM. Clarified stool suspensions were used to infect confluent A549 cell monolayers in 60 mm tissue culture dishes. After a 1 hr adsorption period the unbound material was washed away and the monolayers were overlaid with an 0.5% agar overlay medium. Plaques were allowed to develop for 7-10 days and plaques were visualized by neutral red staining, counted and the agar overlay was gently removed taking care not to disturb the cell monolayer. The cell sheet was transferred to nitrocellulose filter membranes (Millipore Type HA, 0.45 um), presoaked in 20×SSC and placed on the cell layer and left in contact with the cell monolayer for 2 to 4 minutes. The filters were peeled off, air-dried, and baked for 2 hr in a vacuum oven at 80° C. Nitrocellulose filters were washed twice in 3×SSc/0.1% SDS at room temperature and prehybridized and hybridized according to standard procedures [Poncet, D., J. Virol. Methods 26: 27 (1989)].32P-labeled oligo-probes were added to the hybridization buffer (1×106 CPM) and incubated overnight at 42° C. DNA probes were prepared by which could detect either Ad4 fiber, Ad5 fiber, Ad7 fiber, HIV-env or HIV-gag specific sequences. [Wain-Hobson, Cell 40: 9 (1985)]. The filters were washed, autoradiographed, and hybridization signals were counted.
- Adenovirus Neutralization Test Procedures
- Serial 2-fold dilutions (starting with 1:4) of heat-inactivated (56° C. fdor 30 min.) dog serum were made in 96-well microtiter plates (0.05 ml/well) and were mixed with 0.05 ml media containing 30-100 TCID50 virus for 1 hr at 37° C. To each well 0.05 ml of media containing 2×104 A549 cells were added and the plates were incubated at 37° C. 5% CO2 for 7-10 days. All samples were done in duplicate. Virus and uninfected cell controls were included in each assay for determining the end point in test sera. Titers were expressed as the reciprocal of the lowest dilution at which 50% cytopathic effect was observed.
- Detection of Anti-HIV Antibodies by ELISA and Western Blotting
- Detection of anti-HIV antibodies Chimpanzee antibody responses to HIV-1 antigens were measured by testing various dilutions by commercial ELISA and Western blot kits as instructed by the manufacturers (DuPont, Wilmington, Del.).
- Results
- Feces were collected from each chimpanzee prior to and after virus inoculation and stored at −70° C. Ten percent suspensions were prepared from each sample and were used to infect confluent A549 cell monolayers. After 7-10 days viral plaques were identified by neutral red staining and the cell monolayers were transferred to nitrocellulose membranes. Representative samples were hybridized with various labeled oligo-probes to detect sequences specific for Ad4, Ad5, Ad7, HIV-env, or HIV-gag genes. Identification of specific recombinant Ad-HIV viruses could be determined by this plaque hybridization technique. None of the recombinant viruses were shed into the feces for longer than 7 days p.i. Peak titers were always associated with 1-3 day samples and most likely represented the non-adsorbed virus inoculum. Previous chimp studies using Ad-HBsAg recombinants had indicated that Ad-HBsAg recombinants could be detected for 30-40 days p.i. With the enteric capsule route of administration, it appeared that these recombinant viruses did not replicate well in vivo.
- Seroconversion to the serotype of the adenovirus vectors employed was determined by neutralization test procedures. Very low to modest anti-adenovirus serum titers were measured to all 3 serotypes used in each of the chimpanzees.
- Seroconversion to recombinant HIV gene products were determined by either ELISA or Western blotting techniques. No ELISA response was detected in any of the chimpanzees prior to the second booster inoculation with the Ad5-env recombinant. Two weeks following Ad5-env inoculation anti-env responses could be measured in 2 of the 3 animals. Intramuscular injection of gag and/or env preparations had a slight boosting effect in 1 of the 3 animals. Western blot analysis appeared to be much more sensitive than the ELISA and had the further advantage of identification of which env and/or gag gene products were being recognized as being immunogenic. Low serum antibody titers were measured following both the primary Ad7 recombinant and first booster with Ad4 recombinants viruses. A significant increase in serum titer to env gene products was observed following the second booster immunization with the Ad5-env recombinant. Significant increases in the 2 animals which received gag gene products were seen following injection with subunit preparations. Despite relatively good Western blot titers to HIV antigens, only 1 of the 3 animals responded with serum neutralizing antibodies. This response in
chimpanzee 2 was very low (titer of 10 to 20). These results are summarized in the following table.RESULTS OBTAINED USING TREATMENT REGIMEN 1Recombinant Western Blot Peak Peak Chimp Recombinant Virus Shedding Peak Anti-Adeno anti-HIV Titers Anti-HIV Number Virus Stools (Days) Neutralizing Titer env gag Neutralizing Titer 1 Ad7-env, Ad7-gag-1 2, 2 128 — 20 <10 Ad4-env, Ad4-gag-1 2, 2 8 — 20 <10 Ad5- env 7+ 128 100 — <10 subunit: env + gag 100 1000 <10 2 Ad7-env, Ad7-gag-1 3, 2 64 — 20 <10 Ad4-env, Ad4-gag-1 1, 7 128 20 100 <10 Ad5- env 7+ 64 10000 — 20 subunit: env + gag 1000 10000 10 3 Ad7- env 2 6 20 N/A* <10 Ad4- env 1 128 20 N/A <10 Ad5- env 7+ 512 1000 N/A <10 subunit: env 100 N/A <10 - Cell-mediated immunity was measured in peripheral blood mononuclear cell population obtained from chimpanzees. HIV specific CTL activity was measured by determining lysis of syngenic target cells that were infected with vaccinia virus recombinants that express either the HIV-env gene products, the HIV-gag gene products, or the lac gene product (control for nonspecific cytotoxicity). A hint of HIV specific CTL-like activity was measured in this way.
- Lymphoproliferative assays were performed to determine whether purified recombinant env (gp160, gp120) or gag (p24) preparations were capable of stimulating blastogenesis. No proliferation was measured after the primary inoculum and only 1 of the 3 animals show a lymphoproliferative response following administration of the first boost with Ad4 recombinant viruses. All 3 animals responded with proliferative responses after the second booster (Ad5-env) and the third boost (subunit preparations).
- Measurement of Immunogenicity:
Treatment Regimen 2 - Chimpanzee Inoculations and Collection of Data
- Three chimpanzees (2 males and 1 female) that were previously inoculated with Ad-HIV recombinant viruses in enteric-coated capsules and boosted with adenovirus-derived gag and/or env subunits (treatment regimen 1) were infected intranasally with Ad7-HIV viruses (week 46) and 12 weeks later (week 58) with Ad4-HIV viruses. Recombinant adenoviruses were given in tissue culture media diluted with phosphate saline buffer dropwise into the nostrils of chimpanzees under anesthesia. Two chimpanzees (
numbers 1 and 2) received both env and gag recombinant viruses while the third chimp (number 3) received only env recombinant viruses. - Whole blood, serum, and stool samples were collected at different times during the course of the experiment, and processed as described in
Regimen 1. Adenovirus detection in stool samples or nasal swabs, adenovirus neutralization test procedures, and detection of anti-HIV antibodies were performed according to the procedures described inRegimen 1. - Results
- The first intranasal booster with Ad7 recombinants was given in one dose of 1×108 pfu's/chimpanzee. At the time of
virus administration chimpanzees - Three months later these chimpanzees were immunized with Ad4 recombinants at a single dose of 1×108 pfu's/chimpanzee/virus. These animals had serum anti-Ad4 neutralization titers between 128 to 256 from previous oral immunization at the time of intranasal challenge. At 3 days post-infection 2 of the animals (2 and 3) had a slight cough. The third animal (number 1) died on
day 5 from a bacterial pneumonia (Streptococcus pneumoniae was isolated). The other two animals presented harsh sounds by auscultation and S. pneumoniae was isolated from both chimpanzees. Antibiotic treatments were initiated and both chimpanzees recovered. - Upon retrospective examination of this situation several observations could be made. At the time of intranasal
administration chimpanzee number 1 was already experiencing a fever and an abnormal Complete Blood Count. There was a disproportionate number of polymorphonuclear cells present and a 5% level of band cells (immature polymorphonuclear cells) taken together, this information indicated that there was a significant bacterial infection taking place prior to virus inoculation. Autopsy specimens taken from the lung, liver, spleen, and serum all tested negative for the presence of infectious adenovirus by tissue culture using 3 blind passages on susceptible A549 cell monolayers. Similar findings were obtained by plaque hybridization techniques. Lung and liver paraffin embedded samples tested negative for the presence of adenovirus antigens using a commercial immunofluorescent kit for adenovirus antigens. Inclusion bodies were observed in H&E stained lung sections. There was a disagreement by experts as to whether these inclusions were caused by adenovirus or not. Several weeks later another chimpanzee experienced a similar fate at the same primate center and died. While it was likely that administration of recombinant adenoviruses had a only a minor role, if any, in causing the death ofchimpanzee number 1 it was considered prudent to administer antibiotics prophylactically prior to and after any further intranasal administration of adenovirus recombinants to chimpanzees. - The following table shows the results obtained using
treatment Regimen 1 and the Ad7-recombinants inRegimen 2.RESULTS OBTAINED USING TREATMENT REGIMENS 1 AND 2Recombinant Western Blot Peak Peak Chimp Recombinant Virus Shedding Peak Anti-Adeno anti-HIV Titers Anti-HIV Number Virus Stools (Days) Neutralizing Titer env gag Neutralizing Titer 1 Regimen 1Ad7-env, Ad7-gag-1 2, 2 128 — 20 <10 Ad4-env, Ad4-gag-1 2, 2 8 — 20 <10 Ad5- env 7+ 128 100 — <10 subunit: env + gag 100 1000 <10 Regimen 2Ad7-env, Ad7- gag 12 512 10000 10000 10 2 Regimen 1Ad7-env, Ad7-gag-1 3, 2 64 — 20 <10 Ad4-env, Ad4-gag-1 1, 7 128 20 100 <10 Ad5- env 7+ 64 10000 — 20 subunit: env + gag 1000 10000 10 Regimen 2Ad7-env, Ad7-gag 9 8192 1000 10000 20 3 Regimen 1Ad7- env 2 6 20 N/A* <10 Ad4- env 1 128 20 N/A <10 Ad5- env 7+ 512 1000 N/A <10 subunit: env 100 N/A <10 Regimen 2Ad7- env 7 256 10000 N/ A 10 - Measurement of Immunogenicity: Treatment Regimen 3
- Chimpanzee Inoculations and Collection of Data
- Three chimpanzees (2 males and 1 female) that were screened negative for the presence of neutralizing antibodies to
human adenoviruses type numbers 4 and 5) received both env and gag recombinant viruses while the third chimp (number 6) received only env recombinant viruses. Antibiotics were administered prophylactically to the chimpanzees and no respiratory disorders were observed. - Whole blood, serum, and stool samples were collected at different times during the course of the experiment, and processed as described in
Regimen 1. Adenovirus detection in stool samples or nasal swabs, adenovirus neutralization assays, and detection of anti-V antibodies were performed according to the procedures described inRegimen 1. - Detection of Inhibition of Gp120 Binding to CD4 Binding Sites
- This assay is designed to measure the ability of chimpanzee anti-env antibodies to block the interaction of the HIV gp120 antigen with in natural ligand CD4. Various dilutions of chimpanzee sera were incubated with purified recombinant gp120 (1 ug/ml) 37° C. for 1 hour. HeLa CD4 positive cells (5×105) were added to this mixture and incubated at 4° C. for 1 hour. The cells were washed 3 times with PBS-5% BSA and mixed with a FITC-labeled monoclonal antibody directed at the CD4 antigen (same site the gp120 binds to) and incubated at 4° C. for 1 hour. The cells were washed three times with the PBS-5% BSA and analyzed by flow cytometry.
- Results
- 1st Immunization with Ad7-recombinants: Recombinant viruses were shed into feces for 22 to 34 days post-infection. No recombinant viruses were detected in nasal secretions taken at 2 weeks post-infection. Seroconversion to the serotype of the adenovirus vectors employed was determined by neutralization assays. Excellent anti-adenovirus serum titers were measured in all 3 chimpanzees to Ad7 serotypes used in each of the chimpanzees. Seroconversion to recombinant HIV gene products were determined by Western blotting. Four weeks following the primary immunization with Ad7-recombinants anti-env and anti-gag responses could be measured in 2 of the 3 chimpanzees. By 20 weeks post-infection all 3 animals had measurable antibodies to HIV antigens. Secretory antibodies were not found in nasal swabs taken within the first 4 weeks following primary immunization. All 3 chimpanzees failed to mount detectable anti-HIV neutralizing antibody responses.
- 1st Booster Immunization with Ad4-recombinants: Recombinant Ad4 viruses were shed into feces for 14-28 days post-infection. Examination of nasal swabs indicated that recombinant Ad4 viruses could be detected in all 3 chimpanzees for at least 7 days post-infection. Significant anti-Ad4 responses were mounted against the Ad4 serotype following intranasal administration. The magnitude was slightly lower then that measured against the Ad7-recombinant viruses. Excellent booster responses to gag and/or env antigens were measured in all three animals. Low titered (1:2) anti-gag and/or anti-env responses were measured in nasal swabs from
Chimpanzees - 2nd Booster Immunization with Ad5-recombinants: Recombinant Ad5 viruses were shed into feces for 8 days post-infection. No recombinant viruses could be detected in nasal swabs at 0, 1, or 2 weeks post-inoculation. Anti-HIV IgG and IgA antibody response against env and gag could be measured in nasal swabs taken from 2 of 3 chimpanzees following Ad5-recombinant booster immunization by Western blot analysis. IgG and IgA anti-env and/or anti-gag antibodies were detected in saliva samples collected from 2 of 3 chimpanzees. Anti-env and -gag antibodies of the IgG class were detected in vaginal swabs taken from the single female chimpanzee.
- Several samples which contained the greatest amount of anti-HIV antibodies of the IgA class were examined for the presence of secretory component. This was accomplished by substitution of polyclonal anti-secretory component (human) for polyclonal anti-IgA (human) in the HIV Western blot assay. Secretory anti-HIV IgA, containing secretory component, was detected in both nasal swabs and saliva samples in 1 of 3 chimpanzees.
- 3rd Booster Immunization with env Subunit: The strongest anti-env antibody responses were measured following subunit administration of these chimpanzees that had been primed with live recombinant adenoviruses. Anti-env antibody responses were detected in both serum and in various secretory samples collected from the nasal-oral cavity, vagina, and rectum. Peak antibody titers were detected at 4 weeks post administration with env subunit.
- Serum anti-HIV neutralizing antibody titers of 320-640 were observed in all 3 chimpanzees. Antibodies directed against the gp120 V3 loop were detected by ELISA and against the gp120 CD4 binding site were detected by a FACS blocking assay. All three chimpanzees produced high ELISA titers (1000-9000) directed at the V3 loop (a region which contains the major neutralization determinant for HIV).
- Chimpanzee sera collected at the height of the neutralizing response was evaluated for the presence of anti-CD4 binding site antibodies. All three animals had acquired antibodies that were capable of blocking the interaction between gp120 with CD4. The CD4 binding site is a conformational epitope and antibodies directed at this site are believed to be important in blocking uptake up cell-free HIV and perhaps capable of inhibiting gp 120-CD4 syncytium induction. The results are shown in FIG. 1.
- Nasal swab anti-env antibody titers of the IgG and IgA classes of immunoglobulins were boosted in 3 of 3 and 2 of 3 chimpanzees, respectively, following booster immunization with the env subunit. Similar results were observed in the saliva samples taken from these chimpanzees. Two of three chimpanzees had IgG anti-env antibodies present in rectal swabs and the single female chimpanzee had a strong IgG anti-env booster response measured in vaginal swabs. The presence of anti-HIV antibodies in mucosal secretions is critical because certain mucosal surfaces represent major sites for HIV infection.
- Summary Tables: The following table shows the results obtained using treatment regimen 3.
RESULTS OBTAINED USING TREATMENT REGIMEN 3 Recombinant Western Blot Peak Peak Chimp Recombinant Virus Shedding Peak Anti-Adeno anti-HIV Titers Anti-HIV Number Virus Stools (Days) Neutralizing Titer env gag Neutralizing Titer 4 Ad7-env, Ad7-gag 22, 22 1024 100 1000 <10 Ad4-env, Ad4-gag 14, 14 128 10000 10000 <10 Ad5-env, Ad5-gag 8, 8 32 10000 10000 20 subunit: env N/A* N/A >10000 10000 640 5 Ad7-env, Ad7-gag 34, 27 1024 100 10000 <10 Ad4-env, Ad4-gag 14, 14 512 10000 10000 <10 Ad5-env, Ad5-gag 8, 8 32 10000 10000 20 subunit: env N/A N/ A 1000 10000 320 6 Ad7-env 34 1024 100 N/A <10 Ad4-env 28 512 10000 N/A <10 Ad5-env, gag 8, 8 32 10000 N/A 40 subunit: env N/A N/A >10000 N/ A 320 - The following table summarizes anti-HIV responses detected in chimpanzee secretions following intranasal booster immunization with the Ad5-HIV recombinants and after the intramuscular subunit boost (week 23 post boost).
ANTI-HIV RESPONSES DETECTED IN SECRETIONS Antigen Weeks Secretion Analyzed Chimp Rec- Post Nasal Saliva Vaginal Number ognized Boost** IgA IgG IgA IgG IgA IgG 4 env 0 —* 360 — — — 1 180 360 — — −90 2 180 2880 20 20 −90 4 720 1440 — 20 −360 23 — — — 80 — 24 90 720 — — — 25 90 2880 20 160 −180 27 90 1440 — 160 −720 gag 0 — 180 — — — 1 360 360 — 20 −90 2 720 2880 — 20 −90 4 720 720 — 20 −90 23 90 — — — — 24 90 90 — — — 25 — 90 — — — 27 90 360 — — — 5 env 0 — — — — N/A+ N/A 1 — 90 — — N/A N/A 2 — 2880 — — N/A N/A 4 — 360 — — N/A N/A 23 — — — — N/A N/A 24 — 360 — 20 N/A N/A 25 90 2880 20 80 N/A N/A 27 — 720 — 320 N/A N/A gag 0 — — — — N/A N/A 1 — 90 — — N/A N/A 2 90 1440 — — N/A N/A 4 — 360 — — N/A N/A 23 90 — — — N/A N/A 24 90 — — — N/A N/A 25 90 90 — — N/A N/A 27 — — — — N/A N/A 6 env 0 — — — — N/A N/A 1 — — — — N/A N/A 2 — 1440 20 20 N/A N/A 4 — 360 — — N/A N/A 23 — — — — N/A N/A 24 — 180 — — N/A N/A 25 — 720 — 20 N/A N/A 27 — 720 — — N/A N/A - Measurement of Immunogenicity:
Treatment Regimen 4 - Dog Inoculations and Collection of Data
- Recombinant adenovirus was administered according to the table shown above for
Treatment Regimen 4. Serum was collected at different times during the course of the experiment, and processed as described inRegimen 1. Adenovirus neutralization test procedures were performed according to the procedures described inRegimen 1. Detection of anti-HIV antibodies was performed according to the procedure described inRegimen 1 except that biotinolylated goat anti-dog IgG(H+L) was substituted for biotinylated goat anti-human IgG(H+L). - Serum samples were taken from immunized dogs at regular intervals after primary immunization and booster immunizations. Seroconversion to the serotype of the adenovirus vector employed was determined by neutralization test procedures. All of the dogs responded with strong anti-adenovirus titer to Ad7 vectors. Weaker anti-Ad5 responses were seen following Ad5 primary or booster inoculation. Seroconversion to env antigens was measured by Western blot and by HIV neutralization assays. Some dogs were able to produce low titer anti-env antibodies following primary immunization with recombinant Ad-env (LAV or MN). Significant booster responses to env antigen were observed in almost all of the dogs following heterotypic boosting with another recombinant Ad-env (LAV or MN) virus expressing the same type of env antigen.
- Dogs that were primed with Ad7-envMN and boosted with Ad5-envMN had an average anti-HIVMN serum titer of >180 (range 45->270) at 4 weeks post-boost. Dogs receiving the Ad5-envMN and Ad4-envMN combination had an average anti-HIVMN serum titer of >170 (range 45->270) at this same time. There were no cross protective antibodies directed at the HIVLAV strain in any of these dogs. Dogs receiving the Ad7-env and Ad5-env combination had an average anti-HIVLAV serum titer of 55 (range 20-85) at 4 weeks post-boost and none of these dogs had anti-HIVMN titers. In at least one of the three dogs receiving the “recombinant cocktail” that contained both MN and LAV recombinant viruses had a anti-HIVMN serum titer of 90 and an anti-HIVLAV titer of 50. The other two dogs had anti-HIVLAV titers of 45 and 15.
- These results demonstrate that the recombinant Ad-HIVMN viruses all elicit neutralizing antibodies directed at the MN strain of HIV. Low neutralizing titers were seen in 2 of 6 dogs in
Groups Group 4 following the first immunization with Ad-envMN recombinants. Low to high neutralization titers were measured in all of the dogs in these two groups following booster immunization with heterotypic recombinant viruses. The neutralization titers produced were type specific and did not cross react with the LAV strain of HIV. When compared directly to other dogs treated with LAV recombinant Ad-env viruses, Ad-envMN recombinant viruses appeared to elicit higher type-specific neutralization titers in the dog standard pharmacological test procedure. Finally, the use of a “recombinant cocktail” which contains both MN and LAV recombinants appears to be capable of eliciting neutralizing antibodies to both strains of HIV. - Measurement of Immunogenicity:
Treatment Regimen 5 - HIV Subunit Administration in Dogs
- Thirty laboratory dogs that were either previously immunized twice with Ad-env recombinants (12-18 week intervals, with the 2nd immunization 20-28 weeks prior to the 1st subunit immunization) and ten (10) control dogs that have never been exposed to Ad-env recombinants were injected with one of five different HIV-env subunit preparations according to the description shown above for
Treatment Regimen 5. All immunizations were administered by the subcutaneous route. Serum was collected at different times during the course of the experiment, and processed as described inRegimen 1. Adenovirus neutralization test procedures were performed according to the procedures described inRegimen 1. - Results
- The results that were obtained are described below and provided in a summary table that follows.
- 1st Subunit Administration. All subunit vaccines administered to Ad-env “primed” dogs boosted anti-HIVMN neutralizing antibody responses. Two subunit preparations, A and C, were both examined for their ability to induce cross neutralizing responses to HIVSF2. Heterologous boosting (i.e., Ad-envMN primed and gp-120SF2 boost) as well as homologous boosting (Ad-envMN primed and gp160MN boost) both stimulated anti-HIVSF2 neutralizing antibody responses. Control dogs from groups B and C produced anti-env binding antibodies to HIV-env. Neutralizing antibody responses were not observed in control dogs following the first subunit administration.
- 2nd Subunit Administration. Administration of the second subunit did not appear to be as effective as a boosting agent compared to the first subunit administration. Group B dogs exhibited the greatest serum neutralizing antibody response (3-4 fold increase) of the five groups following the second booster immunization. Groups A and C showed two-fold increases following their second subunit administrations, while the HA-env antigen failed to significantly alter the geometric mean neutralizing titer of either Group D or E. Controls from all five groups produced anti-env binding antibodies. Functional neutralizing anti-HIV antibodies were observed only in the groups B, C, and D controls. Group A and E controls still failed to produce neutralizing antibody responses after the second subunit administration.
- In summary, these results demonstrate that strong neutralizing antibody responses were elicited in all groups that were previously “primed” with Ad-HIV recombinants. After priming, high neutralizing antibody titers were observed in groups that were boosted heterologously (with gp120SF2) and homologously (with gp120MN). In the primed dogs, neutralizing antibodies were generated to both the MN and SF2 strains of HIV. Neutralizing antibody titers were still observed at twelve weeks, prior to the second boost. After the second boost, significant increases in neutralizing antibodies were observed in both gp120-boosted groups (Groups A and B).
- Summary Table
- The following table shows the results obtained using
Treatment Regimen 5.HIV SUBUNIT IMMUNIZATION IN Ad-HIV PRIMED DOGS Peak Second Titer After Anti-HIVMN Responses* Group+ n First Subunit Subunit 2nd Ad- HIV 0 wk 2 wk 12 wk 14 wk A 6 gp120SF2 gp120SF2 122 16 357 84 270 2 gp120SF2 gp120SF2 — — — — — B 6 gp120MN gp120MN 141 17 883 229 472 2 gp120MN gp120MN — — — — 156 C 6 gp160MN gp160MN 88 29 369 55 68 2 gp160MN gp160MN — — — — 100 D 6 gp160MN HA-env 88 25 391 87 83 2 gp160MN HA-env — — — — 93 E 6 HA-env HA-env 189 41 431 62 110 2 HA-env HA-env — — — — — - Measurement of Immunogenicity:
Treatment Regimen 6 - Chimpanzee Inoculations and Collection of Data
- Six female chimpanzees were selected on the basis of their serological profiles to
human adenoviruses types Treatment Regimen 6. Their selection was based on a “best fit” for having the lowest possible serum neutralization titers directed at the various Ad-env vaccine combinations that were designated to be administered. Four chimpanzees that were either seronegative or weakly seropositive received either 1, 2, or 3 consecutive intranasal immunizations with recombinant Ad-env (12 week intervals) (Chimpanzees 7, 8, 9, and 11). One chimpanzee that was strongly seropositive (titers of 128 to all 3 Ad serotypes; Chimpanzee 10) was given a mixture of all 3 recombinants (each at a dose of 1×10 pfu) as a primary immunization and boosted 12 weeks later with the same mixture. All of the Ad-env immunized chimpanzees received an intramuscular immunization boost with 50 μg of gp120SF2 HIV-env subunit formulated in MF59 adjuvant (MF59 adjuvant is described in Vaccine 11: 909 (1993)). One control chimpanzee (number 12) received 3 consecutive intranasal immunizations with wild-type human adenoviruses (12 week intervals) and an intramuscular immunization with the MF59 adjuvant alone at week 48. Antibiotics were administered prophylactically to all of the chimpanzees and no respiratory disorders were observed. - Whole blood, serum, and stool samples were collected at different times during the course of the experiment, and processed as described in
Regimen 1. Adenovirus detection in stool samples, nasal or pharyngeal swab samples were done either by a plaque hybridization assay (described in Regimen 1) or by PCR technology (see below). Adenovirus neutralization assays and detection of anti-HIV antibodies were performed according to the procedures described inRegimen 1. Chinese hamster ovary cell (CHO)-derived gp120 or commercially purchased (American Biotechnologies, Cambridge, Mass.) HIV V3MN peptides were used as substitute antigen reagents in antibody binding assays. - PCR detection of recombinant Ad-env in chimpanzee stool samples was carried out with a commercially purchased PCR kit according to the supplier's instructions (Perkin Elmer Cetus, Norwalk Conn.). Briefly, about 250 μl of the stool samples was heated to 95° C. for 5 minutes and centrifuged in a microfuge at top speed for 2-3 minutes. The supernatant was saved. 1-10 μl per PCR reaction was used. Several tubes of master mix were prepared from the PCR kit and kept frozen at −20° C. For a 10 reaction tube, sterile water (615 μl), 10 X buffer (100 μl), dATP (20 μl), dCTP (20 μl), dGTP (20_μl), and dTTP (20 μl) were mixed to make up the master mix. For each reaction, 79.5 μl of the master mix were used. On the day of the first PCR, a tube of master mix (10 rx) was thawed. To the master mix were added 10 μl of each of the oligomers, 5 μl of native Taq DNA polymerase, 50 μl water. The solution was mixed and about 90 μl was distributed to each reaction tube. The PCR was carried out in a 0.5 ml eppendorf tube. To each tube was added 10 μl of the stool supernatant. Thirty (30) cycles of PCR amplification were run at 95° C. for 1 hour, 45° C. for 1.5 hours, and 72° C for 2 hours. A second PCR was performed with a 2.5 μl aliquot of the first PCR product as a DNA template and a corresponding oligo pair as primers. After 30 cycles of amplification, 10 μl of the reaction product was run on a 1.2% argose gel. A 800 bp DNA band was observed as a positive control for Ad7-env. The following primer pairs were used for nested PCR.
Template Gene 1st PCR 2nd PCR DNA Size HIV-1 gp 120MN 5166/5209 5164/5208 800 bp Ad4 fiber 5467/5468 5469/5470 782 bp Ad5 fiber 5625/5523 5624/5522 423 bp Ad7 fiber 5505/5504 5503/5502 978 bp - HIV specific CTL activity was measured by determining lysis of syngenic target cells that were infected with vaccinia virus recombinants that express either the HIV-env gene products, the HIV-gag gene products, or the lac gene product (control for nonspecific cytotoxicity).
- Results
- 1st Immunization with Ad5-recombinants: Recombinant Ad5 virus was shed into fecal, pharyngeal, and/or nasal specimens for 0-7 days collected from chimpanzees that were seronegative or weakly seropositive to Ad5. Only the Ad5 recombinant was detected in the strongly seropositive chimpanzee immunized with the mixture of three recombinants. Wild-type adenovirus was shed for 56 days in the control chimpanzee that was weakly seropositive to Ad5. Significant anti-Ad5 responses were produced in most of the chimpanzees, with the strongest response produced in the control animal immunized with the wild-type Ad5. Three of the four chimpanzees (
numbers 7, 9 and 11) immunized with the single Ad5 recombinant produced weak anti-env antibody responses. Functional serum neutralizing anti-HIV antibodies were detected only inchimpanzee 5, which was originally seronegative to Ad5. Secretory anti-IgG anti-env antibodies were detected in vaginal, nasal, and saliva specimens collected from chimpanzee 11. Sporadic detection of env-specific CTL activity (specific lysis=10%) was observed in in vitro stimulated peripheral blood lymphocyte (PBL) populations obtained fromchimpanzees -
chimpanzees 8, 9, and 10. As before, significant CTL responses were not observed in PBL populations obtained from chimpanzee 11. -
chimpanzee 12. Bothchimpanzees 11 and 12 made excellent anti-Ad4 antibody responses. The second booster immunization in chimpanzee 11 resulted with a significant boost in the anti-env antibody responses, including anti-HIVMN neutralizing antibody response. Nasal, vaginal, and saliva anti-env IgG antibody responses were boosted in samples collected from chimpanzee 11. Despite the generation of an excellent humoral anti-env immune response in chimpanzee 11, significant CTL responses were not observed. - 1st Subunit boost. The heterologous gp120SF2 subunit antigen preparation was administered to
chimpanzee 7, 26 weeks after the primary Ad5-env immunization. The subunit immunization was very successful in boosting the anti-env antibody response. A high titered neutralizing anti-HIVMN response (>400) was observed along with a lower anti-HIVSF2 response (100). The subunit administration also elicited strong anti-env IgG antibody responses in nasal and vaginal secretions, as well as weaker anti-env responses in rectal secretions. One (chimpanzee 9) of the two animals given the (Ad5-env)/(Ad7-env) combination also showed excellent anti-env booster antibody responses following subunit administration. This animal had similar anti-HIVMN and anti-HIVSF2 neutralizing titers as seen inchimpanzee 1. Weak anti-env IgG responses were observed in nasal, rectal, saliva, and vaginal secretions collected from this animal. The other chimpanzee (number 8) had a much weaker, but still significant anti-env response induced following subunit administration, but this response did not include functional neutralizing antibodies to HIV. Nor were anti-env antibodies detected in any of the secretions collected from this chimpanzee. Chimpanzee 11 which received the (Ad5-env)/(Ad7-env)/(Ad4-env) combination also showed an excellent anti-env antibody booster response. This included a very high neutralization titer (>1400) to HIVMN and high (>400) titers to HIVSF2. Excellent anti-env IgG antibody responses were observed in vaginal, nasal, and saliva specimens. A weak anti-env response was observed in pharyngeal secretions. The subunit did not have a significant effect on the anti-env antibody response (serum or secretory) of chimpanzee 10 (the strongly anti-Ad seropositive animal). Sporadic anti-env CTL activity was detected in in vitro stimulated PBL populations collected only fromchimpanzees 7 and 8 following subunit administration. Similar analysis of in vitro stimulated lymph node cells (obtained from a lymph node biopsy located in close proximity to the subunit inoculation site) revealed that cells obtained only from chimpanzee 8 (basically a non-humoral responder) contained significant CTL activity directed at both envSF2 and envMN. - 2nd Subunit boost. Only
chimpanzee 7 received a second subunit immunization. This second immunization resulted with a significant boost in the anti-env antibody response, including high titered anti-HIVMN (>200) and low (<100) anti-HIVSF2 neutralizing antibody responses. Excellent anti-env IgG responses were observed in vaginal, nasal, and rectal specimens. Sporadic anti-HIV CTL activity was also seen in PBL populations. - HIVSF2 Challenge of Immunized and Control Chimpanzees. A cell-free HIVSF2 challenge was administered intravenously to five of the six chimpanzees (7, 8, 9, 11, 12). The challenge stock dilution of 1/40 was shown to productively infect control chimpanzees within 3 to 4 weeks. The chimpanzees were monitored for signs of HIV infection for a period of 10 weeks. HIV could be co-cultured from PBLs obtained from
control chimpanzee 12 collected at 4 and 6 weeks post-challenge. Anti-gag antibody responses were readily measurable (another indication of HIV infection since the recombinant vaccines lacked gag determinants) in serum samples collected at 6, 8, and 10 weeks post-challenge. All other chimpanzees were protected from the HIV challenge at 10 weeks. - These results demonstrate that the intranasal administration of the Ad-env recombinants (particularly Ad7-envMN, Ad5-envMN, Ad4-envMN or a combination thereof) elicited the production of neutralizing antibodies against HIV-1. Neutralizing antibodies were produced following the first administration of the Ad-env recombinants, and the titer was increased through the use of one or more booster intranasal immunizations with the Ad-env recombinants. Antibody response to both the MN and SF2 strains of HIV was further boosted through the administration of one or more inoculations with an env (gp120) subunit antigen preparation (particularly gp120SF2). Most importantly, protection against HIV-1 infection was demonstrated following the administration of the Ad-env/subunit booster treatment regimen.
-
1 1 1 3655 DNA Adenovirus 1 agacccttcc tcctctgatc caggactcta actctacctt accagcacca tccactacta 60 accttcccga aactaacaag cttctagcac tgtcttccgg atcgctctcc aggagcgcca 120 gctgttgggc tcgcggttga gaaggtattc ttcgtgatcc ttccagtact cttcgagggg 180 aaacccgtct ttttctgcac ggtactccgc gcaaggacct gattgtctca agatccacgg 240 gatctgaaaa cctttcgacg aaagcgtcta accagtcgca atcgcaagaa gcttgtcgag 300 ccaccatgag agtgaagggg atcaggagga attatcagca ctggtgggga tggggcacga 360 tgctccttgg gttattaatg atctgtagtg ctacagaaaa attgtgggtc acagtctatt 420 atggggtacc tgtgtggaaa gaagcaacca ccactctatt ttgtgcatca gatgctaaag 480 catatgatac agaggtacat aatgtttggg ccacacaagc ctgtgtaccc acagacccca 540 acccacaaga agtagaattg gtaaatgtga cagaaaattt taacatgtgg aaaaataaca 600 tggtagaaca gatgcatgag gatataatca gtttatggga tcaaagccta aagccataac 660 cccactctgt gttactttaa attgcactga tttgaggaat actactaata ccaataatag 720 tactgctaat aacaatagta atagcgaggg aacaataaag ggaggagaaa tgaaaaactg 780 ctctttcaat atcaccacaa gcataagaga taagatgcag aaagaatatg cacttcttta 840 taaacttgat atagtatcaa tagataatga tagtaccagc tataggttga taagttgtaa 900 tacctcagtc attacacaag cttgtccaaa gatatccttt gagccaattc ccatacacta 960 ttgtgccccg gctggttttg cgattctaaa atgtaacgat aaaaagttca gtggaaaagg 1020 atcatgtaaa aatgtcagca cagtacaatg tacacatgga attaggcaac tcaactgctg 1080 ttaaatggca gtctagcaga agaagaggta gtaattagat ctgagaattt cactgataat 1140 gctaaaacca tcatagtaca tctgaatgaa tctgtacaaa ttaattgtac aagacccaac 1200 tacaataaaa gaaaaaggat acatatagga ccagggagag cattttatac aacaaaaaat 1260 ataataggaa ctataagaca agcacattgt aacattagta gagcaaaatg gaatgacact 1320 ttaagacaga tagttagcaa attaaaagaa caatttaaga ataaaacaat agtctttaat 1380 caatcctcag gaggggaccc agaaattgta atgcacagtt ttaattgtgg aggggaattt 1440 ttctactgta atacatcacc actgtttaat agtacttgga atggtaataa tacttggaat 1500 aatactacag ggtcaaataa caatatcaca cttcaatgca aaataaaaca aattataaac 1560 atgtggcagg aagtaggaaa agcaatgtat gcccctccca ttgaaggaca aattagatgt 1620 tcatcaaata ttacagggct actattaaca agagatggtg gtaaggacac ggacacgaac 1680 gacaccgaga tcttcagacc tggaggagga gatatgaggg acaattggag aagtgaatta 1740 tataaatata aagtagtaac aattgaacca ttaggagtag cacccaccaa ggcaaagaga 1800 agagtggtgc agagagaaaa aagagcagcg ataggagctc tgttccttgg gttcttagga 1860 gcagcaggaa gcactatggg cgcagcgtca gtgacgctga cggtacaggc cagactatta 1920 ttgtctggta tagtgcaaca gcagaacaat ttgctgaggg ccattgaggc gcaacagcat 1980 atgttgcaac tcacagtctg gggcatcaag cagctccagg caagagtcct ggctgtggaa 2040 agatacctaa aggatcaaca gctcctgggg ttttggggtt gctctggaaa actcatttgc 2100 accactactg tgccttggaa tgctagttgg agtaataaat ctctggatga tatttggaat 2160 aacatgacct ggatgcagtg ggaaagagaa attgacaatt acacaagctt aatatactca 2220 ttactagaaa aatcgcaaac ccaacaagaa aagaatgaac aagaattatt ggaattggat 2280 aaatgggcaa gtttgtggaa ttggtttgac ataacaaatt ggctgtggta tataaaaata 2340 ttcataatga tagtaggagg cttggtaggt ttaagaatag tttttgctgt actttctata 2400 gtgaatagag ttaggcaggg atactcacca ttgtcgttgc agacccgccc cccagttccg 2460 aggggacccg acaggcccga aggaatcgaa gaagaaggtg gagagagaga cagagacaca 2520 tccggtcgat tagtgcatgg attcttagca attatctggg tcgacctgcg gagcctgttc 2580 ctcttcagct accaccacag agacttactc ttgattgcag cgaggattgt ggaacttctg 2640 ggacgcaggg ggtgggaagt cctcaaatat tggtggaatc tcctacagta ttggagtcag 2700 gaactaaaga gtagtgctgt tagcttgctt aatgccacag ctatagcagt agctgagggg 2760 acagataggg ttatagaagt actgcaaaga gctggtagag ctattctcca catacctaca 2820 agaataagac agggcttgga aagggctttg ctataatcta gcactgtctt ccggatcgct 2880 gtccaggagc gccagctgtt gggctcgcgg ttgagaaggt attcttcgct gtccaggagc 2940 gccagctgtt gggctcgcgg ttgagaaggt attcttcgtg atccttccag tactcttcga 3000 ggggaaaccc gtctttttct gcacggtgtg atccttccag tactcttcga ggggaaaccc 3060 gtctttttct gcacggtact ccgcgcaagg acctgattgt ctcaagatcc acgggatctg 3120 aaaacctttc gacgaaagcg tctaaccagt cgcaatcgca agaagcttgt cgactatggc 3180 aggaagaagc ggagacagcg acgaagacct cctcaaggca gtcagactca tcaagtttct 3240 ctatcaaagc aaccccccac ctaaccctga aggcacaagg caagctaggc ggaacaggag 3300 gaggcggtgg agggaaaggc aaaggcaaat tcactccatc tccgagagga ttctgtccac 3360 ctacctcggc aggtccgcgg aacccgtccc cctgcaactg ccccccctgg aaagactgac 3420 cctggactgc aatgaagact gcggcacctc cggaacccaa ggagtcggct ccccccagat 3480 cctggtcgag tcccccaccg tgctggaatc cggcaccaag gagtagtcga ctctagaagg 3540 tgcacctaca ccctgctaaa gaccctatgc ggcctaagag acctgctacc catgaattaa 3600 aaattaataa aaaatcactt acttgaaatc agcaataagg tctctgtttg gaaat 3655
Claims (16)
1. A method of protecting a primate against HIV-1 infection comprising intranasal or intramuscular administration to said primate of an intranasal or intramuscular dosage of a recombinant adenovirus having a deletion in the E3 gene and an expression cassette containing a major late promoter, a tripartite leader sequence, part or all of the HIV-1 gp160 sequence and a polyadenylation signal sequence, said cassette being inserted into said recombinant adenovirus between the E4 promoter and the inverted terminal repeat of said recombinant adenovirus.
2. The method of claim 1 wherein said intranasal or intramuscular administration of recombinant adenovirus is followed by one or more intranasal or intramuscluar booster administrations of said recombinant adenovirus.
3. The method of claim 2 wherein said adenovirus is a serotype 4, 5 or 7 serotype adenovirus.
4. The method of claim 3 wherein said expression cassette additionally comprises part of all of the coding sequence for the HIV-1 rev gene inserted in frame after the HIV-1 gp160 sequence and before the polyadenylation signal sequence.
5. The method of claim 4 wherein said HIV-1 gp160 sequence is the MN strain gp160 sequence or the LAV strain gp160 sequence.
6. The method of claim 4 wherein said HIV-1 gp160 sequence is replaced by a sequence encoding the gag-pro region of HIV-1.
7. The method of claim 2 wherein said one or more intranasal or intramuscular booster administrations of said adenovirus are followed by an intramuscular injection of at least one booster immunization with an HIV-1 subunit antigen preparation.
8. The method of claim 7 wherein said HIV-1 subunit antigen preparation contains an HIV-1 gag and/or env polypeptide sequence.
9. The method of claim 1 wherein said intranasal dosage administered is in the range of 1×107 pfu of virus.
10. The method of claim 1 wherein said intramuscular dosage administered is in the range of 1×107 to 2×109 pfu of virus.
11. The method of claim 9 wherein said intranasal booster is administered in a dosage in the range of 1×107 to 1×108 pfu of virus.
12. The method of claim 10 wherein said intramuscular booster is administered in a dosage in the range of 1×1010 to 8×1010 pfu of virus.
13. The method of claim 8 wherein said subunit antigen preparation contains between 200 μg and 0.5 mg of HIV-1 polypeptide.
14. A method of protecting a primate against HIV-1 infection comprising the steps of (i) intranasal or intramuscular administration to said primate of an intranasal or intramuscular dosage of a recombinant adenovirus serotype 4, 5 or 7 having a deletion in the E3 gene and an expression cassette containing a major late promoter, a tripartite leader sequence, part or all of the HIV-1 gp160 sequence, part of all of the coding sequence for the HIV-1 rev gene inserted in frame after the HIV-1 gp160 sequence and a polyadenylation signal sequence, said cassette being inserted into said recombinant adenovirus between the E4 promoter and the inverted terminal repeat of said recombinant adenovirus; and (ii), followed by one or more intranasal or intramuscular booster administrations of said recombinant adenovirus.
15. The method of claim 14 wherein said primate is a human.
16. The method of claim 15 wherein said HIV-1 gp 160 sequence is replaced by a sequence encoding the gag-pro region of HIV-1.
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US10/794,876 US20040170647A1 (en) | 1992-08-07 | 2004-03-05 | Recombinant adenovirus vaccines |
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US92649192A | 1992-08-07 | 1992-08-07 | |
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US45742199A | 1999-12-07 | 1999-12-07 | |
US10/794,876 US20040170647A1 (en) | 1992-08-07 | 2004-03-05 | Recombinant adenovirus vaccines |
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US10/794,876 Abandoned US20040170647A1 (en) | 1992-08-07 | 2004-03-05 | Recombinant adenovirus vaccines |
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Cited By (2)
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US20060115456A1 (en) * | 2004-11-18 | 2006-06-01 | The Government of the USA as represented by the Secretary of the Department of Health and Human | Replication-competent adenoviral vectors |
WO2012137071A2 (en) | 2011-04-06 | 2012-10-11 | Biovaxim Limited | Pharmaceutical compositions for preventing and/or treating an hiv disease in humans |
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US20020088014A1 (en) * | 1996-05-31 | 2002-07-04 | Xiangming Fang | Minimal adenovirus mediated recombinant vaccine |
DE60021523T2 (en) * | 1999-01-28 | 2006-06-22 | Stichting Biomedical Primate Research Center | COMPOSITION AND METHOD FOR IMMUNIZING AGAINST ONE OR MORE ANTIGENS BY VARIOUS RECOMBINANT VECTORS |
US6544780B1 (en) * | 2000-06-02 | 2003-04-08 | Genphar, Inc. | Adenovirus vector with multiple expression cassettes |
WO2003020893A2 (en) * | 2001-08-30 | 2003-03-13 | The Government Of The United States Of America, As Represented By The Secretary Of The Department Of Health And Human Services | New adenovirus type 7 vectors |
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EP3069730A3 (en) | 2015-03-20 | 2017-03-15 | International Aids Vaccine Initiative | Soluble hiv-1 envelope glycoprotein trimers |
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GB9005829D0 (en) | 1990-03-15 | 1990-05-09 | Proteus Biotech Ltd | Synthetic polypeptides |
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Cited By (6)
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US20060115456A1 (en) * | 2004-11-18 | 2006-06-01 | The Government of the USA as represented by the Secretary of the Department of Health and Human | Replication-competent adenoviral vectors |
US8926987B2 (en) * | 2004-11-18 | 2015-01-06 | The Government Of The United States Of America As Represented By The Secretary Of The Department Of Health And Human Services | Replication-competent adenoviral vectors |
US9216214B2 (en) | 2004-11-18 | 2015-12-22 | The United States Of America As Represented By The Secretary Of The Department Of Health And Human Services | Replication-competent adenoviral vectors |
US9732359B2 (en) | 2004-11-18 | 2017-08-15 | The United States Of America, As Represented By The Secretary, Department Of Health And Human Services | Replication-competent adenoviral vectors |
WO2012137071A2 (en) | 2011-04-06 | 2012-10-11 | Biovaxim Limited | Pharmaceutical compositions for preventing and/or treating an hiv disease in humans |
EP3000476A1 (en) | 2011-04-06 | 2016-03-30 | Biovaxim Limited | Pharmaceutical compositions for preventing and/or treating an hiv disease in humans |
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