AU2001281267B2 - Immunomodulatory oligonnucleotide formulations and methods for use thereof - Google Patents

Description

WO 03/015816 PCT/US01/25364 IMMUNOMODULATORY OLIGONUCLEOTIDE FORMULATIONS AND METHODS FOR USE THEREOF TECHNICAL FIELD The present invention relates to immunomodulatory compositions comprising an oligonucleotide and methods of use thereof. In particular, the invention relates to immunomodulatory compositions comprising an oligonucleotide bound to a microparticle, where the oligonucleotide is 7 nucleotides in length. It also relates to the administration of the oligonucleotide/microcarrier complex to modulate at least one immune response.

BACKGROUND ART The type of immune response generated to infection or other antigenic challenge can generally be distinguished by the subset ofT helper (Th) cells involved in the response.

The Thl subset is responsible for classical cell-mediated functions such as delayed-type hypersensitivity and activation of cytotoxic T lymphocytes (CTLs), whereas the Th2 subset functions more effectively as a helper for B-cell activation. The type of immune response to an antigen is generally influenced by the cytokines produced by the cells responding to the antigen. Differences in the cytokines secreted by Thl and Th2 cells are believed to reflect different biological functions of these two subsets. See, for example, Romagnani (2000) Ann. Allergy Asthma Immunol. 85:9-18.

The Thl subset may be particularly suited to respond to viral infections, intracellular pathogens, and tumor cells because it secretes IL-2 and IFN-y, which activate CTLs. The Th2 subset may be more suited to respond to free-living bacteria and helminthic parasites and may mediate allergic reactions, since IL-4 and IL-5 are known to induce IgE production and eosinophil activation, respectively. In general, Thl and Th2 cells secrete distinct patterns of cytokines and so one type of response can moderate the activity of the other type of response. A shift in the Thl/Th2 balance can result in an allergic response, for example, or, alternatively, in an increased CTL response.

For many infectious diseases, such as tuberculosis and malaria, Th2-type responses are of little protective value against infection. Proposed vaccines using small peptides derived from the target antigen and other currently used antigenic agents that avoid use of potentially infective intact viral particles, do not always elicit the immune response WO 03/015816 PCT/US01/25364 necessary to achieve a therapeutic effect. The lack of a therapeutically effective human immunodeficiency virus (HIV) vaccine is an unfortunate example of this failure. Proteinbased vaccines typically induce Th2-type immune responses, characterized by high titers of neutralizing antibodies but without significant cell-mediated immunity.

Moreover, some types of antibody responses are inappropriate in certain indications, most notably in allergy where an IgE antibody response can result in anaphylactic shock. Generally, allergic responses also involve Th2-type immune responses. Allergic responses, including those of allergic asthma, are characterized by an early phase response, which occurs within seconds to minutes of allergen exposure and is characterized by cellular degranulation, and a late phase response, which occurs 4 to 24 hours later and is characterized by infiltration of eosinophils into the site of allergen exposure. Specifically, during the early phase of the allergic response, allergen cross-links IgE antibodies on basophils and mast cells, which in turn triggers degranulation and the subsequent release of histamine and other mediators of inflammation from mast cells and basophils. During the late phase response, eosinophils infiltrate into the site of allergen exposure (where tissue damage and dysfunction result).

Antigen immunotherapy for allergic disorders involves the subcutaneous injection of small, but gradually increasing amounts, of antigen. Such immunization treatments present the risk of inducing IgE-mediated anaphylaxis and do not efficiently address the cytokine-mediated events of the allergic late phase response. Thus far, this approach has yielded only limited success.

Administration of certain DNA sequences, generally known as immunostimulatory sequences or "ISS," induces an immune response with a Thl-type bias as indicated by secretion of Thl-associated cytokines. Administration of an immunostimulatory polynucleotide with an antigen results in a Thl-type immune response to the administered antigen. Roman et al. (1997) Nature Med. 3:849-854. For example, mice injected intradermally with Escherichia coli coli) p-galactosidase (p-Gal) in saline or in the adjuvant alum responded by producing specific IgG1 and IgE antibodies, and CD4 cells that secreted IL-4 and IL-5, but not IFN-y, demonstrating that the T cells were predominantly of the Th2 subset. However, mice injected intradermally (or with a tyne skin scratch applicator) with plasmid DNA (in saline) encoding p-Gal and containing an ISS responded by producing IgG2a antibodies and CD4 cells that secreted IFN-y, but not WO 03/015816 PCT/US01/25364 IL-4 and IL-5, demonstrating that the T cells were predominantly of the Thl subset.

Moreover, specific IgE production by the plasmid DNA-injected mice was reduced 66- Raz et al. (1996) Proc. Natl. Acad. Sci. USA 93:5141-5145. In general, the response to naked DNA immunization is characterized by production of IL-2, TNFa and IFN-y by antigen-stimulated CD4 T cells, which is indicative of a Thl-type response. This is particularly important in treatment of allergy and asthma as shown by the decreased IgE production. The ability of immunostimulatory polynucleotides to stimulate a Thl-type immune response has been demonstrated with bacterial antigens, viral antigens and with allergens (see, for example, WO 98/55495).

ISS-containing oligonucleotides bound to microparticles (SEPHAROSE® beads) have previously been shown to have immunostimulatory activity in vitro (Liang et al., (1996), J Clin. Invest. 98:1119-1129). However, recent results show that ISS-containing oligonucleotides bound to gold, latex and magnetic particles are not active in stimulating proliferation of 7TD1 cells, which proliferate in response to ISS-containing oligonucleotides (Manzel et al., (1999), Antisense Nucl. Acid Drug Dev. 9:459-464).

Other references describing ISS include: Krieg et al. (1989) J. Immunol. 143:2448- 2451; Tokunaga et al. (1992) Microbiol. Immunol. 36:55-66; Kataoka et al. (1992) Jpn. J.

Cancer Res. 83:244-247; Yamamoto et al. (1992) J Immunol. 148:4072-4076; Mojcik et al. (1993) Clin. Immuno. and Immunopathol. 67:130-136; Branda et al. (1993) Biochem.

Pharmacol. 45:2037-2043; Pisetsky et al. (1994) Life Sci. 54(2):101-107; Yamamoto et al.

(1994a) Antisense Research and Development. 4:119-122; Yamamoto et al. (1994b) Jpn. J.

Cancer Res. 85:775-779; Raz et al. (1994) Proc. Natl. Acad. Sci. USA 91:9519-9523; Kimura et al. (1994) J Biochem. (Tokyo) 116:991-994; Krieg et al. (1995) Nature 374:546- 549; Pisetsky et al. (1995) Ann. N.Y. Acad. Sci. 772:152-163; Pisetsky (1996a) Immunol.

156:421-423; Pisetsky (1996b) Immunity 5:303-310; Zhao et al. (1996) Biochem.

Pharmacol. 51:173-182; Yi et al. (1996) J Immunol. 156:558-564; Krieg (1996) Trends Microbiol. 4(2):73-76; Krieg et al. (1996) Antisense Nucleic Acid Drug Dev. 6:133-139; Klinman et al. (1996) Proc. Natl. Acad. Sci. USA. 93:2879-2883; Raz et al. (1996); Sato et al. (1996) Science 273:352-354; Stacey et al. (1996) J. Immunol. 157:2116-2122; Ballas et al. (1996) J. Immunol. 157:1840-1845; Branda et al. (1996) J. Lab. Clin. Med. 128:329- 338; Sonehara et al. (1996) J. Interferon and Cytokine Res. 16:799-803; Klinman et al.

(1997) J. Immunol. 158:3635-3639; Sparwasser et al. (1997) Eur. J Immunol. 27:1671- WO 03/015816 PCT/tJSOI/25364 1679; Roman et at. (1997); Carson et al. (1997) J Exp. Med. 186:1621-1622; Chace et al.

(1997) Clin Immunol. and Inununopathol. 84:18 5-193; Chu et al. (1997) J. Exp. M'ed 186:1623-163 1; Lipford et al. (1 997a) Eur. J lInmunol. 27:2340-2344; Lipford et al.

(I1997b) Eur. Immunol. 27:3420-3426; Weiner et al. (1997) Proc. NAatl. Acad Sci. USA 94:10833-10837; Macfarlane et al. (1997) Immunology 91:586-593; Schwartz et al. (1997) J Clin. Invest. 100:68-73; Stein et al. (1997) Antisense Technology, Chi. I11 pp. 24 1-264, C.

Lichtenstein and W. Nellen, Eds., IRL Press; Wooldridge et al. (1997) Blood 89:2994- 2998; Leclerc et al. (1997) Cell. Inzmunol. 179:97-106; Kline et al. (1997) J Invest. Med 45(3):282A; Yi et al. (1998a) J Immunol. 160:1240-1245; Yi et al. (1998b) J Immunol.

160:4755-4761; Yi et al. (1998c) J Immunol. 160:5898-5906; Yi et al. (1998d) J.1Immunol.

16 1:4493-4497; Krieg (1998) Applied Antisense Oligonucleotide Technology Chi. 24, pp.

431-448, C.A. Stein and A.M. Krieg, Eds., Wiley-Liss, Inc.; Krieg et al. (1998a) Trends Microbiol. 6:23-27; Krieg et al. (I1998b) .J lInmunol. 161:2428-2434; Krieg et al. (1 998c) Proc. Na?. Acad Sci. USA 95:12631-12636; Spiegelberg et at. (1998) Allergy 53(45S):93- 97; Homer et al. (1998) Cell Immunol. 190:77-82; Jakob et al. (1998) J Immunol.

161:3042-3049; Redford et al. (1998) J. ImmunoL. 161:3930-3935; Weeratna et al. (1998) Antisense Nucleic A cid Drug Development 8:351-356; McCluskie et al. (1998) J1 Immunol. 161(9):4463-4466; Granizinski et al. (1998) Mol.Med, 4:109-118; Liu et at.

(1998) Blood 92:3730-3736; Motdoveanu et al. (1998) Vaccine 16: 1216-1224; Brazolot Milan et al. (1998) Proc. Na. Acad. Sci. USA 95:15553-15558; Briode at al. (1998) J Immunol. 161:7054-7062; Briode et al. (1999) It. Arch. Allergy IminunoL. 118:453-456; Kovarik et al. (1999) J hnmunoi. 162:1611-1617; Spiegelberg et al. (1999) Pediatr.

PulmonoL Suppi. 18:118-121; Martin-Orozco et al. (1999) Int. Imnzunol. 11:1 111-1118; EP 468,520; WO 96/02555; WO 97/28259; WO 98/16247; WO 98/188 10; WO 98/37919; WO 98/40 100; WO 98/52581; WO 98/5 5495; WO 98/55609 and WO 99/11275. See also Elkins et al. (1999) J Immunol. 162:2291-2298, WO 98/52962, WO 99/33488, WO 99/33868, WO 99/5 1259 and WO 99/62923. See also Zimnmermnann et at. (1998) J1 Immunol 160:3627-3630; Krieg (1999) Trends Microbiol. 7:64-65; U.S. Patent Nos.

5,663,153, 5,723,335, 5,849,719 and 6,174,872. See also WO 99/56755, WO 00/06588, WO 00/16804; WO 00/21556; WO 00/67023 and WO 01/12223. See also Verthelyi et al.

(2001) J Immunol. 166:2372-2377; WO 00/54803; WO 00/61161; WO 00/54803; WO WO 03/015816 PCT/US01/25364 01/15726; WO 01/22972; WO 01/22990; WO 01/35991; WO 01/51500; WO 01/54720; U.S. Patent Nos. 6,194,388, 6,207,646, 6,214,806, 6,239,116.

Additionally, Godard et al. (1995) Eur. J. Biochem. 232:404-410, discloses cholesterol-modified antisense oligonucleotides bound to poly(isohexylcyanoacrylate) nanoparticles.

All patents, patent applications, and publications cited herein are hereby incorporated by reference in their entirety.

DISCLOSURE OF THE INVENTION The invention relates to new compositions and methods for modulating immune responses in individuals, particularly human individuals.

In one aspect, the invention relates to compositions which comprise immunomodulatory polynucleotide/microcarrier (IMP/MC) complexes. An IMP/MC complex comprises a heptameric oligonucleotide, having a 5'-CG-3' sequence, linked to a filterable, insoluble microcarrier which may be either biodegradable or nonbiodegradable. The oligonucleotide may be covalently or non-covalently linked to the microcarrier in the complex, and the oligonucleotide may be modified to facilitate complex formation. Microcarriers used in IMP/MC complexes are typically solid phase microcarriers, although liquid phase microcarriers an oil in water emulsion comprising a polymer or oil, preferably a biodegradable polymer or oil) are also contemplated. Microcarriers are generally less than about 150, 120 or 100 pn, more commonly less than about 50-60 uim in size, and may be about 10 nm to about 10 pin or about 25 nm to 5 utm in size. In certain embodiments, the compositions of the invention comprise an IMP/MC complex and a pharmaceutically acceptable excipient. In certain embodiments, the compositions of the invention comprise an antigen-free IMP/MC complex, an IMP/MC complex not linked to an antigen (either directly or indirectly).

In certain embodiments, the IMP/MC complex further comprises an antigen.

In certain embodiments, the heptameric oligonucleotide of the IMP/MC complex comprises the sequence 5'-TCG-3' and/or the sequence 5'-UCG-3'. In certain embodiments, the oligonucleotide of the IMP/MC complex comprises the sequence 3' and further comprises the sequence 5'-TCG-3' or the sequence 5'-UCG-3'.

WO 03/015816 PCT/US01/25364 In certain embodiments, the oligonucleotide of the IMP/MC complex consists of a sequence according to one of the following formulas: 5'-TCGXX 2

X

3

X

4

X

1

TCGX

2

X

3

X

4 and 5'-XIX 2

TCGX

3

X

4 where Xi, X 2

X

3 and X 4 are nucleotides.

In another aspect, the invention relates to methods of modulating an immune response in an individual, comprising administering to an individual a composition comprising an IMP/MC complex in an amount sufficient to modulate an immune response in said individual. Immunomodulation according to the methods of the invention may be practiced on individuals including those suffering from a disorder associated with a Th2type immune response allergies or allergy-induced asthma), individuals receiving vaccines such as therapeutic vaccines vaccines comprising an allergy epitope, a mycobacterial epitope, or a tumor associated epitope) or prophylactic vaccines, individuals with cancer, individuals having an infectious disease and individuals at risk of exposure to an infectious agent.

In a further aspect, the invention relates to methods of increasing interferon-gamma (IFN-y) in an individual, comprising administering an effective amount of a composition comprising an IMP/MC complex to the individual. Administration of an IMP/MC complex in accordance with the invention increases IFN-y in the individual. Suitable subjects for these methods include those individuals having idiopathic pulmonary fibrosis (IPF), scleroderma, cutaneous radiation-induced fibrosis, hepatic fibrosis including schistosomiasis-induced hepatic fibrosis, renal fibrosis as well as other conditions which may be improved by administration of IFN-y.

In another aspect, the invention relates to methods of increasing IFN-a in an individual, comprising administering an effective amount of a composition comprising an IMP/MC complex to the individual. Administration of an IMP/MC complex in accordance with the invention increases IFN-a levels in the individual. Suitable subjects for these methods include those individuals having disorders which respond to the administration of IFN-a, including viral infections and cancer.

In another aspect, the invention relates to methods of ameliorating one or more symptoms of an infectious disease, comprising administering an effective amount of a composition comprising an IMP/MC complex to an individual having an infectious disease.

Administration of an IMP/MC complex in accordance with the invention ameliorates one or more symptoms of the infectious disease. The infectious diseases which may be treated WO 03/015816 PCT/US01/25364 in accordance with the invention include infectious diseases caused by a cellular pathogen a mycobacterial disease, malaria, leishmaniasis, toxoplasmosis, schistosomiasis or clonorchiasis), and may include or exclude viral diseases.

The invention further relates to kits for carrying out the methods of the invention.

The kits of the invention comprise an IMP/MC complex (or as described herein, materials for production of IMP/MC complexes) and optionally include instructions for use of IMP/MC complex in immunomodulation of an individual, for example when the individual suffers from a disorder associated with a Th2-type immune response allergies or allergy-induced asthma), is receiving vaccines such as therapeutic vaccines vaccines comprising an allergy epitope, a mycobacterial epitope, or a tumor associated epitope) or prophylactic vaccines, suffers from cancer, suffers from an infectious disease or is at risk of exposure to an infectious agent.

MODES OF PRACTICING THE INVENTION We have discovered new compositions and methods for modulating immune responses in individuals, including and particularly humans. The compositions of the invention comprise a heptameric oligonucleotide, comprising a G-3' sequence, complexed with a microcarrier We have found that G-3' containing oligonucleotides 7 nucleotides in length combined with small microcarriers (approximately 1 to 4.5 pm, less than 2.0 pm or about 1.5 um diameter) efficiently modulate human immune cells. Preferably, the oligonucleotide of the IMP/MC complex consists of a sequence according to one of the following formulas: 5'-TCGXiX 2

X

3 X4-3',

XITCGX

2

X

3

X

4 and 5'-X 1

X

2

TCGX

3

X

4 where X 1

X

2

X

3 and X 4 are nucleotides. Our discovery is of particular interest because human cells, as is known in the art, can be more resistant to immunomodulation by oligonucleotides than cells from commonly used laboratory animals, such as mice.

We found that IMP/MC complexes were more effective at lower doses than free oligonucleotides alone in immunomodulation. In human cells, IMP/MC complexes were generally more active than free oligonucleotides in inducing IFN-y and IFN-a.

The IMP/MC complexes may include or exclude an antigen. In some embodiments, the invention provides compositions comprising antigen-free IMP/MC complexes, i.e., IMP/MC complexes not linked to an antigen (directly or indirectly). In other embodiments, WO 03/015816 PCT/US01/25364 the invention provides compositions comprising IMP/MC complexes mixed with one or more antigens. In other embodiments, the invention provides compositions comprising IMP/MC complexes linked to antigen.

We have further found that covalently linked IMP/MC complexes comprising nanocarrier particles are highly active immunomodulators. Prior teaching in the art indicates that immunostimulatory oligonucleotides tightly bound to microparticles and nanoparticles are not effective (Manzel et al., supra). In view of this understanding in the art, we believe that our results would be surprising and unexpected to one of skill in the art.

The immunomodulatory polynucleotide/microcarrier (IMP/MC) complexes of the invention may be covalently or non-covalently linked, and comprise a microcarrier a carrier of less than about 10 um size) that is insoluble and/or filterable in water.

Microcarriers are generally solid phase polylactic acid beads), although liquid phase microcarriers an oil in water emulsion comprising a polymer or oil, preferably a biodegradable polymer or oil) are also useful. The oligonucleotide may be modified to allow or augment binding to the MC by incorporation of a free sulfhydryl for covalent crosslinking or addition of a hydrophobic moiety such as cholesterol for hydrophobic bonding).

The invention provides new compositions comprising an oligonucleotide covalently linked to a microcarrier to form a covalent IMP/MC complex. Linkage between the oligonucleotide and MC may be direct via disulfide bond between sulfhydryls on the oligonucleotide and MC) or the constituents may be linked by a crosslinking moiety of one or more atoms separating the bonds to the oligonucleotide and MC.

Also provided are compositions comprising an oligonucleotide non-covalently linked to a microcarrier to provide a non-covalent IMP/MC complex. Non-covalent IMP/MC complexes generally comprise an oligonucleotide that has been modified to allow binding to the microcarrier by addition of a cholesterol moiety to the oligonucleotide to allow hydrophobic binding to oil or lipid based microcarrier) although, as would be understood by those in the art, the properties of the native oligonucleotide may be used to bind to the microcarrier electrostatic binding to a cationic microcarrier such as cationic poly(lactic acid, glycolic acid) copolymer).

The invention also provides methods for modulating an immune response in an individual by administering an IMP/MC complex to the individual.

WO 03/015816 PCT/US01/25364 Further provided are kits for practicing the methods of the invention. The kits comprise any of the IMP/MC complexes and/or components for the IMP/MC complex in suitable packaging and may also contain instructions for administering an IMP/MC complex for immunomodulation in a subject.

General Techniques The practice of the present invention will employ, unless otherwise indicated, conventional techniques of molecular biology (including recombinant techniques), microbiology, cell biology, biochemistry and immunology, which are within the skill of the art. Such techniques are explained fully in the literature, such as, Molecular Cloning: A Laboratory Manual, second edition (Sambrook et al., 1989); Oligonucleotide Synthesis Gait, ed., 1984); Animal Cell Culture Freshney, ed., 1987); Handbook of Experimental Immunology Weir C.C. Blackwell, eds.); Gene Transfer Vectors for Mammalian Cells Miller M.P. Calos, eds., 1987); Current Protocols in Molecular Biology Ausubel et al., eds., 1987); PCR: The Polymerase Chain Reaction, (Mullis et al., eds., 1994); Current Protocols in Immunology Coligan et al., eds., 1991); The Immunoassay Handbook Wild, ed., Stockton Press NY, 1994); Bioconjugate Techniques(Greg T. Hermanson, ed., Academic Press, 1996); and Methods of Immunological Analysis Masseyeff, W.H. Albert, and N.A. Staines, eds., Weinheim: VCH Verlags gesellschaft mbH, 1993).

Definitions As used herein, the singular form and "the" includes plural references unless indicated otherwise. For example, "an" ISS includes one or more ISS.

As used interchangeably herein, the terms "polynucleotide" and "oligonucleotide" include single-stranded DNA (ssDNA), double-stranded DNA (dsDNA), single-stranded RNA (ssRNA) and double-stranded RNA (dsRNA), modified oligonucleotides and oligonucleosides or combinations thereof. The oligonucleotide can be linearly or circularly configured, or the oligonucleotide can contain both linear and circular segments.

Oligonucleotides are polymers of nucleosides joined, generally, through phosphoester linkages, although alternate linkages, such as phosphorothioate esters may also be used in oligonucleotides. A nucleoside consists of a purine (adenine, guanine or inosine, or derivative thereof) or pyrimidine (thymine, cytosine or uracil, or derivative thereof) base WO 03/015816 PCT/US01/25364 bonded to a sugar. The four nucleoside units (or bases) in DNA are called deoxyadenosine, deoxyguanosine, deoxythymidine, and deoxycytidine. A nucleotide is a phosphate ester of a nucleoside.

As used herein, the term "heptameric" oligonucleotide refers to an oligonucleotide seven nucleotides, or bases (or base pairs), in length.

The instant disclosure uses single letters to indicate bases of a nucleotide sequence, where A is adenine, G is guanine, C is cytosine, T is thymine, U is uracil, I is inosine, R is a purine, and Y is a pyrimidine.

The term "ISS" as used herein refers to polynucleotide sequences, alone and/or complexed with MC, that effect a measurable immune response as measured in vitro, in vivo and/or ex vivo. Examples of measurable immune responses include, but are not limited to, antigen-specific antibody production, secretion ofcytokines, activation or expansion of lymphocyte populations such as NK cells, CD4+ T lymphocytes, CD8+ T lymphocytes, B lymphocytes, and the like. Preferably, the ISS sequences preferentially activate a Thl-type response. A polynucleotide for use in the invention contains at least one ISS. As used herein, "ISS" is also a shorthand term for an ISS-containing polynucleotide.

The term "immunomodulatory polynucleotide" or "IMP", as used herein, refers to a polynucleotide comprising at least one ISS. In certain embodiments, the IMP is an ISS.

The term "microcarrier" refers to a particulate composition which is insoluble in water and which has a size of less than about 150, 120 or 100 pm in size, more commonly less than about 50-60 [pm, preferably less than about 10, 5, 2.5, 2 or 1.5 pm. Microcarriers include "nanocarriers", which are microcarriers have a size of less than about 1 pm, preferably less than about 500 nm. Solid phase microcarriers may be particles formed from biocompatible naturally occurring polymers, synthetic polymers or synthetic copolymers, which may include or exclude microcarriers formed from agarose or cross-linked agarose, as well as other biodegradable materials known in the art. Microcarriers for use in the instant invention may be biodegradable or nonbiodegradable. Biodegradable solid phase microcarriers may be formed from polymers which are degradable poly(lactic acid), poly(glycolic acid) and copolymers thereof) or erodible poly(ortho esters such as 3,9diethylidene-2,4,8,10-tetraoxaspiro[5.5]undecane (DETOSU) or poly(anhydrides), such as poly(anhydrides) of sebacic acid) under mammalian physiological conditions.

WO 03/015816 PCT/US01/25364 Nonbiodegradable microcarriers may be formed from materials which are non-erodible and/or non-degradable under mammalian physiological conditions, such as polystyrene, polypropylene, silica, ceramic, polyacrylamide, gold, latex, hydroxyapatite, dextran, and ferromagnetic and paramagnetic materials. Microcarriers may also be liquid phase oil or lipid based), such liposomes, iscoms (immune-stimulating complexes, which are stable complexes of cholesterol, and phospholipid, adjuvant-active saponin) without antigen, or droplets or micelles found in oil-in-water or water-in-oil emulsions. Biodegradable liquid phase microcarriers typically incorporate a biodegradable oil, a number of which are known in the art, including squalene and vegetable oils. Microcarriers are typically spherical in shape, but microcarriers which deviate from spherical shape are also acceptable elipsoid, rod-shaped, etc.). Due to their insoluble nature (with respect to water), microcarriers are filterable from water and water-based (aqueous) solutions.

The "size" of a microcarrier is generally the "design size" or intended size of the particles stated by the manufacturer. Size may be a directly measured dimension, such as average or maximum diameter, or may be determined by an indirect assay such as a filtration screening assay. Direct measurement of microcarrier size is typically carried out by microscopy, generally light microscopy or scanning electron microscopy (SEM), in comparison with particles of known size or by reference to a micrometer. As minor variations in size arise during the manufacturing process, microcarriers are considered to be of a stated size if measurements show the microcarriers are about 5-10% of the stated measurement. Size characteristics may also be determined by dynamic light scattering or obscuration techniques. Alternately, microcarrier size may be determined by filtration screening assays. A microcarrier is less than a stated size if at least 97% of the particles pass through a "screen-type" filter a filter in which retained particles are on the surface of the filter, such as polycarbonate or polyethersulfone filters, as opposed to a "depth filter" in which retained particles lodge within the filter) of the stated size. A microcarrier is larger than a stated size if at least about 97% of the microcarrier particles are retained by a screen-type filter of the stated size. Thus, at least about 97% microcarriers of about 10 Ipm to about 10 nm in size pass through a 10 uim pore screen filter and are retained by a 10 nm screen filter.

As above discussion indicates, reference to a size or size range for a microcarrier implicitly includes approximate variations and approximations of the stated size and/or size WO 03/015816 PCT/US01/25364 range. This is reflected by use of the term "about" when referring to a size and/or size range, and reference to a size or size range without reference to "about" does not mean that the size and/or size range is exact.

A microcarrier is considered "biodegradable" if it is degradable or erodable under normal mammalian physiological conditions. Generally, a microcarrier is considered biodegradable if it is degraded loses at least 5% of its mass and/or average polymer length) after a 72 hour incubation at 370 C in normal human serum. Accordingly, and conversely, a microcarrier is considered "nonbiodegradable" if it is not degraded or eroded under normal mammalian physiological conditions. Generally, a microcarrier is considered nonbiodegradable if it not degraded loses less than 5% of its mass and/or average polymer length) after at 72 hour incubation at 370 C in normal human serum.

The term "immunomodulatory polynucleotide/microcarrier complex" or "IMP/MC complex" refers to a complex of a heptameric oligonucleotide comprising a 5'-CG-3' sequence and a microcarrier of the invention. The components of the complex may be covalently or non-covalently linked. Non-covalent linkages may be mediated by any noncovalent bonding force, including by hydrophobic interaction, ionic (electrostatic) bonding, hydrogen bonds and/or van der Waals attractions. In the case of hydrophobic linkages, the linkage is generally via a hydrophobic moiety cholesterol) covalently linked to the oligonucleotide.

As used herein, "immunomodulatory" can refer to the oligonucleotide and/or the complex. Thus, IMP/MC may exhibit immunomodulatory activity even when the oligonucleotide of the IMP/MC has a sequence that, if presented as an oligonucleotide alone, does not exhibit comparable immunomodulatory activity. In some embodiments, when presented alone, an oligonucleotide of an IMP/MC does not have "isolated immunomodulatory activity," or has "inferior isolated immunomodulatory activity," when compared to the IMP/MC). The "isolated immunomodulatory activity" of an oligonucleotide is determined by measuring the immunomodulatory activity of the isolated oligonucleotide having the same nucleic acid backbone phosphorothioate, phosphodiester, chimeric) using standard assays which indicate at least one aspect of an immune response, such as those described herein.

The term "immunomodulatory" or "modulating an immune response" as used herein includes immunostimulatory as well as immunosuppressive effects.

WO 03/015816 PCT/US01/25364 Immunomodulation is primarily a qualitative alteration in an overall immune response, although quantitative changes may also occur in conjunction with immunomodulation. An immune response that is immunomodulated according to the present invention is one that is shifted towards a "Thl-type" immune response, as opposed to a "Th2-type" immune response. Thl-type responses are typically considered cellular immune system cytotoxic lymphocytes) responses, while Th2-type responses are generally "humoral", or antibody-based. Thl-type immune responses are normally characterized by "delayed-type hypersensitivity" reactions to an antigen, and can be detected at the biochemical level by increased levels of Thl-associated cytokines such as IFN-y, IL-2, IL-12, and TNF-P, as well as IFN-a and IL-6, although IL-6 may also be associated with Th2-type responses as well. Thl-type immune responses are generally associated with the production of cytotoxic lymphocytes (CTLs) and low levels or transient production of antibody. Th2-type immune responses are generally associated with higher levels of antibody production, including IgE production, an absence of or minimal CTL production, as well as expression of Th2associated cytokines such as IL-4. Accordingly, immunomodulation in accordance with the invention may be recognized by, for example, an increase in IFN-y and/or a decrease in IgE production in an individual treated in accordance with the methods of the invention as compared to the absence of treatment.

The term "conjugate" refers to a complex in which an oligonucleotide comprising a 5'-CG-3' sequence and an antigen are linked. Such conjugate linkages include covalent and/or non-covalent linkages.

The term "antigen" means a substance that is recognized and bound specifically by an antibody or by a T cell antigen receptor. Antigens can include peptides, proteins, glycoproteins, polysaccharides, complex carbohydrates, sugars, gangliosides, lipids and phospholipids; portions thereof and combinations thereof. The antigens can be those found in nature or can be synthetic. Antigens suitable for administration with ISS include any molecule capable of eliciting a B cell or T cell antigen-specific response. Preferably, antigens elicit an antibody response specific for the antigen. Haptens are included within the scope of "antigen." A hapten is a low molecular weight compound that is not immunogenic by itself but is rendered immunogenic when conjugated with an immunogenic molecule containing antigenic determinants. Small molecules may need to be haptenized in order to be rendered antigenic. Preferably, antigens of the present WO 03/015816 PCT/US01/25364 invention include peptides, lipids sterols, fatty acids, and phospholipids), polysaccharides such as those used in Hemophilus influenza vaccines, gangliosides and glycoproteins.

"Adjuvant" refers to a substance which, when added to an immunogenic agent such as antigen, nonspecifically enhances or potentiates an immune response to the agent in the recipient host upon exposure to the mixture.

The term "peptide" are polypeptides that are of sufficient length and composition to effect a biological response, e.g. antibody production or cytokine activity whether or not the peptide is a hapten. Typically, the peptides are at least six amino acid residues in length. The term "peptide" further includes modified amino acids (whether or not naturally or non-naturally occurring), such modifications including, but not limited to, phosphorylation, glycosylation, pegylation, lipidization and methylation.

"Antigenic peptides" can include purified native peptides, synthetic peptides, recombinant peptides, crude peptide extracts, or peptides in a partially purified or unpurified active state (such as peptides that are a part of attenuated or inactivated viruses, cells, or micro-organisms, or fragments of such peptides). An "antigenic peptide" or "antigen polypeptide" accordingly means all or a portion of a polypeptide which exhibits one or more antigenic properties. Thus, for example, an "Amb a 1 antigenic polypeptide" or "Amb a 1 polypeptide antigen" is an amino acid sequence from Amb a 1, whether the entire sequence, a portion of the sequence, and/or a modification of the sequence, which exhibits an antigenic property binds specifically to an antibody or a T cell receptor).

A "delivery molecule" or "delivery vehicle" is a chemical moiety which facilitates, permits, and/or enhances delivery of an IMP/MC complex to a particular site and/or with respect to particular timing. A delivery vehicle may or may not additionally stimulate an immune response.

An "allergic response to antigen" means an immune response generally characterized by the generation of eosinophils and/or antigen-specific IgE and their resultant effects. As is well-known in the art, IgE binds to IgE receptors on mast cells and basophils. Upon later exposure to the antigen recognized by the IgE, the antigen crosslinks the IgE on the mast cells and basophils causing degranulation of these cells, including, but not limited, to histamine release. It is understood and intended that the terms "allergic response to antigen", "allergy", and "allergic condition" are equally appropriate WO 03/015816 PCT/US01/25364 for application of some of the methods of the invention. Further, it is understood and intended that the methods of the invention include those that are equally appropriate for prevention of an allergic response as well as treating a pre-existing allergic condition.

As used herein, the term "allergen" means an antigen or antigenic portion of a molecule, usually a protein, which elicits an allergic response upon exposure to a subject.

Typically the subject is allergic to the allergen as indicated, for instance, by the wheal and flare test or any method known in the art. A molecule is said to be an allergen even if only a small subset of subjects exhibit an allergic IgE) immune response upon exposure to the molecule. A number of isolated allergens are known in the art. These include, but are not limited to, those provided in Table 1 herein.

The term "desensitization" refers to the process of the administration of increasing doses of an allergen to which the subject has demonstrated sensitivity. Examples of allergen doses used for desensitization are known in the art, see, for example, Fomadley (1998) Otolaryngol. Clin. North Am. 31:111-127.

"Antigen-specific immunotherapy" refers to any form of immunotherapy which involves antigen and generates an antigen-specific modulation of the immune response. In the allergy context, antigen-specific immunotherapy includes, but is not limited to, desensitization therapy.

An "individual" is a vertebrate, preferably a mammal, more preferably a human.

Mammals include, but are not limited to, humans, primates, farm animals, sport animals, rodents and pets. Vertebrates also include, but are not limited to, birds avian individuals) and reptiles reptilian individuals).

An "effective amount" or a "sufficient amount" of a substance is that amount sufficient to effect beneficial or desired results, including clinical results, and, as such, an "effective amount" depends upon the context in which it is being applied. In the context of administering a composition that modulates an immune response to an antigen, an effective amount of an IMP/MC complex is an amount sufficient to achieve such a modulation as compared to the immune response obtained when the antigen is administered alone. An effective amount can be administered in one or more administrations.

The term "co-administration" as used herein refers to the administration of at least two different substances sufficiently close in time to modulate an immune response.

WO 03/015816 PCT/US01/25364 Preferably, co-administration refers to simultaneous administration of at least two different substances.

"Stimulation" of an immune response, such as Thl response, means an increase in the response, which can arise from eliciting and/or enhancement of a response.

An "IgE associated disorder" is a physiological condition which is characterized, in part, by elevated IgE levels, which may or may not be persistent. IgE associated disorders include, but are not limited to, allergy and allergic reactions, allergy-related disorders (described below), asthma, rhinitis, conjunctivitis, urticaria, shock, Hymenoptera sting allergies, and drug allergies, and parasite infections. The term also includes related manifestations of these disorders. Generally, IgE in such disorders is antigen-specific.

An "allergy-related disorder" means a disorder resulting from the effects of an antigen-specific IgE immune response. Such effects can include, but are not limited to, hypotension and shock. Anaphylaxis is an example of an allergy-related disorder during which histamine released into the circulation causes vasodilation as well as increased permeability of the capillaries with resultant marked loss of plasma from the circulation.

Anaphylaxis can occur systemically, with the associated effects experienced over the entire body, and it can occur locally, with the reaction limited to a specific target tissue or organ.

The term "viral disease", as used herein, refers to a disease which has a virus as its etiologic agent. Examples of viral diseases include hepatitis B, hepatitis C, influenza, acquired immunodeficiency syndrome (AIDS), and herpes zoster.

As used herein, and as well-understood in the art, "treatment" is an approach for obtaining beneficial or desired results, including clinical results. For purposes of this invention, beneficial or desired clinical results include, but are not limited to, alleviation or amelioration of one or more symptoms, diminishment of extent of disease, stabilized not worsening) state of disease, preventing spread of disease, delay or slowing of disease progression, amelioration or palliation of the disease state, and remission (whether partial or total), whether detectable or undetectable. "Treatment" can also mean prolonging survival as compared to expected survival if not receiving treatment.

"Palliating" a disease or disorder means that the extent and/or undesirable clinical manifestations of a disorder or a disease state are lessened and/or time course of the progression is slowed or lengthened, as compared to not treating the disorder. Especially in the allergy context, as is well understood by those skilled in the art, palliation may occur WO 03/015816 PCT/US01/25364 upon modulation of the immune response against an allergen(s). Further, palliation does not necessarily occur by administration of one dose, but often occurs upon administration of a series of doses. Thus, an amount sufficient to palliate a response or disorder may be administered in one or more administrations.

An "antibody titer", or "amount of antibody", which is "elicited" by an IMP/MC complex refers to the amount of a given antibody measured at a time point after administration of IMP/MC complex.

A "Thl-associated antibody" is an antibody whose production and/or increase is associated with a Thl immune response. For example, IgG2a is a Thl-associated antibody in mouse. For purposes of this invention, measurement of a Thl-associated antibody can be measurement of one or more such antibodies. For example, in human, measurement of a Thl-associated antibody could entail measurement of IgG1 and/or IgG3.

A "Th2-associated antibody" is an antibody whose production and/or increase is associated with a Th2 immune response. For example, IgGI is a Th2-associated antibody in mouse. For purposes of this invention, measurement of a Th2-associated antibody can be measurement of one or more such antibodies. For example, in human, measurement of a Th2-associated antibody could entail measurement of IgG2 and/or IgG4.

To "suppress" or "inhibit" a function or activity, such as cytokine production, antibody production, or histamine release, is to reduce the function or activity when compared to otherwise same conditions except for a condition or parameter of interest, or alternatively, as compared to another condition. For example, an IMP/MC complex administered with an antigen or including an antigen which suppresses histamine release reduced histamine release as compared to, for example, histamine release induced by antigen alone.

As used herein, the term "comprising" and its cognates are used in their inclusive sense; that is, equivalent to the term "including" and its corresponding cognates.

Compositions of the invention The invention provides new compositions for modulating immune response in individuals. The new compositions are immunomodulatory polynucleotide/microcarrier (IMP/MC) complexes which comprise a heptameric oligonucleotide, comprising a 5'-CG-3' sequence, complexed to a microcarrier, which may be either biodegrabable or WO 03/015816 PCT/US01/25364 nonbiodegradable. IMP/MC complexes may be covalent complexes, in which the oligonucleotide portion of the complex is covalently bonded to the MC, either directly or via a linker indirectly), or they may be non-covalent complexes.

Oligonucleotides of the IMP/MC complexes In accordance with the present invention, the oligonucleotide is 7 bases or base pairs in length, contains at least one 5'-cytosine, guanine-3' sequence and can contain more than one 5'-CG-3' sequences, including those with modifications. The oligonucleotide may also comprise contain one or more of) the sequence C, Accordingly, an oligonucleotide may contain 5'-CG-3' and/or 5'-TCG-3'. The oligonucleotide affects a measurable immune response, as measured in vitro, in vivo and/or ex vivo, when complexed with a microcarrier. In some embodiments, the oligonucleotide is not active or, in some embodiments, is less active, as measured in vitro, in vivo and/or ex vivo, when uncomplexed.

As is well-known in the art, the cytosine of the 5'-cytosine, guanine-3' sequence is generally unmethylated, especially at the C-5 position. As the term "IMP/MC" conveys and is defined, an IMP/MC complex effects an immune response and as such, in certain embodiments, methylation of the cytosine of the oligonucleotide may be permitted, for example, at the N-4 position.

In some embodiments, the oligonucleotide may comprise the sequence G, pyrimidine, pyrimidine, C, G-3' (such as 5'-CGTTCG-3'). In some embodiments, the oligonucleotide comprises the sequence 5'-purine, purine, C, G, pyrimidine, pyrimidine-3' (such as 5'-AACGTT-3'). In some embodiments, the oligonucleotide may comprise the sequence 5'-purine, T, C, G, pyrimidine, pyrimidine-3'.

In some embodiments, the oligonucleotide comprises any of the following sequences: GACGCT; GACGTC; GACGTT; GACGCC; GACGCU; GACGUC; GACGUU; GACGUT; GACGTU; AGCGTT; AGCGCT; AGCGTC; AGCGCC; AGCGUU; AGCGCU; AGCGUC; AGCGUT; AGCGTU; AACGTC; AACGCC; AACGTT; AACGCT; AACGUC; AACGUU; AACGCU; AACGUT; AACGTU; GGCGTT; GGCGCT; GGCGTC; GGCGCC; GGCGUU; GGCGCU; GGCGUC; GGCGUT; GGCGTU.

In some embodiments, the oligonucleotide comprises any of the following sequences: GABGCT; GABGTC; GABGTT; GABGCC; GABGCU; GABGUC; WO 03/015816 WO 03/15816PCT/US01/25364 GABGUJI; GABGUT; GABGTU; AGBGTT; AGBGCT; AGBGTC; AGBGCC; AGBGIJL; AGBGCU; AGBGUC; AGBGUT; AGBGTU; AABGTC; AAB3GCC; AAB3GTT; AABGCT; AABGUC; AABGUU; AABGCU; AABGUT; AABGTU; GGBGTT; GGBGCT; GGBGTC; GGBGCC; GGBGUU; GGBGCU; GGBGUC; GGBGUT; GGBGTU, where B is In some embodiments, the oligonucleotide consists of the sequence

TCGX

1

X

2

X

3

X

4 or 5'-UCGX 1

X

2

X

3

X

4 wherein X 1

X

2

X

3

X

4 are nucleotides. In some ernbodments, the oligonucleotide consists of any of the following sequences: TCG'rITT-3'; 5'-TCGAAAA-3'; 5'-TCGCCCC-3'; 5'-TCGGGGG-3'; 5'-TCGUUUU-3'; TCGIIII-3'; 5'-UCGTTTT-3'; 5'-UCGAAAA-3; 5'-UCGCCCC-3'; 5'-UCGGGGG-3'; UCGUIJIJU-3'; 5'-UCGIIII-3'. In some embodments, the oligonucleotide consists of the sequence 5'-X 1

TCGX

2

X

3

X

4 or 5'-XIUCGX 2

X

3

X

4 wherein X 1

X

2

X

3

X

4 are nucleotides. In some embodments, the oligonucleotide consists of any of the following sequences: 5'-TTCGTTT-3'; 5'-ATCGATT-3'; 5'-TUCGTTT-3'; 5'-AUCGATT-3'. In some embodiments, the oligonucleotide consists of the sequence 5'-XIX 2

TCGX

3

X

4 or XiX 2

UCGX

3

X

4 wherein Xi, X 2

X

3

X

4 are nucleotides. In some embodments, the oligonucleotide consists of any of the following sequences: 5'-TTTCGTT-3'; AATCGAT-3'; 5'-TTUCGTT-3; 5'-AAUCGAT-3'.

In some embodiments, the oligonucleotide consists of the sequence 5'-TCGTCGX 1 wherein X 1 is a nucleotide. In some embodments, the oligonucleotide consists of any of the following sequences: 5'-TCGTCGA-3'; 5'-TCGTCGC-3'; 5'-TCGTCGG-3'; TCGTCGT-3'; 5'-TCGTCGU-3'; 5'-TCGTCGI-3'. In some embodiments, the oligonucleotide consists of the sequence 5'-TCGUCGX 1 5'-UCGTCGX 1 or

UCGUCGX

1 wherein X, is a nucleotide. In some embodiments, the oligonucleotide consists of any of the following sequences: 5'-TCGUCGA-3'; 5'-TCGUCGC-3'; TCGUCGG-3'; 5'-TCGUCGT-3'; 5'-TCGUCGU-3'; 5'-TCGUCGI-3'; 5'-UCGTCGA-3'; UCGTCGC-3'; 5'-UCGTCGG-3'; 5'-UCGTCGT-3'; 5'-UCGTCGU-3'; 5'-UCGTCGI-3'; UCGUCGA-3'; 5'-UCGUCGC-3'; 5'-UCGUCGG-3'; 5'-UGGUCGT-3'; 5'-UCGUCGU-3'; 5'-UCGUCGI-3.

In some embodiments, the oligonucleotide consists of the sequence 5'-T mC

GX

1

X

2

X

3

X

4 or 5,-U mC GX 1

X

2

X

3

X

4 wherein Xi, X 2

X

3

X

4 are nucleotides and wherein rnC is a modified cytosine as described herein. In some embodiments, the WO 03/015816 PCT/US01/25364 oligonucleotide consists of the sequence 5'-XIT mC GX 2

X

3

X

4 or 5'-X 1 U mC GX 2

X

3

X

4 wherein Xi, X 2

X

3

X

4 are nucleotides. In some embodiments, the oligonucleotide consists of the sequence 5'-X 1

X

2 T mC GX 3

X

4 -3'or 5'-X 1

X

2 U mC GX 3

X

4 wherein X 1

X

2

X

3

X

4 are nucleotides.

In some embodiments, the oligonucleotide consists of the sequence 5'-T mC GTCGX,-3', 5'-T mC GUCGX,-3', 5'-U mC GTCGX 1 -3'or 5'-U mC GUCGX 1 wherein X, is a nucleotide. In some embodiments, the oligonucleotide consists of the sequence TCGT mC 0XI-3, 5'-UCGT mO GX 1 5'-TCGU mC GX 1 -3'or 5'-UCGU mC GX 1 -3 wherein X 1 is a nucleotide. In some embodiments, the oligonucleotide consists of the sequence 5'-T mC GT mC GX 1 5'-U mC OT mC GX 1 5'-T mC GU mC GX 1 or U mC GU mC GX 1 wherein X, is a nucleotide. As described herein, a modified cytosine (mC) includes addition of an electron-withdrawing moiety to C-5 and/or C-6 of a cytosine, including, but not limited to, C-5 halogenated cytosine, such as Thus, in some embodiments, the oligonucleotide consists of any of the following sequences: 5'-TBGTTTT-3'; 5'-TBGAAAA-3'; 5'-TBGCCCC-3'; 5'-TBGGGGG-3'; TBGUUIJU-3'; 5'-TBGIIII-3'; 5'-TBGTCGA-3'; 5'-TBGTCGC-3'; 5'-TBGTCGG-3'; TBGTCGT-3'; 5'-TBGTCGU-3'; 5'-TBGTCGI-3'; 5'-TCGTBGA-3'; 5'-TCGTBGC-3'; TCGTBGG-3'; 5'-TCGTBGT-3'; 5'-TCGTBGU-3'; 5'-TCGTBGI-3'; 5'-TBGTBGA-3'; TBGTBGC-3'; 5'-TBGTBGG-3'; 5'-TBGTBGT-3, 5'-TBGTBGU-3'; 5'-TBGTBGI-3'; where B is The heptamneric oligonucleotide may contain modifications. Modifications of the heptameric oligonucleotide include any known in the art, but are not limited to, modifications of the 3'OH or 5 'OH group, modifications of the nucleotide base, modifications of the sugar component, and modifications of the phosphate group. Various such modifications are described below.

It is preferred that cytosines present in the oligonucleotide are not methylated, however, in 6ertain embodiments the oligonucleotide may contain on or more methylated cytosines. In such embodiments it is preferred that the cytosine of the 5'-CG-3 of the oligonucleotide is not methylated at the C-5 position. However, methylation at position N- 4 is contemplated in those oligyonucleotides with methylated cytosines.

The heptameric oligonucleotide may be single stranded or double stranded DNA. as well as single or double-stranded RNA or other modified polynucleotides. The heptarneric WO 03/015816 PCT/US01/25364 oligonucleotide may or may not include one or more palindromic regions, which may be present in the motifs described above or may extend beyond the motif. The heptameric oligonucleotide may contain naturally-occurring or modified, non-naturally occurring bases, and may contain modified sugar, phosphate, and/or termini. For example, phosphate modifications include, but are not limited to, methyl phosphonate, phosphorothioate, phosphoramidate (bridging or non-bridging), phosphotriester and phosphorodithioate and may be used in any combination. Other non-phosphate linkages may also be used.

Preferably, oligonucleotides of the present invention comprise phosphodiester and/or phosphorothioate backbones. Sugar modifications known in the field, such as 2'-alkoxy- RNA analogs, 2'-amino-RNA analogs and 2'-alkoxy- or amino-RNA/DNA chimeras and others described herein, may also be made and combined with any phosphate modification.

Examples of base modifications include, but are not limited to, addition of an electronwithdrawing moiety to C-5 and/or C-6 of a cytosine of the ISS 5-iromocytosine, chlorocytosine, 5-fluorocytosine, 5-iodocytosine). See, for example, International Patent Application No. WO 99/62923.

The heptameric oligonucleotide can be synthesized using techniques and nucleic acid synthesis equipment which are well known in the art including, but not limited to, enzymatic methods, chemical methods, and the degradation of larger oligonucleotide sequences. See, for example, Ausubel et al. (1987); and Sambrook et al. (1989).

Oligonucleotide degradation can be accomplished through the exposure of an oligonucleotide to a nuclease, as exemplified in U.S. Patent No. 4,650,675.

Circular oligonucleotides can be isolated, synthesized through recombinant methods, or chemically synthesized. The chemical synthesis of smaller circular oligonucleotides can be performed using any method described in the literature. See, for instance, Gao et al. (1995) Nucleic Acids Res. 23:2025-2029; and Wang et al. (1994) Nucleic Acids Res. 22:2326-2333.

The techniques for making oligonucleotides and modified oligonucleotides are known in the art. Naturally occurring DNA or RNA, containing phosphodiester linkages, is generally synthesized by sequentially coupling the appropriate nucleoside phosphoramidite to the 5'-hydroxy group of the growing oligonucleotide attached to a solid support at the 3'-end, followed by oxidation of the intermediate phosphite triester to a phosphate triester.

Once the desired oligonucleotide sequence has been synthesized, the oligonucleotide is WO 03/015816 PCT/US01/25364 removed from the support, the phosphate triester groups are deprotected to phosphate diesters and the nucleoside bases are deprotected using aqueous ammonia or other bases.

See, for example, Beaucage (1993) "Oligodeoxyribonucleotide Synthesis" in Protocols for Oligonucleotides and Analogs, Synthesis and Properties (Agrawal, ed.) Humana Press, Totowa, NJ; Warner et al. (1984) DNA 3:401 and U.S. Patent No. 4,458,066.

The oligonucleotides can also contain phosphate-modified linkages. Synthesis of polynucleotides containing modified phosphate linkages or non-phosphate linkages is also know in the art. For a review, see Matteucci (1997) "Oligonucleotide Analogs: an Overview" in Oligonucleotides as Therapeutic Agents, Chadwick and G. Cardew, ed.) John Wiley and Sons, New York, NY. The phosphorous derivative (or modified phosphate group) which can be attached to the sugar or sugar analog moiety in the oligonucleotides of the present invention can be a monophosphate, diphosphate, triphosphate, alkylphosphonate, phosphorothioate, phosphorodithioate or the like. The preparation of the above-noted phosphate analogs, and their incorporation into nucleotides, modified nucleotides and oligonucleotides, per se, is also known and need not be described here in detail. Peyrottes et al. (1996) Nucleic Acids Res. 24:1841-1848; Chaturvedi et al. (1996) Nucleic Acids Res. 24:2318-2323; and Schultz et al. (1996) Nucleic Acids Res. 24:2966- 2973. For example, synthesis of phosphorothioate oligonucleotides is similar to that described above for naturally occurring oligonucleotides except that the oxidation step is replaced by a sulfurization step (Zon (1993) "Oligonucleoside Phosphorothioates" in Protocols for Oligonucleotides and Analogs, Synthesis and Properties (Agrawal, ed.) Humana Press, pp. 165-190). Similarly the synthesis of other phosphate analogs, such as phosphotriester (Miller et al. (1971) JACS 93:6657-6665), non-bridging phosphoramidates (Jager et al. (1988) Biochem. 27:7247-7246), N3' to P5' phosphoramidiates (Nelson et al.

(1997) JOC 62:7278-7287) and phosphorodithioates Patent No. 5,453,496) has also been described. Other non-phosphorous based modified oligonucleotides can also be used (Stirchak et al. (1989) Nucleic Acids Res. 17:6129-6141). Oligonucleotides with phosphorothioate backbones can be more immunogenic than those with phosphodiester backbones and appear to be more resistant to degradation after injection into the host.

Braun et al. (1988) J. Immunol. 141:2084-2089; and Latimer et al. (1995) Mol. Immunol.

32:1057-1064.

WO 03/015816 PCT/US01/25364 Oligonucleotides used in the invention can comprise ribonucleotides (containing ribose as the only or principal sugar component), deoxyribonucleotides (containing deoxyribose as the principal sugar component), or, as is known in the art, modified sugars or sugar analogs can be incorporated in the oligonucleotide. Thus, in addition to ribose and deoxyribose, the sugar moiety can be pentose, deoxypentose, hexose, deoxyhexose, glucose, arabinose, xylose, lyxose, and a sugar "analog" cyclopentyl group. The sugar can be in pyranosyl or in a furanosyl form. In the oligonucleotide, the sugar moiety is preferably the furanoside of ribose, deoxyribose, arabinose or 2'-0-alkylribose, and the sugar can be attached to the respective heterocyclic bases either in a or P anomeric configuration. Sugar modifications include, but are not limited to, 2'-alkoxy-RNA analogs, 2'-amino-RNA analogs and 2'-alkoxy- or amino-RNA/DNA chimeras. The preparation of these sugars or sugar analogs and the respective "nucleosides" wherein such sugars or analogs are attached to a heterocyclic base (nucleic acid base) per se is known, and need not be described here, except to the extent such preparation can pertain to any specific example. Sugar modifications may also be made and combined with any phosphate modification in the preparation of the oligonucleotide.

The heterocyclic bases, or nucleic acid bases, which are incorporated in the oligonucleotide can be the naturally-occurring principal purine and pyrimidine bases, (namely uracil, thymine, cytosine, inosine, adenine and guanine, as mentioned above), as well as naturally-occurring and synthetic modifications of said principal bases.

Those skilled in the art will recognize that a large number of "synthetic" nonnatural nucleosides comprising various heterocyclic bases and various sugar moieties (and sugar analogs) are available in the art, and that as long as other criteria of the present invention are satisfied, the oligonucleotide can include one or several heterocyclic bases other than the principal five base components of naturally-occurring nucleic acids.

Preferably, however, the heterocyclic base in the oligonucleotide includes, but is not limited to, uracil-5-yl, cytosin-5-yl, adenin-7-yl, adenin-8-yl, guanin-7-yl, guanin-8-yl, 4aminopyrrolo pyrimidin-5-yl, 2-amino-4-oxopyrolo pyrimidin-5-yl, 2amino-4-oxopyrrolo pyrimidin-3-yl groups, where the purines are attached to the sugar moiety of the ISS via the 9-position, the pyrimidines via the 1-position, the pyrrolopyrimidines via the 7-position and the pyrazolopyrimidines via the 1-position.

WO 03/015816 PCT/US01/25364 The oligonucleotide may comprise at least one modified base as described, for example, in the commonly owned international application WO 99/62923. As used herein, the term "modified base" is synonymous with "base analog", for example, "modified cytosine" is synonymous with "cytosine analog." Similarly, "modified" nucleosides or nucleotides are herein defined as being synonymous with nucleoside or nucleotide "analogs." Examples of base modifications include, but are not limited to, addition of an electron-withdrawing moiety to C-5 and/or C-6 of a cytosine of the ISS. Preferably, the electron-withdrawing moiety is a halogen. Modified cytosines can include, but are not limited to, azacytosine, 5-bromocytosine, 5-chlorocytosine, chlorinated cytosine, cyclocytosine, cytosine arabinoside, 5-fluorocytosine, fluoropyrimidine, 5,6dihydrocytosine, 5-iodocytosine, hydroxyurea, 5-nitrocytosine, 5-hydroxycytosine and any other pyrimidine analog or modified pyrimidine. Preferred modified uracils are modified at and/or C-6, preferably with a halogen, and include, but are not limited to, bromouracil such as 5-bromouracil, chlorouracil such as 5-chlorouracil, fluorouracil such as fluorouracil, iodouracil such as 5-iodouracil, and hydroxyuracil. Also see, Kandimalla et al., 2001, Bioorg. Med. Chem. 9:807-813. See, for example, International Patent Application No. WO 99/62923. Other examples of base modifications include the addition of one or more thiol groups to the base including, but not limited to, 6-thio-guanine, 4-thiothymine and 4-thio-uracil. Additionally, some oligonucleotides may comprise modified bases such as 7-deazaguanosine in place of any guanosine residue, or a modified cytosine selected from N-4-ethylcytosine or N-4-methylcytosine in place of any cytosine residue, including the cytosine of the 5'-CG-3 The preparation of base-modified nucleosides, and the synthesis of modified oligonucleotides using said base-modified nucleosides as precursors, has been described, for example, in U.S. Patents 4,910,300, 4,948,882, and 5,093,232. These base-modified nucleosides have been designed so that they can be incorporated by chemical synthesis into either terminal or internal positions of an oligonucleotide. Such base-modified nucleosides, present at either terminal or internal positions of an oligonucleotide, can serve as sites for attachment of a peptide or other antigen. Nucleosides modified in their sugar moiety have also been described (including, but not limited to, U.S. Patents 4,849,513, 5,015,733, 5,118,800, 5,118,802) and can be used similarly.

WO 03/015816 PCT/US01/25364 ISS have been described in the art and may be readily identified using standard assays which indicate various aspects of the immune response, such as cytokine secretion, antibody production, NK cell activation and T cell proliferation. See, WO 97/28259; WO 98/16247; WO 99/11275; Krieg et al. (1995) Nature 374:546-549; Yamamoto et al.

(1992a); Ballas et al. (1996); Klinman et al. (1997); Sato et al. (1996); Pisetsky (1996a); Shimada et al. (1986) Jpn. J. Cancer Res. 77:808-816; Cowdery et al. (1996) J Immunol.

156:4570-4575; Roman et al. (1997); and Lipford et al. (1997a). These methods are likewise applicable to assessing immunomodulatory activity of an IMP/MC complex.

One property of an oligonucleotide is the "isolated immunomodulatory activity" associated with the nucleotide sequence of the oligonucleotide. As noted above, the present inventors have discovered that, surprisingly, IMP/MC complexes exhibit immunomodulatory activity even when the oligonucleotide has a sequence that, if presented as an oligonucleotide alone, does not exhibit comparable immunomodulatory activity.

In some embodiments, an oligonucleotide of an IMP/MC complex does not have "isolated immunomodulatory activity," or has "inferior isolated immunomodulatory activity," when compared to the IMP/MC complex), as described below.

The "isolated immunomodulatory activity" of an oligonucleotide is determined by measuring the immunomodulatory activity of an isolated oligonucleotide having the same nucleic acid backbone phosphorothioate, phosphodiester, chimeric). To determine the independent immunomodulatory activity of, for example, an oligonucleotide in the IMP/MC complex, a test oligonucleotide having the same sequence 5'-TCGTCGA-3') and same backbone structure phosphorothioate) is synthesized using routine methods, and its immunomodulatory activity (if any) is measured. Immunomodulatory activity can be determined using standard assays which indicate various aspects of the immune response, such as those described herein. For example, the human PBMC assay described herein is used. To account for donor variation, typically the assay is carried out in multiple donors. An oligonucleotide does not have "isolated immunomodulatory activity" when the amount of IFN-y secreted by PBMCs contacted with the oligonucleotide is not significantly greater less than about 2-fold greater) in the majority of donors than in the absence of the test compound or, (in some embodiments) in the presence of an inactive control compound 5'-TGACTGTGAACCTTAGAGATGA-3' (SEQ ID NO: WO 03/015816 PCT/US01/25364 To compare the immunomodulatory activity of an IMP/MC complex and an isolated oligonucleotide, immunomodulatory activity is measured, preferably, but not necessarily, using the human PBMC assay. Usually, the activity of two compounds is compared by assaying them in parallel under the same conditions using the same cells), usually at a concentration of about 20 pg/ml. Generally, concentration is determined by measuring absorbance at 260 nm and using the conversion 0.5 OD 26 0 /ml 20 pg/ml.

This normalizes the amount of total nucleic acid in the test sample. Alternatively, concentration or weight can be measured by other methods known in the art.

An oligonucleotide of an IMP/MC complex is characterized as having "inferior immunomodulatory activity," when the test oligonucleotide has less activity than the IMP/MC complex to which it is compared. Preferably the isolated immunomodulatory activity of the test oligonucleotide is no more than about 50% of the activity of the IMP/MC complex, more preferably no more than about 20%, most preferably no more than about 10% of the activity of the IMP/MC complex, or in some embodiments, even less.

Microcarriers Microcarriers useful in the invention are less than about 150, 120 or 100 t in size, more commonly less than about 50-60 pm in size, preferably less than about 10 pm in size, and are insoluble in pure water. Microcarriers used in the invention are preferably biodegradable, although nonbiodegradable microcarriers are acceptable. Microcarriers are commonly solid phase, such as "beads" or other particles, although liquid phase microcarriers such as oil in water emulsions comprising a biodegradable polymers or oils are also contemplated. A wide variety of biodegradable and nonbiodegradable materials acceptable for use as microcarriers are known in the art.

Microcarriers for use in the compositions or methods of the invention are generally less than about 10 pm in size have an average diameter of less than about 10 pm, or at least about 97% of the particles pass through a 10 pm screen filter), and include nanocarriers carriers of less than about 1 pm size). Preferably, microcarriers are selected having sizes within an upper limit of about 9, 7, 5, 2, or 1 pm or 900, 800, 700, 600, 500, 400, 300, 250, 200, or 100 nm and an independently selected lower limit of about 4, 2, or 1 pim or about 800, 600, 500, 400, 300, 250, 200, 150, 100, 50, 25, or 10 nm, where the lower limit is less than the upper limit. In some embodiments, the microcarriers WO 03/015816 PCT/US01/25364 have a size of about 1.0-1.5 pm, about 1.0-2.0 pm or about 0.9-1.6 gm. In certain preferred embodiments, the microcarriers have a size of about 10 nm to about 5 m or about 25 am to about 4.5 gm, about 1 m, about 1.2 jm, about 1.4 jtm, about 1.5 jm, about 1.6 jim, about 1.8 gm, about 2.0 about 2.5 pm or about 4.5 im. When the microcarriers are nanocarriers, preferred embodiments include nanocarriers of about 25 to about 300 nm, to about 200 nm, about 50 nm or about 200 nm.

Solid phase biodegradable microcarriers may be manufactured from biodegradable polymers including, but not limited to: biodegradable polyesters, such as poly(lactic acid), poly(glycolic acid), and copolymers (including block copolymers) thereof, as well as block copolymers of poly(lactic acid) and poly(ethylene glycol); polyorthoesters such as polymers based on 3,9-diethylidene-2,4,8,10-tetraoxaspiro[5.5]undecane

(DETOSU);

polyanhydrides such as poly(anhydride) polymers based on relatively hydrophilic monomers such as sebacic acid; polyanhydride imides, such as polyanhydride polymers based on sebacic acid-derived monomers incorporating amino acids linked to sebacic acid by imide bonds through the amino-terminal nitrogen) such as glycine or alanine; polyanhydride esters; polyphosphazenes, especially poly(phosphazenes) which contain hydrolysis-sensitive ester groups which can catalyze degradation of the polymer backbone through generation ofcarboxylic acid groups (Schacht et al., (1996) Biotechnol. Bioeng.

1996:102); and polyamides such as poly(lactic acid-co-lysine).

A wide variety of nonbiodegradable materials suitable for manufacturing microcarriers are also known, including, but not limited to polystyrene, polypropylene, polyethylene, latex, gold, and ferromagnetic or paramagnetic materials. Certain embodiments exclude gold, latex, and/or magnetic beads. In certain embodiments, the microcarriers may be made of a first material a magnetic material) encapsulated with a second material polystyrene).

Solid phase microspheres are prepared using techniques known in the art. For example, they can be prepared by emulsion-solvent extraction/evaporation technique.

Generally, in this technique, biodegradable polymers such as polyanhydrates, poly(alkyl-cacyanoacrylates) and poly(ac-hydroxy esters), for example, poly(lactic acid), poly(glycolic acid), poly(D,L-lactic-co-glycolic acid) and poly(caprolactone), are dissolved in a suitable organic solvent, such as methylene chloride, to constitute the dispersed phase (DP) of emulsion. DP is emulsified by high-speed homogenization into excess volume of aqueous WO 03/015816 PCT/US01/25364 continuous phase (CP) that contains a dissolved surfactant, for example, polyvinylalcohol (PVA) or polyvinylpirrolidone (PVP). Surfactant in CP is to ensure the formation of discrete and suitably-sized emulsion droplet. The organic solvent is then extracted into the CP and subsequently evaporated by raising the system temperature. The solid microparticles are then separated by centrifugation or filtration, and dried, for example, by lyophilization or application ofvaccum, before storing at 4 OC.

Physico-chemical characteristics such as mean size, size distribution and surface charge of dried microspheres may be determined. Size characteristics are determined, for example, by dynamic light scattering technique and the surface charge was determined by measuring the zeta potential.

Liquid phase microcarriers include liposomes, micelles, oil droplets and other lipid or oil-based particles which incorporate biodegradable polymers or oils. In certain embodiments, the biodegradable polymer is a surfactant. In other embodiments, the liquid phase microcarriers are biodegradable due to the inclusion of a biodegradable oil such as squalene or a vegetable oil. One preferred liquid phase microcarrier is oil droplets within an oil-in-water emulsion. Preferably, oil-in-water emulsions used as microcarriers comprise biodegradable substituents such as squalene.

Antigen IMP/MC complexes may be prepared which comprise antigen or which are antigenfree, IMP/MC complexes not linked to an antigen. Any antigen may be used in the preparation of IMP/MC complexes comprising antigen.

In some embodiments, the antigen is an allergen. Examples of recombinant allergens are provided in Table 1. Preparation of many allergens is well-known in the art, including, but not limited to, preparation of ragweed pollen allergen Antigen E (Amb al) (Rafnar et al. (1991) J. Biol. Chem. 266:1229-1236), major dust mite allergens Der pl and Der PII (Chua et al. (1988) J. Exp. Med. 167:175-182; Chua et al. (1990) Int. Arch. Allergy Appl. Immunol. 91:124-129), white birch pollen Bet vl (Breiteneder et al. (1989) EMBO J 8:1935-1938), domestic cat allergen Fel d I (Rogers et al. (1993) Mol. Immunol 30:559- 568), and protein antigens from tree pollen (Elsayed et al. (1991) Scand. J Clin. Lab.

Invest. Suppl. 204:17-31). As indicated, allergens from trees are known, including allergens from birch, juniper and Japanese cedar. Preparation of protein antigens from grass pollen for in vivo administration has been reported. Malley (1989) J Reprod.

WO 03/015816 PCT/USO1/25364 Immunol. 16:173-186. As Table 1 indicates, in some embodiments, the allergen is a food allergen such as peanut allergen, for example Ara h 1, and in some embodiments, the allergen is a grass allergen such as a rye allergen, for example Lol p 1. Table I shows a list of allergens that may be used.

TABLE 1

RECOMBINANTALLERGENS

Group Allergen Reference

ANIMALS:

CRIJSTACEA

Shrimp/lobster tropomyosin Leung et al. (1996) J. Allergy Guin. Immunol. 98:954-961 Pan s I Leung et al. (1998) Mol. Mar. Biol. Biotechnol. 7: 12-20

INSECTS

Ant Sol i 2 (venom) Schmidt et al. J Allergy Cliii Iminunol., 1996, 98:82-8 Bee Phospholipase A2 (PLA) Muller et al. J Allergy Clin Immunol, 1995, 96:3 95-402 Forster et al. J Allergy Clin Immunol, 1995, 95:1t229-35 Muller et al. Clin Exp Allergy, 1997, 27:915-20 Hyaluronidase (Hya) Soldatova et al. J Allergy Clin Immunol, 1998, 101:691-8 Cockroach Bin g BO9OK Helm et al. J Allergy Guin Imniunol, 1996, 98:172-180 Bla g 4 (a calycin) Vailes et al. J Allergy Clin Immunol, 1998, 101:274-280 Glutathione S- Arruda et al. J Biol Chem, 1997,272:20907-12 transferase Per a 3 Wu et al. Mol Inumuol, 1997, 34:1-8 Dust mite Der p 2 (major allergen) Lynch et al. J Allergy Clin Inununol, 1998, 10 1:562-4 Hakkaart et al. Clin Exp Allergy, 1998, 28:169-74 Hakkaart et al. Guin Exp Allergy, 1998, 28:45-52 Hakkaart et al. FIt Arch Allergy Inununol, 1998, 115 150-6 Mueller et al. J Biol Chemn, 1997, 272:26893-8 Der p2 variant Smith et al. J Allergy Clin Imniunol, 1998, 10 1:423-5 Der f2 Yasue at al. Clin Exp Inununol, 1998, 113:1-9 Yasue et al. Cell Immunol, 1997, 181:30-7 Der plO Asturias et al. Biochim Biophys Acta, 1998, 1397:27-30 Tyr p 2 Eriksson et al. Eur J Biochem, 1998 Hornet Antigen 5 aka Doi m V Tomalski et al. Arch Insect Biodhem Physiol, 1993, (venom) 22:303-13 Mosquito Aed a I (salivary Xu et al. Int Arch Allergy Immunol, 1998, 115:245-51 WO 03/015816 PCT/US01/25364 apyrase) Yellow jacket antigen 5, hyaluronidase King et al. J Allergy Clin Immunol, 1996, 98:588-600 and phospholipase (venom)

MAMMALS

Cat Fel d I Slunt et al. J Allergy Clin Imniunol, 1995, 95:1221-8 Hoffmnann et al. (1997) J Allergy Clin Immunol 99:227-32 Hedlin Curr Opin Pediatr, 1995, 7:676-82 Cow Bos d 2 (dander; a Zeiler at al. J Allergy Gin lInmunol, 1997, 100:721-7 lipocalin) Rautiaunen et al. Biochem Bioph. Res Conmm., 1998, 247:746-50 P-lactoglobulin (BLG, Chatel et al. Mol Immunol, 1996, 33:1113-8 major cow milk allergen) Lehrer et al. Grit Rev Food Sci Nutr, 1996, 36:553-64 Dog Can f I and Can f 2, Konieczny et al. Immnunology, 1997, 92:577-86 salivary lipocalins Spitzauer et al. J Allergy Cliii Immunol, 1994,93:614-27 Vrtala et al. J Inmunol, 1998, 160:6137-44 Horse Equ c I (major allergen, a Gregoire et al. J Biol Chem, 1996, 271:32951-9 lipocatin) Mouse mouse urinary protein Konieczny et at. Immunology, 1997, 92:577-86

(MUP)

OTHER

MUAMMALIAN

ALLERGENS

Insulin Ganz et al. J Allergy Clin Immunol 1990, 86:45-51 Grammner et al. J Lab Clin Med, 1987,109:141-6 Gonzalo et al. Allergy, 1998, 53:106-7 Interferons interferon alpha 2c Detmar et at. Contact Dermatis, 1989, 20:149-50 MOLLUSCS topomyosin Leung et al. J Allergy Guin hnrnunol, 1996, 98:954-61

PLANT

ALLERGENS:

Barley Hor v 9 Astwood et Adv Exp Med Biol, 1996, 409:269-77 Birch pollen allergen, Bet v 4 Twardosz et al. Biochem Bioph. Res Comm., 1997,23 9:197 rBet v 1 Bet v 2: Pauli et al. I Allergy Cliii Inmmuol, 1996, 97:1100-9 (proflin)van Neerven et at. Cliii Exp Allergy, 1998, 28:423-33 (j~roihin)Jahn-Schmid et al. Inununotechnology, 1996, 2:103-13 Brcitwieser ct al. Biotechniques, 1996, 21:918-25 Fuchs at al. J Allergy Cliii Immunol, 1997, 100:3 56-64 Brazil nut globulin Bartolome et at. Allergol Immunopathol, 1997,25:135-44 Cherry Pmu a I (major allergen) Scheurer et al. Mol Imununol, 1997, 34:619-29 Corn Zml3 (pollen) Heiss, at al. FEBS Lett, 1996, 381:217-21 Lehrer et at. Int Arch Allergy Inmmol, 1997, 113:122-4 Grass Phi p, 1, Phl p 2, Phi p, 5 Bufe et al. Am J Respir Grit Care Med, 1998, 157:1269-76 (timothy grass pollen) Vrtala et al. J Immunol Jun 15, 1998, 160:6137-44 et al. J Allergy Clin Imimun., 1998, 101:258-1 WO 03/015816 PCT/US01/25364 64 Hol 15 velvet grass Schramnm et aT. Eur J Biochemn, 1998, 252:200-6 pollen Bluegrass allergen Zhang et al. J Immunol, 1993, 151:791-9 Cyn d 7 Bermuda grass Smith et al. Int Arch Allergy Immunol, 1997, 114:265-71 Cyn d 12 (a profilin) Asturias et al. Clin Exp Allergy, 1997, 27:1307-13 Fuchs et al. J Allergy Guin Inununol, 1997, 100:356-64 Japanese Cedar Jun a 2 (Juniperus ashei) Yokoyama et al. Biochem. Biophys. Res. Commun., 2000, 275: 195-202 Cry j Cry j 2 Kingetsu et al. Immunology, 2000, 99:625-629 (Cryptomneria japonica) Juniper Jun o 2 (pollen) Tinghino et al. J Allergy Chin. Immunol, 1998, 101:772-7 Latex 11ev b7 Sowka et al. Eur J Biochem, 1998, 255:213-9 Fuchs et al. J Allergy Clin Immunol, 1997, 100:3 56-64 Mercunialis Mer a I (protllin) Vallverdu et al. J Allergy Cin Immunol, 1998, 101:3 63- Mustard Sin a (seed) Gonzalez de la Pena et al. Biochemn Bioph. Res Comm., (Yellow) 190:648-53 Oilseed rape Bra r I[pollen allergen Smith et al. Int Arch Allergy Immunol, 1997, 114:265-71 Peanut Ara h I Stanley et al. Adv Exp Med Biol, 1996,409:213-6 Burks et al. J Clin Invest, 1995, 96:17 15-21 Burks et al. Imt Arch Allergy hnmunol, 1995, 107:248-50 Poa pratensis Poa p9 Parronchi et at. Eur J Inimunol, 1996, 26:697-703 Astwood et al. Adv Exp Med Biol, 1996, 409:269-77 Ragweed Amb a I Sun et al. Biotechnology Aug, 1995, 13:779-86 Hirschwehr et al. J Allergy Clin Iminunol, 1998, 101:196- 206 Casale et al. J Allergy Clin Inununol, 1997, 100:110-21 Rye Lot p I Tamnborini et al. Eur J Biochemn, 1997, 249:886-94 Walnut Jug r I Teuber et al. J Allergy din Immun., 1998, 101:807-14 Wheat allergen Fuchs et al. J Allergy Ctin Iminunol, 1997, 100:356-64 Donovan et al. Electrophoresis, 1993, 14:917-22

FUNGI:

Aspergillus Asp f 1, Asp f 2, Asp f3, Cramneri et al. Mycoses, 1998, 41 Suppi 1:56-60 Asp f 4, rAsp f 6 Hemmann et al. Eur J Immunot, 1998, 28:1155-60 Banerjee et al. J Allergy Cliii Immunol, 1997, 99:821-7 drameri Int Arch Allergy Immunol, 1998, 115:99-114 Crameri et al. Adv Exp Med Biol, 1996,409:111-6 Moser et al. J Allergy dImn immunol, 1994, 93: 1-11 Manganese superoxide Mayer et al. Int Arch Allergy Irumunol, 1997, 113:213-5 dismutase (MNSOD) Blomnia allergen Carabalto et al. Adv Exp Med Biol, 1996,409:81- WO 03/015816 PCT/US01/25364 Penicillinium allergen Shen et al. Clin Exp Allergy, 1997, 27:682-90 Psilocybe Psi c 2 Homer et al. Int Arch Allergy Immunol, 1995, 107:298- 300 In some embodiments, the antigen is from an infectious agent, including protozoan, bacterial, fungal (including unicellular and multicellular), and viral infectious agents.

Examples of suitable viral antigens are described herein and are known in the art. Bacteria include Hemophilus influenza, Mycobacterium tuberculosis and Bordetellapertussis.

Protozoan infectious agents include malarial plasmodia, Leishmania species, Trypanosoma species and Schistosoma species. Fungi include Candida albicans.

In some embodiments, the antigen is a viral antigen. Viral polypeptide antigens include, but are not limited to, HIV proteins such as HIV gag proteins (including, but not limited to, membrane anchoring (MA) protein, core capsid (CA) protein and nucleocapsid (NC) protein), HIV polymerase, influenza virus matrix protein and influenza virus nucleocapsid (NP) protein, hepatitis B surface antigen (HBsAg), hepatitis B core protein (HBcAg), hepatitis e protein (HBeAg), hepatitis B DNA polymerase, hepatitis C antigens, and the like. References discussing influenza vaccination include Scherle and Gerhard (1988) Proc. Natl. Acad. Sci. USA 85:4446-4450; Scherle and Gerhard (1986) J. Exp. Med.

164:1114-1128; Granoff et al. (1993) Vaccine 11:S46-51; Kodihalli et al. (1997) J Virol.

71:3391-3396; Ahmeida et al. (1993) Vaccine 11:1302-1309; Chen et al. (1999) Vaccine 17:653-659; Govorkova and Smirnov (1997) Acta Virol. (1997) 41:251-257; Koide et al.

(1995) Vaccine 13:3-5; Mbawuike et al. (1994) Vaccine 12:1340-1348; Tamura et al.

(1994) Vaccine 12:310-316; Tamura et al. (1992) Eur. J. Immunol. 22:477-481; Hirabayashi et al. (1990) Vaccine 8:595-599. Other examples of antigen polypeptides are group- or sub-group specific antigens, which are known for a number of infectious agents, including, but not limited to, adenovirus, herpes simplex virus, papilloma virus, respiratory syncytial virus and poxviruses.

Many antigenic peptides and proteins are known, and available in the art; others can be identified using conventional techniques. For immunization against tumor formation or treatment of existing tumors, immunomodulatory peptides can include tumor cells (live or irradiated), tumor cell extracts, or protein subunits of tumor antigens such as Her-2/neu, Martl, carcinoembryonic antigen (CEA), gangliosides, human milk fat globule (HMFG), mucin (MUC1), MAGE antigens, BAGE antigens, GAGE antigens, gpl00, prostate WO 03/015816 PCT/US01/25364 specific antigen (PSA), and tyrosinase. Vaccines for immuno-based contraception can be formed by including sperm proteins administered with ISS. Lea et al. (1996) Biochim.

Biophys. Acta 1307:263.

Attenuated and inactivated viruses are suitable for use herein as the antigen.

Preparation of these viruses is well-known in the art and many are commercially available (see, Physicians' Desk Reference (1998) 52nd edition, Medical Economics Company, Inc.). For example, polio virus is available as IPOL® (Pasteur Merieux Connaught) and ORIMUNE® (Lederle Laboratories), hepatitis A virus as VAQTA® (Merck), measles virus as ATTENUVAX® (Merck), mumps virus as MUMPSVAX® (Merck) and rubella virus as MERUVAX®II (Merck). Additionally, attenuated and inactivated viruses such as HIV-1, HIV-2, herpes simplex virus, hepatitis B virus, rotavirus, human and non-human papillomavirus and slow brain viruses can provide peptide antigens.

In some embodiments, the antigen comprises a viral vector, such as vaccinia, adenovirus, and canary pox.

Antigens may be isolated from their source using purification techniques known in the art or, more conveniently, may be produced using recombinant methods.

Antigenic peptides can include purified native peptides, synthetic peptides, recombinant proteins, crude protein extracts, attenuated or inactivated viruses, cells, microorganisms, or fragments of such peptides. Immunomodulatory peptides can be native or synthesized chemically or enzymatically. Any method of chemical synthesis known in the art is suitable. Solution phase peptide synthesis can be used to construct peptides of moderate size or, for the chemical construction of peptides, solid phase synthesis can be employed. Atherton et al. (1981) Hoppe Seylers Z. Physiol. Chem. 362:833-839.

Proteolytic enzymes can also be utilized to couple amino acids to produce peptides.

Kullmann (1987) Enzymatic Peptide Synthesis, CRC Press, Inc. Alternatively, the peptide can be obtained by using the biochemical machinery of a cell, or by isolation from a biological source. Recombinant DNA techniques can be employed for the production of peptides. Hames et al. (1987) Transcription and Translation: A Practical Approach, IRL Press. Peptides can also be isolated using standard techniques such as affinity chromatography.

Preferably the antigens are peptides, lipids sterols excluding cholesterol, fatty acids, and phospholipids), polysaccharides such as those used in H. influenza vaccines, WO 03/015816 PCT/US01/25364 gangliosides and glycoproteins. These can be obtained through several methods known in the art, including isolation and synthesis using chemical and enzymatic methods. In certain cases, such as for many sterols, fatty acids and phospholipids, the antigenic portions of the molecules are commercially available.

Examples of viral antigens useful in the subject compositions and methods using the compositions include, but are not limited to, HIV antigens. Such antigens include, but are not limited to, those antigens derived from HIV envelope glycoproteins including, but not limited to, gpl60, gpl20 and gp41. Numerous sequences for HIV genes and antigens are known. For example, the Los Alamos National Laboratory HIV Sequence Database collects, curates and annotates HIV nucleotide and amino acid sequences. This database is accessible via the internet, at https://hiv-web.lanl.gov/, and in a yearly publication, see Human Retroviruses and AIDS Compendium (for example, 1998 edition).

Antigens derived from infectious agents may be obtained using methods known in the art, for example, from native viral or bacterial extracts, from cells infected with the infectious agent, from purified polypeptides, from recombinantly produced polypeptides and/or as synthetic peptides.

IMP/MC complex formulations may be prepared with other immunotherapeutic agents including, but not limited to, cytokine, adjuvants and antibodies, such as anti-tumor antibodies and derivatives thereof. These IMP/MC complex formulations may be prepared with or without antigen.

IMP/MC complexes IMP/MC complexes comprise an heptameric oligonucleotide, comprising a G- 3' sequence, bound to the surface of, or inserted into, a microcarrier the heptameric oligonucleotide is not encapsulated in the MC), and preferably comprise multiple molecules of the oligonucleotide bound to each microcarrier. In certain embodiments, a mixture of different oligonucleotides may be complexed with a microcarrier, such that the microcarrier is bound to more than one oligonucleotide species. The bond between the heptameric oligonucleotide and MC may be covalent or non-covalent. As will be understood by one of skill in the art, the heptameric oligonucleotide may be modified or derivatized and the composition of the microcarrier may be selected and/or modified to accommodate the desired type of binding desired for IMP/MC complex formation.

WO 03/015816 PCT/US01/25364 The instant invention provides methods of making IMP/MC complexes, as well as the products of such methods. IMP/MC complexes are made by combining an oligonucleotide and an MC to form a complex. The specific process for combining the oligonucleotide and MC to form a complex will, of course, depend on the type and features of the MC as well as the mode of conjugation of the oligonucleotide and MC. When the MC is a solid phase MC, the IMP/MC complex is preferably made by contacting the oligonucleotide and the MC under conditions which promote complex formation (which will depend on the type of linkage used in the complex). When the MC is liquid phase, the oligonucleotide may be combined with a preformed MC under conditions which promote complex formation or be combined with the components of the MC prior to formation of the MC. In the situation where the oligonucleotide is combined with the components of a liquid phase MC, the process of making the MC may incorporate the oligonucleotide, thus resulting in the simultaneous creation of IMP/MC complexes, or when it does not, the process will involve an additional step under conditions which promote complex formation.

IMP/MC complexes in accordance with the invention are insoluble in pure water, and IMP/MC complex compositions are preferably free of acetonitrile, dichloroethane, toluene, and methylene chloride (dichlormethane).

Covalently bonded IMP/MC complexes may be linked using any covalent crosslinking technology known in the art. Typically, the oligonucleotide portion will be modified, either to incorporate an additional moiety a free amine, carboxyl or sulfhydryl group) or incorporate modified phosphorothioate) nucleotide bases to provide a site at which the oligonucleotide portion may be linked to the microcarrier. The link between the oligonucleotide and MC portions of the complex can be made at the 3' or end of the oligonucleotide, or at a suitably modified base at an internal position in the oligonucleotide. The microcarrier is generally also modified to incorporate moieties through which a covalent link may be formed, although functional groups normally present on the microcarrier may also be utilized. The IMP/MC is formed by incubating the oligonucleotide with a microcarrier under conditions which permit the formation of a covalent complex in the presence of a crosslinking agent or by use of an activated microcarrier comprising an activated moiety which will form a covalent bond with the oligonucleotide).

WO 03/015816 PCT/US01/25364 A wide variety of crosslinking technologies are known in the art, and include crosslinkers reactive with amino, carboxyl and sulfhydryl groups. As will be apparent to one of skill in the art, the selection of a crosslinking agent and crosslinking protocol will depend on the configuration of the oligonucleotide and the microcarrier as well as the desired final configuration of the IMP/MC complex. The crosslinker may be either homobifunctional or heterobifunctional. When a homobifunctional crosslinker is used, the crosslinker exploits the same moiety on the oligonucleotide and MC an aldehyde crosslinker may be used to covalently link an oligonucleotide and MC where both the oligonucleotide and MC comprise one or more free amines). Heterobifunctional crosslinkers utilize different moieties on the the oligonucleotide and MC, a maleimido-N-hydroxysuccinimide ester may be used to covalently link a free sulfhydryl on the oligonucleotide and a free amine on the MC), and are preferred to minimize formation ofinter-microcarrier bonds. In most cases, it is preferable to crosslink through a first crosslinking moiety on the microcarrier and a second crosslinking moiety on the oligonucleotide, where the second crosslinking moiety is not present on the microcarrier.

One preferred method of producing the IMP/MC complex is by 'activating' the microcarrier by incubating with a heterobifunctional crosslinking agent, then forming the IMP/MC complex by incubating the oligonucleotide and activated MC under conditions appropriate for reaction. The crosslinker may incorporate a "spacer" arm between the reactive moieties, or the two reactive moieties in the crosslinker may be directly linked.

In one preferred embodiment, the oligonucleotide portion comprises at least one free sulfhydryl provided by a 5'-thiol modified base or linker) for crosslinking to the microcarrier, while the microcarrier comprises free amine groups. A heterobifunctional crosslinker reactive with these two groups a crosslinker comprising a maleimide group and a NHS-ester), such as succinimidyl 4-(N-maleimidomethyl)cyclohexane-1carboxylate is used to activate the MC, then covalently crosslink the oligonucleotide to form the IMP/MC complex.

Non-covalent IMP/MC complexes may be linked by any non-covalent binding or interaction, including ionic (electrostatic) bonds, hydrophobic interactions, hydrogen bonds, van der Waals attractions, or a combination of two or more different interactions, as is normally the case when a binding pair is to link the oligonucleotide and MC.

WO 03/015816 PCT/US01/25364 Preferred non-covalent IMP/MC complexes are typically complexed by hydrophobic or electrostatic (ionic) interactions, or a combination thereof, through base pairing between an oligonucleotide and a polynucleotide bound to an MC use of a binding pair). Due to the hydrophilic nature of the backbone of polynucleotides, IMP/MC complexes which rely on hydrophobic interactions to form the complex generally require modification of the oligonucleotide portion of the complex to incorporate a highly hydrophobic moiety. Preferably, the hydrophobic moiety is biocompatible, nonimmunogenic, and is naturally occurring in the individual for whom the composition is intended is found in mammals, particularly humans). Examples of preferred hydrophobic moieties include lipids, steroids, sterols such as cholesterol, and terpenes. The method of linking the hydrophobic moiety to the oligonucleotide will, of course, depend on the configuration of the oligonucleotide and the identity of the hydrophobic moiety. The hydrophobic moiety may be added at any convenient site in the oligonucleotide, preferably at either the 5' or 3' end; in the case of addition of a cholesterol moiety to an oligonucleotide, the cholesterol moiety is preferably added to the 5' end of the oligonucleotide, using conventional chemical reactions (see, for example, Godard et al.

(1995) Eur. J. Biochem. 232:404-410). Preferably, microcarriers for use in IMP/MC complexes linked by hydrophobic bonding are made from hydrophobic materials, such as oil droplets or hydrophobic polymers, although hydrophilic materials modified to incorporate hydrophobic moieties may be utilized as well. When the microcarrier is a liposome or other liquid phase microcarrier comprising a lumen, the IMP/MC complex is formed by mixing the oligonucleotide and the MC after preparation of the MC, in order to avoid encapsulation of the oligonucleotide during the MC preparation process.

Non-covalent IMP/MC complexes bound by electrostatic binding typically exploit the highly negative charge of the polynucleotide backbone. Accordingly, microcarriers for use in non-covalently bound IMP/MC complexes are generally positively charged cationic) at physiological pH about pH The microcarrier may intrinsically possess a positive charge, but microcarriers made from compounds not normally possessing a positive charge may be derivatized or otherwise modified to become positively charged cationic). For example, the polymer used to make the microcarrier may be derivatized to add positively charged groups, such as primary amines. Alternately, positively charged compounds may be incorporated in the formulation of the microcarrier WO 03/015816 PCT/US01/25364 during manufacture positively charged surfactants may be used during the manufacture of poly(lactic acid)/poly(glycolic acid) copolymers to confer a positive charge on the resulting microcarrier particles, as described, for example, in Example Thus, microcarriers may comprise a positively charged moiety.

As described herein, to prepare cationic microspheres, cationic lipids or polymers, for example, 1,2-dioleoyl-1,2,3-trimethylammoniopropane (DOTAP), cetyltrimethylammonium bromide (CTAB) or polylysine, are added either to DP or CP, as per their solubility in these phases.

As described herein, IMP/MC complexes can be preformed by adsorption onto cationic microspheres by incubation of oligonucleotide and the particles, preferably in an aqueous admixture. Such incubation may be carried out under any desired conditions, including ambient (room) temperature approximately 20 OC) or under refrigeration 4 OC). Because cationic microspheres and oligonucleotides associate relatively quickly, the incubation may be for any convenient time period, such as 5, 10, 15 minutes or more, including overnight and longer incubations. For example, oligonucleotides containing 5'-CG-3' can be adsorbed onto the cationic microspheres by overnight aqueous incubation of oligonucleotide and the particles at 4 oC. However, because cationic microspheres and oligonucleotides spontaneously associate, the IMP/MC complex can be formed by simple co-administration of the oligonucleotide and the MC. Microspheres may be characterized for size and surface charge before and after oligonucleotide association.

Selected batches may then evaluated for activity against suitable controls in, for example, established human peripheral blood mononuclear cell (PBMC) and mouse splenocyte assays, as described herein. The formulations may also evaluated in suitable animal models.

In other embodiments, a binding pair may be used to link the oligonucleotide and MC in an IMP/MC complex. The binding pair may be a receptor and ligand, an antibody and antigen (or epitope), or any other binding pair which binds at high affinity Kd less than about One type of preferred binding pair is biotin and streptavidin or biotin and avidin, which form very tight complexes. When using a binding pair to mediate IMP/MC complex binding, the oligonucleotide is derivatized, typically by a covalent linkage, with one member of the binding pair, and the MC is derivatized with the other member of the WO 03/015816 PCT/US01/25364 binding pair. Mixture of the two derivatized compounds results in IMP/MC complex formation.

Many IMP/MC complex embodiments do not include an antigen, and certain embodiments exclude antigen(s) associated with the disease or disorder which is the object of the IMP/MC complex therapy. In further embodiments, the oligonucleotide is also bound to one or more antigen molecules. Antigen may be coupled with the oligonucleotide portion of an IMP/MC complex in a variety of ways, including covalent and/or noncovalent interactions, as described, for example, in WO 98/16247. Alternately, the antigen may be linked to the microcarrier (either directly or indirectly). Linkage of the antigen to the microcarrier can be accomplished by any of a large number of methods known in the art, including, but not limited to, direct covalent linkage, covalent conjugation via a crosslinker moiety (which may include a spacer arm), noncovalent conjugation via a specific binding pair biotin and avidin), and noncovalent conjugation via electrostatic or hydrophobic bonding.

The link between the antigen and the oligonucleotide in IMP/MC complexes comprising an antigen bound to the oligonucleotide can be made at the 3' or 5' end of the oligonucleotide, or at a suitably modified base at an internal position in the oligonucleotide.

If the antigen is a peptide and contains a suitable reactive group an Nhydroxysuccinimide ester) it can be reacted directly with the N 4 amino group of cytosine residues. Depending on the number and location of cytosine residues in the oligonucleotide, specific coupling at one or more residues can be achieved.

Alternatively, modified nucleosides or nucleotides, such as are known in the art, can be incorporated at either terminus, or at internal positions in the oligonucleotide. These can contain blocked functional groups which, when deblocked, are reactive with a variety of functional groups which can be present on, or attached to, the antigen of interest.

Where the antigen is a peptide, this portion of the conjugate can be attached to the 3'-end of the oligonucleotide through solid support chemistry. For example, the oligonucleotide portion can be added to a polypeptide portion that has been pre-synthesized on a support. Haralambidis et al. (1990a) Nucleic Acids Res. 18:493-499; and Haralambidis et al. (1990b) Nucleic Acids Res. 18:501-505. Alternatively, the oligonucleotide can be synthesized such that it is connected to a solid support through a cleavable linker extending from the 3'-end. Upon chemical cleavage of the oligonucleotide WO 03/015816 PCT/US01/25364 from the support, a terminal thiol group is left at the 3 '-end of the oligonucleotide (Zuckermann et al. (1987) Nucleic Acids Res. 15:5305-5321; and Corey et al. (1987) Science 238:1401-1403) or a terminal amino group is left at the 3'-end of the oligonucleotide (Nelson et al. (1989) Nucleic Acids Res. 17:1781-1794). Conjugation of the amino-modified oligonucleotide to amino groups of the peptide can be performed as described in Benoit et al. (1987) Neuromethods 6:43-72. Conjugation of the thiol-modified oligonucleotide to carboxyl groups of the peptide can be performed as described in Sinha et al. (1991), pp. 185-210, Oligonucleotide Analogues: A Practical Approach, IRL Press.

Coupling of an oligonucleotide carrying an appended maleimide to the thiol side chain of a cysteine residue of a peptide has also been described. Tung et al. (1991) Bioconjug. Chem.

2:464-465.

The peptide portion of the conjugate can be attached to the 5'-end of the oligonucleotide through an amine, thiol, or carboxyl group that has been incorporated into the oligonucleotide during its synthesis. Preferably, while the oligonucleotide is fixed to the solid support, a linking group comprising a protected amine, thiol, or carboxyl at one end, and a phosphoramidite at the other, is covalently attached to the 5'-hydroxyl. Agrawal et al. (1986) Nucleic Acids Res. 14:6227-6245; Connolly (1985) Nucleic Acids Res.

13:4485-4502; Kremsky et al. (1987) Nucleic Acids Res. 15:2891-2909; Connolly (1987) Nucleic Acids Res. 15:3131-3139; Bischoff et al. (1987) Anal. Biochem. 164:336-344; Blanks et al. (1988) Nucleic Acids Res. 16:10283-10299; and U.S. Patent Nos. 4,849,513, 5,015,733, 5,118,800, and 5,118,802. Subsequent to deprotection, the amine, thiol, and carboxyl functionalities can be used to covalently attach the oligonucleotide to a peptide.

Benoit et al. (1987); and Sinha et al. (1991).

An oligonucleotide-antigen conjugate can also be formed through non-covalent interactions, such as ionic bonds, hydrophobic interactions, hydrogen bonds and/or van der Waals attractions.

Non-covalently linked conjugates can include a non-covalent interaction such as a biotin-streptavidin complex. A biotinyl group can be attached, for example, to a modified base of an oligonucleotide. Roget et al. (1989) Nucleic Acids Res. 17:7643-7651.

Incorporation of a streptavidin moiety into the peptide portion allows formation of a noncovalently bound complex of the streptavidin conjugated peptide and the biotinylated oligonucleotide.

WO 03/015816 PCT/US01/25364 Non-covalent associations can also occur through ionic interactions involving an oligonucleotide and residues within the antigen, such as charged amino acids, or through the use of a linker portion comprising charged residues that can interact with both the oligonucleotide and the antigen. For example, non-covalent conjugation can occur between a generally negatively-charged oligonucleotide and positively-charged amino acid residues of a peptide, polylysine, polyarginine and polyhistidine residues.

Non-covalent conjugation between oligonucleotide and antigens can occur through DNA binding motifs of molecules that interact with DNA as their natural ligands. For example, such DNA binding motifs can be found in transcription factors and anti-DNA antibodies.

The linkage of the oligonucleotide to a lipid can be formed using standard methods.

These methods include, but are not limited to, the synthesis of oligonucleotidephospholipid conjugates (Yanagawa et al. (1988) Nucleic Acids Symp. Ser. 19:189-192), oligonucleotide-fatty acid conjugates (Grabarek et al. (1990) Anal. Biochem. 185:131-135; and Staros et al. (1986) Anal. Biochem. 156:220-222), and oligonucleotide-sterol conjugates. Boujrad et al. (1993) Proc. Natl. Acad. Sci. USA 90:5728-5731.

The linkage of the oligonucleotide to an oligosaccharide can be formed using standard known methods. These methods include, but are not limited to, the synthesis of oligonucleotide-oligosaccharide conjugates, wherein the oligosaccharide is a moiety of an immunoglobulin. O'Shannessy et al. (1985) J. AppliedBiochem. 7:347-355.

The linkage of a circular oligonucleotide to a peptide or antigen can be formed in several ways. Where the circular oligonucleotide is synthesized using recombinant or chemical methods, a modified nucleoside is suitable. Ruth (1991), pp. 255-282, in Oligonucleotides and Analogues: A Practical Approach, IRL Press. Standard linking technology can then be used to connect the circular oligonucleotide to the antigen or other peptide. Goodchild (1990) Bioconjug. Chem. 1:165. Where the circular oligonucleotide is isolated, or synthesized using recombinant or chemical methods, the linkage can be formed by chemically activating, or photoactivating, a reactive group carbene, radical) that has been incorporated into the antigen or other peptide.

Additional methods for the attachment ofpeptides and other molecules to oligonucleotides can be found in U.S. Patent No. 5,391,723; Kessler (1992) "Nonradioactive labeling methods for nucleic acids" in Kricka Nonisotopic DNA WO 03/015816 PCT/US01/25364 Probe Techniques, Academic Press; and Geoghegan et al. (1992) Bioconjug. Chem. 3:138- 146.

Methods of the invention The invention provides methods of modulating an immune response in an individual, preferably a mammal, more preferably a human, comprising administering to the individual an IMP/MC complex (typically in a composition comprising the complex and a pharmaceutically acceptable excipient) such that the desired modulation of the immune response is achieved. Imnunomodulation may include stimulating a Thl -type immune response and/or inhibiting or reducing a Th2-type immune response. As described herein, modulation of an immune response may be humoral and/or cellular, and is measured using standard techniques in the art and as described herein.

In some embodiments, the immune modulation comprises stimulating a one or more) Thl-associated cytokine, such as IFN-y, IL-12 and/or IFN-a. In some embodiments, the immune modulation comprises suppressing production of a one or more) Th2associated cytokine, such as IL-4 and/or IL-5. Measuring these parameters uses methods standard in the art and has been discussed herein.

As described herein, administration of IMP/MC may further comprise administration of one or more additional immunotherapeutic agents an agent which acts via the immune system and/or is derived from the immune system) including, but not limited to, cytokine, adjuvants and antibodies. Examples of therapeutic antibodies include those used in the cancer context anti-tumor antibodies). Administration of such additional immunotherapeutic agents applies to all the methods described herein.

In certain embodiments, the individual suffers from a disorder associated with a Th2-type immune response, such as allergies or allergy-induced asthma. Administration of an IMP/MC complex results in immunomodulation, increasing levels of one or more Thltype response associated cytokines, which may result in a reduction of the Th2-type response features associated with the individual's response to the allergen.

Immunomodulation of individuals with Th2-type response associated disorders results in a reduction or improvement in one or more of the symptoms of the disorder. Where the disorder is allergy or allergy-induced asthma, improvement in one or more of the symptoms includes a reduction one or more of the following: rhinitis, allergic conjunctivitis, WO 03/015816 PCT/US01/25364 circulating levels of IgE, circulating levels of histamine and/or requirement for 'rescue' inhaler therapy inhaled albuterol administered by metered dose inhaler or nebulizer).

In further embodiments, the individual subject to the immunomodulatory therapy of the invention is an individual receiving a vaccine. The vaccine may be a prophylactic vaccine or a therapeutic vaccine. A prophylactic vaccine comprises one or more epitopes associated with a disorder for which the individual may be at risk M tuberculosis antigens as a vaccine for prevention of tuberculosis). Therapeutic vaccines comprise one or more epitopes associated with a particular disorder affecting the individual, such as M.

tuberculosis or M. bovis surface antigens in tuberculosis patients, antigens to which the individual is allergic allergy desensitization therapy) in individuals subject to allergies, tumor cells from an individual with cancer as described in U.S. Patent No.

5,484,596), or tumor associated antigens in cancer patients. The IMP/MC complex may be given in conjunction with the vaccine in the same injection or a contemporaneous, but separate, injection) or the IMP/MC complex may be administered separately at least 12 hours before or after administration of the vaccine). In certain embodiments, the antigen(s) of the vaccine is part of the IMP/MC complex, by either covalent or noncovalent linkage to the IMP/MC complex. Administration of IMP/MC complex therapy to an individual receiving a vaccine results in an immune response to the vaccine that is shifted towards a Thl-type response as compared to individuals which receive vaccine without IMP/MC complex. Shifting towards a Thl-type response may be recognized by a delayed-type hypersensitivity (DTH) response to the antigen(s) in the vaccine, increased IFN-y and other Thl-type response associated cytokines, increased IFN-a, production of CTLs specific for the antigen(s) of the vaccine, low or reduced levels of IgE specific for the antigen(s) of the vaccine, a reduction in Th2-associated antibodies specific for the antigen(s) of the vaccine, and/or an increase in Thl-associated antibodies specific for the antigen(s) of the vaccine. In the case of therapeutic vaccines, administration of IMP/MC complex and vaccine also results in amelioration of the symptoms of the disorder which the vaccine is intended to treat. As will be apparent to one of skill in the art, the exact symptoms and manner of their improvement will depend on the disorder sought to be treated. For example, where the therapeutic vaccine is for tuberculosis, IMP/MC complex treatment with vaccine results in reduced coughing, pleural or chest wall pain, fever, and/or other symptoms known in the art. Where the vaccine is an allergen used in allergy WO 03/015816 PCT/US01/25364 desensitization therapy, the treatment results in a reduction in one or more symptoms of allergy reduction in rhinitis, allergic conjunctivitis, circulating levels of IgE, and/or circulating levels of histamine).

Other embodiments of the invention relate to immunomodulatory therapy of individuals having a pre-existing disease or disorder, such as cancer or an infectious disease. Cancer is an attractive target for immunomodulation because most cancers express tumor-associated and/or tumor specific antigens which are not found on other cells in the body. Stimulation of a Thl-type response against tumor cells results in direct and/or bystander killing of tumor cells by the immune system, leading to a reduction in cancer cells and a reduction in symptoms. Administration of an IMP/MC complex to an individual having cancer results in stimulation of a Th -type immune response against the tumor cells. Such an immune response can kill tumor cells, either by direct action of cellular immune system cells CTLs) or components of the humoral immune system, or by bystander effects on cells proximal to cells targeted by the immune system. In the cancer context, administration of IMP/MC complex may further comprise administration of one or more additional therapeutic agents such as, for example, anti-tumor antibodies, chemotherapy regimens and/or radiation treatments. Anti-tumor antibodies, including, but not limited to anti-tumor antibody fragments and/or derivatives thereof, and monoclonal anti-tumor antibodies, fragments and/or derivatives thereof, are known in the art as is administration of such antibody reagents in cancer therapy Rituxan® (rituximab); Herceptin® (trastuzumab)). Administration of one or more additional therapeutic agents may occur before, after and/or concurrent with administation of the IMP/MC complexes.

Immunomodulatory therapy in accordance with the invention is also useful for individuals with infectious diseases, particularly infectious diseases which are resistant to humoral immune responses diseases caused by mycobacterial infections and intracellular pathogens). Immunomodulatory therapy may be used for the treatment of infectious diseases caused by cellular pathogens bacteria or protozoans) or by subcellular pathogens viruses). IMP/MC complex therapy may be administered to individuals suffering from mycobacterial diseases such as tuberculosis M tuberculosis and/or M. bovis infections), leprosy M. leprae infections), or M.

marinum or M. ulcerans infections. IMP/MC complex therapy is also useful for the treatment of viral infections, including infections by influenza virus, respiratory syncytial WO 03/015816 PCT/US01/25364 virus (RSV), hepatitis virus B, hepatitis virus C, herpes viruses, particularly herpes simplex viruses, and papilloma viruses. Diseases caused by intracellular parasites such as malaria infection by Plasmodium vivax, P. ovale, P. falciparum and/or P. malariae), leishmaniasis infection by Leishmania donovani, L. tropica, L. mexicana, L.

braziliensis, L. peruviana, L. infantum, L. chagasi, and/or L. aethiopica), and toxoplasmosis infection by Toxoplasmosis gondii) also benefit from IMP/MC complex therapy. IMP/MC therapy is also useful for treatment of parasitic diseases such as schistosomiasis infection by blood flukes of the genus Schistosoma such as S.

haematobium, S. mansoni, S. japonicum, and S. mekongi) and clonorchiasis infection by Clonorchis sinensis). Administration of an IMP/MC complex to an individual suffering from an infectious disease results in an amelioration of one or more symptoms of the infectious disease. As indicated herein, in some embodiments, the infectious disease is not a viral disease.

The invention further provides methods of increasing at least one Thl-associated cytokine in an individual, including IL-2, IL-12, TNF-P, and IFN-y. In certain embodiments, the invention provides methods of increasing IFN-y in an individual, particularly in an individual in need of increased IFN-y levels, by administering an effective amount of an IMP/MC complex to the individual. Individuals in need of increased IFN-y are those having disorders which respond to the administration of IFN-y.

Such disorders include a number of inflammatory disorders including, but not limited to, ulcerative colitis. Such disorders also include a number offibrotic disorders, including, but not limited to, idiopathic pulmonary fibrosis (IPF), scleroderma, cutaneous radiationinduced fibrosis, hepatic fibrosis including schistosomiasis-induced hepatic fibrosis, renal fibrosis as well as other conditions which may be improved by administration of IFN-y.

Administration of IMP/MC complex in accordance with the invention results in an increase in IFN-y levels, and results in amelioration of one or more symptoms, stabilization of one or more symptoms, or prevention of progression reduction or elimination of additional lesions or symptoms) of the disorder which responds to IFN-y. The methods of the invention may be practiced in combination with other therapies which make up the standard of care for the disorder, such as administration of anti-inflammatory agents such as systemic corticosteroid therapy cortisone) in IPF.

WO 03/015816 PCT/US01/25364 In certain embodiments, the invention provides methods of increasing IFN-a in an individual, particularly in an individual in need of increased IFN-a levels, by administering an effective amount of an IMP/MC complex to the individual such that IFN-a levels are increased. Individuals in need of increased IFN-a are those having disorders which respond to the administration of IFN-a, including recombinant IFN-a, including, but not limited to, viral infections and cancer. Accordingly, administration of an IMP/MC complex in accordance with the invention results in an increase in IFN-a levels, and results in amelioration of one or more symptoms, stabilization of one or more symptoms, or prevention of progression reduction or elimination of additional lesions or symptoms) of the disorder which responds to IFN-a. The methods of the invention may be practiced in combination with other therapies which make up the standard of care for the disorder, such as administration of anti-viral agents for viral infections.

Also provided are methods of reducing levels, particularly serum levels, of IgE in an individual having an IgE-related disorder by administering an effective amount of an IMP/MC complex to the individual such that levels of IgE are reduced. Reduction in IgE results in an amelioration of symptoms of the IgE-related disorder. Such symptoms include allergy symptoms such as rhinitis, conjunctivitis, in decreased sensitivity to allergens, a reduction in the symptoms of allergy in an individual with allergies, or a reduction in severity of a allergic response.

As will be apparent to one of skill in the art, the methods of the invention may be practiced in combination with other therapies for the particular indication for which the IMP/MC complex is administered. For example, IMP/MC complex therapy may be administered in conjunction with anti-malarial drugs such as chloroquine for malaria patients, in conjunction with leishmanicidal drugs such as pentamidine and/or allopurinol for leishmaniasis patients, in conjunction with anti-mycobacterial drugs such as isoniazid, rifampin and/or ethambutol in tuberculosis patients, or in conjunction with allergen desensitization therapy for atopic (allergy) patients.

Administration and assessment of the immune response The IMP/MC complex can be administered in combination with other pharmaceutical and/or immunogenic and/or immunostimulatory agents and can be combined with a physiologically acceptable carrier thereof.

WO 03/015816 PCT/US01/25364 Accordingly, the IMP/MC complex can be administered in conjunction with other immunotherapeutic agents including, but not limited to, cytokine, adjuvants and antibodies.

The IMP/MC complex may comprise any combination of the oligonucleotides and MCs described above, so long as the IMP/MC is active. Generally, in some embodiments, an IMP/MC complex will be considered active if it has an activity affects a measurable immune response as measured in vitro, in vivo and/or ex vivo) of at least about two times, preferably at least about three times, more preferably at least about five times, even more preferably at least about ten times the activity of a negative control in at least one assay of activity. Methods of assessing a measurable immune response are well known in the art, and include the human PBMC assay disclosed herein.

The oligonucleotide of the IMP/MC complexes may be any of those described above. Preferably, the heptameric oligonucleotide administered comprises the sequence T, C, Another preferred embodiment uses a polynucleotide comprising the sequence 5'-CG-3' and futher comprising the sequence 5'-TCG-3'. Another preferred embodiment uses an oligonucleotide consisting of the sequence selected from the group consisting of

TCGXIX

2

X

3

X

4 5'-XITCGX 2

X

3

X

4 and 5'-XIX 2

TCGX

3

X

4 wherein XI, X 2

X

3

X

4 are nucleotides.

As with all immunogenic compositions, the immunologically effective amounts and method of administration of the particular IMP/MC complex formulation can vary based on the individual, what condition is to be treated and other factors evident to one skilled in the art. Factors to be considered include the antigenicity, whether or not the IMP/MC complex will be administered with or covalently attached to an adjuvant or delivery molecule, route of administration and the number of immunizing doses to be administered. Such factors are known in the art and it is well within the skill of those in the art to make such determinations without undue experimentation. A suitable dosage range is one that provides the desired modulation of immune response to the antigen. Generally, dosage is determined by the amount of oligonucleotide administered to the patient, rather than the overall quantity of IMP/MC complex. Useful dosage ranges of the IMP/MC complex, given in amounts of oligonucleotide delivered, may be, for example, from about any of the following: 0.1 to 100 jg/kg, 0.1 to 50 jig/kg, 0.1 to 25 jlg/kg, 0.1 to 10 jig/kg, 1 to 500 pg/kg, 100 to 400 pg/kg, 200 to 300 uLg/kg, 1 to 100 ig/kg, 100 to 200 g/kg, 300 to 400 ug/kg, 400 to 500 jg/kg. Alternatively, the doses can be about any of the following: 0.1 WO 03/015816 PCT/US01/25364 gg, 0.25 pg, 0.5 ig, 1.0 pg, 2.0 tg, 5.0 jig, 10 pig, 25 pg, 50 pg, 75 pg, 100 pg.

Accordingly, dose ranges can be those with a lower limit about any of the following: 0.1 jg, 0.25 pLg, 0.5 pg and 1.0 jig; and with an upper limit of about any of the following: jg, 50 pg and 100 pg. The absolute amount given to each patient depends on pharmacological properties such as bioavailability, clearance rate and route of administration.

The effective amount and method of administration of the particular IMP/MC complex formulation can vary based on the individual patient and the stage of the disease and other factors evident to one skilled in the art. The route(s) of administration useful in a particular application are apparent to one of skill in the art. Routes of administration include but are not limited to topical, dermal, transdermal, transmucosal, epidermal, parenteral, gastrointestinal, and naso-pharyngeal and pulmonary, including transbronchial and transalveolar. A suitable dosage range is one that provides sufficient oligonucleotide composition to attain a tissue concentration of about 1-10 pM as measured by blood levels.

The absolute amount given to each patient depends on pharmacological properties such as bioavailability, clearance rate and route of administration.

As described herein, APCs and tissues with high concentration of APCs are preferred targets for the IMP/MC complexes. Thus, administration of IMP/MC complex to mammalian skin and/or mucosa, where APCs are present in relatively high concentration, is preferred.

The present invention provides IMP/MC complex formulations suitable for topical application including, but not limited to, physiologically acceptable implants, ointments, creams, rinses and gels. Topical administration is, for instance, by a dressing or bandage having dispersed therein a delivery system, by direct administration of a delivery system into incisions or open wounds, or by transdermal administration device directed at a site of interest. Creams, rinses, gels or ointments having dispersed therein an IMP/MC complex are suitable for use as topical ointments or wound filling agents.

Preferred routes of dermal administration are those which are least invasive.

Preferred among these means are transdermal transmission, epidermal administration and subcutaneous injection. Of these means, epidermal administration is preferred for the greater concentrations of APCs expected to be in intradermal tissue.

WO 03/015816 PCT/US01/25364 Transdermal administration is accomplished by application of a cream, rinse, gel, etc. capable of allowing the IMP/MC complex to penetrate the skin and enter the blood stream. Compositions suitable for transdermal administration include, but are not limited to, pharmaceutically acceptable suspensions, oils, creams and ointments applied directly to the skin or incorporated into a protective carrier such as a transdermal device (so-called "patch"). Examples of suitable creams, ointments etc. can be found, for instance, in the Physician's Desk Reference.

For transdermal transmission, iontophoresis is a suitable method. Iontophoretic transmission can be accomplished using commercially available patches which deliver their product continuously through unbroken skin for periods of several days or more. Use of this method allows for controlled transmission of pharmaceutical compositions in relatively great concentrations, permits infusion of combination drugs and allows for contemporaneous use of an absorption promoter.

An exemplary patch product for use in this method is the LECTRO PATCH trademarked product of General Medical Company of Los Angeles, CA. This product electronically maintains reservoir electrodes at neutral pH and can be adapted to provide dosages of differing concentrations, to dose continuously and/or periodically. Preparation and use of the patch should be performed according to the manufacturer's printed instructions which accompany the LECTRO PATCH product; those instructions are incorporated herein by this reference. Other occlusive patch systems are also suitable.

For transdermal transmission, low-frequency ultrasonic delivery is also a suitable method. Mitragotri et al. (1995) Science 269:850-853. Application of low-frequency ultrasonic frequencies (about 1 MHz) allows the general controlled delivery of therapeutic compositions, including those of high molecular weight.

Epidermal administration essentially involves mechanically or chemically irritating the outermost layer of the epidermis sufficiently to provoke an immune response to the irritant. Specifically, the irritation should be sufficient to attract APCs to the site of irritation.

An exemplary mechanical irritant means employs a multiplicity of very narrow diameter, short tines which can be used to irritate the skin and attract APCs to the site of irritation, to take up IMP/MC complex transferred from the end of the tines. For example, WO 03/015816 PCT/US01/25364 the MONO-VACC old tuberculin test manufactured by Pasteur Merieux of Lyon, France contains a device suitable for introduction of IMP/MC complex-containing compositions.

The device (which is distributed in the U.S. by Connaught Laboratories, Inc. of Swiftwater, PA) consists of a plastic container having a syringe plunger at one end and a tine disk at the other. The tine disk supports a multiplicity of narrow diameter tines of a length which will just scratch the outermost layer of epidermal cells. Each of the tines in the MONO-VACC kit is coated with old tuberculin; in the present invention, each needle is coated with a pharmaceutical composition of IMP/MC complex formulation. Use of the device is preferably according to the manufacturer's written instructions included with the device product. Similar devices which can also be used in this embodiment are those which are currently used to perform allergy tests.

Another suitable approach to epidermal administration of IMP/MC complex is by use of a chemical which irritates the outermost cells of the epidermis, thus provoking a sufficient immune response to attract APCs to the area. An example is a keratinolytic agent, such as the salicylic acid used in the commercially available topical depilatory creme sold by Noxema Corporation under the trademark NAIR. This approach can also be used to achieve epithelial administration in the mucosa. The chemical irritant can also be applied in conjunction with the mechanical irritant (as, for example, would occur if the MONO-VACC type tine were also coated with the chemical irritant). The IMP/MC complex can be suspended in a carrier which also contains the chemical irritant or coadministered therewith.

Parenteral routes of administration include but are not limited to electrical (iontophoresis) or direct injection such as direct injection into a central venous line, intravenous, intramuscular, intraperitoneal, intradermal, or subcutaneous injection.

IMP/MC formulations suitable for parenteral administration are generally formulated in USP water or water for injection and may further comprise pH buffers, salts bulking agents, preservatives, and other pharmaceutically acceptable excipients. IMP/MC complexes for parenteral injection may be formulated in pharmaceutically acceptable sterile isotonic solutions such as saline and phosphate buffered saline for injection.

Gastrointestinal routes of administration include, but are not limited to, ingestion and rectal. The invention includes IMP/MC complex formulations suitable for gastrointestinal administration including, but not limited to, pharmaceutically acceptable WO 03/015816 PCT/US01/25364 powders, pills or liquids for ingestion and suppositories for rectal administration. As will be apparent to one of skill in the art, pills or suppositories will further comprise pharmaceutically acceptable solids, such as starch, to provide bulk for the composition.

Naso-pharyngeal and pulmonary administration include are accomplished by inhalation, and include delivery routes such as intranasal, transbronchial and transalveolar routes. The invention includes IMP/MC complex formulations suitable for administration by inhalation including, but not limited to, liquid suspensions for forming aerosols as well as powder forms for dry powder inhalation delivery systems. Devices suitable for administration by inhalation of IMP/MC complex formulations include, but are not limited to, atomizers, vaporizers, nebulizers, and dry powder inhalation delivery devices.

The choice of delivery routes can be used to modulate the immune response elicited. For example, IgG titers and CTL activities were identical when an influenza virus vector was administered via intramuscular or epidermal (gene gun) routes; however, the muscular inoculation yielded primarily IgG2a, while the epidermal route yielded mostly IgGl. Pertmer et al. (1996) J. Virol. 70:6119-6125. Thus, one skilled in the art can take advantage of slight differences in immunogenicity elicited by different routes of administering the immunomodulatory oligonucleotides of the present invention.

The above-mentioned compositions and methods of administration are meant to describe but not limit the methods of administering the IMP/MC complex formulations of the invention. The methods of producing the various compositions and devices are within the ability of one skilled in the art and are not described in detail here.

Analysis (both qualitative and quantitative) of the immune response to IMP/MC complex formulations can be by any method known in the art, including, but not limited to, measuring antigen-specific antibody production (including measuring specific antibody subclasses), activation of specific populations of lymphocytes such as CD4+ T cells or NK cells, production of cytokines such as IFN-y, IFN-c, IL-2, IL-4, IL-5, IL-10 or IL-12 and/or release of histamine. Methods for measuring specific antibody responses include enzymelinked immunosorbent assay (ELISA) and are well known in the art. Measurement of numbers of specific types of lymphocytes such as CD4+ T cells can be achieved, for example, with fluorescence-activated cell sorting (FACS). Cytotoxicity assays can be performed for instance as described in Raz et al. (1994) Proc. Natl. Acad. Sci. USA 91:9519-9523. Cytokine concentrations can be measured, for example, by ELISA. These WO 03/015816 PCT/US01/25364 and other assays to evaluate the immune response to an immunogen are well known in the art. See, for example, Selected Methods in Cellular Immunology (1980) Mishell and Shiigi, eds., W.H. Freeman and Co.

Preferably, a Thl-type response is stimulated, elicited and/or enhanced. With reference to the invention, stimulating a Thl-type immune response can be determined in vitro or ex vivo by measuring cytokine production from cells treated with ISS as compared to those treated without ISS. Methods to determine the cytokine production of cells include those methods described herein and any known in the art. The type of cytokines produced in response to ISS treatment indicate a Thl-type or a Th2-type biased immune response by the cells. As used herein, the term "Thl-type biased" cytokine production refers to the measurable increased production of cytokines associated with a Thl-type immune response in the presence of a stimulator as compared to production of such cytokines in the absence of stimulation. Examples of such Thl-type biased cytokines include, but are not limited to, IL-2, IL-12, and IFN-y. In contrast, "Th2-type biased cytokines" refers to those associated with a Th2-type immune response, and include, but are not limited to, IL-4, IL-5, and IL- 13. Cells useful for the determination of ISS activity include cells of the immune system, primary cells isolated from a host and/or cell lines, preferably APCs and lymphocytes, even more preferably macrophages and T cells.

Stimulating a Thl-type immune response can also be measured in a host treated with an IMP/MC complex formulation can be determined by any method known in the art including, but not limited to: a reduction in levels of IL-4 or IL-5 measured before and after antigen-challenge; or detection of lower (or even absent) levels of IL-4 or IL-5 in an IMP/MC complex treated host as compared to an antigen-primed, or primed and challenged, control treated without ISS; an increase in levels of IL-12, IL-18 and/or IFN p or y) before and after antigen challenge; or detection of higher levels of IL-12, IL-18 and/or IFN P or y) in an IMP/MC complex treated host as compared to an antigenprimed or, primed and challenged, control treated without ISS; "Thl-type biased" antibody production in an IMP/MC complex treated host as compared to a control treated without ISS; and/or a reduction in levels of antigen-specific IgE as measured before and after antigen challenge; or detection of lower (or even absent) levels of antigen-specific IgE in an IMP/MC complex treated host as compared to an antigen-primed, or primed and challenged, control treated without ISS. A variety of these determinations can be made by WO 03/015816 PCT/US01/25364 measuring cytokines made by APCs and/or lymphocytes, preferably macrophages and/or T cells, in vitro or ex vivo using methods described herein or any known in the art. Some of these determinations can be made by measuring the class and/or subclass of antigenspecific antibodies using methods described herein or any known in the art.

The class and/or subclass of antigen-specific antibodies produced in response to IMP/MC complex treatment indicate a Thl-type or a Th2-type biased immune response by the cells. As used herein, the term "Thl-type biased" antibody production refers to the measurable increased production of antibodies associated with a Thl-type immune response Thl-associated antibodies). One or more Thl associated antibodies may be measured. Examples of such Thl-type biased antibodies include, but are not limited to, human IgG1 and/or IgG3 (see, Widhe et al. (1998) Scand. J. Immunol. 47:575-581 and de Martino et al. (1999) Ann. Allergy Asthma Immunol. 83:160-164) and murine IgG2a. In contrast, "Th2-type biased antibodies" refers to those associated with a Th2-type immune response, and include, but are not limited to, human IgG2, IgG4 and/or IgE (see, e.g., Widhe et al. (1998) and de Martino et al. (1999)) and murine IgGI and/or IgE.

The Thl-type biased cytokine induction which occurs as a result of IMP/MC complex administration produces enhanced cellular immune responses, such as those performed by NK cells, cytotoxic killer cells, Thl helper and memory cells. These responses are particularly beneficial for use in protective or therapeutic vaccination against viruses, fungi, protozoan parasites, bacteria, allergic diseases and asthma, as well as tumors.

In some embodiments, a Th2 response is suppressed. Suppression of a Th2 response may be determined by, for example, reduction in levels of Th2-associated cytokines, such as IL-4 and IL-5, as well as IgE reduction and reduction in histamine release in response to allergen.

Kits of the invention The invention provides kits for use in the methods of the invention. In certain embodiments, the kits of the invention comprise one or more containers comprising an IMP/MC complex and, optionally, a set of instructions, generally written instructions, relating to the use of the IMP/MC complex for the intended treatment immunomodulation, ameliorating one or more symptoms of an infectious disease, WO 03/015816 PCT/US01/25364 increasing IFN-y levels, increasing IFN-a levels, or ameliorating an IgE-related disorder).

In further embodiments, the kits of the invention comprise containers of materials for producing IMP/MC, instructions for producing IMP/MC complex, and, optionally, instructions relating to the use of the IMP/MC complex for the intended treatment.

Kits which comprise preformed IMP/MC complex comprise IMP/MC complex packaged in any convenient, appropriate packaging. For example, if the IMP/MC complex is a dry formulation freeze dried or a dry powder), a vial with a resilient stopper is normally used, so that the IMP/MC complex may be easily resuspended by injecting fluid through the resilient stopper. Ampoules with non-resilient, removable closures sealed glass) or resilient stoppers are most conveniently used for liquid formulations of IMP/MC complex. Also contemplated are packages for use in combination with a specific device, such as an inhaler, nasal administration device an atomizer) or an infusion device such as a minipump.

Kits which comprise materials for production of IMP/MC complex generally include separate containers of oligonucleotide and MC, although in certain embodiments materials for producing the MC are supplied rather than preformed MC. The oligonucleotide and MC are preferably supplied in a form which allows formation of IMP/MC complex upon mixing of the supplied oligonucleotide and MC. This configuration is preferred when the IMP/MC complex is linked by non-covalent bonding.

This configuration is also preferred when the oligonucleotide and MC are to be crosslinked via a heterobifunctional crosslinker; either oligonucleotide or the MC is supplied in an "activated" form linked to the heterobifunctional crosslinker such that a moiety reactive with the oligonucleotide is available).

Kits for IMP/MC complexes comprising a solid phase MC preferably comprise one or more containers including materials for producing solid phase MC. For example, an IMP/MC kit for cationic MC may comprise one or more containers containing a polymer and a positively charged surfactant. The contents of the container are mixed, for example by emulsification, to produce the cationic MC, which may be then mixed with the oligonucleotide. Such materials include poly(lactic acid)/poly(glycolic acid) copolymers, containers of cationic lipid, for example, DOTAP, plus one or more containers of an aqueous phase a pharmaceutically-acceptable aqueous buffer).

WO 03/015816 PCT/US01/25364 Kits for IMP/MC complexes comprising a liquid phase MC preferably comprise one or more containers including materials for producing liquid phase MC. For example, an IMP/MC kit for oil-in-water emulsion MC may comprise one or more containers containing an oil phase and an aqueous phase. The contents of the container are emulsified to produce the MC, which may be then mixed with the oligonucleotide, preferably an oligonucleotide which has been modified to incorporate a hydrophobic moiety. Such materials include oil and water, for production of oil-in-water emulsions, or containers of lyophilized liposome components a mixture of phospholipid, cholesterol and a surfactant) plus one or more containers of an aqueous phase a pharmaceuticallyacceptable aqueous buffer).

The instructions relating to the use of IMP/MC complex for the intended treatment generally include information as to dosage, dosing schedule, and route of administration for the intended treatment. The containers of oligonucleotide may be unit doses, bulk packages multi-dose packages) or sub-unit doses. Instructions supplied in the kits of the invention are typically written instructions on a label or package insert a paper sheet included in the kit), but machine-readable instructions instructions carried on a magnetic or optical storage disk) are also acceptable.

The following Examples are provided to illustrate, but not limit, the invention.

EXAMPLES

Example 1: Synthesis of oligonucleotides The 7-mer oligonucleotide with the sequence 5'-TCGTCGA-3' (SEQ ID NO:2) with phosphorothioate linkages, was synthesized on a Perseptive Biosystems Expedite 8909 automated DNA synthesizer. The manufacturer's protocol for 15 pmol phosphorothioate DNA was used with the following changes: 1.6 ml of 3% dichloroacetic acid in dichloromethane over 2.5 minutes was used for the detritylation step; and 3.0 ml of 0.02 M 3-amino-,2,4-dithiazole-5-thione (ADTT) in 9:1 acetonitrile:pyridine over 1.1 minutes followed by a 1.0 ml delivery over 1.0 minutes was used for the sulfurization step. The nucleoside phosphoramidite monomers were dissolved in anhydrous acetonitrile to a concentration of 0.1 M. The instrument was programmed to add the nucleotide monomers in the desired order, with the synthesis occurring in the 3' to 5' direction. The synthesis WO 03/015816 PCT/US01/25364 cycle consisted of a detritylation step, a coupling step (phosphoramidite monomer plus 1Htetrazole), a capping step, a sulfurization step, and a final capping step.

At the completion of the assembly, the 'trityl-on' oligonucleotide was cleaved from the controlled-pore glass and the bases were deprotected with concentrated aqueous ammonia at 58 0 C for 16 hours.

The 7-mer oligonucleotide was purified by RP-HPLC on a Polymer Labs PLRP-S column using an increasing gradient of acetonitrile in 0.1 M triethylammonium acetate.

The purified oligonucleotide was concentrated to dryness, the 4,4'-dimethoxytrityl group was removed with 80% aqueous acetic acid, and then the compound was precipitated two times from 0.6 M aqueous sodium acetate/pH 5.0 with 3 volumes ofisopropanol. The7mer oligonucleotide was dissolved in Milli Q water and the yield was determined from the absorbance at 260 nm. Finally, the oligonucleotide was lyophilized to a powder.

The 7-mer oligonucleotide was characterized by capillary gel electrophoresis, electrospray mass spectrometry, and RP-HPLC to confirm composition and purity. An endotoxin content assay (LAL assay, Bio Whittaker) was also conducted, showing endotoxin levels were <5 EU/mg oligonucleotide.

Other 7-mer phosphorothioate oligonucleotides were synthesized using the same methods, including 5'-ACGTTCG-3' (SEQ ID NO:3), 5'-ATCTCGA-3' (SEQ ID NO:4), AGATGAT-3' (SEQ ID NO:5), 5'-TCGTTTT-3' (SEQ ID NO:6), 5'-TCGAAAA-3' (SEQ ID NO:7), 5'-TCGCCCC-3' (SEQ ID NO:8) and 5'-TCGGGGG-3' (SEQ ID NO:9).

The 7-mer phosphorothioate oligonucleotide with the sequence 5'-TCGTCGA-3' (SEQ ID NO:2) was also synthesized with a disulfide linker on the 5'-end to facilitate linkage to the microcarrier. The C6 disulfide linker with a 4,4'-O-dimethoxytrityl group on one end and a cyanoethylphosphoramidite on the other end (Glen Research) was dissolved to a concentration of 0.1 M in acetonitrile. The linker was coupled to the 5'-end of the oligonucleotide and the resulting oligonucleotide was purified and isolated as described above.

The disulfide group on the oligonucleotide was reduced to a thiol before linkage to the microcarriers. The disulfide-oligonucleotide was dissolved to a concentration of mg/ml in 100 mM sodium phosphate/ 50 mM sodium chloride/1 mM ethylenediamine tetraacetic acid (EDTA)/pH 7.5 buffer. Then 5 equivalents of the hydrochloride salt of tris(carboxyethyl)phosphine (TCEP; Pierce) were added and the solution was heated to WO 03/015816 PCT/US01/25364 0 C for 2 hours. The thiol-containing oligonucleotide was purified from the small molecule by-products by size exclusion chromatography and either used immediately or stored at -80 0 C until use.

Example 2: Preparation of biodegradable microspheres Cationic poly(lactic acid, glycolic acid) (PLGA) microspheres were prepared as follows. 0.875 g of poly (D,L-lactide-co-glycolide) 50:50 polymer with an intrinsic viscosity of 0.41 dlg chloroform, 25 OC) was dissolved in 7.875 g of methylene chloride at 10% w/w concentration, along with 0.3 g of DOTAP. The clear orgaine phase was then emulsified into 500 ml ofPVA aqueous solution (0.35% w/v) by homogenization at 4000 rpm for 30 minutes at room temperature using a laboratory mixer (Silverson L4R, Silverson Instruments). System temperature was then raised to 40 OC by circulating hot water through the jacket of the mixing vessel. Simultaneously, the stirring rate was reduced to 1500 rpm, and these conditions were maintained for 2 hours to extract and evaporate methylene chloride. The microsphere suspension was allowed to cool down to room temperature with the help of circulating cold water.

Microparticles were separated by centrifugation at 8000 rpm for 10 minutes at room temperature (Beckman Instruments) and resuspended in deioizcd water by gentle bath sonication. Centrifugal wash was repeated two additional times to remove excess PVA from particle surface. Final centrifugal pellets of particles are suspended in approximately ml of water, and lyophilized overnight. Dried cationic microsphere powder was characterized for size and surface charge: mean size (number weighted, 1.4; zeta potential (mV) 32.4.

Unmodified poly(lactic acid, glycolic acid) biodegradable microspheres were synthesized, rinsed and dried as described above, except the 0.3 g of DOTAP was omitted.

The dried microsphere powder was characterized for size and surface charge: mean size (number weighted, t) 1.1; zeta potential (mV) -18.1.

Example 3: Preparation of IMP/MC complexes with biodegradable microspheres 200 mg of cationic PLGA microspheres prepared as described in Example 2 was dispersed in 1.875 ml of 0.1% w/v Tween solution by bath sonication for 5 minutes. 0.75 ml of aqueous oligonucleotide solution was added to the microsphere suspension to yield WO 03/015816 PCT/US01/25364 an approximate and theoreical drug loading of 2% w/w (oligonucleotide to microsphere).

After a brief mixing, the oligonucleotide-microsphere suspension was incubated at 4 °C overnight. Microspheres were separated by centrifugation at 14,000 rpm for 30 minutes at room temperature in an Eppendorf centrifuge. The supernatant and the microspheres were assayed for free and bound oligonucleotide, respectively, by the standard laboratory analytical techniques to determine oligonucleotide association efficiency or loading.

Adsorption of oligonucleotide to the microspheres was confirmed by determining loss of oligonucleotide from the aqueous supernatant using absorbance at 260 nm after centrifugation of the oligonucleotide-microsphere suspension. After oligonucleotide association, the preparation was also characterized for size and surface charge: mean size (number weighted, I) 1.6; zeta potential (mV) 33.3; oligonucleotide association (drug loading) 88 (1.78% w/w).

Example 4: Immunomodulation with IMP/MC complexes in human cells Heptameric oligonucleotides were tested for immunomodulatory activity alone and complexed with PLGA microspheres in the human PBMC assay. Peripheral blood was collected from healthy volunteers by venipuncture using heparinized syringes. Blood was layered onto FICOLL® (Amersham Pharmacia Biotech) cushion and centrifuged. PBMCs, located at the FICOLL® interface, were collected, then washed twice with cold phosphate buffered saline (PBS). The cells were resuspended and cultured in 24 or 48 well plates at 2 x 10 6 cells/mL in RPMI 1640 with 10% heat-inactivated human AB serum plus units/mL penicillin, 50 p.g/mL streptomycin, 300 itg/mL glutamine, 1 mM sodium pyruvate, and 1 x MEM non-essential amino acids (NEAA).

Cationic and unmodified PLGA microspheres were prepared as described in Example 2. Oligonucleotides were tested as single agents, or in combination with PLGA microspheres (unmodified or cationic). The oligonucleotides tested were 5'-TCGTCGA-3' (SEQ ID NO:2), 5'-ACGTTCG-3' (SEQ ID NO:3), 5'-ATCTCGA-3' (SEQ ID NO:4), and 5'-AGATGAT-3' (SEQ ID NO:5) (control). All oligonucleotides contained 100% phosphorothioate linkages and were tested at 20 p.g/ml. The PLGA was added at a concentration of 250 .tg/ml. When the oligonucleotides were tested with PLGA, the oligonucleotide and PLGA were added at the same time to the culture. SAC (PANSORBIN® CalBiochem, 1/5000 dilution) and IMP, WO 03/015816 PCT/US01/25364 TGACTGTGAACGTTCGAGATGA-3' (SEQ ID NO:10), were used as positive controls, and control oligonucleotide SEQ ID NO:1, and cells alone were used as negative controls.

Unmodifed microcarriers (unm MC) and cationic microcarriers (cat MC) were also tested alone. SAC contains Staph. Aureus (Cowan I) cell material. Samples were assayed in two healthy donors in duplicate. IFN-y and IFN-a were assayed using CYTOSCREEN

TM

ELISA kits from BioSource International, Inc., according to the manufacturer's instructions.

In the human PMBC assay, background levels of IFN-y can vary, even significantly, with the donor. Levels of IFN-a, however, demonstrate a generally stable pattern of activation and routinely exhibit low background levels under unstimulated conditions.

Table 2 shows the assay results. Results are shown in picograms per milliliter (pg/ml) of interferon-gamma (IFN-y) or interferon-alpha (IFN-a). Because of variability between assays using different human donors, results are shown for assays using different donor cells (each value in the parentheses) and as a mean.

As shown in Table 2 below, when used alone, the PLGA microspheres (cationic or unmodified) and the heptameric oligonucleotides had little activity, if any. However heptameric oligonucleotide, SEQ ID NO:2, was active in inducing IFN-a and IFN-y in combination with cationic PLGA microspheres. Cationic PLGA adsorbs oligonucleotides by electrostatic bonding, creating an oligonucleotide/microcarrier complex, while unmodified PLGA does not. Each value in the table represents the mean of the two readings in parentheses.

WO 03/015816 WO 03/15816PCT/US01/25364 Sample SEQ ID NO:l10 SEQ IiDNO:1I SEQ ID NO:2 SEQ IIDNO:3 SEQ ID NO:4 SEQ ID NO: 5 unm MC SEQ ID NO:l10 unMC SEQ ID NO: 1 un MC SEQ ID NO:2 unmn MC SEQ ID NO:3 unMC SEQ ID NO:4 un MC SEQ ID NO:5 un MC cat MC SEQ ID NO: 1 0/cat MC SEQ ID NO: 1/cat MC SEQ ID NO:2/cat MC SEQ ID NO:3/cat MC SEQ ID NOA:/cat MC SEQ ID NO:5/cat MC

SAC

cells alone TABLE 2 IFN-y (pg/mL) IFN-cc (pg/mb) 161 (99,223) 67 (28, 106) 5(3,S) 15(0,31) 2(1,4) 16(0,32) 2(3,1) 16(0,32) 2(0,3) 29(0,57) 1(0,3) 29(0, 58) 7(4,10) 154 308) 90(38, 143) 115 (31, 199) 15(18, 13) 16 32) 74(16, 132) 499 (10, 988) 7 (6,S8) 14 28) 8 12) 16 32) 8(6, 10) 15 31) 10 (13, 6) 28 398 (399, 397) 1748 (2000, 1496) 9(9,10) 11 (0,21) 598 (454, 741) 832 (553, 1111) 26 (15, 37) 97(0,193) 7(7,8) 41(0,82) 10 (16, 5) 20 1589 (1179, 2000) 510 (50, 969) 2(0,3) 9(0,18) Table 3 below shows that the 7-mer oligonucleotide, SEQ ID NO:2, was active in two more healthy human donors when used with cationic microspheres but not when used alone. In this case the oligonucleotides and cationic microspheres were pre-mixed for minutes at room temperature before they were added to the culture. Each value in the table represents the mean of the two readings in parentheses.

WO 03/015816 PCT/US01/25364 TABLE 3 Sample IFN-y (pg/mL) IFN-c (pg/mL) SEQ ID NO:10 1425 (2180, 669) 220(401, 39) SEQ IDNO:1 231(410, 51) 0(0, 0) SEQ ID NO:2 4 0) 0 0) cat MC 97 (46, 148) 1 0) SEQ IDNO:10/catMC 1925 (3382, 468) 379(587, 171) SEQ ID NO: /cat MC 131 (147,115) 0(0,0) SEQ ID NO:2/cat MC 2294 (3575, 1012) 5836 (9742, 1930) SAC 1588 (2040, 1136) 218(393,43) cells alone 4(8, 0) 0 0) Example 5: Immunomodulation with IMP/MC complexes Heptameric oligonucleotides were tested for immunomodulatory activity alone and complexed with cationic PLGA microspheres under two different conditions in the human PBMC assay. The human PBMC assay was performed as described in Example 4.

Oligonucleotides were tested as single agents, in combination with other oligonucleotides, or in combination with cationic PLGA microspheres. The oligonucleotide and microsphere concentrations were 20 ig/ml and 250 ptg/ml, respectively. When the oligonucleotides were tested with the cationic PLGA microspheres, the oligonucleotide and microspheres were added at the same time to the culture (simultaneously, see "simult. added" in Tables 5 and When multiple oligonucleotides were tested in combination, equal weights of each oligonucleotide were pre-mixed and a total concentration of 20 g/ml was used. The oligonucleotides were also complexed with the cationic PLGA microspheres under the conditions described in Example 3 in order to obtain a 2% w/w loading of oligonucleotide/microspheres (incubated for 16 hrs.). In this case the complexes were tested at 2 and 10 pg/ml, based on the oligonucleotide weight.

SAC (PANSORBIN® CalBiochem, 1/5000 dilution) and IMPs, SEQ ID NO:10 and TCGTCGAACGTTCGAGATG-3' (SEQ ID NO:11) were used as positive controls, and control oligonucleotide, SEQ ID NO:1, and cells alone were used as negative controls.

SAC contains Staph. Aureus (Cowan I) cell material. Samples were assayed in two healthy donors in duplicate.

Data presented in Tables 4, 5 and 6 below show that when used alone, the heptameric oligonucleotides and the cationic PLGA microspheres had little activity, if any.

In addition, Tables 4, 5 and 6 also demonstrate that mixtures of the 7-mer oligonucleotides WO 03/015816 PCT/US01/25364 had little activity, if any. However, consistent with the previous experiments, heptameric oligonucleotide, SEQ ID NO:2, was active in inducing IFN-ac and IFN-y when used under either condition with the cationic PLGA microspheres. Each value in the tables represents the mean of the two readings in parentheses.

I

Sample SEQ ID NO: 10 SEQ ID NO:1 Mix of SEQ ID NOs:2 3 Mix of SEQ ID NOs:2, 3, 4, 5

SAC

cells alone TABLE 4 IFN-y (pg/mL) 621 (73, 1170) 37 66) 4 (8,0) 97 (46, 148) 593 (903, 284) 28 52) I I IFN-oc (pg/mL) 268 (54,482) 57 (20, 94) 0 0) 1(2,0) 4337(458, 8215) 20 (20,20) WO 03/015816 WO 03/15816PCT/US01/25364 oligo MC incubation# Sample SEQ ID NO: 10 SEQ ID NO:1I SEQ ID NO: 11 SEQ ID NO:2 SEQ ID NO:3 SEQ ID NO: 5 Mix of SEQ ID NOs:2 3 cat MC SEQ ID NO:1I0/cat MC SEQ ID NO: 1/cat MC SEQ ID NO:1I1I/cat MC SEQ ID NO:2fcat MC SEQ ID NO:3/cat MC SEQ ID NO: 5/cat MC SEQ ID NOs:2 3 (Mix)/cat MC SEQ ID NO:1I0/cat MC SEQ ID NO:1I0/cat MC SEQ ID NO: 1/cat MC SEQ ID NO: 1/cat MC SEQ ID NO:21cat MC SEQ ID NO:2/cat MC SEQ ID NO:3/cat MC SEQ ID NO:3/cat MC SEQ ID NO: 5/cat MC SEQ ID NO:5/cat MC SEQ ID NOs:2 3 (Mix)!cat MC SEQ ID NOs:2+ 3 (Mix)lcat MC

SAC

cells alone length of time olig4 n/a not available' TABLE oligo doses (jig/mil) 20 20 20 20 20 20 20 IFN-y (pg/mL) 27 (39, 14) 11(12,10) 182 (182,181) 10(10,10) 10(10,10) 10(10,10) 10(10,10) IFN-cc (pg/niL) 19(26, 10 (10, 2597 (2831, 2363) 13 (16, 16(22, 33(10,56) 15S(20, simult. added simult. added simult. added simult. added simult. added simult. added simult. added 16 hrs.

16 hrs.

16 hrs.

16 hrs.

16 hrs.

16 hrs.

16 hrs.

16 hrs.

16 hrs.

16 hrs.

16 hrs.

16 hrs.

10 (nla*, 10) 1691 (13779, 2002) 154 (173, 135) 2810 (3924, 1695) 621 621) 16 (10, 22) 10(10, 10) 1041 (712, 1370) 524 (466, 583) 646 (492, 800) 10(10, 10) 10(10, 10) 308 (559, 56) 1524 (547, 2500) 11(12,10) 47(14,79) 19(13,25) 10(10,10) 407 (419, 394) 10 4038 (3748, 4327) 118 (52, 183) 19004 (18008, 20000) 6108 6108) 50 (10, 89) 10(10,10) 6915 (7188, 6642) 9647 (11524, 7770) 5291 (5843, 4739) 24(38,10) 71(131, 3629 (5813, 1445) 12718 (14807, 10629) 15 (20, 66(122,10) 68 (126, 10 (10, 5105 (6444, 3766) 8892 (12050, 5733) 10 1739 (1511, 1966) 2500 (2500, 2500) 12685 (20000, 5369) -10(10,10) 10(10,10) nucleotide incubated with cationic MC prior to IM\P/MC addition to cells) WO 03/015816 WO 03/15816PCT/US01/25364 TABLE 6 oligo MC Sample incubation" SEQ ID NO: 10 SEQ ID NO: 1 SEQ ID NO:2 SEQ ID NO:3 SEQ ID NO:5 Mix of SEQ ID NOs:2 3 cat MC SEQ ID NO: 1 0/cat MC simult. added SEQ ID NO: 1/cat MC simult. added SEQ ID NO:2/cat MC simult. added SEQ ID NO:3/cat MC simult. added SEQ ID NO: 5/cat MC simult. added SEQ ID NOs:2 3 simult. added (Mix)/cat MC SEQ ID NO:1I0/cat MC 16 hrs.

SEQ ID NO:1I0/cat MC 16 hrs.

SEQ ID NO: 1/cat MC 16 hrs.

SEQ ID NO:1I/cat MC 16 hirs.

SEQ ID NO:2/cat MC 16 hrs.

SEQ ID NO:2/cat MC 16 hrs.

SEQ ID NO:3/cat MC 16 hrs.

SEQ ED NO:3/cat MC 16 hrs.

SEQ ID NO: 5/cat MC 16 hrs.

SEQ ID NO:5/cat MC 16 hrs.

SEQIDNOs:2 +3 16 hrs.

(Mk')/cat MC SEQ ID NOs:2 +3 16 hrs.

(Mix)/cat MC oligo doses (jIg/mi) 20 20 20 20 20 20 LFN-y (pg/mL) 26 49) 22(1,42) 3(1,5) 3(1, 5) 5(2, 7) 4(1,6) IFN-cx (pg/mL) 9(0,18) 0 0) o0(0, 0) 0 0) 0 0) 0 0) 22 40) 147(9, 284) 6(2, 10) 522 (43, 1000) 25 46) 36 70) 191 (36,345) 78 (32, 123) 87 164) 9(11,6) 5(1,9) 62 (25, 99) 162 (22,301) 21(17,24) 30 56) 21(17,24) 37(1, 72) 205 (17, 392) 180(12,347) 6 12) 76(0, 151) 3 1175 (349, 2000) 11(0, 22) 8(0,15) 882 (300, 1463) 970 (162, 1777) 1118 (236,2000) 0 0) 0 0) 705 (139, 1271) 1115 (230, 2000) 33 (19,46) 0 0) 21(0,41) 5 486 (48, 924) 1058 (116, 2000) SAC 1000 (1000, 1000) 2000 (2000, 2000) cells alone -6 6) 0(0, 0) (flength of time oligonucleotide incubated with cationic MC prior to IMP/MC addition to cells) Example 6: Immunornodulation with IMP/MC comulexes Heptameric oligonucleotides were tested for immunomodulatory activity alone and complexed with cationic PLGA microspheres in the human PBMC assay. The oligonucleotides were premixed with the cationic PLGA microspheres for 15 minutes at room temperature at concentrations were 20 jig/mI and 250 jig/mi, respectively. The human PBMC assay was performed as described in Example 4 and the cationic PLGA microspheres were prepared as described in Example 2. SAC (PANSORBNS~ WO 03/015816 PCT/US01/25364 CalBiochem, 1/5000 dilution) and IMP SEQ ID NO:10 were used as positive controls, and control oligonucleotide SEQ ID NO:1 and cells alone were used as negative controls. SAC contains Staph. Aureus (Cowan I) cell material. Samples were assayed in two healthy donors in duplicate.

The 7-mer phosphorothioate oligonucleotides tested were 5'-TCGTCGA-3' (SEQ ID NO:2), 5'-TCGTTTT-3' (SEQ ID NO:6), 5'-TCGAAAA-3' (SEQ ID NO:7), TCGCCCC-3' (SEQ ID NO:8), 5'-TCGGGGG-3' (SEQ ID NO:9), 5'-AGATGAT-3' (SEQ ID NO:5) (control).

As shown in Table 7, heptameric oligonucleotides containing a single 5'-TCG were active in inducing IFN-y and IFN-a in the human PBMC assay when formulated with cationic PLGA microspheres. Oligonucleotides with four or more guanosines in a row are known to form tetraplex structures. SEQ ID NO:9 contains 5 guanosines in a row and was seen as an aggregate by capillary electrophoresis.

WO 03/015816 PCT/US01/25364 TABLE 7 IFN-y (pg/ml) IFN-a (pg/ml) Ex 1 Ex 2 Ex 3 Ex 4 mean Ex 1 Ex 2 Ex 3 Ex 4 mean 211 131 86 840 317 31 0 15 0 12

I

Sample SEQ IDNO:10 SEQ IDNO:1 SEQ ID NO:2 SEQ IDNO:5 SEQ ID NO:6 SEQ IDNO:7 SEQ ID NO:8 SEQ ID NO:9 cat MC SEQ IDNO:10/ cat MC SEQ IDNO:I/ cat MC SEQ IDNO:2/ cat MC SEQ IDNO:5/ cat MC SEQ IDNO:6/ cat MC SEQ IDNO:7/ cat MC SEQ IDNO:8/ cat MC SEQ IDNO:9/ cat MC

SAC

cells alone 17 58 0 14 0 9 0 11 0 11 0 10 29 83 0 18 534 689 98 43 0 4 0 2 0 3 0 3 0 3 114 67 111 36 4000 1471 0 0 0 0 0 0 0 0 240 14 r 0 0 0 0 21 22 36 97 44 1305 912 563 4000 1695 65 15 26 154 65 0 0 25 0 6 755 924 1881 518 1020 0 0 9 702 1032 769 0 2 708 603 2953 1316 1309 740 430 350 1046 974 727 512 96 149 991 1642 1337 714 2543 1323 579 334 380 407 802 211 450 607 598 859 359 606 81 0 39 185 76 155 19 261 119 139 0 0 0 0 0 2689 117 914 4000 1930 0 0 14 0 0 Example 7: Effects of IMP/MC formulation in cell proliferation assay Human PBMC were isolated from heparanized blood from two normal subjects.

Some PBMCs were held in reserve while the remainder was incubated with CD19+ MACS beads from Miltenyi. These cells were then passed through a magnet, separating out the CD19+ B cells through positive selection. This population was determined to be >98% CD19+ through FACS analysis. B cells were then cultured at 1 x 105/200 pl/well in 96well round-bottomed plates. PBMCs were also cultured, but at 2 x 105/200 pl/well. Cells were stimulated in triplicate with 2 ig/ml oligonucleotide either alone or with 100 gg/ml cationic PLGA microspheres (premixed for 15 minutes at room temperature). The culture period was 48 hours at 37°C. At the end of the culture period, the plates were pulsed with WO 03/015816 PCT/US01/25364 3 H-thymidine, 1 pCi/well, and incubated for an additional 8 hours. Then the plates were harvested using standard liquid scintillation techniques and data collected in counts per minutes (cpm).

As shown in Table 8 below, the 7-mer, SEQ ID NO:2, induces less human B cell and PBMC proliferation than the control sequence, SEQ ID NO:10, when used alone.

However, when the 7-mer, SEQ ID NO:2, is formulated with cationic PLGA microspheres, it is able to generate similar amounts of proliferation as IMP, SEQ ID NO:1. The values in the table for experiments 1 and 2 represent the cpm mean of three wells.

TABLE 8 Sample cells Ex 1 (cpm) Ex 2 (cpm) mean SEQ ID NO:10 B cells 30922 24976 27949 SEQ ID NO:1 B cells 5916 3735 4825 SEQ ID NO:2 B cells 697 572 634 SEQ ID NO:2/cat MC B cells 23469 5958 14714 cells alone B cells 605 379 492 SEQ ID NO:10 PBMC 24635 22599 23617 SEQ ID NO:1 PBMC 8556 10033 9295 SEQ ID NO:2 PBMC 5063 1330 3197 SEQ ID NO:2/cat MC PBMC 25095 27228 26162 cells alone PBMC 2444 1949 2196 Example 8: Production of non-covalent, liquid phase IMP/MC complexes IMP/MC complex comprising a modified oligonucleotide and a liquid phase MC are produced and tested for complex formation.

An oligonucleotide is modifed by addition of a cholesterol molecule to the 5' end of the oligonucleotide using phosphoramidite chemistry. An oil-in-water emulsion is produced by homogenization of a mixture of 4.5% squalene, 0.5% sorbitan trioleate, 0.5% TWEEN® 80 and 10 mM sodium citrate, pH 6.5, using a microfluidizer. The emulsion is examined and the average diameter of the oil doplets determined.

The emulsion is mixed with the cholesterol-modified oligonucleotide or an unmodified version of the same oligonucleotide, then the mixture is centrifuged to separate the oil and water phases. RP-HPLC is performed on samples from each phase to determine nuclcotide content.

WO 03/015816 PCT/US01/25364 Example 9: Immunomodulation with IMP/MC mixtures with nonbiodegradable microcarriers Mixtures of an oligonucleotide containing the sequence 5'-CG-3' or a control oligonucleotide (without the sequence are mixed with sulphate-derivatized polycarbonate microparticles or nanoparticles (Polysciences, Inc.) and assayed for immunomodulatory activity on mouse splenocytes. Tested particles include those 50 nm, 200 nm, 500 nm, 1 [tm and 4.5 tm in size.

Fragments of BALB/c mouse spleen are digested with collagenase/dispase (0.1 U/mL/0.8U/mL) dissolved in phosphate buffered saline (PBS) for 45 minutes at 370 C, then are mechanically dispersed by forcing the digested fragments through metal screens. The dispersed splenocytes are pelleted by centrifugation and are then resuspended in fresh medium (RPMI 1640 with 10% fetal calf serum, plus 50 units/mL penicillin, 50 ptg/mL streptomycin, 2 mM glutamine, and 0.05 mM P-mercaptoethanol).

4 x 105 mouse splenocytes are dispensed into wells of 96 well plates and incubated for one hour at 370 C. The cells are incubated with DNA doses of 5 gg/ml, I jtg/ml and 0.1 g/ml. 100 jLL of 2x concentration test sample or control is added and the cells are incubated a further 24 hours. Medium is harvested from each well and tested for cytokine concentrations by ELISA.

IFN-y is assayed using a sandwich-format ELISA. Medium from the mouse splenocyte assay is incubated in microtiter plates coated with anti-IFN-y monoclonal antibody (Nunc). Bound IFN-y is detected using a biotinylated anti-IFN-y antibody and streptavidin-horseradish peroxidase conjugated secondary antibody and the complexes are developed with the chromogenic peroxidase substrate 3,3',5,5'-tetramethylbenzidine (TMB) in the presence of peroxidase and quantitated by measuring absorbance at 450 nm using a Emax precision microplate reader (Molecular Devices). IL-6 and IL-12 are assayed with the same method using anti-IL-6 antibody and anti-IL-12 antibody, respectively.

Example 10: Immunomodulation of mouse cells by IMP/MC complexes Oligonucleotides covalently linked to nonbiodegradable polystyrene beads (200 nm design size) are tested for immunomodulatory activity on mouse splenocytes.

WO 03/015816 PCT/US01/25364 Amine-derivatized polystyrene beads are obtained from Molecular Probes, Inc., and Polysciences, Inc. Three types of beads are utilized: amine-derivatized beads (Polysciences, Inc., Catalog No. 15699), amine-derivatized beads linked to a fluorophore with excitation/emission maxima of 580 and 605 nm ("Red Beads", Molecular Probes, Inc., Catalog No. F8763), and amine-derivatized beads linked to a fluorophore with excitation/emission maxima of 505 and 515 nm ("Yellow Beads", Molecular Probes, Inc., Catalog No. F8764) are activated with sulfo-SMCC (sulfosuccinimidyl 4-(Nmaleimidomethyl)cyclopentane-1-carboxylate, Pierce Chemical Co.) according to the manufacturer's instructions. The beads were then linked to thiol-modified oligonucleotides, or treated to quench the free maleimide group for use as a MC only control. The IMP/MC complexes are isolated by centrifugation and washed three time with phosphate buffered saline to remove excess oligonucleotide.

Immunomodulatory effects of the IMP/MC complexes were assayed using mouse splenocytes as described above in Example 9. The cells are incubated with DNA doses of Ig/ml, 5 p~g/ml and I gg/ml. Immunomodulatory activity is assessed by detection ofIL- 12, IL-6 and/or IFN-y in response to IMP/MC complexes.

Example 11: Immunomodulation of human cells by IMP/MC complexes with nonbiodegradable microcarriers Oligonucleotides covalently linked to nonbiodegradable polystyrene beads (200 nm design size) are tested for immunomodulatory activity in the human PBMC assay. The human PBMC assay is performed as described in Example 4. The cells are incubated with DNA doses of 20 ig/ml, 10 pg/ml and 2 gg/ml. Immunomodulatory activity is assessed by detection of IFN-y and/or IFN-a in response to IMP/MC complexes.

Although the foregoing invention has been described in some detail by way of illustration and example for purposes of clarity and understanding, it will be apparent to those skilled in the art that certain changes and modifications may be practiced. Therefore, descriptions and examples should not be construed as limiting the scope of the invention, which is delineated by the appended claims.

Claims (15)

1. An immunomodulatory polynucleotide/microcarrier (IMP/MC) complex, comprising: an oligonucleotide linked to a microcarrier wherein the oligonucleotide 00 consists of the sequence 5'-TCGIX 2 X 3 X 4 wherein X 1 X 2 X 3 X 4 are nucleotides.

2. The IMP/MC complex of claim 1, wherein the oligonucleotide consists of a sequence selected from the group consisting of 5'-TCGAAAA-3', 5'-TCGCCCC-3', TCGGGGG-3' and 5'-TCGTTTT-3'.

3. The IMP/MC complex of claim 1, wherein the oligonucleotide consists of the sequence 5'-TCGTCGXI-3', wherein X, is a nucleotide.

4. The IMP/MC complex of claim 3, wherein the oligonucleotide consists of the sequence 5'-TCGTCGA-3'. An immunomodulatory polynucleotide/microcarrier (IMP/MC) complex, comprising: an oligonucleotide linked to a microcarrier wherein the oligonucleotide consists of the sequence 5'-XITCGX 2 X 3 X 4 wherein X 1 X 2 X 3 X 4 are nucleotides.

6. An immunomodulatory polynucleotide/microcarrier (IMP/MC) complex, comprising: an oligonucleotide linked to a microcarrier wherein the oligonucleotide consists of the sequence 5'-X 1 X 2 TCGX 3 X 4 wherein X 1 X 2 X 3 X 4 are nucleotides.

7. The IMP/MC complex of any of claims 1-6, wherein said oligonucleotide is covalently linked to said microcarrier.

8. The IMP/MC complex of any of claims 1-6, wherein said oligonucleotide is non- P:%OPER\WP\pciionV \2OO8\3330413 .ndad clait doc-25/031200 00 O -71- covalently linked to said microcarrier.

9. The IMP/MC complex of any of claims 1-6, wherein said microcarrier is a liquid phase microcarrier. 00 10. The IMP/MC complex of any of claims 1-6, wherein said microcarrier is a solid phase microcarrier.

11. The IMP/MC complex of any of claims 1-6, wherein said microcarrier is less than 10 pm in size.

12. The IMP/MC complex of claim 11, wherein said microcarrier is from 25 nm to tm in size.

13. The IMP/MC complex of any of claims 1-6, wherein said microcarrier is cationic.

14. The IMP/MC complex of any of claims 1-6, wherein said complex is antigen-free. The IMP/MC complex of any of claims 1-6, wherein said complex further comprises an antigen.

16. The IMP/MC complex of any of claims 1-6, wherein said oligonucleotide comprises a phosphate backbone modification.

17. The IMP/MC complex of claim 16, wherein said phosphate backbone modification is a phosphorothioate.

18. The IMP/MC complex of any of claims 1-17, wherein said microcarrier is biodegradable.