TW201617363A - Virosomes containing respiratory syncytial virus strain line 19 fusion protein and uses thereof - Google Patents
Virosomes containing respiratory syncytial virus strain line 19 fusion protein and uses thereof Download PDFInfo
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Abstract
Description
本發明係關於呼吸道融合病毒(RSV)疫苗,特別是關於,RSV仿病毒顆粒以及相關的組成物及方法。 The present invention relates to respiratory syncytial virus (RSV) vaccines, and more particularly to RSV-like viral particles and related compositions and methods.
呼吸道融合病毒(RSV)為呼吸道病原,其感染所有年齡人類的肺。雖然多數的其他健康人類在僅罹患輕微症狀後典型地於1至2週由RSV感染復原,但於嬰孩及老人,例如具有慢性肺部疾病或心血管疾病者,則感染特別嚴重。確實地,於該等人類中,RSV為住院以及甚至死亡的重要成因。 Respiratory tract fusion virus (RSV) is a respiratory pathogen that infects human lungs of all ages. Although most other healthy humans typically recover from RSV infection after 1 to 2 weeks after only mild symptoms, infections are particularly severe in babies and the elderly, such as those with chronic lung disease or cardiovascular disease. Indeed, in these humans, RSV is an important cause of hospitalization and even death.
目前,對於RSV的治療沒有藥物獲得核准。一般而言,療法為支持性的,且可包括例如保濕法,利用靜脈內流體、濕化氧氣、機械通風及噴霧式氣管擴張劑。現今預防RSV感染的醫學方案限於使用帕利珠單抗(Palivizumab)(Symagis®),一種抗RSV的F糖蛋白的IgG單株抗體。帕利珠單抗的使用僅限於因為早產或其他醫學問題,例如先天性心臟疾病,而處於高風險的嬰孩。 Currently, no drug approval is available for the treatment of RSV. In general, therapies are supportive and may include, for example, moisturization methods, utilizing intravenous fluids, humidified oxygen, mechanical ventilation, and aerosolized tracheal dilators. The current medical regimen for preventing RSV infection is limited to the use of Palivizumab (Symagis®), an IgG monoclonal antibody against the RSV F glycoprotein. The use of palivizumab is limited to babies at high risk because of premature birth or other medical problems, such as congenital heart disease.
沒有已核准對抗RSV的疫苗。基於死毒病毒(killed virus)以及次單元蛋白質的RSV疫苗的開發,已因相關於免疫 原性的充足性的課題以及增強的呼吸疾病(ERD)的誘發而受阻。關於後者,早期開發的ESV疫苗,包括福馬林失活RSV與明礬佐劑,通常有高百分比的經接種疫苗的嬰孩在後續天然RSV暴露時,造成ERD嚴重至足以需要住院。此疫苗的使用易造成二個死亡案例。對抗RSV之活的減毒及重組病毒疫苗的開發已面臨挑戰,舉例而言,過度減毒以及繼代的困難性,以及包括可能回復的潛在混擾因子(confounding factor)。 There are no vaccines approved for combating RSV. The development of RSV vaccine based on killed virus and subunit protein has been related to immunity The problem of the sufficiency of the originality and the induction of the enhanced respiratory disease (ERD) are hindered. Regarding the latter, early development of ESV vaccines, including formalin-inactivated RSV and alum adjuvants, usually have a high percentage of vaccinated babies that cause ERD to be severe enough to require hospitalization during subsequent natural RSV exposure. The use of this vaccine is likely to cause two deaths. The development of live attenuated and recombinant viral vaccines against RSV has been challenged, for example, over-attenuation and the difficulty of passage, as well as potential confounding factors that may be replied.
由於該等人類之RSV感染的潛在嚴重性,以及帕利珠單抗的使用限制,有需要對抗RSV感染的疫苗。 Due to the potential severity of RSV infection in these humans, and the limited use of palivizumab, there is a need for vaccines against RSV infection.
本發明提供包括呼吸道融合病毒(RSV)系19的融合(F)蛋白的仿病毒顆粒(例如,具有序列編號:1的胺基酸序列的蛋白質,或與具有序列編號:1的胺基酸序列的蛋白質大於80%、85%、90%、95%、96%、97%、98%或99%序列同一性的蛋白質)。例如,該F蛋白質相對於序列編號:1的序列可具有一或多個取代。例示性的取代包括,例如於序列編號:1的I557的取代(例如,I557V取代)。 The present invention provides a pseudovirus particle comprising a fusion (F) protein of the respiratory syncytial virus (RSV) line 19 (for example, a protein having the amino acid sequence of SEQ ID NO: 1, or an amino acid sequence having the sequence number: Proteins greater than 80%, 85%, 90%, 95%, 96%, 97%, 98% or 99% sequence identity). For example, the F protein may have one or more substitutions relative to the sequence of SEQ ID NO: 1. Exemplary substitutions include, for example, the substitution of I557 of SEQ ID NO: 1 (eg, I557V substitution).
此外,或替代地,相較於例如序列編號:1,該F蛋白質可具有取代於下列位置之一或多者(例如,二、三或四):79、191、357及371(例如,M79I、R191K、K358T及Y371N)。於某些具體例中,該F蛋白質包括下述胺基酸之一或多者(例如,二或更多、三或更多):於殘基79的甲硫胺酸(methionine)、於殘基191的精胺酸(arginine)、於殘基357的離胺酸(lysine)以及於殘基371的酪胺酸(tyrosine)。此外,或替代地,該F 蛋白質可包括下述胺基酸之一或多者(例如,二、三、四、五、六、七、八、九或十):於殘基4的脯胺酸(proline)、於殘基16的丙胺酸(alanine)、於殘基25的絲胺酸(serine)、於殘基76的纈胺酸(valine)、於殘基103的丙胺酸(alanine)、於殘基122的蘇胺酸(threonine)、於殘基152的異白胺酸(isoleucine)、於殘基213的精胺酸(arginine)、於殘基515的天冬醯胺(asparagine)以及於殘基519的甘胺酸(glycine)。前述所有具體例中,該F蛋白質不具有RSV A2株F蛋白質的完整序列。 In addition, or in the alternative, the F protein may have one or more of the following positions (eg, two, three or four) compared to, for example, SEQ ID NO: 1, 79, 191, 357, and 371 (eg, M79I) , R191K, K358T and Y371N). In certain embodiments, the F protein comprises one or more of the following amino acids (eg, two or more, three or more): methionine at residue 79, Arginine of base 191, lysine at residue 357, and tyrosine at residue 371. In addition, or alternatively, the F The protein may comprise one or more of the following amino acids (eg, two, three, four, five, six, seven, eight, nine or ten): proline at residue 4, at residue Alanine of 16 , serine at residue 25, valine at residue 76, alanine at residue 103, threonine at residue 122 Threonine, isoleucine at residue 152, arginine at residue 213, asparagine at residue 515, and glycine at residue 519 Acid (glycine). In all of the foregoing specific examples, the F protein does not have the complete sequence of the FV protein of the RSV A2 strain.
該仿病毒顆粒可進一步包括RSV的G蛋白質,其為小的疏水性(SH)蛋白質,以及/或基質(M)蛋白質。本發明之仿病毒顆粒亦可包括萃取自RSV病毒株(例如,包括其中該F蛋白質係如本文所述經以RSV病毒系19的F蛋白質置換的RSV病毒株(例如RSV病毒株A2)之RSV病毒株的嵌合性RSV病毒株)的膜的脂質及蛋白質。 The pseudoviral particle may further comprise a G protein of RSV, which is a small hydrophobic (SH) protein, and/or a matrix (M) protein. The pseudoviral particles of the present invention may also comprise RSV extracted from an RSV strain (e.g., including an RSV strain (e.g., RSV strain A2) in which the F protein is replaced by the F protein of RSV virus line 19 as described herein. Lipids and proteins of the membrane of the chimeric RSV strain of the virus strain.
該F蛋白質,如同存在於本發明的仿病毒顆粒,可實質上地呈融合前構型(pre-fusion conformation)。例如,藉由將該曲線的斜率相除所計算的該仿病毒顆粒的5C4/帕利珠單抗的比例,可為至少20%大於(如,至少25%、30%、35%、40%、45%、50%或更大)由RSV A2株所產生的仿病毒顆粒的藉由將該曲線的斜率相除所計算的5C4/帕利珠單抗的比例。 The F protein, like the viable viral particles present in the present invention, can be substantially in a pre-fusion conformation. For example, the ratio of 5C4/palivizumab of the pseudoviral particle calculated by dividing the slope of the curve can be at least 20% greater than (eg, at least 25%, 30%, 35%, 40%) , 45%, 50% or more) The ratio of 5C4/palivizumab calculated by dividing the slope of the curve by the virus-like particles produced by the RSV A2 strain.
本發明的仿病毒顆粒亦可包括佐劑,如皂苷、PHAD(磷酸化六醯基雙糖)、3-D-PHAD(磷酸化六醯基雙糖的3-O-去醯基衍生物)、3-O-D MPLA(單鄰醯基脂質A的3-O-去醯基衍生物)或MPLA(單鄰醯基脂質A)。 The pseudoviral particles of the present invention may also include adjuvants such as saponin, PHAD (phosphorylated hexavalent disaccharide), 3-D-PHAD (3-O-defluorenyl derivative of phosphorylated hexamethylene disaccharide) 3-OD MPLA (3-O-dehydrazinyl derivative of mono-o-decyl lipid A) or MPLA (mono-o-decyl lipid A).
此外,或替代地,仿病毒顆粒可進一步包括一或多種額外的脂質。例如,仿病毒顆粒可包括磷脂質如,舉例而言,磷脂醯膽鹼(PC)類(例如,一或多種合成的或本質純的PC類)及/或磷脂醯乙醇胺(PE)類(例如,一或多種合成的或本質純的PE類)。某些具體例中,一或多種合成的或本質純的PC類之至少一者及一或多種合成的或本質純的PE類之至少一者為仿病毒顆粒中僅有之非病毒磷脂質。再者,仿病毒顆粒可視需要包括固醇或固醇衍生物(例如,類固醇以比例為總添加磷脂質的0至30莫耳%(例如,5至30莫耳%、10至25莫耳%或約20莫耳%)。 Additionally, or alternatively, the pseudoviral particles may further comprise one or more additional lipids. For example, the pseudoviral particles can include phospholipids such as, for example, phospholipid choline (PC) (eg, one or more synthetic or intrinsically pure PCs) and/or phospholipids, ethanolamine (PE) (eg, , one or more synthetic or intrinsically pure PEs). In some embodiments, at least one of the one or more synthetic or intrinsically pure PCs and the one or more synthetic or intrinsically pure PEs are the only non-viral phospholipids in the pseudoviral particles. Furthermore, the pseudoviral particles may optionally include sterol or sterol derivatives (eg, steroids in a ratio of from 0 to 30 mole percent of total added phospholipids (eg, 5 to 30 mole percent, 10 to 25 mole percent) Or about 20 moles).
PC類及PE類可為,例如,莫耳比例3:1至1:3(例如,介於2:1至1:2、3:1至1:1、2:1至1:1、1:1至1:3或1:1至1:2)及/或含有具不飽和鍵之醯基鏈(例如,PC及PE之醯基鏈之各者皆含有一不飽和鍵或醯基鏈中不飽和鍵的總數可為4)。此外,或替代地,該醯基鏈可具有介於14至18個碳原子(例如,16或18個碳原子)。 The PC type and the PE type may be, for example, a molar ratio of 3:1 to 1:3 (for example, between 2:1 to 1:2, 3:1 to 1:1, 2:1 to 1:1, 1) : 1 to 1:3 or 1:1 to 1:2) and/or containing a thiol chain having an unsaturated bond (for example, each of the thiol chains of PC and PE contains an unsaturated bond or a thiol chain) The total number of unsaturated bonds in the middle can be 4). Additionally, or alternatively, the thiol chain can have from 14 to 18 carbon atoms (eg, 16 or 18 carbon atoms).
某些具體例中,本發明之仿病毒顆粒可包括一或多種(例如,二或多種)下述者:1,2-二油醯基-sn-甘油-3-磷酸膽鹼(DOPC)、1,2-二油醯基-sn-甘油-3-磷酸乙醇胺(DOPE)、1,2-二棕櫚醯基-sn-甘油-磷酸乙醇胺(PPPE)以及1-棕櫚醯基-2-油醯基-sn-甘油-磷酸乙醇胺(PLPE)。該等具體例中,本發明之仿病毒顆粒可包括,例如,每mg病毒膜蛋白質約400至450nmol的DOPC、約800至900nmol的DOPE、約250至350nmol的3-D-PHAD及約200至300nmol的膽固醇。 In some embodiments, the pseudoviral particles of the present invention may comprise one or more (eg, two or more) of: 1,2-diolenyl-sn-glycero-3-phosphocholine (DOPC), 1,2-dioleyl-sn-glycero-3-phosphoethanolamine (DOPE), 1,2-dipalmitoyl-sn-glycerol-phosphoethanolamine (PPPE), and 1-palmitoyl-2-olerene Base-sn-glycerol-phosphoethanolamine (PLPE). In such specific examples, the pseudoviral particles of the present invention may include, for example, about 400 to 450 nmol of DOPC per mg of viral membrane protein, about 800 to 900 nmol of DOPE, about 250 to 350 nmol of 3-D-PHAD, and about 200 to 300 nmol of cholesterol.
本發明的仿病毒顆粒可包括佐劑(例如,合成佐劑),該佐劑可包括存在比例為每mg病毒蛋白質之0.01至2mg佐劑(例如,比例為每mg病毒蛋白質之0.1至2mg佐劑、比例為每mg病毒蛋白質之0.5至2mg佐劑或比例為每mg病毒蛋白質約1mg佐劑)。總合成磷脂質對佐劑之莫耳比例可為,例如,介於3及6之間或介於3.5及5之間。某具體例中,總合成磷脂質對佐劑的莫耳比例介於1.5及10之間。 The pseudoviral particles of the present invention may include an adjuvant (for example, a synthetic adjuvant), and the adjuvant may include 0.01 to 2 mg of adjuvant per mg of viral protein (for example, a ratio of 0.1 to 2 mg per mg of viral protein). The agent is in a ratio of 0.5 to 2 mg of adjuvant per mg of viral protein or a ratio of about 1 mg of adjuvant per mg of viral protein). The molar ratio of total synthetic phospholipid to adjuvant may be, for example, between 3 and 6 or between 3.5 and 5. In a specific example, the molar ratio of total synthetic phospholipid to adjuvant is between 1.5 and 10.
本發明之前述具體例之任一者中,仿病毒顆粒可具有,例如,具有低於15%具有顆粒尺寸大於150nm且低於15%小於50nm之介於55至90nm之間的眾數粒徑(modal diameter)的窄尺寸分布。 In any of the foregoing specific examples of the present invention, the pseudoviral particles may have, for example, a mode particle diameter of less than 15% having a particle size of more than 150 nm and less than 15% and less than 50 nm of between 55 and 90 nm. A narrow size distribution of the modal diameter.
另一態樣中,本發明提供醫藥組成物(例如,疫苗)其含有本發明之任何仿病毒顆粒(例如,包括醫藥可接受之載劑、稀釋劑、賦形劑及/或佐劑)。 In another aspect, the invention provides a pharmaceutical composition (e.g., a vaccine) comprising any of the pseudoviral particles of the invention (e.g., comprising a pharmaceutically acceptable carrier, diluent, excipient, and/or adjuvant).
本發明亦提供包括藉由對個體(例如,不具有RSV感染,但處於發展風險的個體)投藥本發明之醫藥組成物以於個體誘發對RSV的免疫應答的方法。 The invention also provides methods comprising administering a pharmaceutical composition of the invention to an individual (e.g., an individual who is not at risk of developing RSV, but at risk of development) to induce an immune response to RSV in the subject.
另一態樣中,本發明提供製造本發明之仿病毒顆粒的方法。該等方法包括(i)將包括RSV系19F的F蛋白質的RSV株(例如,含有其中A2 F蛋白質經以RSV系19F蛋白質置換之RSV株的嵌合RSV)的病毒外膜溶解,以及(ii)於缺乏病毒核酸的情況下再組合病毒外膜。 In another aspect, the invention provides a method of making the virus-like particles of the invention. The methods include (i) dissolving a viral outer membrane comprising an RS protein of the RSV 19F F protein (eg, a chimeric RSV comprising an A2 F protein via an RSV strain 19F protein replacement), and (ii) The virus outer membrane is recombined in the absence of viral nucleic acid.
又一態樣中,本發明特徵為本發明之仿病毒顆粒之使用作為醫藥用於誘發對RSV的免疫應答,使用於預防或 治療RSV感染的方法、及/或用於個體疫苗接種對抗RSV。 In another aspect, the invention features the use of the pseudoviral particles of the invention as a medicament for inducing an immune response to RSV, for use in prevention or Methods of treating RSV infection, and/or for individual vaccination against RSV.
關於「呼吸道融合病毒(RSV)系19的融合(F)蛋白質(RSV系19F蛋白質、RSV L 19F蛋白質或簡稱L19F)」意指具有序列編號:1的序列或實質胺基酸序列相同於(例如,大於80%、85%、90%、95%、96%、97%、98%或99%胺基酸序列相同性)序列編號:1的序列(但不具有RSV A2 F蛋白質的序列)的蛋白質。RSV L19F蛋白質可視需要包括,例如選自下述所成群組之一或多個取代:M79I、R191K、K371N及I557V(限制條件為其不具有RSV A2 F蛋白質的完整序列)。 The fusion (F) protein (RSV line 19F protein, RSV L 19F protein or abbreviated as L19F) of the "Respiratory fusion virus (RSV) line 19" means that the sequence having the sequence number: 1 or the substantial amino acid sequence is identical to (for example) , greater than 80%, 85%, 90%, 95%, 96%, 97%, 98% or 99% amino acid sequence identity) Sequence number: 1 sequence (but without the sequence of the RSV A2 F protein) protein. The RSV L19F protein may optionally include, for example, one or more substitutions selected from the group consisting of M79I, R191K, K371N, and I557V (with the restriction that it does not have the complete sequence of the RSV A2 F protein).
應了解,例如,於N-終端的殘基可能於純化過程中非期望地遺失,且因而RSV L19F蛋白質亦包括該等截短型。 It will be appreciated that, for example, residues at the N-terminus may be undesirably lost during purification, and thus the RSV L19F protein also includes such truncated forms.
用語「百分比(%)胺基酸序列相同性」相對於參考多肽序列係定義為,在對準序列及導入間隙後,以及視需要不考慮任何保留取代作為部分序列相同性時,候選序列中胺基酸殘基與參考多肽序列中胺基酸殘基相同的百分比。對於測定百分比胺基酸序列相同性的目的的對準可以所屬技術領域中的各種方法達成,舉例而言,使用公開可取得之之電腦軟體如BLAST、BLAST-2、ALIGN或Megalign(DNASTAR)軟體。所屬技術領域中具有通常知識者可決定用於對準序列之適合參數,包括魚香比較的序列的全長度中達成極大對準所需的任何演算法。例如,對於序列A的參考多肽,當與序列B的各種多肽比較時,百分比胺基酸序列相同性係計算為:100乘以分數X/Y,其中X為A與B之間相同配比所給分的胺基酸殘基的數,以及其中Y為B多肽序列中胺基酸殘基的總數。 The phrase "percent (%) amino acid sequence identity" is defined relative to a reference polypeptide sequence as an amine in the candidate sequence after alignment of the sequence and introduction of the gap, and, if necessary, without considering any retention substitutions as partial sequence identity. The base acid residue is the same percentage as the amino acid residue in the reference polypeptide sequence. Alignment for the purpose of determining percent amino acid sequence identity can be achieved by various methods in the art, for example, using publicly available computer software such as BLAST, BLAST-2, ALIGN or Megalign (DNASTAR) software. . Those of ordinary skill in the art can determine suitable parameters for the alignment sequence, including any algorithms needed to achieve maximal alignment in the full length of the sequence of fish-sweet comparisons. For example, for a reference polypeptide of Sequence A, when compared to the various polypeptides of Sequence B, the percent amino acid sequence identity is calculated as: 100 times the fraction X/Y, where X is the same ratio between A and B. The number of amino acid residues given, and wherein Y is the total number of amino acid residues in the B polypeptide sequence.
關於使用於本文之「保留性胺基酸取代」,意指於胺基酸序列中,一個胺基酸以基於其側鏈的化學性質為相同家族的胺基酸中的另一個胺基酸置換。一般而言,經編碼的胺基酸可分為四個家族:酸性(天冬胺酸、麩胺酸);鹼性(離胺酸、精胺酸、組胺酸);非極性(丙胺酸、纈胺酸、白胺酸、異白胺酸、脯胺酸、苯丙胺酸、甲硫胺酸、色胺酸);及無電荷極性(甘胺酸、天冬醯胺、麩胺醯胺、半胱胺酸、絲胺酸、蘇胺酸、酪胺酸)。苯丙胺酸、色胺酸及酪胺酸有時成群為芳族胺基酸。類似方式中,胺基酸亦可分別為下述群組:酸性(天冬胺酸、麩胺酸)、鹼性(離胺酸、精胺酸、組胺酸);脂族(甘胺酸、丙胺酸、纈胺酸、白胺酸、異白胺酸、絲胺酸、蘇胺酸),視需要地嘶鞍酸及蘇胺酸分成群為脂族-羥基;芳族(苯丙胺酸、酪胺酸、色胺酸);醯胺(天冬醯胺、麩胺醯胺);以及含硫(半胱胺酸、甲硫胺酸)。 With respect to "reserved amino acid substitution" as used herein, it is meant that in the amino acid sequence, one amino acid is replaced by another amino acid in the same family of amino acids based on the chemical nature of its side chain. . In general, the encoded amino acids can be divided into four families: acidic (aspartic acid, glutamic acid); basic (iso-acid, arginine, histidine); non-polar (alanine) , proline, leucine, isoleucine, valine, phenylalanine, methionine, tryptophan); and no charge polarity (glycine, aspartame, glutamine, Cysteine, serine, threonine, tyrosine). Amphetamine, tryptophan and tyrosine are sometimes grouped as aromatic amino acids. In a similar manner, the amino acids may also be the following groups: acidic (aspartic acid, glutamic acid), basic (aspartic acid, arginine, histidine); aliphatic (glycine) , alanine, valine, leucine, isoleucine, serine, threonine, if necessary, the samaric and sulphonic acid groups are aliphatic-hydroxy; aromatic (phenylalanine) , tyrosine, tryptophan); guanamine (asparagine, glutamine); and sulfur (cysteine, methionine).
本發明提供數種優勢。例如,本發明之仿病毒顆粒,包括RSV L19F蛋白質,相較於包括RSV A2F蛋白質的仿病毒顆粒,誘發較高程度的中和抗體。此中和效價的增加由臨床觀點為重要的,因為對於接種疫苗的回應增加係相關於RSV相關及呼吸道疾病的減低可能性(參照,如Falsey et al.,J.Infect.Dis.198:1317-1326,2008)。此外,本發明之仿病毒顆粒顯示增加的安定性,如本文所述,此為有用的,例如考慮包括該仿病毒顆粒的醫藥組成物的儲架壽命。一般而言,仿病毒顆粒的用途提供其他優勢。例如,仿病毒顆粒的製造不涉及化學品(例如,福馬林)的使用,該等化學品可能修改保護性抗原 決定基,造成減低的免疫原性以及可能造成ERD(參照前文)。 The present invention provides several advantages. For example, the virus-like particles of the invention, including the RSV L19F protein, induce a higher degree of neutralizing antibodies than the virus-like particles comprising the RSV A2F protein. This increase in neutralizing potency is important from a clinical point of view because the increased response to vaccination is associated with a reduced likelihood of RSV-related and respiratory disease (see, for example, Falsey et al., J. Infect. Dis. 198: 1317-1326, 2008). Furthermore, the pseudoviral particles of the present invention exhibit increased stability, as described herein, which is useful, for example, to consider the shelf life of a pharmaceutical composition comprising the pseudoviral particles. In general, the use of pseudoviral particles provides other advantages. For example, the manufacture of pseudoviral particles does not involve the use of chemicals (eg, formalin) that may modify protective antigens Determining the base, resulting in reduced immunogenicity and possible ERD (see above).
本發明的其他特徵及優勢將由下文詳細的說明、實施例、圖式及申請專利範圍而顯而易見。 Other features and advantages of the present invention will be apparent from the description, appended claims, appended claims.
圖1為三個圖的圖板其顯示藉由顆粒尺寸範圍由0至400nm的顆粒濃度(顆粒/ml)所測定之三個著名的病毒株所產生的仿病毒顆粒的尺寸分布。尺寸分布指名RSV A2(頂圖)、RSV A2 L19F(底左圖)及RSV A2 L19F I557V突變株(底右圖)之仿病毒顆粒。 Figure 1 is a panel of three graphs showing the size distribution of pseudoviral particles produced by three well-known virus strains determined by particle size ranging from 0 to 400 nm particle size (particles/ml). The size distribution refers to the pseudoviral particles of RSV A2 (top panel), RSV A2 L19F (bottom left panel) and RSV A2 L19F I557V mutant strain (bottom right panel).
圖2為三個圖的圖板其顯示來自對於三個指定的病毒株各指定離心分液(Fr)所衍生之仿病毒顆粒的密度(g/ml;三角形)、蛋白質濃度(μg/ml;正方形)以及磷酸鹽濃度(nmol/ml;圓形)所測定之平衡密度梯度離心的結果。仿病毒顆粒係衍生自RSV A2(頂圖)、RSV A2 L19F(底左圖)及RSV A2 L19F I557V突變株(底右圖)。 Figure 2 is a panel of three graphs showing the density (g/ml; triangle), protein concentration (μg/ml;) of the pseudoviral particles derived from each of the specified centrifugation (Fr) for each of the three designated strains; Square) and the results of equilibrium density gradient centrifugation as determined by phosphate concentration (nmol/ml; round). The virus-like particle lines were derived from RSV A2 (top panel), RSV A2 L19F (bottom left panel) and RSV A2 L19F I557V mutant strain (bottom right panel).
圖3係顯示藉由對於經對照(HNE)、A2仿病毒顆粒、A2 L19F仿病毒顆粒及A2 L19F I557V之仿病毒顆粒感染的小鼠的每毫升均質肺組織的log10轉形的TCID50所計算的RSV效價圖。 Figure 3 shows the log 10- transformed TCID 50 per milliliter of homogeneous lung tissue in mice infected with control (HNE), A2 virus-like particles, A2 L19F virus-like particles and A2 L19F I557V-like virus particles. Calculated RSV titer chart.
圖4係顯示在初次疫苗接種後2週自經對照(HNE)、A2仿病毒顆粒、A2 L19F仿病毒顆粒及A2 L19F I557V之仿病毒顆粒感染的小鼠的血清所計算之log2轉形的活體外中和效價圖。 Figure 4 shows the log 2 transformation calculated from the serum of mice infected with control (HNE), A2 virus-like particles, A2 L19F virus-like particles and A2 L19F I557V-like virus particles 2 weeks after the initial vaccination. In vitro neutralizing titer map.
圖5係顯示在第二次疫苗接種後2週自經對照(HNE)、A2 仿病毒顆粒、A2 L19F仿病毒顆粒及A2 L19F I557V之仿病毒顆粒感染的小鼠的血清所計算之log2轉形的活體外中和效價圖。 Figure 5 shows the log 2 conversion calculated from the serum of mice infected with control (HNE), A2 virus-like particles, A2 L19F virus-like particles and A2 L19F I557V-like virus particles 2 weeks after the second vaccination. Shape of the in vitro neutralization titer.
圖6係顯示在第二次疫苗接種後2週對於經對照(HNE)、A2仿病毒顆粒、A2 L19F仿病毒顆粒及A2 L19F I557V之仿病毒顆粒感染的小鼠藉由ELISA所設定血清中RSV-特異性IgG抗體的log2轉形的幾何平均效價(GMT)圖。 Figure 6 shows that RSV in serum was set by ELISA for mice infected with control (HNE), A2 virus-like particles, A2 L19F virus-like particles and A2 L19F I557V-like virus particles 2 weeks after the second vaccination. - Geometric mean titer (GMT) map of the log 2 transformation of specific IgG antibodies.
圖7係顯示在第二次疫苗接種後2週自經對照(HNE)、A2仿病毒顆粒、A2 L19F仿病毒顆粒及A2 L19F I557V之仿病毒顆粒感染的小鼠所收集的血清的表示為μg/ml的IgG1同型的濃度圖。 Figure 7 is a graph showing the serum collected from mice infected with control (HNE), A2 virus-like particles, A2 L19F virus-like particles and A2 L19F I557V-like virus particles 2 weeks after the second vaccination. /ml IgG1 isotype concentration map.
圖8係顯示在第二次疫苗接種後2週自經對照(HNE)、A2仿病毒顆粒、A2 L19F仿病毒顆粒及A2 L19F I557V之仿病毒顆粒感染的小鼠所收集的血清的表示為μg/ml的IgG2A同型的濃度圖。 Figure 8 is a graph showing the serum collected from mice infected with control (HNE), A2 virus-like particles, A2 L19F-like virus particles, and A2 L19F I557V-like virus particles 2 weeks after the second vaccination. Concentration plot of /ml IgG2A isotype.
圖9係顯示經對照(HNE)、A2仿病毒顆粒、A2 L19F仿病毒顆粒及A2 L19F I557V之仿病毒顆粒感染的小鼠於研究第0日(初次疫苗接種)、第14日(第二次疫苗接種+1日)、第30/31日及第35日的體重圖。 Figure 9 shows mice infected with control (HNE), A2 virus-like particles, A2 L19F virus-like particles and A2 L19F I557V-like virus particles on study day 0 (primary vaccination), day 14 (second time) Weight chart for vaccination +1 day), 30/31 day and 35th day.
圖10係顯示如於492nm所測定的吸收,其中RSV株A2 F蛋白質(A2)、RSV A2 L19F蛋白質(19F)及RSV A2突變株I557V系19F蛋白質(557)以增加病毒濃度(μg/ml)藉由Synagis®抗體所測定之ELISA結果圖。 Figure 10 shows the absorbance as determined at 492 nm, wherein RSV strain A2 F protein (A2), RSV A2 L19F protein (19F) and RSV A2 mutant strain I557V strain 19F protein (557) to increase virus concentration (μg/ml) ELISA results map as determined by Synagis® antibody.
圖11係顯示如於492nm所測定的吸收,其中RSV株A2 F 蛋白質(A2)、RSV A2 L19F蛋白質(19F)及RSV A2突變株I557V系19F蛋白質(557)以增加病毒濃度(μg/ml)藉由5C4抗體所測定之ELISA結果圖。 Figure 11 shows the absorption as measured at 492 nm, where the RSV strain A2 F Protein (A2), RSV A2 L19F protein (19F) and RSV A2 mutant strain I557V are 19F protein (557) to increase the virus concentration (μg/ml) by ELISA results as determined by 5C4 antibody.
圖12係顯示如於492nm所測定的吸收,其中RSV株A2 F蛋白質(A2)、RSV A2 L19F蛋白質(19F)及RSV A2突變株I557V系19F蛋白質(557)以增加仿病毒顆粒濃度(μg/ml)藉由5C4抗體所測定之ELISA結果圖。 Figure 12 shows the absorbance as determined at 492 nm, wherein RSV strain A2 F protein (A2), RSV A2 L19F protein (19F) and RSV A2 mutant strain I557V strain 19F protein (557) to increase the concentration of the pseudoviral particles (μg/ Ml) ELISA results map as determined by 5C4 antibody.
圖13係顯示如於492nm所測定的吸收,其中RSV株A2 F蛋白質(A2)、RSV A2 L19F蛋白質(19F)及RSV A2突變株I557V系19F蛋白質(557)以增加仿病毒顆粒濃度(μg/ml)藉由Synagis®抗體所測定之ELISA結果圖。 Figure 13 shows the absorbance as determined at 492 nm, in which RSV strain A2 F protein (A2), RSV A2 L19F protein (19F) and RSV A2 mutant strain I557V strain 19F protein (557) to increase the concentration of pseudoviral particles (μg/ Ml) ELISA results graph as determined by Synagis® antibody.
本發明提供包括呼吸道融合病毒(RSV)系19(L19蛋白質)的融合蛋白質的仿病毒顆粒、包括該等仿病毒顆粒的醫藥組成物以及使用及製造該等仿病毒顆粒及組成物的方法。視需要地,本發明之仿病毒顆粒的RSV L19F蛋白質包括一或多個取代(例如,I557V),如下文中進一步解說。本發明之仿病毒顆粒、方法及組成物係本文所述,進一步如下文所述之RSV結構蛋白質的詳細說明。 The present invention provides a pseudovirus particle comprising a fusion protein of a respiratory syncytial virus (RSV) line 19 (L19 protein), a pharmaceutical composition comprising the same, and a method of using and manufacturing the same. Optionally, the RSV L19F protein of the viruvirus particle of the invention comprises one or more substitutions (e.g., I557V), as further explained below. The virus-like particles, methods and compositions of the present invention are described herein further in detail with reference to RSV structural proteins as described below.
RSV包括於膜、融合蛋白質(F)、小的疏水性蛋白質(SH)及基質蛋白質(M)中或相關的四種蛋白質。本發明的具體例包括的仿病毒顆粒包含RSV L19F蛋白質,視需要與RSV G蛋白質、SH蛋白質及M蛋白質(以及脂質成份,如下文所述) 之一者或多者組合。該RSV G蛋白質、SH蛋白質及M蛋白質可為RSV系19者,或可為來自於儒RSV A2株之不同的RSV株者之一者或多者。關於後者的情況,該仿病毒顆粒可由嵌合RSV株製成,如其中A2 F序列係經以RSV系19F序列置換的RSV A2病毒。該嵌合物之實例係揭示於Moore et al.,J.Virol.83(9):4185-4194,2009。 RSV is included in the membrane, fusion protein (F), small hydrophobic protein (SH), and matrix protein (M) or four related proteins. Specific examples of the invention include viable viral particles comprising RSV L19F protein, optionally with RSV G protein, SH protein and M protein (and lipid components, as described below) One or more combinations. The RSV G protein, the SH protein, and the M protein may be 19 of the RSV system or may be one or more of the different RSV strains derived from the Ruth RSV A2 strain. In the latter case, the pseudoviral particles can be made from a chimeric RSV strain, such as the RSV A2 virus in which the A2F sequence is replaced with the RSV 19F sequence. An example of such a chimera is disclosed in Moore et al., J. Virol. 83(9): 4185-4194, 2009.
EMBL FJ614814之RSV L19F蛋白質序列係如下所述: (序列編號:1) The RSV L19F protein sequence of EMBL FJ614814 is as follows: (sequence number: 1)
如上所述者,該RSV L19F蛋白質,如包括於本發明之仿病毒顆粒者,可視需要包括一或多個取代突變。序列編號:1的序列不同於RSV株A2的F蛋白質序列且經度(Long)於5個胺基酸位置(79、191、357、371及557;註解於序列中經下標及寬體;Moore et al.,JVI 2009)。本發明包括RSV L19F(如於本文所述仿病毒顆粒中)的用途,其包括該等胺基酸相對應於呈現於完整RSV A2株的胺基酸之該等胺基酸的一或多個取代,或保留性取代(限制條件為所得F蛋白質序列不為RSV株A2的F蛋白質序列)。因此,本發明包括RSV L19F的 用途,該RSV L19F具有於位置557的異白胺酸以纈胺酸(I557V)或例如丙胺酸、白胺酸、脯胺酸、苯丙胺酸、甲硫胺酸化色胺酸取代;於位置79的甲硫胺酸以異白胺酸(M79I)或例如丙胺酸、纈胺酸、白胺酸、脯胺酸、苯丙胺酸或色胺酸取代;於位置191的精胺酸以離胺酸(R191K)或例如組胺酸、絲胺酸、天冬醯胺或麩胺醯胺取代;於位置357的離胺酸以蘇胺酸(K357T)或例如精胺酸、組胺酸取代;及/或於位置371的酪胺酸以天冬醯胺(Y371N)或例如甘胺酸、麩胺醯胺、半胱胺酸、絲胺酸、蘇胺酸、苯丙胺酸或酪胺酸取代。RSV L19F蛋白質可視需要包括於該等位置之一、二、三、四、或全部五個取代,或其任意組合,限制條件為所得F蛋白質序列不為RSV株A2的F蛋白質序列。突變可使用所屬技術領域中習知的方法製得,包括例如Hotard et al.,Virology 434(1):129-136,2012所揭示之細菌人工染色體(BAC)為主的方法。 As described above, the RSV L19F protein, such as the virion-containing granules included in the present invention, may optionally include one or more substitution mutations. The sequence of SEQ ID NO: 1 is different from the F protein sequence of RSV strain A2 and has a longitude (Long) at 5 amino acid positions (79, 191, 357, 371 and 557; annotated in the sequence by subscript and broad body; Moore Et al., JVI 2009). The invention includes the use of RSV L19F (as in the pseudoviral particles described herein), comprising one or more of the amino acids corresponding to the amino acids present in the amino acid of the intact RSV A2 strain. Substitution, or retention substitution (with the proviso that the resulting F protein sequence is not the F protein sequence of RSV strain A2). Therefore, the present invention includes the RSV L19F For use, the RSV L19F has isoleucine at position 557 substituted with lysine (I557V) or, for example, alanine, leucine, valine, phenylalanine, methionine, tryptophan; Methionine is substituted with isoleucine (M79I) or, for example, alanine, valine, leucine, valine, phenylalanine or tryptophan; arginine at position 191 is lysine (R191K) Or substituted with, for example, histidine, serine, aspartame or glutamine; the lysine at position 357 is substituted with threonine (K357T) or, for example, arginine, histidine; and/or The tyrosine at position 371 is substituted with aspartame (Y371N) or, for example, glycine, glutamine, cysteine, serine, threonine, phenylalanine or tyrosine. The RSV L19F protein may optionally be included in one, two, three, four, or all five of these positions, or any combination thereof, with the proviso that the resulting F protein sequence is not the F protein sequence of RSV strain A2. Mutations can be made using methods well known in the art, including, for example, the bacterial artificial chromosome (BAC) method disclosed by Hotard et al., Virology 434(1): 129-136, 2012.
除了上文所述之取代突變之外,本發明可包括RSV L19F蛋白質的用途,該RSV L19F具有實質胺基酸序列相同於上文所述序列(序列編號:1),具有或不具有指定的取代,限制條件為該序列不為完整RSV A2 F蛋白質序列。因此,例如,使用於本發明之仿病毒顆粒的RSV L19F蛋白質可具有對上述序列(序列編號:1;具有或不具有特定的取代)為大於80%胺基酸序列相同性(例如,大於80%、85%、90%、95%、96%、97%、98%或99%、或更大的序列相同性),限制條件為所得F蛋白質序列不為完整RSV A2F蛋白質序列。對於序列變異性之基因座耐性株的選擇可藉由考慮,例如,不同病毒株 之已知結構及序列構型而進行(例如,考慮病毒株之間;參照例如,Johnson et al.,J.Gen.Virol.69:2623-2628,1988),如同所屬技術領域中所能進行者。此外,融合能力的維持可藉由所屬技術領域習知的方法測定(例如,參照下文)。 In addition to the substitution mutations described above, the invention may include the use of an RSV L19F protein having a substantially amino acid sequence identical to the sequence described above (SEQ ID NO: 1), with or without a designation Substitution, the restriction is that the sequence is not a complete RSV A2 F protein sequence. Thus, for example, an RSV L19F protein for use in a virus-like particle of the invention may have greater than 80% amino acid sequence identity (eg, greater than 80) for the above sequence (SEQ ID NO: 1; with or without a particular substitution). %, 85%, 90%, 95%, 96%, 97%, 98% or 99%, or greater sequence identity), with the proviso that the resulting F protein sequence is not a complete RSV A2F protein sequence. The selection of locus resistant strains for sequence variability can be considered by, for example, different strains The known structure and sequence configuration are carried out (for example, considering between strains; see, for example, Johnson et al., J. Gen. Virol. 69: 2623-2628, 1988), as is done in the art. By. Furthermore, the maintenance of the fusion ability can be determined by methods known in the art (for example, see below).
如上所述,本發明之仿病毒顆粒之改良的功效可能起因於,至少一部份,RSV L19F蛋白質的融合前構型的增加的安定性。因此,本發明之特定具體例中,如上所述,例如,相較於RSV A2 F蛋白質之融合前構型,變異株RSV L19F蛋白質,維持增加的或實質的融合前構型。維持增加的融合前構型意指,例如,當於本發明所述分析中相較於含有RSV A2F的仿病毒顆粒時,例如維持F蛋白質之融合前構型至少20%(例如,至少25%、30%、35%、40%、45%、50%或更多)。 As noted above, the improved efficacy of the virulent virions of the present invention may result from, at least in part, increased stability of the pre-fusion conformation of the RSV L19F protein. Thus, in a particular embodiment of the invention, as described above, for example, the variant RSV L19F protein maintains an increased or substantial pre-fusion configuration compared to the pre-fusion configuration of the RSV A2 F protein. Maintaining an increased pre-fusion conformation means, for example, that when compared to a virus-like particle containing RSV A2F in the assay of the invention, for example, maintaining a pre-fusion conformation of the F protein of at least 20% (eg, at least 25%) , 30%, 35%, 40%, 45%, 50% or more).
已發現對抗獨特於融合前形式中之RSV-F的單株抗體,如C54、AM22及D25,且提供融合前構型測定中之手段(McLellan,J.S.et al.,Science 2013,May 31;340(6136):1113)。其他抗體僅能測定融合前構型或不回應於構型變化的抗原決定基。藉由暴露於低滲透或高溫,RSV-F可被引發構型變化為融合後構型。Synagis®(帕利珠單抗;Medimmune)為辨識呈示於多數RSV株的F蛋白質的構型-非依賴性抗原決定基的人源化小鼠單株抗體。5C4為特異性辨識RSV F蛋白質的融合前構型的小鼠單株抗體。融合前相對於融合後的比例,或融合前相對於恆定的抗原決定基的比例,可使用於數量上地定量融合前構型。該等比例可經由如本發明所述之ELISA分析結果的比較而得知。例如,當根據實施例2所述方法測定時可顯現 5C4/帕利珠單抗比例大於1的蛋白質,如下所述,可藉由曲線斜率的相除而計算。融合亦可直接於融合分析中測量;病毒係經以螢光染料十八醯基若丹明(octadecylrhodamine)的自淬滅濃度標記,以及病毒與細胞的融合係藉由測量螢光去淬滅(fluorescence dequenching)而定量(Srinivasakuma,N.et al.,J.Virol.65(1991)4063-69)。 Individual antibodies against RSV-F unique in pre-fusion formats, such as C54, AM22 and D25, have been found and provide a means of assay in pre-fusion conformation assays (McLellan, J Set al., Science 2013, May 31; 340 (6136): 1113). Other antibodies are only capable of determining the pre-fusion conformation or the epitope that does not respond to changes in conformation. By exposure to low permeation or high temperatures, RSV-F can be induced to change to a post-fusion configuration. Synagis® (Pacliizumab; Medimmune) is a humanized mouse monoclonal antibody that recognizes the conformation-independent epitope of the F protein presented in most RSV strains. 5C4 is a mouse monoclonal antibody that specifically recognizes the pre-fusion conformation of the RSV F protein. The ratio of pre-fusion to post-fusion, or the ratio of pre-fusion to constant epitope, can be used to quantitatively quantify the pre-fusion conformation. Such ratios can be known by comparison of the results of ELISA assays as described herein. For example, it can be visualized when measured according to the method described in Example 2. Proteins with a 5C4/palivizumab ratio greater than 1 can be calculated by dividing the slope of the curve as described below. Fusion can also be measured directly in the fusion assay; the virus is labeled with the self-quenching concentration of the fluorescent dye octadecylrhodamine, and the fusion of the virus with the cells is quenched by measuring fluorescence ( Quantitative dequenching) (Srinivasakuma, N. et al., J. Virol. 65 (1991) 4063-69).
可包括於本發明之仿病毒顆粒的其他RSV結構蛋白質(與RSV L19 F一起,如本文所述)包括RSV G蛋白質、SH蛋白質及/或M蛋白質。該等蛋白質可為來自RSV病毒系19或來自另一RSV株(例如,RSV株A2、株A、Long株、或B株)。於後者的情況中,其中非F-蛋白質係來自非品系19 RSV株之本發明之仿病毒顆粒,如上所述,可由嵌合RSV株(例如,RSV A2 L19 F)產生。一特定實例中,本發明之仿病毒顆粒係由嵌合RSV A2 L19 F製程,具有包括I557V取代突變(亦即,RSV A2 L19 F I557V)。再者,除了天然發生的序列之外,包括於本發明之仿病毒顆粒的非F結構蛋白質,如上所述,可具有序列實質相同於天然發生的序列(參照,例如下文)。 Other RSV structural proteins (along with RSV L19 F, as described herein) that may be included in the pseudoviral particles of the invention include RSV G proteins, SH proteins, and/or M proteins. These proteins may be from the RSV virus line 19 or from another RSV strain (eg, RSV strain A2, strain A, Long strain, or B strain). In the latter case, a non-F-protein derived from a non-lineage 19 RSV strain of the present invention may be produced by a chimeric RSV strain (e.g., RSV A2 L19 F) as described above. In a specific example, the virulent virion particles of the invention are produced by a chimeric RSV A2 L19 F process, comprising an I557V substitution mutation (i.e., RSV A2 L19 F I557V). Further, in addition to the naturally occurring sequence, the non-F structural protein included in the pseudoviral particle of the present invention, as described above, may have a sequence substantially identical to a naturally occurring sequence (see, for example, the following).
可包括於本發明之仿病毒顆粒之RSV A2蛋白質的例示性序列,與如本文所述之RSV系19F蛋白質,一起提供如下。 An exemplary sequence of the RSV A2 protein that can be included in the viruvirus particle of the invention, together with the RSV line 19F protein as described herein, is provided below.
RSV A2 G蛋白質(UniprotKB P03423): (序列編號:2) RSV A2 G protein (UniprotKB P03423): (sequence number: 2)
RSV A2 SH蛋白質(UniprotKB P04852) (序列編號:3) RSV A2 SH Protein (UniprotKB P04852) (sequence number: 3)
RSV A2 M蛋白質(UniprotKB P03419) (序列編號:4) RSV A2 M protein (UniprotKB P03419) (sequence number: 4)
某些具體例中,仿病毒顆粒為含有病毒表面蛋白質(例如,來自具外膜病毒或其截短型或片段的醣蛋白及表面蛋白質)的脂質雙層物。因此,一般而言,仿病毒顆粒可被認為具外膜病毒之再組合膜。仿病毒顆粒可藉由以清潔劑(例如,C12E8、Triton X-100或正辛基-β-D-吡喃葡萄糖苷)或短鏈磷脂質(例如,磷脂醯膽鹼或其衍生物,如1,2-二庚醯基-sn-磷脂醯膽鹼(DHPC)和1,2-二己醯基-sn-磷脂醯膽鹼(DCPC))自具外膜病毒萃取膜及蛋白質而製造。典型地,藉由離心自所萃取的蛋白質及脂質移除病毒核殼蛋白(nucleocapsid)。視需要地,其他成分(例如,佐劑、額外的脂質及/或膽固醇;視需要經溶解於包括清潔劑或短鏈磷脂質之溶液中)與所萃取的蛋白質及脂質混合。然後藉由,例如透析,移除清潔劑或短鏈磷脂質,由此允許之直雙層外膜的在組成及再形成。此造成包括所萃取的膜蛋 白質及脂質以及如上所述的任何額外的成分的仿病毒顆粒的形成。 In some embodiments, the pseudoviral particles are lipid bilayers containing viral surface proteins (eg, from glycoproteins and surface proteins with enveloped viruses or truncated or fragmented fragments thereof). Thus, in general, viable viral particles can be considered as recombination membranes with outer membrane viruses. The virus-like particles can be obtained by using a detergent (for example, C12E8, Triton X-100 or n-octyl-β-D-glucopyranoside) or a short-chain phospholipid (for example, phospholipid choline or a derivative thereof, such as 1,2-hept-acyl - sn - phosphatidylcholine (DHPC) and 1,2-dihexyl acyl - sn - phosphatidylcholine (DCPCs)) was extracted from the viral membrane with the outer membrane protein is produced. Typically, viral nucleocapsids are removed from the extracted proteins and lipids by centrifugation. Optionally, other ingredients (eg, adjuvants, additional lipids and/or cholesterol; dissolved in a solution comprising detergent or short chain phospholipids as needed) are mixed with the extracted protein and lipid. The detergent or short chain phospholipid is then removed by, for example, dialysis, thereby allowing for the composition and reformation of the straight bilayer outer membrane. This results in the formation of pseudoviral particles including the extracted membrane proteins and lipids as well as any additional ingredients as described above.
可使用於製造本發明之仿病毒顆粒的詳細方法係揭示於WO 2004/071492;Stegmann et al.,EMBO J.6:2651-2659,1987;及Kamphuis et al.,Plos One 7(5):e36812,1-11,2012,其全部內容以參考方式併入本文。一特定實例中,簡言之,經純化的病毒係藉由離心形成小粒且溶解於包括1,2-二己醯基-sn-磷脂醯膽鹼(DCPC)之緩衝液。然後藉由離心移除核殼蛋白(nucleocapsid)。後續地,卵磷脂醯膽鹼(PC)及卵磷脂醯乙醇胺(PE)呈例如2:1莫耳混合物,係於玻璃管中蒸發成為乾膜。然後,包括所萃取的脂質及蛋白質之上清液添加至脂質混合物。視需要地,佐劑或其他成分(例如,額外的脂質或膽固醇)係溶解於DCPC且添加至蛋白質/脂質混合物,培養後經過濾及透析以移除DCPC,導致仿病毒顆粒的形成(Kamphuis et al.,supra)。 Detailed methods for making the virus-like particles of the present invention are disclosed in WO 2004/071492; Stegmann et al., EMBO J. 6: 2651-2659, 1987; and Kamphuis et al., Plos One 7 (5): E36812, 1-11, 2012, the entire contents of which are incorporated herein by reference. A particular example, Briefly, purified virus pellet formed by centrifugation-based and was dissolved in 1,2-dihexyl include acyl - sn - phosphatidylcholine buffer (DCPCs) of. The nucleocapsid is then removed by centrifugation. Subsequently, lecithin choline (PC) and lecithin 醯 ethanolamine (PE) are, for example, a 2:1 molar mixture which is evaporated into a dry film in a glass tube. The supernatant, including the extracted lipid and protein, is then added to the lipid mixture. Optionally, adjuvants or other ingredients (eg, additional lipids or cholesterol) are dissolved in DCPC and added to the protein/lipid mixture, filtered and dialyzed after culture to remove DCPC, resulting in the formation of pseudoviral particles (Kamphuis et Al., supra).
除了上述特定方法之外,一般而言,仿病毒顆粒可由任何整合膜蛋白質或外週膜蛋白質,或接合至脂質錨的蛋白質予以組裝。仿病毒顆粒之主要特徵包括其為尺寸足以為免疫系統的噬菌細胞所取用的顆粒,以及其密切地模仿天然病毒外膜的組成物、表面結構及功能活性(特別是膜融合活性)。因此,使用於製造仿病毒顆粒之來自病毒的脂質及整合膜蛋白質,典型地,將呈示於仿病毒顆粒膜。 In addition to the specific methods described above, in general, the pseudoviral particles can be assembled from any integral membrane protein or peripheral membrane protein, or a protein conjugated to a lipid anchor. The main features of the pseudoviral particles include those taken from phagocytes of sufficient size for the immune system, as well as compositions, surface structures and functional activities (especially membrane fusion activities) that closely mimic the outer membrane of the natural virus. Thus, viral-derived lipids and integrated membrane proteins used to make viru-like viral particles will typically be presented to a pseudoviral particle membrane.
包括RSV系19F蛋白質(如本文所述)之本發明的仿病毒顆粒,典型地將包括來自獲得其等之病毒的脂質(例如,RSV L19、RSV A2 L19 F或RSV A2 L19 F I557V)。除了 該等脂質,仿病毒顆粒可視需要地併入其他成分如,例如,兩親(amphiphilic)佐劑(例如參照WO 2004/110486)、其他脂質類(例如磷脂醯膽鹼(PC)類及/或磷脂醯乙醇胺(PE)類)、及/或固醇或其衍生物。為了將該等其他成分併入本發明之仿病毒顆粒,且與前文所述一致,病毒係以清潔劑或短鏈磷脂質溶解,移除病毒核殼蛋白,然後視需要地溶解於相同的清潔劑或短鏈磷脂質之其他成分,添加至經融解的病毒膜。然後移除清潔劑或短鏈磷脂質,造成包括病毒膜蛋白質及脂質以及其他成分的仿病毒顆粒的形成。 A virus-like particle of the invention comprising an RSV line 19F protein (as described herein) will typically comprise a lipid from a virus from which it is obtained (e.g., RSV L19, RSV A2 L19 F or RSV A2 L19 F I557V). apart from Such lipids, pseudoviral particles may optionally be incorporated into other ingredients such as, for example, amphiphilic adjuvants (e.g., see WO 2004/110486), other lipids (e.g., phospholipid choline (PC) and/or Phospholipids, ethanolamine (PE), and/or sterols or derivatives thereof. In order to incorporate such other ingredients into the viable viral particles of the invention, and consistent with the foregoing, the virus is solubilized with detergent or short chain phospholipids, the viral nucleocapsid protein is removed, and then dissolved as needed in the same cleansing The other component of the agent or short-chain phospholipid is added to the melted viral membrane. The detergent or short chain phospholipids are then removed, resulting in the formation of virus-like particles including viral membrane proteins and lipids as well as other components.
可依此方式併入至仿病毒顆粒中之佐劑的實例包括MPLA(單磷醯基脂質A)及MPLA衍生物(例如,3’-O-去醯基MPLA、3D MPLTM(3’-O-去醯基單磷醯基脂質A)、MPLA及MPLA衍生物的合成物(例如,磷醯基化六醯基雙糖(PHAD,其亦已知為吡喃葡糖苷脂質A或GLA)及PHAD的3’-O-去醯基衍生物(3-D-PHAD))、皂苷(例如,OS21)、脂質化咪唑并喹啉(例如參照WO 2010/048520及US 2011/0282061)、脂質化刺激肽(例如,Pam3CSK4及L-18胞壁醯二肽(L 18-MDP))及維生素D及維生素D衍生物。本文中MPLA的用途係揭示於,例如,WO 2004/110486;Stegmann et al.,如前文所述;以及Kamphois et al.,如前文所述。本文之仿病毒顆粒中Pam3CSK4及L18-MDP的用途,係揭示於Shafique et al.,PlosOne 8(4):e61287,1-12,2013。 In this manner may be incorporated into viral particles imitation of adjuvants include MPLA (monophosphoryl lipid acyl A) and MPLA derivatives (e.g., 3'-O- to acyl MPLA, 3D MPL TM (3'- A composition of O-deindenyl monophosphonyl lipid A), MPLA and MPLA derivatives (eg, phosphonium hexamethylene disaccharide (PHAD, also known as glucopyranoside lipid A or GLA) And 3'-O-dedecyl derivatives of PHAD (3-D-PHAD)), saponins (for example, OS21), lipidated imidazoquinolines (for example, see WO 2010/048520 and US 2011/0282061), lipids Stimulating peptides (for example, Pam 3 CSK 4 and L-18 cell wall dipeptide (L 18-MDP)) and vitamin D and vitamin D derivatives. The use of MPLA herein is disclosed, for example, in WO 2004/110486 Stegmann et al., as described above; and Kamphois et al., as described above. The use of Pam 3 CSK 4 and L18-MDP in the pseudoviral particles herein is disclosed in Shafique et al., PlosOne 8 ( 4): e61287, 1-12, 2013.
除了病毒脂質外,本發明之功能性再組合病毒膜可包含來自其他來源的經純化脂質,例如,經純化脂質或合成脂質。其他脂質可於製備過程中添加至仿病毒顆粒膜。一般而 言,當添加類似於病毒來源脂質者或接近組裝病毒外膜之脂質組成物的脂質混合物時,仿病毒顆粒之融合活性係最適化地維持。因此,根據本發明,廣範圍的脂質可包含於病毒膜中。脂質群組包含中性及帶電荷之磷脂質、固醇衍生脂質及中性及帶電荷之合成脂質。因此,提供於具有融合活性之仿病毒顆粒之脂質組成物可為得自或可得自天然病毒膜之組成物。因而使用於本發明之脂質組成物包括僅由病毒天然脂質所組成之組成物、補充有來自其他來源的脂質之病毒天然脂質所組成之組成物、以及由各種來源之脂質所組成之組成物,其模仿天然病毒膜之脂質組成物。本發明之仿病毒顆粒可包含選自下列成群組之一種或多種脂質:陽離子性脂質、合成脂質、糖脂質、磷脂質、固醇及其等之衍生物。較佳脂質包括固醇如膽固醇,及磷脂質如磷醯脂膽鹼(PC)、鞘磷脂(SPM)、磷脂醯乙醇胺(PE)及磷脂醯絲胺酸(PS)。然而,亦可添加其他磷脂。該等包括,但不限於,磷脂醯甘油(PG)、磷脂醯酸(PA)、心脂(CL)及磷脂醯肌醇(PI),具有變化的脂肪醯基組成物及天然及/或合成來源,及磷酸聯十六烷基酯。亦可添加神經醯胺及各種糖脂質,如腦苷酯及神經節苷酯。可併入至本發明之仿病毒顆粒之固醇衍生物的實例包括膽固醇半琥珀酸酯,植物固醇如羊毛甾醇、麥角固醇及維生素D與維生素D相關化合物。 In addition to viral lipids, the functional recombination viral membranes of the invention may comprise purified lipids from other sources, for example, purified lipids or synthetic lipids. Other lipids can be added to the membrane of the pseudoviral particles during the preparation process. Generally In other words, when a lipid mixture similar to a virus-derived lipid or a lipid composition close to the assembled outer membrane of a virus is added, the fusion activity of the pseudoviral particles is optimally maintained. Thus, in accordance with the present invention, a wide range of lipids can be included in the viral membrane. The lipid group comprises neutral and charged phospholipids, sterol-derived lipids, and neutral and charged synthetic lipids. Thus, the lipid composition provided with the fusion-active pseudoviral particles can be a composition obtained or obtainable from a natural viral membrane. Thus, the lipid composition for use in the present invention includes a composition consisting only of a viral natural lipid, a composition consisting of a virus natural lipid supplemented with a lipid derived from another source, and a composition composed of lipids of various origins, It mimics the lipid composition of a natural viral membrane. The pseudoviral particles of the present invention may comprise one or more lipids selected from the group consisting of cationic lipids, synthetic lipids, glycolipids, phospholipids, sterols, and the like. Preferred lipids include sterols such as cholesterol, and phospholipids such as phospholipid choline (PC), sphingomyelin (SPM), phospholipid oxime ethanolamine (PE), and phospholipid lysine (PS). However, other phospholipids may also be added. These include, but are not limited to, phospholipid glycerol (PG), phospholipid citrate (PA), heart fat (CL), and phospholipid creatinine (PI), with varying fatty sulfhydryl compositions and natural and/or synthetic Source, and cetyl phosphate. Ceramide and various glycolipids such as cerebrosides and gangliosides may also be added. Examples of sterol derivatives which may be incorporated into the pseudoviral particles of the present invention include cholesterol hemisuccinates, phytosterols such as lanosterol, ergosterol, and vitamin D and vitamin D related compounds.
各種具體例中,本發明之仿病毒顆粒具有顯著小於220nm的眾數粒徑,以有助於過濾器滅菌。因此,本發明之仿病毒顆粒可具有範圍40至200nm的直徑(顆粒尺寸),例如,自50nm至100nm、和70nm至130nm。各種實例中,RSV仿 病毒顆粒具有均質尺寸分布為小於10至15%具有顆粒尺寸大於150nm之仿病毒顆粒,以及小於10至15%具有顆粒尺寸小於50nm。因此,於各種實例中,眾數粒徑可為小於90nm或小於85nm。例如眾數粒徑可為範圍55至90nm、58至82nm、65至80nm、65至77nm、68至78nm、68至78nm或69至74nm。 In various embodiments, the virulent virions of the present invention have a mode particle size significantly less than 220 nm to aid in filter sterilization. Therefore, the pseudovirus particles of the present invention may have a diameter (particle size) ranging from 40 to 200 nm, for example, from 50 nm to 100 nm, and from 70 nm to 130 nm. In various examples, RSV imitation The viral particles have a homogeneous size distribution of less than 10 to 15% of viable virus particles having a particle size greater than 150 nm, and less than 10 to 15% having a particle size of less than 50 nm. Thus, in various examples, the mode particle size can be less than 90 nm or less than 85 nm. For example, the mode particle size can range from 55 to 90 nm, 58 to 82 nm, 65 to 80 nm, 65 to 77 nm, 68 to 78 nm, 68 to 78 nm, or 69 to 74 nm.
此段落之其餘部分揭示包括特定成分之仿病毒顆粒組成物,以特定量包括佐劑、脂質及膽固醇。此仿病毒顆粒組成物可使用於本文之RSV仿病毒顆粒,其包括RSV系19之F蛋白質(視需要包括如本文所揭示之取代(例如,I557V;參照前文))且視需要自包括其中F序列經以RSV系19F序列(視需要包括如本文所述之取代突變;例如RSV A2 L19F I557V))之RSV A2之嵌合RSV製得。在如本文所述之含有RSV L19 F蛋白質之仿病毒顆粒的內容之外之此特定類型之仿病毒顆粒組成物之用途,不涵括於本發明。 The remainder of this paragraph discloses a composition of a pseudoviral particle comprising a specific component, including adjuvants, lipids and cholesterol in specific amounts. This pseudoviral particle composition can be used in the RSV pseudoviral particles herein, including the F protein of the RSV line 19 (including substitutions as disclosed herein (eg, I557V; see above), and including F as needed) The sequence was made by chimeric RSV of RSV A2 of the RSV line 19F sequence (including substitution mutations as described herein; eg, RSV A2 L19F I557V). The use of this particular type of pseudoviral particle composition other than the content of the RSV L19 F protein-containing pseudoviral particles as described herein is not encompassed by the present invention.
根據此實例之仿病毒顆粒包含:(i)萃取自RSV膜的脂質及蛋白質(具有為RSV系19 F的F蛋白質,如前文所述);(ii)選自PHAD及3-D-PHAD所成群組之合成佐劑,較佳以每mg病毒蛋白質為0.01至2mg佐劑的比例;(iii)至少一種合成的或本質純的磷脂醯膽鹼(PC)類及至少一種合成的或本質純的磷脂醯乙醇胺(PE)以3:1至1:3的莫耳比例,特徵在於該醯基鏈具有介於14至18個碳原子,醯基鏈中的不飽和鍵總數為四,以及總合成磷脂質對佐劑的莫耳比例係介於1.5至10;以及(iv)總添加磷脂質之0至30莫耳%的比例之固醇或固醇衍生物。 The pseudoviral particles according to this example comprise: (i) lipids and proteins extracted from the RSV membrane (having an F protein of the RSV line 19 F, as described above); (ii) selected from the group consisting of PHAD and 3-D-PHAD a group of synthetic adjuvants, preferably in a ratio of 0.01 to 2 mg adjuvant per mg of viral protein; (iii) at least one synthetic or essentially pure phospholipid choline (PC) class and at least one synthetic or essential Pure phospholipid oxime ethanolamine (PE) in a molar ratio of from 3:1 to 1:3, characterized in that the thiol chain has from 14 to 18 carbon atoms and the total number of unsaturated bonds in the thiol chain is four, and The molar ratio of the total synthetic phospholipid to the adjuvant is between 1.5 and 10; and (iv) the sterol or sterol derivative in a proportion of from 0 to 30 mol% of the total added phospholipid.
如使用於此實例,表示為「合成的或本質純的」意指外部性添加經定義品質、純度及化學結構之非病毒磷脂質。其不必意指萃取自天然來源之混合脂肪酸組成物之精純化或半純化的磷脂質,如組織衍生的、植物衍生的或卵衍生的PC及PE。此實例之一具體例中,該合成的或本質純的PC類及PE類係跟據優良製造規範準則(cGMP)所製造。合成的或本質純著PC類及PE類為市售可取得,例如,得自Avanti Polar Lipids,Alabaster,AL。一具體例中,該至少一種合成的或本質純的PC類及至少一種合成的或本質純的PE類為該仿病毒顆粒中僅有的非病毒磷脂質。 As used herein, the expression "synthetic or intrinsically pure" means the addition of a non-viral phospholipid of defined quality, purity and chemical structure to the externalities. It does not necessarily mean a purified or semi-purified phospholipid extracted from a mixed fatty acid composition of natural origin, such as tissue-derived, plant-derived or egg-derived PC and PE. In one embodiment of this example, the synthetic or intrinsically pure PC and PE systems are manufactured in accordance with Good Manufacturing Practices (cGMP). Synthetic or essentially pure PC and PE grades are commercially available, for example, from Avanti Polar Lipids, Alabaster, AL. In one embodiment, the at least one synthetic or intrinsically pure PC and at least one synthetic or intrinsically pure PE are the only non-viral phospholipids in the pseudoviral particles.
當合成的PE及PC具有介於14至18個碳原子且醯基鏈中不飽和鍵的總數為四時,具有所期望性質的RSV仿病毒顆粒係根據此實例製得。較佳地,PC及PE皆含有具有不飽和鍵的醯基鏈。醯基鏈可為單不飽和或二不飽和。由其減少可能氧化的觀點,較佳為單不飽和醯基鏈。例如,提供一種RSV仿病毒顆粒(具有RSV系19F蛋白質,如本文所述)其中PC及PE之各醯基鏈皆含有一不飽和鍵。一具體例中,PC類及/或PE類為對稱的磷脂質,亦即,包含於甘油主幹的sn-1及sn-2位置相同的醯基鏈。雖然設想二種或更多種不同的合成的PC類及/或PE類的摻混物,根據本發明此實例之RSV仿病毒顆粒(包括RSV系19F蛋白質,如本文所述)典型包含一種合成的或本質純的PC類及一種合成的或本質純的PE類。 When the synthesized PE and PC have between 14 and 18 carbon atoms and the total number of unsaturated bonds in the thiol chain is four, RSV-like virus particles having the desired properties are prepared according to this example. Preferably, both PC and PE contain a thiol chain having an unsaturated bond. The thiol chain can be monounsaturated or diunsaturated. From the standpoint of reducing possible oxidation, a monounsaturated thiol chain is preferred. For example, an RSV-like virus particle (having an RSV line 19F protein, as described herein) is provided wherein each of the thiol chains of PC and PE contains an unsaturated bond. In a specific example, the PC type and/or the PE type are symmetric phospholipids, that is, the sulfhydryl chains having the same positions of sn -1 and sn -2 in the glycerol trunk. Although two or more different synthetic PC-based and/or PE-based blends are contemplated, the RSV-like viral particles (including the RSV-based 19F protein, as described herein) according to this example of the invention typically comprise a synthetic Or intrinsically pure PCs and a synthetic or essentially pure PE class.
一具體例中,合成的PC及/或PE中的醯基鏈具有16或18個碳原子,較佳為18個碳原子。較佳地,PC及PE 之醯基鏈中的碳原子總數為至少70。若碳原子總數為72則可獲得非常優異的結果。 In one embodiment, the thiol chain in the synthesized PC and/or PE has 16 or 18 carbon atoms, preferably 18 carbon atoms. Preferably, PC and PE The total number of carbon atoms in the base chain is at least 70. Very good results are obtained if the total number of carbon atoms is 72.
以包含選自下列群組之一種或多種之RSV仿病毒顆粒獲得優異的結果:1,2-二油醯基-sn-甘油-3-磷酸膽鹼(DOPC)、1,2-二油醯基-sn-甘油-3-磷酸乙醇胺(DOPE)、1,2-二棕櫚醯基-sn-甘油-磷酸乙醇胺(PPPE)以及1-棕櫚醯基-2-油醯基-sn-甘油-磷酸乙醇胺(PLPE)。較佳地,提供RSV仿病毒顆粒(包括RSV系19F蛋白質,如本文所述),包含由合成的DOPC、DOPE、PLPE及PLPC所成群組選出之二者或更多者。 Excellent results were obtained with RSV-like virus particles comprising one or more selected from the group consisting of 1,2-dioleryl- sn -glycero-3-phosphocholine (DOPC), 1,2-dione yl - Sn - glycero-3-phosphoethanolamine (DOPE), 1,2- dipalmitoyl acyl - Sn - glycerol - phosphoethanolamine (PPPE) and 1-palmitoyl-2-oleyl acyl acyl - Sn - glycerol - phosphate Ethanolamine (PLPE). Preferably, RSV-like virus particles (including RSV line 19F proteins, as described herein) are provided, comprising two or more selected from the group consisting of synthetic DOPC, DOPE, PLPE, and PLPC.
一特定態樣中,RSV仿病毒顆粒(包括RSV系19F蛋白質,如本文所述)包含由合成的DOPC所組成的合成的PC及由DOPE所組成的合成的PE。 In a particular aspect, the RSV-like viral particles (including the RSV-based 19F protein, as described herein) comprise a synthetic PC consisting of synthetic DOPC and a synthetic PE consisting of DOPE.
本發明之此實例之改良的RSV仿病毒顆粒(包括RSV系19F蛋白質,如本文所述),係再特徵化於合成的或本質純的PC類及合成的或本質純的PE類之間的莫耳比例係介於3:1至1:3。較佳地,該比例介於2:1至1:2。 The improved RSV-like viral particles of this example of the invention (including the RSV-based 19F protein, as described herein) are re-characterized between synthetic or essentially pure PCs and synthetic or essentially pure PEs. The molar ratio is between 3:1 and 1:3. Preferably, the ratio is between 2:1 and 1:2.
一具體例中,合成的PC係使用量為等於或超過合成的PE的使用量。因此,提供RSV仿病毒顆粒(包括RSV系19F蛋白質,如本文所述)包含合成的PC類及合成的PE類以莫耳比例介於3:1至1:1,較佳為2:1至1:1。一特定態樣中,PC存在超過PE,例如以莫耳比例介於3:1至多達1:1,較佳為2:1至多達1:1。 In one embodiment, the amount of PC synthesized is equal to or exceeds the amount of synthetic PE used. Thus, RSV-like virus particles (including RSV-based 19F proteins, as described herein) are provided comprising synthetic PCs and synthetic PEs in a molar ratio of from 3:1 to 1:1, preferably from 2:1 to 1:1. In a particular aspect, the PC is present in excess of PE, for example in a molar ratio of from 3:1 up to 1:1, preferably from 2:1 up to 1:1.
另一較佳具體例中,合成的PC係使用量為等於或少於合成的PE的使用量。因此,提供RSV仿病毒顆粒(包括 RSV系19F蛋白質,如本文所述)包含合成的PC類及合成的PE類以莫耳比例介於1:1至1:3,較佳為1:1至2:1。特定較佳態樣中,PE存在超過PC,例如以莫耳比例介於3:1至多達1:1,較佳為2:1至多達1:1。 In another preferred embodiment, the synthesized PC is used in an amount equal to or less than the amount of synthetic PE used. Therefore, provide RSV-like virus particles (including The RSV line 19F protein, as described herein, comprises a synthetic PC class and a synthetic PE class with a molar ratio of from 1:1 to 1:3, preferably from 1:1 to 2:1. In a particular preferred embodiment, the PE is present in excess of PC, for example in a molar ratio of from 3:1 up to 1:1, preferably from 2:1 up to 1:1.
進一步的分病毒脂質的添加可增強仿病毒顆粒之一種或多種期望的性質。例如,可添加膽固醇以增加仿病毒顆粒之儲存安定性。一具體例中,RSV仿病毒顆粒(包括RSV系19F蛋白質,如本文所述)包含以總添加磷脂質之5至30莫耳%範圍的膽固醇,較佳為10至25莫耳%,更佳為約20莫耳%。較佳具體例中,仿病毒顆粒包含DOPC、DOPE及膽固醇,較佳為其中DOPE係存在超過,例如至少1.5倍的DOPC。 The addition of further viral lipids enhances one or more desirable properties of the pseudoviral particles. For example, cholesterol can be added to increase the storage stability of the virus-like particles. In a specific embodiment, the RSV-like viral particles (including the RSV-based 19F protein, as described herein) comprise cholesterol in the range of from 5 to 30 mol%, preferably from 10 to 25 mol%, more preferably, based on total phospholipid added. It is about 20% by mole. In a preferred embodiment, the pseudoviral particles comprise DOPC, DOPE and cholesterol, preferably wherein the DOPE is present in excess of, for example at least 1.5 times, DOPC.
已發現總合成的磷脂質對於合成的佐劑的莫耳比例介於1.5至10係相關於根據本發明實例之RSV仿病毒顆粒之性質。當比例介於3至6,較佳介於3.5至5,可獲得優良結果。特定態樣中,比例介於3.4至4.5,如3.8、3.9、4.0、4.1、4.2、4.3、4.4或4.5。 It has been found that the molar ratio of total synthesized phospholipids to synthetic adjuvants ranging from 1.5 to 10 is related to the nature of the RSV pseudoviral particles according to the examples of the present invention. Good results are obtained when the ratio is between 3 and 6, preferably between 3.5 and 5. In a particular aspect, the ratio is between 3.4 and 4.5, such as 3.8, 3.9, 4.0, 4.1, 4.2, 4.3, 4.4 or 4.5.
本發明之此實例之RSV仿病毒顆粒(包括RSV系19F蛋白質,如本文所述)係特徵化於存在合成的佐劑其選自PHAD(磷酸化六醯基雙糖)及其3-O-去醯基衍生物,3-D-PHAD。二者皆為所屬技術領域習知之合成的TLR-4促效劑。PHAD亦為所屬技術領域指稱吡喃葡糖苷脂質A或GLA。參照Lousada-Dietrich et al.,Vaccine.2011 Apr 12;29(17):3284-92。 The RSV pseudoviral particles of this example of the invention (including the RSV line 19F protein, as described herein) are characterized by the presence of a synthetic adjuvant selected from the group consisting of PHAD (phosphorylated hexamethylene disaccharide) and its 3-O- Demethylated derivative, 3-D-PHAD. Both are synthetic TLR-4 agonists well known in the art. PHAD is also referred to in the art as glucopyranoside lipid A or GLA. Reference is made to Lousada-Dietrich et al., Vaccine. 2011 Apr 12;29(17):3284-92.
一具體例中,RSV仿病毒顆粒含有PHAD,其具有
下述結構(名稱14表示各醯基鏈中碳原子之總數):
較佳具體例中,仿病毒顆粒含有3-D-PHAD其具有下述結構:
合成的佐劑係使用於本發明此實例之RSV仿病毒顆粒(包括RSV系19F蛋白質,如本文所述)較佳以每mg病毒蛋白質為0.01至2mg的比例,更佳以每mg病毒蛋白質為0.5至2mg的比例,例如約每mg病毒蛋白質約1mg,視需要地與總合成磷脂質對佐劑的莫耳比例係介於3至6,較佳介於3.5至5。 Synthetic adjuvants The RSV-like viral particles (including the RSV-based 19F protein, as described herein) used in this example of the invention are preferably at a ratio of 0.01 to 2 mg per mg of viral protein, more preferably per mg of viral protein. The ratio of 0.5 to 2 mg, for example about 1 mg per mg of viral protein, is optionally between 3 and 6, preferably between 3.5 and 5, based on the molar ratio of the total synthetic phospholipid to the adjuvant.
特定具體例中,本發明此實例之RSV仿病毒顆粒(包括RSV系19F蛋白質,如本文所述)包含每mg病毒膜蛋白質約400至450nmol DOPC、約800至900nmol DOPE、約250至350nmol 3-DPHAD及約200至300nmol膽固醇。 In a particular embodiment, the RSV-like viral particles of this example of the invention (including the RSV-based 19F protein, as described herein) comprise from about 400 to 450 nmol DOPC, from about 800 to 900 nmol DOPE, from about 250 to 350 nmol 3-mg per mg of viral membrane protein. DPHAD and about 200 to 300 nmol of cholesterol.
本發明亦提供醫藥組成物(例如,疫苗),其含有本發明之一或多種仿病毒顆粒(包括RSV系19F蛋白質,如本文所述)以及醫藥可接受載劑、稀釋劑、賦形劑及/或佐劑。依藥可接受安定劑、滲透劑、緩衝劑、分散劑等亦可包括於本發明之醫藥組成物中。使用的形式取決於投藥及治療應用的目的。醫藥組成物可包括適用於遞送仿病毒顆粒至患者的任何相容的、非毒性的物質。 The invention also provides a pharmaceutical composition (eg, a vaccine) comprising one or more of the pseudoviral particles of the invention (including RSV line 19F protein, as described herein) and a pharmaceutically acceptable carrier, diluent, excipient, and / or adjuvant. A pharmaceutically acceptable tranquilizer, penetrant, buffer, dispersant or the like may also be included in the pharmaceutical composition of the present invention. The form of use depends on the purpose of the administration and therapeutic application. The pharmaceutical composition can include any compatible, non-toxic substance suitable for delivery of the virus-like particles to the patient.
使用於本文之用語「醫藥可接受」,係關於化合物、組分、材料、組成物、劑型等,於經深思熟慮之醫療決定(sound medical judgment)範疇中,其係適合使用於與有疑問對象(例如,人類)的組織接觸而無過度的毒性、刺激性、過敏回應或其他有問題的併發症,有相稱的合理利弊比例(benefit/risk ratio)。各載劑、稀釋劑、賦形劑等亦必需就意義而言為「可接受」於相容於調配物之其他組分。合適的載劑、稀釋劑、賦形劑等,以及其使用方法,可見於標準醫藥文件,例如,Remington’s Pharmaceutical Sciences,18th edition,Mack Pyblishing Company,Easton,PA,1990;及Handbook of Pharmaceutical Excipients,5th edition,2005,其各者全文對於所有目的以參考方式併入本文。 As used herein, the term "medical acceptable" relates to compounds, components, materials, compositions, dosage forms, etc., which are suitable for use in questionable objects in the context of well-thought-out medical decisions. For example, humans have tissue exposure without excessive toxicity, irritation, allergic response, or other problematic complications, with a reasonable proportion of benefits/risk ratio. Each carrier, diluent, excipient, etc. must also be "acceptable" in the sense of being compatible with the other components of the formulation. Suitable carriers, diluents, excipients, etc., as well as methods of use thereof, can be found in standard pharmaceutical documents, e.g., Remington's Pharmaceutical Science s, 18 th edition, Mack Pyblishing Company, Easton, PA, 1990; and Handbook of Pharmaceutical Excipients , 5 th edition, 2005, their respective entirety for all purposes by reference herein.
基於或部分基於醫藥組成物遞送的途徑而選擇調配物。本發明之醫藥組成物可藉由可接受途徑遞送,例如,黏膜途徑(例如,鼻內、肺內或口內)以及非腸道途徑(例如,藉由肌肉內、血管內(例如,靜脈內或動脈內)或腹膜內注射)。 Formulations are selected based on or based in part on the route of delivery of the pharmaceutical composition. The pharmaceutical compositions of the present invention can be delivered by an acceptable route, for example, a mucosal route (eg, intranasal, intrapulmonary or intraoral) and a parenteral route (eg, by intramuscular, intravascular (eg, intravenous) Or intra-arterial) or intraperitoneal injection).
調配物可適合於液體、溶液(例如,水性、飛水性)、懸浮液(例如,水性、非水性)、乳化物(例如,水中油型、油中水型)、酏劑、糖漿、舐劑、膠囊(包括,例如硬及軟明膠膠囊)、藥餅(cachet)、丸劑、安瓿、大藥丸、栓劑、子宮劑、酊劑、凝膠、貼劑、軟膏、乳劑、洗劑、油劑、發泡劑、噴霧劑或氣霧劑,而可為所述技術領域中具有通常知識者予以選擇。 Formulations may be suitable for liquids, solutions (eg, aqueous, water-based), suspensions (eg, aqueous, non-aqueous), emulsions (eg, water-based, oil-in-water), elixirs, syrups, elixirs. , capsules (including, for example, hard and soft gelatin capsules), cachets, pills, ampoules, large pills, suppositories, uterine agents, tinctures, gels, patches, ointments, emulsions, lotions, oils, hair A foaming agent, spray or aerosol can be selected by those of ordinary skill in the art.
適合用於鼻內投藥的調配物,其載劑為液體,可以鼻內噴灑、鼻內滴劑或噴霧器氣霧劑的形式投藥。用於鼻內遞送之醫藥可接受載劑可例舉含有吳俊畫舫病毒顆粒、水、緩衝生理鹽溶液、甘油、聚山梨醇酯20、cremophor EL、辛/癸甘油酯之粉劑且可經緩衝以提供中性pH環境。 A formulation suitable for intranasal administration, the carrier of which is a liquid, can be administered in the form of intranasal spray, intranasal drip or nebulizer aerosol. The pharmaceutically acceptable carrier for intranasal delivery may, for example, be a powder containing Wu Jun painted prion particles, water, buffered physiological saline solution, glycerin, polysorbate 20, cremophor EL, octyl/anthracene glyceride, and may be buffered. To provide a neutral pH environment.
適合用於肺投藥的調配物(例如,藉由吸入或吸氣療法)包括存在為自經壓包裝之氣霧噴灑形式者,利用合適的推進劑,如二氯二氟甲烷、三氯氟甲烷、二氯-四氟乙烷、二氧化碳或其他合適的氣體。 Formulations suitable for pulmonary administration (for example, by inhalation or inhalation therapy) include those in the form of aerosol sprays that are self-pressurized, using suitable propellants such as dichlorodifluoromethane, trichlorofluoromethane , dichloro-tetrafluoroethane, carbon dioxide or other suitable gas.
適合用於非腸道內投藥的調配物(例如,藉由肌肉內、血管內或腹膜內注射),包括水性或非水性、等張性、無熱原性、無菌液體(例如,溶液、懸浮液),其中仿病毒顆粒係經懸浮於或其他方法而提供。該液體可額外地含有其他醫藥可接受組分,如抗氧化劑、緩衝劑、防腐劑、安定劑、抑菌劑、 懸浮劑、增稠劑、及賦予調配物與意圖的接受者的血液(或其他相關體液)為等張的溶質。賦形劑的實例包括,例如水、醇類、多元醇類、甘油、蔬菜油等。使用於該調配物之合適的等張載劑的實例包括氯化鈉注射物、林格氏液或乳酸化林格氏注射物。 Formulations suitable for parenteral administration (for example, by intramuscular, intravascular or intraperitoneal injection), including aqueous or non-aqueous, isotonic, pyrogen-free, sterile liquids (eg, solutions, suspensions) Liquid), wherein the pseudoviral particles are provided by suspension or other methods. The liquid may additionally contain other pharmaceutically acceptable components such as antioxidants, buffers, preservatives, stabilizers, bacteriostats, Suspending agents, thickening agents, and blood (or other related bodily fluids) that impart a formulation to the intended recipient are isotonic solutes. Examples of the excipient include, for example, water, alcohols, polyols, glycerin, vegetable oil, and the like. Examples of suitable isotonic carriers for use in the formulation include sodium chloride injection, Ringer's solution or lactated Ringer's injection.
調配物可存在為單一劑量或多劑量之密封容器中,例如,安瓿及小瓶,且可儲存於冷凍乾燥(凍乾)條件,而於使用即刻之前僅需要添加無菌液體載劑,例如,注射用水。 Formulations may be presented in single or multiple doses in sealed containers, such as ampoules and vials, and may be stored in lyophilized (lyophilized) conditions, and only need to be added with sterile liquid carriers immediately after use, for example, water for injection .
對於經口投藥,仿病毒顆粒可以液體劑型投藥,如酏劑、糖漿及懸浮液。用於經口投藥之液體劑型可含有賦形劑如著色劑及矯味劑以增加患者可接受度。 For oral administration, the pseudoviral particles can be administered in liquid dosage forms such as elixirs, syrups and suspensions. Liquid dosage forms for oral administration may contain excipients such as coloring agents and flavoring agents to increase patient acceptability.
如上所註明,佐劑可視需要地包括於本發明之仿病毒顆粒的膜。此外,佐劑可視需要地包括於包括有仿病毒顆粒之醫藥組成物,但於仿病毒顆粒膜之外側。對於此目的之佐劑可基於,例如,欲使用之投藥途徑而選擇。例示性佐劑包括鋁鹽(例如,硫酸鋁鉀、明礬、磷酸鋁、羥基磷酸鋁及氫氧化鋁)、免疫刺激基質(例如,含有液體及膽固醇複合物的皂苷)、CpG寡核甘酸、3D-MPL、MF-59、QS21、胞壁醯基二肽、MPLA及相關形式與衍生物(參照前文)以及聚磷嗪(polyphosphazine)。 As noted above, adjuvants may optionally be included in the membrane of the virus-like particles of the present invention. Further, the adjuvant may optionally be included in the pharmaceutical composition including the pseudo-viral particles, but on the outer side of the pseudo-viral particle film. Adjuvants for this purpose may be selected based on, for example, the route of administration to be used. Exemplary adjuvants include aluminum salts (eg, potassium aluminum sulfate, alum, aluminum phosphate, aluminum hydroxyphosphate, and aluminum hydroxide), immunostimulating matrices (eg, saponins containing liquid and cholesterol complexes), CpG oligos, 3D -MPL, MF-59, QS21, cell wall thiol dipeptide, MPLA and related forms and derivatives (see above) and polyphosphazine.
欲投藥至如人類之個體的仿病毒顆粒的合適量,可由所屬技術領域中具有通常知識者予以測定。典型地,於單一劑量中投予約1-100μg抗原蛋白質,例如15-50μg抗原蛋白質。如人類患者之個體,可以單一劑量治療,或者視需要地以 多劑量治療。於多劑量的情況中,合適的療程可由所屬技術領域中具有通常知識者所決定。於各種實例中,治療療程可包括2至10劑量(例如,3至4劑量),各以各劑量彼此分開為1至4日或1至2週,此乃取決於患者的狀況(例如,無論患者具有現存的RSV感染(以及其嚴重程度)或患者係預防性地處理)。 Suitable amounts of pseudoviral particles to be administered to an individual such as a human can be determined by one of ordinary skill in the art. Typically, about 1-100 μg of antigenic protein, for example 15-50 μg of antigenic protein, is administered in a single dose. Individuals such as human patients can be treated in a single dose or as needed Multi-dose treatment. In the case of multiple doses, a suitable course of treatment can be determined by one of ordinary skill in the art. In various examples, the course of treatment may include from 2 to 10 doses (eg, 3 to 4 doses), each being separated from each other for 1 to 4 days or 1 to 2 weeks, depending on the condition of the patient (eg, regardless of The patient has an existing RSV infection (and its severity) or the patient is treated prophylactically).
可根據本發明的方法治療的個體包括由所屬技術領域中具有通常知識者所決定的需要此治療的人類患者。該等患者的實例包括(i)高齡患者,超過約65歲,具有或不具有潛在心臟或呼吸道疾患;(ii)患者,超過約50歲,具有潛在心臟或呼吸道疾患;(iii)婦女或妊娠者,預防出生後4至6個月的嬰兒感染;(iv)小於6個月的嬰兒;(v)約6至12個月的嬰兒;(vi)約12個月至5歲的兒童;以及(vii)免疫減退患者。 Individuals treatable in accordance with the methods of the present invention include human patients in need of such treatment as determined by those of ordinary skill in the art. Examples of such patients include (i) older patients, over about 65 years old, with or without potential heart or respiratory illnesses; (ii) patients, over about 50 years old, with potential heart or respiratory illnesses; (iii) women or pregnancy Prevention of infant infections 4 to 6 months after birth; (iv) infants less than 6 months; (v) infants of approximately 6 to 12 months; (vi) children of approximately 12 months to 5 years; (vii) Immunocompromised patients.
於下述實施例中,係使用序列編號:1之RSV L19 F,如所指示,具有及不具有取代突變(I557V)。 In the following examples, RSV L19 F with SEQ ID NO: 1 was used, with and without substitution mutations (I557V) as indicated.
此實施例敘述調查衍生自三個不同RSV株:RSV-A2、RSV-A2系19F及RSV-A2系19F I557V的仿病毒顆粒疫苗的研究。該仿病毒顆粒疫苗係皆以3-去醯基-磷醯基化六醯基雙糖(3D PHAD)予以佐劑化。該仿病毒顆粒以每2週間隔於經接 種疫苗的小鼠中比較。在以RSV病毒挑戰後的經接種疫苗的小鼠的保護以及經接種疫苗後的免疫應答(中和抗體效價),係以相較於陰性對照組(載劑)予以評估。 This example describes the investigation of a virus-like particle vaccine derived from three different RSV strains: RSV-A2, RSV-A2 line 19F, and RSV-A2 line 19F I557V. The virus-like particle vaccine strains were all adjuvanted with 3-dedecyl-phosphonium hexamethylene disaccharide (3D PHAD). The virus-like particles are connected at intervals of 2 weeks. Comparison of vaccines in mice. Protection of vaccinated mice after challenge with RSV virus and immune response after vaccination (neutralizing antibody titer) were evaluated as compared to the negative control group (vehicle).
切向流過濾(tangential flow filtration;TFF)管柱(GE UFP-30-C-MMOA1,26cm2,30kDa截流),經保存於20%乙醇,係以於之前使用於濃縮病毒的無菌磷酸鹽緩衝溶液(PBS不具有Ca2+及Mg2+)沖洗。 Tangential flow filtration (TFF) column (GE UFP-30-C-MMOA1, 26 cm2, 30 kDa cut-off), stored in 20% ethanol, prior to the use of sterile phosphate buffer solution for concentrated virus (PBS does not have Ca 2+ and Mg 2+ ) rinse.
28小瓶(約39ml)的RSV-A2經快速融解,藉由TFF濃縮且相對於30毫升磷酸鹽緩衝溶液(PBS)透濾至體積3.4毫升。15小瓶(約22.5ml)的RSV-A2系19F同樣地濃縮至3.7ml。10小瓶(約15ml)的RSV-A2系19F I557V同樣地濃縮至體積3.2ml。蛋白質濃度根據Bradford測定為1.8mg/ml(RSV-A2)、0.81mg/ml(RSV-A2系19F)及1.25mg/ml(RSV-A2系19F I557V)。為了製造仿病毒顆粒,170μl的DCPC溶液添加至1.7ml RSV-A2;411μl的DCPC溶液添加至3.7ml RSV-A2系19F;以及356μl的DCPC溶液添加至3.2ml RSV-A2系19F I557V。 28 vials (about 39 ml) of RSV-A2 were rapidly thawed, concentrated by TFF and diafiltered to a volume of 3.4 ml relative to 30 ml of phosphate buffered saline (PBS). 15 vials (about 22.5 ml) of RSV-A2 line 19F were similarly concentrated to 3.7 ml. 10 vials (about 15 ml) of RSV-A2 line 19F I557V were similarly concentrated to a volume of 3.2 ml. The protein concentration was 1.8 mg/ml (RSV-A2), 0.81 mg/ml (RSV-A2 line 19F) and 1.25 mg/ml (RSV-A2 line 19F I557V) according to Bradford. To make virus-like particles, 170 μl of DCPC solution was added to 1.7 ml of RSV-A2; 411 μl of DCPC solution was added to 3.7 ml of RSV-A2 line 19F; and 356 μl of DCPC solution was added to 3.2 ml of RSV-A2 line 19F I557V.
於冰上30分鐘後,樣品於桌上型S100 AT 4轉子(Sorvall discovery M120-SE桌上型離心基)以40,000rpm旋轉30分鐘。收集上清液,經由0.1μm的Pall Acrodics過濾器過濾,且觀察到含有2.3mg/ml的RSV-A2;0.57mg/ml的RSV-A2系19F;以及0.83mg/ml的RSV-A2系19F I557V。 After 30 minutes on ice, the samples were spun at 40,000 rpm for 30 minutes on a tabletop S100 AT 4 rotor (Sorvall discovery M120-SE tabletop centrifuge). The supernatant was collected, filtered through a 0.1 μm Pall Acrodics filter, and observed to contain 2.3 mg/ml of RSV-A2; 0.57 mg/ml of RSV-A2 line 19F; and 0.83 mg/ml of RSV-A2 line 19F I557V.
由DOPC、DOPE、3D PHAD及膽固醇(皆自Avanti By DOPC, DOPE, 3D PHAD and cholesterol (all from Avanti
Polar Lipids取得)之混合物製備之乾脂質膜以每mg的病毒上清液蛋白質含有425nmol的DOPC、850nmol的DOPE、300nmol的3D PHAD及255nmol膽固醇。該膜具體地含有如下述之脂質: The dry lipid membrane prepared from the mixture of Polar Lipids contained 425 nmol of DOPC, 850 nmol of DOPE, 300 nmol of 3D PHAD and 255 nmol of cholesterol per mg of viral supernatant protein. The membrane specifically contains a lipid as follows:
‧溶液1:對於RSV-A2上清液:995nmol DOPC、1989nmol DOPE、702nmol 3D PHAD、597nmol膽固醇 ‧ Solution 1: For RSV-A2 supernatant: 995 nmol DOPC, 1989 nmol DOPE, 702 nmol 3D PHAD, 597 nmol cholesterol
‧溶液2:對於RSV-A2系19F上清液:850nmol DOPC、1700nmol DOPE、600nmol 3D PHAD、510nmol膽固醇 ‧ Solution 2: For the RSV-A2 line 19F supernatant: 850 nmol DOPC, 1700 nmol DOPE, 600 nmol 3D PHAD, 510 nmol cholesterol
‧溶液3:對於RSV-A2系19F I557V上清液:1063nmol DOPC、2125nmol DOPE、750nmol 3D PHAD、638nmol膽固醇 ‧ Solution 3: For the RSV-A2 line 19F I557V supernatant: 1063 nmol DOPC, 2125 nmol DOPE, 750 nmol 3D PHAD, 638 nmol cholesterol
脂質膜於玻璃管壁上藉由以氬氣蒸發溶劑(氯仿/甲醇),接著於真空乾燥器中30分鐘。 The lipid film was evaporated on a glass tube wall by argon gas (chloroform/methanol) followed by a vacuum desiccator for 30 minutes.
藉由以HNE緩衝液(5mM HEPES,145mM氯化鈉、1mM乙二胺-四乙酸(EDTA)、pH 7.4,含有50IU盤尼西林及50μg/ml鏈黴素)稀釋DCPC的500mM母液(stock)以製備100mM DCPC溶液。200μl的DCPC溶液添加至各摹,且將管浸入熱的自來水中30至60秒。所有溶液中可觀察到某些混濁。添加病毒上清液後,振混溶液,於冰上培養15分鐘,且經由Whatman FP30的0.22μm過濾器過濾。所有溶液於過濾前與過濾後皆呈現少許混濁。然後將溶液注射至經伽瑪射線無菌化之透析匣slide-a-lyzer(Thermo,10kDa截流,尺寸0.5至3ml)且於4℃對6×2L的PBS透析48小時。然後,所有溶液皆於4℃對HNE緩衝液透析隔夜後收集。Bradford蛋白質測定(Biorad) 對於溶液1產生1.2mg(於1.63ml中);對於溶液2為1.2mg(於3.66ml中);以及對於溶液3為2.1mg(於4.6ml中)。自各溶液取2×75μg保持冷藏直到動物試驗開始(4至10℃)。 Prepared by diluting a 500 mM stock of DCPC with HNE buffer (5 mM HEPES, 145 mM sodium chloride, 1 mM ethylenediamine-tetraacetic acid (EDTA), pH 7.4, containing 50 IU of penicillin and 50 μg/ml streptomycin). 100 mM DCPC solution. 200 μl of DCPC solution was added to each mash and the tube was immersed in hot tap water for 30 to 60 seconds. Some turbidity was observed in all solutions. After the virus supernatant was added, the solution was shaken, incubated on ice for 15 minutes, and filtered through a 0.22 μm filter of Whatman FP30. All solutions showed little turbidity before and after filtration. The solution was then injected into a gamma-ray sterile dialyzed slide-a-lyzer (Thermo, 10 kDa cut-off, size 0.5 to 3 ml) and dialyzed against 6 x 2 L PBS for 48 hours at 4 °C. All solutions were then collected after overnight dialysis against HNE buffer at 4 °C. Bradford Protein Assay (Biorad) 1.2 mg (in 1.63 ml) was produced for solution 1; 1.2 mg (in 3.66 ml) for solution 2; and 2.1 mg (in 4.6 ml) for solution 3. 2 x 75 μg from each solution was kept cold until the start of the animal test (4 to 10 ° C).
顆粒尺寸分部係藉由Nanosign®測量儀予以評估。所有分析皆使用保存於4至10℃的樣品,於Nanosign® LM-10儀器使用405nm雷射,軟體3版(beta),快門設定至1200且增感(gain)至500,閾值於20℃為「自動」,以Peliter冷卻/加熱調控而藉由單一顆粒追蹤而完成。仿病毒顆粒稀釋物係於HNE緩衝液中製成以使得介於10及100個顆粒可見於觀察腔室中。因此,絕對顆粒數無法於溶液之間比較。每個樣品累積10次的90秒觀察,總計約50,000測量追蹤長度。結果對於有線追蹤長度予以調整。樣品黏度假定為1.00cP。 Particle size fractions were evaluated by a Nanosign® meter. All analyses were performed on samples stored at 4 to 10 ° C. For Nanosign® LM-10 instruments, 405 nm lasers, software version 3 (beta), shutter set to 1200 and gain to 500, threshold at 20 ° C "Automatic" is accomplished by Peliter cooling/heating regulation by single particle tracking. The imitation viral particle dilution was made in HNE buffer such that between 10 and 100 particles were visible in the observation chamber. Therefore, the absolute number of particles cannot be compared between solutions. Each sample accumulated 10 observations of 90 seconds, for a total of approximately 50,000 measurement trace lengths. The result is adjusted for the length of the cable trace. The sample stick holiday was set at 1.00 cP.
仿病毒顆粒的樣品係藉由於HNE緩衝液中之10-60%蔗糖梯度的平衡密度梯度離心予以分析。樣品於Sorvall AH650轉子中於50,000rpm旋轉64小時又30分鐘,且來自梯度的樣品分析蛋白質(Bradford分析;Bio-Rad)、磷酸鹽及密度(藉由折射計)。 Samples of virus-like particles were analyzed by equilibrium density gradient centrifugation of a 10-60% sucrose gradient in HNE buffer. Samples were spun in a Sorvall AH650 rotor at 50,000 rpm for 64 hours and 30 minutes, and samples from the gradient were analyzed for protein (Bradford analysis; Bio-Rad), phosphate and density (by refractometer).
六組雌性Balb/c小鼠(6至8週齡)於第2日及第13日接受仿病毒顆粒(每劑量5μg蛋白質)組成物以及對照組成物。更具體地,動物以3至4.5%異氟烷/O2麻醉以進行投藥。蛋白質濃度以HNE調整為每50μl為5μg之IM注射物。仿病毒顆粒組成物以及對照組成物係呈IM注射物以每肢25μg(總計5μg蛋白質)投藥至二小腿肌。表1說明治療排程。 Six groups of female Balb/c mice (6 to 8 weeks old) received mock-like virus particles (5 μg protein per dose) composition and control composition on days 2 and 13. More specifically, the animals were anesthetized with 3 to 4.5% isoflurane/O 2 for administration. The protein concentration was adjusted to 5 μg of IM injection per 50 μl with HNE. The pseudoviral particle composition and the control composition were administered to the two calf muscles in an IM injection at 25 μg per limb (total 5 μg of protein). Table 1 illustrates the treatment schedule.
來自研究動物的血清係使用於不同時間點測量總免疫球蛋白G(IgG)、IgG1、IgG2a及病毒微中和效價。血液樣品係於接種疫苗前之第0日及第13日、第30日自欲終止的動物藉由下顎採血法(submandibular bleeding)或眼眶穿刺(retro-orbital puncture)收集血液用於中和抗體測定,以及於第31日以RSV挑戰前收集血液。於終末期處死當日(第35日),自後腔大靜脈(posterior vena cava)收集血液。於試驗步驟過程中使血液於室溫凝固且置於冰箱。離心凝固的血液樣品且自所有樣品分取血清且於聚丙烯管中深凍保存於<-10℃。 Sera from study animals were used to measure total immunoglobulin G (IgG), IgGl, IgG2a and viral microneutralization titers at different time points. The blood sample was collected from the animal to be terminated on the 0th, 13th, and 30th day before the vaccination by the submandibular bleeding or retro-orbital puncture for the neutralization antibody assay. And collect blood before the RSV challenge on the 31st. On the day of the end of the death (day 35), blood was collected from the posterior vena cava. The blood was allowed to solidify at room temperature during the test procedure and placed in the refrigerator. The coagulated blood samples were centrifuged and serum was taken from all samples and stored frozen at <-10 °C in polypropylene tubes.
於第35日,自各研究組的總計5隻動物採收、處理及計數肺。肺的右葉使用於RSV病毒效價的測定。更具體地,由第35日處死的動物採收的肺無菌地移除右葉,然後肺組織使用自動化Potter均質機Polytron-Aggregate H(Thomas Scientific,Swedesboro,NJ,USA)均質化於1ml之含有2%胎牛血清(FBS)的DMEM培養基。肺均質物於4℃以1,400rpm離心10分鐘,以及上清液稀釋為1:5起始稀釋物,以TCID50方法使用於測定病毒效價。 On day 35, lungs were harvested, processed, and counted from a total of 5 animals from each study group. The right lobe of the lung is used for the determination of the RSV virus titer. More specifically, the lungs harvested from animals sacrificed on day 35 were aseptically removed from the right lobe, and then the lung tissue was automated using a Potter homogenizer Polytron-Aggregate H (Thomas Scientific, Swedesboro, NJ, USA) homogenized in 1 ml of DMEM medium containing 2% fetal bovine serum (FBS). Lung homogenate was centrifuged at 1,400 rpm for 10 minutes at 4 °C, and the supernatant was diluted to a 1:5 starting dilution, which was used to determine viral titer using the TCID50 method.
統計分析係以GraphPad Prism 5.00(GraphPad Software,San Diego,California,USA)進行。統計顯著性係使用Mann-Whitney U測試予以評估。P值0.05或更低係考慮為代表統計顯著差異。 Statistical analysis was performed using GraphPad Prism 5.00 (GraphPad Software, San Diego, California, USA). Statistical significance was assessed using the Mann-Whitney U test. A P value of 0.05 or lower is considered to represent a statistically significant difference.
圖1顯示仿病毒顆粒的尺寸分部介於0至400nm,表二總結模態呎吋、標準偏差以及顆粒>150nm的百分比。仿病毒顆粒的平衡密度梯度離心分析的結果示於圖2。 Figure 1 shows that the size fraction of the pseudoviral particles is between 0 and 400 nm. Table 2 summarizes the modal enthalpy, standard deviation and the percentage of particles >150 nm. The results of equilibrium density gradient centrifugation analysis of the pseudoviral particles are shown in Fig. 2.
病毒效價係由來自每組5隻小鼠的肺均質物上清液的分取液測定。圖3顯示挑戰(第35日)後四天的肺病毒效價。效價係顯示為如同藉由TCID50所測定之50%終點效價。所有仿病毒顆粒疫苗調配物皆觀察到保護活病毒挑戰,而對照組小鼠未受到保護。接受對照物的組所觀察到的病毒效價,相對於接受疫苗的所有組的效價,顯著較高。此研究中藉由仿病毒顆粒疫苗 所賦予的保護之間沒有差異。統計分析係使用雙側Mann Whitney U test進行。 Viral titers were determined by fractions from lung homogenate supernatants from 5 mice per group. Figure 3 shows the pneumovirus titer four days after the challenge (day 35). The titer is shown as the 50% endpoint titer as determined by TCID 50 . Control of live virus challenge was observed for all virus-like particle vaccine formulations, while control mice were unprotected. The viral titers observed in the control group were significantly higher relative to the titers of all groups receiving the vaccine. There was no difference in the protection conferred by the virus-like particle vaccine in this study. Statistical analysis was performed using a two-sided Mann Whitney U test.
來自每組個別小鼠的血清係藉由病毒中和分析抗-RSV抗體。第一次接種疫苗後2週及後續接種疫苗後2週的中和抗體效價(log2)係分別顯示於圖4及圖5。統計分析係使用雙側Mann Whitney U test進行。 Serum from each group of individual mice was analyzed by virus neutralization for anti-RSV antibodies. The neutralizing antibody titer (log 2 ) 2 weeks after the first vaccination and 2 weeks after the subsequent vaccination are shown in Fig. 4 and Fig. 5, respectively. Statistical analysis was performed using a two-sided Mann Whitney U test.
相較於接受RSV-A2仿病毒顆粒的小鼠,接受衍生自RSV-A2 L 19F(p<0.01)或RSV-A2 L 19F I557V(p<0.001)的仿病毒顆粒的小鼠,觀察到顯著較高程度的初次接種疫苗後2週病毒中和抗體效價(log2)。對於RSV-A2 L 19F仿病毒顆粒以及RSV-A2 L 19F I557V仿病毒顆粒,平均中和效價分別為2.5±1.4以及3.4±1.6。對衍生自RSV-A2仿病毒顆粒的仿病毒顆粒,平均效價為0.32±0.70。來自對照小鼠的血清未顯示可偵測的中和活性。 Mice that received pseudoviral particles derived from RSV-A2 L 19F (p < 0.01) or RSV-A2 L 19F I557V (p < 0.001) were observed significantly compared to mice receiving RSV-A2 virus-like particles. The virus neutralized antibody titer (log 2 ) 2 weeks after the initial vaccination. For RSV-A2 L 19F-like virus particles and RSV-A2 L 19F I557V-like virus particles, the average neutralizing titers were 2.5 ± 1.4 and 3.4 ± 1.6, respectively. For the imitation virus particles derived from RSV-A2 virus-like particles, the average titer was 0.32 ± 0.70. Serum from control mice did not show detectable neutralizing activity.
第二次接種疫苗後2週,接受仿病毒顆粒疫苗的所有小鼠顯示中和抗體效價(log2)。相較於所有其他組,接受衍生自RSV-A2 L 19F或RSV-A2 L 19F I557V之仿病毒顆粒之小鼠中,效價顯著較高(p<0.001)。對於衍生自RSV-A2 L 19F及RSV-A2 L 19F I557V之仿病毒顆粒的平均中和抗體效價為類似的(分別為9.0±0.6以及9.19±0.70)。對於RSV-A2仿病毒顆粒的平均效價為6.61±0.86。 Two weeks after the second vaccination, all mice receiving the virus-like particle vaccine showed neutralizing antibody titers (log2). The titers were significantly higher (p < 0.001) in mice receiving virions derived from RSV-A2 L 19F or RSV-A2 L 19F I557V compared to all other groups. The mean neutralizing antibody titers for the pseudoviral particles derived from RSV-A2 L 19F and RSV-A2 L 19F I557V were similar (9.0 ± 0.6 and 9.19 ± 0.70, respectively). The average titer for RSV-A2 virus-like particles was 6.61 ± 0.86.
此四週研究的整個歷程中,於所有接種疫苗的動物中觀察到中和抗體效價的增加。雖然接受RSV-A2 L 19F仿 病毒顆粒(8/10)或RSV-A2 L 19F I557V仿病毒顆粒(9/10)的動物之多數者顯示第1次接種疫苗後2週的早期增加,接受RSV-A2仿病毒顆粒的動物(1/10)則僅有少數具有於中和抗體的早期增加。在第2次接種疫苗後,中和抗體進一步地於所有動物中增加。對於RSV-A2 L 19F仿病毒顆粒,在第2次接種疫苗後的增加(所有效價為log2)為2.5±4.5至9.0±0.6;以及對於RSV-A2 L 19F I557V仿病毒顆粒為3.4±6.4至9.19±0.71。對於接受RSV-A2仿病毒顆粒的動物,所觀察到的中和抗體效價的增加為0.54±0.93至6.1±0.9。於二時間點,接種疫苗1及接種疫苗2後的14日,對於以RSV-A2 L 19F及RSV-A2 L 19F I557V接種疫苗的動物,觀察到最高的中和抗體效價。 An increase in neutralizing antibody titers was observed in all vaccinated animals throughout the course of this four-week study. Although accepting RSV-A2 L 19F imitation The majority of animals with viral particles (8/10) or RSV-A2 L 19F I557V-like virus particles (9/10) showed an early increase of 2 weeks after the first vaccination, and animals receiving RSV-A2 virus-like particles ( 1/10) only a few have an early increase in neutralizing antibodies. Neutralizing antibodies were further increased in all animals after the second vaccination. For RSV-A2 L 19F-like virus particles, the increase after the second vaccination (effective price is log 2) is 2.5 ± 4.5 to 9.0 ± 0.6; and for RSV-A2 L 19F I557V virus-like particles is 3.4 ± 6.4 To 9.19 ± 0.71. For animals receiving RSV-A2 virus-like particles, the observed increase in neutralizing antibody titer was 0.54 ± 0.93 to 6.1 ± 0.9. At the second time point, 14 days after vaccination 1 and vaccination 2, the highest neutralizing antibody titer was observed for animals vaccinated with RSV-A2 L 19F and RSV-A2 L 19F I557V.
來自各別小鼠的血清係於第二次接種疫苗後2週(第30/31日)藉由ELISA分析抗-RSV抗體。對於RSV-特異性總IgG之幾何平均效價(GMT)±標準偏差(SD)係於第二次接種疫苗後獲得。統計分細細使用雙側Mann Whitney U test進行。 Sera from individual mice were analyzed for anti-RSV antibodies by ELISA 2 weeks after the second vaccination (30/31). The geometric mean titer (GMT) ± standard deviation (SD) for RSV-specific total IgG was obtained after the second vaccination. The statistics were finely divided using the two-sided Mann Whitney U test.
RSV-特異性IgG效價係於接受RSV疫苗的所有動物中觀察到,而對照動物在第二次接種疫苗後2週顯示無RSV-特異性IgG效價(圖6)。對於接受仿病毒顆粒疫苗的組的效價(log 10)範圍於4.3±0.79至5.48±0.24之間。於接受RSV-A2 L 19F仿病毒顆粒及RSV-A2 L 19F I557V仿病毒顆粒的動物中觀察到最高及類似的GMT(分別為5.32±0.19及5.4±0.24)。相較於接受RSV-A2仿病毒顆粒之組的效價,來自該二組的效價顯著較高。 RSV-specific IgG titers were observed in all animals receiving the RSV vaccine, while control animals showed no RSV-specific IgG titers 2 weeks after the second vaccination (Figure 6). The titer (log 10) for the group receiving the virus-like particle vaccine ranged from 4.3 ± 0.79 to 5.48 ± 0.24. The highest and similar GMT were observed in animals receiving RSV-A2 L 19F-like virus particles and RSV-A2 L 19F I557V-like virus particles (5.32 ± 0.19 and 5.4 ± 0.24, respectively). The titers from the two groups were significantly higher than the titers of the group receiving the RSV-A2 virus-like particles.
RSV-特異性IgG同型濃度係於每組10隻小鼠中於第二次接種疫苗後2週(第30/31日)測定。RSV-特異性IgG1及IgG2a抗體的濃度係分別顯示於圖7及圖8,且表示為μg/ml血清。統計分析係使用雙側Mann Whitney U test進行。 The RSV-specific IgG isotype concentration was determined in each group of 10 mice 2 weeks after the second vaccination (day 30/31). The concentrations of RSV-specific IgG1 and IgG2a antibodies are shown in Figures 7 and 8, respectively, and are expressed as μg/ml serum. Statistical analysis was performed using a two-sided Mann Whitney U test.
圖7顯示相較於對照組,於揭種疫苗的所有組中,在第二次接種疫苗後2週增加IgG1抗體。對於接受RSV-A2仿病毒顆粒的動物的平均效價(μg/ml)為5.27±3.86。於接種疫苗RSV-A2 L 19F仿病毒顆粒或RSV-A2 L 19F I557V仿病毒顆粒的動物中觀察到最高GMT,但組中有大的變化(分別為11.08±12.87及15.04±12.00)。相較於接受RSV-A2仿病毒顆粒的動物,於接受RSV-A2 L 19F I557V仿病毒顆粒的動物中觀察到IgG1效價的顯著差異(p<0.05)。 Figure 7 shows that IgGl antibodies were increased 2 weeks after the second vaccination in all groups of the vaccinated vaccine compared to the control group. The average titer (μg/ml) for animals receiving RSV-A2 virus-like particles was 5.27 ± 3.86. The highest GMT was observed in animals vaccinated with RSV-A2 L 19F-like virus particles or RSV-A2 L 19F I557V-like virus particles, but there were large changes in the groups (11.08 ± 12.87 and 15.04 ± 12.00, respectively). Significant differences in IgGl titers were observed in animals receiving RSV-A2 L 19F I557V-like virus particles compared to animals receiving RSV-A2 virus-like particles (p < 0.05).
圖8顯示第二次接種疫苗後2週的IgG2a濃度。接受仿病毒顆粒的所有組顯示增加的效價而於組中具有大的變化,但對照小鼠顯示無增加。於接種疫苗RSV-A2 L 19F仿病毒顆粒(30.19±13.85)或RSV-A2 L 19F I557V仿病毒顆粒(28.64±13.28)的動物中觀察到最高GMT(μg/ml)。然而,於該二組中個別小鼠效價的範圍高(分別為12.36至54.32及13.91至55.37,對於接受RSV-A2仿病毒顆粒的動物的IgG2效價為18.13±9.996,對於RSV-A2 L 19F仿病毒顆粒為30.19±13.85,以及對於RSV-A2 L 19F I557V為28.64±13.28)。 Figure 8 shows the IgG2a concentration 2 weeks after the second vaccination. All groups receiving the imitation virus particles showed an increased potency with a large change in the group, but the control mice showed no increase. The highest GMT (μg/ml) was observed in animals vaccinated with RSV-A2 L 19F-like virus particles (30.19 ± 13.85) or RSV-A2 L 19F I557V-like virus particles (28.64 ± 13.28). However, the range of titers in individual mice in the two groups was high (12.36 to 54.32 and 13.91 to 55.37, respectively, and the IgG2 titer for animals receiving RSV-A2 virus-like particles was 18.13 ± 9.96 for RSV-A2 L The 19F virus-like particle was 30.19±13.85, and for RSV-A2 L 19F I557V was 28.64±13.28).
動物於第0、14、30/31及35日稱重(圖9)。於每日的一 般健康檢查及稱重期間,即使於病毒挑戰後未觀察到變化。來自不同組的所有小鼠在二次的接種疫苗投藥後的各期間增加重量。在接受HNE對照的動物中觀察到挑戰後的最小重量損失。於研究過程中沒有研究動物死亡或處於垂死階段。所有動物存活直到終末期步驟日(第30日或第35日)。 Animals were weighed on days 0, 14, 30/31 and 35 (Figure 9). One in the day During the general health check and weighing period, no changes were observed even after the virus challenge. All mice from different groups gained weight during each period after the second vaccination. The minimum weight loss after challenge was observed in animals receiving the HNE control. No animal death or dying was studied during the study. All animals survive until the end of the step (30th or 35th).
相較於衍生自A2病毒的仿病毒顆粒所誘發的程度,衍生自L 19F A2病毒或L 19F I557V A2病毒的仿病毒顆粒,誘發較高程度的中和抗體及ELISA血清IgG。本研究中接種疫苗組的任一者中對於一般健健康及體重變化沒有觀察到不良效果。 The degree of virion derived from the L 19F A2 virus or the L 19F I557V A2 virus induces a higher degree of neutralizing antibody and ELISA serum IgG compared to the extent induced by the aviral particles derived from the A2 virus. No adverse effects were observed in general health and weight changes in any of the vaccinated groups in this study.
如上所述,Synagis®(帕利珠單抗;Medimmune)為人源化小鼠單株抗體,其辨識呈示於多數RSV病毒株的F蛋白質的構型非依賴性抗原決定基。5C4為特異性地辨識RSV F蛋白質的融合前構型的小鼠單株抗體。帕利珠單抗係使用於定量完整病毒中的F蛋白質,以及5C4對帕利珠單抗的比例係使用於測定城市於融合前構型的F蛋白質的相對濃度。 As described above, Synagis® (Pacliizumab; Medimmune) is a humanized mouse monoclonal antibody that recognizes the conformation-independent epitope of the F protein presented in most RSV strains. 5C4 is a mouse monoclonal antibody that specifically recognizes the pre-fusion configuration of the RSV F protein. The palivizumab is used to quantify the F protein in intact virus, and the ratio of 5C4 to palivizumab is used to determine the relative concentration of F protein in urban pre-fusion configuration.
96孔ELISA盤(Greiner高結合)係以於包覆緩衝液(0.2M碳酸氫鈉/碳酸鈉,pH 9.6)中之兔子-抗-RSV血清的1:100稀釋物於4℃進行包覆隔夜。該等盤以林酸鹽緩衝的生理鹽水溶液(PBS,不含Ca2+及Mg2+)清洗且於室溫(RT)以於包覆緩衝液中的2%牛血清白蛋白(BSA)封阻1小時後以PBS清洗。自RSV病毒株A2、19F及I557V、或由該等病毒株所產生的仿病毒顆粒(如實施例1中所揭示的製備及組成物)之經純化的病毒 母液的序列2被稀釋物(於PBS中),施用至該等盤。於室溫培育1.5小時後,盤以PBS清洗且於室溫以每孔100μl的4μg/ml帕利珠單抗或4μg/ml的5C4於具有1%BSA的PBS中培育1.5小時。該等盤以PBS清洗且分別以偶合至辣根過氧化酶(HRP)的抗體餘PBS中的1:2000稀釋物培育:對於帕利珠單抗及5C4分別為山羊-抗人類-HRP及山羊-抗小鼠HRP(二者皆得自Bethyl Labs)。於室溫培育1小時後,再次清洗該等盤且以鄰-苯基-二胺(OPD)顯影。30分鐘後反應以H2SO4停止,以及於ELISA讀盤儀讀取492nm吸收值。吸收相對於病毒蛋白質濃度的作圖係顯示為帕利珠單抗(圖10)及5C4(圖11)。線表示符合數據點的半對數;對於所有符合,r2為>0.95,I557V(0.92)除外。係對於C54(圖12)及帕利珠單抗(圖13)作圖吸收相對仿病毒顆粒蛋白質濃度。 96-well ELISA plate (Greiner high binding) was coated overnight at 4 °C with a 1:100 dilution of rabbit-anti-RSV serum in coating buffer (0.2 M sodium bicarbonate/sodium carbonate, pH 9.6). . The plates were washed with a phytate buffered physiological saline solution (PBS, without Ca 2+ and Mg 2+ ) and at room temperature (RT) for 2% bovine serum albumin (BSA) in the coating buffer. After blocking for 1 hour, it was washed with PBS. Sequence 2 dilutions of purified viral stocks from RSV strains A2, 19F and I557V, or pseudoviral particles produced by such strains (preparations and compositions as disclosed in Example 1) In PBS), applied to the disks. After incubation for 1.5 hours at room temperature, the plates were washed with PBS and incubated with 100 μl of 4 μg/ml palivizumab or 4 μg/ml of 5C4 in PBS with 1% BSA for 1.5 hours at room temperature. The plates were washed with PBS and incubated with 1:2000 dilutions in antibody PBS coupled to horseradish peroxidase (HRP): goat-anti-human-HRP and goat for palivizumab and 5C4, respectively - Anti-mouse HRP (both from Bethyl Labs). After incubation at room temperature for 1 hour, the plates were washed again and developed with o-phenyl-diamine (OPD). After 30 minutes the reaction was stopped with H2SO4 and the absorbance at 492 nm was read on an ELISA reader. The plots of absorbance relative to viral protein concentration are shown as palivizumab (Figure 10) and 5C4 (Figure 11). The line indicates the semi-logarithm of the data point; for all matches, r2 is >0.95, except for I557V (0.92). For the C54 (Fig. 12) and palivizumab (Fig. 13), the relative virion particle protein concentration was plotted.
表3顯示藉由曲線斜率地分界所計算的5C4/帕利珠單抗的比例,或藉由擬合50μg/ml蛋白質濃度所計算的吸收。該等數據顯示由RSV I557V及RSV 19F所製成之仿病毒顆粒中的RSV F蛋白質的融合前形式有增加的安定性。二個月歷程期間的重複測定顯示於仿病毒顆粒之5C4抗原決定基的安定性。 Table 3 shows the ratio of 5C4/palivizumab calculated by the slope of the curve, or the absorbance calculated by fitting a protein concentration of 50 μg/ml. These data show an increased stability of the pre-fusion form of the RSV F protein in the pseudoviral particles made from RSV I557V and RSV 19F. Repeated assays during the two-month course showed the stability of the 5C4 epitope of the pseudoviral particles.
雖然本發明已連結其特定具體例予以說明,應了解能進一步修改以及本申請意欲涵蓋本發明之任何變化、用途或適用下述,一般而言,本發明之準則且包括該等遠離本揭露但仍為所屬技術領域中具有通常知識者可了解為附屬於本發明且可根據本發明所揭示的主要特徵予以應用。 Although the present invention has been described in connection with the specific embodiments thereof, it is understood that the invention can be further modified and the present invention is intended to cover any variations, uses, or applications of the present invention. In general, the principles of the present invention and including such It will be appreciated by those of ordinary skill in the art that the present invention can be applied in accordance with the present invention.
本說明中所述及之所有文獻及專利申請案皆以相同內容參考方式併入本文如同每個獨立的文獻或專利申請案係具體地且各別地指稱為以其全部內容參考方式併入本文。 All documents and patent applications mentioned in the specification are hereby incorporated herein by reference in their entirety as if individually individually individually individually individually individually individually individually individually .
如本文所述,本發明不包括該等不包括RSV系19F蛋白質之仿病毒顆粒、組成物及其相關方法(不論具有序列編號:1的序列、相對於序列編號:1具有或多個取代突變的序列或具有實質序列相同於序列編號:1的序列(視需要具取代之一者),如本文所述者)。 As described herein, the present invention does not include such pseudoviral particles, compositions and related methods that do not include the RSV 19F protein (whether having the sequence of SEQ ID NO: 1, and having one or more substitution mutations relative to SEQ ID NO: 1. The sequence or sequence having the substantial sequence identical to SEQ ID NO: 1 (as one of the substitutions as needed), as described herein).
本文所使用之符號形式,如「一」及「該」,除非文中具體指稱,否則不排除表示對應之多數形式。類似地,多數語詞的使用不排除表示對應單一形式。 The symbols used in the text, such as "a" and "the", are not intended to exclude the plural. Similarly, the use of most words does not exclude the representation of a single form.
其他具體例係包含於下述申請專利範圍的範疇。 Other specific examples are included in the scope of the following patent application.
<110> RSV公司(RSV Corporation) 艾默瑞大學(Emory University) <110> RSV Corporation Emory University
<120> 含呼吸道融合病毒系19融合蛋白的仿病毒顆粒及其用途 <120> Viable virus particles containing respiratory fusion virus 19 fusion protein and use thereof
<130> 51011-003TW2 <130> 51011-003TW2
<150> US 62/049,705 <150> US 62/049,705
<151> 2014-09-12 <151> 2014-09-12
<160> 4 <160> 4
<170> PatentIn version 3.5 <170> PatentIn version 3.5
<210> 1 <210> 1
<211> 574 <211> 574
<212> PRT <212> PRT
<213> respiratory syncytial virus <213> respiratory syncytial virus
<400> 1 <400> 1
<210> 2 <210> 2
<211> 298 <211> 298
<212> PRT <212> PRT
<213> respiratory syncytial virus <213> respiratory syncytial virus
<400> 2 <400> 2
<210> 3 <210> 3
<211> 64 <211> 64
<212> PRT <212> PRT
<213> respiratory syncytial virus <213> respiratory syncytial virus
<400> 3 <400> 3
<210> 4 <210> 4
<211> 256 <211> 256
<212> PRT <212> PRT
<213> respiratory syncytial virus <213> respiratory syncytial virus
<400> 4 <400> 4
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