# Patent

## Title
Her-2/neu DNA vaccine having anti-cancer activity

## Abstract

The present invention relates to human Her-2/neu expressing plasmid constructs having anti-cancer activity and a DNA vaccine comprising same for preventing and/or treating cancer. The Her-2/neu DNA vaccines of the present invention can be effectively used as a therapeutic vaccine in reducing metastasis after tumor surgery or as a prophylactic vaccine for people with genetic high risk.

## Background
CROSS REFERENCE TO RELATED APPLICATIONS
This application is a continuation of U.S. application Ser. No. 10/521,313, §371(c) Date Jan. 14, 2005, which is a U.S. National Phase application of International Application No. PCT/KR2003/001400, filed Jul. 15, 2003, which claims priority to KR 10-2003-0038012, filed Jun. 12, 2003 and KR 2002-0041764, filed Jul. 16, 2002, each of which are herein incorporated by reference in their entirety.


REFERENCE TO A SEQUENCE LISTING SUBMITTED ELECTRONICALLY VIA EFS-WEB
This application includes a sequence listing (name: “Substitute_Sequence Listing_ascii.txt”; size: 23,123 bytes; created on Apr. 28, 2010) submitted electronically via EFS-Web, which is incorporated herein by reference in its entirety.
FIELD OF THE INVENTION
The present invention relates to human Her-2/neu expressing plasmid constructs having anti-cancer activity and a DNA vaccine comprising same for preventing and treating cancer.
BACKGROUND OF THE INVENTION
The Her-2/neu or erbB-2 gene encodes a transmembrane protein that is a member of the type I family of growth factor receptors (Akiyama, T. et al., Science 232: 1644-1646, 1986). Amplification of this gene results in overexpression of the encoded 185 kDa receptor tyrosine kinase.
The Her-2/neu protein has been found to be amplified and overexpressed in several types of human adenocarcinomas, especially in tumors of the breast and the ovary. The overexpression was correlated with short relapse time and poor survival rate of breast cancer patients (Slamon, D. J. et al., Science 235: 177-182, 1987), suggesting that Her-2/neu overexpression likely plays a critical role in the development of human cancers. Several lines of evidence also support a direct role of Her-2/neu in the pathogenesis and clinical aggressiveness of Her-2/neu-expressing tumors (Kobayashi H. et al., Cancer Res. 60: 5228-5236, 2000). For example, Herceptin, a humanized anti-Her-2/neu monoclonal antibody used for treatment of Her-2/neu-expressing tumors, has been demonstrated to bring clinical benefits in advanced breast cancer patients (Ewer, M. S. et. al., Semin. Oncol. 26: 96, 1999). In addition, Her-2/neu-specific antibodies and T cells are detected in breast and ovarian cancer patients. Therefore, Her-2/neu oncogene is an excellent target for the development of therapeutic vaccines specific for Her-2/neu-overexpressing human cancers.
Since human Her-2/neu gene has tyrosine kinas activity in the intracellular domain and its overexpression itself stimulates abnormal cell division, there are several attempts to eliminate possible oncogenecity of Her-2/neu by introducing a mutation into the cytoplasmic kinase domain to inhibit tyrosine kinase activity or by constructing truncated Her-2/neu plasmids lacking the intracellular or extracellular domain (Wei, W. I. et al., Int. J. Cancer 81: 748-754, 1999)
Naked plasmids are attractive candidate vectors for the development of cancer vaccines encoding tumor-associated antigens. They are relatively simple to generate and safe to administer. Because they are not proteins nor associated with a viral coat, naked nucleic acids are not generally subject to neutralizing antibody reactions that can hamper the clinical efficacy of vaccines (Hellstrom, I. and Hellstrom, K. E., J. Immunother. 21: 119-126, 1998). In preclinical tumor models, DNA vaccines encoding rat (Chen, Y. et al., Cancer Res. 58: 1965-1971, 1998) or human Her-2/neu (Pilon, S. A. et al., J. Immunol. 167: 3201-3206, 2001) induced preventive efficacy against Her-2/neu expressing tumor cells.
Although successful preventive efficacy against Her-2/neu expressing tumor by DNA vaccination was achieved by many earlier experiments, no successful therapeutic efficacy was reported using only Her-2/neu expressing plasmids. The difficulty lies on the slow gain of antitumor immunity due to the lag time before antigenic expression of Her-2/neu expressing plasmids, while mammary tumor grows relatively fast. Therefore, some of the Her-2/neu therapeutic vaccine experiments were conducted based on the combination of DNA and cytokine-Secreting tumor cells (Chen, S. A. et al., Clin. Cancer Res. 6: 4381-4388, 2000), or dendritic cell (Chen, Y., Gene Ther. 8: 316-323, 2001).
Since a DNA vaccine has many advantages including mass-productivity, safety, and convenience (Gurunathan, S. et al., Annu. Rev. Immunol. 18:927-974, 2001), the present inventors have endeavored to develop Her-2/neu expressing plasmid constructs having high anti-cancer activity which can be effectively used as a DNA vaccine for preventing and treating cancer.
SUMMARY OF THE INVENTION
Accordingly, it is an object of the present invention to provide a human Her-2/neu expressing plasmid construct having high antitumor activity.
Another object of the present invention is to provide a DNA vaccine composition for preventing and/or treating cancer, comprising said plasmid construct and a pharmaceutically acceptable carrier.
An additional object of the present invention is to provide a method for preventing and/or treating cancer, comprising the step of administering an effective amount of said DNA vaccine.



BRIEF DESCRIPTION OF THE DRAWINGS
The above and other objects and features of the present invention will become apparent from the following description of the invention, when taken in conjunction with the accompanying drawings, which respectively show:
FIGS. 1a and 1b: schematic procedure for preparing recombinant human pNeu plasmid constructs and a preset immunization schedule, respectively;
ECD: extracellular domain,
TM: transmembrane domain,
ICD: intracellular domain
FIG. 2: representative FACS histograms of medium fluorescence intensity in each of the groups of mice vaccinated with pTV2 (A), pNeuTM (B), pNeuECD (C), pNeuTM-gDs (D) and pNeuECD-gDs (E), respectively;
uncolored FACS histogram: control antibody,
colored FACS histogram: anti-Her-2/neu antibody
FIG. 3: confocal microscopic analysis of anti-Her-2/neu antibody in mouse sera immunized with pTV2 (A), pNeu (B) and pNeuECD-gDs (C), respectively;
FIG. 4: 51Cr-release assays for comparing cytotoxic T lymphocytes (CTL) responses induced by vaccination with pTV2 (A), pNeuTM (B), pNeuECD (C), pNeuTM-gDs (D) and pNeuECD-gDs (E), respectively;
FIG. 5: preventive antitumor immunity induced by vaccination with pNeu constructs;
A: tumor size in animal model subcutaneously injected with Her2-CT26 cells
B: survival rate in animal model intravenously injected with Her2-CT26 cells
FIG. 6: comparison of preventive antitumor immunity induced by vaccination with pNeuECD and pNeuECD-gDs;
A: tumor size in animal model subcutaneously injected of Her2-CT26 cells
B: survival rate in animal model intravenously injected of Her2-CT26 cells
FIG. 7: therapeutic efficacy induced by vaccination with pNeuECD or pNeuECD-gDs;
A: 1×105 Her2-CT26 cells, B: 5×105 Her2-CT26 cells
FIG. 8: representative FACS histograms of medium fluorescence intensity in each group of mice vaccinated with PBS (A), pNeuECD (B), pNeuTM (C), pCKECD (D) and pCKTM (E), respectively;
FIG. 9: 51Cr-release assays for comparing CTL responses induced by vaccination with PBS (A), pNeuECD (B), pNeuTM (C), pCKECD (D) and pCKTM (E), respectively;
FIG. 10: preventive antitumor immunity induced by vaccination with pCKECD and pCKTM;
A: tumor size in animal model subcutaneously injected of Her2-CT26 cells
B: survival rate in animal model intravenously injected of Her2-CT26 cells
FIG. 11: therapeutic efficacies induced by vaccination with pCKECD and pCKTM;
FIGS. 12a and 12b: vaccination schedule of co-injection with pCKTM and cytokine plasmids and 51Cr-release assays for comparing CTL responses induced thereby, respectively;
FIGS. 13a to 13d: preventive antitumor effect induced by co-injection with pCKTM and cytokine plasmids, wherein 13a shows vaccination schedule; 13b, tumor size in subcutaneous injection model of Her2-CT26 cells (a parenthesis means the percentage of mouse having no tumor growth per treatment group); 13c and 13d, survival rate in intravenous injection model of Her2-CT26 cells (a parenthesis means the percentage of live mouse per treatment group);
FIGS. 14a to 14c: therapeutic efficacies induced by co-injection with pCKTM and pCK-cytokine plasmids, wherein 14a shows vaccination schedule; 14b and 14c, survival rate in intravenous injection model vaccination with pCKTM-cytokine plasmids of Her2-CT26 cells (a parenthesis means the percentage of live mouse per treatment group);
FIGS. 15a to 15d: preventive antitumor effect induced by pCKTM-cytokine plasmids, wherein 15a shows schematic procedure of constructing bicistronic plasmids; 15b, vaccination schedule; 15c, tumor size in subcutaneous injection model of Her2-CT26 cells (a parenthesis means the percentage of mouse having no tumor growth per treatment group); 15d, survival rate in intravenous injection model of Her2-CT26 cells (a parenthesis means the percentage of live mouse per treatment group);
FIGS. 16A and B: therapeutic efficacies induced by pCKTM-cytokine plasmids.



DETAILED DESCRIPTION OF THE INVENTION
In accordance with one aspect of the present invention, there is provided Her-2/neu expressing plasmid constructs having anti-cancer activity which is prepared by inserting a truncated human Her-2/neu gene into pTV2 or pCK vector.
First, the present invention provides Her-2/neu expressing plasmid constructs encoding a truncated Her-2/neu gene that lacked the cytoplasmic kinase domain (intercellular domain), the truncated gene being selected because a plasmid encoding the full-length human Her-2/neu may adversely affect the physiology of the cells that takes up plasmid DNA. The truncated Her-2/neu gene has the nucleotide sequence of SEQ ID NO: 2 comprising the Her-2/neu transmembrane and extracellular domains, and is inserted into pTV2 vector which gives a high expression level of a foreign gene (Lee, S. W. et al., J. Virol. 72: 8430-8436, 1998)
The present invention also provides Her-2/neu expressing plasmid constructs encoding the truncated human Her-2/neu gene of SEQ ID NO: 3 that lacks the transmembrane domain of the Her-2/neu gene of SEQ ID NO: 2, which results in the secretion of the expressed protein into the cell exterior.
Further, the present invention provides Her-2/neu expressing plasmid constructs of which the signal peptide sequence is replaced by the herpes simplex virus type I glycoprotein D signal (gDs) sequence which is known to facilitate the efficient expression and secretion of human immunodeficiency virus type I gp160 (Berman, P. W. et al., J. Virol. 63: 3489-3498, 1989).
In a preferred embodiment of the present invention, four Her-2/neu expressing plasmid constructs based pTV2 vector (pNeuTM, pNeuECD, pNeuTM-gDs and pNeuECD-gDs) are generated encoding either the Her-2/neu transmembrane and extracellular domains (pNeuTM and pNeuTM-gDs) or only the Her-2/neu extracellular domain (pNeuECD and pNeuECD-gDs), respectively (see A of FIG. 1). While pNeuTM or pNeuECD encodes the original Her-2/neu signal peptide sequence, the signal peptide sequence of pNeuTM-gDs or pNeuECD-gDs is replaced by the signal peptide sequence from glycoprotein D of herpes simplex virus type I.
Whereas injections of pNeuTM or pNeuECD encoding the original signal peptide sequence induce strong Her-2/neu-specific antibody response, pNeuTM-gDs or pNeuECD-gDs encoding the signal sequence of herpes simplex virus type 1 glycoprotein D induce weak Her-2/neu-specific antibody response (see FIGS. 2 and 3). However, all pNeu constructs induce similar strong Her-2/neu-specific CTL response (see FIG. 4). These constructs can be used to evaluate whether a substantial difference in the quantity of Her-2/neu-specific antibody in mice could influence protective or therapeutic immunity against Her2-CT26, a syngeneic Her-2/neu-expressing tumor.
The present invention reveals that intramuscular (i.m.) injection of pNeuTM, pNeuECD, pNeuTM-gDs or pNeuECD-gDs can induce complete protection against a small number of Her2-CT26 cells (see FIG. 5). Moreover, preventive antitumor efficacies and pNeuECD-gDs are not significantly different even when a maximum number of tumor cells are injected subcutaneous (s.c.) or intravenous (i.v.) (see FIG. 6). This suggests strong Her-2/neu CTL response without antibody response is as effective as the collaboration of strong CTL and antibody responses in a preventive model. However, when a large number of tumor cells are preinjected in a therapeutic model, only the mouse group having both strong CTL and antibody shows a significantly improved survival rate (see FIG. 7).
The Her-2/neu expressing plasmid constructs of the present invention have the advantage of eliminating possible oncogenecity of Her-2/neu by constructing truncated Her-2/neu plasmids lacking the Her-2/neu cytoplasmid kinase domain (intercellular domain). It therefore eliminates the risks of chance transforming of normal cells and transmission of abnormal growth signal toward tumor malignancy that may be caused by tyrosine kinase in the intracellular domain. In addition, the truncated Her-2/neu of the present invention enables to avoid the dangers of autoimmunity against the Her-2/neu intracellular domain that is highly conserved among the members of the EGFR (epidermal growth factor receptor) family. It has been reported that plasmid encoding the truncated Her-2/neu are at least as effective as a plasmid encoding the total Her-2/neu (Chen, Y. et al., Cancer Res. 58: 1965-1971, 1998). Also, the inventive Her-2/neu expressing plasmid constructs induce the both the Her-2/neu-specific antibody response and therapeutic antitumor effect.
These results demonstrate the relative roles of CTL and antibody by DNA vaccination in a preventive model or a therapeutic model against Her-2/neu-expressing tumor. Although strong CTL activation without antibody response by DNA vaccination could achieve enough preventive efficacy against Her-2/neu-expressing tumor challenge, DNA vaccines maximizing both arms of immune response was most beneficial in a therapeutic model.
To enhance the efficacy of the inventive vaccine in the clinical use, the present invention further provides Her-2/neu expressing plasmid constructs prepared by using a more efficient vector, pCK vector, in place of pTV2, to improve the expression level of Her-2/neu.
pCK vector has a stronger CMV promoter and smaller size (about 3 kb) than pTV2, and thus, a target antigen can be efficiently expressed at an increased concentration of pCK plasmid.
To prepare pCK plasmid constructs, the truncated Her-2/neu fragments from pNeuTM and pNeuECD, which have the original Her-2/neu signal peptide and strong antitumor activity, are each inserted into pCK vector.
In another preferred embodiment of the present invention, there are provided two Her-2/neu expressing plasmids based on pCK vector (pCKTM and pCKECD) which encode either the Her-2/neu transmembrane and extracellular domains (pCKTM) or the Her-2/neu extracellular domain only (pCKECD).
Vaccination with pCKTM and pCKECD induce both strong antibody response and CTL response (see FIGS. 8 and 9). The extent of immunity induced by vaccination with pCKTM or pCKECD is similar or slightly higher than observed for pNeu constructs. Intramuscular inoculation of pCKTM and pCKECD completely prevent the growth of subcutaneous tumor and metastasis in a prevaccinated model and inhibit the tumor growth in a therapeutic model (see FIGS. 10 and 11).
Her-2/neu expressing plasmid constructs of the present invention, pNeuTM, pNeuECD, pCKTM and pCKECD have been deposited on Jun. 26, 2002 with the Korean Culture Center of Microorganisms (KCCM) (Address: #361-221, Yurim B/D, Hongje-1-dong, Seodaemun-gu, Seoul 120-091, Republic of Korea) under the accession numbers KCCM-10393, KCCM-10394, KCCM-103395 and KCCM-10396, respectively, in accordance with the terms of Budapest Treaty on the International Recognition of the Deposit of Microorganism for the Purpose of Patent Procedure.
Since pCKTM expressing truncated Her-2/neu is more efficient in inducing both humoral and cellular immunity, and the therapeutic antitumor activity of pCKTM is slightly better than that of pCKECD, pCKTM vaccination with in combination with cytokine genes is preferred.
Accordingly, the present invention discloses the use of a cytokine as an adjuvant which is helpful for overcoming immune tolerance against Her-2/neu in tumor patients.
Further in purpose, the present invention chose 6 cytokines; IL-12 (Alfonso, L. C. et al., Science 263: 235-237, 1994), IL-15 (Min, W. et al., Vaccine 20: 1466-1474, 2002), IL-18 (Hanlon, L. et al., J. Virol. 75: 8424-8433, 2001), Eta-1, Flt3L (Mwangi, W. et al., J. Immunol. 169: 3837-3846, 2002), GM-CSF (Lee, A. H. et al., Vaccine 17: 473-479, 1999). GM-CSF and Flt3L which induce the proliferation and activation of antigen presenting cells (APC) are expected to improve the delivery efficiency into APCs like dendritic cells and promote immune response including humoral and cellular immunity. IL-12, IL-15, IL-18 and Eta-1 are typical TH1 skewing cytokines and expected to induce cell-mediated immune responses important to cancer immunity.
The present invention provides constructs pCK-IL12, pCK-IL15, pCK-IL18, pCK-Eta1, pCK-Flt3L and pCK-GMCSF which are obtained by inserting the respective cytokine gene into pCK vector. The effect of combining a cytokine gene adjuvant is similar to that observed for pCKTM in terms of antibody production and CTL response (see FIG. 12), but coinjection of pCKTM with each of the pCK-cytokines, especially pCK-GMCSF, enhances the antitumor effect in the preventive and therapeutic model (see FIGS. 13 and 14).
To enhance the cytokine adjuvant activity in the Her-2/neu DNA vaccination, the present invention constructed bicistronic plasmids, pCKTM-GMCSF, pCKTM-Flt3L, pCKTM-Eta1, pCKTM-IL12, pCKTM-IL15, pCKTM-IL18 and pCKTM-IL23, in which the Her-2/neu protein and each of the cytokines are translated independently. Vaccinations with the inventive bicistronic plasmids also inhibit tumor growth and metastasis (see FIGS. 15 and 16). Antitumor activities of bicistronic plasmids except pCKTM-IL18 are similar to those observed when two separate plasmids are coinjected. The antitumor activity of pCKTM-IL18 is much higher than that of coinjection with pCKTM and pCK-IL18.
The above results show that the Her-2/neu expressing plasmid constructs of the present invention provide a vaccine that is not only preventive but also therapeutic against cancers. Therefore, Her-2/neu DNA vaccines have potential usage as a therapeutic vaccine in reducing metastasis after tumor surgery or as a prophylactic vaccine for people with genetic high risk.
In accordance with another aspect of the present invention, there is also provided Her-2/neu vaccine compositions used for preventing and treating cancer.
The inventive vaccine compositions include the human Her-2/neu expressing plasmid construct of the invention and a pharmaceutically acceptable carrier. These vaccine compositions can provide protection against (used as a prophylactic) infection by the antigen induced by the human Her-2/neu expressing plasmid construct of the invention. In addition, the vaccine compositions of the invention can be used to treat (used as a therapeutic) infection by the antigen induced by the human Her-2/neu expressing plasmid construct of the invention.
The preparation of vaccine compositions that contain the human Her-2/neu expressing plasmid construct of the invention as an effective ingredient is known to one skilled in the art. Typically, such vaccines are prepared as injectables, either as liquid solutions or suspensions; solid forms suitable for solution in, or suspension in, liquid prior to infection can also be prepared. The preparation can also be emulsified, or the protein encapsulated in liposomes. The active immunogenic ingredients are often mixed with carriers which are pharmaceutically acceptable and compatible with the active ingredient. The term “pharmaceutically acceptable carrier” refers to a carrier that does not cause an allergic reaction or other untoward effect in subjects to whom it is administered. Suitable pharmaceutically acceptable carriers include, for example, one or more of water, saline, phosphate buffered saline, dextrose, glycerol, ethanol, or the like and combinations thereof. In addition, if desired, the vaccine can contain minor amounts of auxiliary substances such as wetting or emulsifying agents, pH buffering agents, and/or adjuvants which enhance the effectiveness of the vaccine. Examples of adjuvants which may be effective include but are not limited to: aluminum hydroxide, N-acetyl-muramyl-L-threonyl-D-isoglutamine (thr-MDP), N-acetyl-nor-muramyl-L-alanyl-D-isoglutamine (CGP 11637, referred to as nor-MDP), N-acetylmuramyl-L-alanyl-D-isoglutaminyl-L-alanine-2-(1′-2′-dipalmitoyl-sn-glycero-3-hydroxyphosphoryloxy)-ethylamine (CGP 19835A, referred to as MTP-PE), and RIBI, which contains three components extracted from bacteria, monophosphoryl lipid A, trehalose dimycolate and cell wall skeleton (MPL+TDM+CWS) in a 2% squalene/Tween 80 emulsion. Other examples of adjuvants include DDA (dimethyldioctadecylammonium bromide), Freund's complete and incomplete adjuvants and QuilA. In addition, immune modulating substances such as lymphokines (e.g., IFN-g, IL-2 and IL-12) or synthetic IFN-g inducers such as poly I:C can be used in combination with adjuvants described herein.
Vaccine compositions of the present invention may be administered parenterally, by injection, for example, either subcutaneously or intramuscularly. Additional formulations which are suitable for other modes of administration include suppositories, and in some cases, oral formulations or formulations suitable for distribution as aerosols. In the case of the oral formulations, the manipulation of T-cell subsets employing adjuvants, antigen packaging, or the addition of individual cytokines to various formulation can result in improved oral vaccines with optimized immune responses. For suppositories, traditional binders and carriers may include, for example, polyalkylene glycols or triglycerides; such suppositories may be formed from mixtures containing the active ingredient in the range of 0.5 to 10%, preferably 1 to 2%. Oral formulations include such normally employed excipients as, for example, pharmaceutical grades of mannitol, lactose, starch magnesium stearate, sodium saccharine, cellulose, magnesium carbonate, and the like. These compositions take the form of solutions, suspensions, tablets, pills, capsules, sustained release formulations or powders and contain 10% to 95% of effective ingredient, preferably 25 to 70%.
The Her-2/neu expressing plasmid constructs of the present invention can be formulated into the vaccine compositions as neutral or salt forms. Pharmaceutically acceptable salts include the acid addition salts (formed with free amino groups of the peptide) and which are formed with inorganic acids such as, for example, hydrochloric or phosphoric acids, or with organic acids such as acetic, oxalic, tartaric, maleic, and the like. Salts formed with the free carboxyl groups can also be derived from inorganic bases such as, for example, sodium, potassium, ammonium, calcium, or ferric hydroides, and such organic bases as isopropylamine, trimethylamine, 2-ethylamino ethanol, histidine, procaine, and the like.
Vaccine compositions are administered in a manner compatible with the dosage formulation, and in such amount as will be prophylactically and/or therapeutically effective. The quantity to be administered depends on the subject to be treated, including, e.g., capacity of the subject's immune system to synthesize antibodies, and the degree of protection or treatment desired. Suitable dosage ranges are of the order of several hundred micrograms effective ingredient per vaccination with a range from about 0.01 to 10 mg/kg/day, preferably in the range from about 0.1 to 1 mg/kg/day. Suitable regiments for initial administration and booster shots are also variable but are typified by an initial administration followed by subsequent inoculations or other administrations. Precise amounts of effective ingredient required to be administered depend on the judgment of the practitioner and may be peculiar to each subject. It will be apparent to those of skill in the art that the therapeutically effective amount of Her-2/neu expressing plasmid constructs of this invention will depend, inter alia, upon the administration schedule, the unit dose of antigen administered, whether the Her-2/neu expressing plasmid construct is administered in combination with other therapeutic agents, the immune status and health of the recipient, and the therapeutic activity of the particular Her-2/neu expressing plasmid construct.
The compositions can be given in a single dose schedule, or preferably in a multiple dose schedule. A multiple dose schedule is one in which a primary course of vaccination can include 1 to 10 separate doses, followed by other doses given at subsequent time intervals required to maintain and or reinforce the immune response, for example, at 1 to 4 months for a second dose, and if needed, a subsequent dose(s) after several months. Periodic boosters at intervals of 1 to 5 years, usually 3 years, are desirable to maintain the desired levels of protective immunity.
Immunization protocols have used adjuvants to stimulate responses for many years, and as such adjuvants are well known to one of ordinary skill in the art. Some adjuvants affect the way in which antigens are presented. For example, the immune response is increased when protein antigens are precipitated by alum. Emulsification of antigens also prolongs the duration of antigen presentation.
In one aspect, an adjuvant effect is achieved by use of an agent such as alum used in about 0.05 to about 0.1% solution in phosphate buffered saline. Alternatively, the antigen is made as an admixture with synthetic polymers of sugars (Carbopol. RTM) used as an about 0.25% solution. Adjuvant effect may also be made by aggregation of the antigen in the vaccine by heat treatment with temperatures ranging between about 70 to about 101° C. for a 30 sec to 2 min period, respectively. Aggregation by reactivating with pepsin treated (Fab) antibodies to albumin, mixture with bacterial cell(s) such as C. parvum or an endotoxin or a lipopolysaccharide components of Gram-negative bacteria, emulsion in physiologically acceptable oil vehicles such as mannide mono-oleate (Aracel A) or emulsion with a 20% solution of a perfluorocarbon (Fluosol-DA. RTM) used as a block substitute also may be employed.
Various polysaccharide adjuvants may also be used. For example, the use of various pneumococcal polysaccharide adjuvants on the antibody responses of mice has been described. The doses that produce optimal responses, or that otherwise do not produce suppression, should be employed as indicated. Polyamine varieties of polysaccharides are particularly preferred, such as chitin and chitosan, including deacetylated chitin.
Another adjuvant contemplated for use in the present invention is BCG. BCG (Bacillus Calmette-Guerin, an attenuated strain of Mycobacterium) and BCG-cell wall skeleton (CWS) may also be used as adjuvants in the invention. BCG is an important clinical tool because of its immunostimulatory properties. BCG acts to stimulate the reticulo-endothelial system, activates natural killer cells and increases proliferation of hematopoietic stem cells. Cell wall extracts of BCG have proven to have excellent immune adjuvant activity. In a typical practice of the present invention, cells of Mycobacterium bovis BCG are grown and harvested by methods known in the art. Besides Mycobacterium bovis BCG, vaccines of non-pathogenic bacteria, e.g., Salmonella sp., Pseudomonas sp., Eschericia sp., and so on can be used in the present invention.
The present invention is further defined in the following Examples. It should be understood that these Examples, while indicating preferred embodiments of the invention, are given by way of illustration only. From the above discussion and these Examples, one skilled in the art can ascertain the essential characteristics of this invention, and without departing from the spirit and scope thereof, can make various changes and modifications of the invention to adapt it to various usage and conditions.
Reference Example 1
Cell Lines and Animals
The Her-2/neu expressing human breast carcinoma SK-BR3 cell line (ATCC HTB-30) and murine colon adenocarcinoma cell line CT26 (ATCC CRL-2639) were obtained from the American Type Culture Collection (Manassas, Va., USA). Human breast cancer cell line SK-BR3 cells were maintained in RPMI1640 (BioWhittaker, Walkersvile, Md.) supplemented with 10% heat-inactivated fetal bovine serum (FBS, GIBCO, Gaithersburg, Md.) and 1% penicillin-streptomycin (GIBCO). Her-2/neu-expressing transfectoma Her2-CT26 cells were prepared by transduction of CT26 cells with the cDNA-encoding human Her-2/neu (NCBI: M1730). Her2/CT26 and CT26 cells were cultured in IMDM (BioWhittaker) containing 10% heat-inactivated FBS and 1% penicillin-streptomycin.
Female 5-week-old BALB/C mice were purchased from Charles River (Osaka, Japan) and kept at 22° C., 55% relative humidity, and a daily lighting cycle of 12 hrs light/12 hrs dark with free access to food and water. The mice were housed at Laboratory Animal Center of Seoul National University until use and kept in a germ-free isolator (Techniplast, Buguggiate, Italy) during the whole experiments.
Reference Example 2
Isolation of DNA Plasmids for i.m. Injection
Escherichia coli strain DH5α, transformed with each of the plasmids, pNeuTM, pNeuECD, pNeuTM-gDs, pNeUECD-gDs pCKTM and pCKECD, control vectors pTV2 and pCK, was grown in LB broth (Difco, Detroit, Mich.). Large-scale preparation of the plasmid DNA was carried out by the alkaline lysis method using an Endofree Qiagen Plasmid-Giga kit (Qiagen, Chatsworth, Calif.) according to the manufacturer's instructions. DNA was then precipitated, suspended in sterile PBS (BioWhittaker) at a concentration of 2 mg/ml, and stored in aliquots at −20° C. for subsequent use in immunization protocols.
Reference Example 3
Flow Cytometry (FACS)
To examine whether sera could specifically react Her-2/neu surface protein, SK-BR3, Her2-CT26 and CT26 cells were stripped from the culture flasks with a cell scraper (Nunc, Naperville, Ill.). Removed cells were washed in an FACS buffer consisting of RPMI1640 supplemented with 2% FBS and 0.1% sodium azide. Approximately 2×105 cells per analysis were incubated together with a serial dilute of a serum or control antibody at 4° C. for 30 min. Cells were washed 3 times a serial dilute of the same FACS buffer and then stained for 30 minutes at 4° C. with an FITC-conjugated goat monoclonal antibody specific for mouse IgG (Sigma). Stained cells were washed 2 times and resuspended in the same FACS buffer. To exclude dead cells from data, 1 μg/ml propidium iodide (Sigma) was added to the cell suspension and incubated for 30 sec prior to analysis. Only the cells that were negative by propidium iodide staining were gated and further analyzed for binding to tumor cells. Flow cytometry was performed using a PAS IIIi flow cytometer (Partec GmbH, Munster, Germany)
Reference Example 4
Confocal Microscopy for Anti-Her-2/neu Antibodies
Approximately 1×104 SK-BR3 cells were grown for three days on Lab-Tek chambered coverglass (Nunc, Naperville, Ill.) coated with 1 mg/ml poly-L-Lysine. Cells were fixed with 4% paraformaldehyde in PBS for 10 min at room temperature, washed three times with DMEM, blocked with 1% goat γ-globulin in DMEM for 1 hour at 4° C., incubated with 1:50 diluted mouse sera in a blocking solution for 8 hours at 4° C., washed, and incubated with R-phycoerythrin-conjugated goat anti-mouse immunoglobulin secondary antibody (Southern Biotech, Birmingham, Ala.) for 30 min at room temperature. Slides were then mounted on Gel/Mount media (Fisher) and examined using a confocal microscopy (Leica TCS-SP laser scanning microscopy).
Reference Example 5
DNA Immunization Method
Briefly, each mouse received an i.m. injection of 100 μg of plasmid DNA that was dissolved in 100 μl of sterile PBS into the anterior tibialis muscle. The inoculation site was pretreated with bupivacaine-HCl (ASTRA, Westborough, Mass.). For daily immunization for therapeutic vaccination, bupivacaine-HCl was pretreated only once just before the first immunization. Sera were collected via the retro-orbital plexus at selected time points and monitored for the presence of anti-Her-2/neu antibodies.
Reference Example 6
Chromium-Release Assays
Splenocytes prepared by extracting spleen from immunized mice were cultured with mytomycin-C treated Her2-CT26 cells for 6 days, and were assayed for the lysis of CT26 or Her2-CT26 target cells in a 4 hour 51Cr-release assay.
Her2-CT26 or CT26 tumor target cells were labeled with 51Cr by incubating 2×106 cells with 200 μCi Na51CrO4 (NEN Research Products, Boston, Mass.) in 200 μl saline at 37° C. for 90 min. The unincorporated 51Cr was removed by four washes with RPMI1640. Graded numbers of effector cells were mixed with 10000 labeled target cells in 200 μl RPMI plus 10% FBS in the wells of a round-bottom microtiter plate. The plate was incubated at 37° C. for 4 hours. After the incubation, the plate was centrifugated, and a 100 μl aliquot was removed from each well for counting with a γ-scintillation counter (Packard, Minaxi Auto Gamma 5000 Series). The percent lysis was calculated by formula 1:

percent specific lysis (%)=100×[(cpmexperimental−cpmspontaneous)/(cpmmax−cpmspontaneous)]  <Formula 1>

The cpmmax value was determined by adding 10 μl of 5% triton-X (Sigma) to wells containing 51Cr-labeled target cells. Each group contained a duplicate. The cpmspontaneous value was determined by adding only an equal volume of the medium without the addition of splenocytes or triton-X.
Reference Example 7
Tumor Challenge
Mice were challenged by injection with Her2-CT26 cells suspended in sterile PBS either subcutaneously on the flank or intravenously. The three-dimensional size of each tumors was measured with a caliper, and the volume was calculated by formula 2:

tumor volume (mm3)=(width×length×depth) mm3×π/6  <Formula 2>

Animals were monitored twice a week for the development of palpable tumors. Mice showing any symptom of acute sickness, hard to breathe or rare movement were sacrificed.
Example 1
Construction of Her-2/neu Expressing Plasmids
pTV2 and pTV2-gDs (Lee, S. W. et al., J. Virol. 72:8430-8436, 1998) and pCK (Lee Y, et. al., Biochem Biophys Res Commun. 272:230-235, 2000; Deposit Accession No: KCCM-10179) were used an expression vectors. pTV2-gDs is an expression vector which was cloned to contain the signal sequence of herpes simplex virus type 1 glycoprotein D in expression vector pTV2. The cDNA encoding the entire human Her-2/neu gene (SEQ ID NO: 1) was inserted into the pRC/CMV backbone (Invitrogen, San Diego, Calif.) to produce a full-length Her-2/neu plasmid (9.6 Kb).
The plasmid pNeuECD, encoding the extracellular domain of Her-2/neu without the intracellular and transmembrane domains of Her-2/neu, was generated from the PCR product of the full-length Her-2/neu plasmid using NF6 (SEQ ID NO: 4) and NSR1 (SEQ ID NO: 5) as a primer pair, and cloned into the KpnI and XbaI sites of pTV2. Similarly, the plasmid pNeuTM, encoding the extracellular and transmembrane domains of Her-2/neu, was generated from the PCR product of the full-length Her-2/neu plasmid using NF5 SEQ ID NO: 6) and NRM2 (SEQ ID NO: 7) as a primer pair, and cloned into the KpnI and XbaI sites of pTV2 (FIG. 1).
The plasmid pNeuECD-gDs, encoding the extracellular domain of Her-2/neu without the intracellular and transmembrane domains of Her-2/neu, was generated from the PCR product of the full-length Her-2/neu plasmid using NSF2 (SEQ ID NO: 8) and NSR1 (SEQ ID NO: 5) as a primer pair, and cloned into the AscI and XbaI sites of pTV2-gDs. Similarly, the plasmid pNeuTM-gDs, encoding the extracellular and transmembrane domains of Her-2/neu, was generated from the PCR product of the full-length Her-2/neu plasmid using NF3 (SEQ ID NO: 9) and NRM2 (SEQ ID NO: 7) as a primer pair, and cloned into the AscI and XbaI sites of pTV2-gDs. The plasmids pCKECD and pCKTM were prepared by inserting into the KpnI-XbaI site of pCK vector truncated Her-2/neu gene fragments obtained from pNeuECD and pNeuTM, respectively. PCR was carried out at 94° C. for 2 min; 94° C. for 15 sec, 55° C. for 30 sec and 68° C. for 3.5 min; and 72° C. for 7 min.
Thus generated were four Her-2/neu expressing plasmids (pNeuTM, pNeuECD, pNeuTM-gDs, and pNeuECD-gDs), each encoding both the Her-2/neu transmembrane and extracellular domains (pNeuTM and pNeuTM-gDs) or only the Her-2/neu extracellular domain (pNeuECD and pNeuECD-gDs) (FIG. 1a). While pNeuTM or pNeuECD encoded the original Her-2/neu signal peptide sequence, the signal peptide sequence of pNeuTM-gDs or pNenECD-gDs was replaced by the signal peptide sequence from glycoprotein D of herpes simplex virus type I.
Example 2
Induction of Anti-Her-2/neu Antibody by pNeu Constructs Vaccination
Tests were conducted to examine whether various pNeu plasmid constructs could induce anti-Her-2/neu antibodies as follows.
Each mouse prepared in Reference Example 1 received three i.m. injections of 100 μg of plasmid DNA prepared in Reference Example 2 according to a preset immunization schedule (FIG. 1b). Some mice of each group were sacrificed and the lytic function of Her-2/neu-specific CTL was determined. Other mice were challenged with Her-2/neu expressing tumor for evaluating antitumor immunity. Sera were obtained from BALB/c mice before the first injection and one week after the third vaccination, and the anti-Her-2/neu antibody titer in the serum was measured based on its binding to the breast cancer cell line, SK-BR3, using a flow cytometry. Her-2/neu-specific serum IgG titers of all mice vaccinated with pNeuTM, pNeuECD, pNeuTM-gDs, or pNeuECD-gDs were determined and presented based on the greatest dilution of serum for which a shift in the mean fluorescence intensity of binding affinity to SK-BR3 cells was seen relative to an irrelevant control antibody.











TABLE 1





pTV2

pNeuECD
pNeuTM-gDs



(n = 5)
pNeuTM (n = 5)
(n = 5)
(n = 5)
pNeuECD-gDs (n = 5)



















<50
12800
12800
800
<50


<50
12800
12800
50
<50


<50
3200
12800
<50
<50


<50
12800
12800
800
<50


<50
3200
12800
50
<50









As shown in Table 1, the observed IgG titers were ranked in the order of pNeuECD>pNeuTM>pNeuTM-gDs>pNeuECD-gDs=pTV2. As expected, none of the sera collected from animals before the injection of plasmid DNA had detectable anti-Her-2/neu binding activities. Moreover, none of the animals injected with pTV2 made detectable anti-Her-2/neu antibodies at 1:50 dilution. However, vaccination with pNeuTM or pNeuECD resulted in high Her-2/neu-specific IgG titers (FIG. 2, A) and serum samples diluted by 1:800 produced a wide shift in the mean fluorescence intensity (FIG. 2, B and C). In contrast, vaccination with pNeuTM-gDs or pNeuECD-gDs resulted in a low or undetectable IgG titer and serum samples diluted by 1:50 revealed a little or a barely detectable shift in the mean fluorescence intensity (FIG. 2, D and E).
The existence of Her-2/neu-specific antibodies in mouse sera immunized with pNeuTM or pNeuECD-gDs was also confirmed by confocal microscopic analysis. Mouse serum immunized with pNeuTM (FIG. 3, B) demonstrated clear localization of anti-Her-2/neu antibodies on the surface of SK-BR3 that was not shown with the mouse sera immunized with pTV2 (FIG. 3, A) or pNeuECD-gDs (FIG. 3, C), which is consistent with the anti-Her-2/neu antibody titers presented in FIG. 2.
Example 3
Induction of Her-2/neu-Specific CTL by pNeu Constructs Vaccination
Having demonstrated that vaccination with pNeu constructs boosted high to very low Her-2/neu-specific antibody responses in vaccinated mice (FIG. 2), Her-2/neu-specific CTL responses induced in the same mice were evaluated as follows.
Splenocytes were prepared 2 weeks after the third immunization from the same mice that were tested for Her-2/neu-specific serum IgG titers. Splenocytes were cultured with mytomycin-C-treated human Her-2/neu expressing syngeneic murine transfectoma, Her2-CT26 cells for 6 days, and were assayed for the lysis of CT26 or Her2-CT26 target cells by a 4-h 51Cr-release assay.
As a result, splenocytes from mice vaccinated with pNeuTM (FIG. 4, B), pNeuECD(FIG. 4, C), pNeuTM-gDs (FIG. 4, D), or pNeuECD-gDs (FIG. 4, E) exhibited CTL-dependent lysis of Her2-CT26 that was not shown with splenocytes from pTV2 vaccinated control mice (FIG. 4, A) and the relative strength of Her-2/neu-specific CTL response was in order of pNeuTM>pNeuECD>pNeuTM-gDs>pNeuECD-gDs>pTV2. Percent Her-2/neu-specific lysis by splenocytes from mice immunized with any one of pNeu constructs was comparable to the others of pNeu constructs and were 80 ̃90% at an E:T ratio of 50:1 and 60 ̃70% at an E:T ratio of 10:1 (FIG. 3, B to E). However, splenocytes from any group of mice did not induce CTL-dependent lysis of CT26 cells.
In brief, all Her-2/neu expressing plasmids induced strong Her-2/neu-specific CTL response, which was irrelevant to their signal peptide sequences. However, they induced substantially different Her-2/neu-specific antibody responses according to their signal peptide sequences. Only pNeuTM and pNeuECD with the original signal sequence showed high Her-2/neu-specific IgG titers (FIG. 2). When their signal sequence was replaced by a viral signal sequence, pNeuTM-gDs generated a low level of anti-Her-2/neu antibodies, and pNeuECD-gDs, a very low level of anti-Her-2/neu antibodies.
Example 4
Prevention of Tumor Growth by pNeu Constructs Vaccination
Antitumor immunity against human Her-2/neu expressing syngeneic murine tumor cell line Her2-CT26 in mice was evaluated as follows.
Initially, titration studies were performed to determine the optimal number of tumor cells to be injected s.c. or i.v. into mice to generate subcutaneous tumor formation or lung metastasis, and the results showed that Her2-CT26 cells induced subcutaneous or lung metastatic tumor in BALB/c mice when 5×104 cells or more were injected s.c. or i.v. Since a long survival period may help to distinguish antitumor efficacy of Her-2/neu DNA plasmids, 5×104 cells were chosen as the initial cell number for i.v. or s.c. tumor challenge. Each mouse received three i.m. injections of 100 μg plasmid DNA according to a preset immunization schedule (FIG. 1b) and one and a half weeks after the third injection of plasmid DNA, each mouse was challenged i.v. or s.c. with 5×104 Her2-CT26 cells.
In the above subcutaneous tumor model study, all of the animals injected with pTV2 developed palpable tumors (FIG. 5, A). On the other hand, tumors were completely suppressed in all groups of mice each injected with pNeuTM, pNeuECD, pNeuTM-gDs, or pNeuECD-gDs for 60 days following s.c. tumor injection. In a metastasis model, all group of mice injected with either pNeuTM, pNeuECD, pNeuTM-gDs, or pNeuECD-gDs survived i.v. tumor challenge (FIG. 5, B). However, four of the seven mice (57%) injected with pTV2 and all mice injected with only PBS did not survive lung metastasis.
Example 5
Comparison of Antitumor Immunity by pNeuECD and pNeuECD-gDs 
Examples 2 to 4 demonstrated contrasting differences of Her-2/neu-specific antibody titers but comparable CTL responses in mice immunized with different pNeu plasmids. In addition, all groups of mice each immunized with pNeuTM, pNeuECD, pNeuTM-gDs, or pNeuECD-gDs rejected 5×104 s.c. tumor challenge. Since the number of tumor cells that were injected s.c. or i.v. into mice was too small to induce tumor in immunized mice, it was very difficult to distinguish antitumor efficacies by the difference in immune response induced by different pNeu constructs. Therefore, the number of tumor cells to be injected was increased by a factor of 100 (5×106) for s.c. tumor challenge and by a factor of 40 (2×106) for i.v. tumor challenge relative to that of tumor cells in the first tumor experiment to evaluate the relative importance of Her-2/neu-specific antibody and CTL toward inhibition of Her2-CT26. It was impossible to use a cell number of more than 2×106 for i.v. tumor challenge because there was the danger of blood vessel blockage by excessive tumor cells injected i.v. Chosen for a comparative purpose was a set of pNeuECD and pNeuECD-gDs that generated the largest difference in Her-2/neu-specific antibody titers among the four different Her-2/neu-expressing plasmids. Each mouse received three i.m. injections of 100 μg plasmid DNA according to the same immunization schedule (FIG. 1, B), and 10 days after the third injection of plasmid DNA, each mouse was challenged s.c. with 5×106 or i.v. with 2×106 Her2-CT26.
In the subcutaneous model, all eight animals injected with pTV2 developed tumors and the mean tumor volume reached over 2000 mm3 before day 19 post s.c. tumor challenge (FIG. 6, A). The mean tumor volume of eight mice injected with pNeuECD was 82.2 mm3 and at day 23 and that of eight mice injected with pNeuECD-gDs was 67.9 cm3. While there was significant suppression of tumor growth in mice injected with pNeuECD (p=2.9900e−8, Student's t test) or pNeuECD-gDs (p=2.8400e−8, Student's t test), the difference in the mean tumor volume between the two immunized groups was not statistical significance (P=0.8684, Student's t test). In the metastasis model, lung metastasis was inhibited until day 40 in eight of the eight mice (100%) injected with pNeuECD and in seven of the eight mice (88%) injected with pNeuECD-gDs (FIG. 6, B). All mice vaccinated with pTV2 did not survived lung metastasis. Again, although the survival was significantly prolonged by treatment with pNeuECD (p<0.0001, Mantel-Haenszel test) or pNeuECD-gDs (p=0.0002, Mantel-Haenszel test) compared with pTV2, there was no significant difference between pNeuECD and pNeuECD-gDs (p=0.3173, Mantel-Haenszel test).
Example 6
Efficacy of pNeu Constructs Vaccination in a Therapeutic Model
Preventive model tumor experiments were performed by challenging immunized mice with tumor cells. To compare the antitumor efficacies of pNeuECD and pNeuECD-gDs in a therapeutic model, mice were challenged with tumor cells first, and then received i.m. injections of DNA plasmids. 6-week old naive mice were challenged i.v. with 1×105 or 5×105 Her2-CT26 cells, and then were divided into 4 groups. Beginning 1 hour after the tumor injection, each mouse received the first i.m. injection of 100 μg of pNeuECD or pNeuECD-gDs, followed by four more daily i.m injections with the same DNA plasmid.
The results in FIGS. 5 and 6 show that when 1×105 tumor cells were injected, all mice treated with pNeuECD or pNeuECD-gDs survived lung metastasis for the following 40 days (FIG. 7, A). However, five of the eight mice (63%) injected with pTV2 and all mice (100%) injected with only PBS did not survive lung metastasis. Although pNeuECD and pNeuECD-gDs improved the survival rate significantly (p=0.0085, Mantel-Haenszel test) as compared with pTV2, there was no significant difference between pNeuECD and pNeuECD-gDs.
On the other hand, when the number of tumor cells was increased 5 times (5×10, only the mice injected with pNeuECD exhibited an increased survival rate which was statistically significantly (p=0.0237, Mantel-Haenszel test) compared with mice injected with pTV2 (FIG. 7, B). However, the mice injected with pNeuECD-gDs did not show significantly enhanced survival (p=0.4628, Mantel-Haenszel test) as compared with the mice injected with pTV2. Nonetheless, consistently with the preventive model, there was no significant difference in antitumor immunity between pNeuECD and pNeuECD-gDs (p=0.4263, Mantel-Haenszel test).
In summary, therapeutic efficacies of Her-2/neu DNA vaccines were evaluated by changing the number of preinjected tumor cells. When mice were treated with a small number of metastatic tumor cells, both pNeuECD and pNeuECD-gDs prolonged the survival period significantly and there was no significant difference between their antitumor immunity. However, when a large number of tumor cells were used, only pNeuECD improved the survival rate.
Example 7
Comparative Analysis of Immune Response Induced by pNeu Constructs and pCK Constructs
To enhance the clinical efficacy of vaccine, Her-2/neu DNA plasmid vector was constructed with pCK vector which has stronger promoter activity than pTV2. The KpnI-XbaI fragments of truncated Her-2/neu genes obtained from pNeuECD and pNeu were each inserted into the KpnI-XbaI site of pCK vector. Thus, pCK expressing the extracellular and transmembrane domains and pCKECD expressing the extracellular domain of Her-2/neu were prepared.
To evaluate the immunogenicity of pCK and pCKECD, BALB/c mice were vaccinated with pCKTM, pCKECD, pNeuECD and pNeuTM and the sera and spleen were obtained from immunized mice 10 days after the third intramuscular inoculation with each DNA plasmid. SK-BR3 cells were incubated with 400 fold-diluted sera, followed by binding with FITC conjugated goat anti-mouse IgG. Estimation of Her-2/neu specific antibody response was performed by end-point titration using a flow cytometer. The result in FIG. 8 shows that vaccination of mice with pCKTM and pCKECD induced Her-2/neu-specific IgG antibody responses similar to vaccination with pNeu constructs, wherein uncolored and colored histograms represent control antibody and diluted serum, respectively.
Furthermore, Her-2/neu-specific CTL activity was assayed against Her2-CT26 in a standard 51Cr-release assay. Vaccination of mice with pCK and pCKECD also induce strong CTL responses (FIG. 9). CTL responses induced by vaccination of pCK constructs were slightly higher than when vaccinated with pNeu constructs.
Example 8
Antitumor Activity of pCKTM and pCKECD 
To determine the antitumor effect of pCK constructs of Her-2/neu, female BALB/c mice were vaccinated intramuscularly three times with 100 μg PBS, pCK, pCKECD or pCKTM in two-week intervals, respectively. The mice were challenged s.c. or i.v. with 1×106 Her2-CT26 2 weeks after final vaccination. The three-dimensional size of grown solid tumor induced by s.c. injection of Her2-CT26 was measured with a caliper. The number of live mice was counted everyday and the results were presented as the percentage of live mice per treatment group.
Growth of solid tumors induced by s.c. injection of Her2-CT26 was inhibited completely in the mice vaccinated with pCK or pCKECD (FIG. 10, A). In the lung metastasis model, pCKTM and pCKECD prolonged the survival period, demonstrating strong suppression of lung metastasis (FIG. 10, B). In summary, protective immunity against Her2-CT26 challenge also could be achieved by vaccination with pCKTM or pCKECD.
To test therapeutic effects of pCKTM and pCKECD, mice were vaccinated intramuscularly with 100 μg PBS, pCK, pCKECD or pCKTM, 1 hr after 2×105 Her2-CT26 i.v. challenge. The number of live mice was counted everyday and the results were presented as the percentage of live mouse per treatment group. Post-vaccination with pCKTM or pCKECD was effective for the protection against the growth of metastatic colony and appeared to inhibit death by lung metastasis (FIG. 11). Thus, preventive antitumor effects of pNeu constructs were retained in pCKTM and pCKECD. Furthermore, in the therapeutic model to evaluate protective immunity against preinjected tumor cells, pCKTM and pCKECD prolonged the survival rate significantly. Since therapeutic antitumor activity of pCK was slightly better than that of pCKECD, pCKTM was chosen as a model for Her-2/neu DNA vaccine in combination with cytokine genes.
Example 9
Immune Responses and Antitumor Activities Induced by Coinjection of pCKTM and Various Cytokine Plasmids
To use cytokine genes as a molecular adjuvant in the Her-2/neu DNA vaccination, six cytokine gene-contained pCK vectors, pCK-GMCSF, pCK-IL12, pCK-IL15, pCK-IL18, pCK-Eta1 and pCK-Flt3L, were prepared as follows. GM-CSF and Flt3L, which promote the proliferation and activation of antigen presenting cells, are expected to improve the delivery efficiency into professional antigen presenting cells like dendritic cells and to increase immune responses. IL-12, IL-15, IL-18 and Eta-1 are representative TH1 skewing cytokines and expected to induce cell-mediated immune responses important to cancer immunity.
Eta-1 (SEQ ID NO: 10), IL-18 (SEQ ID NO: 11), IL-15 (SEQ ID NO: 12) and Flt3L (SEQ ID NO: 13) genes were amplified from mRNA isolated from the spleen of BALB/c mice by RT-PCR (SUPERSCRIPTTM II RT, GIBCO BRL) with specific primers (Eta-1, with EF1 of SEQ ID NO: 14 and ER1 of SEQ ID NO: 15; IL-18, with 18F1 of SEQ ID NO: 16 and 18R1 of SEQ ID NO: 17; IL-15, with 15F1 of SEQ ID NO: 18 and 15R1 of SEQ ID NO: 19; and Flt3L, with FF1 of SEQ ID NO: 20 and FR1 of SEQ ID NO: 21) according to the manufacturer's instructions. Cloned cytokine genes were inserted into pCK to generate pCK-Eta1, pCK-IL18, pCK-IL15 and pCK-Flt3L. pCK-GMCSF and pCK-IL12 were constructed by inserting the EcoRI-XbaI and XhoI fragments of pTV2-GMCSF (Cho, J. H. et al., Vaccine 17: 1136-1144, 1999) and pTV2-IL12 (Ha, S. J. et al., Nat. Biotechnol. 20: 381-386, 2002), into pCK vector, respectively.
To analyze the effects of cytokine gene adjutants in the antibody production and CTL response, mice were intramuscularly injected with pCKTM and each of the pCK-cytokines (FIG. 12a). 3 weeks after the final vaccination, antibody titration was performed by a flow cytometry to determine Her-2/neu-specific antibody production and 51Cr-release assay, to measure CTL responses.









TABLE 2









Her-2/neu specific IgG titer















Mice
PCK
pCKTM
+IL-12
+IL-15
+IL-18
+Eta-1
+Flt3L
+GM-CSF


















1
<50
3200
6400
6400
6400
3200
800
3200


2
<50
3200
3200
3200
6400
3200
3200
6400


3
<50
6400
6400
1600
6400
6400
800
6400


4
<50
3200
400
1600
12800
6400
1600
1600









As shown in Table 2, Her-2/neu-specific antibodies were sufficiently produced by vaccination of pCKTM with or without cytokines but no significant difference was found for the groups coinjected with cytokine gene plasmids (FIG. 12b).








TABLE 3








Effector:Target ratio











3:1
10:1
30:1





pCK
 5.5 ± 0.69
 8.8 ± 3.16
20.3 ± 5.43


pCKTM
52.6 ± 6.03
67.6 ± 0.56
76.4 ± 1.21


pCKTM + pCK-IL12
34.6 ± 5.67
59.3 ± 8.82
79.3 ± 6.99


pCKTM + pCK-IL15
39.0 ± 0.76
53.6 ± 1.08
70.7 ± 6.30


pCKTM + pCK-IL18
21.8 ± 1.44
38.8 ± 1.53
47.7 ± 2.55


pCKTM + pCK-Eta1
59.5 ± 9.01
 88.7 ± 11.07
96.2 ± 4.52


pCKTM + pCK-Flt3L
48.4 ± 2.99
79.6 ± 3.22
95.9 ± 2.38


pCKTM + pCK-GMCSF
 34.6 ± 12.96
 50.6 ± 15.56
64.3 ± 13.8









Table 3 shows a summary of the CTL responses observed in FIG. 12b. As shown in Table 3, the percentage of target lysis increased slightly by vaccination of pCKTM with pCK-Eta1 or pCK-Flt3L but decreased slightly by vaccination of pCKTM with pCK-IL18 or pCK-GMCSF. Nonspecific lysis using CT26 as target cell was not found in all mice.
Example 10
Antitumor Activity Induced by Coinjection of pCKTM and Cytokine Plasmids
To determine antitumor activity induced by coinjection of pCKTM and a cytokine plasmid, preventive and therapeutic experiments were performed using BALB/c mice. As shown in FIG. 13a and FIG. 14a, BALB/c mice were challenged with Her2-CT26 cells after and before vaccination with pCKTM and each of the cytokine plasmids. BALB/c mice were co-injected i.m. with 100 μg pCKTM and 100 μg each of the pCK-cytokine plasmids. The mice were challenged i.v. or s.c. with 1×106 Her2-CT26 at week 3 after the 2nd vaccination. Tumor growth was measured with a caliper twice a week and the volume was calculated for each mouse.
The growth of subcutaneous tumor was inhibited by covaccination with pCKTM and a cytokine plasmid, especially pCK-GMCSF, pCK-Eta1 and pCK-IL15 (FIG. 13b). Metastases of intravenously challenged Her2-CT26 were inhibited by vaccination with pCKTM and pCK-GMCSF (FIGS. 13c and 13d).
Mice were vaccinated intramuscularly with 100 μg pCKTM and each of the pCK-cytokine plasmids after 2×105 Her2-CT26 i.v. challenge. The number of live mice was counted everyday and the results were presented as the percentage of live mouse per treatment group. Co-vaccination with pCKTM and pCK-cytokine plasmids except pCK-Eta1 improved the survival rate more than when vaccinated only with pCKTM (FIGS. 14b and 14c).
Therefore, the preventive antitumor activity of pCKTM was promoted by co-injection of a particular cytokine plasmid such as pCK-GMCSF both in tumor growth model and metastasis model.
Example 11
Construction of Bicistronic Plasmids Expressing Her-2/neu and Cytokine
To enhance the antitumor activity of Her-2/neu DNA vaccination, constructed were bicistronic plasmids, pCKTM-GMCSF, pCKTM-Flt3L, pCKTM-Eta1, pCKTM-IL12, pCKTM-IL15, pCKTM-IL18 and pCKTM-IL23, in which the Her-2/neu protein and each of the cytokines had been translated independently. The internal ribosomal entry site (IRES) of encephalomyocarditis virus (EMCV) between the Her-2/neu gene and cytokine gene enabled the simultaneous expression of Her-2/neu protein and cytokine (FIG. 15a).
To generate bicistronic plasmids co-expressing Her-2/neu and cytokine proteins, GM-CSF, Flt3L, IL-15, IL-18 and Eta-1 genes were amplified by PCR using specific primers as described in Example 9, which were inserted downstream of IRES of EMCV of pCKTM-IRES. IRES of EMCV having the nucleotide sequence of SEQ ID NO: 22 was derived from pCK-IL12. For IL-12 and IL-23 (Belladonna, M. L., et al., J. Immunol. 168: 5448-5454, 2002), IRES was amplified by PCR using pCK-IL12 as a template and IRES-F1 of SEQ ID NO: 23 and IRES-R1 of SEQ ID NO: 24 as a primer pair, and the amplified product was inserted into the NotI-XhoI site of pCKTM to obtain pCKTM-IRES.
Example 12
Antitumor Effects Induced by Bicistronic Plasmids Expressing Her-2/neu and Cytokine
To evaluate preventive antitumor activities of pCKTM-cytokine plasmids, mice were vaccinated with each of the seven pCKTM-cytokine plasmids (pCKTM-GMCSF, pCKTM-Flt3L, pCKTM-Eta1, pCKTM-IL12, pCKTM-IL15, pCKTM-IL18 and pCKTM-IL23) according to the vaccination schedule shown in FIG. 15b. 
Intramuscular inoculation with pCKTM-cytokine constructs inhibited more thoroughly the growth of tumor implanted subcutaneously than when only pCK was injected (FIG. 15c). Especially, pCKTM-IL18, pCKTM-GMCSF, pCKTM-IL12 and pCKTM-Flt3L exhibited outstanding effects in the inhibition of tumor growth. In the tumor metastasis model, pCKTM-IL18 completely protected mice from lung metastasis (FIG. 15d). Anti-metastatic effects of other bicistronic constructs were similar to the case of pCKTM. Protection against metastasis of preinjected Her2-CT26 was assayed in the treatment model according to the schedule shown in FIG. 14a. Vaccination with pCKTM-GMCSF and pCKTM-IL18 prolonged the survival rate (FIG. 16, A and B). Collectively, pCKTM-GMCSF and pCKTM-IL18 appeared to markedly increase tumor suppression effects in the preventive and therapeutic model.
While the embodiments of the subject invention have been described and illustrated, it is obvious that various changes and modifications can be made therein without departing from the spirit of the present invention which should be limited only by the scope of the appended claims.

## Claims

1. A bicistronic plasmid construct comprising a polynucleotide encoding a signal peptide, a C-terminally truncated human Her-2/neu protein comprising the entire extracellular domain (ECD) and the transmembrane domain (TM) of Her-2/neu, but not the intracellular domain (ICD) of Her-2/neu, and granulocyte-macrophage colony-stimulating factor (GM-CSF), wherein the polynucleotide further comprises an internal ribosomal entry site (IRES) having the nucleotide sequence of SEQ ID NO: 22 between a nucleotide sequence encoding the truncated human Her-2/neu protein and a nucleotide sequence encoding the GM-CSF.

2. The construct of claim 1, wherein said truncated human Her-2/neu protein is encoded by the nucleotide sequence of SEQ ID NO: 2.

3. The construct of claim 1, wherein said plasmid construct is a pCK plasmid construct.

4. The construct of claim 3, wherein construct is pCKTM-GMCSF.

5. A pharmaceutical composition comprising the construct of claim 1 and a pharmaceutically acceptable carrier.

6. A method for treating a Her-2/neu-over-expressing human cancer comprising intramuscularly administering an effective amount of a bicistronic plasmid construct comprising a polynucleotide encoding a signal peptide, a C-terminally truncated human Her-2/neu protein comprising the entire extracellular domain (ECD) and the transmembrane domain (TM) of Her-2/neu, but not the intracellular domain (ICD) of Her-2/neu, and GM-CSF to a mammal in need of treatment of a Her-2/neu-over-expressing human cancer, wherein the polynucleotide further comprises an internal ribosomal entry site (IRES) having the nucleotide sequence of SEQ ID NO: 22 between a nucleotide sequence encoding the truncated human Her-2/neu protein and a nucleotide sequence encoding the GM-CSF, thereby treating said Her-2/neu-over-expressing human cancer.

7. The method of claim 6, wherein said truncated human Her-2/neu protein is encoded by the nucleotide sequence of SEQ ID NO: 2.

8. The method of claim 6, wherein said construct is a pCK plasmid construct.

9. The method of claim 8, wherein construct is pCKTM-GMCSF.

10. The method of claim 6, wherein said cancer is breast cancer or ovary cancer.

11. The method of claim 10, wherein said cancer is breast cancer.

12. The method of claim 6, wherein said cancer comprises a solid tumor.

13. A method of preventing or reducing Her-2/neu over-expressing tumor growth in a mammal, comprising intramuscularly administering an effective amount of a bicistronic plasmid construct comprising a polynucleotide encoding a signal peptide, a C-terminally truncated human Her-2/neu protein comprising the entire extracellular domain (ECD) and the transmembrane domain (TM) of Her-2/neu, but not the intracellular domain (ICD) of Her-2/neu, and GM-CSF, wherein the nucleotide comprises an internal ribosomal entry site (IRES) having the nucleotide sequence of SEQ ID NO: 22 between a nucleotide sequence encoding the truncated human Her-2/neu protein and a nucleotide sequence encoding the GM-CSF to a mammal in need of preventing or reducing Her-2/neu over-expressing cancer; thereby preventing or reducing Her-2/neu over-expressing tumor growth in said mammal.

14. The method of claim 13, wherein said truncated human Her-2/neu protein is encoded by the nucleotide sequence of SEQ ID NO: 2.

15. The method of claim 13, wherein said cancer is breast cancer or ovary cancer.

16. The method of claim 13, wherein said tumor is a solid tumor.