# Patent

## Title
Peptide, adjuvants, vaccines, and methods of use

## Abstract

Provided herein are peptides that have activity as mast cell activating proteins (MCAP), as well as compositions, adjuvant compositions, vaccines, and pharmaceutical formulations that include the peptides. Also provided are methods of using the peptides, including methods for eliciting an immune response to an immunogen in a mammal upon administration.

## Background
CROSS REFERENCE TO RELATED APPLICATIONS
This application claims priority to and is a national stage filing under 35 U.S.C. 371 of International Patent Application No. PCT/US2010/050560, filed Sep. 28, 2010, which claims the benefit of priority to U.S. Provisional Patent Application Ser. No. 61/246,228, filed Sep. 28, 2009, each of which is hereby incorporated by reference in its entirety.


STATEMENT REGARDING FEDERALLY SPONSORED RESEARCH OR DEVELOPMENT
This invention was made with United States government support under grant 1R21-A1-059591-01A1 awarded by the National Institute of Allergy and Infectious Diseases. The government has certain rights in this invention.


FIELD
The disclosure relates to vaccine development. Moreover, the disclosure provides peptides, compositions comprising the peptides, and the use thereof as adjuvants, as well as providing vaccines and methods of use, such as inducing an immune response in a mammal for therapeutic purposes.
SEQUENCE LISTING
The sequence listing is provided with the filing of the application in electronic form only, and is incorporated herein by reference. The sequence listing file “028193_9103_SeqList.txt” was generated on Sep. 28, 2010 and is 19,964 bytes in size.
BACKGROUND
Adjuvants are compounds added to vaccine formulations to enhance antigen-specific immune responses in vaccine recipients. Modern vaccine development requires safe and effective adjuvants, but the adjuvants now available to vaccine producers pose problems for human use. The best-known adjuvants include alum, Freund's complete, and Freund's incomplete. Though it has a good safety record, alum stimulates weak antibody responses against protein antigens. O'Hagan et al., (2001) Biomolecular Engineering 18:69-85. Moreover, alum adjuvants can induce IgE antibody production and may prompt allergic responses in some recipients. Freund's complete adjuvant and its variants demonstrate promising immunostimulation but are not suitable for human use because they cause unacceptable necrosis and tissue damage. Aucouturier et al., (2001) Vaccine 19:2666-2671. Freund's incomplete adjuvant, though less toxic, presents similar safety risks.
Mast cells reside at the host's interface with the surrounding environment and carry out specialized immune functions. Mast cells carry abundant, specialized intracellular granules storing many pre-synthesized immune mediators such as TNF-α, histamine, and tryptase that can be rapidly released through a process known as degranulation. Marshall and Bienenstock, (1994) Curr Opin Immunol 6:853-9. Because they can undergo repeated cycles of degranulation and regranulation, mast cells are major mediators of immune stimulation and inflammation in the host. For example, mast cells have been implicated in several inflammatory disorders, including asthma, allergy, inflammatory bowel disease and arthritis, and have also been shown to have beneficial effects in promoting bacterial clearance through neutrophil recruitment to sites of bacterial infection. Malaviya et al., (1996) Nature 38:77-80; Echtenacher et al., (1996) Nature 381:75-7.
Chemical mast cell activators, such as compound 48/80 (C48/80), have been shown to mediate recruitment of immune cells to regional lymph nodes. Koibuchi, et al., (1985) European J. of Pharm. 115(2-3):171-177; Stanovnik, et al., (1988) Agents Actions 23(3-4):300-303; McLachlan, et al., (2008) Nat. Med. 14(5):536. In addition, C48/80 acts as an adjuvant for nasally administered vaccines with efficacy comparable to cholera toxin—the “gold standard” for mucosal vaccine adjuvant activity. McLachlan, et al., (2008) Nat. Med. 14(5):536.
Nevertheless, despite its experimental promise, C48/80 faces barriers that likely preclude its use in human vaccines. McLachlan et al., (2008) Nat. Med. 14(5):536; McGowen, et al., (2009) Vaccine 27(27):3544-3552. For example, C48/80 is a condensation product of N-methyl-p-methoxyphenethylamine with formaldehyde (see, e.g., SIGMA, Cat. # C2313) and represents an uncharacterized mixture of polymer species. Koibuchi, et al., (1985) European J. of Pharm. 115(2-3):171-177. The use of C48/80 in humans would likely require the difficult task of identifying the single species mediating adjuvant activity, if such a single species even exists.
Thus, there is a need for improved and alternative mast cell activating compounds, adjuvant compositions, and vaccine compositions that can induce improved immune responses in a mammalian subject.
SUMMARY
In an aspect, the disclosure provides an isolated peptide of Formula I:









(SEQ ID NO: 1)



R1-X1-X2-X3-X4-X5-X6-X7-X8-X9-X10-X11-X12-X13-X14-R2






wherein X1 is I or W; X2 is N, Q, or R; X3 is L or W; X4 is K or R; X5 is A or W; X6 is any amino acid; X7 is A or W; X8 is A or W; X9 is L or W; X10 is A, V, or W; X11 is K or R; X12 is any amino acid; X13 is any amino acid; X14 is L or W; R1 is absent or Ac; and R2 is NH2 or OH.

In an aspect, the disclosure provides An isolated peptide of Formula II:








R1-I-N-L-K-A-X6-A-A-L-A-K-X12-X13-L-R2
(SEQ ID NO: 2)






wherein X6 is W, L, F, or I; X12 is W, L, F, Y, M, I, C, A, V, Q, S, R, H, N, E, or G; X13 is C, L, W, F, or M; R1 is absent or Ac; and R2 is NH2 or OH.

In an aspect, the disclosure provides an isolated peptide of any of SEQ ID NOs: 3-72.
In another aspect, the disclosure provides a composition comprising an immunogen in combination with at least one mast cell activating peptide (MCAP) of any of SEQ ID NOs:1-72.
In another aspect, the disclosure provides an adjuvant composition comprising at least one mast cell activating peptide (MCAP) of any of SEQ ID NOs:1-72 and an optional carrier or vehicle.
In a further aspect, the disclosure provides a pharmaceutical composition comprising an immunogen, at least one mast cell activating peptide (MCAP) of any of SEQ ID NOs:1-72, and a pharmaceutically acceptable carrier.
In another aspect, the disclosure provides a vaccine comprising an immunogen and at least one mast cell activating peptide (MCAP).
In another aspect, the disclosure provides method of inducing an immune response in a mammal comprising concurrently administering an immunogen and at least one mast cell activating peptide (MCAP) in a pharmaceutical carrier.
In a further aspect, the disclosure provides a method of treating a microbial infection in a subject in need thereof comprising administering to the subject, a composition comprising a microbial immunogen and at least one mast cell activating peptide (MCAP) in an amount effective to induce a therapeutic immune response effective to treat the microbial infection.
In an aspect, the disclosure provides a method of treating cancer in a subject in need thereof comprising, administering to the subject, a composition comprising a tumor antigen and at least one mast cell activating peptide (MCAP) in an amount effective to induce a therapeutic immune response effective to treat the cancer.
In another aspect, the disclosure provides a method for eliciting a non-specific immune response in a subject in need thereof comprising, administering to the subject, a composition comprising at least one mast cell activating peptide (MCAP) in an amount effective to induce an innate immune response effective for pathogen clearance.
In another aspect, the disclosure provides a kit for eliciting an immune response to an immunogen, wherein the kit comprises an immunogen, at least one mast cell activating peptide, a delivery device, and instructions for use, wherein the delivery device is capable of administering the immunogen and the at least one mast cell activating protein to a subject.
In other aspects the disclosure provides a medicament comprising at least one MCAP, methods for the preparation of the medicament, and a method comprising administration of the medicament as described herein.
The disclosure provides for additional aspects and embodiments that will be apparent to one of ordinary skill in the art in light of the drawings and detailed description that follows.



BRIEF DESCRIPTION OF THE DRAWINGS
FIG. 1 depicts the mucosal adjuvant activity of MCAP by ELISA assay. C3H/HeN female mice were inoculated with 2.09 μg of recombinant anthrax protective antigen (rPA) alone or in the presence of cholera toxin (CT) (10 μg; positive control adjuvant) or 20 nM of HR-1, Mastoparan (MP), MP7, or MP17 on days 0, 7 and 21. Mastoparan 17 represents an inactive mastoparan analog that is used as a negative control. On day 42, serum samples were collected and tested for the presence of anti-rPA serum IgG by endpoint ELISA. a: significantly greater than PA only; b: significantly greater than mastoparan 17, p=0.05 ANOVA.
FIG. 2 depicts that MCAP induce lethal toxin neutralizing antibody by macrophage protection assay. Day 42 serum was tested for its ability to neutralize anthrax lethal toxin in a macrophage assay. MP7, MP and HR-1 induced lethal toxin neutralizing antibody responses that were significantly increased versus all other groups at a 1:32 serum dilution (a: p=0.05, ANOVA) and at a 1:128 serum dilution (b: p=0.05 ANOVA).
FIG. 3 depicts the effects of mastoparan analogs in a nasal vaccine composition. Female C3H mice were nasally immunized on days 0, 7 and 21. Mice were immunized with TPA alone (2.0 μg) or rPA+cholera toxin (1 μg) served as controls. Peptides were tested at 20 nmoles per mouse, per dose when combined with rPA.
FIG. 4 depicts the effects of —OH and —NH2 modifications on the C-terminal amino acid of Mastoparan 7 when administered as a nasal vaccine adjuvant.
FIG. 5 depicts induction of mast cell degranulation by MCAP. Cultured MC9 cells were exposed to various concentrations of MP17 (negative control), HR-1, MP, and MP7 peptides for 30 minutes. Measurements of β-hexosaminidase, a degranulation marker, released into the culture medium revealed that HR-1, MP, and MP7 all induced mast cell degranulation.
FIG. 6 depicts adjuvant activity of MCAP derived via modification of mastoparan. Female BALB/c mice were nasally immunized on days 0, 7, and 21 with West Nile Virus (WNV) antigen alone or combined with 0.25 or 1.25 nmoles the following MCAP: MP7 (positive control), MP-12F, MP-12W, MP-12I, and MP-12L. Anti-WNV IgG titers in sera on day 28 revealed adjuvant activity for each MCAP, with significantly greater (ANOVA, p<0.05) antibody responses in mice receiving antigen plus MCAP as compared to antigen alone.



DETAILED DESCRIPTION
It will be understood that the various aspects and embodiments described herein are merely intended to provide illustration and do not serve to limit the scope of the claims.
Articles “a” and “an” are used herein to refer to one or to more than one (i.e. at least one) of the grammatical object of the article. By way of example, “an element” means at least one element and can include more than one element.
Unless otherwise defined, all technical terms used herein have the same meaning as commonly understood by one of ordinary skill in the art to which this disclosure belongs.
In a general sense the disclosure relates to peptides, including isolated and/or synthetic peptides that can enhance immune response in a mammal when administered as part of a vaccine composition. The peptides, compositions, vaccine formulations, and methods of use have broad applications as they can provide for a sustained immune response in a subject when combined with any immunogen of interest. The peptides can provide for mast cell activation and therefore are referred to herein as mast cell activating peptides (MCAPs).
Subjects to be treated by the methods and compositions include mammalian subjects, including both human subjects and non-human (animal) subjects such as dogs, cats, rabbits, goats, horses, pigs, cattle, birds (e.g., chickens, turkeys, ducks, geese, quail, pheasant), etc (including both male and female subjects and subjects of all ages including infant, juvenile, adolescent and adult subjects; and for birds subjects in ovo). Subjects may be treated for any purpose, such as for of eliciting a protective immune response; for eliciting the production of antibodies in that subject (typically an animal subject) which antibodies then may be collected and used for other purposes such as diagnostic purposes or administering to other subjects to produce passive immunity therein, etc.
As used herein, the term “antigenic determinant” is any structure that can elicit, facilitate, or be induced to produce an immune response, for example carbohydrate epitopes, lipids, proteins, peptides, or combinations thereof.
As used herein the term “infection” includes the presence of a microbe in or on a subject which, if its growth were inhibited, would result in a benefit to the subject. As such, the term “infection” in addition to referring to the presence of pathogens also includes normal flora which is not desirable, e.g., on the skin of a burn patient or in the gastrointestinal tract of an immunocompromised patient.
A peptide (including an MCAP) as used herein can refer to a compound that can comprise a single amino acid residue. Typically, a peptide comprises a sequence of at least 4 amino acids (amino acid residues) or amino acid mimetics. Embodiments of the disclosure relate to peptides of at least 5, 6, 7, 8, 9, 10, 11, 12, 13, or 14, amino acid residues, mimetics, or combinations thereof. Some embodiments of the aspects described herein provide for peptides of fewer than about 50 amino acid residues and/or mimetics, or fewer than about 25, or fewer about 20 amino acid residues and/or mimetics. The peptides can be provided in a charged form, typically with a net positive charge, and can be generated and used as salts. In some embodiments, the peptides can comprise modifications such as glycosylation, side chain oxidation, or phosphorylation, as long as the modification does not destroy the biological activity of the polypeptides as herein described.
The term “concurrently administered” as used herein means that two compounds are administered sufficiently close in time to achieve a combined immunological effect. Concurrent administration may thus be carried out by sequential administration or simultaneous administration (e.g., simultaneous administration in a common, or the same, carrier).
In various aspects, the disclosure relates to a peptide having adjuvant activity, and including compositions, vaccines, and methods comprising the peptide. Some embodiments provide peptides that are mast cell activating peptides.
As used herein, the term “mast cell activating peptide,” “mast cell activating protein,” or “MCAP” are generally interchangeable with each other and include any molecule comprising one or a plurality of amino acid residues and can, under appropriate conditions, induce a mast cell to secrete, or induce, mast cell membrane activators. Such peptides include, but are not limited to, polymixin, mastoparans (see, e.g., Kruger, P. G. et al., (2003) Regul. Pept. 114(1):29-35; Nakajima, T. et al., (1985) Peptides 6 Suppl. 3:425-430; Argiolas, A. et al., (1984) J. Biol. Chem. 259(16):10106-10111; de Souza, B. M. et al., (2004) Rapid Commun. Mass. Spectrom. 18(10):1095-1102; Konno, K. et al., (2000) Toxicon. 38(11):1505-1515; Ziai, M. R. et al., (1990) Journal of Pharmacy & Pharmacology 42(7):457-461; Bavec, A. et al., (2004) J. Peptide Science 10(11):691-699); peptides derived from the mammalian neuroendocrine protein chromogranin A, such as catestatin (see, e.g., Radek, K. A. et al., (2008) J. Invest. Dermatol. 128(6):1525; Kruger, P. G. et al., (2003) Regul. Pept. 114(1):29-35); neomycin (Aridor, M. et al., (1993) Science 262(5139):1569-1572); and additional molecules capable of binding IgE molecules bound on the mast cell membranes such as IgE-specific antibody or antigen (see, e.g., Mayr, S. et al., (2002) J. Immunol. 169(4):2061-2068).
Embodiments of the aspects disclosed herein provide synthetic peptides derived from an MCAP. In an embodiment, the synthetic peptides are derived from mastoparans (i.e. mastoparan analogs) and are optionally isolated and/or purified to a single active species. In some embodiments, the peptide comprises Formula I:









(SEQ ID NO: 1)



R1-X1-X2-X3-X4-X5-X6-X7-X8-X9-X10-X11-X12-X13-X14-R2






wherein

    X1 is I or W;
    X2 is N, Q, or R;
    X3 is L or W;
    X4 is K or R;
    X5 is A or W;
    X6 is any amino acid;
    X7 is A or W;
    X8 is A or W;
    X9 is L or W;
    X10 is A, V, or W;
    X11 is K or R;
    X12 is any amino acid;
    X13 is any amino acid;
    X14 is L or W;
    R1 is absent or Ac; and
    R2 is NH2 or OH,

and including salts thereof.



A number of non-limiting examples of peptides of Formula I are disclosed in Tables 1-7. In some further embodiments the peptide comprises Formula II:








R1-I-N-L-K-A-X6-A-A-L-A-K-X12-X13-L-R2
(SEQ ID NO: 2)






wherein

    X6 is W, L, F, or I;
    X12 is W, L, F, Y, M, I, C, A, V, Q, S, R, H, N, E, or G;
    X13 is C, L, W, F, or M;
    R1 is absent or Ac; and
    R2 is NH2 or OH.


In some embodiments, the peptide can comprise at least two peptides (e.g., a dimer repeat or multimer repeat) of either SEQ ID NO:1 or SEQ ID NO:2. In such embodiments, the peptide can comprise an optional linker moiety located between and linking the at least two peptides. Any linker moiety known in the art can be used in the embodiments described herein. In some embodiments, the linker moiety comprises any common peptide linker motif. In some embodiments the peptide linker is SGGRGG, GGG, or SGG. In some embodiments the peptide comprises MP7-2X (INLKALAALAKALL-INLKALAALAKALL-NH2 or —OH), MP7-2Xa (INLKALAALAKALL-SGGRGG-INLKALAALAKALL-NH2 or -OH), or MP7-2XB (INLKALAALAKALL-(S/G)GG-INLKALAALAKALL-NH2 or —OH)
In embodiments, the peptide comprises a sequence of SEQ ID NO:2, wherein X6 is leucine and X12 and X13 are defined as above. In some embodiments the peptide comprises a sequence of SEQ ID NO:2, wherein X6 is leucine, X13 is isoleucine, and X12 is defined as above. In some embodiments, X6 is leucine, X13 is isoleucine, and X12 comprises L, F, Y, W, M, or I.
In some embodiments the peptide is SEQ ID NO:6, SEQ ID NO:7, SEQ ID NO:8, SEQ ID NO:9, SEQ ID NO:11, or SEQ ID NO:20.
In other embodiments, peptides of SEQ ID NO:1 include, but are not limited to, mastoparan (INLKALAALAKKIL-NH2 or —OH), mastoparan 7 (INLKALAALAKALL-NH2 or -OH), Duke MCAP C (WQWRWWWWWWRRWW-NH2 or -OH), Duke MCAP F (WRWRWWWWWWRRWW-NH2 or —OH), or Duke MCAP I (WQWRWWWWWWRWWW-NH2 or —OH).
As used herein, the term “TLR” or “toll-like receptor” refers to a class of proteins that play a role in the innate immune system. These receptors are single membrane-spanning non-catalytic receptors that recognize structurally conserved molecules (e.g., ligands) derived from microbes and the host. Once these microbes have breached physical barriers such as the skin or intestinal tract mucosa, they are recognized by TLRs which activate immune cell responses. The term “TLR ligand” refers to those pathogen-associated molecules that bind the toll-like receptor of immune cells. These molecules are generally critical for the pathogen's function and cannot be eliminated or changed through mutation (i.e., evolutionarily conserved). Such molecules include, but are not limited to, lipopolysaccharides (LPS), lipoproteins, lipopeptides, lipoarabinomannan, proteins such as flagellin from bacterial flagella, double-stranded RNA or viruses or the unmethylated CpG islands of bacterial and viral DNA, MPL, and certain other RNA and DNA.
Immunogens
As noted above, the disclosure provides broad application and use of the MCAPs having adjuvant activity, and thus, can be used in combination with any immunogen of interest. As used herein, the term “immunogen” refers to any substance or organism that provokes an immune response (produces immunity) when introduced into the body. The particular immunogen used (e.g., proteins, peptides, polysaccharides, lipids, and the like, including glycoproteins, glycolipids, glycoproteins, lipoproteins, lipopolysaccharides and the like) is not critical to the invention. Immunogens are known in the art and can be incorporated for use in the methods and compositions provided herein using any common method. Non-limiting lists of suitable immunogens for use in the various aspects and embodiments described herein can be found in the literature, for example, BioCarb Chemicals Catalogue; and The Jordan Report: Accelerated Development of Vaccine 1995 NIH, Bethesda, Md., 1995, both of which are incorporated herein by reference.
In some embodiments an immunogen comprises any immunogen derived from bacteril surface polysaccharides which can be used in carbohydrate-based vaccines. Bacteria typically express carbohydrates on the cell surface as part of glycoproteins, glycoplipids, O-specific side chains of lipopolysaccharides, capsular polysaccharides and the like. Non-limiting examples of suitable bacterial strains include Streptococcus pneumonia, Neisseria meningitidis, Haemophilus influenza, Klebsiella spp., Pseudomonas spp., Salmonella spp., Shigella spp., and Group B streptococci. In some embodiments any known bacterial carbohydrate epitope (e.g., Sanders, et al. (1995) Pediatr. Res. 37:812-819; Bartoloni, et al. (1995) Vaccine 13:463-470; Pirofski, et al., (1995) Infect. Immun. 63:2906-2911 and International Publication No. WO 93/21948) and are further described in U.S. Pat. No. 6,413,935) can be used as an immunogen in the compositions and methods herein described.
Some embodiments provide for an immunogen that comprises a viral antigen. Non-limiting examples of viral antigens or viral immunogens include those derived from HIV (e.g., gp120, nef, tat, pol) and West Nile Virus (WNV).
Some embodiments provide for an immunogen that comprises a fungal antigen. Non-limiting examples of fungal antigens include those derived from Candida albicans, Cryptococcus neoformans, Coccidoides spp., Histoplasma spp., and Aspergillus spp.
Some embodiments provide for an immunogen that comprises an antigen derived from a parasite. Non-limiting examples of parasitic antigens include those derived from Plasmodium spp., Trypanosoma spp., Schistosoma spp., Leishmania spp. and the like.
In some embodiments the immunogen comprises a carbohydrate epitope. Non-limiting examples of carbohydrate epitopes that can be used in the aspects and embodiments described herein include: Galα1,4Galβ (for bacterial vaccines); GalNAcα (for cancer vaccines); Manβ1,2(Manβ)nManβ-(for fungal vaccines useful against, for example, C. albicans), wherein n is any integer, including zero; GalNAcβ1,4(NeuAcα2,3)Galβ1,4Glcβ-O-ceramide (for cancer vaccines); Galα1,2(Tyvα1,3)Manα1,4Rhaα1,3Galα1,2-(Tyα1,3)Manα4Rha- and Galα1,2(Abeα1,3)Manα1,4Rhaα1,3Galα1,2(Abeα1,3) Manα1,4Rhaα1,3Galα1,2(Abeα1,3)Manα1,4Rha (both of which are useful against, for example, Salmonella spp.). Description of other exemplary carbohydrate epitopes as antigens or immunogens and the synthesis thereof are described further in U.S. Pat. No. 6,413,935.
In some embodiments, the immunogen can be an anthrax immunogen; i.e. an immunogen that produces protective immunity to Bacillus anthracis, such as anthrax vaccine, A, (see, e.g., U.S. Pat. No. 5,728,385; BioThrax® Emergent Biosolutions, Rockville, Md.). Other examples of immunogens or antigens include, but are not limited to, those that produce an immune response or antigenic response to the following diseases and disease-causing agents: adenoviruses; Bordetella pertussus; Botulism; bovine rhinotracheitis; Branhamella catarrhalis; canine hepatitis; canine distemper; Chlamydiae; Cholera; coccidiomycosis; cowpox; cytomegalovirus; cytomegalovirus; Dengue fever; dengue toxoplasmosis; Diphtheria; encephalitis; Enterotoxigenic Escherichia coli; Epstein Barr virus; equine encephalitis; equine infectious anemia; equine influenza; equine pneumonia; equine rhinovirus; feline leukemia; flavivirus; Globulin; haemophilus influenza type b; Haemophilus influenzae; Haemophilus pertussis; Helicobacter pylori; Hemophilus; hepatitis; hepatitis A; hepatitis B; Hepatitis C; herpes viruses; HIV; HIV-1 viruses; HIV-2 viruses; HTLV; Influenza; Japanese encephalitis; Klebsiellae species; Legionella pneumophila; leishmania; leprosy; lyme disease; malaria immunogen; measles; meningitis; meningococcal; Meningococcal Polysaccharide Group A, Meningococcal Polysaccharide Group C; mumps; Mumps Virus; mycobacteria and; Mycobacterium tuberculosis; Neisseria; Neisseria gonorrhoeae; Neisseria meningitidis; ovine blue tongue; ovine encephalitis; papilloma; parainfluenza; paramyxovirus; paramyxoviruses; Pertussis; Plague; Pneumococcus; Pneumocystis carinii; Pneumonia; Poliovirus; Proteus species; Pseudomonas aeruginosa; rabies; respiratory syncytial virus; rotavirus; Rubella; Salmonellae; schistosomiasis; Shigellae; simian immunodeficiency virus; Smallpox; Staphylococcus aureus; Staphylococcus species; Streptococcus pneumoniae; Streptococcus pyogenes; Streptococcus species; swine influenza; tetanus; Treponema pallidum; Typhoid; Vaccinia; varicella-zoster virus; and Vibrio cholerae. The antigens or immunogens can include various toxoids, viral antigens and/or bacterial antigens such as antigens antigens commonly employed in the following vaccines: chickenpox vaccine; diphtheria, tetanus, and pertussis vaccines; haemophilus influenzae type b vaccine (Hib); hepatitis A vaccine; hepatitis B vaccine; influenza vaccine; measles, mumps, and rubella vaccines (MMR); pneumococcal vaccine; polio vaccines; rotavirus vaccine; anthrax vaccines; and tetanus and diphtheria vaccine (Td) (see, e.g., U.S. Pat. No. 6,309,633). The antigens or immunogens can include any type of antigen associated with cancer such as, for example, tumor antigens (including antigens associated with leukemias and lymphomas) and antigens that are associated with agents that can cause cancer (e.g., tumorigenic viruses such as, for example, adenovirus, HBV, HCV, HTLV, Kaposi's sarcoma-associated herpesvirus, HPV (Gardasil®), and the like).
Antigens or immunogens that are used to carry out the present invention include those that are derivatized or modified in some way, such as by conjugating or coupling one or more additional groups thereto to enhance function or achieve additional functions such as targeting or enhanced delivery thereof, including but not limited to those techniques described in U.S. Pat. No. 6,493,402 to Pizzo et al. (α-2 macroglobulin complexes); U.S. Pat. No. 6,309,633; U.S. Pat. No. 6,207,157; U.S. Pat. No. 5,908,629, etc.
Pharmaceutical Compositions and Methods
The peptides, compositions, including pharmaceutical compositions, and vaccine compositions described herein, can be administered to subjects as described above for prophylactic and/or therapeutic purposes. Embodiments of this administration method or use can be used to elicit and/or enhance immune responses against immunogens. Examples of diseases or disorders which can be treated using the present disclosure are described above.
In embodiments relating to therapeutic applications, the administration can be performed on a subject already suffering from the disorder of interest. Those in the incubation phase or the acute phase of the disease can be treated by the methods described herein, either alone or in conjunction with other treatments, as suitably based on the particular disease/condition, patient, and combination. One of skill in the art will be able to determine when a combination treatment is or is not suitable.
In therapeutic methods and uses, the composition described herein can be administered to a patient in an amount sufficient to elicit an effective immune response (e.g., a cellular immune response and/or a humoral immune response) to the antigen and to treat, or at least partially arrest, symptoms and/or complications. An amount adequate to accomplish this is often referred to as “therapeutically effective dose.” Amounts effective for this use will depend in part on the antigen composition, the manner of administration, the stage and severity of the disease being treated, the weight and general state of health of the patient, and the judgment of the prescribing physician.
Effective amounts of the compositions and peptides disclosed herein for the initial immunization, that is for therapeutic or prophylactic administration, can range from about 1 μg to about 10,000 μg of immunogen for a 70 kg patient, usually from about 100 to about 8000 μg, and preferably between about 200 and about 6000 μg. These doses may be followed by boosting dosages of from about 1.0 μg to about 1000 μg of immunogen pursuant to a boosting regimen over weeks to months depending upon the patient's response and condition by measuring specific immune responses.
In some embodiments, the methods and compositions described herein can be employed in serious disease states, that is, life-threatening or potentially life threatening situations. In such cases, in view of the minimization of extraneous substances and the relative non-toxic nature of the conjugates, it is possible and may be felt desirable by the treating physician to administer substantial excesses of these compositions.
In further embodiments, the peptides, compositions, and vaccines can be used to stimulate a prophylactic immune response in a subject to prevent, treat, reduce, and/or ameliorate bacterial infections, viral infections, fungal infections, parasitic infections and cancer. Effective amounts are as described above. Additionally, one of ordinary skill in the vaccine arts would also know how to adjust or modify prophylactic treatments, as appropriate, for example by boosting and adjusting dosages and dosing regimes.
Therapeutic administration may begin at the first sign of disease (such as onset of clinical symptoms) or the detection or surgical removal of tumors or shortly after diagnosis in the case of acute infection. This can be followed by boosting doses until symptoms are substantially abated and for a period thereafter. In chronic infection, initial high doses followed by boosting doses may be required.
Treatment of an infected individual with the compositions of the disclosure may hasten resolution of the infection in acutely infected individuals. For those individuals susceptible (or predisposed) to developing chronic infection the compositions are particularly useful in methods for preventing the evolution from acute to chronic infection. Where the susceptible individuals are identified prior to or during infection, for instance, as described herein, the composition can be targeted to them, minimizing need for administration to a larger population.
An aspect of the disclosure provides for the treatment of chronic infection through stimulation of the immune system to eliminate virus-infected cells in individuals with latent infections. Embodiments provide an amount of composition in a formulation and mode of administration sufficient to effectively elicit and/or enhance an immune response. Thus, for treatment of chronic infection, a representative dose can be in the range of about 1.0 μg to about 5000 μg, or about 5 μg to 1000 μg for a 70 kg patient per dose. Immunizing doses followed by boosting doses at established intervals, e.g., from one to four weeks, may be required, possibly for a prolonged period of time to effectively immunize an individual. In the case of chronic infection, administration should continue until at least clinical symptoms or laboratory tests indicate that the viral infection has been eliminated or substantially abated and for a period thereafter.
Some embodiments relating to pharmaceutical compositions for therapeutic or prophylactic treatment provide for formulations specific for any of mucosal (oral, nasal, rectal, vaginal, tracheal, etc.), parenteral, topical, or local administration. For purposes herein, mucosal administration is different from topical administration, as mucosal administration refers to application of the vaccine to a mucosal surface such as a surface of the respiratory tract, gastrointestinal tract, reproductive tract, etc. In some embodiments, the pharmaceutical compositions are suitably administered parenterally, e.g., intravenously, subcutaneously, intradermally, or intramuscularly. Topical administration (i.e., non-mucosal) can be to a non-mucosal surface of a subject, such as the eye, ear, nails, hair, or skin, in any appropriate form such as aqueous or non-aqueous liquid (e.g., droplet), emulsion, paste, ointment, cream etc. In some embodiments the administration is as described for the treatment of wounds or scarring as discussed herein. Thus, the disclosure provides compositions for topical (mucosal or non-mucosal) or parenteral administration which comprise a mast cell activation peptide or conjugate thereof, dissolved or suspended in an acceptable carrier, such as an aqueous carrier. In embodiments, the pharmaceutical composition is administered nasally. Any variety of aqueous carriers may be used, e.g., water, buffered water, 0.9% saline, 0.3% glycine, hyaluronic acid and the like. These compositions can be sterilized by conventional, well known sterilization techniques, or may be sterile filtered. The resulting solutions may be packaged for use as is, or lyophilized, the lyophilized preparation being combined with a sterile solution prior to administration. The compositions can contain pharmaceutically acceptable auxiliary substances as required to approximate physiological conditions, such as buffering agents, tonicity adjusting agents, wetting agents and the like, for example, sodium acetate, sodium lactate, sodium chloride, potassium chloride, calcium chloride, sorbitan monolaurate, triethanolamine oleate, etc. Alternatively, the pharmaceutical compositions described herein can also be in dry powder formulations. In embodiments relating to dry powder vaccine formulations, typically the liquid vaccine is rapidly frozen and dried in a vacuum (e.g., freeze-dried) in the presence of at least one bulking agent (such as trehalose or other sugars) to provide a vaccine formulation that has superior temperature stability. Such dry powder vaccine formulations may be administered to the host as a dry powder, thereby eliminating the need for liquid reconstitution.
In aspects described herein that relate to compositions, including pharmaceutical compositions and vaccine compositions, some embodiments provide a composition that comprises an immunogen in combination with at least one mast cell activating peptide (MCAP). In further embodiments the MCAP is a peptide of SEQ ID NO:1 or SEQ ID NO:2. In yet further embodiments the MCAP is a peptide of any of SEQ ID NOs:3-72.
In some embodiments, the disclosure provides a composition that consists essentially of an immunogen in combination with at least one mast cell activating peptide (MCAP). In further embodiments the MCAP is a peptide of SEQ ID NO:1 or SEQ ID NO:2. In yet further embodiments the MCAP is a peptide of any of SEQ ID NOs:3-72.
In another aspect, the disclosure provides a vaccine which comprises a peptide adjuvant and an immunogen. In embodiments, the peptide adjuvant comprises a peptide of Formula I (SEQ ID NO:1) or Formula II (SEQ ID NO:2). Carriers are well known in the art, and include thyroglobulin, albumins such as bovine serum albumin, tetanus toxoid, polyamino acids such as poly(lysine:glutamic acid), hepatitis B virus core protein, hepatitis B virus recombinant vaccine, diphtheria toxin CRM mutant and the like. The vaccines can also contain a physiologically tolerable (acceptable) diluent such as water, phosphate buffered saline, or saline. In addition to the MCAP peptide adjuvants described herein the composition may include an additional adjuvant, such as complete or incomplete Freund's adjuvant, aluminum phosphate, aluminum hydroxide, alum, cytokines (e.g., IL-1α, IL-1β, etc.), TLR ligands, etc. Upon immunization with a composition as described herein, via injection, aerosol, nasal, oral, topical transdermal or other route, the immune system of the host can produce an immune response and/or an enhanced immune response, that can be humoral and/or cellular. In some embodiments the additional adjuvants comprise at least one TLR ligand, (e.g., CpG and MPL).
Vaccine compositions can be administered to a subject, such as a human patient, susceptible to or otherwise at risk of disease, to elicit and/or enhance an immune response against an antigenic determinant. Such an amount can be referred to as an “immunogenically effective dose,” either for therapeutic or prophylactic use. In this use, the precise amounts again depend on the patient's state of health and weight, the mode of administration, the nature of the formulation, etc., but generally range from about 1.0 μg to about 5000 μg per 70 kilogram patient, more commonly from about 10 μg to about 500 μg per 70 kg of body weight.
Methods of Activating Immune System to Treat Microbial Infections
The methods and compositions described above can be used in methods for inducing a therapeutic immune response to treat a microbial infection. In some embodiments, the MCAPs, and/or compositions thereof, can be used in concert with an immunogen or antigen to evoke specific immunity against the infecting pathogen. In some embodiments the MCAPS, and/or compositions thereof, can be used in the absence of an immunogen or antigen to evoke non-specific immunity (innate immunity, involving recruitment of neutrophils, NK, or NKT cells for pathogen clearance). Also, as noted above, the disclosure provides methods of treating microbial infections (e.g., bacterial, viral, fungal and protozoal infections) in subjects in need thereof. Examples of microbial infections that may be treated by such methods include but are not limited to Category A and B pathogens as defined by the CDC Biological Diseases/agents list (e.g. Anthrax (Bacillus anthracis), Plague (Yersinia pestis), Smallpox (Variola major), Tualernia (Francisella tularensis) Viral hemorrhagic fevers (e.g. Ebola, Lassa); Listeria monocytogenes, yeast infections. Examples also include pathogens that typically cause community as well as hospital acquired infections (Gram negative enterobacteria, Escherichia coli Staphylococcus aureus, Streptococcus pyogenes, other gram positive bacteria most fungi and parasites). Examples also include newly emerging pathogens such as SARS, pathogens involved in post operative infections, and pathogens causing localized dermal infections. A particular example is Salmonella typhimurim. 
Thus in some embodiments microbes that may be treated using the methods disclosed herein include bacteria from the family Enterobacteriaceae. In other embodiments bacteria of a genus selected from the group consisting of Escherichia, Proteus, Salmonella, Klebsaiella, Providencia, Enterobacter, Burkholderia, Pseudomonas, Acinetobacter, Aeromonas, Haemophilus, Yersinia, Neisseria, and Erwinia, Rhodopseudomonas, or Burkholderia may be treated by the methods described herein.
In yet other embodiments, the microbes to be treated are Gram-positive bacteria such as, for example, those from a genus selected from the group consisting of: Lactobacillus, Azorhizobium, Streptococcus, Pediococcus, Photobacterium, Bacillus, Enterococcus, Staphylococcus, Clostridium, Butyrivibrio, Sphingomonas, Rhodococcus, or Streptomyces. In yet other embodiments, the microbes to be treated are acid fast bacilli, e.g., from the genus Mycobacterium. 
In still other embodiments, the microbes to be treated are, e.g., selected from a genus selected from the group consisting of: Methanobacterium, Sulfolobus, Archaeoglobu, Rhodobacter, or Sinorhizobium. 
In other embodiments, the microbes to be treated are fungi, such as a fungus from the genus Mucor or Candida, e.g., Mucor racemosus or Candida albicans. 
In other embodiments, the microbes to be treated are protozoa. In certain embodiments the microbe is a malaria or cryptosporidium parasite.
Routes of administration and pharmaceutical formulations such for example, therapeutic vaccines, for use in methods that induce a therapeutic immune response for treating microbial infections include those described above in connection with vaccine adjuvant administration. Dosages of the peptide, composition, and/or vaccine can be readily determined by one skilled in the art and can include broad ranges such as, for example, from about 0.05, 0.1, 0.5 or 1 milligram per kilogram subject body weight, up to about 10, 50 or 100 milligrams per kilogram subject body weight, or more.
The methods in the above described embodiments can be administered in combination or concurrently with known antimicrobial drugs, including but not limited to those described in U.S. Pat. No. 6,346,391 to Oethinger et al.
The methods and compositions described herein can be used in wound treatments. As noted above, an aspect of the disclosure provides a method of enhancing wound healing in a subject in need thereof, comprising administering (e.g., by topical administration to a wound or wound tissue) a MCAP to a subject afflicted with a wound in an amount effective to enhance healing of the wound. In addition, the disclosure provides a method of reducing scar formation in a subject in need thereof, comprising administering (e.g., by topical administration to a wound or wound tissue) a mast cell membrane activator to a subject afflicted with a wound in an amount effective to reduce scar formation during healing of said wound. Any type of surgical or traumatic wound may be treated, including wounds to the skin or skin tissue, as well as internal tissues such as muscle and connective tissues. Wound types that may be treated include wounds that are incisions, lacerations, burns, punctures, crushes, etc. Any increase in the speed or rate of wound healing is considered of benefit, and any decrease in scar tissue of clinical or cosmetic benefit is considered of benefit for purposes of this disclosure. For treating wounds the route of administration may be a topical application to the wound or wound tissue as noted above, with a topical formulation such as described above. The topical formulation may include the mast cell membrane activator in any suitable amount, such as from 1 or 2 micrograms per milliliter up to 100, 200, 500 or 1000 micrograms per milliliter, or more. The topical formulation may optionally include a permeability enhancer in any suitable amount (e.g., one to 50, 90 or 99 percent by weight), with examples of permeability enhances including but not limited to diols such as propylene glycol and glycerol; mono-alcohols such as ethanol, propanol, and higher alcohols; DMSO; dimethylformamide; N,N-dimethylacetamide; 2-pyrrolidone; N-(2-hydroxyethyl) pyrrolidone, N-methylpyrrolidone, 1-dodecylazacycloheptan-2-one and other n-substituted-alkyl-azacycloalkyl--2-ones (azones); any of the permeation enhancers described in, for example, U.S. Pat. No. 5,445,611, etc.
The following non-limiting examples merely provide illustration of some aspects and embodiments of the disclosure and do not limit the scope of the claims.
EXAMPLES
Example 1
Mucosal Adjuvant Activity of MCAP
To evaluate the mucosal adjuvant activity of MCAPs, C3H/HeN female mice were nasally immunized with 2.0 μg of recombinant anthrax protective antigen (rPA) either alone or in the presence of cholera toxin (CT) (1 μg; positive control adjuvant) or 20 nM of HR-1, MP, MP7 or MP17 (negative control) on days 0, 7 and 21. As shown in FIG. 1, on day 42, serum samples were collected and tested for the presence of anti-rPA serum IgG by endpoint ELISA. Despite being the “gold standard” adjuvant, CT did not significantly augment serum anti-PA IgG responses at Day +42. This is likely due to the use of very low dose (2.0 μg) of antigen (as compared to others in the field who have used doses up to 40 μg for nasal immunization with CT [Boyaka, P. N. et al. (2003) J. Immunol. 170(11):5636-5343]). Even with the use of this low dose of antigen, HR-1, MP and MP7 provided adjuvant activity that induced significantly increased serum anti-PA IgG geometric means titers (GMT) at Day +42. In agreement with the literature, the MP17 analog was inactive and did not provide detectable adjuvant activity (Tuichibaev, M. U. et al., (1988) Biokhimiia 53(2):219-226; Klinker, J. F. et al., (1994) Biochem J. 304(Pt 2):377-383; King, T. P. et al., (2003) Int Arch Aller Immunol. 131(1):25-32; Straub, S. G. et al., (1998) Diabetes 47(7):1053-1055; Lopez-Godinez, J. et al., (2003) Biochemical & Biophysical Research Communications 301(1):13-16). Therefore, MCAPs are effective adjuvants for nasally-administered vaccines.
Example 2
Induction of Protective Antibody Responses
In addition to the measurement of anti-PA IgG antibodies by ELISA, the serum was also assessed for the ability to neutralize the macrophage toxicity of anthrax lethal toxin (Staats, H. F. et al., (2007) Infect. Immun. 75(11):5443-5452). As shown in FIG. 2, HR-1, MP and MP7 induced serum antibodies that neutralized anthrax lethal toxin at serum dilutions of 1:32 through 1:128 (p=0.05, ANOVA) while cholera toxin and MP17 did not induce lethal toxin neutralizing responses greater than those detected in mice immunized with rPA alone. These results suggest that MCAP adjuvants are superior to the gold-standard mucosal adjuvant CT for the induction of protective, toxin-neutralizing antibody responses in the serum after nasal immunization and are good candidates for use in safe and effective nasal vaccine formulations utilizing MCAP adjuvants for the induction of protective, neutralizing serum antibodies.
Next, the serum was further tested at Day +42 for the presence of antibodies specific for the peptide adjuvants. Serum IgG antibodies specific for the MCAP adjuvants were not detected in serum of mice immunized with rPA+HR-1, MP, MP7 or MP17 (data not shown). These results suggest that the lack of immunogenicity of the MCAP adjuvants will allow these adjuvants to be repeatedly used without the concern that host anti-adjuvant immune responses will decrease adjuvant effectiveness with repeated use. Indeed, others have reported that pre-existing anti-CT antibody responses decreased the ability of CT to augment antigen-specific responses, although higher doses for repeat immunizations may overcome the inhibitory effects of pre-existing anti-CT immunity (Lycke, N. et al., (1991) Scand. J. Immunol. 33(6):691-698; Bergquist, C. et al., (1997) Infection & Immunity 65(5): 1579-1583).
Example 3
Combination Adjuvants—Induction of Protective Immunity
It has been previously reported that combinations of adjuvants used for nasally-administered vaccines induced antigen-specific antibody responses superior to those induced by individual adjuvants (Bradney, C. P. et al., (2002) J. Virol. 76(2):517-524). Others skilled in the art have also reported that the efficacy of the yellow fever virus vaccine was associated with its ability to provide adjuvant activity by activating multiple toll-like receptors (Querec, T. et al., (2006) J. Exp. Med. 203(2):413-424). Next, experiments were performed to determine whether the use of adjuvant combinations after nasal immunization with a botulinum neurotoxin subunit immunogen, HcBtre-Ad2F, would induce immune responses sufficient to protect 100% of the mice against a 20,000 LD50 challenge while using a low antigen dose (Maddaloni, M. et al., (2006) J. Immunol. 177(8):5524-5532). Female BALB/c mice were nasally immunized on day 0, 7 and 14 with 20 μg HcBtre-Ad2F alone or combined with the adjuvants CT (control), CpG (TLR9 ligand), MPL (TLR4 ligand), interleukin 1α (IL-1α) or MP7 alone or in combinations of CpG+MP7, MPL+MP7 or IL-1α+MP7. As shown in Table 1 below, serum was collected on day 27 and analyzed for the presence of anti-β-tre IgG.







TABLE 1







Adjuvant Combinations Enhance the Induction of


Protective Immunity After Nasal Immunization















% Survival After





Day 27 Anti-β-
Day 42 20,000


Group
Antigen
Adjuvant
tre IgG Titer
LD50 Challenge





1
HcBtre-Ad2F
None
<1:64    
0%


2
HcBtre-Ad2F
CT
1:49,667 A
 67% F


3
HcBtre-Ad2F
CpG (10 μg)
1:3,104 A 
0%


4
HcBtre-Ad2F
MPL (10 μg)
1:9,410 A 
0%


5
HcBtre-Ad2F
IL-1α (1 μg)
1:43,237 A
0%


6
HcBtre-Ad2F
MP7 (20 nmoles)
1:14,263 A
 40% F


7
HcBtre-Ad2F
CpG + MP7
   1:114,104 A, B
100% F 


8
HcBtre-Ad2F
MPL + MP7
   1:228,209 A, C, D
 80% F


9
HcBtre-Ad2F
IL-1 + MP7
   1:912,838 A, C, E
100% F 





Female BALB/c mice (5 per group) were nasally immunized with HcBtre-Ad2F (20 μg) combined with the indicated adjuvants on days 0, 7 and 14. Serum samples were collected on day +27 and tested for the presence of anti-β-tre IgG by ELISA. On day +42 mice were challenged with 20,000 LD50 BoNT/A and monitored for survival as we previously described(25). ELISA anti-β-tre IgG titers were compared using ANOVA/Tukey multiple comparisons procedure (GraphPad Prism).


A significantly greater than titers induced by β-tre with no adjuvant.


B significantly greater than titers induced by β-tre + CpG.


C significantly greater than titers induced by β-tre + M7.


D significantly greater than titers induced by β-tre + MPL.


E Significantly greater than titers induced by β-tre + IL-1α.


F survival significantly increased compared to mice immunized with β-tre alone (Gehan-Breslow-Wilcoxon Test, GraphPad Prism).


(25) Maddaloni, M. et al., (2006) J. Immunol. 177(8): 5524-5532






All adjuvants were effective at inducing significantly increased serum anti-β-tre IgG titers. All adjuvant combinations tested increased the serum anti-β-tre IgG titers above those observed in mice immunized using individual adjuvants. At day 42, all mice were challenged by the intraperitoneal route with 20,000 LD50 botulinum neurotoxin (Maddaloni, M. et al., (2006) J. Immunol. 177(8):5524-5532; Metabiologics, Madison, Wis.). As shown in Table 1 (above), of the individual adjuvants, only CT and MP7 provided measureable protection against the lethal botulinum neurotoxin challenge. CpG, MPL and IL-1α provided no protection against the 20,000 LD50 botulinum neurotoxin A lethal challenge despite inducing increased serum antibody responses. However, when these adjuvants were combined with the MCAP adjuvant MP7 (CpG+MP7, MPL+MP7 or IL-1α+MP7), combinations of adjuvants provided 80-100% protection against the lethal challenge (see Table 1 above). Of interest was the observation that MP7 alone provided 40% survival while inducing a serum antibody titer of 1:14,263 while IL-1α induced a serum titer of 1:43,237 but provided no protection. This observation suggests that adjuvants differentially influence the induction of protective antibody responses that may not correlate with ELISA titer.
Example 4
Mast Cell Peptide Analogs with Nasal Adjuvant Activity
Next, studies were performed to determine if novel mastoparan analogs could be developed that exhibit adjuvant activity. Based on previous studies, novel cationic peptides were synthesized and tested for adjuvant activity when nasally delivered with recombinant anthrax protective antigen (rPA; 2.0 μg) to female C3H mice on days 0, 7 and 21. Mice immunized with rPA alone or rPA+CT (1 μg) served as controls. Peptides were tested at 20 nmoles per mouse, per dose and comprised the following sequences:









(SEQ ID NO: 66)










Duke Mast C:
W-Q-W-R-W-W-W-W-W-W-R-R-W-W-NH2



 









(SEQ ID NO: 67)










Duke Mast F:
W-R-W-R-W-W-W-W-W-W-R-R-W-W-NH2



 









(SEQ ID NO: 68)










Duke Mast I:
W-Q-W-R-W-W-W-W-W-W-R-W-W-W-NH2






On Day 28, serum samples were tested by ELISA for the presence of antigen-specific (rPA) IgG. As shown in FIG. 3 and Table 2, the novel peptides listed above (Duke Mast C, Duke Mast F and Duke Mast I) provided statistically significant adjuvant activity based on their ability to induce serum anti-rPA IgG titers that were significantly increased compared to anti-rPA IgG titers detected in mice immunized with rPA alone. All peptides induced serum anti-rPA IgG titers that were not significantly different from those induced by CT, the “gold standard” mucosal vaccine adjuvant (see FIG. 3 and Table 2). The peptides provided similar adjuvant activity since there were no significant differences in the serum antibody titers induced by the various peptide adjuvants (see Table 2). The peptides Duke Mast C, Duke Mast F and Duke Mast I provide effective adjuvant activity when delivered to a subject, such as by the nasal route with protein immunogens.







TABLE 2







Comparison of Different Mastoparan Analogs








Tukey’s Multiple Comparison Test
Significant? P < 0.05?





rPA vs CT
Yes


rPA vs Duke Mast C NH2
Yes


rPA vs Duke Mast F NH2
Yes


rPA vs Duke Mast I NH2
Yes


CT vs Duke Mast C NH2
No


CT vs Duke Mast F NH2
No


CT vs Duke Mast I NH2
No


Duke Mast C NH2 vs Duke Mast F NH2
No


Duke Mast C NH2 vs Duke Mast I NH2
No


Duke Mast F NH2 vs Duke Mast I NH2
No









Example 5
Peptides Exhibiting Mast Cell Degranulating Activity
In light of the variation in mast cell degranulating activity that Mastoparan (MP), Mastoparan 7 (MP7), and Mastoparan 17 (MP17) exhibit (e.g., FIG. 1) a series of MP-based peptides containing substitutions at positions 6, 12, and 13 were generated and assessed for biological activity.
A total of 57 peptides containing single substitutions relative to MP were produced by CPC Scientific, Inc. (San Jose, Calif.) using solid-phase peptide synthesis techniques familiar in the art (Table 3). Peptide nomenclature followed an “MP-#X” convention, with # indicating the position of the substitution within the peptide chain and X indicating the single-letter code for the amino acid introduced at that position.







TABLE 3







Mastoparan analogs with amino acid


substitutions at positions 6, 12 or 13











SEQ




Peptide
ID
Sequence
MW













Mastoparan
3
I N L K A L A A L A K K I L
1479.9


 


Mastoparan
4
I N L K A L A A L A K A L L
1422.8


7





 


Mastoparan
5
I N L K A K A A L A K K L L
1494.9


17





 


MP-12F
6
I N L K A L A A L A K F I L
1498.9


 


MP-12M
7
I N L K A L A A L A K M I L
1482.9


 


MP-12W
8
I N L K A L A A L A K W I L
1537.9


 


MP-12I
9
I N L K A L A A L A K I I L
1464.9


 


MP-12V
10
I N L K A L A A L A K V I L
1450.9


 


MP-12L
11
I N L K A L A A L A K L I L
1464.9


 


MP-12A
12
I N L K A L A A L A K A I L
1422.8


 


MP-12P
13
I N L K A L A A L A K P I L
1448.9


 


MP-12D
14
I N L K A L A A L A K D I L
1466.8


 


MP-12E
15
I N L K A L A A L A K E I L
1480.8


 


MP-12C
16
I N L K A L A A L A K C I L
1454.9


 


MP-12N
17
I N L K A L A A L A K N I L
1465.8


 


MP-12Q
18
I N L K A L A A L A K Q I L
1479.9


 


MP-12T
19
I N L K A L A A L A K T I L
1452.8


 


MP-12Y
20
I N L K A L A A L A K Y I L
1514.9


 


MP-12S
21
I N L K A L A A L A K S I L
1438.8


 


MP-12G
22
I N L K A L A A L A K G I L
1408.8


 


MP-12H
23
I N L K A L A A L A K H I L
1488.9


 


MP-12K
24
I N L K A L A A L A K K I L
1479.9


 


MP-12R
25
I N L K A L A A L A K R I L
1507.9


 


MP-13F
26
I N L K A L A A L A K K F L
1513.9


 


MP-13M
27
I N L K A L A A L A K K M L
1497.9


 


MP-13W
28
I N L K A L A A L A K K W L
1553


 


MP-13I
29
I N L K A L A A L A K K I L
1479.9


 


MP-13V
30
I N L K A L A A L A K K V L
1465.9


 


MP-13L
31
I N L K A L A A L A K K L L
1479.9


 


MP-13A
32
I N L K A L A A L A K K A L
1437.8


 


MP-13P
33
I N L K A L A A L A K K P L
1463.9


 


MP-13D
34
I N L K A L A A L A K K D L
1481.8


 


MP-13E
35
I N L K A L A A L A K K E L
1495.9


 


MP-13C
36
I N L K A L A A L A K K C L
1469.9


 


MP-13N
37
I N L K A L A A L A K K N L
1480.9


 


MP-13Q
38
I N L K A L A A L A K K Q L
1494.9


 


MP-13T
39
I N L K A L A A L A K K T L
1467.9


 


MP-13Y
40
I N L K A L A A L A K K Y L
1529.9


 


MP-13S
41
I N L K A L A A L A K K S L
1453.8


 


MP-13G
42
I N L K A L A A L A K K G L
1423.8


 


MP-13H
43
I N L K A L A A L A K K H L
1503.9


 


MP-13K
44
I N L K A L A A L A K K K L
1494.9


 


MP-13R
45
I N L K A L A A L A K K R L
1522.9


 


MP-6F
46
I N L K A F A A L A K K I L
1513.9


 


MP-6M
47
I N L K A M A A L A K K I L
1497.9


 


MP-6W
48
I N L K A W A A L A K K I L
1553


 


MP-6I
49
I N L K A I A A L A K K I L
1480


 


MP-6V
50
I N L K A V A A L A K K I L
1465.9


 


MP-6L
51
I N L K A L A A L A K K I L
1479.9


 


MP-6A
52
I N L K A A A A L A K K I L
1437.8


 


MP-6P
53
I N K L A P A A L A K K I L
1463.9


 


MP-6D
54
I N L K A D A A L A K K I L
1481.8


 


MP-6E
55
I N L K A E A A L A K K I L
1495.9


 


MP-6C
56
I N L K A C A A L A K K I L
1469.9


 


MP-6N
57
I N L K A N A A L A K K I L
1480.9


 


MP-6Q
58
I N L K A Q A A L A K K I L
1494.9


 


MP-6T
59
I N L K A T A A L A K K I L
1467.9


 


MP-6Y
60
I N L K A Y A A L A K K I L
1529.9


 


MP-6S
61
I N L K A S A A L A K K I L
1453.8


 


MP-6G
62
I N L K A G A A L A K K I L
1423.8


 


MP-6H
63
I N L K A H A A L A K K I L
1503.9


 


MP-6K
64
I N L K A K A A L A K K I L
1494.9


 


MP-6R
65
I N L K A R A A L A K K I L
1522.9









Peptides were tested for in vitro mast cell degranulating activity by exposing mast cells (MC/9, from American Type Culture Collection (ATCC), Manassas, Va.) to 100 μM, 20 μM, and 4 μM concentrations of each peptide and measuring subsequent β-hexosamindiase release. While the β-hexosamindiase assay can be performed as known in the art, a brief summary of the conditions used herein is provided. Peptides were added to murine MC/9 mast cells to provide the desired final peptide concentration in a final volume of 100 μl in wells of a 96-well plate. After incubation for 30 min. (at 37° C.), 30 μl of supernatant was removed and tested for the presence of β-hexosaminidase (β-hex) by combining the supernatant with the substrate p-nitrophenyl-N-acetyl-β-D-glucosaminide (NAG). Percent β-hex release was calculated by comparing β-hex released that was induced by the test material relative to a 100% release induced by treatment of MC/9 cells with Triton X-100. Peptides exhibiting stronger degranulating activity than mastoparan at 100 μM were further tested at concentrations of 80 μM, 40 μM, 10 μM, 5 μM, and 2.5 μM to allow calculation of MCD10 and MCD50—the concentration of each peptide necessary to induce degranulation of 10 and 50% of mast cells, respectively. MCD10 and MCD50 calculations were performed using GraphPad Prism. While all of the 24 peptides selected for further study exhibited in vitro mast cell degranulation activity, the activity relative to mastoparan and mastoparan 7 is summarized in Table 4.







TABLE 4







Mastoparan analogs capable of inducing mast cell degranulation











Peptide
MCD50
MCD10















Mastoparan

33.07



Mastoparan 7
18.1
6.31



MP-12W
4.71
1.47



MP-12L
5.19
2.30



MP-12F
9.22
4.39



MP-12Y
11.07
4.09



MP-12M
11.34
2.96



MP-12I
11.98
2.32



MP-12C
23.84
5.33



MP-12A
25.32
8.88



MP-12V
41.16
14.87



MP-13C

17.27



MP-12Q

18.73



MP-13L

22.46



MP-12S

22.50



MP-13W

22.76



MP-12R

23.29



MP-12H

23.86



MP-13F

24.37



MP-6W

24.99



MP-12N

31.86



MP-12E

40.32



MP-6F

58.40



MP-6I

61.14



MP-13M

64.54



MP-12G

68.76







MCD50: concentration of peptide necessary to induce degranulation of 50% of mast cells;



MCD10: concentration of peptide necessary to induce degranulation of 10% of mast cells.






Example 6
Peptides Exhibiting Adjuvant Activity
MCAPs derived from MP via single amino acid substitutions and able to induce mast cell degranulation as described in the preceding example were tested for in vivo adjuvant activity. Female BALB/c mice (Charles River Laboratories, Wilmington, Mass.) were nasally immunized on days 0, 7, and 21 with 1 μg of recombinant West Nile Virus (WNV) envelope domain III trimer antigen alone or combined with MP7, MP-12W, MP-12L, MP-12F, or MP-12I peptides at 0.25 or 1.25 nmoles per immunization (Table 5). Serum samples collected from each mouse at day 28 and tested for serum anti-WNV IgG by ELISA revealed increased anti-WNV IgG titers in mice immunized with WNV antigen plus peptide than in those immunized with peptide alone (FIG. 5).







TABLE 5







Mast Cell Activating Peptides Exhibit


Nasal Adjuvant Activity in Mice.













# OF
MOUSE


ADJUVANT


GROUP
MICE
STRAIN
Antigen
ADJUVANT
DOSE















1
5
BALB/c
WNV E
none
None


2
5

Domain III
MP7
1.25 nmoles


3
5

(1 μg per

0.25 nmoles


4
5

dose)
MP-12F
1.25 nmoles


5
5



0.25 nmoles


6
5


MP-12W
1.25 nmoles


7
5



0.25 nmoles


8
5


MP-12I
1.25 nmoles


9
5



0.25 nmoles


10
5


MP-12L
1.25 nmoles


11
5



0.25 nmoles









Furthermore, there was no significant difference in anti-WNV IgG titers between mice that received MP7 and those that received the peptides MP-12W, MP-12L, MP-12F, or MP-12I. Accordingly, peptides of SEQ ID NOs:1 and 2, including MP-12W, MP-12L, MP-12F, and MP-12I exhibit adjuvant activity when administered concurrently with protein antigens in vivo.
Example 7
Peptide Analogs with Mast Cell Degranulating Activity
Peptide analogs based on mastoparan and mastoparan 7 were synthesized and tested for their ability to degranulate mast cells in vitro. The amino acid sequences of these peptide analogs, as well as the results of the mast cell degranulation studies is summarized below in Table 6.







TABLE 6







Mast cell degranulating activity of mastoparan (MP) analogs













% MC/9 Degranulation











Peptide Name
Amino Acid Sequence
SEQ ID NO
20 μM
100 μM














Mastoparan 17
INLKAKAALAKKLL—OH
SEQ ID NO: 5
not tested
     0%


 


Mastoparan
INLKALAALAKKIL—NH2
SEQ ID NO: 3
not tested
66.60%


 


Mastoparan 7
INLKALAALAKALL—NH2
SEQ ID NO: 4
50.25%
80.20%


 


Duke MCAP C
WQWRWWWWWWRRWW—NH2
SEQ ID NO: 66
not tested
47.90%


 


Duke MCAP F
WRWRWWWWWWRRWW—NH2
SEQ ID NO: 67
27.80%
40.07%


 


Duke MCAP I
WQWRWWWWWWRWWW—NH2
SEQ ID NO: 68
not tested
30.50%


 


MP7-2X
INLKALAALAKALLINLKALAALAKALL—NH2
SEQ ID NO: 69
33.60%
47.80%


 


MP7-2XA
INLKALAALAKALLSGGRGGINLKALAALAKALL—NH2
SEQ ID NO: 70
50.20%
78.40%


 


MP7-2XB
INLKALAALAKALLGGGINLKALAALAKALL—NH2
SEQ ID NO: 71
40.49%
56.90%









In previous studies, all peptides with in vitro degranulating activity also exhibit in vivo adjuvant activity. Studies will be performed to evaluate the in vivo adjuvant activity of the novel mast cell activating peptides. In such experiments, female BALB/c mice (5 per group) will be nasally immunized with an immunogen, such as HcBtre-Ad2F (20 μg) combined with the indicated adjuvants from Table 3 on days 0, 7 and 14. Serum samples will be collected on Day +27 and tested for the presence of anti-β-tre IgG antibody by ELISA. On Day +42, mice will be challenged with 20,000 LD50 BoNT/A and monitored for survival as previously described (Maddaloni, M., et al., (2006) J. Immunol. 177(8):5524-5532). ELISA anti-β-tre IgG titers will be compared using ANOVA/Tukey multiple comparisons procedure (GraphPad Prism).
Example 8
Effect of Terminal Amino Acid Modifications on Mast Cell Degranulating Activity
In light of reported effects of terminal modifications on MP biological activity, MP7, MP-12F, MP-12I, MP-12L, and MP-12W peptides with (1) no modification, (2) C-terminal amidation, (3) N-terminal acetylation, or (4) C-terminal amidation and N-terminal acetylation were synthesized and evaluated for mast cell degranulating activity (Table 7). Peptides were produced by CPC Scientific (San Jose, Calif.). Resulting peptides were screened for activity using an in vitro degranulation assay, exposing MC/9 cells to each peptide at 100 μM. Peptides exhibiting degranulating activity were further tested at 80 μM, 40 μM, and 20 μM. All amidated peptides exhibited enhanced degranulating activity relative to their analogs with unmodified C-termini. N-terminal acetylation did not impair degranulating activity.







TABLE 7







Influence of Peptide Terminal Modifications on Mast Cell Degranulation

















% Mast Cell Degranulation















Peptide
N-term
SEQ ID
Amino Acid Sequence
C-term
100 μM
80 μM
40 μM
20 μM


















NP7-NH2
—
SEQ ID NO: 4
I N L K A L A A L A K A L L
NH2

72.33
54.35
39.12


MP7-OH
—

I N L K A L A A L A K A L L
OH
2.87





MP7-Ac
Ac

I N L K A L A A L A K A L L
NH2
0.31





MP7-Ac-NH2
Ac

I N L K A L A A L A K A L L
NH2

54.46
47.52
29.89


 


MP-12F-NH2
—
SEQ ID NO: 66
I N L K A L A A L A K F I L
NH2

95.24
87.57
70.01


MP-12F-OH
—

I N L K A L A A L A K F I L
OH
38.07





MP-12F-Ac
Ac

I N L K A L A A L A K F I L
OH
2.75





MP-12F-Ac-NH2
Ac

I N L K A L A A L A K F I L
NH2

87.65
83.36
67.41


 


MP-12I-NH2
—
SEQ ID NO: 9
I N L K A L A A L A K I I L
NH2

81.66
70.13
49.9


MP-12I-OH
—

I N L K A L A A L A K I I L
OH
0





MP-12I-Ac
Ac

I N L K A L A A L A K I I L
OH
0





MP-12I-Ac-NH2
Ac

I N L K A L A A L A K I I L
NH2

87.97
67.63
46.09


 


MP-12L-NH2
—
SEQ ID NO: 11
I N L K A L A A L A K L I L
NH2

83.36
67.37
51.29


MP-12L-OH
—

I N L K A L A A L A K L I L
OH
21.36





MP-12L-Ac
Ac

I N L K A L A A L A K L I L
OH
1.07





MP-12L-Ac-NH2
Ac

I N L K A L A A L A K L I L
NH2

80.35
76.49
58.57


 


MP-12W-NH2
—
SEQ ID NO: 8
I N L K A L A A L A K W I L
NH2

79.87
85.74
80.05


MP-12W-OH
—

I N L K A L A A L A K W I L
OH
23.83





MP-12W-Ac
Ac

I N L K A L A A L A K W I L
OH
38.76





NP-12W-Ac-NH2
Ac

I N L K A L A A L A K W I L
NH2

82.5
64.75
41.58









Example 9
Peptides Exhibiting Adjuvant Activity in C-Terminal-OH or —NH2 Form
As discussed above, peptides can be synthesized with the C-terminal amino acid in the —OH form or the —NH2 form. To determine if the form of the C-terminal amino acid influenced the nasal adjuvant activity of mastoparan 7, female C3H/HeN mice were nasally immunized with recombinant anthrax protective antigen (rPA; 2.0 μg) alone or in combination with mastoparan 7-OH or mastoparan 7-NH2 at 0.25, 1.25, 5 or 20 nmoles. Mice were immunized on days 0 and 7. Serum was collected on day 14 and tested for the presence of anti-rPA IgG responses by ELISA. Using ANOVA and multiple comparisons test (Tukey), and as shown in FIG. 4, there was no significant difference between the serum anti-rPA IgG titers for the —OH and —NH2 forms at each peptide dose. However, mastoparan-NH2 at 1.25 nmoles induced a serum IgG titer significantly greater than the IgG titer in mice immunized with rPA alone while mice immunized with the mastoparan-OH peptide at 1.25 nmoles has serum anti-PA titers that were not significantly different from mice immunized with rPA alone. Nevertheless, any peptide that is identified in the C-terminal —NH2 form as exhibiting mast cell degranulation activity, is expected to have significant adjuvant activity in the —OH form at least as a nasal vaccine when used at an appropriate dose, which can be determined through careful dose response studies.
Example 10
Comparison of Nasal Adjuvant Activity: Mastoparan vs IC31
Adjuvant activity provided by cationic peptides can be enhanced by combination with other adjuvants such as CpG (Kindrachuk J, et al., Vaccine. 2009; 27(34):4662-71; Schellack C., et al., Vaccine. 2006; 24(26):5461-72). An adjuvant termed IC31 (Intercell AG, Vienna, Austria) combines a cationic peptide and CpG and has progressed to human clinical studies (van Dissel J T, et al., Vaccine. 2010; 28(20):3571-81). Comparative data of the mastoparan peptides described herein to IC31 when delivered intranasally show that the MCAP peptides of the disclosure provided significant adjuvant activity while the IC31 peptide did not (below). Thus, the potency of the peptides described herein may be superior to the potency of cationic peptide adjuvants used by others. Further, the required dosage of the peptide adjuvants described herein may be less than those previously known in the art. For example, the peptides described herein can provide adjuvant activity in a amounts as low as 20 nmoles ( ̃28 μg) or less (via nasal immunization), while known peptides have used higher doses (100-900 nmoles, via s.c. injection).
Female C3H/HeN mice were nasally immunized with 2.0 μg of anthrax recombinant protective antigen (rPA) alone or combined with mastoparan-OH, mastoparan-NH2, mastoparan 17-OH, KLKLLLLLKLK-OH (IC31), KLKLLLLLKLK-NH2 (IC31), or cholera toxin (1 μg) on days 0, 7 and 21. All peptides were at 20 nmoles of peptide per vaccine dose. On day 28, serum samples were collected and tested for the presence of anti-PA IgG by ELISA. Mastoparan-OH and mastoparan-NH2 provided adjuvant activity for nasally delivered PA and induced serum anti-PA IgG titers comparable to those induced by the classic mucosal adjuvant cholera toxin (CT). Mastoparan 17-OH (a negative control peptide), KLKLLLLLKLK-OH and KLKLLLLLKLK-NH2 did not provide adjuvant activity as determined by serum anti-PA IgG endpoint titers (data not shown).
The results presented herein present several advantages over currently available technology. First, the peptide adjuvants presented herein can be produced at a very low cost, especially when scaled up to large quantities. Second, these synthetic peptides can be produced at very high purity. Third, the peptide adjuvants presented herein provide adjuvant activity via a mechanism that does not appear to utilize toll-like receptors, thereby allowing them to be combined with TLR ligand adjuvants to provide an adjuvant cocktail having adjuvant activity superior to using adjuvants individually.
The patents and publications referred to herein are incorporated by reference.

## Claims

1. An isolated peptide of Formula I:
R1-X1-X2-X3-X4-X5-X6-X7-X8-X9-X10-X11-X12-X13-X14-R2 (SEQ ID NO:1)

wherein
X1 is W;
X2 is N, Q, or R;
X3 is L or W;
X4 is K or R;
X5 is A or W;
X6 is any amino acid;
X7 is A or W;
X8 is A or W;
X9 is L or W;
X10 is A, V, or W;
X11 is K or R;
X12 is any amino acid;
X13 is any amino acid;
X14 is L or W;
R1 is absent or Ac; and
R2 is NH2 or OH;

or a salt thereof.

2. An isolated peptide of Formula II:
R1-I-N-L-K-A-X6-A-A-L-A-K-X12-X13-L-R2 (SEQ ID NO:2)

wherein
X6 is W, L, F, or I;
X12 is W, L, F, Y, M, I, C, V, Q, S, H, E, or G;
X13 is C, L, W, F, or M;
R1 is absent or Ac; and
R2 is NH2 or OH;

or a salt thereof.

3. The peptide of claim 2, wherein X6 is leucine.

4. An isolated peptide of Formula II:
R1-I-N-L-K-A-X6-A-A-L-A-K-X12-X13-L-R2 (SEQ ID NO:2)

wherein X6 is leucine, X13 is isoleucine, and X12 is W, L, F, Y, M, I, C, V, Q, S, H, or E.

5. A composition comprising an immunogen in combination with at least one peptide comprising the isolated peptide of claim 1.

6. The composition according to claim 5 further comprising an additional adjuvant.

7. The composition according to claim 6, wherein the additional adjuvant is selected from the group consisting of LPS, CpG, MPL, IL-1α, IL-1β, and any combination thereof.

8. A vaccine comprising an immunogen and at least one peptide, wherein the immunogen is recombinant anthrax protective antigen and wherein the at least one peptide is selected from the group consisting of SEQ ID NO: 6, SEQ ID NO: 8, SEQ ID NO: 9, SEQ ID NO: 11, SEQ ID NO: 66, SEQ ID NO: 67, and SEQ ID NO: 68.

9. The vaccine according to claim 8 further comprising an additional adjuvant.

10. The vaccine according to claim 9, wherein the additional adjuvant is selected from the group consisting of LPS, CpG, MPL, IL-1α, IL-1β, and any combination thereof.