# Patent

## Title
Outer membrane vesicles

## Abstract

The present invention provides an outer membrane vesicle (OMV) from a Gram-negative bacterium, comprising at least one heterologous protein that is free in the lumen of the OMV, wherein the OMV is capable of eliciting an immune response to the heterologous protein when administered to a mammal. The invention also provides methods for preparing the OMVs of the invention, pharmaceutical compositions comprising the OMVs of the invention, especially immunogenic compositions and vaccines, and methods of generating an antibody immune response in a mammal using OMVs.

## Background
This application is the U.S. National Phase of International Application No. PCT/EP2013/069415, filed Sep. 18, 2013 and published in English, which claims the benefit of U.S. Provisional Application No. US provisional applications U.S. 61/702,296, filed Sep. 18, 2012, and of U.S. Provisional Application No. 61/799,311, filed Mar. 15, 2013. The complete contents of all of the foregoing applications which are hereby incorporated herein by reference for all purposes.
SEQUENCE LISTING
The instant application contains a Sequence Listing which was submitted in ASCII format in PCT application PCT/EP2013/069415 and is hereby incorporated by reference in its entirety. Said ASCII copy, created on, Dec. 18, 2013 is named “PAT055225-WO-PCT Sequence Listing 2” and is 164,692 bytes in size.


TECHNICAL FIELD
This invention relates to vesicles from Gram-negative bacteria. The vesicles comprise heterologous proteins in their lumens. The vesicles are particularly useful in immunogenic compositions, e.g. vaccines.
BACKGROUND ART
Gram-negative bacteria can spontaneously release outer membrane vesicles (OMVs) during growth due to the turgor pressure of the cell envelope. The formation of such OMVs can be facilitated by disruption of certain bacterial components e.g. references 1 and 2 disrupted the E. coli Tol-Pal system to provide strains which release vesicles into the culture medium during growth. OMVs can also be produced by disruption of whole bacteria. Known OMV production methods include methods which use detergent treatment (e.g. with deoxycholate) [3 & 4], detergent-free methods [5], or sonication [6], etc.
OMVs are rich in immunogenic cell surface-associated, periplasmic and secreted antigens and have been used as vaccines, e.g. against Neisseria meningitidis serogroup B [7]. They are particularly suited for this use because the vesicles contain compounds that act as adjuvants, eliciting strong immune responses against the antigens. In this way, the vesicles are a closer mimic of the native bacterium for the immune system than purified antigenic proteins or other bacterial components. OMVs therefore remain an attractive target for vaccines and other immunogenic compositions. It has been suggested that the immunogenic properties of some protein antigens can be increased by engineering OMVs to display multiple antigens on the surfaces of OMVs by using ClyA as a fusion partner [8].
Several attempts have been made to target heterologous proteins, and in particular heterologous antigens, to OMVs. However, to date antigens that are foreign to the parental bacteria remain notably absent from OMVs largely because of challenges associated with the transport of heterologous proteins to the vesicles [11]. Most attempts to target heterologous proteins to OMVs have relied on covalent linkage of the heterologous proteins to integral membrane proteins. Examples of such covalently-linked heterologous proteins include fusions of the FLAG epitope to the full-length sequence of OmpA (outer membrane protein A), fusions of the FLAG epitope to the full-length sequence of PagP (PhoPQ-activated gene P) [9], and fusions of GFP to ClyA (Cytolysin) [10]. By virtue of their covalent linkages to membrane proteins, the resulting fusion proteins are targeted to the outer membrane and are thus included in the OMVs. These methods have drawbacks, in particular because it is difficult to overexpress a large amount of an integral membrane protein without detrimental effects of the transformed bacterium.
Targeting periplasmic proteins to OMVs has also proven to be difficult. A fusion of GFP to a Tat (twin arginine transporter) signal sequence resulted in overexpression of GFP that was targeted to the periplasm, but GFP fluorescence was barely above background fluorescence levels in OMVs [11], suggesting that the GFP was either not incorporated into the OMVs or was non-functional in the OMV because of incorrect folding.
There remains a need to develop a method suitable for expressing heterologous proteins in OMVs, and in particular a method to express antigenic proteins in OMVs. There also remains a need for alternative or improved OMVs, particularly for use in vaccines.
DISCLOSURE OF THE INVENTION
The inventors have discovered that targeting heterologous proteins to the lumen of OMVs overcomes many of the problems associated with targeting heterologous proteins to the membrane of OMVs. Surprisingly, the inventors have also found that OMVs containing heterologous proteins that are in the lumen are capable of eliciting immune responses to the proteins when administered to a mammal.
Thus, the invention provides an outer membrane vesicle (OMV) from a Gram-negative bacterium, wherein the OMV comprises at least one heterologous protein that is free in its lumen, and the OMV is capable of eliciting an immune response to the heterologous protein when administered to a mammal.
The invention also provides a method of preparing an OMV of the invention, the method comprising the step of expressing the heterologous protein in the periplasm of the Gram-negative bacterium. The invention further provides an OMV obtained or obtainable by this method.
The invention also provides a pharmaceutical composition comprising (a) an OMV of the invention and (b) a pharmaceutically acceptable carrier.
The invention also provides a method of generating an immune response in a mammal, the method comprising administering an effective amount of an OMV from a Gram-negative bacterium to the mammal, wherein the OMV comprises at least one heterologous protein in its lumen, and wherein the immune response is to the heterologous protein in the OMV. In some embodiments of this aspect of the invention, the protein is free in the lumen of the OMV. The invention also provides a method of generating an immune response in a mammal comprising administering a pharmaceutical composition of the invention to the mammal, wherein the immune response is to the heterologous protein in the OMV.
OMVs
The present invention provides an outer membrane vesicle (OMV) from a Gram-negative bacterium, wherein the OMV comprises at least one heterologous protein that is free in its lumen, and the OMV is capable of eliciting an immune response to the heterologous protein when administered to a mammal.
OMVs are well known in the art and are spontaneously released into culture medium by bacteria. ‘Native OMVs’ (‘NOMVs’ [12]), microvesicles (MVs [13]), detergent-extracted OMVs (DOMVs), mutant-derived OMVs (m-OMV), and blebs, which are outer-membrane protrusions that remain attached to bacteria prior to release as MVs ([14]; [15]), all form part of the invention and are collectively referred to as OMVs herein.
OMVs of the invention can be obtained from any suitable Gram-negative bacterium. The Gram-negative bacterium is typically E. coli. However, instead of E. coli it may be a different Gram-negative bacterium. Preferred Gram-negative bacteria for use in the invention include bacteria that are not pathogenic in humans. For example, the bacteria may be commensalistic in humans. However, in some embodiments bacteria are used that are not typically found in human hosts at all. Exemplary species for use in the invention include species in any of genera Escherichia, Shigella, Neisseria, Moraxella, Bordetella, Borrelia, Brucella, Chlamydia Haemophilus, Legionella, Pseudomonas, Yersinia, Helicobacter, Salmonella, Vibrio, etc. In particular, the bacterium may be a Shigella species (such as S. dysenteriae, S. flexneri, S. boydii or S. sonnei). Alternatively, it may be a Neisseria species, particularly a non-pathogenic species such as N. bacilliformis, N. cinerea, N. elongata, N. flavescens, N. lactamica, N. macacae, N. mucosa, N. polysaccharea, N. sicca or N. subflava, and in particular N. lactamica. Alternatively, a pathogenic species of Neisseria may be used, e.g. N. gonorrhoeae or N. meningitidis. In other examples, the bacterium may be Bordetella pertussis, Borrelia burgdorferi, Brucella melitensis, Brucella ovis, Chlamydia psittaci, Chlamydia trachomatis, Moraxella catarrhalis, Haemophilus influenzae (including non-typeable stains), Legionella pneumophila, Pseudomonas aeruginosa, Yersinia enterocolitica, Helicobacter pylori, Salmonella enterica (including serovars typhi and typhimurium, as well as serovars paratyphi and enteritidis), Vibrio cholerae, Proteus, Citrobacter, Serratia, Erwinia, Pasteurella etc. Photosynthetic Gram-negative bacteria may also be used. Typically, the bacterium is a competent strain. This feature facilitates genetic modification of the bacterium.
In a particular embodiment, the Gram-negative bacterium is a “hyperblebbing” strain of that bacterium. Hyperblebbing Gram-negative bacteria from which blebs may more easily be made in higher yield and may be more homogeneous in nature are described in WO 02/062378. For example, the blebs may be derived from bacteria selected from the group consisting of Neisseria meningitidis, Neisseria lactamica, Neisseria gonorrhoeae, Helicobacter pylori, Salmonella typhi, Salmonella typhimurium, Vibrio cholerae, Shigella spp., Haemophilus influenzae, Bordetella pertussis, Pseudomonas aeruginosa and Moraxella catarrhalis. 
In a specific embodiment, the bacterium is an E. coli ompA mutant and/or E. coli tolR mutant. In some embodiments, the bacterium is selected from E. coli BL21(DE3)ΔompA, E. coli BL21(DE3)ΔompAΔtolR, E. coli BL21(DE3)ΔtolR, E. coli ΔnlpI, or E. coli ΔdegP. The A symbol is used herein to refer to a bacterial strain from which the coding sequence of the gene recited after the A symbol has been deleted. Thus, a bacterial strain which is “ΔompA” does not comprise the coding sequence for the ompA gene. Likewise, a bacterial strain which is “ΔtolR” does not comprise the coding sequence for the tolR gene. The entire coding sequence may be deleted. However, the coding sequence may alternatively be deleted in part. For example, the N-terminal half or the C-terminal half may be deleted. Alternatively, the ompA and/or tolR genes may be mutated by the introduction of one or more substitutions and/or insertions.
The E. coli ΔtolR mutant strains and E. coli ΔompA mutant strains overproduce OMVs relative to wild type E. coli. Thus, the mutation of the ompA gene and/or one or more components of the Tol-Pal complex results in the mutant bacterium producing an increased number of OMVs compared to its respective wild type strain which carries a wild type ompA gene and/or Tol-Pal complex. OmpA is an integral membrane protein and is the most abundant of the outer membrane proteins in E. coli. It is, therefore, surprising that an E. coli lacking the OmpA protein is viable. Indeed, according to Murakami et al. [16], an E. coli ompA single mutant cannot promote vesicle release.
Heterologous Protein
The heterologous protein of the invention is targeted to and expressed in the periplasm of the Gram-negative bacterium such that the heterologous protein is in the lumen of the OMV. In some embodiments, the heterologous protein is free in the lumen of the OMV.
The protein may be an amino acid polymer of any length. The amino acid polymer may be linear or branched, it may comprise modified amino acids, and it may be interrupted by non-amino acids. The terms also encompass an amino acid polymer may have been modified naturally or by intervention; for example, by disulfide bond formation, additional glycosylation, partial or complete deglycosylation, lipidation, acetylation, phosphorylation, or any other manipulation or modification, such as conjugation with a labelling component. Also included within the definition are, for example, proteins containing one or more analogues of an amino acid (including, for example, unnatural amino acids, etc.), as well as other modifications known in the art. Proteins can occur as single chains or associated chains. Proteins in the context of the invention can be naturally or non-naturally glycosylated (i.e. the polypeptide has a glycosylation pattern that differs from the glycosylation pattern found in the corresponding naturally occurring polypeptide).
As used herein, the term “heterologous” means that the protein is from a species that is different from the species of bacterium from which the OMV is obtained (the heterologous organism). Typically, the protein is an antigen from a pathogen genus different from the genus of bacterium from which the OMV is obtained.
In a specific embodiment of the invention, the heterologous protein is an immunogenic protein which can elicit an immune response in the recipient. In a specific embodiment, the immunogenic protein, and thus the heterologous protein, comprises or consists of an antigen. The antigen may elicit an immune response against a protist, a bacterium, a virus, a fungus, or any other pathogen including multicellular pathogens, or a parasite (or, in some embodiments, against an allergen; and in other embodiments, against a tumor antigen). The immune response may comprise an antibody response (usually including IgG) and/or a cell-mediated immune response. The polypeptide antigen will typically elicit an immune response which recognises the corresponding bacterial, viral, fungal or parasite (or allergen or tumour) polypeptide, but in some embodiments the polypeptide may act as a mimotope to elicit an immune response which recognises a bacterial, viral, fungal or parasite saccharide. The antigen will typically be a surface polypeptide e.g. an adhesin, a hemagglutinin, an envelope glycoprotein, a spike glycoprotein, etc.
In some embodiments the antigen elicits an immune response against one of these bacteria:

    Neisseria meningitidis: useful antigens include, but are not limited to, membrane proteins such as adhesins, autotransporters, toxins, iron acquisition proteins, factor H binding protein (fHbp or 741), Neisseria Heparin-Binding Antigen (NHBA or 287), NadA (or 961), 953/936 and Neisseria meningitides serogroup B by (fHbp). A combination of three useful polypeptides is disclosed in reference 17.
    Streptococcus pneumoniae: useful polypeptide antigens are disclosed in reference 18. These include, but are not limited to, the RrgB pilus subunit, the beta-N-acetyl-hexosaminidase precursor (spr0057), spr0096, General stress protein GSP-781 (spr2021, SP2216), serine/threonine kinase StkP (SP1732), and pneumococcal surface adhesin PsaA.
    Streptococcus pyogenes: useful antigens include, but are not limited to, the polypeptides disclosed in references 19 and 20, e.g. GAS25-574, such as GAS 25 (SEQ ID:41, SEQ ID:42), GAS40 (SEQ ID:43, SEQ ID:44, SEQ ID:45, SEQ ID:46, SEQ ID:47, SEQ ID:48, SEQ ID:49, SEQ ID:50, SEQ ID:51, SEQ ID:52, SEQ ID:53, SEQ ID:54, SEQ ID:55, SEQ ID:56, SEQ ID: 57, SEQ ID:58, SEQ ID:59, SEQ ID:60, SEQ ID:61, SEQ ID:62, SEQ ID:63, SEQ ID:64, SEQ ID:65, SEQ ID:66, SEQ ID: 67, SEQ ID:68, SEQ ID:69, SEQ ID:70), GAS57 (SEQ ID:39, SEQ ID:40, SEQ ID:71, SEQ ID:72, SEQ ID:73, SEQ ID:74; SEQ ID:75),88, 23, 99, 97, 24, 5, 208, 193, 67, 64, 101, 205, 268, 68, 189, 165 or 201.
    Moraxella catarrhalis. 
    Bordetella pertussis: Useful pertussis antigens include, but are not limited to, acellular or whole-cell pertussis antigens, pertussis holotoxin or toxoid (PT), filamentous haemagglutinin (FHA), pertactin, and agglutinogens 2 and 3.
    Staphylococcus aureus: Useful antigens include, but are not limited to, the polypeptides disclosed in reference 21, such as a hemolysin, esxA, esxB, esxAB, ferrichrome-binding protein (sta006) and/or the sta011 lipoprotein.
    Clostridium tetani: the typical antigen is tetanus toxoid.
    Cornynebacterium diphtheriae: the typical antigen is diphtheria toxoid.
    Haemophilus influenzae: Useful antigens include, but are not limited to, the polypeptides disclosed in references 22 and 23.
    Pseudomonas aeruginosa 
    Streptococcus agalactiae: useful antigens include, but are not limited to, the polypeptides disclosed in reference 19, such as 67, 80, 1523, 3, 328 or 211.
    Chlamydia trachomatis: Useful antigens include, but are not limited to, PepA, LcrE, ArtJ, DnaK, CT398, OmpH-like, L7/L12, OmcA, AtoS, CT547, Eno, HtrA and MurG (e.g. as disclosed in reference 24. LcrE [25] and HtrA [26] are two preferred antigens.
    Chlamydia pneumoniae: Useful antigens include, but are not limited to, the polypeptides disclosed in reference 27.
    Helicobacter pylori: Useful antigens include, but are not limited to, CagA, VacA, NAP, and/or urease[28].
    Escherichia coli: Useful antigens include, but are not limited to, antigens derived from enterotoxigenic E. coli (ETEC), enteroaggregative E. coli (EAggEC), diffusely adhering E. coli (DAEC), enteropathogenic E. coli (EPEC), extraintestinal pathogenic E. coli (ExPEC) and/or enterohemorrhagic E. coli (EHEC). ExPEC strains include uropathogenic E. coli (UPEC) and meningitis/sepsis-associated E. coli (MNEC). Useful UPEC polypeptide antigens are disclosed in references 29 and 30. Useful MNEC antigens are disclosed in reference 31. A useful antigen for several E. coli types is AcfD [32].
    Bacillus anthracis 
    Yersinia pestis: Useful antigens include, but are not limited to, those disclosed in references 33 and 34.
    Staphylococcus epidermidis, e.g. type I, II and/or III capsular polysaccharide obtainable from strains ATCC-31432, SE-360 and SE-10
    Clostridium perfringens or Clostridium botulinums 
    Legionella pneumophila 
    Coxiella burnetii 
    Brucella, such as B. abortus, B. canis, B. melitensis, B. neotomae, B. ovis, B. suis, B. pinnipediae. 
    Francisella, such as F. novicida, F. philomiragia, F. tularensis. 
    Neisseria gonorrhoeae 
    Treponema pallidum 
    Haemophilus ducreyi 
    Enterococcus faecalis or Enterococcus faecium 
    Staphylococcus saprophyticus 
    Yersinia enterocolitica 
    Mycobacterium tuberculosis 
    Mycobacterium leprae 
    Rickettsia 
    Listeria monocytogenes 
    Vibrio cholerae 
    Salmonella typhi 
    Borrelia burgdorferi 
    Porphyromonas gingivalis 
    Klebsiella 
    Rickettsia prowazekii. 


In some embodiments the antigen is an antigen from Chlamydia, Streptococcus, Pseudomonas, Shigella, Campylobacter, Salmonella, Neisseria or Helicobacter. 
In some embodiments the antigen elicits an immune response against one of these viruses:

    Orthomyxovirus: Useful antigens can be from an influenza A, B or C virus, such as the hemagglutinin, neuraminidase or matrix M2 proteins. Where the antigen is an influenza A virus hemagglutinin it may be from any subtype e.g. H1, H2, H3, H4, H5, H6, H7, H8, H9, H10, H11, H12, H13, H14, H15 or H16.
    Paramyxoviridae viruses: Viral antigens include, but are not limited to, those derived from Pneumoviruses (e.g. respiratory syncytial virus, RSV), Rubulaviruses (e.g. mumps virus), Paramyxoviruses (e.g. parainfluenza virus), Metapneumoviruses and Morbilliviruses (e.g. measles virus).
    Poxviridae: Viral antigens include, but are not limited to, those derived from Orthopoxvirus such as Variola vera, including but not limited to, Variola major and Variola minor. 
    Picornavirus: Viral antigens include, but are not limited to, those derived from Picornaviruses, such as Enteroviruses, Rhinoviruses, Heparnavirus, Cardioviruses and Aphthoviruses. In one embodiment, the enterovirus is a poliovirus e.g. a type 1, type 2 and/or type 3 poliovirus. In another embodiment, the enterovirus is an EV71 enterovirus. In another embodiment, the enterovirus is a coxsackie A or B virus.
    Bunyavirus: Viral antigens include, but are not limited to, those derived from an Orthobunyavirus, such as California encephalitis virus, a Phlebovirus, such as Rift Valley Fever virus, or a Nairovirus, such as Crimean-Congo hemorrhagic fever virus.
    Heparnavirus: Viral antigens include, but are not limited to, those derived from a Heparnavirus, such as hepatitis A virus (HAV) e.g. inactivated virus, hepatitis B virus e.g. the surface and/or core antigens or hepatitis C virus.
    Filovirus: Viral antigens include, but are not limited to, those derived from a filovirus, such as an Ebola virus (including a Zaire, Ivory Coast, Reston or Sudan ebolavirus) or a Marburg virus.
    Togavirus: Viral antigens include, but are not limited to, those derived from a Togavirus, such as a Rubivirus, an Alphavirus, or an Arterivirus. This includes rubella virus.
    Flavivirus: Viral antigens include, but are not limited to, those derived from a Flavivirus, such as Tick-borne encephalitis (TBE) virus, Dengue (types 1, 2, 3 or 4) virus, Yellow Fever virus, Japanese encephalitis virus, Kyasanur Forest Virus, West Nile encephalitis virus, St. Louis encephalitis virus, Russian spring-summer encephalitis virus, Powassan encephalitis virus.
    Pestivirus: Viral antigens include, but are not limited to, those derived from a Pestivirus, such as Bovine viral diarrhea (BVDV), Classical swine fever (CSFV) or Border disease (BDV).
    Hepadnavirus: Viral antigens include, but are not limited to, those derived from a Hepadnavirus, such as Hepatitis B virus. A composition can include hepatitis B virus surface antigen (HBsAg).
    Other hepatitis viruses: A composition can include an antigen from a hepatitis C virus, delta hepatitis virus, hepatitis E virus, or hepatitis G virus.
    Rhabdovirus: Viral antigens include, but are not limited to, those derived from a Rhabdovirus, such as a Lyssavirus (e.g. a Rabies virus) and Vesiculovirus (VSV). An example of a Rabies antigen is lyophilised inactivated virus.
    Caliciviridae: Viral antigens include, but are not limited to, those derived from Calciviridae, such as Norwalk virus (Norovirus), and Norwalk-like Viruses, such as Hawaii Virus and Snow Mountain Virus.
    Coronavirus: Viral antigens include, but are not limited to, those derived from a SARS coronavirus, avian infectious bronchitis (IBV), Mouse hepatitis virus (MHV), and Porcine transmissible gastroenteritis virus (TGEV). The coronavirus antigen may be a spike polypeptide.
    Retrovirus: Viral antigens include, but are not limited to, those derived from an Oncovirus, a Lentivirus (e.g. HIV-1 or HIV-2) or a Spumavirus, e.g. gp120, gp140 or gp160
    Reovirus: Viral antigens include, but are not limited to, those derived from an Orthoreovirus, a Rotavirus, an Orbivirus, or a Coltivirus.


Parvovirus: Viral antigens include, but are not limited to, those derived from Parvovirus B19.

    Herpesvirus: Viral antigens include, but are not limited to, those derived from a human herpesvirus, such as, by way of example only, Herpes Simplex Viruses (HSV) (e.g. HSV types 1 and 2), Varicella-zoster virus (VZV), Epstein-Barr virus (EBV), Cytomegalovirus (CMV), Human Herpesvirus 6 (HHV6), Human Herpesvirus 7 (HHV7), and Human Herpesvirus 8 (HHV8).
    Papovaviruses: Viral antigens include, but are not limited to, those derived from Papillomaviruses and Polyomaviruses. The (human) papillomavirus may be of serotype 1, 2, 4, 5, 6, 8, 11, 13, 16, 18, 31, 33, 35, 39, 41, 42, 47, 51, 57, 58, 63 or 65 e.g. from one or more of serotypes 6, 11, 16 and/or 18.
    Adenovirus: Viral antigens include those derived from adenovirus serotype 36 (Ad-36).


In some embodiments, the antigen elicits an immune response against a virus which infects fish, such as: infectious salmon anemia virus (ISAV), salmon pancreatic disease virus (SPDV), infectious pancreatic necrosis virus (IPNV), channel catfish virus (CCV), fish lymphocystis disease virus (FLDV), infectious hematopoietic necrosis virus (IHNV), koi herpesvirus, salmon picorna-like virus (also known as picorna-like virus of atlantic salmon), landlocked salmon virus (LSV), atlantic salmon rotavirus (ASR), trout strawberry disease virus (TSD), coho salmon tumor virus (CSTV), or viral hemorrhagic septicemia virus (VHSV).
Fungal antigens may be derived from Dermatophytres, including: Epidermophyton floccusum, Microsporum audouini, Microsporum canis, Microsporum distortum, Microsporum equinum, Microsporum gypsum, Microsporum nanum, Trichophyton concentricum, Trichophyton equinum, Trichophyton gallinae, Trichophyton gypseum, Trichophyton megnini, Trichophyton mentagrophytes, Trichophyton quinckeanum, Trichophyton rubrum, Trichophyton schoenleini, Trichophyton tonsurans, Trichophyton verrucosum, T. verrucosum var. album, var. discoides, var. ochraceum, Trichophyton violaceum, and/or Trichophyton faviforme; or from Aspergillus fumigatus, Aspergillus flavus, Aspergillus niger, Aspergillus nidulans, Aspergillus terreus, Aspergillus sydowii, Aspergillus flavatus, Aspergillus glaucus, Blastoschizomyces capitatus, Candida albicans, Candida enolase, Candida tropicalis, Candida glabrata, Candida krusei, Candida parapsilosis, Candida stellatoidea, Candida kusei, Candida parakwsei, Candida lusitaniae, Candida pseudotropicalis, Candida guilliermondi, Cladosporium carrionii, Coccidioides immitis, Blastomyces dermatidis, Cryptococcus neoformans, Geotrichum clavatum, Histoplasma capsulatum, Klebsiella pneumoniae, Microsporidia, Encephalitozoon spp., Septata intestinalis and Enterocytozoon bieneusi; the less common are Brachiola spp, Microsporidium spp., Nosema spp., Pleistophora spp., Trachipleistophora spp., Vittaforma spp Paracoccidioides brasiliensis, Pneumocystis carinii, Pythiumn insidiosum, Pityrosporum ovale, Sacharomyces cerevisae, Saccharomyces boulardii, Saccharomyces pombe, Scedosporium apiosperum, Sporothrix schenckii, Trichosporon beigelii, Toxoplasma gondii, Penicillium marneffei, Malassezia spp., Fonsecaea spp., Wangiella spp., Sporothrix spp., Basidiobolus spp., Conidiobolus spp., Rhizopus spp, Mucor spp, Absidia spp, Mortierella spp, Cunninghamella spp, Saksenaea spp., Alternaria spp, Curvularia spp, Helminthosporium spp, Fusarium spp, Aspergillus spp, Penicillium spp, Monolinia spp, Rhizoctonia spp, Paecilomyces spp, Pithomyces spp, and Cladosporium spp.
In some embodiments the antigen elicits an immune response against a parasite from the Plasmodium genus, such as P. falciparum, P. vivax, P. malariae or P. ovale. Thus the invention may be used for immunising against malaria. In some embodiments the antigen elicits an immune response against a parasite from the Caligidae family, particularly those from the Lepeophtheirus and Caligus genera e.g. sea lice such as Lepeophtheirus salmonis or Caligus rogercresseyi. 
In some embodiments the antigen elicits an immune response against: pollen allergens (tree-, herb, weed-, and grass pollen allergens); insect or arachnid allergens (inhalant, saliva and venom allergens, e.g. mite allergens, cockroach and midges allergens, hymenopthera venom allergens); animal hair and dandruff allergens (from e.g. dog, cat, horse, rat, mouse, etc.); and food allergens (e.g. a gliadin). Important pollen allergens from trees, grasses and herbs are such originating from the taxonomic orders of Fagales, Oleales, Pinales and platanaceae including, but not limited to, birch (Betula), alder (Alnus), hazel (Corylus), hornbeam (Carpinus) and olive (Olea), cedar (Cryptomeria and Juniperus), plane tree (Platanus), the order of Poales including grasses of the genera Lolium, Phleum, Poa, Cynodon, Dactylis, Holcus, Phalaris, Secale, and Sorghum, the orders of Asterales and Urticales including herbs of the genera Ambrosia, Artemisia, and Parietaria. Other important inhalation allergens are those from house dust mites of the genus Dermatophagoides and Euroglyphus, storage mite e.g. Lepidoglyphys, Glycyphagus and Tyrophagus, those from cockroaches, midges and fleas e.g. Blatella, Periplaneta, Chironomus and Ctenocepphalides, and those from mammals such as cat, dog and horse, venom allergens including such originating from stinging or biting insects such as those from the taxonomic order of Hymenoptera including bees (Apidae), wasps (Vespidea), and ants (Formicoidae).
In some embodiments the antigen is a tumor antigen selected from: (a) cancer-testis antigens such as NY-ESO-1, SSX2, SCP1 as well as RAGE, BAGE, GAGE and MAGE family polypeptides, for example, GAGE-1, GAGE-2, MAGE-1, MAGE-2, MAGE-3, MAGE-4, MAGE-5, MAGE-6, and MAGE-12 (which can be used, for example, to address melanoma, lung, head and neck, NSCLC, breast, gastrointestinal, and bladder tumors; (b) mutated antigens, for example, p53 (associated with various solid tumors, e.g., colorectal, lung, head and neck cancer), p21/Ras (associated with, e.g., melanoma, pancreatic cancer and colorectal cancer), CDK4 (associated with, e.g., melanoma), MUM1 (associated with, e.g., melanoma), caspase-8 (associated with, e.g., head and neck cancer), CIA 0205 (associated with, e.g., bladder cancer), HLA-A2-R1701, beta catenin (associated with, e.g., melanoma), TCR (associated with, e.g., T-cell non-Hodgkins lymphoma), BCR-abl (associated with, e.g., chronic myelogenous leukemia), triosephosphate isomerase, KIA 0205, CDC-27, and LDLR-FUT; (c) over-expressed antigens, for example, Galectin 4 (associated with, e.g., colorectal cancer), Galectin 9 (associated with, e.g., Hodgkin's disease), proteinase 3 (associated with, e.g., chronic myelogenous leukemia), WT 1 (associated with, e.g., various leukemias), carbonic anhydrase (associated with, e.g., renal cancer), aldolase A (associated with, e.g., lung cancer), PRAME (associated with, e.g., melanoma), HER-2/neu (associated with, e.g., breast, colon, lung and ovarian cancer), mammaglobin, alpha-fetoprotein (associated with, e.g., hepatoma), KSA (associated with, e.g., colorectal cancer), gastrin (associated with, e.g., pancreatic and gastric cancer), telomerase catalytic protein, MUC-1 (associated with, e.g., breast and ovarian cancer), G-250 (associated with, e.g., renal cell carcinoma), p53 (associated with, e.g., breast, colon cancer), and carcinoembryonic antigen (associated with, e.g., breast cancer, lung cancer, and cancers of the gastrointestinal tract such as colorectal cancer); (d) shared antigens, for example, melanoma-melanocyte differentiation antigens such as MART-1/Melan A, gp100, MC1R, melanocyte-stimulating hormone receptor, tyrosinase, tyrosinase related protein-1/TRP1 and tyrosinase related protein-2/TRP2 (associated with, e.g., melanoma); (e) prostate associated antigens such as PAP, PSA, PSMA, PSH-P1, PSM-P1, PSM-P2, associated with e.g., prostate cancer; (f) immunoglobulin idiotypes (associated with myeloma and B cell lymphomas, for example). In certain embodiments, tumor antigens include, but are not limited to, p15, Hom/Mel-40, H-Ras, E2A-PRL, H4-RET, IGH-IGK, MYL-RAR, Epstein Barr virus antigens, EBNA, human papillomavirus (HPV) antigens, including E6 and E7, hepatitis B and C virus antigens, human T-cell lymphotropic virus antigens, TSP-180, p185erbB2, p180erbB-3, c-met, mn-23H1, TAG-72-4, CA 19-9, CA 72-4, CAM 17.1, NuMa, K-ras, p16, TAGE, PSCA, CT7, 43-9F, 5T4, 791 Tgp72, beta-HCG, BCA225, BTAA, CA 125, CA 15-3 (CA 27.29\BCAA), CA 195, CA 242, CA-50, CAM43, CD68\KP1, CO-029, FGF-5, Ga733 (EpCAM), HTgp-175, M344, MA-50, MG7-Ag, MOV18, NB/70K, NY-CO-1, RCAS1, SDCCAG16, TA-90 (Mac-2 binding protein/cyclophilin C-associated protein), TAAL6, TAG72, TLP, TPS, and the like.
In a further specific example, the heterologous protein is β lactamase (TEM1), fHbp from Neisseria meningitides, the double mutant of extracellular cholesterol depending streptolysin O (Slo-dm) from Streptococcus pyogenes, the cell envelope serine protease SpyCep from Streptococcus pyogenes, or the putative surface exclusion protein Spy0269 from Streptococcus pyogenes. 
The heterologous protein may be a soluble protein, a peripheral membrane protein or an integral membrane protein when expressed in the heterologous organism from which it is derived, i.e. when present in its native environment. For example, if the heterologous protein is derived from a Gram-negative bacterium, it may be a cytoplasmic, periplasmic or membrane-associated protein in the native Gram-negative bacterium. However, when present in the OMV, the heterologous protein is in the lumen of the OMV, and preferably free in the lumen of the OMV. Therefore, the heterologous protein may be modified, as compared to the wild-type protein, for example by deleting any membrane anchor(s).
The term “in the lumen” of the OMV encompasses both proteins that are membrane associated but not surface exposed, and proteins that are free in the lumen of the OMV. The heterologous protein is generally free in the lumen of the OMV in the present invention. By “free in the lumen” it is meant that the heterologous protein is not integrally associated with the membrane of the OMV. Integral association with the membrane describes those proteins that require the use of a detergent or other apolar solvent to dissociate the protein from the membrane. A review of membrane anchors for integral association with the membrane can be found in reference 35. A protein that is free in the lumen of the OMV may be associated with the membrane or an integral membrane protein by non-covalent interactions or may not associate with the membrane of the OMV at all. For example, the protein may loosely or temporarily associate with the membrane, e.g. via hydrophobic, electrostatic, ionic and/or other non-covalent interactions with the lipid bilayer and/or to an integral protein.
One advantage of the heterologous protein being in the lumen of OMV, rather than being associated with the membrane and exposed, is that it may be protected from protease degradation in vivo. This protection may in turn result in more efficient B cell activation.
In a particular embodiment, the heterologous protein is a soluble protein. By “soluble protein” it is meant that the protein does not form any association with lipid membrane. A soluble protein does not contain a membrane anchor such as a peptide transmembrane domain, other peptide membrane anchoring domain, or a non-peptide membrane anchor such as a lipid.
The OMV is capable of eliciting an immune response to the heterologous protein when administered to a mammal. The immune response may be a cellular or a humoral immune response. Typically, the immune response is an antibody response.
In one embodiment, the OMV of the invention is capable of eliciting an immune response against the pathogen from which the heterologous protein is derived. For example, the heterologous protein preferably elicits a T-cell immune response that can neutralise the infection and/or virulence of the pathogen from which the heterologous protein is derived. Preferred heterologous proteins for use in the invention are therefore those which are recognised by the cellular immune system upon infection with a pathogen of interest. More preferred are those heterologous proteins which elicit a protective T-cell immune response against a pathogen of interest.
In one embodiment, the OMV of the invention is capable of eliciting antibodies that recognise a pathogen from which the heterologous protein is derived. For example, the heterologous protein preferably elicits antibodies that can bind to, and preferably neutralise the infection and/or virulence of the pathogen from which the heterologous protein is derived. Preferred heterologous proteins for use in the invention are therefore those which are recognised by anti-sera upon infection with a pathogen of interest. More preferred are those heterologous proteins which elicit a protective immune response against a pathogen of interest.
In some embodiments, the heterologous protein is immunogenic when it is presented in the OMV but is not immunogenic when administered in purified form.
In one embodiment, the heterologous proteins of the invention are functionally active in the lumen of the OMV and/or upon release from the lumen of the OMV (e.g. by detergent-mediated disruption of the OMV). Functional activity is an indicator that the heterologous protein is folded correctly and has the same or substantially the same tertiary and quaternary structure as the same protein in its native state. By “functionally active” it is meant that the heterologous protein retains at least 50% or more of at least one biological activity of the same protein when expressed in its native environment (e.g. in the organism from which it is derived). For example, the heterologous protein can be considered to be functionally active if it retains at least 50%, 60%, 70%, 80%, 90% or more or of at least one biological activity of the same protein when expressed in its native environment.
In embodiments in which the heterologous protein comprises or consists of a fragment of a wild type protein or of a variant thereof, the fragment or variant may be functionally active. By “fragment of a wild type protein” it is meant that the heterologous protein comprises or consists of at least 7 consecutive amino acids from the wild type protein. In some embodiments, the fragment consists of at least 7, 8, 9, 10, 20, 30, 40 or more amino acids from the wild type protein. The fragment may consist of at least 10%, 20%, 30%, 40%, 50%, 60%, 70%, 80%, 90%, 95% or more of the wild type protein.
Preferably, the fragment is an immunogenic fragment of the heterologous protein. By “immunogenic fragment” it is meant that the fragment has at least one epitope in common with the heterologous protein. The term “epitope” encompasses any kind of epitope and includes both B-cell and T-cell epitopes, and both linear and discontinuous epitopes. In one embodiment, an antibody that binds specifically to the heterologous protein also binds specifically to the immunogenic fragment, i.e. the heterologous protein and immunogenic fragment thereof both contain the epitope to which that antibody binds. By “binds specifically”, it is meant that the antibodies bind to the heterologous protein of the invention with substantially greater affinity than to BSA. Preferably, the affinity is at least 100-fold, 103-fold, 104-fold, 105-fold, 106-fold etc. greater for the heterologous protein of the invention than for BSA.
Epitopes present in heterologous proteins can be determined and/or predicted using any methods known in the art. For example, epitiope prediction software such as EpiToolKit, which is a web server for computational immunomics [36]. This epitope prediction software provides several methods for predicting potential T-cell eptiopes, both for MHC Class I and MHC Class II binding epitopes.
The presence of B-cell epitopes can also be predicted using any known method in the art, for example as described in references [37, 38 and 39]. The presence of continuous linear epitopes and/or discontinuous epitopes can be predicted using the methods described therein.
By “variant of a wild type protein” it is meant that the heterologous protein comprises or consists of a full length protein, e.g. a protein with the same number of amino acids as the wild-type protein, or a fragment of the wild type protein that contains one or more variations in amino acid sequence when compared to the wild type sequence. A variant may have at least 50%, 60%, 70%, 80%, 90%, 95% or more sequence identity to the wild type protein. In some embodiments, the variant is also functionally active.
The heterologous protein may be fused to a fusion partner, i.e. the heterologous protein may be part of a fusion protein. Fusion proteins may comprise a sequence -X-Y- or -Y-X-, wherein: -X- is a heterologous protein as defined above, and -Y- is an additional polypeptide sequence. In one particular Embodiment -Y- is a protein tag that aids detection of the heterologous protein such as 6×HIS, FLAG, HA, GST, GFP or another fluorescent protein, and/or luciferase or any suitable polypeptide which aids in the function of the heterologous protein. When the heterologous protein is part of a fusion protein, the entire fusion protein will be in the lumen of the OMV. In some embodiments, the fusion protein will be free in the lumen of the OMV.
The OMV of the present invention comprises at least one heterologous protein in the lumen of the OMV. The OMV may therefore contain at least 1, 2, 3, 4, 5, 6, 7, 8, 9, 10 or more heterologous proteins in the lumen of the OMV, and preferably free in the lumen of the OMV. In addition to the at least one heterologous protein in the lumen of the OMV, the OMV of the invention may also comprise at least one heterologous protein associated with the membrane of the OMV. For example, the OMV of the invention may comprise at least one heterologous protein in the lumen of the OMV and 1, 2, 3, 4, 5, 6, 7, 8, 9, 10 or more heterologous proteins associated with the membrane of the OMV.
In a particular embodiment, the heterologous proteins comprise the double mutant of extracellular cholesterol depending streptolysin O (Slo-dm) from Streptococcus pyogenes and the putative surface exclusion protein Spy0269 from Streptococcus pyogenes. In a further particular embodiment, the heterologous proteins comprise the double mutant of extracellular cholesterol depending streptolysin O (Slo-dm) from Streptococcus pyogenes, the cell envelope serine protease SpyCEP from Streptococcus pyogenes, and the putative surface exclusion protein Spy0269 from Streptococcus pyogenes. 
Methods of Preparing OMVs of the Invention
The invention also provides a method of preparing an OMV of the invention, the method comprising the step of expressing the heterologous protein in the periplasm of the Gram-negative bacterium.
In a particular embodiment, the heterologous protein is expressed in the periplasm of the Gram-negative bacterium using an expression vector comprising a nucleic acid sequence encoding the heterologous protein operatively linked to a nucleic acid encoding a signal sequence of a periplasmic protein.
Targeting of the heterologous proteins can be achieved by fusing the signal sequence of a protein which is naturally found in the periplasm and/or OMVs to a heterologous protein. Protein translocation through the inner membrane and to the periplasm may, for example, be accomplished by way of one of three pathways: SecB-dependent (SEC), signal recognition particle (SRP) or twin-arginine translocation (TAT). Any of these pathways can be used.
An example of a periplasmic signal sequence that can be used in the present invention is the signal sequence of OmpA. However, other possible signal sequences could be used including the Tat signal sequence, and the DsbA signal sequence. Export to the periplasm can be optimised using a series of vectors, each targeting a different export pathway. For example, the ACES Signal Sequence Expression Vectors [40] can be used to optimise translocation of the heterologous protein to the periplasm.
In some embodiments, the native signal sequence of the heterologous protein is replaced by the signal sequence of a periplasmic protein. In other embodiments, the heterologous protein is fused to the signal sequence of the periplasmic protein without replacing the native signal sequence, if present.
Specific embodiments of this aspect of the invention include using an expression vector comprising a nucleic acid sequence encoding the signal sequence of OmpA operably linked to a nucleic acid encoding the heterologous protein, for example the pET-OmpA plasmid shown in FIG. 1. In this embodiment, the OmpA signal sequence may have the nucleotide sequence ATGAAAAAGACAGCTATCGCGATTGCAGTGGCACTGGCTGGTTTCGCTACCGTAGCGCAGG CC (SEQ ID NO:1). In this embodiment, the plasmid is a pET21b-derived plasmid. However, any other suitable plasmid backbone known in the art can also be used. Suitable plasmid backbones include pGEX, pUC19, pALTR, pET, pQE, pLEX, pHAT or any other plasmid vector that is cablable of replication in gram-negative bacteria.
Any Gram-negative bacteria that are capable of producing OMVs, for example those mentioned herein, can be transformed with the expression vectors described above in order to produce OMVs comprising the heterologous protein in their lumen, and preferably free in their lumen
Methods for preparing OMVs are known in the art, and any suitable method can be used to generate OMVs of the invention. These methods generally involve a step of obtaining vesicles from a culture of the bacterium. The OMVs can be obtained by disruption of or blebbing from the outer membrane of the bacterium to form vesicles therefrom. OMVs can also be prepared artificially from bacteria, for example by sarkosyl-extraction of OMVs from ‘ΔGNA33’ meningococci, as described in reference 41. ‘Native OMVs’ (‘NOMVs’ [42]), microvesicles (MVs [43]), detergent-extracted OMVs (DOMVs), mutant-derived OMVs (m-OMV), and blebs, which are outer-membrane protrusions that remain attached to bacteria prior to release as MVs ([44]; [45]), all form part of the invention and are collectively referred to as OMVs herein.
OMVs (including blebs, MVs and NOMVs) include naturally-occurring membrane vesicles that form spontaneously during bacterial growth and are released into culture medium. Preferably, the OMVs of the invention are naturally occurring OMVs because separation of spontaneously-released OMVs from the culture medium is more convenient than methods which involve deliberate disruption of the outer membrane (e.g. by detergent treatment or sonication) to produce artificially induced OMVs. Moreover, they are substantially free from inner membrane and cytoplasmic contamination. OMVs typically have a diameter of 35-120 nm by electron microscopy e.g. 50 nm diameter and can be purified from the culture medium. The purification ideally involves separating the OMVs from living and/or intact bacteria e.g. by size-based filtration using a filter, such as a 0.22 μm filter, which allows the OMVs to pass through but which does not allow intact bacteria to pass through, or by using low speed centrifugation to pellet cells while leaving the blebs in suspension. A preferred method involving a two stage size filtration process is described in ref 46.
Thus, unlike the culture medium, OMV-containing compositions of the invention will generally be substantially free from whole bacteria, whether living or dead. The size of the OMVs means that they can readily be separated from whole bacteria by filtration e.g. as typically used for filter sterilisation. Although OMVs will pass through a standard 0.22 μm filters, these can rapidly become clogged by other material, and so it may be useful to perform sequential steps of filter sterilisation through a series of filters of decreasing pore size before using a 0.22 μm filter. Examples of preceding filters would be those with pore size of 0.8 μm, 0.45 μm, etc.
In an alternative embodiment, OMVs may be prepared artificially from bacteria, and may be prepared using detergent treatment (e.g. with deoxycholate or sarkosyl), or by non-detergent means (e.g. see reference 47). Techniques for forming OMVs include treating bacteria with a bile acid salt detergent (e.g. salts of lithocholic acid, chenodeoxycholic acid, ursodeoxycholic acid, deoxycholic acid, cholic acid, ursocholic acid, etc., with sodium deoxycholate[48 & 49] being preferred for treating Neisseria) at a pH sufficiently high not to precipitate the detergent [50]. Other techniques may be performed substantially in the absence of detergent [47] using techniques such as sonication, homogenisation, microfluidisation, cavitation, osmotic shock, grinding, French press, blending, etc. Methods using no or low detergent can retain useful antigens such as NspA [47]. Thus a method may use an OMV extraction buffer with about 0.5% deoxycholate or lower e.g. about 0.2%, about 0.1%, <0.05% or zero.
A useful process for OMV preparation is described in reference 51 and involves ultrafiltration on crude OMVs, rather than instead of high speed centrifugation. The process may involve a step of ultracentrifugation after the ultrafiltration takes place.
The invention provides an OMV obtained or obtainable by the methods described above.
Pharmaceutical Compositions
The invention provides a pharmaceutical composition comprising (a) an OMV of the invention and (b) a pharmaceutically acceptable carrier. The invention also provides a process for preparing such a composition, comprising the step of admixing OMVs of the invention with a pharmaceutically acceptable carrier.
The invention also provides a container (e.g. vial) or delivery device (e.g. syringe) pre-filled with a pharmaceutical composition of the invention. The invention also provides a process for providing such a container or device, comprising introducing into the container or device a vesicle-containing composition of the invention.
The immunogenic composition may include a pharmaceutically acceptable carrier, which can be any substance that does not itself induce the production of antibodies harmful to the patient receiving the composition, and which can be administered without undue toxicity. Pharmaceutically acceptable carriers can include liquids such as water, saline, glycerol and ethanol. Auxiliary substances, such as wetting or emulsifying agents, pH buffering substances, and the like, can also be present in such vehicles. A thorough discussion of suitable carriers is available in ref 52.
Bacteria can affect various areas of the body and so the compositions of the invention may be prepared in various forms. For example, the compositions may be prepared as injectables, either as liquid solutions or suspensions. Solid forms suitable for solution in, or suspension in, liquid vehicles prior to injection can also be prepared. The composition may be prepared for topical administration e.g. as an ointment, cream or powder. The composition be prepared for oral administration e.g. as a tablet or capsule, or as a syrup (optionally flavoured). The composition may be prepared for pulmonary administration e.g. as an inhaler, using a fine powder or a spray. The composition may be prepared as a suppository or pessary. The composition may be prepared for nasal, aural or ocular administration e.g. as drops.
A pharmaceutical carrier may include a temperature protective agent, and this component may be particularly useful in adjuvanted compositions (particularly those containing a mineral adjuvant, such as an aluminium salt). As described in reference 53, a liquid temperature protective agent may be added to an aqueous vaccine composition to lower its freezing point e.g. to reduce the freezing point to below 0° C. Thus the composition can be stored below 0° C., but above its freezing point, to inhibit thermal breakdown. The temperature protective agent also permits freezing of the composition while protecting mineral salt adjuvants against agglomeration or sedimentation after freezing and thawing, and may also protect the composition at elevated temperatures e.g. above 40° C. A starting aqueous vaccine and the liquid temperature protective agent may be mixed such that the liquid temperature protective agent forms from 1-80% by volume of the final mixture. Suitable temperature protective agents should be safe for human administration, readily miscible/soluble in water, and should not damage other components (e.g. antigen and adjuvant) in the composition. Examples include glycerin, propylene glycol, and/or polyethylene glycol (PEG). Suitable PEGs may have an average molecular weight ranging from 200-20,000 Da. In a preferred embodiment, the polyethylene glycol can have an average molecular weight of about 300 Da (‘PEG-300’).
The composition is preferably sterile. It is preferably pyrogen-free. It is preferably buffered e.g. at between pH 6 and pH 8, generally around pH 7. Compositions of the invention may be isotonic with respect to humans.
Immunogenic compositions comprise an immunologically effective amount of immunogenic vesicles, as well as any other of other specified components, as needed. By ‘immunologically effective amount’, it is meant that the administration of that amount to an individual, either in a single dose or as part of a series, is effective for treatment or prevention. This amount varies depending upon the health and physical condition of the individual to be treated, age, the taxonomic group of individual to be treated (e.g. non-human primate, primate, etc.), the capacity of the individual's immune system to synthesise antibodies, the degree of protection desired, the formulation of the vaccine, the treating doctor's assessment of the medical situation, and other relevant factors. It is expected that the amount will fall in a relatively broad range that can be determined through routine trials.
Previous work with vesicle vaccines (e.g. for meningococcus) offers pharmaceutical, posological and formulation guidance for compositions of the invention. The concentration of vesicles in compositions of the invention will generally be between 10 and 500 μg/ml, preferably between 25 and 200 μg/ml, and more preferably about 50 μg/ml or about 100 μg/ml (expressed in terms of total protein in the vesicles). A dosage volume of 0.5 ml is typical for injection.
The composition may be administered in conjunction with other immunoregulatory agents. Adjuvants which may be used in compositions of the invention include, but are not limited to:
A. Mineral-Containing Compositions
Mineral containing compositions suitable for use as adjuvants in the invention include mineral salts, such as aluminium salts and calcium salts. The invention includes mineral salts such as hydroxides (e.g. oxyhydroxides), phosphates (e.g. hydroxyphosphates, orthophosphates), sulphates, etc. [e.g. see chapters 8 & 9 of ref 57], or mixtures of different mineral compounds, with the compounds taking any suitable form (e.g. gel, crystalline, amorphous, etc.), and with adsorption being preferred. The mineral containing compositions may also be formulated as a particle of metal salt.
The adjuvants known as “aluminium hydroxide” are typically aluminium oxyhydroxide salts, which are usually at least partially crystalline. Aluminium oxyhydroxide, which can be represented by the formula AlO(OH), can be distinguished from other aluminium compounds, such as aluminium hydroxide Al(OH)3, by infrared (IR) spectroscopy, in particular by the presence of an adsorption band at 1070 cm−1 and a strong shoulder at 3090-3100 cm−1 [chapter 9 of ref 57]. The degree of crystallinity of an aluminium hydroxide adjuvant is reflected by the width of the diffraction band at half height (WHH), with poorly-crystalline particles showing greater line broadening due to smaller crystallite sizes. The surface area increases as WHH increases, and adjuvants with higher WHH values have been seen to have greater capacity for antigen adsorption. A fibrous morphology (e.g. as seen in transmission electron micrographs) is typical for aluminium hydroxide adjuvants. The pI of aluminium hydroxide adjuvants is typically about 11 i.e. the adjuvant itself has a positive surface charge at physiological pH. Adsorptive capacities of between 1.8-2.6 mg protein per mg Al+++ at pH 7.4 have been reported for aluminium hydroxide adjuvants.
The adjuvants known as “aluminium phosphate” are typically aluminium hydroxyphosphates, often also containing a small amount of sulfate (i.e. aluminium hydroxyphosphate sulfate). They may be obtained by precipitation, and the reaction conditions and concentrations during precipitation influence the degree of substitution of phosphate for hydroxyl in the salt. Hydroxyphosphates generally have a PO4/Al molar ratio between 0.3 and 1.2. Hydroxyphosphates can be distinguished from strict AlPO4 by the presence of hydroxyl groups. For example, an IR spectrum band at 3164 cm−1 (e.g. at 200° C.) indicates the presence of structural hydroxyls [ch. 9 of ref 57].
The PO4/Al3+ molar ratio of an aluminium phosphate adjuvant will generally be between 0.3 and 1.2, preferably between 0.8 and 1.2, and more preferably 0.95±0.1. The aluminium phosphate will generally be amorphous, particularly for hydroxyphosphate salts. A typical adjuvant is amorphous aluminium hydroxyphosphate with PO4/Al molar ratio between 0.84 and 0.92, included at 0.6 mg Al3+/ml. The aluminium phosphate will generally be particulate (e.g. plate-like morphology as seen in transmission electron micrographs). Typical diameters of the particles are in the range 0.5-20 μm (e.g. about 5-10 μm) after any antigen adsorption. Adsorptive capacities of between 0.7-1.5 mg protein per mg Al+++ at pH 7.4 have been reported for aluminium phosphate adjuvants.
The point of zero charge (PZC) of aluminium phosphate is inversely related to the degree of substitution of phosphate for hydroxyl, and this degree of substitution can vary depending on reaction conditions and concentration of reactants used for preparing the salt by precipitation. PZC is also altered by changing the concentration of free phosphate ions in solution (more phosphate=more acidic PZC) or by adding a buffer such as a histidine buffer (makes PZC more basic). Aluminium phosphates used according to the invention will generally have a PZC of between 4.0 and 7.0, more preferably between 5.0 and 6.5 e.g. about 5.7.
Suspensions of aluminium salts used to prepare compositions of the invention may contain a buffer (e.g. a phosphate or a histidine or a Tris buffer), but this is not always necessary. The suspensions are preferably sterile and pyrogen-free. A suspension may include free aqueous phosphate ions e.g. present at a concentration between 1.0 and 20 mM, preferably between 5 and 15 mM, and more preferably about 10 mM. The suspensions may also comprise sodium chloride.
In one embodiment, an adjuvant component includes a mixture of both an aluminium hydroxide and an aluminium phosphate. In this case there may be more aluminium phosphate than hydroxide e.g. a weight ratio of at least 2:1 e.g. ≧5:1, ≧6:1, ≧7:1, ≧8:1, ≧9:1, etc.
The concentration of Al+++ in a composition for administration to a patient is preferably less than 10 mg/ml e.g. ≦5 mg/ml, ≦4 mg/ml, ≦3 mg/ml, ≦2 mg/ml, ≦1 mg/ml, etc. A preferred range is between 0.3 and 1 mg/ml. A maximum of <0.85 mg/dose is preferred.
B. Oil Emulsions
Oil emulsion compositions suitable for use as adjuvants in the invention include squalene-water emulsions, such as MF59TM [Chapter 10 of ref. 57; see also ref. 54] (5% Squalene, 0.5% TWEENTM 80, and 0.5% SPANTM 85, formulated into submicron particles using a microfluidizer). Complete Freund's adjuvant (CFA) and incomplete Freund's adjuvant (IFA) may also be used.
Various suitable oil-in-water emulsions are known, and they typically include at least one oil and at least one surfactant, with the oil(s) and surfactant(s) being biodegradable (metabolisable) and biocompatible. The oil droplets in the emulsion are generally less than 5 μm in diameter, and advantageously the emulsion comprises oil droplets with a sub-micron diameter, with these small sizes being achieved with a microfluidiser to provide stable emulsions. Droplets with a size less than 220 nm are preferred as they can be subjected to filter sterilization.
The invention can be used with oils such as those from an animal (such as fish) or vegetable source. Sources for vegetable oils include nuts, seeds and grains. Peanut oil, soybean oil, coconut oil, and olive oil, the most commonly available, exemplify the nut oils. Jojoba oil can be used e.g. obtained from the jojoba bean. Seed oils include safflower oil, cottonseed oil, sunflower seed oil, sesame seed oil and the like. In the grain group, corn oil is the most readily available, but the oil of other cereal grains such as wheat, oats, rye, rice, teff, triticale and the like may also be used. 6-10 carbon fatty acid esters of glycerol and 1,2-propanediol, while not occurring naturally in seed oils, may be prepared by hydrolysis, separation and esterification of the appropriate materials starting from the nut and seed oils. Fats and oils from mammalian milk are metabolizable and may therefore be used in the practice of this invention. The procedures for separation, purification, saponification and other means necessary for obtaining pure oils from animal sources are well known in the art. Most fish contain metabolizable oils which may be readily recovered. For example, cod liver oil, shark liver oils, and whale oil such as spermaceti exemplify several of the fish oils which may be used herein. A number of branched chain oils are synthesized biochemically in 5-carbon isoprene units and are generally referred to as terpenoids. Shark liver oil contains a branched, unsaturated terpenoid known as squalene, 2,6,10,15,19,23-hexamethyl-2,6,10,14,18,22-tetracosahexaene. Other preferred oils are the tocopherols (see below). Oil in water emulsions comprising squalene are particularly preferred. Mixtures of oils can be used.
Surfactants can be classified by their ‘HLB’ (hydrophile/lipophile balance). Preferred surfactants of the invention have a HLB of at least 10, preferably at least 15, and more preferably at least 16. The invention can be used with surfactants including, but not limited to: the polyoxyethylene sorbitan esters surfactants (commonly referred to as the TWEENTMs), especially polysorbate 20 and polysorbate 80; copolymers of ethylene oxide (EO), propylene oxide (PO), and/or butylene oxide (BO), sold under the DOWFAXTM tradename, such as linear EO/PO block copolymers; octoxynols, which can vary in the number of repeating ethoxy (oxy-1,2-ethanediyl) groups, with octoxynol-9 (TRITONTM X-100, or t-octylphenoxypolyethoxyethanol) being of particular interest; (octylphenoxy)polyethoxyethanol (IGEPAL CA-630/NP-40); phospholipids such as phosphatidylcholine (lecithin); polyoxyethylene fatty ethers derived from lauryl, cetyl, stearyl and oleyl alcohols (known as BRIJTM surfactants), such as triethyleneglycol monolauryl ether (BRIJTM 30); and sorbitan esters (commonly known as the SPANTMs), such as sorbitan trioleate (SPANTM 85) and sorbitan monolaurate. Preferred surfactants for including in the emulsion are TWEENTM 80 (polyoxyethylene sorbitan monooleate), SPANTM 85 (sorbitan trioleate), lecithin and TRITONTM X-100. As mentioned above, detergents such as TWEENTM 80 may contribute to the thermal stability seen in the examples below. Mixtures of surfactants can be used e.g. TWEENTM 80/SPANTM 85 mixtures. A combination of a polyoxyethylene sorbitan ester such as polyoxyethylene sorbitan monooleate (TWEENTM 80) and an octoxynol such as t-octylphenoxypolyethoxyethanol (TRITONTM X-100) is also suitable. Another useful combination comprises laureth 9 plus a polyoxyethylene sorbitan ester and/or an octoxynol.
Preferred amounts of surfactants (% by weight) are: polyoxyethylene sorbitan esters (such as TWEENTM 80) 0.01 to 1%, in particular about 0.1%; octyl- or nonylphenoxy polyoxyethanols (such as TRITONTM X-100, or other detergents in the TRITONTM series) 0.001 to 0.1%, in particular 0.005 to 0.02%; polyoxyethylene ethers (such as laureth 9) 0.1 to 20%, preferably 0.1 to 10% and in particular 0.1 to 1% or about 0.5%.
Specific oil-in-water emulsion adjuvants useful with the invention include, but are not limited to:
A submicron emulsion of squalene, TWEENTM 80, and SPANTM 85. The composition of the emulsion by volume can be about 5% squalene, about 0.5% polysorbate 80 and about 0.5% SPANTM 85. In weight terms, these ratios become 4.3% squalene, 0.5% polysorbate 80 and 0.48% SPANTM 85. This adjuvant is known as ‘MF59TM’ [54-56], as described in more detail in Chapter 10 of ref. 57 and chapter 12 of ref. 58. The MF59TM emulsion advantageously includes citrate ions e.g. 10 mM sodium citrate buffer.
An emulsion comprising squalene, an α-tocopherol, and polysorbate 80. These emulsions may have from 2 to 10% squalene, from 2 to 10% tocopherol and from 0.3 to 3% TWEENTM 80, and the weight ratio of squalene:tocopherol is preferably <1 (e.g. 0.90) as this provides a more stable emulsion. Squalene and TWEENTM 80 may be present volume ratio of about 5:2, or at a weight ratio of about 11:5. One such emulsion can be made by dissolving TWEENTM 80 in PBS to give a 2% solution, then mixing 90 ml of this solution with a mixture of (5 g of DL-α-tocopherol and 5 ml squalene), then microfluidising the mixture. The resulting emulsion may have submicron oil droplets e.g. with an average diameter of between 100 and 250 nm, preferably about 180 nm.
An emulsion of squalene, a tocopherol, and a TRITONTM detergent (e.g. TRITONTM X-100). The emulsion may also include a 3d-MPL (see below). The emulsion may contain a phosphate buffer.
An emulsion comprising a polysorbate (e.g. polysorbate 80), a TRITONTM detergent (e.g. TRITONTM X-100) and a tocopherol (e.g. an α-tocopherol succinate). The emulsion may include these three components at a mass ratio of about 75:11:10 (e.g. 750 μg/ml polysorbate 80, 110 μg/ml TRITONTM X-100 and 100 μg/ml α-tocopherol succinate), and these concentrations should include any contribution of these components from antigens. The emulsion may also include squalene. The emulsion may also include a 3d-MPL (see below). The aqueous phase may contain a phosphate buffer.

    
    
        An emulsion of squalane, polysorbate 80 and poloxamer 401 (“PLURONICTM L12”). The emulsion can be formulated in phosphate buffered saline, pH 7.4. This emulsion is a useful delivery vehicle for muramyl dipeptides, and has been used with threonyl-MDP in the “SAF-1” adjuvant [59] (0.05-1% Thr-MDP, 5% squalane, 2.5% PLURONICTM L121 and 0.2% polysorbate 80). It can also be used without the Thr-MDP, as in the “AF” adjuvant [60] (5% squalane, 1.25% PLURONICTM L121 and 0.2% polysorbate 80). Microfluidisation is preferred.
    
    


An emulsion comprising squalene, an aqueous solvent, a polyoxyethylene alkyl ether hydrophilic nonionic surfactant (e.g. polyoxyethylene (12) cetostearyl ether) and a hydrophobic nonionic surfactant (e.g. a sorbitan ester or mannide ester, such as sorbitan monoleate or ‘SPANTM 80’). The emulsion is preferably thermoreversible and/or has at least 90% of the oil droplets (by volume) with a size less than 200 nm [61]. The emulsion may also include one or more of: alditol; a cryoprotective agent (e.g. a sugar, such as dodecylmaltoside and/or sucrose); and/or an alkylpolyglycoside. Such emulsions may be lyophilized.
An emulsion having from 0.5-50% of an oil, 0.1-10% of a phospholipid, and 0.05-5% of a non-ionic surfactant. As described in reference 62, preferred phospholipid components are phosphatidylcholine, phosphatidylethanolamine, phosphatidylserine, phosphatidylinositol, phosphatidylglycerol, phosphatidic acid, sphingomyelin and cardiolipin. Submicron droplet sizes are advantageous.
A submicron oil-in-water emulsion of a non-metabolisable oil (such as light mineral oil) and at least one surfactant (such as lecithin, TWEENTM 80 or SPANTM 80). Additives may be included, such as QuilATM saponin, cholesterol, a saponin-lipophile conjugate (such as GPI-0100, described in reference 63, produced by addition of aliphatic amine to desacylsaponin via the carboxyl group of glucuronic acid), dimethyidioctadecylammonium bromide and/or N,N-dioctadecyl-N,N-bis (2-hydroxyethyl)propanediamine.
An emulsion comprising a mineral oil, a non-ionic lipophilic ethoxylated fatty alcohol, and a non-ionic hydrophilic surfactant (e.g. an ethoxylated fatty alcohol and/or polyoxyethylene-polyoxypropylene block copolymer) [64].
An emulsion comprising a mineral oil, a non-ionic hydrophilic ethoxylated fatty alcohol, and a non-ionic lipophilic surfactant (e.g. an ethoxylated fatty alcohol and/or polyoxyethylene-polyoxypropylene block copolymer) [64].
An emulsion in which a saponin (e.g. QuilATM or QS21) and a sterol (e.g. a cholesterol) are associated as helical micelles [65].
Antigens and adjuvants in a composition will typically be in admixture at the time of delivery to a patient. The emulsions may be mixed with antigen during manufacture, or extemporaneously, at the time of delivery. Thus the adjuvant and antigen may be kept separately in a packaged or distributed vaccine, ready for final formulation at the time of use. The antigen will generally be in an aqueous form, such that the vaccine is finally prepared by mixing two liquids. The volume ratio of the two liquids for mixing can vary (e.g. between 5:1 and 1:5) but is generally about 1:1.
C. Saponin Formulations [Chapter 22 of Ref 57]
Saponin formulations may also be used as adjuvants in the invention. Saponins are a heterogeneous group of sterol glycosides and triterpenoid glycosides that are found in the bark, leaves, stems, roots and even flowers of a wide range of plant species. Saponin from the bark of the Quillaia saponaria Molina tree has been widely studied as adjuvants. Saponin can also be commercially obtained from Smilax ornata (sarsaprilla), Gypsophilla paniculata (brides veil), and Saponaria officianalis (soap root). Saponin adjuvant formulations include purified formulations, such as QS21, as well as lipid formulations, such as ISCOMs. QS21 is marketed as STIMULONTM.
Saponin compositions have been purified using HPLC and RP-HPLC. Specific purified fractions using these techniques have been identified, including QS7, QS17, QS18, QS21, QH-A, QH-B and QH-C. Preferably, the saponin is QS21. A method of production of QS21 is disclosed in ref 66. Saponin formulations may also comprise a sterol, such as cholesterol [67].
Combinations of saponins and cholesterols can be used to form unique particles called immunostimulating complexes (ISCOMs; see chapter 23 of ref. 57; also refs 68 & 69). ISCOMs typically also include a phospholipid such as phosphatidylethanolamine or phosphatidylcholine.
Any kmown saponin can be used in ISCOMs. Preferably, the ISCOM includes one or more of QuilATM, QHA & QHC. Optionally, the ISCOMS may be devoid of additional detergent [70].
A review of the development of saponin based adjuvants can be found in refs. 71 & 72.
D. Bacterial or Microbial Derivatives
Adjuvants suitable for use in the invention include bacterial or microbial derivatives such as non-toxic derivatives of enterobacterial lipopolysaccharide (LPS), Lipid A derivatives, immunostimulatory oligonucleotides and ADP-ribosylating toxins and detoxified derivatives thereof.
Non-toxic derivatives of LPS include monophosphoryl lipid A (MPL) and 3-O-deacylated MPL (3dMPL). 3dMPL is a mixture of 3 de-O-acylated monophosphoryl lipid A with 4, 5 or 6 acylated chains. A preferred “small particle” form of 3 De-O-acylated monophosphoryl lipid A is disclosed in ref 73. Such “small particles” of 3dMPL are small enough to be sterile filtered through a 0.22 μm membrane [73]. Other non-toxic LPS derivatives include monophosphoryl lipid A mimics, such as aminoalkyl glucosaminide phosphate derivatives e.g. RC-529 [74,75].
Lipid A derivatives include derivatives of lipid A from Escherichia coli such as OM-174. OM-174 is described for example in refs. 76 & 77.
Immunostimulatory oligonucleotides suitable for use as adjuvants in the invention include nucleotide sequences containing a CpG motif (a dinucleotide sequence containing an unmethylated cytosine linked by a phosphate bond to a guanosine). Double-stranded RNAs and oligonucleotides containing palindromic or poly(dG) sequences have also been shown to be immunostimulatory.
The CpG's can include nucleotide modifications/analogs such as phosphorothioate modifications and can be double-stranded or single-stranded. References 78, 79 and 80 disclose possible analog substitutions e.g. replacement of guanosine with 2′-deoxy-7-deazaguanosine. The adjuvant effect of CpG oligonucleotides is further discussed in refs. 81-86.
The CpG sequence may be directed to TLR9, such as the motif GTCGTT or TTCGTT [87]. The CpG sequence may be specific for inducing a Th1 immune response, such as a CpG-A ODN, or it may be more specific for inducing a B cell response, such a CpG-B ODN. CpG-A and CpG-B ODNs are discussed in refs. 88-90. Preferably, the CpG is a CpG-A ODN.
Preferably, the CpG oligonucleotide is constructed so that the 5′ end is accessible for receptor recognition. Optionally, two CpG oligonucleotide sequences may be attached at their 3′ ends to form “immunomers”. See, for example, refs. 91-93.
A particularly useful adjuvant based around immunostimulatory oligonucleotides is known as IC-31TM [94-96]. Thus an adjuvant used with the invention may comprise a mixture of (i) an oligonucleotide (e.g. between 15-40 nucleotides) including at least one (and preferably multiple) CpI motifs (i.e. a cytosine linked to an inosine to form a dinucleotide), and (ii) a polycationic polymer, such as an oligopeptide (e.g. between 5-20 amino acids) including at least one (and preferably multiple) Lys-Arg-Lys tripeptide sequence(s). The oligonucleotide may be a deoxynucleotide comprising 26-mer sequence 5′-(IC)13-3′ (SEQ ID NO: 2). The polycationic polymer may be a peptide comprising 11-mer amino acid sequence KLKLLLLLKLK (SEQ ID NO: 3). This combination of SEQ ID NOs: 6 and 7 provides the IC-31TM adjuvant.
Bacterial ADP-ribosylating toxins and detoxified derivatives thereof may be used as adjuvants in the invention. Preferably, the protein is derived from E. coli (E. coli heat labile enterotoxin “LT”), cholera (“CT”), or pertussis (“PT”). The use of detoxified ADP-ribosylating toxins as mucosal adjuvants is described in ref 97 and as parenteral adjuvants in ref 98. The toxin or toxoid is preferably in the form of a holotoxin, comprising both A and B subunits. Preferably, the A subunit contains a detoxifying mutation; preferably the B subunit is not mutated. Preferably, the adjuvant is a detoxified LT mutant such as LT-K63, LT-R72, and LT-G192. The use of ADP-ribosylating toxins and detoxified derivatives thereof, particularly LT-K63 and LT-R72, as adjuvants can be found in refs. 99-106. A useful CT mutant is or CT-E29H [107]. Numerical reference for amino acid substitutions is preferably based on the alignments of the A and B subunits of ADP-ribosylating toxins set forth in ref 108, specifically incorporated herein by reference in its entirety.
E. Human Immunomodulators
Human immunomodulators suitable for use as adjuvants in the invention include cytokines, such as interleukins (e.g. IL-1, IL-2, IL-4, IL-5, IL-6, IL-7, IL-12 [109], etc.) [110], interferons (e.g. interferon-γ), macrophage colony stimulating factor, and tumor necrosis factor. A preferred immunomodulator is IL-12.
F. Bioadhesives and Mucoadhesives
Bioadhesives and mucoadhesives may also be used as adjuvants in the invention. Suitable bioadhesives include esterified hyaluronic acid microspheres [111] or mucoadhesives such as cross-linked derivatives of poly(acrylic acid), polyvinyl alcohol, polyvinyl pyrollidone, polysaccharides and carboxymethylcellulose. Chitosan and derivatives thereof may also be used as adjuvants in the invention [112].
G. Microparticles
Microparticles may also be used as adjuvants in the invention. Microparticles (i.e. a particle of  ̃100 nm to  ̃150 μm in diameter, more preferably  ̃200 nm to  ̃30 μm in diameter, and most preferably  ̃500 nm to  ̃10 μm in diameter) formed from materials that are biodegradable and non-toxic (e.g. a poly(α-hydroxy acid), a polyhydroxybutyric acid, a polyorthoester, a polyanhydride, a polycaprolactone, etc.), with poly(lactide-co-glycolide) are preferred, optionally treated to have a negatively-charged surface (e.g. with SDS) or a positively-charged surface (e.g. with a cationic detergent, such as CTAB).
H. Liposomes (Chapters 13 & 14 of ref. 57)
Examples of liposome formulations suitable for use as adjuvants are described in refs. 113-115.
I. Imidazoquinolone Compounds.
Examples of imidazoquinolone compounds suitable for use adjuvants in the invention include Imiquamod and its homologues (e.g. “Resiquimod 3M”), described further in refs. 116 and 117.
The invention may also comprise combinations of aspects of one or more of the adjuvants identified above. For example, the following adjuvant compositions may be used in the invention: (1) a saponin and an oil-in-water emulsion [1 18]; (2) a saponin (e.g. QS21)+a non-toxic LPS derivative (e.g. 3dMPL) [119]; (3) a saponin (e.g. QS21)+a non-toxic LPS derivative (e.g. 3dMPL)+a cholesterol; (4) a saponin (e.g. QS21)+3dMPL+IL-12 (optionally +a sterol) [120]; (5) combinations of 3dMPL with, for example, QS21 and/or oil-in-water emulsions [121]; (6) SAF, containing 10% squalane, 0.4% TWEENTM 80, 5% pluronic block PLURONICTM-block polymer L121, and thr-MDP, either microfluidized into a submicron emulsion or vortexed to generate a larger particle size emulsion. (7) RIBITM adjuvant system (RAS), (RIBITM Immunochem) containing 2% squalene, 0.2% TWEENTM 80, and one or more bacterial cell wall components from the group consisting of monophosphorylipid A (MPL), trehalose dimycolate (TDM), and cell wall skeleton (CWS), preferably MPL+CWS (DETOXTM); and (8) one or more mineral salts (such as an aluminum salt)+a non-toxic derivative of LPS (such as 3dMPL).
Other substances that act as immunostimulating agents are disclosed in chapter 7 of ref 57.
An aluminium hydroxide adjuvant is useful, and antigens are generally adsorbed to this salt. Oil-in-water emulsions comprising squalene, with submicron oil droplets, are also preferred, particularly in the elderly. Useful adjuvant combinations include combinations of Th1 and Th2 adjuvants such as CpG & an aluminium salt, or resiquimod & an aluminium salt. A combination of an aluminium salt and 3dMPL may be used.
Immunisation
In addition to providing immunogenic compositions as described above, the invention also provides a method for raising an immune response in a mammal, comprising administering an immunogenic composition of the invention to the mammal Typically, the immune response is an antibody response. The antibody response is preferably a protective antibody response. The invention also provides compositions of the invention for use in such methods.
The invention also provides a method for protecting a mammal against a bacterial infection and/or disease, comprising administering to the mammal an immunogenic composition of the invention.
The invention provides compositions of the invention for use as medicaments (e.g. as immunogenic compositions or as vaccines). It also provides the use of OMVs of the invention in the manufacture of a medicament for preventing a bacterial infection in a mammal.
The mammal is preferably a human. The human may be an adult or, preferably, a child. Where the vaccine is for prophylactic use, the human is preferably a child (e.g. a toddler or infant); where the vaccine is for therapeutic use, the human is preferably an adult. A vaccine intended for children may also be administered to adults e.g. to assess safety, dosage, immunogenicity, etc.
Efficacy of therapeutic treatment can be tested by monitoring bacterial infection after administration of the composition of the invention. Efficacy of prophylactic treatment can be tested by monitoring immune responses against immunogenic proteins in the vesicles or other antigens after administration of the composition. Immunogenicity of compositions of the invention can be determined by administering them to test subjects (e.g. children 12-16 months age) and then determining standard serological parameters. These immune responses will generally be determined around 4 weeks after administration of the composition, and compared to values determined before administration of the composition. Where more than one dose of the composition is administered, more than one post-administration determination may be made.
Compositions of the invention will generally be administered directly to a patient. Direct delivery may be accomplished by parenteral injection (e.g. subcutaneously, intraperitoneally, intravenously, intramuscularly, or to the interstitial space of a tissue), or by rectal, oral, vaginal, topical, transdermal, intranasal, ocular, aural, pulmonary or other mucosal administration. Intramuscular administration to the thigh or the upper arm is preferred. Injection may be via a needle (e.g. a hypodermic needle), but needle-free injection may alternatively be used. A typical intramuscular dose is about 0.5 ml.
The invention may be used to elicit systemic and/or mucosal immunity.
Dosage treatment can be a single dose schedule or a multiple dose schedule. Multiple doses may be used in a primary immunisation schedule and/or in a booster immunisation schedule. A primary dose schedule may be followed by a booster dose schedule. Suitable timing between priming doses (e.g. between 4-16 weeks), and between priming and boosting, can be routinely determined.
General
The term “comprising” encompasses “including” as well as “consisting” e.g. a composition “comprising” X may consist exclusively of X or may include something additional e.g. X+Y.
The word “substantially” does not exclude “completely” e.g. a composition which is “substantially free” from Y may be completely free from Y. Where necessary, the word “substantially” may be omitted from the definition of the invention.
The term “about” in relation to a numerical value x is optional and means, for example, x±10%.
Identity between polypeptide sequences is preferably determined by the Smith-Waterman homology search algorithm as implemented in the MPSRCH program (Oxford Molecular), using an affine gap search with parameters gap open penalty=12 and gap extension penalty=1.



BRIEF DESCRIPTION OF DRAWINGS
FIG. 1: shows a map of pET-OmpA plasmid, which is a pET21b-derivative plasmid containing the nucleic acid sequence encoding the E. coli OmpA signal sequence (SS) fused to a gene of interest (GOI) encoding a heterologous protein. The OmpA LS targets the protein encoded by the GOI into the lumen of OMVs.
FIG. 2: shows the results of SDS-polyacrylamide gel electrophoresis (SDS-PAGE) of total lysates of cultures before and after induction with 1 mM IPTG. Bands corresponding to SpyCEP, Slo, Bla, fHbp and Spy0269 are highlighted by arrows.
FIG. 3: shows an SDS-PAGE of 30 μg OMVs prepared by ultracentrifugation of culture supernatant of the transformed ΔtolR and ΔompA strains. Bands corresponding to the weight of SpyCEP, Slo, Bla and fHbp are indicated by arrows.
FIGS. 4A-B: show the results from the Western blots for Slo (FIG. 4A) and SpyCEP (FIG. 4B). Empty OMVs were also loaded as a negative control. Comparing the chemiluminescence signals with those from the known amounts of purified proteins, demonstrated that 30 μg of OMVs contain approximately 240 ng Slo-dm, 240 ng SpyCEP.
FIG. 5 FIGS. 5A-B: show the results from the Western blots for Bla (FIG. 5A) and fHbp (FIG. 5B). Empty OMVs were also loaded as a negative control. Comparing the chemiluminescence signals with those from the known amounts of purified proteins, demonstrated that 30 μg of OMVs contain approximately 240 ng Bla.
FIGS. 6A-B: show Western blots showing that the Slo (FIG. 6A) and SpyCEP (FIG. 6B) are expressed as luminal components of OMVs, rather than attached to their extracellular surface. 100 μg/ml proteinase K was added to 15 μg intact and solubilized (in 1% SDS) vesicles expressing Slo or SpyCEP and incubated at 37° C. 10 minutes. Protein degradation was detected by Western blot analysis.
FIG. 7: shows a Western blot showing that Bla is expressed as a luminal component of OMVs, rather than attached to their extracellular surface. 100 μg/ml proteinase K was added to 15 μg intact and solubilized (in 1% SDS) OMVs expressing Bla and incubated at 37° C. 10 minutes. Protein degradation was detected by Western blot analysis.
FIG. 8A: shows SpyCEP activity of SpyCEP-containing OMVs which have been solubilized with 0.5% TRITONTM X-100. OMVs expressing the SpyCep protein were incubated at different concentration with 50 μg/ml IL-8 at 37° C. for 2 hours. SpyCep wild type protein was used as positive control at 10 μg/ml and hydrolysis of IL-8 was analyzed by SDS-PAGE.
FIG. 8B: shows SpyCEP activity of SpyCEP-containing OMVs which have been solubilized with 1% TRITONTM X-100. OMVs expressing the SpyCep protein were incubated at different concentration with 50 μg/ml IL-8 at 37° C. for 2 hours. SpyCep wild type protein was used as positive control at 10 μg/ml and hydrolysis of IL-8 was analyzed by SDS-PAGE.
FIG. 9A: shows the Bla activity of Bla-containing OMVs and empty OMVs. OMV preparations were incubated with nitrocefin (0.5 mg/ml; Oxoid, Thermo Scientific, Cambridge, United Kingdom) for 30 min at 37° C. in the dark. The chromogen hydrolysis and subsequent color change of supernatants were determined immediately with the Tecan spectrophotometer at OD485. The enzymatic activity was estimated using a standard curve, where OD485 was related to the amount of nitrocefin hydrolyzed. This was quantified using recombinant β-lactamase (VWR).
FIG. 9B: shows the hemolytic activity, expressed as is the ratio between the absorbance (OD 540 nm) of blood incubated with OMVs and the absorbance of blood incubated with water (100% hemolysis), of wild type (wt) Slo-containing OMVs and empty OMVs when incubated with sheep blood erythrocytes.
FIGS. 10A-B: show the geometric mean of the ELISA titers obtained from the 8 mice for each group of Slo (FIG. 10A) and SpyCEP (FIG. 10B) immunizations after the third immunization (day 49).
FIG. 11: shows the percentage amount of uncleaved IL-8 in the presence of 100 ng of recombinant SpyCEP and different dilutions of immune sera collected after 3 (post 3) immunization as determined by the ELISA assay.
FIG. 12A: shows the percentage amount of uncleaved IL-8 in the presence of 100 ng of recombinant SpyCEP and different dilutions of immune sera collected after 2 (post 2) immunization as determined by the ELISA assay.
FIG. 12B: shows the percentage amount of uncleaved IL-8 in the presence of recombinant SpyCEP or different dilutions of immune sera collected after 2 (post 2) immunization with SpyCep containing OMVs or empty OMV and SpyCep as determined by the ELISA assay. PBS was used as a negative control.
FIG. 13: shows the percentage amount of haemolysis in the presence of different dilutions of immune sera collected from mice immunized with recombinant Slo, as a positive control, or with engineered OMVs containing Slo (OMV-Slo).
FIG. 14: shows a survival plot of samples of 8 mice immunized with OMVs carrying Slo and SpyCEP, with or without sonication before adsorption to Alum. The survival plots of mice immunized with recombinant Slo and SpyCEP adsorbed to Alum are used as a control.
FIG. 15A: shows a map of the pET-slo+spy0269 plasmid.
FIG. 15B FIG. 15B: shows a map of the pET-slo+spy0269+spycep plasmid.
FIG. 16A FIG. 16A: shows Western blots showing that all of the proteins are expressed from the bi-cistronic and the tri-cistronic constructs after induction with IPTG.
FIG. 16B: shows Western blots showing that both Slo and Spy0269 proteins are expressed and present into the OMVs.



MODES FOR CARRYING OUT THE INVENTION
Example 1—Expression of Heterologous Proteins into E. coli OMVs
Generation of E. coli BL21(DE3) ΔtolR and ΔompA ko Mutants
Recombination-prone BL21(DE3) cells were produced by using the highly proficient homologous recombination system (red operon) [122]. Briefly, electrocompetent bacterial cells were transformed with 5 μg of plasmid pAJD434 by electroporation (5.9 ms at 2.5 kV). Bacteria were then grown for 1 h at 37° C. in 1 ml of SOC broth and then plated on Luria-Bertani (LB) plates containing trimethoprim (100 μg/ml). Expression of the red genes carried by pAJD434 was induced by adding 0.2% L-arabinose to the medium.
ΔtolR and ΔompA E. coli BL21 mutant strains, which are known to spontaneously produce a large amount of OMVs, were produced by replacing ompA and tolR coding sequences with kanamycin (kmr) and chloramphenicol (cmr) resistance cassettes, respectively. A three-step PCR protocol was used to fuse the upstream and downstream regions of ompA and tolR to the kmr and cmr genes, respectively. Briefly, the upstream and downstream regions of the tolR and ompA gene were amplified from BL21(DE3) genomic DNA with the specific primer pairs tolR-1/tolR-2 and tolR-3/tolR-4; ompA-1/ompA-2 and ompA-3/ompA 4, respectively (Table 1). The kmr cassette was amplified from plasmid pUC4K using the primers PUC4K-rev and PUC4K-for and cmr was amplified using primers CMR-for/CMR-rev. Finally, 100 ng of each of the three amplified fragments were fused together by mixing in a PCR containing the 1⁄4 primers.
Linear fragments in which the antibiotic resistance gene was flanked by the tolR/ompA upstream and downstream regions were used to transform the recombination-prone BL21(DE3) E. coli strain, which was made electrocompetent by three washing steps in cold water. Transformation was by an electroporation of 5.9 ms at 2.5 kV. Transformants were selected by plating the cells on LB plates containing 30 μg/ml of kanamycin or 20 μg/ml chloramphenicol. The deletion of the tolR and ompA genes was confirmed by PCR-amplification of genomic DNA using primers pairs tolR-1/PUC4K-rev and PUC4K-for/tolR-4; ompA-1/CMR-rev and CMR-for/ompA-4.







TABLE 1







Oligonucleotide primers:











SEQ ID


Name
Sequence
NO












GAS25-F
ACCGTAGCGCAGGCCAACAAACAAAACACT
4



GCTAGTACAG



 


GAS25-R
GTGATGGTGATGTTACTACTTATAAGTAAT
5



CGAACCATATG



 


SpyCEP-F3
ACCGTAGCGCAGGCCGCAGCAGATGAGCTA
6



AGCACAATGAGCGAACC



 


SpyCEP-R3
GTGATGGTGATGTTATTAGGCTTTTGCTGT
7



TGCTGAGGTCGTTGACTTGGTTGG



 


Bla-omp-F
ACCGTAGCGCAGGCCCGGTAAGATCCTTGA
8



GATTTTTCG



 


Bla-omp-R
GTGATGGTGATGTTATTACCAATGCTTAAT
9



CAGTGAGGC



 


fHbp-F
ACCGTAGCGCAGGCCGTCGCCGCCGACATC
10



G



 


fHbp-R
GTGATGGTGATGTTATTATTGCTTGGCGGC
11



AAGGC



 


omprev
GGCCTGCGCTACGGTAGCGAAA
12


 


nohisflag
TAACATCACCATCACCATCACGATTACAAA
13



GA



 


tolR-1
TCTGGAATCGAACTCTCTCG
14


 


tolR-2
ATTTTGAGACACAACGTGGCTTTCATGGCT
15



TACCCCTTGTTG



 


tolR-3
TTCACGAGGCAGACCTCATAAACATCTGCG
16



TTTCCCTTG



 


tolR-4
TTGCTTCTGCTTTAACTCGG
17


 


ompA-1
GATCGGTTGGTTGGCAGAT
18


 


ompA-2
CACCAGGATTTATTTATTCTGCGTTTTTGC
19



GCCTCGTTATCAT



 


ompA-3
TACTGCGATGAGTGGCAGGCGCAGGCTTAA
20



GTTCTCGTC



 


ompA-4
AAAATCTTGAAAGCGGTTGG
21


 


PUC4K-rev
AAAGCCACGTTGTGTCTC
22


 


PUC4K-for
TGAGGTCTGCCTCGTGAA
23


 


CMR-for
CGCAGAATAAATAAATCCTGGTG
24


 


CMR-rev
CCTGCCACTCATCGCAGTA
25


 


Spy0269-F
ACCGTAGCGCAGGCCGATGATAGAGCCTCA
26



GGAGAAACG



 


Spy0269-R
GTGATGGTGATGTTATCACTTAGATTCCTT
27



ACGGAACC



 


Spy0269-
GATTACTTATAAGTAGAGAAGGAGATATAC
28


fus3
ATATGAAAAAGACAGC



 


Slo-fus-F
AACAAACAAAACACTGCTAGTACAG
29


 


Slo-fus-R3
TATACTCCTTCTCTACTTATAAGTAATCGA
30



ACCATATG



 


Spy0269-fus-
TCACTTAGATTCCTTACGGAACC
31


R




 


Spycep-fus-F
AAGGAATCTAAGTGAGAAGGAGATATACAT
32


AGTGAGA
ATGAAAAAGACAGC









Example 2—Plasmid Construction
Five heterologous proteins from different bacterial species, both Gram positive and Gram-negative, and belonging to different cellular compartments were selected as model proteins to determine whether heterologous proteins can be incorporated into E. coli OMVs in their native conformations. These proteins included: (1) the periplasmic TEM1 beta lactamase (Bla) from E. coli, (2) the factor H-binding protein (fHbp) lipoprotein from Neisseria meningitidis, (3) the extracellular cholesterol depending streptolysin O (Slo also called GAS25) from Streptococcus pyogenes, (4) the cell envelope serine protease SpyCEP (also called GAS57) from Streptococcus pyogenes and (5) the putative surface exclusion protein Spy0269 (also known GAS40) also from Streptococcus pyogenes. The nucleic acid coding sequences for each of these five proteins were cloned into the pET-OmpA plasmid using the polymerase incomplete primer extension (PIPE) cloning method [123]. The pET-OmpA plasmid (as provided in e.g. [124] and [125]) is a pET21b-derived plasmid.
Briefly, Slo-dm (slo double mutant, SEQ ID:42) was PCR-amplified from plasmid pET21-Slo-dm, which contains the slo-dm gene, using the GAS25-F/GAS25-R primers (see Table 1). The SpyCEP gene (a double mutant sequence is also provided as SEQ ID:40) was PCR-amplified from the M1 GAS strain ISS3348 using SpyCEP-F3/SpyCEP-R3 primers, which were designed to exclude the C-terminal LPXTG motif cell-wall anchor (located at aa 1614-1647). The spy0269 (SEQ ID:44) gene was PCR amplified from the M1 GAS strain ISS3348 using spy0269-F/spy0269-R primers. Primers for fHbp gene amplification were designed to exclude the lipobox (which is located at aa 17-25 in fHbp) in order to avoid membrane anchoring. In order to target the proteins to the periplasm, the sequences encoding the signal sequences of each of these proteins was removed and replaced with the E. coli OmpA signal sequence (SS) (see FIG. 1). Bla and fHbp were amplified from pET21b and Neisseria meningitidis MC58 genome respectively using primers Bla-omp-F/Bla-omp-R and fHbp-F/fHbp-R, respectively. pET-OmpA plasmid was amplified by PCR using primers omprev/nohisflag. In this way plasmids pET-21_Bla (SEQ ID:37), pET-21_slo (SEQ ID:33), pET-21_SpyCEP (SEQ ID:34), pET-21_fHbp (SEQ ID:36) and pET21_spy0269 (SEQ ID:35) were generated.
Example 3—Expression of the Heterologous Proteins into ΔtolR and ΔompA Mutants, OMVs and Total Lysates Preparation
In order to investigate whether the Bla, slo, SpyCEP, fHbp and Spy0269 proteins are packaged into OMVs, the ΔtolR and ΔompA E. coli BL21 strains were transformed with the pET-21_Bla, pET-21_slo, pET-21_SpyCEP, pET-21_fHbp plasmids and pET21_spy0269. As a negative control, the ΔtolR and ΔompA E. coli BL21 strains were transformed with the pET-OmpA empty vector.
All the strains were grown in liquid cultures until logarithmic phase and induction of expression of the genes was carried out by adding 1 mM IPTG (isopropyl-beta-D-thiogalactopyranoside). FIG. 2 shows the SDS-polyacrylamide gel electrophoresis (SDS-PAGE) of total lysates of these cultures before and after induction with 1 mM IPTG. Bands corresponding to Bla, slo, SpyCEP, fHbp and Spy0269 proteins are present in all induced samples and are indicated by arrows. Thus, all five of the tested heterologous proteins were successfully induced in E. coli. 
Using an overnight culture of each transformant, 200 ml of LB medium was inoculated at OD600=0.05. Cultures were grown until the OD600=0.5 and then expression of the recombinant proteins was induced by addition of 1 mM IPTG, followed by a further incubation of 2 hours. For OMV preparations, cells were harvested by centrifugation at 8,000×g for 20 minutes. The resulting supernatant was filtered through a 0.22 μm pore size filter (Millipore). The filtrates were then subjected to high speed centrifugation (200,000×g for 2 hours) and the pellets containing the OMVs were resuspended in PBS with protease inhibitors (Roche). For mice immunization, when indicated, OMVs were sonicated in a hypotonic buffer (10 mM Tris pH 7.5, 1.5 mM MgCl2, 10 mM KCl) by 10 bursts of 30 seconds each, followed by cooling on ice. Total lysates were prepared from 1 ml of culture, which was centrifuged at 13,000×g for 5 minutes. The pellet was resuspended in SDS-PAGE sample loading buffer, heated at 100° C. for 5 minutes and loaded onto a 4-12% polyacrylamide gel (Invitrogen). Gels were run in MES buffer (Invitrogen) and stained with Comassie Blue. FIG. 3 shows the polyacrylamide gels for approximately 30 mg OMVs obtained from ΔtolR and ΔompA strains which contain plasmids to express the different heterologous proteins. Bands corresponding to the weight of SpyCEP, Slo, Bla and fHbp are indicated by arrows. To confirm protein identification, the bands were excised and digested with trypsin and the resulting proteolytic peptides were then analysed by matrix-assisted laser desorption ionization—time of flight (MALDI-TOF).
Briefly, protein bands were excised from the gels, washed with 50 mM ammonium bicarbonate-acetonitrile (50/50, vol/vol), and air dried. Dried spots were digested for 2 h at 37° C. in 12 μl of 0.012-μg/μl sequencing-grade modified trypsin (sequencing grade modified porcine trypsin; Promega, Madison, Wis.) in 5 mM ammonium bicarbonate. After digestion, 0.6 μl of the digested product was loaded on a matrix-prespotted Anchorchip (PAC 384 HCCA; Bruker-Daltonics, Bremen, Germany) and air-dried. Spots were washed with 0.6 μl of a solution containing 70% ethanol and 0.1% trifluoroacetic acid. Mass spectra were acquired with an ultraflex MALDI-TOF mass spectrometer (Bruker-Daltonics). Spectra were externally calibrated by using the combination of standards present on the PAC chip (Bruker-Daltonics). Monoisotopic peptide matching and protein searching were performed automatically using a licensed version of the MASCOT software (Matrix Sciences, London, United Kingdom) run on a local database. The MASCOT search parameters used were as follows: (i) allowed number of missed cleavages=1; (ii) variable posttranslational modification=methionine oxidation; and (iii) peptide tolerance=100 ppm. Only significant hits, as defined by MASCOT probability analysis, were considered. The MASCOT software identified the bands as corresponding to Bla, Slo, SpyCEP and fHbp proteins respectively. These results confirm that Bla, Slo, SpyCEP and fHbp can all be expressed and incorporated into OMVs produced both by ΔtolR and ΔompA E. coli strains.
Example 4—Quantification of Heterologous Proteins into OMVs
In order to quantify the amount of heterologous proteins incorporated in the E. coli OMVs, Western blot analysis was performed.
30 μg OMVs containing the heterologous proteins were loaded onto 4-12% SDS-polyacrylamide gels along with increasing concentration (20-80 ng) of the corresponding purified protein. Empty OMVs were also loaded as a negative control. The polyacrylamide gels were then transferred onto nitrocellulose filter by standard methods [126]. The filters were blocked overnight at 4° C. by agitation in blocking solution (10% skimmed milk and 0.05% TWEENTM in PBS), followed by incubation for 90 minutes at 37° C. with a 1:1000 dilution of the required antibody serum (anti-Bla (Abeam), anti-slo, anti-SpyCEP and anti-fHbp) in 3% skimmed milk and 0.05% TWEENTM in PBS. After three washing steps in PBS-TWEENTM, the filters were incubated in a 1:2000 dilution of peroxidase-conjugated anti-mouse immunoglobulin (Dako) in 3% skimmed milk and 0.05% TWEENTM in PBS for an hour, and after three washing steps, the resulting signal was detected by using the SuperSignal West Pico chemiluminescent substrate (Pierce).
FIG. 4 and FIG. 5 show the results from the four different Western blots performed. As expected from the MALDI-TOF analysis, all the OMV preparations contain the heterologous proteins selected. Comparing the chemiluminescence signals with those from the known amounts of purified proteins, demonstrated that 30 mg of OMVs contain approximately 240 ng of Slo, SpyCEP and Bla.
Example 5—Heterologous Proteins are Localized in the OMVs Periplasm
As described above, the signal sequences of all four of the heterologous proteins were replaced by the E. coli OmpA signal sequence in order to target the proteins into the E. coli periplasm. It was therefore important to confirm that the proteins are expressed as luminal components of OMVs rather than attached to the extracellular surface of OMVs.
In order to test this, 100 μg/ml proteinase K (Fermentas) was added to 15 μg intact and solubilized (in 1% SDS) OMVs expressing Slo-dm or SpyCEP, and the mixture was then incubated at 37° C. for 10 minutes. After proteinase K deactivation with 10 mM phenylmethylsulfonyl fluoride (PMSF; Sigma Aldrich) samples were loaded on a 4-12% polyacrylamide gel and Western blot analysis was performed with the required antibody to detect the presence of the heterologous proteins.
FIG. 6 and FIG. 7 show that Slo-dm, SpyCEP and Bla were all protected from proteinase K-mediated degradation in unsolubilised OMVs (but not in solubilized OMVs), demonstrating than they are both expressed as periplasmic proteins in the lumen of E. coli OMVs.
Example 6—OMVs Containing SpyCEP are Able to Hydrolyse IL-8
SpyCEP has been reported to hydrolyse IL-8, converting it into a 6-kDa inactive fragment [127]. To determine whether SpyCEP maintains this hydrolytic activity in the OMV preparation, OMVs expressing the SpyCEP protein were incubated at different concentrations with human IL-8 (50 μg/ml) at 37° C. for 2 hours. The SpyCEP wild type protein (at a concentration of 10 μg/ml ) was used as positive control. IL-8 was incubated with 10 ng/ml GAS57 purified protein (which is known to hydrolyse IL-8), as a positive control. The hydrolytic products were analysed using an 18% SDS-PAGE with silver staining. In order to test whether an active form of the SpyCEP protein is located inside the OMVs, leakage of SpyCEP from the OMV lumen was induced by permeabilising the OMVs in 0.5% TRITONTM X-100 at room temperature for 20 minutes (see FIG. 8A). An additional experiment was conducted in which the OMVs were permeabilised using 1% TRITONTM X-100 (see FIG. 8B),
As shown in FIGS. 8A and 8B, IL-8 was almost completely cleaved after 2 hours incubation with 30 μg OMVs containing SpyCEP. Thus, SpyCEP's biological activity is preserved in OMVs. Retention of functional activity indicates that the heterologous protein is correctly folded in the OMV and will therefore display the same or substantially the same structural epitopes as the wild-type protein in its native environment. The IL-8 hydrolysis activity was increased in permeabilised OMVs, suggesting that an active form of SpyCEP is located inside OMVs. Retention of functional activity indicates that the heterologous protein is correctly folded in the OMV and will therefore display the same or substantially the same antigens as the wild-type protein in its native environment.
Example 7—OMVs Containing Bla and Slo
OMVs expressing Bla were incubated with the chromogenic substrate nitrocefin and the Bla activity was measured as described herein. OMV preparations were incubated with nitrocefin (0.5 mg/ml; Oxoid, Thermo Scientific, Cambridge, United Kingdom) for 30 min at 37° C. in the dark. The chromogen hydrolysis and subsequent color change of supernatants were determined immediately with the Tecan spectrophotometer at OD485. The enzymatic activity was estimated using a standard curve, where OD485 was related to the amount of nitrocefin hydrolyzed. This was quantified using recombinant β-lactamase (VWR).
FIG. 9A shows that empty OMVs showed no Bla activity, whereas Bla activity was shown in Bla-containing OMVs. Hence, the biological activity of Bla is preserved in OMVs.
In order to test whether an active form of the Bla is located inside the OMVs, leakage of Bla from the OMV lumen was induced by permeabilising the OMVs in 1% TRITONTM X-100 at room temperature for 20 minutes. As shown in FIG. 9A, Bla activity was increased in permeabilised OMVs, suggesting that an active form of Bla is located inside OMVs.
Slo hemolytic activity was tested by incubating OMVs expressing the wild type (wt) form of the toxin with sheep blood erythrocytes, using the following method. Serial dilutions of the samples were prepared in 96-well plates with U-shaped bottoms using PBS+0.5% BSA as dilution buffer. 1 ml of sheep blood was washed three times in PBS (with centrifugation at 3000×g), and blood cells were finally suspended in 5 ml of PBS. 50 μl of this suspension was added to 50 μl of each diluted samples and incubated at 37° C. for 30 min. Water was used to give 100% haemolysis, and PBS+BSA 0.5% was used as negative control. Plates were then centrifuged for 5 min at 1,000×g, and the supernatant was carefully transferred to 96-well flat-bottomed plates to read the absorbance at 540 nm [128].
As shown in FIG. 9B, negative control empty OMVs showed no hemolytic activity, whereas Slo-wt containing OMVs show high levels of hemolytic activity, which was dependent on the amount of OMVs present. Hence, the biological activity of Slo is preserved in OMVs. Retention of functional activity of Slo and Bla indicates that these heterologous proteins are correctly folded in the OMV and will therefore display the same or substantially the same antigens as the wild-type protein in its native environment.
Example 8—Antibody Titers Elicited in Mice Immunized with Slo and SpyCEP in Engineered OMVs
To examine the immunogenicity of Slo and SpyCEP in E. coli OMVs, groups of 8 CD1 5-week old female mice were immunized intraperitoneally on days 0, 21 and 35 with 25 μg of sonicated or unsonicated OMVs over-expressing the Slo or SpyCEP proteins. All samples were formulated with 2 mg/ml alum hydroxide as adjuvant. Control mice were immunized with PBS and adjuvant. Positive control groups consisted of mice immunized with 20 μg of recombinant purified Slo or SpyCEP proteins. To test the OMVs adjuvanticity, mice were also immunized with 25 μg of empty OMVs or with 25 μg of empty OMVs plus 20 μg of Slo or SpyCEP antigen.
Sera were collected before the first immunization (pre-immune sera) and after each of the 3 immunizations (post1, post2 and post3 sera), and ELISA titers were analysed. ELISAs were performed using 96-well Maxisorp plates (Nunc, Thermo Fisher Scientific) coated with 3 μg/ml or 2 μg/ml of Slo or SpyCEP protein, respectively, in PBS. Plates were incubated for 2 h at room temperature, then washed three times with TPBS (0.05% TWEENTM 20 in PBS, pH 7.4) and blocked with 250 μl/well of 2% BSA (Sigma-Aldrich) for 1 h at room temperature. Each incubation step was followed by triple TPBS wash. Serum samples were initially diluted 1:500-1:1000 in 2% BSA in TPBS, transferred onto coated-blocked plates (200 μE) and serially diluted (by two-fold) followed by 2 h incubation at 37° C. Then 100 μl/well of 1:2000 diluted alkaline phosphatase-conjugated goat anti-mouse IgG were added and left for 2 h at 30° C. Bound alkaline phosphatase was visualized by adding 100 μl/well of 3 mg/mL para-nitrophenyl-phosphate disodium hexahydrate (Sigma-Aldrich) in 1 M diethanolamine buffer (pH 9.8). After 10 min of development at room temperature, plates were analysed at 405 nm in a microplate spectrophotometer. Antibody titres were calculated by interpolating ODs onto a reference calibration curve, and expressed in ELISA units (EU) per mL.
FIG. 10 shows the geometric mean of the ELISA titers obtained from the 8 mice for each group of immunizations after the third immunization (day 49). Sera from mice immunized with PBS and adjuvant alone or with empty OMVs gave negative results. As shown in FIG. 10, the antibody response to all five preparations was statistically equivalent, suggesting that engineered OMV preparations are able to induce antibody against Slo and SpyCEP antigens.
Example 9—OMV-SpyCEP Immune Serum Inhibits SpyCEP Mediated Processing of IL-8
Sera obtained from mice immunized with PBS alone, empty OMVs, OMV-SpyCEP and OMV+SpyCEP were tested for their capacity to neutralize IL-8 proteolytic activity of SpyCEP. To perform this IL-8 inhibition assay, SpyCEP (0.1 μg/ml) and IL-8 (1 μg/ml) were incubated with pools of mice polyclonal serum from the 8 immunized mice for each group at five different dilutions (1:2.5, 1:5, 1:10, 1:20, and 1:40) at 37° C. for 2 hours in PBS, 0.5 mg/ml BSA. As controls, SpyCEP was incubated with buffer only, and sera without SpyCEP were used. The amount of uncleaved IL-8 was quantified after 2 h by ELISA (human IL-8 Immunoassay kit, Invitrogen) and expressed as a percentage of uncleaved IL-8 in the reaction (incubation with SpyCEP) compared with IL-8 in the control reaction (incubation with buffer only).
FIGS. 11, 12A and 12B show the percent of uncleaved IL-8 in the presence of 100 ng of recombinant SpyCEP and different dilutions of immune sera collected after 3 (post 3) and 2 (post 2) immunizations, respectively, as determined by the ELISA assay.
Sera from mice immunized with recombinant SpyCEP, as positive control, and with engineered OMVs containing SpyCEP (OMV-SpyCEP) were able to neutralize SpyCEP proteolytic activity in a dose-dependent manner and gave statistically equivalent results.
Example 10—OMV-Slo Immune Serum Inhibits Slo Mediated Haemolysis
Sera obtained from mice immunized with PBS alone, empty OMVs, OMV-Slo, 20 μg Slo and 0.5 μg Slo (corresponding approximately to the amount of Slo contained in 20 μg OMVs) were tested for their capacity to neutralize the haemolysis activity of Slo. To perform this assay, Slo (60 ng) was incubated with pooled polyclonal serum from the 8 immunized mice for each group at six different dilutions (1:31.25; 1:63; 1:125; 1:250; 1:500 and 1:1000) for 20 minutes at room temperature in PBS, 0.5 mg/ml BSA. 1 ml of sheep blood was washed three times in PBS (with centrifugation at 3000×g), and the blood cells were finally suspended in 5 ml of PBS. 50 μl of this suspension was added to each of the samples and the samples were incubated at 37° C. for 30 min 60 ng Slo was used as a positive control to give 100% haemolysis, and PBS+BSA 0.5% was used as a negative control. Plates were then centrifuged for 5 min at 1,000×g, and the supernatant was transferred to 96-well flat-bottomed plates and the absorbance measured at 540 nm [128].
FIG. 13 shows the percent of haemolysis provided by each sample at different sera dilutions. Sera from mice immunized with recombinant Slo, as positive control, and with engineered OMVs containing Slo (OMV-Slo) were able to neutralize the hemolytic activity of Slo in a dose-dependent manner and gave statistically equivalent results.
Example 11—OMVs Carrying Foreign Antigens in their Lumen Elicit Strong Protective Responses
Having demonstrated that even if recombinant antigens are present in the lumen of OMVs immunization with such OMVs induce antigen-specific functional antibodies, we lastly asked the question whether immunization can also induce antigen-specific protective immunity. To test this, female CD1 5-week old mice were immunized intraperitoneally on days 0, 21 and 35 with a vaccine formulation including 25 μg of OMV carrying either Slo or SpyCEP formulated in alum hydroxide. As positive controls mice were also immunized with 25 μg OMVs carrying Slo and SpyCEP sonicated just before absorption to Alum Hydroxide, and with recombinant Slo, recombinant SpyCEP and recombinant M protein from M1 strain (20 μg each), all formulated in Alum Hydroxide. Three weeks after the third immunization, mice were infected intraperitoneally with 200 μl of a bacterial suspension containing about 2.5E+06 CFU of M1 3348 strain. Mice were monitored on a daily basis for 6 days after treatment and euthanized when they exhibited defined humane endpoints that had been pre-established for the study in agreement with Novartis Animal Welfare Policies.
As shown in the FIG. 14, which reports data from experiments in which 8 mice per group were used, OMVs carrying Slo and SpyCEP gave a protection of 87.5% and 75%, respectively, if not sonicated, very comparable with the 87.5% and 100% protection values obtained if OMVs were sonicated before absorption to Alum and immunization. This protection also similar to what obtained with recombinant Slo and SpyCEP (81.3% and 87.5% respectively) absorbed to Alum, a remarkable result considering that the recombinant OMVs carry approximately 0.2-0.4 μg of Slo and SpyCEP approximately 100-fold less than what has been used for the immunization with recombinant Slo and SpyCEP.
Example 12—Generation of a Bi-Cistronic Construct for Expression of Spy0269 and Slo-Dm, and a Tri-Cistronic Construct for Expression of Spy0269, Slo and SpyCEP, in the OMV Lumen
To generate the bi-cistronic construct, slo-dm and spy0269 genes were amplified from pET-21_slo and pET-21_spy0269 using slo-fus-F/slo-fus-R3 and Spy0269-fus3/Spy0269-R primers respectively. Generated fragments were phopshorylated, ligated and cloned into a pET-OmpA plasmid using the PIPE cloning method [123] generating a pET-slo+spy0269 plasmid (SEQ ID:38) (FIG. 15A).
The Slo-dm and Spy0269 proteins were cloned into the pET-OmpA plasmid under the same T7 promoter, to generate a bi-cistronic construct. An OmpA leader sequence was cloned upstream of each gene, so that its expression was directed to the lumen of the OMVs that were subsequently produced (see below).
To generate the tri-cistronic construct, the pET-spy0269+slo plasmid was amplified with nohisflag/Spy0269-fus-R primers and spycep gene was amplified from pET-21 spycep plasmid using spycep-fus-F/spycep-R3 primers and cloned into the plasmid using the PIPE cloning method. Generated fragments were phopshorylated, ligated and cloned into pET-OmpA plasmid using the PIPE cloning method [123] generating pET-slo+spy0269+spycep plasmid (FIG. 15B).
The resulting plasmids were transformed into ΔompA and wild type E. coli BL21 mutant strains for protein induction and OMV preparation. Expression of the cloned genes was induced by adding 1 mM IPTG to the cultures. Western blots were performed on total lysates to verify protein expression. FIG. 16A panel I and panel II shows that all of the cloned proteins from the bi-cistronic and the tri-cistronic construct are expressed after induction with IPTG.
OMVs were prepared, as described above, from the ΔompA and wild type strains containing the bi-cistronic construct. The Western blot results of FIG. 16B show that both Slo and Spy0269 proteins are expressed and present into the OMVs.
Variant sequences of spy0269 (GAS40) are provided in SEQ IDs:43 to 69. Variant sequences of spyCEP (GAS57) are provided in SEQ IDs:71 to 75 and a detoxified or enzymatically inactive mutant (GAS57 D151A-S617A) is provided in SEQ IDs:39 and 40. The slo (GAS25) W535F-P427L double mutant is provide in SEQ IDs:41 and 42.
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## Claims

1. A composition comprising an outer membrane vesicle (OMV) from a gram-negative bacterium and a heterologous protein in the lumen thereof,
wherein the heterologous protein is a soluble bacterial or viral protein; and
wherein the composition is capable of eliciting an immune response to the heterologous protein when administered to a mammal.

2. The composition of claim 1, wherein the heterologous protein is functionally active in the lumen of the OMV.

3. The composition of claim 1, wherein the immune response is an antibody response.

4. A method for preparing the composition of claim 1, the method comprising the step of
expressing the heterologous protein in the periplasm of the gram-negative bacterium.

5. The method according to claim 4, comprising expressing the heterologous protein in the periplasm of the gram-negative bacterium from an expression vector comprising a nucleic acid sequence encoding the heterologous protein operatively linked to a nucleic acid encoding a signal sequence of a periplasmic protein.

6. The method according to claim 5, wherein the heterologous protein does not include a native signal sequence.

7. The method of claim 4, further comprising the step of isolating the OMV.

8. The composition of claim 1, wherein the gram-negative bacterium is selected from the group consisting of E. coli, N. meningitidis, Salmonella sp., and Shigella sp.

9. The composition of claim 1, wherein the gram-negative bacterium is a hyperblebbing strain of the gram-negative bacterium.

10. The composition of claim 9, wherein the gram-negative bacterium is a ΔtolR E. coli strain or a ΔompA E. coli strain.

11. The composition of claim 1, wherein the heterologous protein is an antigen.

12. The composition of claim 1, wherein the heterologous protein is a cytoplasmic protein or a periplasmic protein in the heterologous organism.

13. The composition of claim 1, wherein the heterologous protein is a membrane-associated protein comprising a membrane anchor in the heterologous organism wherein the membrane anchor is deleted.

14. A pharmaceutical composition comprising (a) the composition of claim 1, and (b) a pharmaceutically acceptable carrier.

15. The pharmaceutical composition according to claim 14, wherein the pharmaceutical composition is a vaccine.

16. A method of generating an immune response to a heterologous protein in a mammal, the method comprising a step of:
administering the vaccine of claim 15 to the mammal in an amount effective to elicit an immune response to the heterologous protein.