# Patent

## Title
Treatment methods using an F1-V plague vaccine

## Abstract

Disclosed herein is a method of inducing an immunological response in a subject which comprises administering an immunogenic amount of a purified fusion protein comprising all or part of F1 antigen of Yersinia pestis fused to the amino terminus of all of V antigen of Yersinia pestis, Yersinia enterocolitica, or Yersinia pseudotuberculosis to the subject.

## Background
CROSS REFERENCE TO RELATED APPLICATIONS
This application is a continuation of U.S. patent application Ser. No. 10/752,951, filed 7 Jan. 2004, now abandoned which is a divisional of U.S. patent application Ser. No. 08/699,716, filed 27 Aug. 1996, now abandoned both of which are herein incorporated by reference in their entirety.


INTRODUCTION
Yersinia pestis is the causative organism of plague in a wide range of animals including man. Bubonic plague in man is most commonly acquired from the bite of an infected flea and is characterized by the swelling of local lymph nodes which form buboes. One of the complications of bubonic plague is secondary pneumonia, and in these cases plague can be transmitted between humans by airborne droplets. Pneumonic plague, particularly, is extremely virulent and results in high mortality rates.
Plague is endemic in regions of North and South America, Africa, China and Asia and, as evidenced by the recent outbreak of pneumonic plague in India [Centers for Disease Control. (1994). Update: Human Plague-India. MMWR 43:722-723], epidemics of enormous consequences remain a potential for this organism. Thus, there is a clear need for a vaccine which would protect individuals living and traveling in endemic areas.
The current human, licensed, vaccines available for prevention of plague are whole cell vaccines. A number of formulations exist. The plague USP vaccine, comprising formaldehyde killed Y. pestis bacilli, which is administered to the body via intramuscular injection, produces local and systemic side-effects, ranging from mild headaches to severe malaise and fever. Additionally, the vaccine does not provide complete immunity, since vaccinated individuals can contract pneumonic plague, indicating inadequate immunity at mucosal surfaces.
The live attenuated vaccine EV76 [Meyer et al. (1974) J. Infect. Dis. 129 suppl., 13-18] was tested extensively and used in the former Soviet Union from 1939, although its efficacy in evoking an immune response in man is questionable [Meyer et al. (1974) J. Infect. Dis. 129 suppl., 85-120]. The virulence of EV76 differs in several animal species, and non-human primates are particularly susceptible to a chronic infection with this strain. In the Western World, the vaccine is considered to be unsuitable for mass vaccination due to the severity of the side-effects and the possibility of the strain reverting to full virulence.
Efforts to develop a more effective vaccine have focused on acellular subunits from Y. pestis as immunogens. Two of the candidate subunits are the F1 and V antigens. The capsule surrounding Y. pestis cells is composed of a protein component known as Fraction 1 (F1) [Baker et al. (1952) J. Immunol. 68: 131-145] which is only fully expressed at 37° C. and encoded on the 100 kb pFra plasmid [Protsenko et al. (1983) Genetika 19: 1081-1090]. This complex confers resistance to phagocytosis. Detection of antibodies to F1 is the basis of standard serological tests for the surveillance and diagnosis of plague as infected animals and humans produce a strong humoral response to the antigen [Shepherd et al. (1986) J. Clin. Microbiol. 24: 1075-1078; Williams et al. (1982) Bull. World Health Organ. 64: 745-752].
V antigen, postulated to act as a virulence factor, is a 37 kDa secreted protein which acts as a cytoplasmic regulator of Yops (Yersinia outer membrane protein) expression. The V antigen is encoded on a homologous 75 kb low-calcium response (LCR) plasmid present in Y. pestis, Y. pseudotuberculosis and Y. enterocolitica. This plasmid mediates the growth restriction of the organism observed in vitro at 37° C. in the presence of less than 2.5 mM Ca2+. Under such conditions the cells fail to synthesize bulk vegetative proteins although a series of stress proteins and virulence factors are expressed. The V antigen provides both active and passive immunity against experimental infection with F1+ strains [Lawton et al. (1963) J. Immunol. 91: 179-184; Leary et al. (1995) Infect. Immun. 63: 2854-2858; Nakajima et al. (1995) Infect. Immun. 63: 3021-3029].
Vaccines which have focused on the capsule protein, F1, expressed either as the purified protein [Baker et al. (1952) J. Immunol. 68: 131-145; Simpson et al. (1990) Am. J. Trop. Med. Hyg. 43: 389-396] or in aroA mutant of Salmonella typhimurium [Oyston et al. (1995) Infect. Immun. 63:563-568] protected mice against virulent Y. pestis. However, Y. pestis strains lacking or deficient in F1 were isolated from immunized animals after challenge with F1+ organisms from wild rodents [Welkos et al. (1995) Contrib. Microbiol. Immunol. 13:299-305] and from a fatal human case of plague [Winter et al. (1960) Bull. WHO 23: 408-409]. Most importantly, F1− strains are virulent in mice [Worsham et al. (1995) Contrib. Microbiol. Immunol. 13: 325-327] and nonhuman primates [Friedlander et al. (1995) Clin. Infect. Dis. 21: (Suppl 2), 8178-181] and we found in the present study that the human plague vaccine does not protect against infection with F1− organisms. This implies that, as originally suggested by Burrows [Burrows, T. W. (1957) Nature 179: 1246-1247], an improved plague vaccine protective against both F1− and F1+ strains of Y. pestis must not rely solely on F1.
Therefore, there is a need to develop an improved vaccine protective against both F1− and F1+ strains of Y. pestis suitable for human administration.
SUMMARY
The present invention is directed to a vaccine that satisfies this need. The vaccine of the present invention is protective against both F1− and F1+ strains of Y. pestis. The vaccine of the present invention is composed of a fusion between a portion of the F1 protein and another protective immunogen, the V antigen. This invention is novel because it is a single constructed protein, F1-V, composed of two unique proteins, the entire F1 capsule antigen and V antigen. It induces an immunological response against both F1 protein and V antigen.
The invention was designed to be used in a vaccine affording protection against plague, and to solve the problem of protecting humans against both bubonic and pneumonic plague caused by infection by the subcutaneous (insect bite) and aerosol routes, respectively, with F1+ or F1− plague organisms, or with strains which may vary in their V antigen.
The advantages of using this protein over the present whole cell vaccine are as follows:

    
    
        The current licensed vaccine does not protect mice against subcutaneous challenge with F1− strains of Y. pestis, which have been shown to cause fatal disease in both humans and experimental animals infected by a peripheral, non-respiratory route. The new F1-V vaccine does protect mice against bubonic plague caused by subcutaneous challenge (insect bite) with F1− organisms.
        The current licensed vaccine does not protect mice against pneumonic plague induced by aerosol challenge with F1− strains of Y. pestis. The new F1-V vaccine does protect mice against pneumonic plague caused by aerosol challenge with F1− strains.
        The current licensed vaccine does not protect mice against pneumonic plague when challenged by the respiratory route with F1− strains of Y. pestis. The new F1-V vaccine does protect mice against pneumonic plague caused by aerosol challenge with Fr strains.
        The new F1-V vaccine is expected to protect humans against pneumonic plague produced by strains of Y. pestis, either naturally occurring or genetically engineered, which may be altered in their content or composition of V antigen, but which still contain F1. This is because the F1-V vaccine also contains F1. The current licensed vaccine does not protect against pneumonic plague induced by either F1− or F1+ organisms when given by the aerosol route.
        The new F1-V vaccine is composed of two antigens, both of which have been shown to be protective. The combination of both antigens should provide better protection against F1+ strains than either F1 or V when used alone as vaccines. This is possible because the immunity induced by F1 and by V occur by different mechanisms which may be additive or synergistic.
        Approximately 8% of humans immunized with the current licensed human plague vaccine fail to develop an immune response to F1 [Marshall et al. (1974) J. Inf. Dis. 129: S26-S29]. These non-responders may well be at risk for development of plague. The inclusion of two different protective antigens in the same vaccine will help to eliminate the problem of non-responders to either of the individual antigens and so increase the overall efficacy of vaccination in a human population.
        The new F1-V vaccine is composed of highly purified recombinant proteins which are very well defined. This contrasts with the present human licensed vaccine composed of whole bacteria. The nature of the protective immunogen(s) in the present licensed vaccine is completely unknown. The present licensed vaccine is known to contain and induce antibodies to F1 but it does not induce antibodies to V antigen in mice, suggesting that V antigen is absent.
        The F1-V protein was constructed so that a single protein could be purified as a vaccine component rather than having to produce and purify F1 and V antigen separately. The purification of a single protein as opposed to two separate proteins could result in considerable savings when manufacturing a vaccine.
    
    


Therefore, it is an object of the present invention to provide a Y. pestis DNA fragment encoding 1563 bp of a fusion protein comprising the F1 protein fused at its carboxyl terminus to the amino terminus of the entire V antigen useful in the production of a diagnostic agent and a vaccine.
It is another object of the present invention to provide an amino acid sequence for Y. pestis F1-V protein encoding 521 amino acids.
It is another object of the invention to provide a recombinant vector comprising a vector and the above described DNA fragment for use as a DNA vaccine.
It is a further object of the present invention to provide a host cell transformed with any of the above-described recombinant DNA constructs for use as a live bacterial vaccine when the host cell is a bacteria such as Salmonella, BCG, or a live viral vaccine when the host cell is a virus such as adenovirus, or Venezuelan Equine Encephalitis virus. These transformed cells, bacteria and viruses can also be used as a source for the Y. pestis F1-V protein.
It is another object of the present invention to provide a method for producing Y. pestis F1-V fusion protein which comprises culturing a host cell under conditions such that a recombinant vector comprising a vector and the Y. pestis F1-V protein DNA fragment is expressed and F1-V protein is thereby produced, and isolating F1-V protein for use as a vaccine or a diagnostic agent.
It is still another object of the invention to provide a purified Y. pestis F1-V protein useful as a vaccine and a diagnostic agent.
It is a further object of the present invention to provide an antibody to the above-described F1-V protein for use as a therapeutic agent and a diagnostic agent.
It is yet another object of the invention to provide a Y. pestis vaccine comprising a F1-V protein effective for eliciting an antigenic and immunogenic response resulting in the protection of a mammal against Y. pestis infection by subcutaneous and aerosol route.
It is yet another object of the present invention to provide a method for the diagnosis of Y. pestis infection comprising the steps of:
(i) contacting a sample from an individual suspected of having the infection with antibodies which recognize F1-V protein; and
(ii) detecting the presence or absence of a complex formed between Y. pestis F1 and/or V antigen and antibodies specific therefor.
It is a further object of the present invention to provide a diagnostic kit comprising a F1-V protein antibody and ancillary reagents suitable for use in detecting the presence Y. pestis in mammalian sputum, serum, or tissues.
It is yet another object of the present invention to provide a therapeutic method for the treatment or amelioration of symptoms of infection by Y. pestis and other species of Yersinia such as Y. enterocolitica and Y. pseudotuberculosis, said method comprising providing to an individual in need of such treatment an effective amount of sera from individuals immunized with F1-V protein in a pharmaceutically acceptable excipient.
It is further another object of the present invention to provide a therapeutic method for the treatment or amelioration of symptoms of Yersinia infection, said method comprising providing to an individual in need of such treatment an effective amount of antibodies against F1-V protein of Yersinia pestis and all or a portion of V antigen of Yersinia enterocolitica and Yersinia pseudotuberculosis in a pharmaceutically acceptable excipient.
It is still another object of the present invention to provide antigenic epitopes of F1-V protein, which are useful in peptide vaccine design.



BRIEF DESCRIPTION OF THE DRAWINGS
These and other features, aspects, and advantages of the present invention will become better understood with reference to the following description and appended claims, and accompanying drawings where:
FIG. 1 shows plasmid pF1V showing an in-frame insertion of the F1 and V open reading frames at the NdeI and BamHI sites of pET19b separated by an inframe EcoRI site. F1-V was transcribed by using the T7 promoter (arrow) within pET19b after induction of T7 polymerase by isopropyl-β-D-thiogalactopyranoside (IPTG). The F1-V amino acid sequence begins with a His-Tag and enterokinase cleavage site derived from pET19b before the methionine start codon of F1. The F1 portion consists of 170 amino acids followed by two amino acids, asparagine and glutamine (encoded by the EcoRI site) and the entire sequence of the V antigen. F1-V, therefore, has 521 amino acids with a predicted molecular mass of 57,926 daltons.
FIG. 2 shows the gel electrophoresis of F1-V fusion protein. The F1-V fusion protein expressed from pET19b was isolated with 6M urea as recommended (Novagen). Residual endotoxin was removed by passing F1-V over an endotoxin removing gel column (Pierce, Rockford, Ill.). After the column, F1-V contained 202 endotoxin units per mg of protein by Limulus amoebocyte lysate assay (Sigma, St. Louis, Mo.) (1 endotoxin unit=0.1 ng of E. coli 055:B5 LPS standard). Recombinant F1 and V were cloned separately and purified as described in Andrews et al. (1996) Inf. Immun. 64:2180-2187. F1-V, V and F1 proteins (2 μg each) were subjected to SDS-PAGE on 10% tricine gels (Novex, San Diego, Calif.) and visualized by Coomassie brilliant blue staining.



DESCRIPTION
In one embodiment, the present invention relates to a DNA or cDNA segment which encodes Y. pestis recombinant F1-V protein consisting of the F1 protein fused at its carboxyl terminus to the amino terminus of the entire V antigen. The sequence of the 1563 nucleotide DNA segment is specified in SEQ ID NO: 1.
DNA or polynucleotide sequences to which the invention also relates include fragments of F1 or V containing protective epitopes [Motin et al. (1994) Infect Immun. 62:4192-4201].
The derived polynucleotide is not necessarily physically derived from the nucleotide sequence shown in SEQ ID NO:1, but may be generated in any manner, including for example, chemical synthesis or DNA replication or reverse transcription or transcription, which are based on the information provided by the sequence of bases in the region(s) from which the polynucleotide is derived. In addition, combinations of regions corresponding to that of the designated sequence may be modified in ways known in the art to be consistent with an intended use. The sequences of the present invention can be used in diagnostic assays such as hybridization assays and polymerase chain reaction assays for the detection of F1 or V sequences of Y. pestis. 
In another embodiment, the present invention relates to a recombinant DNA molecule that includes a vector and a DNA sequence as described above. The vector can take the form of a plasmid such as pET19b, pMBac/pPBac, pSSV1 or any broad host range expression vector such as viral vectors such as adenovirus or Venezuelan Equine Encephalitis virus and others known in the art.
In a further embodiment, the present invention relates to host cells stably transformed or transfected with the above-described recombinant DNA constructs. The host cell can be prokaryotic such as Bacillus or E. coli, or eukaryotic such as Saccharomyces or Pichia, or mammalian cells or insect cells. The vector containing the F1-V protein sequence is expressed in the bacteria and the expressed product used for diagnostic procedures or as a vaccine. Please see e.g., Maniatis, Fitsch and Sambrook, Molecular Cloning; A Laboratory Manual (1982) or DNA Cloning, Volumes I and II (D. N. Glover ed. 1985) for general cloning methods. The DNA sequence can be present in the vector operably linked to a highly purified IgG molecule, an adjuvant, a carrier, or an agent for aid in purification of F1-V protein. The transformed or transfected host cells can be used as a source of DNA sequences described above. When the recombinant molecule takes the form of an expression system, the transformed or transfected cells can be used as a source of the protein described below.
In another embodiment, the present invention relates to a DNA sequence incorporated into a vector which can be used as a DNA vaccine in animals, including humans, or which can be used in a live bacterial or viral vaccine, e.g. Salmonella, BCG, adenovirus, or Venezuelan Equine Encephalitis virus.
In another embodiment, the present invention relates to a Y. pestis F1-V fusion protein having an amino acid sequence corresponding to SEQ ID NO: 2 and encompassing 521 amino acids or any allelic variation thereof.
A polypeptide or amino acid sequence derived from the amino acid sequence in SEQ ID NO:2, refers to a polypeptide having an amino acid sequence identical to that of a polypeptide encoded in the sequence, or a portion thereof wherein the portion consists of at least 2-5 amino acids, and more preferably at least 8-10 amino acids, and even more preferably at least 11-15 amino acids, or which is immunologically identifiable with a polypeptide encoded in the sequence. The present invention relates to a F1-V protein where the F1 is fused by its carboxy-terminus to the amino-terminus of V antigen constructed with a polyhistidine and enterokinase site and where the F1 signal sequence is present. Also embodied in this invention is a F1-V protein wherein the F1 is fused to the amino terminus of V, with or without any of the polyhistidine, enterokinase sites and the F1 signal sequence. In addition, a linker of additional amino acids can be fused in frame between the F1 and V antigen (or V antigen and F1) sequences or fragments thereof for convenience as long as the changes do not affect the immunological activity of the fusion protein.
A recombinant or derived polypeptide is not necessarily translated from a designated nucleic acid sequence, or the sequence in SEQ ID NO:1; it may be generated in any manner, including for example, chemical synthesis, or expression of a recombinant expression system. In addition the polypeptide can be fused to other proteins or polypeptides for the purposes of transport or for secretion from the cell or for increasing the protective efficacy in a vaccine. Some examples include the Yersinia outer proteins (Yops) of Yersinia species or fragments thereof, or the amino-terminal protective antigen binding domain of anthrax toxin lethal and edema factors to name a few.
In a further embodiment, the present invention relates to a method of producing F1-V protein which includes culturing the above-described host cells, under conditions such that the DNA fragment is expressed and F1-V is produced. F1-V can then be isolated using methodology well known in the art or by the production method described below. F1-V protein can be used as a vaccine for immunity against infection with the Y. pestis or as a diagnostic tool for detection of Y. pestis infection. The transformed host cells can be used to analyze the effectiveness of drugs and agents which inhibit Y. pestis, such as host proteins or chemically derived agents or other proteins which may interact with the bacteria to down-regulate or alter the expression of F1 protein or V antigen.
In another embodiment, the present invention relates to antibodies specific for the above-described F1-V protein. For instance, an antibody can be raised against the complete F1-V or against a portion thereof. Persons with ordinary skill in the art using standard methodology can raise monoclonal and polyclonal antibodies to F1-V of the present invention, or a unique portion thereof. Material and methods for producing antibodies are well known in the art (see for example Goding, in, Monoclonal Antibodies: Principles and Practice, Chapter 4, 1986). In addition, the protein or polypeptide can be fused to or combined with other proteins or polypeptides or adjuvants which increase its antigenicity, thereby producing higher titers of neutralizing antibody when used as a vaccine. Examples of such proteins or polypeptides include cholera toxin B subunit and any adjuvants or carriers safe for human use, such as aluminum hydroxide.
In a further embodiment, the present invention relates to a method of detecting the presence of Y. pestis infection or antibodies against Y. pestis in a sample. Using standard methodology well known in the art, a diagnostic assay can be constructed by coating on a surface (i.e. a solid support) for example, a microtitration plate or a membrane (e.g. nitrocellulose membrane), all or a unique portion of the F1-V protein described above, and contacting it with the serum of a person suspected of having plague. The presence of a resulting complex formed between F1-V protein and antibodies specific for either F1 or V in the serum can be detected by any of the known methods common in the art, such as fluorescent antibody spectroscopy or colorimetry. This method of detection can be used, for example, for the diagnosis of bubonic and pneumonic plague.
Similarly, antibodies to F1-V protein can be used in a rapid diagnostic assay to detect the presence of F1 and/or V antigen in the serum of patients infected with Yersinia pestis. Such a test may also be of value in the rapid diagnosis of infection in humans or animals with other Yersinia species by detection of V antigen in serum or tissue samples.
The ability of an individual to fight Y. pestis infection is dependent on the individual's ability to produce antibodies against Y. pestis. Diagnostic assays, similar to those described above, designed to measure the production of protective antibodies against F1-V can be used to measure an individual's response to receiving a plague vaccine.
In another embodiment, the present invention relates to a diagnostic kit which contains F1-V protein from Y. pestis and ancillary reagents that are suitable for use in detecting the presence of antibodies to Y. pestis, Y. enterocolitica and Y. pseudotuberculosis in serum or a tissue sample. Tissue samples contemplated can be rodents and human, or other mammals. Ancillary reagents would include standard anti-rodent or anti-human antibodies.
In another embodiment, the present invention relates to a vaccine for protection against Y. pestis infections by aerosol or subcutaneous route (insect bite). The vaccine comprises F1-V protein, or an immunogenic portion thereof, from a specific strain or species of Yersinia pestis. It could also contain V antigen from Y. enterocolitica and Y. pseudotuberculosis. The vaccine can be prepared by inducing expression of a recombinant expression vector comprising F1-V protein sequence and purifying the resulting protein. The purified F1-V protein is prepared for administration to mammals by methods known in the art, which can include filtering to sterilize the solution, diluting the solution, adding an adjuvant and stabilizing the solution. The vaccine can be lyophilized to produce a vaccine against Y. pestis in a dried form for ease in transportation and storage. Further, the vaccine may be prepared in the form of a mixed vaccine which contains the F1-V protein described above and at least one other antigen as long as the added antigen does not interfere with the effectiveness of the vaccine and the side effects and adverse reactions are not increased additively or synergistically.
The vaccine may be stored in a sealed vial, ampule or the like. The present vaccine can generally be administered in the form of a liquid or suspension. In the case where the vaccine is in a dried form, the vaccine is dissolved or suspended in sterilized distilled water before administration. Generally, the vaccine may be administered orally, subcutaneously, intradermally or intramuscularly but preferably intranasally in a dose effective for the production of neutralizing antibody and protection from infection or disease.
In another embodiment, the present invention relates to a method of reducing Y. pestis infection symptoms in a patient with bubonic or pneumonic plague by administering to said patient an effective amount of F1-V protein antibodies including those made in humans, either polyclonal or combinations of monoclonals to F1 and V antigen, as described above. When providing a patient with F1-V antibodies, the dosage administered will vary depending upon such factors as the patient's age, weight, height, sex, general medical condition, previous medical history, etc. In general, it is desirable to provide the recipient with a dosage of the above compounds which is in the range of from about 1 pg/kg to 500 mg/kg (body weight of patient), although a lower or higher dosage may be administered.
Described below are examples of the present invention which are provided only for illustrative purposes, and not to limit the scope of the present invention. In light of the present disclosure, numerous embodiments within the scope of the claims will be apparent to those of ordinary skill in the art.
The following Materials and Methods were used in the Examples below.
DNA methods. All restriction enzymes used were purchased from Life Technologies (Gaithersburg, Md.). Plasmid DNA samples were purified using a Qiagen plasmid purification kit (Qiagen, Inc., Chatsworth, Calif.) All oligonucleotide primers were synthesized on an Applied Biosystems model 391 DNA synthesizer (Foster City, Calif.) and the polymerase chain reaction (PCR) was performed using a DNA Thermal Cycler (Perkin-Elmer Cetus, Norwalk, Conn.). DNA sequencing was performed by the dideoxy-chain termination method [Sanger et al. (1977) Proc. Natl. Acad. Sci. 74: 5463-5467] using [α-35S]dATP (Amersham, Arlington Heights, Ill.). Genetic manipulations were performed by standard procedures [Sambrook et al. (1989) Molecular Cloning; A Laboratory Manual, 2nd Ed. Cold Spring Harbor Laboratory Press, Cold Spring Harbor, N.Y.].
Analytical methods. Protein content was determined by the bicinchoninic acid-Lowry method with BSA as a standard. (Pierce). Purified F1-V was analyzed by sodium dodecyl sulfate (SDS)-polyacrylamide gel electrophoresis (PAGE) on 10% tricine gels (Novex, San Diego, Calif.) and visualized by Coomassie blue R-250 (Bio-Rad Laboratories, Hercules, Calif.) staining.
EXAMPLE 1
Construction, Purification, and Characterization of Recombinant F1-V Fusion Protein
To first isolate the F1 structural gene minus its stop codon, plasmid pYPR1 (kindly provided by T. Schwan, Rocky Mountain Laboratories, Hamilton, Mont.) containing the F1 operon [Simpson et al. (1990) Am. J. Trop. Med. Hyg. 43:389-396] was used as template DNA in a PCR using as the forward oligonucleotide primer, GGCGCGGCATATGAAAAAAATCAGTTCC (SEQ ID NO:3), containing an internal Nde I restriction site (underlined), and the reverse primer, CTCGAATTCTTGGTTAGATACGGT (SEQ ID NO:4), containing an internal Eco R1 site (underlined). The V antigen gene was then isolated by PCR using plasmid DNA from a pigmentation negative derivative (Pgm−) of Y. pestis CO92, the forward oligonucleotide primer, CGCGAATTCATGATTAGAGCCTACGAA (SEQ ID NO: 5), containing an internal Eco RI site (underlined), and the reverse primer, CGCGGATCCTCATTTACCAGACGTGTCA (SEQ ID NO:6) containing an internal Bam HI site (underlined). The purified F1 PCR product was then digested with Nde I and Eco RI while the V antigen purified PCR product was digested with Eco RI and Bam HI. Both restricted fragments were then ligated to the Nde I and Bam H1 digested expression vector pET19b (Novagen, Madison, Wis.) and used to transform Escherichia coli strain BLR (Novagen) to create plasmid pF1V. The final protein contains an amino-terminal 10 histidines and enterokinase site from pET19b followed by the F1-V protein. The F1 portion consists of 170 amino acids followed by two amino acids, glutamic acid and phenylalanine (the Eco RI site) and the entire sequence of the V antigen. F1-V, therefore, has 521 amino acids with a predicted molecular mass of 57,926 daltons. The nucleotide sequence of the F1-V portion of pF1V was verified by sequencing. Two nucleotide differences were found between the V sequence present in F1-V and that reported previously for the V antigen [Price et al. (1989) J. Bacteriol. 171: 5646-5653]. A G was replaced by an A at base 247 of the open reading frame, resulting in a change from an alanine to a threonine. At base 324, a G was replaced with a C with no change in the amino acid at that site.
The F1-V fusion protein expressed from pET19b was isolated with 6 M urea as recommended (Novagen). Residual endotoxin was removed by passing F1-V over an endotoxin removing gel column (Pierce, Rockford, Ill.). After the column, F1-V contained 202 endotoxin units per mg of protein by Limulus amoebocyte lysate assay (Sigma, St. Louis, Mo.) (1 endotoxin unit=0.1 ng of E. coli 055:B5 LPS standard).
The recombinant F1-V fusion protein constructed in pET19b consists of the F1 protein fused at its carboxyl terminus to the amino terminus of the entire V antigen. F1-V had a relative molecular weight of 58,000 on SDS-PAGE (FIG. 2) which agreed with its predicted size of 57,926. The F1-V protein reacted on Western blot with both rabbit polyclonal antibody to F1 as well as mouse monoclonal antibodies directed against V antigen (data not shown). Recombinant F1 and V antigen are also shown in FIG. 2.
After establishing that F1-V had a relative molecular weight consistent with its DNA coding sequence and contained both F1 and V specific epitopes, we tested its ability to protect mice against plague.
EXAMPLE 2
Animal immunization and challenge with Y. pestis. Groups of female 8-10 week old Swiss Webster (Hsd:ND4) mice (Harlan Sprague Dawley, Indianapolis, Ind.) were immunized subcutaneously on days 0 and 28 with 0.2 ml of the F1-V, F1, or V antigen preparation adsorbed to the aluminum hydroxide adjuvant, Alhydrogel (1.3%, Superfos Biosector, Vedbaek, Denmark, 0.19 mg aluminum per dose), the human whole-cell plague vaccine U.S. Pharmacopeia (USP) (Greer Laboratories, Lenoir, N.C.) or Alhydrogel alone as a control. Serum obtained on day 58 after initial immunization was assayed for anti-F1 and anti-V IgG antibody by standard ELISA on individual animals and group geometric mean titers determined. Titers were determined as the reciprocal of the maximum dilution giving an absorbance greater than 0.1 units after subtraction of nonspecific binding in normal serum.
The immunized animals were then challenged on day 78 by either the subcutaneous or aerosol route with wild-type F1+ Y. pestis, CO92 (kindly provided by T. Quan, Center for Disease Control, Ft. Collins, Colo.) or C12, an F1− isogenic derivative of C092 with a deletion in the F1 structural gene [Worsham et al. (1995) Contrib. Microbiol. Immunol. 13: 325-327]. The inocula for s.c. and aerosol challenge were prepared and the animals challenged by s.c. and aerosol routes as previously described [Welkos et al. (1995) Contrib. Microbiol. Immunol. 13: 299-305]. The s.c. LD50 is 9.1 and 1.9 CFU for F1− C12 (37) and F1+ C092 (32) strains, respectively. The aerosol LD50 is 1.1×105 and 2×104 CFU (32) for F1− C12 and F1+ C092 strains, respectively.
All animal experiments were conducted in accordance with the Guide for the Care and Use of Laboratory Animals (Committee on Care and Use of Laboratory Animals of the Institute of Laboratory Animal Resources, National Research Council. 1985. Guidelines for the care and use of laboratory animals revised. National Institutes of Health publication no. 86-23. National Institutes of Health, Bethesda, Md.) and animals were provided food and fresh water ad libitum during the experiment.
Efficacy of F1-V Against Bubonic Plague.
In two separate experiments (Table 1), mice immunized with 13.6 μg of F1-V were protected (90-100% survival) against a subcutaneous challenge with a moderate (57 LD50) or high (1.1×106 LD50) dose of the F1− Y. pestis strain, C12, while all control animals died. Another group of animals immunized with 27.2 μg of F1-V all survived (100%) the high-dose challenge. As expected, F1 alone, when adsorbed to Alhydrogel, did not protect animals against challenge with the F1− C12 strain. Animals given 10 μg of V were afforded the same degree of protection (90% survival) as with F1-V, against the high-dose challenge. Thus, the protective efficacy of the F1-V fusion protein against infection with an F1− Y. pestis strain was equivalent at this challenge dose, to that provided by V alone. In marked Contrast, in a separate experiment, the current human, whole-cell plague vaccine USP, failed to protect against a low dose challenge; none of nine challenged animals survived.







TABLE 1







Efficacy of F1-V vaccination against a lethal subcutaneous 


Y. pestis infection of mice.










Treatment Group
Strain
Challenge dosea
Survivors/total













Alhydrogel alone
F1− C12
 57
 0/10


13.6 μg F1-V
′′
 57
10/10


10 μg F1
′′
 60
 0/10


Plague USPb
′′
124
0/9


Alhydrogel alone
′′
1.1 × 106
 0/10


13.6 μg F1-V
′′
1.1 × 106
 9/10


27.2 μg F1-V
′′
1.1 × 106
10/10


10 μg V
′′
1.1 × 106
 9/10





aNumber of LD50


bThe licensed, human, whole-cell plague vaccine.






Efficacy of F1-V Against Pneumonic Plague.
We next determined the efficacy of F1-V against pneumonic plague induced by an aerosol challenge (Table 2). Mice immunized with 13.6 μg of F1-V were completely protected (100% survival) against a moderate (91 LD50) or high (590 LD50) aerosol dose of the F1− Y. pestis strain, C12. Animals given 27.2 μg of F1-V were also completely protected against the high-dose challenge. Similarly, V protected animals exposed to the high-dose aerosol challenge, with 80% of animals surviving. However, as with the s.c. challenge, the plague vaccine USP failed to protect against fatal pneumonic plague; none of eight challenged animals survived. Thus, the whole-cell plague vaccine USP failed to protect mice against challenge with the F1− strain by either the s.c. or aerosol route, while it does protect against s.c. challenge [Andrews et al. (1996) Infect. Immun. 64:2180-2187; Simpson et al. (1990) Am. J. Trop. Med. Hyg. 43:389-396] and partially protects with prolongation of time to death against aerosol challenge with F1+ strains [Andrews et al., ibid.; Pitt et al. (1994) Abstr. E-45. In: Abstracts of the 94th General Meeting of the American Society for Microbiology 1994. American Society for Microbiology, Washington, D.C.; Smith and Packman (1966) Brit. J. Exp. Path. 47: 25-34]. This differential protection against F1+ and F1− strains and the absence of an immune response to V antigen in the plague vaccine USP group (Table 2) in agreement with other studies [Chen et al. (1961) J. Immunol. 87:64-71; Williamson et al. (1995) FEMS Immunol. Med. Microbiol. 12:223-230], strongly suggest that the major protective immunogen in the plague vaccine USP is F1 and that V antigen and other possible immunogens are absent.
The F1-V also protected (100% survival) against a high-dose aerosol challenge with the F1+ Y. pestis, CO92 strain isolated from a fatal human pneumonic case. While these studies were in progress, a report described the increased effectiveness of co-immunization with F1 and V antigen in protecting against subcutaneous challenge with an F1+ strain [Williamson et al., ibid.]. No studies were performed with F1− strains or against an aerosol challenge.







TABLE 2







Efficacy of F1-V vaccination against a lethal aerosol 


Y. pestis infection of mice















Geometric mean




Challenge
Survivors/
antibody titerb












Treatment Group
Strain
dosea
Total
F1
V





Alhydrogel alone
F1− C12
 91
0/9
NTc
NT


13.6 μg F1-V
′′
 91
10/10
NT
NT


Alhydrogel alone
′′
590
 0/14
<640
<640


13.6 μg F1-V
′′
590
10/10
66,540
432,376


27.2 μg F1-V
′′
590
10/10
108,094
432,376


10 μg V
′′
590
 8/10
NT
655,360


Plague USPd
′′
590
0/8
55,738
<640


Alhydrogel alone
F1+ CO92
761
 1/10
NT
NT


13.6 μg F1-V
′′
761
10/10
NT
NT





aNumber of LD50


bSerum obtained on day 58 after the initial vaccine dose was assayed for anti-F1 and anti-V IgG antibody by ELISA on individual animals and group geometric mean titers determined as described in Materials and Methods.


cNot tested.


dThe licensed, human, whole-cell plague vaccine.






Our results clearly demonstrate that mice immunized with a fusion protein, consisting of the F1 capsular antigen fused at its carboxyl terminus to the amino terminus of the V antigen of Y. pestis, were provided with excellent protection against both parenteral and aerosol challenge with an F1− Y. pestis strain. The F1-V fusion protein also protected mice against an aerosol challenge with an F1+ Y. pestis strain. Other workers, as noted previously, showed that V antigen protects animals against challenge with virulent F1+ strains, results which we have confirmed and extended to aerosol challenge. This raises the issue of whether the F1 portion of F1-V is immunogenic and contributes to the protection against challenge with the F1+ Y. pestis strain CO92. Several lines of evidence suggest that the F1 portion is immunogenic and protective. The development of high levels of antibody to F1 after immunization with F1-V (Table 2) and the numerous reported studies showing a strong correlation between the level of antibody to F1 and protection against infection [Williams and Cavanaugh (1979) Bull. WHO 57:309-313) suggest the F1 portion of F1-V helps protect against challenge with F1+ Y. pestis. Further support for a protective role for the F1 portion of F1-V was provided by our observations with a smaller F1-V fusion protein we constructed that consisted of the entire F1 gene fused at its carboxyl terminus to amino acids 168 to 275 of V antigen. This fusion protein was unable to effectively immunize mice against a subcutaneous challenge with the F1− Y. pestis C12 strain (3 survivors out of 10 mice challenged with 55 LD50, data not shown), showing that the V segment of the fusion protein was not protective. However, this same fusion protein was able to protect mice against the F1+ Y. pestis CO92 strain (10 survivors out of 10 mice challenged subcutaneously with 63 LD50, data not shown). These results indicate the F1 portion of this fusion protein was immunogenic, enabling mice to survive challenge against infection with the F1+ Y. pestis CO92, while the V segment failed to elicit a significant protective immune response against challenge with the V antigen expressing but F1− Y. pestis C12 strain. The value of a combined immune response to both F1 and V for combating infection with F1+ Y. pestis strains is supported by the studies of Burrows and Bacon [Burrows, T. W. (1963) Ergeb. Mikrobiol. Immunitatsforch. Exp. Ther. 37:59-113; Burrows and Bacon (1958) Brit. J. Exp. Pathol. 39: 278-291] who found that serum from rabbits immunized with attenuated strains of Y. pestis expressing both F1 and V antigen provided better passive protection in mice against wild type F1+ Y. pestis than serum from rabbits immunized with attenuated Y. pestis strains expressing only V antigen. It is also supported by the recent study showing increased protection by co-immunization of F1 with V antigen [Williamson et al., ibid.]. Better protection by antibody directed against both F1 and V might occur by counteracting both the anti-phagocytic activity associated with F1 [Burrows, T. W., ibid.] and the virulence-enhancing activity associated with secreted V antigen [Nakajima et al. (1995) Infect. Immun. 63: 3021-3029].
An additional advantage of a vaccine containing both F1 and V is that F1 should protect against variant strains of Y. pestis which might be altered in the amount or composition of V antigen, in a manner analogous to that by which V protects against F1− strains. Indeed, isolates deficient in V, determined immunologically, have been cultured from immunized animals infected with V-containing, wild-type Y. pestis [Williams et al. (1974) Trans. Roy. Soc. Trop. Med. Hyg. 6 8:171]. Furthermore, variability in the structural gene for V has been described for Y. pseudotuberculosis [Motin et a/41994) Infect. Immun. 62:4192-4201], although to date, this has not been reported for Y. pestis. 
Another potential advantage of an F1-V multicomponent vaccine would be to protect individuals who may be non-responders to one component of a vaccine. Indeed, some recipients of the current plague vaccine USP fail to develop an antibody response to F1 [Marshall et al. (1974) J. Infect. Dis. 129:S26-S29]. A similar approach to the development of recombinant multicomponent vaccines may be of value against other infectious diseases.
In summary, we constructed an F1-V fusion protein to provide optimal protective immunity against pneumonic as well as bubonic plague due to either wild-type F1+ Y. pestis or fully virulent F1− Y. pestis strains which may occur naturally or may develop after infection of vaccinated individuals. The new vaccine was shown to be effective against both F1− as well as F1+ Y. pestis strains. Most importantly, it prevented both fatal pneumonic as well as bubonic infection. This vaccine candidate may lead to the development of an improved human plague vaccine.

## Claims

1. A method of inducing an immunological response in a subject which comprises
administering an immunogenic amount of a purified fusion protein comprising all of F1 antigen of Yersinia pestis, with or without its signal sequence, fused to the amino terminus of all of V antigen of Yersinia pestis by a linker which consists of the following sequence -Glu-Phe- to the subject, wherein the purified fusion protein is capable of eliciting a protective immune response against F1 positive and F1 negative Yersinia pestisstrains.

2. The method of claim 1, wherein the F1 antigen is an F1 capsular antigen.

3. The method of claim 1, wherein the F1 antigen lacks its signal sequence.

4. The method of claim 1, wherein the purified fusion protein is administered in a pharmaceutically acceptable excipient.

5. The method of claim 1, wherein the purified fusion protein is administered with an adjuvant.

6. The method of claim 1, wherein the purified fusion protein is administered with an additional antigen.

7. The method of claim 1, wherein the purified fusion protein comprises all of F1 capsular antigen of Yersinia pestis and all of V antigen of Yersinia pestis.

8. The method of claim 1, wherein the purified fusion protein has a residual amount of endotoxin removed.

9. The method of claim 1, wherein the purified fusion protein is isolated from its expression vector.

10. A method of treating a subject against infection by Yersinia spp. which comprises
administering an immunogenic amount of a purified fusion protein comprising all of F1 antigen of Yersinia pestis, with or without its signal sequence, fused to the amino terminus of all of V antigen of Yersinia pestis by a linker which consists of the following sequence -Glu-Phe- to the subject, wherein the purified fusion protein is capable of eliciting a protective immune response against F1 positive and F1 negative Yersinia pestis strains.

11. The method of claim 10, wherein the Yersinia species is an F1− strain.

12. The method of claim 1, wherein the fusion protein has the amino acid sequence specified in SEQ ID NO:2.

13. The method of claim 10, wherein the fusion protein has the amino acid sequence specified in SEQ ID NO:2.

14. The method of claim 6, wherein the additional antigen is a V antigen from Yersinia pseudotuberculosis or Yersinia enterocolitica.