IMMUNOTHERAPEUTIC METHODS AND COMPOSITIONS

Abstract: This invention relates to immunotherapeutic methods and compositions. More particularly, this invention relates to methods for eliciting specific antibody responses in immunodeficient patients using immunogens comprising antigen/T-cell independent carrier conjugates. According to a preferred embodiment, this invention relates to immunogens comprising peptides from the env region of the HIV genome coupled to T-cell independent carriers, which are useful in preventing or treating acquired immune deficiency syndrome and AIDS related complex.

Description: IMMUNOTHERAPEUTIC METHODS AND COMPOSITIONS TECHNICAL FIELD OF INVENTION This invention relates to immunotherapeutic methods and compositions. More particularly, this invention relates to methods for eliciting specific antibody responses 'in immunodeficient patients using immunogens comprising antigen/T-cell independent carrier conjugates. According to a preferred embodi¬ ment, this invention relates to immunogens comprising peptides from the env region of the HIV genome coupled to T-cell independent carriers, which are useful in preventing or treating acquired immune deficiency syndrome and AIDS related complex. BACKGROUND ART In iaununocompetent individuals, T-4 lym¬ phocytes, also known as helper or inducer cells, . interact with other specialized cell types of the immune system to confer immunity to or defense against infection. More specifically, T-4 lymphocytes stimu¬ late production of growth factors which are critical to the functioning of the immune system. For example, they activate macrophages ("killer cells") to attack infected or otherwise abnormal host cells, and induce monocytes ("scavenger cells") to encompass and destroy invading microbes. They also induce maturation of B lymphocytes into cells which produce defensive anti¬ bodies to specific antigens. The induction of anti¬ body formation by T-dependent antigens requires interaction with both T lymphocytes and B lympho- cytes, with the T lymphocytes somehow regulating the proliferation and differentiation of B lymphocytes into antibody secreting cells by mechanisms not yet fully understood. B lymphocyte differentiation and antibody formation may occur, however, without T lymphocyte induction, in response to T-independent antigens or, possibly, supplies of exogenous growth factors. This complex immune defense system may be partially or totally disrupted as a result of a given therapeutic regimen. For example, chemotherapy and radiation therapies used to treat malignant diseases, or immunosuppressants administered to prevent rejec¬ tion of transplanted organs, often cause selective destruction of circulating T-4 lymphocytes or contribute to other T lymphocyte abnormalities in the patient undergoing treatment. Such side effects of these treatments may lead to complete immunosup- pression and attendant susceptibility of the patient to a wide range of opportunistic infections. Even when im unosuppression is not complete, in those patients having depleted T lymphocyte populations, exposure to a given antigen alone may not be suffi¬ cient to elicit the formation of antibodies. Similar immunosuppression is seen in patients suffering from acquired immune deficiency syndrome ("AIDS"). The human immunodeficiency virus ("HIV") retrovirus is thought to be the etiological agent responsible for AIDS infection and its pre¬ cursor, AIDS related complex ("ARCS") [M. G. Sarngadharan et al., "Detection, Isolation, and Con¬ tinuous Production of Cytopathic Retroviruses (HTLV-III) From Patients With AIDS and Pre-AIDS", Science, 224, pp. 497-508 (1984)].* Between 85 and 100% of, he AIDS/ARCS patient population test sero- positive for HIV [G. N. Shaw et al. , "Molecular Characterization of Human T-Cell Leukemia (Lympho- tropic) Virus Type III In The Acquired Immune Defi¬ ciency Syndrome", Science, 226, pp. 1165-70 (1984)]. Upon infection of a host, the primary targets of the HIV virus, T-4 lymphocytes, are rendered non-func¬ tional. In addition to T-4 lymphocytes, the HIV virus are also been shown to infect central nervous system cells, macrophages and B lymphocytes [J. M. Ismach, "AIDS: Can The Nation Cope", Medical World News (August 25, 1985)]. To date, the need exists for the development of effective immunotherapeutic agents and methods for the treatment of immunodeficiencies caused by T lymphocyte depletion or abnormalities. * DISCLOSURE OF THE INVENTION The present invention solves the problems referred to above by providing immunotherapeutic methods and compositions for use in the treatment of immunodeficient patients. The methods and composi¬ tions of this invention are characterized by immuno¬ gens which comprise antigens specific for a target infection coupled to T-cell independent carriers. These immunogenic conjugates, which are advantageously used in patients who are im unosuppressed due to T lymphocyte depletion or abnormalities, elicit the formation of antibodies specific for target * In this application, human immunodeficiency virus ("HIV"), the generic term adopted by the.human retrovirus subcommittee of the International Committee on Taxonomy of Viruses to refer to independent iso- lates from AIDS patients, including human T-cell lymphotropic virus type III ("HTLV-III"), lymphadeno- pathy-associated virus ("LAV") and AIDS-associated retrovirus ("ARV") will be used. infections. Accordingly, the methods and compositions of this.invention provide therapeutic or prophylactic immunogenic responses in immunocompromised patients who lack functioning T lymphocyte systems. The antigen/T-cell independent carrier conjugates of this invention may be advantageously used in therapeutic compositions or vaccines which elicit antibodies reactive with target infections. According to one preferred embodiment of this inven- tion, immunogens comprising peptides from the env region of the HIV genome coupled to T-cell independent carriers may be used to elicit antibodies reactive with the native env protein of the HIV virus. Such immunogens are useful in preventing or treating acquired immune deficiency syndrome and AIDS related complex. BRIEF DESCRIPTION OF THE DRAWINGS Figure 1 depicts the amino acid sequences of each of peptides 1-2, 4-6, 31, 64 and 78 used in one embodiment of the antigen/T-cell independent carrier conjugates of this invention, as well as that of the region between amino acid 600 and amino acid 750 of the HIV env gene. In this figure, the amino acids are represented by single letter codes as- follows: Phet F Leu: L He: I Met: M Val: V Ser: S Pro: P Thrr T Ala: A Tyr: Y His: H Gin: Q Asn: N Lys: K Asp: D Glu: E Cys: C Trp: W Arg: R Gly: G DETAILED DESCRIPTION OF THE INVENTION According to this invention, antigens specific for a target infection are coupled to one or more T-cell independent carriers, for example carriers such as Ficoll, lipopolysaccharide ("LPS"), dextran sulfate or Staphylococcus aureus Cowan strain, before use. The antigens may also be coupled to any other ' conventional polymeric T-independent carrier to which peptides may be conjugated. These antigens are coupled to the carrier according to a procedure such as that set forth in Example 2 of this applica¬ tion. Alternatively, the antigens may be coupled to the carrier in various conventional ways using, for example, methods using glutaraldehyde [M. Reichlin, "Use Of Glutaraldehyde As A Coupling Agent For Pro- teins And Peptides", Methods In Enzy ology, 70, pp. 159-65 (1980), N-e,thyl-N'-(3-dimethylaminopropyl)- carbodiimide [T. L. Goodfriend et al. , "Antibodies To Bradykinin And Angiotension: A Use Of Carbodiimides In Immunology", Science, 144, pp. 1344-46 (1964)] or a mixture of N-ethyl-N'-(3-dimethylaminopropyl)- carbodiimide and a succinylated carrier [M. H. Klapper et al., "Acylation With Dicarboxylic Acid- Anhydrides", Methods In Enzymology, 25, pp. ' 531-36 (1972)]. Antigens which may be coupled to T-indepen- dent carriers to form immunogenic conjugates according to this invention include peptides involved in the pathogenesis of the HIV virus . Such peptides include peptides from the env region of the HIV genome, for example, peptides characterized by an amino acid sequence derived substantially from the region between about amino acid 600 and amino acid 750 of the HIV env gene or the D-retro forms of those peptides — those produced by synthesis with D amino acids in the opposite orientation, beginning with the carboxy terminal amino acid of the L form. Additionally, antigens which may be coupled to T-independent carriers to form the immunogenic conjugates of this invention include those which are specific for opportunistic infections afflicting immunosuppressed or immunocompromised patients. Such antigens include, for example, antigens directed against bacterial pneumonia, pneumosistis pneumonia, hepatitis, varicella virus, cytomegalovirus and Epstein-Barr virus. These antigens may be prepared according to any conventional method including, for example, chemical synthesis or recombmant DNA tech- nology. After preparing the antigen and coupling it to the T-cell independent carrier, the antigen/ T-cell independent carrier conjugate is employed in the methods and compositions of this invention in a conventional manner. For example, the coupled anti¬ gen, alone or in combination with other coupled anti¬ gens of this invention, may be mixed with one or a combination of well-recognized adjuvants and addi¬ tives, preferably by first dissolving the coupled antigen, for example, in PBS with 0.1% SDS. In other embodiments of this invention, coupled antigens may be linked to hydrophobic groups to build the adjuvant into the composition. 'In addition, the coupled anti¬ gen may be administered to a patient in combination with lymphokiπes, such as B cell growth factors, which are known to stimulate the activity of B lymphocytes. Of course, it should be understood that other well-known methods of preparing therapeutic compositions may be employed using the antigen/T-cell independent carrier conjugates of this invention. The above-prepared compositions are then employed in a conventional manner for the treatment of opportunistic infections in immunodeficient patients. Such methods of treatment and their dosage levels and requirements are well-recognized in the art and may be chosen by those of skill in the art from available methods and techniques. For example, the conjugates of this invention may be combined with a" pharmaceutically acceptable adjuvant for administration to patient in a pharmaceutically acceptable manner and in an amount effective to elicit antibodies specific for the target infection and to lessen the severity of that infection. The dosage and treatment regimens will depend upon factors such as the patient's health status, the severity and course of infection and the judgment of the treating physician. Alternatively, the antigen/T-cell indepen¬ dent carrier conjugates of this invention are useful in vaccines and methods for protecting immunodeficient humans against opportunistic infections for at least some period of time. The conjugates may be employed in these vaccines and methods either alone or together with other conjugates of this invention in a manner consistent with the conventional utilization of anti¬ gens in vaccines. For example, the antigen/T-cell independent carrier conjugates of this invention may be combined with pharmaceutically acceptable adjuvants conventionally employed in vaccines and administered in immunologically effective amounts to protect immunodeficient patients for some time against oppor- tunistic infections. Additionally, the immunogenic conjugates may be combined with B lymphocyte-stimu¬ lating factors for administration as a vaccine. Both the compositions and vaccines of this invention may be administered to patients via con- ventional modes of administration. The frequency of administration will depend upon factors such as the particular composition or vaccine employed and the condition of the patient. The need for subsequent treatments with these compositions or boosters of these vaccines will depend upon the results of the initial treatment or vaccination. The compositions, vaccines and methods of this invention may be used to treat human as well as other mammalian patients. In order that the invention described herein may be more fully understood, the following examples are set forth. It should be understood that these examples are for illustrative purposes only and are not to be construed as limiting this invention in any manner. In these examples, we coupled peptides involved in the pathogenesis of HIV infection to T-cell independent carriers to form the conjugates of this invention and tested the conjugates in several conventional assays to demonstrate their ability to elicit anti-HIV antibody responses in immunodeficient hosts. It should be understood that the present invention also relates to conjugates comprising the D-retro form of each of these illustrative peptides. Example 1 - Preparation Of Peptides Involved In The Pathogenesis of HIV Infection Referring now to Figure 1, we synthesized peptides 1-2, 4-6, 31, 64 and 78, corresponding to segments of the env gene of the HIV genome. In Figure 1, the amino acid numbering corresponds to that set forth for the env gene in L. Ratner et al., "Complete Nucleotide Sequence Of The AIDS Virus, HTLV-IU", Nature, 313, pp. 277-84 (1985). We synthesized the peptides using an im¬ proved version of the solid phase method described by R. B. Merrifield, "Solid Phase Peptide Synthesis. I. The Synthesis Of A Tetrapeptide", J. Am. Chem. Soc. , 83, pp. 2149-54 (1963), using an Applied Bio- systems Model 430A peptide synthesizer and reagents and procedures as supplied .by the producer. In this improved method, we deblocked and cleaved the pro- tected peptides from the resin with liquid HF con¬ taining 10% anisole, in a variation of the method described by S. Sakakibara et al., "Use Of Anhydrous Hydrogen Fluoride In Peptide Synthesis. I. Behavior of Various Protective Groups In Anhydrous Hydrogen Fluoride", Bull. Chem. Soc. Jap., 40, pp. 2164-68 (1967). We first purified the peptides cleaved from the' resin by partition chromatography on a Sephadex LH20 column using n-Butanol/water (6/100) as eluent. The eluate was further purified by semi- preparative high pressure reversed phase chromatog¬ raphy on an Altex Ultrasphere-ODS column, by elution with a 0.1% TFA acetonitril gradient. After we hydrolyzed the eluate with 6N HCi for 18 hours, we carried out amino acid analysis on a Beckman amino . acid analyzer to confirm the amino acid sequences of the peptides produced. Example 2 - Coupling Of An HIV-Peptide To A Carboxymethyl Ficoll Carrier We prepared carboxymethyl Ficoll according to the procedure described in J. K. Inman, "Thymus- Independent Antigens: The Preparation Of Covalent, Hapten-Ficoll Conjugates", J. Immunol., 114, pp. 704-09 (1975). We then dissolved 3 mg of the carboxymethyl Ficoll in 100 μl of 2mM hydrochloric acid. Subsequently, we added a solution of N-hydroxy- succinimide (1 mg) in 20 μl of 2mM hydrochloric acid. To this mixture, we added a solution of l-ethyl-3-(3- dimethylaminόpropyl) carbodiimide hydrochloride (1 mg) in 10 μl water. We mixed the reaction mixture well and reacted it for between about 25 and 30 minutes to preactivate the carboxymethyl Ficoll. We then coupled the carboxymethyl Ficoll to a peptide involved in the pathogenesis of HIV infection — for, example, peptides 4, 5 and 6, as depicted in Figure 1. We did this by adding a solu¬ tion of 3.0 mg of the peptide in 150 μl of 0.3M sodium bicarbonate and adjusting the total volume to 400 μl with 0.3M sodium bicarbonate. We allowed the coupling reaction to proceed for between about 4 and 4 1/2 hours at room temperature. We then loaded the reaction mixture onto a Sephadex G100 column (10 inches x 0.325 inches) which had been pre-equilibrated with IX PBS (pH 7.2). Sub¬ sequently, we eluted the column with IX PBS to obtain the peptide-Ficoll conjugate. We collected a total of 20 x 30 drop fractions and read the absorbance at 214 n (" 2 1 ") of each fraction. We pooled and lyophilized the void volume fractions showing A 214 - The lyophilized solid was then taken up in 1 ml of sterile water and a 50 μl aliquot was removed. To that aliquot, we then added 50 nM of Norleucine, lyophilized to dryness and then hydrolyzed with con¬ stant boiling hydrochloric acid for between about 18 and 24 hours for amino acid analysis. The amount of peptide coupled to carboxymethyl Ficoll ranged between about 10 to 20 peptide molecules per molecule of Ficoll. Example 3 - Inoculation Of Test Animals We dissolved each of the " coupled peptides prepared above in sterile PBS, to a final concentra¬ tion of 0.5 μg/μl coupled peptide in PBS. Subse¬ quently, we inoculated 7-8 week old athymic nu/nu CD1 strain female mice (Charles River Breeding Laboratories) or immunocompetent BALB/C (Charles River Laboratories) or BALB/CJ mice (Jackson Laboratory, Bar Harbor, Maine) by intraperitoneal injection of 0.2 ml of the coupled peptide. All mice were preabled to establish an average baseline for each response to be measured. The dosage of the coupled peptide varied with the nature of the immunogen and no adjuvants were administered. Tail bleeds were taken on days 4 and 6, with serum being stored as individual samples at -20°C until being pooled at the time of assay. Example 4 - ELISA With Anti-Peptide/T-Cell Independent Carrier Conjugate Sera Against HIV env Peptide Coated Plates In this assay, we determined that antiserum raised in an animal by each of the peptide/T-cell independent carrier conjugates of this invention binds to its respective peptide. Accordingly, the coupled peptides of this invention are immunogenic and elicit a response in test animals. To carry out the assay, we coated two 96-well microtiter plates (Nunc Immuno I) with 50 μl per well of a mixture of 50 μg/ml uncoupled peptide in PBS. (20mM phosphate, 150mM NaCl, pH = 7.2) and incubated the plates overnight at 4°C. The third and fourth plates, which served as controls for, respectively, the first and second plates, were treated identically to those plates but were not pre-coated with the peptide. We then inverted the plates to empty all wells and washed the plates 3 times with PBS/0.05% Tween-20. The plates were blotted dry by gentle tapping over paper towels. After blotting the plates, we added 150 μl of a 5% fetal calf serum in PBS solution ("FCS/PBS") to each well and incubated the plates for 1 hour at room temperature. We then washed and blotted the plates as before. We then assayed serum samples pooled from each group of 3 mice on the pre-coated plates prepared as described above and on two control plates. In the first pre-coated plate, we assayed the antibody response to the immunogen peptide at an initial dilu¬ tion of 1:10, followed by serial 2-fold dilutions in 5% FCS/PBS. After a 2 hour incubation period at room temperature, we washed the plates and blotted them dry as described above. We then added 50 μl of a 1:2000 dilution of goat anti-mouse-IgM horsera- dish peroxidase (μ specific) ("HRP") in 5% FCS/PBS to each,well and incubated the plates at room tem¬ perature for 1 hour. We then washed the plates with PBS/0.05% Tween-20. We added 500 μl of 42mM 3, 3', 5, 5'-tetra ethylbenzidine in dimethylsul- foxide ("TMB/DMSO") and 7.35 μl of 30% hydrogen peroxide ("H-O-") to 50 ml of 0.1M sodium acetate- citric acid buffer (pH = 4.92). Subsequently, we added 50 μl of this solution to the wells using a 12 channel multiple pipet. We stopped the enzyme reactions with 50 μl of 2M H 2 SO. when the less dilute samples reached an absorbance of 0.2 O.D. at 650 nm. We then analyzed the plates spectrophotometrically at 450 nm using an automated microplate reader (Dynatech MR600) and observed that antiserum against each of the peptide/T-cell independent carrier con¬ jugates prepared in Example 2 binds to its respective peptide. Example 5 - ELISA With Anti-Peptide/T-Cell Independent Carrier Conjugate Sera Against Virus-Coated Plates In this assay, we demonstrated that antisera raised against the peptide/T-cell independent carrier conjugates of this invention binds to HIV virus-coated plates. We added 100 μl of carbonate buffer (pH = 9.6) containing 5% bovine serum albumin to each well of 96 well microtiter plates coated with authentic HIV virus (a gift of Dr. Robert Gallo)* and incubated * It is our understanding that the plates used were in fact made, or at least could have been made, by coating 96 well microtiter plates (Nunc Immuno I) with 100 μl of a mixture of 5 μg/ml authentic HIV virus in carbonate buffer (pH = 9.6), incubating the plates overnight at 4°C, inverting the plates to empty all wells, washing the plates 3 times with deionized water and then blotting them. the plates at room temperature. Virus-coated micro¬ titer plates are also available from Electronucleonics, Fairfield, New Jersey. Subsequently, we rinsed the plates 3 times with deionized water. After blotting the plates, we added 100 μl of saline-P0 4 (PBS) containing 5% normal goat serum (filter for 0.22 μm Nalgene filter) to each well and incubated the plates for 2 hours at room temperature. We next added 100 μl of test serum or control serum to each well and incubated the plates for 2 1/2 hours at room temperature. The test serum comprised pooled samples of antisera raised against the peptide 4/Ficoll conjugate of this invention at dilutions of 1:10 or 1:25. We then washed the plates 3 times with PBS containing 0.05% Tween-20 and blotted them. We next added 100 μl of a 1:1000 dilution of 1% normal goat serum and goat anti-mouse-IgM HRP (μ specific) in 0.05% PBS-Tween 20 to each well and incubated the plates for 1 hour at room temperature. We had titrated the anti-mouse IgM HRP before use to assure a proper final concentration of indicator antibody. At the end of the hour incubation period, we rinsed the plates 2 times with 0.05% PBS-Tween-20 and once with plain PBS. We then added 100 μl of a solution of 0.005% H-O- and 0.05% orthophenylene diamine ("OPD")* in Sorenson's phosphate citrate buffer (pH = 5) and allowed reaction for 20 minutes at room temperature in the dark. * This is a potential carcinogen which should be detoxified before disposal using a solution of: 50 g K-,CrO_ 25 ml ION H 7 S0. 145 ml H 2 0 * We stopped the reaction by adding 50 μl of 4N H 2 ' S0 ' to each well. The plates were read by visual inspection or using a microplate reader at 450 nm. Each plate had a series of "blank" control wells containing no test serum or anti-mouse IgM-HRP conjugate and to which one of the following had been added: saline-P0 4 (PBS) containing 20% normal goat serum — PBS-Tween-20 (0.05%) Sorenson's phosphate-citrate buffer (pH = 5) containing 0.005% H,0_ and 0.05% OPD. Δ Δ In addition, each plate had a series of "background" control wells containing no test serum and to which one of the following had been added: saline-P0 4 (EBS) containing 20% normal goat serum PBS-Tween-20 (0.05%) containing 1% normal goat serum and goat - anti-mouse-IgM HRP at a dilution of 1:4000 Sorenson's phosphate-citrate buffer CpH = 5) containing 0.005% H,0, and 0.05% OPD. Δ Δ Each test plate also had a negative and positive control serum. Analysis of the plates revealed that anti- serum raised against coupled peptide 4 bound to the HIV virus. Although antisera against coupled pep¬ tides 5 and 6 were not tested in this assay, we believe that these antisera may exhibit the binding activity demonstrated by antiserum raised against coupled peptide 4. This demonstrates that methods and compo- sitions of antigen presentation according to this invention elicited an antibody that recognizes HIV. While we have hereinbefore presented a number .of embodiments of this invention, it is apparent that our basic construction can be altered to provide other enbodiments which utilize the process of this invention. Therefore, it will be appreciated that the scope of this invention is to be defined by the claims appended hereto rather than the specific embodiments which have been presented hereinbefore by way of example.

Claims: We Claim: .' 1. A pharmaceutically acceptable composi¬ tion for treating or preventing a target infection in immunosuppressed patients comprising an immuno- logically effective amount of an immunogen which comprises an antigen specific for that infection coupled with a T-cell independent carrier. 2. The composition according to claim 1, wherein the target infection is an HIV infection and the antigen comprises a peptide involved in the pathogenesis of HIV virus selected from the group consisting of peptides characterized by an amino acid sequence derived substantially from the region between about amino acid 600 and amino acid 750 of the HIV env gene. 3. The composition according to claim 2, wherein the peptide is selected from the group con¬ sisting of peptides consisting substantially of amino acid sequences of the formulae: PWNASWSNKSLEQIWNN, LLELDKWASLWNWF, EQIWNNMTWMEWD, LPIPRGPDRPEGIEEEGGERDRDR and D-retro forms thereof. 4. The composition according to claim 1, wherein the target infection"is an HIV inf ction and the antigen comprises a peptide involved in the pathogenesis of HIV virus selected from the group consisting of peptides consisting substantially of amino acid sequences of the formulae: RIKQIINMWQEVGKAMYAPPISGQI, VKIEPLGVAPTKAKRRWQREKRA, NSSSGRMIMEKGEIKNCS, SVEINCTRPNNNTRKSI and D-retro forms thereof. 5. The composition according to claim 1, wherein the T-cell independent carrier is selected from the group consisting of Ficoll, lipopolysac- charide/ dextran sulfate and StaDhvlococcus ' aureus Cowan strain. 6. A method for treating an immunosup- pressed patient comprising the step of administering to said patient an immunologically effective amount of a composition according to any one of claims 1 to 5. 7. A method for treating HIV infection in a patient comprising the step of administering to said patient an immunologically effective amount of a composition according to any one of claims 2 to 5. 8. A method for treating a patient to protect them for some time against HIV infection comprising the.step of treating said patient in a pharmaceutically acceptable manner with a composition according to any one of claims 2 to 5.

Inventors: FISHER RICHARD A, GILBERT WALTER, RAMACHANDRAN KUZHALMANNAM L, SATO VICKI L, FISHER, RICHARD, A., GILBERT, WALTER, RAMACHANDRAN, KUZHALMANNAM, L., SATO, VICKI, L.
Applicants: BIOGEN NV, FISHER RICHARD A, BIOGEN N.V., FISHER, RICHARD, A.
Application year: 1988
Main classification: C07K7
IPC codes: A61K38, A61K39, C07K7, C07K14, C07K19