Abstract:
The L2 protein of papillomavirus (particularly BPV-2 and BPV-4) has been cloned as a fusion protein with beta-galactosi-dase and GST; both as the whole protein and as fragments. Vaccination of calves is found to have both a prophylactic effect in tumor prevention and a therapeutic effect in tumor regression.

Description:
FIELD OF THE INVENTION  
         [0001]    The present invention relates to the use of papillomavirus L2 protein in medicine, particularly for the regression of papillomavirus tumours in mammals; and to pharmaceutical formulations comprising the L2 protein.  
         BACKGROUND OF THE INVENTION  
         [0002]    Papillomaviruses induce a variety of lesions both in humans and in animals. Some papillomas, albeit benign, are themselves a clinical problem, such as laryngeal papillomas of children (Steinberg and Abramson, 1985) or penile papillomas of bulls (Jarrett, 1985a), and others are known to be a risk factor in the pathogenesis of cancer, as in the case of flat lesions of the cervix or penile condylomata in humans (zur Hausen, 1978). Therefore both in human and veterinary medicine an antiviral vaccine, particularly a therapeutic one inducing lesion rejection, would be of major importance. Vaccination studies in humans present several problems: first of all experimentation is ethically unacceptable and, secondly, very limited amounts of virus are available as some lesions, in particular those of the cervix, do not produce viral progeny, and no in vitro system is yet available which allows vegetative replication of virus. The production of viral proteins in bacteria and the use of synthetic peptides have circumvented this last problem and have allowed the ongoing analysis of the immune response to papillomavirus infection (see for instance Jenison et al, 1988: Jochmus-Kudielka et al, 1989; Tindle et al, 1990, Dillner, 1990 and Strang et al, 1990). Whilst investigation into the feasibility of a human papillomavirus vaccine is still at an early stage, effective prophylactic vaccines, both natural (Jarrett et al, 1990a) and genetically engineered (Pilachinski et al, 1986) have already been produced against bovine papillomaviruses, and regression of Shope papillomas has been achieved by vaccinating rabbits with tumor tissue extracts (Evans et al, 1962). The bovine system is an excellent model for the human one, given the several similarities between the two: multiple virus types with high lesion specificity (Campo et al, 1981; Jarrett et al, 1984), homology of genetic structure (Danos et al, 1984) and progression of some lesions to malignancy (Jarrett et al, 1978). The bovine system also presents several advantages: cofactors in oncogenesis are known (Jarrett et al, 1978; Campo and Jarrett, 1986) and, above all, direct experimentation is possible (Jarrett, 1985a).  
           [0003]    It has recently been shown that vaccination with bovine papillomavirus type 2 (BPV-2) successfully prevented infection by the same virus (Jarrett et al, 1990a), but not by other virus types (Jarrett et al, 1990b). Prevention was accompanied by production of neutralising antibodies in the serum of vaccinated animals, indicating that neutralising epitopes are present in the virus.  
         SUMMARY OF THE INVENTION  
         [0004]    Generally speaking, the present invention resides in the discovery that the papillomavirus L2 protein may be prophylactically or therapeutically effective in the treatment of papillomavirus tumours.  
           [0005]    Thus, the present invention provides the use of papillomavirus L2 protein in medicine, particularly for the prophylaxis or therapy of papillomavirus tumours.  
           [0006]    The invention also provides a pharmaceutical formulation for the prophylaxis or therapy of papillomavirus tumours, which comprises; papillomavirus L2 protein in admixture with a pharmaceutically acceptable carrier.  
           [0007]    The invention further provides papillomavirus L2 protein for use in the production of a medicament for use in medicine, particularly for use in the prophylaxis or therapy of papillomavirus tumours.  
           [0008]    The invention still further provides a method of treating a mammal for the prophylaxis or therapy of papillomavirus tumours, which comprises the administration of papillomavirus L2 protein to the mammal.  
           [0009]    Generally speaking, the prophylactic or therapeutic effect of the L2 protein may be limited to the respective papillomavirus type. Thus, for general therapeutic applications, especially where the particular papillomavirus type is unknown, it may be desirable to employ a mixture of L2 proteins from a variety of papillomavirus types.  
           [0010]    Generally, the therapy will be applicable to papillomavirus infections of mammals, including humans and animals. In humans, the invention is particularly applicable for the therapy and regression of laryngeal tumours, skin cancer tumours and genital lesions, whether malignant or not. In animals, the therapy is particularly useful for the regression of tumours on animals, for example the removal of warts from the udders of milk cows, or removal of papillomas of the alimentary canal and for the treatment of horses and donkeys. Prophylactic vaccination may also be employed.  
           [0011]    The L2 protein is generally produced by recombinant DNA techniques. In particular, a plasmid containing the gene coding for the L2 protein may be transfected into  E. coli  and cultured. The entire L2 protein as it exists in nature may be employed, or a fragment (such as amino acid 90 to 467 of BPV-2 as disclosed hereafter) or fragments thereof may be used providing that the therapeutic effectiveness is retained. The L2 protein may be the native form, with additions, deletions or substitutions which do not substantially effect its therapeutic effectiveness.  
           [0012]    The L2 protein will usually be administered in the form of a pharmaceutical formulation. The formulation contains a pharmaceutically acceptable carrier. The carrier must be acceptable in the sense of being compatible with the other ingredients of the formulation and not deleterious to the recipient thereof.  
           [0013]    Since the protein is broken down in the stomach, oral administration is not preferred. The pharmaceutical formulation is preferably formulated for parenteral administration, including subcutaneous, intramuscular and intravenous injection; or as a suppository or pessary. For parenteral administration the formulation may be presented as a sterile solution or suspension in a suitable liquid vehicle, which may also contain preservatives and materials for rendering the formulation isotonic. The formulations may be presented in unit-dose or multi-dose containers. The carrier will generally be apyrogenic. Each dose will generally contain 100 to 10,000 micro grams of the L2 protein.  
           [0014]    In order to enhance the therapeutic effect of the protein, it may be administered together with an adjuvant, such as Freund&#39;s incomplete adjuvant, as an oil-in-water emulsion or using other adjuvant systems known in the art such as L101 and DDA as used in Pilacinski et al. (1986).  
         DESCRIPTION OF PREFERRED EMBODIMENTS  
         [0015]    Embodiments of the present invention will now be described by way of example only with reference to the following experimental protocol.  
           [0016]    [0016]FIG. 1 shows the open reading frames for L2 protein of BPV-2;  
           [0017]    [0017]FIGS. 2, 3 and  4  show the results of vaccination experiments using L2 protein of BPV-4 for control group, L2 vaccinated group, and L2 plus E7 vaccinated group respectively. 
       
    
    
     EXAMPLE 1  
     (BPV-2 Virus)  
       [0018]    [0018]FIG. 1 referred to in the experimental protocol shows the L1 and L2 open reading frames (ORF&#39;s) of BPV2 and the restriction enzyme sites used for cloning.  
         [0019]    T=TATA box; A=polyadenylation site; Met=translation initiation codon; TAA=translational termination codon; B=BamHI site; Hp=HpaI site; H=HindIII site. The DNA fragment cloned in pUR is indicated as L2 (BamHI-BamHI). The nucleotide numbering of Potter and Meinke (1985) is used.  
       MATERIALS AND METHODS  
     Calves  
       [0020]    Twenty one 12-week old male Friesian calves were obtained from a papilloma-free source. They were randomly assigned to three initial groups, which were housed in separate, clean, well ventilated pens in the isolation unit of the Department of Veterinary Pathology, Glasgow. All the calves were bled on arrival for haematological analysis and to obtain pre-inoculation serum samples. The experiment was started when the calves were 16 weeks old.  
       Production of L2 peptide of BPV-2 in  Escherichia coli    
       [0021]    The open reading frame (ORF) encoding the L2 peptide was isolated by digesting the BPV-2 genome cloned in pAT 153 (Campo and Coggins, 1982) with Bam HI. This produced one fragment of 2030 bp (nt 268-2298) numbered according to the nucleotide (nt) sequence of Potter and Meinke (1985), where nt 1 is the A of the ATG codon of the L2 ORF (FIG. 1); this fragment contains the majority of the L2 ORF (from aa 90 to aa 467, L2), the L2 ORF stop codon and the 5′ half of the L1 ORF, which would not be expressed because of the termination codon. The fragment was cloned in the pUR vector series (Ruther and Muller-Hill, 1983), giving rise to pL2, and transfected into  E. Coli  JM 109. Peptide for vaccination was prepared from mid-log phase cultures induced for 4 hours in L-broth supplemented with 100 ug/ml ampicillin and containing 1 mM IPTG. Bacterial pellets resuspended in lysozyme buffer (50 mM TRIS-HC1 pH 8.0, 10 mM McCl 2,  50 mM glucose, 1 mg/ml lysozyme) were left at 20° C. for 10 min, when EDTA was added to 50 mM. Following cell lysis by the addition of Triton X100 to 1% (v/v), the fusion peptide was pelleted at 39000 g for 30 min and resuspended by boiling and sonication in 5% SDS, 50 mM B-mercaptoethanol, 50 mM TRIS-HCl, pH 8.0 Purity of 90-95% was achieved by preparative SDS PAGE, the final yields being up to 2 mg of product per gm wet weight of cells. The protein was stored at −20° C. before use, but prolonged storage caused degradation.  
       Experimental Design  
       [0022]    The vaccination experiments were designed as follows: In group A, six animals were vaccinated prophylactically with the gel-purified L2 (one calf had to be withdrawn from the experiment because of pneumonia); three of these animals were also vaccinated therapeutically with the gel-purified L2 nine weeks after callenge. In group B, eleven animals received no prophylactic vaccination; after tumor formation three of these animals were therapeutically vaccinated with gel-purified L2, while eight animals received no vaccine at all and were therefore used as controls.  
       Vaccination  
       [0023]    The calves receiving the L2 vaccine were given a 1 ml PBS suspension containing 650 ug of the L2 fusion protein plus 1 ml of Freund&#39;s incomplete adjuvant (FIA) into the right quadriceps muscle. This was repeated fourteen days later as a boost, but with only 500 g of protein.  
       Virus Challenge  
       [0024]    BPV-2 was purified from a skin fibropapilloma (Campo et al, 1981) and the concentration of viral particles was estimated by the electron microscope assay (Jarrett et al, 1990a). Each calf was challenged at multiple sites with 10 12  virus particles as described by Jarrett and other (1990a) either four weeks after vaccination (two weeks after the boost) or nine weeks before vaccination.  
       Biopsies  
       [0025]    Biopsies were performed as described by Jarrett et al (1990a). Immunocytochemical studies were made by the peroxidase-anti-peroxidase (Hsu et al, 1981) or immunogold (Holgate et al, 1983) techniques using rabbit anti-BPV-2 serum as described by Jarrett et al (1984).  
       Virus Neutralization Assay  
       [0026]    The presence of neutralizing antibodies in serum samples was determined by the cell transformation inhibition assay described previously (Jarrett et al, 1990a). This assay takes advantage of the ability of BPV-2 to transform primary bovine fibroblasts in vitro (Jarrett, 1985b), which is abrogated by pre-incubation of virus with immune serum.  
       RESULTS  
     Characterization of Fusion Protein  
       [0027]    The size of the BPV-2 B-gal-L2 fusion protein was estimated on PAGE to be 180 kDa well in agreement with the predicted size of 156 kDa.  
         [0028]    The L2 fusion protein was characterized immunologically. It was injected into rabbits or calves and the antisera were tested against the fusion protein itself and against virion proteins in both Ouchterlony and Western blots assays. The antisera were reactive with both the engineered protein (data not shown) and its viral L2 (62 kDA) counterpart. In reciprocal experiments, rabbit or calf antisera raised against SDS-disrupted virus were reactive with the fusion protein. Although N-terminus truncated, the fusion protein therefore shares epitopes with virus and presents them effectively to the host immune system.  
       Therapeutic Vaccination with BPV-2 L2 Fusion Protein  
       [0029]    Five animals were vaccinated prophylactically; three of these and three unvaccinated animals were vaccinated therapeutically nine weeks after challenge. As the same results were obtained with the two groups of calves, they will be considered together. All animals developed fibropapillomas four weeks after challenge (Table 1). Six vaccinated animals were still bearing tumours at ten weeks. In the other two vaccinated calves the tumours were entering the rejection phase: the epithelium was virtually normal and the sub-epithelial tissue was mainly composed of hyalinised collagen. There was a drastic reduction in the number of fibroblasts and a massive infiltration of lymphocytes and macrophages in the sub-epithelial tissue. All vaccinated animals had reached that stage by week thirteen. By week sixteen the tumours had definitely regressed. There were small plaque-like lesions with hyperkeratosis, but virtually all the normal skin adnexal elements were present. Some lymphocytes and macrophages were still present. The control animals were still bearing virus-producing tumours (Table 1). Neutralizing antibodies appeared in the serum of the vaccinated calves at the same time and with the same titre as the control animals (data not shown). Serum antibodies to L2 were however detected soon after vaccination and before challenge (data not shown).  
       Vaccination with BPV-2 L2 Promotes Tumor Rejection  
       [0030]    Vaccination with the L2 fusion protein, whether delivered before or after challenge, induced early tumor regression. Tumor regression was accompanied by infiltration of the lesion by macrophages and lymphocytes, a process consistently observed when natural regression takes place (Jarrett, 1985a). Thus it appears that the L2 protein encodes epitopes specific for the cellular effector arm of the immune system. Zhou et al (1991) have recently shown that the L1 protein of HPV-16, when expressed in vaccinia virus, induces cytotoxic T-lymphocytes in infected mice, providing another example of T-cell activation by a structural protein.  
         [0031]    In field and experimental cases, rejection takes place approximately twelve months after infection and it generally follows ulceration of the lesion. This is consistent with the L2 being internal to the virion (Jin et al, 1989) and therefore not readily exposed to the host immune system; ulceration of the tumor with associated bleeding would lead to the exposure of relatively large amounts of antigen to the immune cells.  
         [0032]    Anti L2 antibodies were present in the serum of the vaccinated animals, but these had no activity in the neutralization assay. Therefore, unless some neutralizing epitopes are present in the first N-terminus amino acids of L2, which are missing in our fusion protein, it is unlikely that L2 plays a significant role in conferring prophylactic protection.  
                                                                                 TABLE 1                           Effect of vaccination with BPV-2 L2 fusion proteins.                WEEKS POST CHALLENGE                4   7   10   13   16                            CONTROLS                                1   FP   FP   FP   nd   nd            2   FP   FP   FP   nd   nd            3   FP   FP   FP   nd   nd            4   FP   FP   FP   nd   nd            5   FP   FP   FP   nd   nd            6   FP   FP   FP   nd   nd            7   FP   nd   FP   FP   FP            8   FP   nd   FP   FP   FP           L2 VACCINATES (bc)           13*   FP   nd   FP   —   —           14   FP   nd   —   —   —           15*   FP   nd   FP   —   —           16   FP   nd   —   —   —           17*   FP   nd   FP   —   —           L2 VACCINATES (ac)           18   FP   nd   FP   —   —           19   FP   nd   FP   —   —           20   FP   nd   FP   —   —                                  
 
       EXAMPLE 2  
     (BPV-4 Virus)  
     Production of BPV-4 L2 Protein  
       [0033]    L2 open reading frame (ORF) of BPV-4 was cloned following the general procedure of Example 1, except that plasmid pGEX was employed which resulted in a L2 fusion protein with glutathione S-transferase (GST) as coprotein. The L2 ORF was cloned as the whole ORF (encoding amino acids 8 to 525) and as the three fragments encoding amino acids 11-201, 203-329, and 330-525. In the subsequent vaccination experiments a mixture of these four was used. Expression was in  E. coli  and the proteins were purified by gel chromatography, as before.  
         [0034]    The E7 protein was prepared in analogous manner.  
       Vaccination  
       [0035]    Vaccination was carried out as in Example 1 using Freund&#39;s Incomplete Adjuvant, except that doses of 1 mg total protein (L2 and fragments) was administered both as the dose (day 0) and the booster (day 28).  
         [0036]    47 calves, of about 10 weeks of age at the start of the experiment, were housed in an isolation compound. They were divided into 2 groups of 15 and one of 17 (controls).  
         [0037]    Group 1 was vaccinated with L2 vaccine alone.  
         [0038]    Group 2 was vaccinated with L2 plus E7 vaccine.  
         [0039]    Group 3 was the control non-vaccinated group.  
         [0040]    All animals were examined and bled before Day 0. They were vaccinated on Day 0 and Day 28. They were challenged with BPV-4 virus on Day 43 and examined for tumor formation 4 and 7 weeks later.  
       RESULTS  
       [0041]    The results are shown in FIG. 2 (controls), FIG. 3 (L2 alone) and FIG. 3 (L2 plus E7). The controls showed a good tumor response, 13 of the 17 animals being infected. In the L2 vaccinated group only one animal showed a response (a small plaque). In the group vaccinated with L2 plus E7 only one animal developed tumours.  
         [0042]    Thus the L2 protein of BPV-4 appears to be exerting a strong prophylactic effect in preventing tumor formation (in contrast to BPV-2 where a therapeutic effect was exhibited).  
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