Patent Publication Number: US-2022233700-A1

Title: Pharmaceutical composition containing stabilized nucleic acid adjuvant

Description:
The present patent application is supported by Korean Government Ministry of Health and Welfare (Project Identification No.: H1 15C2955), Korean Government Ministry of Science and ICT (Project Identification No: 2014R1A6A3A0405719) and Korean Instituted of Science and Technology (Project Identification No.: KIST project 2E29221). 
    
    
     SEQUENCE LISTING 
     This application contains a Sequence Listing submitted via EFS-Web and hereby incorporated by reference in its entirety. The Sequence Listing is named SEQCRF-NEIT-101NP.txt, created on Nov. 23, 2021, and 46,254 bytes in size. 
     TECHNICAL FIELD 
     The present patent application claims a priority right of Korean Patent Application No. 10-2019-0067129 filed on Jun. 7, 2019. 
     The present disclosure relates to a composition, and more particularly, to a composition that can improve a stability of nucleic acid adjuvant. 
     BACKGROUND ART 
     Immune system means a biological structure or a mechanism that detects and removes pathogens or cancer cells within an organism and thereby, protecting the organisms from various diseases. The immune system may be divided into innate immune system (inherent immune system, natural immune system) and adaptive immune system (acquired immune system). 
     The innate immune system is a cell or mechanism that defends a host from infection in a non-specific manner and is an immune system that responds immediately without memorizing specific pathogens. All kinds of eukaryotes have the innate immune system, and plants, fungi and insect have only the innate immune system. On the other hand, the adaptive immune system is an immune system specific to an antigen or a pathogen. In order to induce a specific immune response in the adaptive immune system, a host should recognize nonself antigens through antigen presentation process. In the adaptive immune system, a specific immune response against a specific antigen or a specific antigen-infected cell is possible. In addition, since the memory cells constituting the adaptive immune system are capable of evoking pre-implemented immune response, when the same pathogen enters the body multiple times, the memory cells can eliminate the pathogens rapidly. 
     In addition, the immune system can be divided into humoral immunity and cell-mediated immunity. In the humoral immunity (antibody immunity), B lymphocytes derived from bone marrow recognizes an antigen and then differentiates, secretes an antibody composed of a glycoprotein called immunoglobulin (Ig). In the humoral immunity, an immune response in which the infected pathogen is eliminated by the secreted antibody. On the other hand, the cell-mediated immunity (CMI) is an immune response in which T lymphocyte derived from the thymus recognizes antigens, and secretes lymphokines or directly kills the infected cell. 
     Vaccine antigens inoculating a whole pathogen or a part thereof for inducing an immune response against the pathogens have been used for the prevention or treatment of various diseases. It is desirable that various immune responses that may be induced by the vaccine antigens are elicited. Instead of the initially developed attenuated vaccine or inactivated killed vaccine, a subunit vaccine with a clear structure and composition has been mainly developed in recent years. Since the subunit vaccine has low immunogenicity compared to the existing vaccines, the subunit vaccine uses an adjuvant for increasing the immune response. Antibodies acts as primary defense actors against most pathogenic bacterial or viral infections, and thus, in many cases, only antibodies induced by the vaccine antigens are sufficient to prevent the infections. However, since the cell-mediated immune response plays an important role in prevention or treatment of infectious diseases for which a vaccine has not been developed so far, using the adjuvant inducing the cell-mediated immune response can increase the likelihood of vaccine development success. 
     Currently, the adjuvants used in human vaccines includes 1) alum which is a metal salt such as aluminum hydroxide, aluminum phosphate and aluminum sulfate, 2) M59 of oil in water emulsion based on squalene, and the likes. However, while those adjuvants show excellent humoral immune response activity, their cell-mediated immune response is very low. Therefore, those adjuvants can only be utilized in case infection protections are possible only with antibodies, and there is a limitation in that they are not suitable for use in vaccines requiring the cell-mediated immune response. 
     On the other hand, Microorganism as the typical pathogens have pathogen-associated molecular patterns (PAMPs) composed of glycoproteins such as lipopolysaccharides (LPS), β-1,3-glucan and peptidoglycans in cell walls thereof. Such PAMPs are recognized by specific proteins constituting the host&#39;s immune system, such as pattern recognition proteins (PRRs) or pattern recognition proteins (PRPs). Each of PRPs recognizes the appropriate PAMPs present on the pathogen surface and forms a complex, and induces a series of immune responses such as phagocytosis, a nodule formation, encapsulation, proteinase cascade activation and synthesis of antibacterial peptides. 
     Toll-like receptors (TLRs) are representative PRRs, and TLR agonist has been developed as vaccine adjuvant because they have strong activity for the immunocytes. For example, LPS, an endotoxin, shows strong immune activity by acting TLR4 of the immunocytes. 
     Unlike the genomic DNA of higher organisms such as humans, the cytosine of the CpG motif is not methylated in bacterial DNA. Therefore, the immunocytes of higher organisms can recognize bacterial DNA in which the cytosine of the CpG motif is not methylated as nonself antigen, and the receptor that recognizes the cytosine is TLR9. TLR9 agonist can enhance various immune responses. As a TLR9 agonist, an oligonucleotide including the CpG motif has been developed as an adjuvant. However, LPS and CpG motif used as TLR agonists have a problem in terms of safety because they have very strong toxicity and side effects such as causing an inflammatory response in vivo. 
     The host&#39;s TLR7/8 recognizes the RNA of a virus that infects the host from the outside and induces various inflammatory cytokines including interferon alpha/beta. Such immune response activates the hosts&#39; immunity as well as the antiviral signaling mechanism, and can be utilized as vaccine adjuvant. However, since RNA is degraded too quickly by RNase in the human body, its activity in the human body needs to be maintained for a certain period of time in order to act as an adjuvant, and a nucleic acid stabilizer that prevents RNA degradation in the human body is required. 
     DISCLOSURE 
     Technical Problem 
     An object of the present disclosure is to provide a composition that stabilize a pharmaceutically active ingredient and improve an activity of the pharmaceutically active ingredient. 
     Technical Solution 
     In one aspect, the present disclosure provides a pharmaceutical composition including a nucleic acid molecule of an adjuvant; and a metal complex stabilizing the nucleic acid molecule and having the following structure of Formula 1 or a pharmaceutically acceptable salt thereof: 
     
       
         
         
             
             
         
       
     
     wherein each of L 1  and L 2  is independently a C 1 -C 20  aliphatic bridging group; each of m and n is independently 0 or 1; R is a C 1 -C 20  alkyl group or 
     
       
         
         
             
             
         
       
     
     wherein asterisk indicate a linking site. 
     The pharmaceutical composition may further include an immunogen that is at least one of a peptide and a protein, and the immunogen may include an antigen that is at least one of a viral antigen and a pathogenic antigen. 
     For example, the nucleic acid molecule may include at least one IRES (Internal ribosome entry site) element of an expression control sequence. 
     The IRES element may include a viral IRES element. 
     For example, the viral IRES element may be derived from a virus selected from Picornaviridae family virus, Togaviridae family virus, Dicistoviridae family virus, Flaviridae family virus, Retroviridae family virus, Herpseviridae family virus and combination thereof. 
     More concretely, the viral IRES element may be derived from a virus selected form a coxsackie virus, a cricket paralysis virus, an encephalomyocarditis virus and combination thereof. 
     Alternatively, the nucleic acid molecule may further include a coding region operatively linked to the at least one IRES element. 
     For example, the pharmaceutical composition may further include an immunogen that is at least one of a peptide and a protein, and wherein the coding region includes a nucleic acid sequence encoding the immunogen. 
     In another aspect, the nucleic acid molecule may further include multiple adenosines or thymidines inserted to an upstream of the at least one IRES element. 
     For example, the multiple adenosines or thymidines may include 20 to 400 adenosines or thymidines. 
     The metal complex may include any one of a metal complex having the following structure of Formula 2: 
     
       
         
         
             
             
         
       
     
     In another aspect, the present disclosure provides a composition for stabilizing the nucleic acid molecule of an adjuvant, the composition including the metal complex having the structure of Formula 1 or a pharmaceutically acceptable salt thereof, or use of the metal complex having the structure of Formula 1 or a pharmaceutically acceptable thereof for stabilizing the nucleic acid molecule of an adjuvant. 
     Advantageous Effects 
     The present disclosure provides a pharmaceutical composition or a composition for stabilizing a nucleic acid molecule including a metal complex having a predetermined structure for stabilizing the nucleic acid molecule of an adjuvant. The metal complex can stabilize the nucleic acid molecule as the adjuvant and improve the activity of the adjuvant. The composition according to the present disclosure can be utilized as a vaccine or a treatment medicine for prevention or treatment of various diseases such as infectious diseases. 
    
    
     
       DESCRIPTION OF DRAWINGS 
         FIG. 1  is a schematic diagram showing a nucleic acid molecule of an adjuvant in accordance with one aspect of the present disclosure. The nucleic acid molecule has a single expression cassette. 
         FIG. 2  is a schematic diagram showing a nucleic acid molecule of an adjuvant in accordance with another aspect of the present disclosure. The nucleic acid molecule has plural expression cassettes. 
       Each of  FIGS. 3 and 4  is a graph showing an assay result of measuring quantity of specific immunoglobulin in mice sera using ELISA after immunizing mice with a nucleic acid molecule synthesized in accordance with an exemplary Example of the present disclosure. 
         FIG. 5  is a graph showing an assay result of measuring the number of cells producing IL-4, a cytokine that promotes differentiation of Th 1  cells in mice splenocytes, using ELISPOT after immunizing mice with a nucleic acid molecule synthesized in accordance with an exemplary Example of the present disclosure. 
       Each of  FIGS. 6 and 7  is a graph showing an assay result of measuring quantity of IL-6 or IFN-γ, a cytokine that promotes differentiation of Th1 cells in immunized mice splenocytes, using ELISA after immunizing mice with a nucleic acid molecule synthesized in accordance with an exemplary Example of the present disclosure. 
       Each of  FIGS. 8 and 9  is a graph showing an assay result of measuring quantity of specific immunoglobulin in mice sera using ELISA after immunizing mice with a composition including a nucleic acid molecule of an adjuvant and a metal complex in accordance with an exemplary Example of the present disclosure. 
       Each of  FIGS. 10 and 11  is a graph showing an assay result of measuring zeta potential and an atomic force microscopy (AFM) image of the composition including a nucleic acid molecule of an adjuvant and a metal complex in accordance with an exemplary Example of the present disclosure. 
         FIG. 12  is a graph showing an assay result of measuring quantity of specific immunoglobulin in mice sera using ELISA after immunizing mice with a composition including a nucleic acid molecule of an adjuvant and a metal complex in accordance with an exemplary Example of the present disclosure. 
         FIG. 13  is a graph showing an assay result of measuring neutralizing antibody titer in mice sera after immunizing mice with a composition including a nucleic acid molecule of an adjuvant and a metal complex in accordance with an exemplary Example of the present disclosure. 
         FIG. 14  is a graph showing an assay result of measuring survival rate after challenging viruses into immunized mice in accordance with an exemplary Example of the present disclosure. 
       Each of  FIGS. 15 and 16  is a graph showing an assay result of measuring quantity of specific immunoglobulin in apes sera using ELISA and of measuring the number of splenocytes secreting the specific immunoglobulin using ELISPOT after immunizing apes with a composition including a nucleic acid molecule of an adjuvant and a metal complex in accordance with an exemplary Example of the present disclosure. 
         FIG. 17  is a graph showing an assay result of measuring neutralizing antibody titer in apes sera by immunization days after immunizing apes with a composition including a nucleic acid molecule of an adjuvant and a metal complex in accordance with an exemplary Example of the present disclosure. 
       Each of  FIGS. 18 and 19  is a graph showing an assay result of measuring quantity of specific immunoglobulin in apes sera using ELISA and of measuring the number of splenocytes secreting the specific cytokine that promotes differentiation of Th 1  cells using ELISPOT after immunizing mice with a composition including a nucleic acid molecule of an adjuvant and a metal complex in accordance with an exemplary Example of the present disclosure. 
         FIG. 20  is a graph showing an assay result of measuring neutralizing antibody titer in guinea pigs sera using FAMA (Fluorescent antibody to membrane antigen) technology after immunizing guinea pigs with a composition in accordance with an exemplary Example of the present disclosure. 
       Each of  FIGS. 21 and 22  is a graph showing an assay result of measuring quantity of specific immunoglobulin in mice sera using ELISA after immunizing mice with a nucleic acid molecule of an adjuvant and a metal complex in accordance with an exemplary Example of the present disclosure. 
         FIG. 23  is a graph showing an assay result of measuring quantity of IgA in bronchoalveolar lavage fluid (BALF) of the immunized mice using ELISA after immunizing mice with a composition in accordance with an exemplary Example of the present disclosure. 
       Each of  FIGS. 24 and 25  is a graph showing an assay result of measuring hemagglutination inhibition (HI) titer by immunization days after immunizing mice with a composition in accordance with an exemplary Example of the present disclosure. 
         FIG. 26  is a graph showing an assay result of measuring the number of mice splenocytes secreting IFN-γ or IL-4 using ELISPOT after immunizing mice with a composition in accordance with an exemplary Example of the present disclosure. 
         FIG. 27  is a graph showing an assay result of measuring quantity of RNA through PCR after immunizing mice with a composition including a nucleic acid stabilizer in accordance with an exemplary Example of the present disclosure. 
         FIG. 28  is an image showing gel electrophoresis assay results in which a different level of a nucleic acid stabilizer is introduced into a composition in accordance with an exemplary Example of the present disclosure.  FIG. 28  shows a nucleic acid molecule and the stabilizer forms a complex and the stabilizer prevents the nucleic acid molecule from degrading by RNase. 
     
    
    
     MODE FOR INVENTION 
     The present disclosure will be described in detail referencing to the accompanying drawing if necessary. 
     Definitions 
     As used herein, the term “polynucleotide” or “nucleic acid molecule” are used inter-changeably, refers to polymers of any lengths of nucleotides, and includes comprehensibly DNA (i.e. cDNA) and RAN molecules. “Nucleotide”, which is a subunit of nucleic acid molecules, may comprise a deoxyribonucleotide, a ribonucleotide, a modified nucleotide or a modified base, analogs thereof, and/or any substrates that can be incorporated into polynucleotides by DNA or RNA polymerase or synthetic reactions. Polynucleotide may comprise modified nucleotides, analogues having modified bases and/or polysaccharides such as methylated nucleotides and analogues thereof (Scheit, Nucleotide Analogs, John Wiley, New York, 1980; Uhlman and Peyman, Chemical Reviews, 90:543-584, 1990). 
     Some variations in nucleotides do not result in variations of peptides or proteins. Such nucleic acid variants may include any nucleic acid molecules having codons encoding functionally equivalent or identical amino acids (e.g., codons encoding arginine or serine is six by codon degeneracy) or encoding biologically equivalent amino acids. On the other hand, other variations in nucleotides may induce changes in peptides or proteins. In spite of variations causing changes of amino acids of proteins, it is possible to obtain variant proteins that show substantially the same activities as the proteins of the present disclosure. 
     A person having ordinary skill in the art will appreciate that peptides and nucleic acids herein is not limited to the peptides and the nucleic acids described in the Sequence Listing. Rather, it is intended that peptides or the proteins as well as the nucleic acid molecules encoding the peptides or the proteins of the present disclosure may comprise any amino acid sequences or nucleotide sequences that has substantially the same biological functions, for example, a nucleic acid vaccine and/or an adjuvant. For example, biologically functional equivalents that may be included in the recombinant protein of the present disclosure may be a peptide having a mutation in the amino acid sequence but exhibiting biological activity equivalent to that of the recombinant protein of the present disclosure. 
     As used herein, the term “vector” means a construct or a vehicle that can be transfected or delivered into the host cells, and enables one or more genes of interest (or target genes of target sequences) to be expressed within the cells. For example, the vector may include viral vectors, DNA or RNA expression vectors, plasmid, cosmid, or phage vectors, DNA or RAN expression vectors linked to CCA (cationic condensing agents), DNA or RNA expression vectors packaged with liposomes, specific eukaryotic cells such as producer cells and the likes. 
     As used herein, the term “expression control/regulation element” may mean nucleic acid sequences regulating or controlling transcriptional processes of the nucleic acid molecules and/or translational processes of the transcribed nucleic acid molecules. In this case, the term may be used interchangeably with the term “translation control/regulation element”. As used herein, the term “transcription control/regulation element” means that nucleic acid sequences regulating or controlling the transcriptional process of the nucleic acid molecules. For example, the transcription control element comprises promoters such as a constitutive promoter or an inducible promoter, enhancers, and the likes. Also, the term “translation control/regulation element” may be used for the nucleic acid sequences regulating or controlling the translations process from the transcribed nucleic acid to a protein or a peptide. Each of the expression control sequence/element, the transcription control sequence/element and the translation control sequence/element is operatively linked to the target sequences to be expressed, for example, sequences to be transcribed or translated. 
     As used herein, the term “operatively linked” means a functional linkage between expression control sequences (e.g., promoters, signal sequences, or ribosome binding sites, transcription terminal sequences and the like) and other nucleic acid sequences so that the control sequence may regulate transcriptions and/or translations of the other nucleic acid sequences. 
     As used herein, the term “pharmaceutically effective amount” or “therapeutically effective amount” means an amount of sufficiently accomplishing efficacy or activation of an active ingredient, a peptide or fragments thereof and/or nucleic acids encoding the peptide or fragments thereof. 
     A pharmaceutical composition of the present disclosure includes a nucleic acid molecule of an adjuvant, a metal complex stabilizing the nucleic acid, and optionally an immunogen. The nucleic acid as an adjuvant is not limited to particular nucleic acid molecule. As an example, the nucleic acid molecule includes at least one expression control sequence having Internal Ribosomal Entry Site (IRES) element so as to express at least one gene of interest (GOI) or target sequences. 
       FIG. 1  is a schematic diagram showing components of a polynucleotide or a nucleic acid molecule that includes single expression cassette “EC” or expression unit in accordance with an exemplary aspect of the present disclosure. As illustrated in  FIG. 1 , the nucleic acid molecule in accordance with an exemplary aspect comprises an expression control element “ECE” including a nucleotide sequence of IRES activity, for example, viral IRES activity. In one exemplary aspect, the “ECE: may comprise may include a 5′ untranslated region (5′-UTR) having the viral IRES activity. 
     The nucleic acid molecule may include a coding region “CR” linked operatively to the expression control element “ECE” and comprising an open reading frame (ORF) or target sequence “TS” of GOI encoding a peptide or a protein The coding region “CR” may be located downstream, i.e. at 3′ end of the expression control element “ECE”, for example 5′-UTR having the IRES activity. As an example, the coding region “CR” may comprise target sequence “TS” encoding the peptide of the protein. The target sequence “TS” may comprises, nucleotides sequences encoding peptides or proteins with regard to immunogens, reporter peptides or proteins, pharmaceuticals and the likes. 
     The nucleic acid molecule may be DNA or RNA. In an exemplary aspect, the nucleic acid molecule in accordance with the present disclosure has an RNA platform type. In this case, the coding region “CR” may comprise transcript sequences of the GOI. 
     The expression control element “ECE” comprises nucleotide sequences having the IRES activity linked operatively to the coding region “CR” that can be inserted into the nucleic acid molecule as ORF from of GOI. As described above, the expression control element “ECE” may have 5′-UTR structure comprising nucleotides having the IRES activity. 5′-UTR is a region to which translation initiation complex bind in the course of translational processes of the peptide or the proteins to be expressed in the coding region “CR”, and IRES is cis-acting nucleotide sequences inducing translation of the coding region “CR” by forming secondary and tertiary structure with the translation initiation complex. In one exemplary embodiment, the expression control element “ECE” may comprise a viral IRES element. 
     As an example, the expression control sequence “ECS” may have 5′ UTR structure comprising viral IRES element. In an exemplary embodiment, the viral IRES element may be derived from a virus of Picornaviridae family, Togaviridae family, Dicistroviridae family, Flaviridae family, Retroviridae family and Herpesviridae family. 
     An IRES element has a unique secondary or tertiary structure and can be divided into four classes based on the molecular folding structure of the RNA and the mode of action of translation, such as that involving canonical eukaryotic initiation factors (eIFs) or specific stimulatory IRES trans-acting factors. Class I IRESs require most translational initiation factors, with the exception of eIF4E, recruit 40S ribosome complex as in the canonical scanning model, and are found in Picornaviridae family such as coxsackie B3 virus (CVB3). Class II IRESs initiate translation directly at start codons without any scanning at the 5′ end of RNA sequences and they require most eIFs, as in the case in class I IRESs, and are found in some Picornaviridae family such as encephalomyocarditis virus (EMCV). Class III IRESs also initiate translation directly at start codons by recognizing RNA fold structures such as pseudoknots without scanning but require fewer eIFs that do class I and II IRESs and are found in Flaviridae family such as the Japanese encephalitis virus (JEV). Class IV IRESs have a simple translational mode that does not require any eIFs. It involves only the elongation factor 2 (eIF2) to stabilize translation intermediates and has some complicated RNA folding structure. In contrast with other IRESs, which are generally located in the 5′-UTR of RNA sequences, class IV IRESs are found in intergenic regions (IGRs) of Dicistroviridae family such as the cricket paralysis virus (CrPV). 
     For example, the viral IRES element belonged to Picornaviridae may be derived from at least one of Enterovirus genus, Cardiovirus genus, Apthovirus genus, Hepatovirus genus and Teschovirus genus. As an example, the viral IRES element belonged to Enterovirus genus may be derived from anyone of Enterovirus A to Enterovirus J types and/or anyone of Rhinovirus A to Rhinovirus C types. 
     In another exemplary aspect, the viral IRES element to belong to Picornaviridae family may have a nucleotide sequence having IRES activity derived from at least one of 1) Enterovirus genus such as poliovirus (PV), Rhinovirus (RV), Coxsackie virus, for example, coxsackie B virus (CVB) such as coxsackie B3 virus (CVB3) and/or enterovirus 71 (EV71); 2) Cardiovirus genus such as Encephalomyocarditis virus (EMCV) and/or Theiler murine encephalomyelitis virus (TMEV); 3) Apthovirus genus such as Foot-and-mouth disease virus (FMDV); 4) Hepatovirus genus such as Hepatitis A virus (HAV); and/or 5) Teschovirus genus such as porcine teschovirus (PTV), for example, PTV-1. 
     In an alternative aspect, the viral IRES element belonged to Togaviridae family may be derived from Alphavirus genus such as Sindbis virus (SV). Also, the viral IRES element belonged to Dicistroviridae family may be derived from Cripavirus genus such as Plautia stail intestine virus (PSIV), Cricket paralysis virus (CrPV), Triatoma virus and/or Rhopalosiphum padi virus (RXPD). 
     In another exemplary aspect, the viral IRES element belonged to Flaviridae family may be derived from 1) Hepacivirus genus such as hepatitis C virus (HCV); 2) Flavivirus genus such as Japanese encephalitis virus (JEV); and/or 3) Pestivirus genus such as classical swine fever virus (CSFV) and/or bovine viral diarrhea virus (BVDV). 
     In still another exemplary aspect, the viral IRES element belonged to Retroviridae family may be derived from 1) Gammaretrovirus genus such as friend murine leukemia virus (FMLV) and/or moloney murine leukemia virus (MMLV); and/or 2) Alpharetrovirus genus such as rous sarcoma virus (RSV). In addition, the viral IRES element belonged to Herpesviridae family may be derived from Mardivirus such as Marek&#39;s disease virus (MDV). However, the viral IRES element is not limited to the above virus. 
     As an example, the viral IRES element of the expression control element “ECE” may be derived from Picornaviridae family and/or Dicistroviridae family. In this case, the viral IRES element derived from Picornaviridae family may be a nucleotide sequence having the IRES activity derived from Enterovirus genus, Cardiovirus genus and/or Apthovirus genus, preferably from Enterovirus genus. 
     Also, the viral IRES element may be a nucleotide sequence having the IRES activity derived from Enterovirus genus, e.g., Coxsackie virus such as CVB3 and/or Cardiovirus genus, e.g. EMCV. In addition, the viral IRES element belonged to Dicistroviridae family may be a nucleotide sequence having the IRES activity derived from Cripavirus genus such as PSIV and/or CrPV, preferably CrPV. 
     In an exemplary aspect, the expression control element “ECE” may have a viral IRES element selected from, but is not limited to, a group consisting of CVB3, EMCV, CrPV and combination thereof. 
     In addition, other nucleic acid sequences that can enhance expression efficiency of the coding region “CR”, which can be operatively linked to the expression control element “ECE” as ORF form, can be inserted into the nucleic acid molecule in accordance with the present disclosure. As an example, multiple adenosines “MA” or multiple thymidines “MT” may be located adjacently to, preferably upstream (5′ end) of, the expression control element “ECE”. In one exemplary aspect, 20 to 400, preferably 30 to 300, more preferably 30 to 200, and most preferably 30 to 100 adenosines or thymidines may be inserted to the upstream of the expression control element “ECE” having the IRES element. 
     In one exemplary aspect, the nucleic acid molecule including the viral IRES as the expression control element “ECE” may be act as an adjuvant. In this case, the nucleic acid molecule may comprise multiple-cloning site at least one of the upstream and/or the downstream of the expression control element “ECE”. 
     In an alternative aspect, the coding region “CR” of the nucleic acid molecule may comprise nucleotides of ORFs of GOI that can be expressed to proteins or peptides. The coding region “CR” may be linked operatively to the expression control element “ECE”. For example, the coding region “CR” may be located, but is not limited to, a downstream (3′-end) of the expression control sequence “ECE”. 
     In one exemplary aspect, the coding region “CR” may comprise ORFs encoding antigens, antibodies, pharmaceuticals, fragments thereof, variants thereof and/or derives thereof. For example, the coding region “CR” may comprise nucleotides of ORFs encoding antigens or fragment thereof such as epitopes thereof in case the coding region “CR” encodes an immunogenic peptides or proteins. As an example, the coding region “CR” may comprise nucleotides encoding an immunogen that may be included in the composition in accordance with the present disclosure. 
     In one exemplary aspect, the coding region “CR” may comprise ORFs encoding antigens, fragment thereof, variants or derivatives thereof. For example, the antigens can be expressed from the coding region “CR” may comprise tumor antigens, animal antigens, vegetation antigens, viral antigens, bacterial antigens, fugal antigens, protozoan antigens, autoimmune antigens and/or allergic antigens. Preferably, the antigens may have secreted forms of surface antigens of tumor cells, viral pathogens, bacterial pathogens, fungal antigens and/or protozoan antigens. 
     The pathogenic antigens that may be expressed from the coding region “CR” may be originated from pathogenic organisms inducing immune responses by mammalian individuals, particularly by humans. As an example, the pathogenic antigens may be originated from bacterial, viral or protozoan (multi-cellular) pathogenic organisms. In one exemplary aspect, the pathogenic antigens may be surface antigens located on the surface of organisms such as viruses, bacteria or protozoa, for example, for example, proteins (or fragment of proteins such as external parts of the surface antigens). 
     In one exemplary aspect, the pathogenic antigens may be expressed form the coding region “CR” is peptide or protein antigens originated from infectious-diseases associated pathogens. 
     For example, with regard to the pathogenic antigens, the antigens expressed from the coding region “CR” in the nucleic acid molecule of the present disclosure may be antigens originated from pathogens selected from Influenza virus, Respiratory syncytial virus (RSV), Herpes simplex virus (HSV), Human papillomavirus (HPV), Human immunodeficiency virus (HIV),  Plasmodium  genus, Staphylococcus aureus, Dengue viruses, Chlamydia trachomatis, Cytomegalovirus (CMV), Hepatitis B Virus (HBV), Mycobacterium tuberculosis, Rabies virus, Yellow fever virus, Middle East respiratory syndrome coronavirus (MERS-CoV) and/or Zika virus. 
     That is, in one exemplary aspect, the peptides or the proteins expressed from the coding region “CR” may be peptides or proteins such as immunogens (including antigens and antibodies) that can induce immune response in vivo. In other words, the coding region “CR” may comprise ORFs encoding immunogenic peptides or proteins such as antigens or antibodies. In this case, the nucleic acid molecule in accordance with the present disclosure may function as genetic vaccines. In addition, the nucleotide sequences that may be inserted into the coding region “CR” may be designed or modified to have optimized nucleotide sequences by the type of vectors and/or host cells used to express the nucleic acid molecule of the present disclosure. 
     In accordance with one exemplary aspect, the nucleic acid molecule of the present disclosure may have an RNA platform. In this case, the nucleic acid molecule of the present disclosure may be utilized as RNA vaccines or RNA adjuvants that can be injected into an individual or a subject when the coding region “CR” comprises ORFs encoding peptides and/or proteins such as pathogenic antigens that can induce immune responses in the individual. 
     In another exemplary aspect, the coding region “CR” may comprise ORFs encoding therapeutic peptides and/or proteins with regard to curing or treating diseases. In this case, the nucleic acid molecule in accordance with the present disclosure may be utilized as adjuvants that can reinforce the immune response related with gene medicines and/or treating diseases. In an exemplary aspect, the therapeutic peptide or the protein with regard to treating diseases may comprise therapeutic peptides or proteins used for treating metabolic or endocrine disorders; therapeutic peptides or proteins used for treating blood disorders, circulatory system disorders, respiratory system disorders, cancer or tumor disorders, infections disorders or immune-deficiency; therapeutic peptides or proteins used for treating hormone replacement therapies; therapeutic peptides or proteins used for differentiating reversely somatic cells into omni- or pluri-potent stem cells; therapeutic peptides or proteins selected from adjuvant or immune-stimulatory proteins; and/or antibodies. 
     In one exemplary aspect, the coding region “CR” may comprise ORFs corresponding to the pharmaceutically active ingredient in the pharmaceutical composition, i.e. encoding the pharmaceutically active ingredients or fragments thereof. For example, the coding region “CR” may comprise ORFs encoding antigens or antibodies or fragments thereof when the pharmaceutically active ingredients comprise peptides or proteins such as the antigens or the antibodies. 
     There is no limitation in the length of the ORFs in the coding region “CR”, and the expression efficiency depending on the ORF length is not considered in developing a nucleic acid molecule in accordance with the present disclosure, a recombinant vector, and nucleic acid vaccines for preventing or treating diseases using the molecule. Codon usage is not considered in developing human vaccines or gene therapies because codon usage basis in human has not affected on common peptides/proteins expression significantly. 
     However, it may be preferable that start codon have Kozak sequence and nucleotides adjacent to termination codon may be optimized. If necessary, the third codon among GOI or its transcript mRNA codon to be expressed may be changed “G/C” without changing amino acid so that mRNA may have improved stability. 
     The nucleic acid molecule may comprise at least one Cloning Site, preferably Multiple Cloning Site (MCS) for inserting the coding region “CR” therein. The at least one Cloning Site may comprise at least one restriction endonuclease recognition site and/or sequences cut by the at least one restriction endonuclease. The restriction endonuclease may comprise artificially engineered restriction endonuclease (e.g. zinc finger nuclease or restriction endonuclease based on DNA binding site of TAL effector or PNA-based PNAzymes) as well as naturally-occurring endonuclease found in bacterial or archaebacteria. 
     For example, the naturally-occurring restriction endonuclease may be classified into 1) Type I endonuclease (cuts sites spaced apart from recognition site and requires ATP, S-adenosyl-L-methionine and Mg 2+ ), 2) Type II endonuclease (cuts specific sites within or spaced apart from recognition site and most requires Mg 2+ ), 3) Type III endonuclease (cuts specific site spaced apart from recognition site and requires only ATP without hydrolysis of ATP), 4) Type IV endonuclease (targets modified sites such as methylation, hydroxyl methylation or glucosyl-hydroxyl methylation), and 5) Type V endonuclease (e.g. CRISPR cas9-mRNA complex). 
     For example, the following restriction endonuclease recognition site and/or cutting site may be used: 5′-ATCGAT-3′(Ang I, (SEQ ID NO: 17)), 5′-AGGCCT-3′(Aat I, (SEQ ID NO: 18), 5′-TGATCA-3′(Aba I, (SEQ ID NO: 19)), 5′-GGATCC-3′(BamH I, SEQ ID NO: 20), 5′-GCAGC(N) 8 -3′(Bbv I, (SEQ ID NO: 21)), 5′-(N) 10 CGA(N) 6 TGC(N) 12 -3′(Bcg I, (SEQ ID NO: 22)), 5′-(N) 8 GAG(N) 5 CTC(N) 13 -3′(Bpl I, (SEQ ID NO: 23), 5′-GTCTC(N)-3′(BsmA I; Alw26 I, (SEQ ID NO: 24)), 5′-ACTGGN-3′(Bsr I, (SEQ ID NO: 25)), 5′-ATCGAT-3′(Cla I, (SEQ ID NO: 26)), 5′-CTCTTCN-3′(Ear I, (SEQ ID NO: 27)), 5′-CTGAAG(N) 16 -3′(Eco57 I, (SEQ ID NO: 28)), 5′-GAATTC-3′(EcoR I, (SEQ ID NO: 29)), 5′-CCWGG-3′(EcoR II; W is A or T, (SEQ ID NO: 30)), 5′-GATATC-3′(EcoRV, (SEQ ID NO: 31), 5′-GGATG(N) 9 -3′(Fok I, (SEQ ID NO: 32)), 5′-GGCC-3′(HaeIII, (SEQ ID NO: 33)), 5′-AAGCTT-3′(HindIII, (SEQ ID NO: 34)), 5′-CCGG-3′(HpaIII, (SEQ ID NO: 35)), 5′-GGTGA(N) 8 -3′(Hph I, (SEQ ID NO: 36)), 5′-GGTACC-3′(Kpn I, (SEQ ID NO: 37)), 5′-GATC-3′(Mbo I, (SEQ ID NO: 38)), 5′-ACGCGT-3′(Mlu I, (SEQ ID NO: 39)), 5′-GCCGGC-3′(Nae I, (SEQ ID NO: 40)), 5′-GATATG-3′(Nde II, (SEQ ID NO: 41)), 5′-GCCGGC-3′(NgoMIV, (SEQ ID NO: 42)), 5′-CATG-3′(NlaIII, (SEQ ID NO: 43)), 5′-GCGGCCGC-3′(Not I, (SEQ ID NO: 44)), 5′-TTAATTAA-3′(Pac I, (SEQ ID NO: 45)), 5′-CTGCAG-3′(Pst I, (SEQ ID NO: 46)), 5′-GAGCTC-3′(Sac I, (SEQ ID NO: 47)), 5′-CCGCGG-3′(Sac II, (SEQ ID NO: 48)), 5′-GTCGAC-3′(Sal I, (SEQ ID NO: 49)), 5′-GCATC(N)5-3′(SfaN I, (SEQ ID NO: 50)), 5′-CCCGGG-3′(Sma I, (SEQ ID NO: 51)), 5′-TCGA-3′(Taq I, (SEQ ID NO: 52)), 5′-TCTAGA-3′(Xba I, (SEQ ID NO: 53)), 5′-CTCGAG-3′(Xho I, SEQ ID NO: 54)) and combination thereof. 
     Besides, the nucleic acid molecule of the present disclosure may comprise optionally 3′-UTR so as to enhance expression efficiency of the ORF in the coding region “CR” in case the expression control element “ECE” has 5′-UTR including the IRES nucleotide sequences. In this case, the coding region “CR” may be located between 5′-UTR and 3′-UTR. 3′-UTR may enhance translation efficiency of GOI or its transcript together with 5′-UTR and has a significant role in stabilizing transcript mRNA in cells. 
     In one exemplary aspect, 3′-UTR may be derived from viral sources as 5′-UTR including IRES elements. In this case, 3′-UTR may be derived from identical or different viruses from 5′-UTR having the IRES element. In one exemplary aspect, a viral 3′-UTR may be derived from Picornaviridae family, Togaviridae family, Dicistroviridae family Flaviridae family, Retroviridae family and/or Herpesviridae family. 
     As an example, the viral 3′-UTR belong to of Picornaviridae family may be derived from, but is not limited to, 1) Enterovirus genus (e.g. PV, RV, Coxsackie virus such as CVB3, and/or EV71); 2) Cardiovirus genus (e.g. EMCV and/or TMEV); 3) Apthovirus genus (e.g. FMDV); 4) Hepatovirus genus (e.g. HAV); and/or 5) Teschovirus genus (e.g. PTV such as PTV-1). 
     The viral 3′-UTR belonged to Togaviridae family may comprise, but is not limited to, a 3′-UTR derived from Alphavirus genus (e.g. SV), and viral 3′-UTR belonged to Dicistroviridae family may comprise, but is not limited to, a 3′-UTR derived Cripavirus genus (e.g. PSIV, CrPV, Triatoma virus and/or RXID). In an alternative aspect, the viral 3′-UTR belonged to Flaviridae family may comprise, but is not limited to, a 3′-UTR derived from Hepacivirus genus (e.g. HCV), Flavivirus genus (e.g. JEV) and/or Pestivirus genus (e.g. CSFV and/or BVDV). In another exemplary aspect, the viral 3′-UTR belonged to Retroviridae family may comprise, but is not limited to, a 3′-UTR derived from Alpharetrovirus genus (e.g. RSV), and the viral 3′ UTR belonged to Herpesviridae family may comprise, but is not limited to, a 3′-UTR derived from Mardivirus genus (e.g. MDV). 
     Besides, the nucleic acid molecule may further include a transcription control element “TCE” located adjacently to the expression control element “ECE” for promoting transcription of thereof. As an example, the transcription control element “TCE” may be located upstream (5′ end) of the expression control element “ECE”. Such transcription control sequence “TCE” is not limited to specific elements. The transcription control element “TCE: may include enhancers or promoters. Enhancer sequences are nucleic acid sequences which are located at various sites with regard to the promoter and increase transcription activity compared to a transcription activity by the promoter without the enhancer sequences. The promoter, one of the transcription control element “TCE”, may be linked operatively to the coding region “CR”. 
     It is possible to direct amplification and/or expression of the target sequence “TS” composed of ORFs using both natural promoter sequences and a plurality of foreign promoters. For example, when the nucleic acid molecule of the present disclosure is used as an adjuvant, the transcription control element “TCE” may include promoters derived from the genome of mammalian cells, promoters derived from mammalian viruses and/or promoters derived from bacteriophages. 
     For example, the transcription control element “TCE” may include, but is not limited to, CMP virus promoters, adenovirus later promoters, vaccinia virus 7.5K promoters, SV40 promoters, HSV tK promoters, T 7  promoters, T 3  promoters, SM6 promoters, RSV promoters, EF1 alpha promoters, metallothionein promoters, beta-actin promoters, promoters of human IL-2 gene, promoters of human IFN gene, promoters of human IL-4 gene, promoters of human lymphotoxin gene, promoters of human GM-CSF gene, tumor cell specific promoters (e.g., TERT promoter, PSA promoter, PSMA promoter, CEA promoter, E2F promoter and AFP promoter), tissue specific promoters (e.g., albumin promoter). 
     The transcription control element “TCE” such as promoters, for example, derived from bacteriophage may be located upstream of the expression control element “ECE” for transcribing linearized DNA to RNA. The transcription signal element “TCE” may be any promoters that can transcribe linearized DNA into mRNA and may comprise T 7  bacteriophage promoter, T 3  bacteriophage promoter and SP6 bacteriophage promoter. In this case, the transcription control element “TCE” may be located adjacently to the expression control element “ECE”. 
     In addition to the above-described expression control element “ECE”, the coding region “CR”, the 3′-UTR and the transcription control element “TCE”, the nucleic acid molecule may further other nucleotides that can induce the expression of the target sequence “TS” as the ORFs constituting the coding region “CR”. In one exemplary aspect, the nucleic acid molecule may have Kozak sequence/element inserted between the expression control element “ECE” (e.g. 5′-UTR having IRES element) and the start codon of the coding region “CR”. In an alternative aspect, nucleotides as start codon (e.g. CCTGCT (SEQ ID NO: 55)) and/or another recognition sequence (e.g. ATGGCAGCTCAA (SEQ ID NO: 56)) for enhancing expression of GOI may be inserted downstream of the expression control element “ECE”. 
     Also, a polyadenylation signal sequence and/or polyadenosine sequence “PA” may be inserted downstream of the coding region “CR”, or 3′-UTR in case of using 3′ UTR″ so as to stabilize the transcribed nucleic acid molecule and further enhance translation efficiency of ORFs in the coding region “CR”. For example, the polyadenosine sequence “PA” may comprise about 25 to about 400, preferably about 30 to about 400, more preferably about 50 to about 250, and most preferably about 60 to about 250 adenosines when the nucleic acid molecule of the present disclosure comprise RNA transcript nucleotides. 
     In still another exemplary aspect, polyadenylation signal sequences may be located downstream of the coding region “CR” in case the nucleic acid molecule of the present disclosure includes DNA platform nucleotides. The polyadenylation signal sequence may have common structure of 5′-NNUANA-3′ motif (wherein N is any base or nucleotide of adenine/adenosine, cytosine/cytidine, thymine/thymidine, guanine/guanidine and uracil/uridine). For example, the polyadenylation signal sequence may common structures such as 5′-AAUAAA′-3′ or 5′-AUUAAA-3′. As an example, the polyadenylation signal sequence may be derived from, but is not limited to, SV40, human growth factor (hGH), bovine growth factor (BGH) and/or rabbit beta-globin (rbGlob). 
     In  FIG. 1 , the nucleic acid molecule including single expression control element and single coding region is illustrated. In a different aspect, a nucleic acid molecule of the present disclosure may comprises multiple expression control elements having IRES elements and multiple coding regions encoding peptides or proteins that can be expressed by at least one of multiple expression control elements.  FIG. 2  is a schematic diagram showing a nucleic acid molecule including multiple expression control elements and multiple coding regions. 
     As illustrated in  FIG. 2 , the nucleic acid molecule according to another aspect of the present disclosure includes two expression cassettes “EC1” and “EC2”. The first expression cassette “EC1” includes a first expression control element “ECE11” (e.g. 5′-UTR1) having an IRES element. Optionally, the first expression cassette “EC1” includes a first coding region “CR1” linked operatively to the first expression control element “ECE1” and comprising a first ORF “ORF1” as a first target sequence “TS1”. The second expression cassette “EC2” comprises a second expression control element “ECE2” (e.g. 5′-UTR2) having an IRES element, and optionally a second coding region “CR2” linked operatively to the second expression control element “ECE2” and comprising a second ORF “ORF2” as a second target sequence “T52”. In one exemplary aspect, the second expression control element “ECE2” may be located downstream of the first expression control element “ECS1”, the first coding region “CR1” may be located between the first expression control element “ECE1” and the second expression control element “ECE2”, and the second coding region “CR2” may be located downstream of the second expression control element “ECE2”. 
     In one exemplary aspect, each the first expression control element “ECE1” and the second expression control element “ECE2” may be a viral IRES element, for example, a viral 5′-UTR having the IRES elements as described above with reference with  FIG. 1 . The first expression control element “ECE1” and the second expression control element “ECE2” may have viral IRES elements derived from identical source. Alternatively, the first expression control element “ECE1” and the second expression control element “ECE2” may have viral IRES elements derived from different sources. 
     In an alternative aspect, the nucleic acid molecule may further comprise multiple adenosines or multiple thymidines inserted adjacently to, for example, upstream (5′ end) of at least one of the multiple expression control elements “ECE1” and “ECE2”. 
     As an example, in  FIG. 2 , multiple adenosines or multiple thymidines “MA1/MT1” are inserted upstream of the first expression control elements “ECE1” that is located adjacently to the transcription control element “TCE”, and anther multiple adenosines or multiple thymidines “MA2/MT2” are inserted upstream of the second expression control element “ECE2”. However, multiple adenosines or multiple thymidines, each of which enhances respective ORF in the coding regions “CR1” and “CR2”, may be inserted adjacently to, preferably upstream of, at least one of the first and second expression control elements “ECE1” and “ECE2”. 
     In one exemplary aspect, the at least one of the first and second expression control elements “ECE1” and “ECE2” may comprise viral IRES elements “IRES1” and “IRES2”. Concretely, the first and/or second expression control elements “ECE1” and “ECE2” may comprises a viral IRES element derived from Picornaviridae family, Togaviridae family, Dicistroviridae family, Flaviridae family, Retroviridae family and/or Herpesviridae family. 
     For example, the first and/or second expression control elements “ECE1” and/or “ECE2” including the viral IRES nucleotides may comprise a viral IRES element derived from Picornaviridae family and/or Dicistroviridae family. As an example, at least one of the first and second expression control elements “ECE1” and “ECE2” including a viral IRES element belonged to Picornaviridae family may comprise a viral IRES element derived from Enterovirus genus, Cardiovirus genus and/or Apthovirus genus, particularly preferably, a viral IRES element derived from Enterovirus genus. For example, at least one of the first and second expression control elements “ECE1” and “ECE2” including a viral IRES element belonged to Picornaviridae family may comprise a viral IRES element derived from Enterovirus genus (e.g. Coxsackie virus such as CVB3) and/or a viral IRES element derived from Cardiovirus genus (e.g. EMCV). 
     Also, at least one of the first and second expression control elements “ECE1” and “ECE2” including a viral IRES element belonged to Dicistroviridae family may comprise a viral IRES element derived from Cripavirus genus (e.g. PSIV and/or CrPV). 
     In addition, the coding region may comprise a first coding region “CR1” located between the first and second expression control elements “ECE1” and “ECS2”, and a second coding region “CR2” located downstream of the second expression control element “ECE2”. Each of the first and second coding regions “CR1” and “CR”2 may comprise ORF of GOI or its transcript encoding peptides or proteins. As an example, each of the first and second coding regions “CR1” and “CR2” may comprise ORFs encoding immunogens such as antigens/antibodies and/or peptides or proteins with regard to treating diseases, as described above. In one exemplary aspect, the first coding region “CR1” may be linked operatively to the first expression control element “ECE1” (e.g. 5′-UTR1), and the second coding region “CR2” may be linked to operatively to the second expression control element “ECE2” (e.g. 5′-UTR2). 
     Each of the first target sequence “TS1” as ORF1 in the first coding region “CR1” and the second target sequence “T52” as ORF2 in the second coding region “CR2” may have ORFs encoding different peptides or proteins. In this case, different proteins or peptides can be expressed from single nucleic acid molecule. In one exemplary aspect, each of the first coding region “CR1” and the second coding region “CR2” may include ORFs encoding different antigens or fragment thereof. In this case, the nucleic acid molecule in accordance with the present disclosure or the recombinant vector comprising the molecule can express different antigens and can be utilized genetic vaccines for preventing multiple diseases. In another exemplary aspect, when each of the first and second coding regions “CR1” and “CR2” comprises ORFs encoding different therapeutic peptides or proteins, the nucleic acid molecule or the recombinant vector comprising the molecule can be utilized for treating or curing multiple diseases. 
     Similar to the nucleic acid molecule illustrated in  FIG. 1 , the nucleic acid molecule illustrated in  FIG. 2  including multiple expression control elements “ECE1” and “ECE2” and multiple coding regions “CR1” and “CR2”, may further include nucleotides that can enhance the expression of ORF1 and/or ORF2. As an example, the nucleic acid molecule may further comprise 3′-UTR when the first and/or second expression control elements “ECE1” and “ECE2” includes 5′-UTR having IRES element such as a viral IRES element. In this case, 3′-UTR may be preferably located downstream of the second coding region “CR2”. The 3′-UTR may comprise the viral 3′-UTR as described referring to  FIG. 1 . 
     For example, the 3′-UTR may be derived from the same sources at least one of the 5′-UTR1 in the first expression control element “ECE1” or the 5′-UTR2 in the second expression control element “ECE2”. In an exemplary aspect, the 3′-UTR may be derived from, but is not limited to, the same source of the 5′-UTR1. 
     In addition, the nucleic acid molecule illustrated in  FIG. 2  may further comprise a transcription control element “TCE” located adjacently to the expression control elements “ECE1” and “ECE2”, for example, upstream of the first expression control element “ECE1”, and Kozak sequence between each of the expression control elements “ECE1” and “ECE2” and each of the coding sequences “CR1” and “CR2”. Besides, if necessary, the nucleic acid molecule may further comprise start codon sequences and/or recognition sequences for enhancing expression of “ORF1” and “ORF2” downstream of each of the expression control elements “ECE1” and “ECE2”. Also, in one exemplary aspect, the nucleic acid molecule may further comprise polyadenylation signal sequence or poly adenosine sequences “PA” downstream of the second coding region “CR2”, or 3′-UTR if the 3′ UTR is inserted. 
     While  FIG. 2  shows two expression control elements “ECE1” and “ECE2” and two coding regions “CR1” and “CR2”, the nucleic acid molecule may have three or more expression control sequences and/or coding regions. 
     The nucleic acid molecules illustrated in  FIGS. 1 and 2  may be inserted into a vector. For example, the vector may include viral vectors, DNA or RNA expression vectors, plasmid, cosmid, or phage vectors, DNA or RAN expression vectors linked to CCA (cationic condensing agents), DNA or RNA expression vectors packaged with liposomes, specific eukaryotic cells such as producer cells and the likes. In accordance with an exemplary aspect, the nucleic acid molecule is inserted into an appropriate vector and then is modified to RNA transcript via in vitro transcription (IVT). Vector components generally comprises, but is not limited to, replication origins (especially if the vector is inserted into prokaryotes), selection marker genes, signal sequences, and a transcription termination sequence. 
     The nucleic acid molecule as an adjuvant of the present disclosure can induce non-antigen specific immune responses. With regard to the immune response, T lymphocytes are differentiated into T-helper 1 (Th 1 ) cells and T-helper 2 (Th 2 ) cells and immune system can destroy intra-cellular pathogens (e.g. antigens) by Th 1  cells and extra-cellular pathogens by Th 2  cells. Th 1  cells helps cell-mediated immune response by activating macrophages and cytotoxic T-cells, while Th 2  cells facilitates humoral immune responses by enhancing B-cell for transformation into cytoplasmic cells and by forming antibodies against the antigens. Accordingly, the ratio of Th 1  cells/Th 2  cells in immune response is very significant. The nucleic acid molecule of the present disclosure can enhance and induce Th 1  immune response, i.e. cell-mediated immune responses. Accordingly, when the nucleic acid molecule is injected into body together with a pharmaceutically active ingredient, e.g. immunity enhancing components, the nucleic acid molecule may act as adjuvant that enhances specific immune responses induced by the pharmaceutically active ingredients. 
     The composition includes a metal complex stabilizing the nucleic acid molecule of an adjuvant or a pharmaceutically acceptable salt thereof. The metal complex may include zinc ion that coordinates with nitrogen atom in dipicolylamine including amino groups substituted with two picolyl groups. The nitrogen atom linked to the picolyl group forms an amide bond through an aryloxyl group, and aliphatic linker (bridging group) may be linked to both sides of the amide bond. As an example, the metal complex stabilizing the nucleic acid molecule of an adjuvant of the present disclosure may have the following structure of Formula 1: 
     
       
         
         
             
             
         
       
         
         
           
             wherein each of L 1  and L 2  is independently a C 1 -C 20  aliphatic bridging group; each of m and n is independently 0 or 1; R is a C 1 -C 20  alkyl group or 
           
         
       
    
     
       
         
         
             
             
         
       
     
     wherein asterisk indicate a linking site. 
     For example, each of L 1  and L 2  in Formula 1 may be independently a C 1 -C 20  alkylene group or a C 1 -C 20  alkenylene group consisting of only a single bond or at least one double bond in the chain. As an example, L 1  may be a C 1 -C 10  alkylene group, preferably a C 1 -C 5  alkylene group consisting only of single bonds, and L 2  may be a C 2 -C 20  alkylene group, preferably a C 11 -C 20  alkylene group including 1 or 2 double bonds. In an alternative aspect, each of L 1  and L 2  may be independently a C 1 -C 10  alkylene group, preferably a C 1 -C 5  alkylene group consisting of single bonds. 
     For example, the metal complex may be, but is not limited to, any metal complex having the following structure of Formula 2: 
     
       
         
         
             
             
         
       
     
     The pharmaceutically acceptable salt of the metal complex having the structure of Formula 1 or 2 may include an acid added salt formed by pharmaceutically acceptable free acid. The free acid includes an organic acid and an inorganic acid. The inorganic acid may include, but is not limited to, hydrochloric acid, phosphoric acid, sulfuric acid, nitric acid and stannic acid. The organic acid may include, but is not limited to, methane sulfonic acid, p-toluene sulfonic acid, acetic acid, trifluoro acetic acid, maleic acid, succinic acid, oxalic acid benzoic acid, tartaric acid, fumaric acid, mandelic acid, propionic acid, citric acid, lactic acid, glycolic acid, gluconic acid, galacturonic acid, glutamic acid, glutaric acid, glucuronic acid, aspartic acid, ascorbic acid, carbonic acid, vanillic acid and hydroiodic acid. 
     The metal complex having the structure of Formula 1 or 2 includes cationic metal component. Accordingly, the metal complex interacts with the nucleic acid molecule of an adjuvant having anions to stabilize the nucleic acid molecule. The nucleic acid molecule of an adjuvant having RNA platform is degraded by RNase in body so it cannot maintain its activity. When the metal complex having the structure of Formula 1 or 2 interacts with the nucleic acid molecule to form a complex, the degradation of the nucleic acid molecule by the RNase is prevented or minimized. In addition, the metal complex having the structure of Formula 1 or 2 may interact with an immunogen of a pharmaceutically active ingredient, which may be proteins or peptides, to stabilize the immunogen. 
     On the other hand, in an exemplary aspect, the composition may further include a pharmaceutically active ingredient in addition to the nucleic acid molecule of an adjuvant and the metal complex as a stabilizer. The pharmaceutically active ingredient is an immunity enhancing component such as an immunogen. Other antigenic components, for example, non-activated or attenuated pathogens may also be used. 
     As an example, the pharmaceutically active ingredient may be a compound having a curing and/or prevention effect against cancer, infectious diseases, auto-immune diseases and/or allergies. For example, the pharmaceutically active ingredient may comprise a compound treating and/or preventing cancers, infectious diseases, autoimmune diseases and/or allergies. For example, the pharmaceutically active ingredient may comprise peptides, proteins, nucleic acids, therapeutically active low-molecular organic or inorganic compounds, sugars, antigens or antibodies, therapeutics known to the art, antigen cells, fragments of antigen cells, cell debris, pathogens (including viruses or bacteria) modified chemically or light irradiations such as attenuated or inactivated pathogens. 
     As an example, the antigens as one of the pharmaceutically active ingredient may be peptides, polypeptides, proteins, cells, cell extracts, polysaccharides, complex polysaccharides, lipids, glycolipids and carbohydrates. More particularly, the antigens as one of the pharmaceutically active ingredients may comprise tumor antigens, animal antigens, vegetation antigens, viral antigens, bacterial antigens, fungal antigens, protozoan antigens, autoimmune antigens and/or allergic antigens each of which may be expressed from the coding regions “CR”, “CR1” and “CR2”. 
     For example, the antigens may have secreted forms of surface antigens of tumor cells, viral pathogens, bacterial pathogens, fungal pathogens and/or protozoan pathogens. If necessary, the antigens may be in the nucleic acid molecule in accordance with the present disclosure, or as heptene bound to an appropriate carrier. Other antigenic components, for example, inactivated or attenuated pathogens may be used. 
     In another alternative embodiment, antibodies, preferably therapeutically effective antigens may be used as the pharmaceutically active ingredient. In accordance with the present disclosure, antibodies against the cancers or infectious diseases such as cell-surface proteins, peptides or proteins expressed from tumor-suppressor genes or inhibitor genes, growth factors or elongation factors, apoptosis-associated proteins, tumor antigens, and above-mentioned antigens, proteins or nucleic acids may be preferably used as the pharmaceutically active ingredient. 
     For example, the pharmaceutical composition may be utilized as a vaccine in case of using the antigens as the pharmaceutically active ingredient or as disease therapeutics in case of using the antibodies as the pharmaceutically active ingredient. In one exemplary aspect, when the coding regions “CR”, “CR1” and “CR2” encodes antigens, antibodies and fragments thereof in the nucleic acid molecules used as the adjuvant, the pharmaceutically active ingredient may be the antigens, antibodies and fragments thereof. 
     The composition in accordance with the present disclosure may include an additional adjuvant in addition to the nucleic acid molecule of an adjuvant. The additional adjuvant can reinforce of immune activities of the pharmaceutically active ingredient and/or the nucleic acid molecule of an adjuvant. the additional adjuvant that can be contained in the pharmaceutical composition may comprise protamine, nucleoline, spermine or spermidine, stabilizing cationic peptides or polypeptides, cationic polysaccharides, alum solution, aluminum hydroxide, aluminum phosphate gel, glucans from algae, squalene and its emulsion, Toll-like receptors; components known to enhance immunity based upon the biding affinity (as ligands) to TLR1, TLR2, TLR3, TLR4, TLR5, TLR6, TLR7, TLR8, TLR9, TLR10, TLR11, TLR12 or TLR13, a nucleic acid having CpG motif, particularly, CpG-RNA or CpG-DNA. 
     When the nucleic acid molecule in accordance with the present disclosure is mixed with the additional adjuvant, the mixing ratio is not specifically limited. As an example, the nucleic acid molecule in accordance with the present disclosure may be mixed with the additional adjuvant with a ratio of 100:1 to 1:100, preferably 10:1 to 1:10, more preferably 5:1 to 1:5, most preferably 3:1 to 1:3 by weight. 
     The contents or the concentration of the nucleic acid molecule as the adjuvant is not specifically limited. Particularly, when the nucleic acid molecule of RNA platform is used, it can be degraded rapidly in bodies so as to obtain improved safety and stability. In one exemplary aspect, the nucleic acid molecule may be contained with a concentration of 1˜1000 μg/mL, and preferably, 10˜1000 μg/mL in the pharmaceutical composition such as vaccines. 
     In one exemplary aspect, when the composition is formulated as liquid, the pharmaceutically acceptable carrier may comprise pyrogen-free water; isotonic saline or buffered (water) solution such as phosphate or citrate; plant oil such as peanut oil, cotton seed oil, sesame oil, olive oil, corn oil and cacao fruit oil; glycols such as propylene glycol, glycerol, sorbitol, mannitol and polyethylene glycol; and polyol such as alginic acid. In this case, aqueous buffer including sodium salts, calcium salts, and optionally potassium salts can be used for injecting liquid pharmaceutical composition into bodies. Sodium salts, calcium salts and potassium salts may have halogenized type such as iodine or bromine, hydroxide, carbonate salt, hydrogen-carbonate salt or sulfonate salts. 
     When the composition is formulated as solid, the pharmaceutically acceptable carrier may comprise solid carrier such as solid filter, liquid filter or diluents, and encapsulating compound may be used as the carrier for administering the composition. For example, the pharmaceutically acceptable carrier may comprise, but are not limited to, sugar such as lactose, glucose and sucrose; starch such as corn starch of potato starch; cellulose or its derivative such as sodium carboxyl methyl cellulose, ethyl cellulose and cellulose acetate; powdered tragacanth; malt; gelatins; tallow; solid lubricants such as stearic acid and magnesium stearate; and calcium sulfate. The pharmaceutically acceptable carrier suitable for injection may comprise hydrogel, adjusted release devices, delayed release devices, polylactic acid and collagen matrix. The pharmaceutically acceptable carrier appropriate for local uses may comprises lotion, cream, gel and similar thereof. If the composition is orally administered, tablet, capsule is preferred unit dosage form. The pharmaceutically acceptable salt for preparing unit dosage from for administering orally has been well known to the art. 
     The pharmaceutically acceptable carrier may be selected as the administering types of the composition. In one embodiment, the composition may be administered systemically. The administering route may comprise in oral, intracutaneous, intravenous, intra muscular, intra-articular, intrsynovial, intrathecal, intrhepatic, intralesional, intracranial, transdermal, intradermal, intrapumonal, intraperitoneal, intracardial, intraarterial, sublingual topical and/or intranasal. 
     The composition may be administered with any convenient type, for example, tablet, powder, capsule, solution, dispersion, suspension, syrup, spray, suppository, gel, emulsion, and patch. The composition may further include common additives such as buffer agent, stabilizing agent, surfactant, wetting agent, lubricant, emulsifier, suspendered agent, conservative, anti-oxidant, opacifying agent, slip modifier, processing aids, coloring agent, sweetener, perfume, flavoring agent, diluents and other additives that provides beautiful appearance of medicines (that is, the nucleic acid molecule, gene carrier or pharmaceutical composition of the active ingredient) or assists in manufacturing drugs. 
     Alternatively or additionally, the composition may comprise any enhancing agent such as cytotoxic agent, cytokine, chemo-therapeutics, growth-inhibitor or growth-enhancer. Such molecules are combined in an amount of intended purposes and exited appropriate 
     An amount of the composition may be determined by common experiments using animal models. Such an animal model may comprise, but are not limited to, rabbit, sheep, mouse, dog and non-human primates. The pharmaceutical composition for injection may have a dosage form of sterilized aqueous solution, physiological saline solution and/or mixture thereof. The solution may have adjusted pH of about 7.4. 
     If necessary, the pharmaceutical composition may further include at least one auxiliary substance so as to further increase immunogenicity induced by the pharmaceutically active ingredient and/or the nucleic acid molecule as the adjuvant. For example, substances that allow maturation of dendiric cells (DCs), for example, lipopolysaccharides, TNF-alpha or CD40 ligand, form such auxiliary substances. Particularly preferred auxiliary substances are cytokines, such as monokines, lymphokines, interleukins or chemokines, that promote the immune response, such as various interleukins, interferons, GM-CSF, G-CSF, M-CSF, LT-beta or TNF-alpha, growth factors, such as hGH. 
     The composition of the present disclosure may further include common additives such as buffer agent, stabilizing agent, surfactant, wetting agent, lubricant, emulsifier, suspendered agent, conservative, anti-oxidant, opacifying agent, slip modifier, processing aids, coloring agent, sweetener, perfume, flavoring agent, diluents and other additives. Besides, the pharmaceutical composition may comprise any enhancing agent such as cytotoxic agent, cytokine, chemo-therapeutics, growth-inhibitor or growth-enhancer. For example, the pharmaceutical composition may contain emulsifier such as Tween; wetting agent such as sodium lauryl sulfate; coloring agent; taste-imparting agent; tablet-forming agents, stabilizing agent; anti-oxidant; and conservatives. 
     Particularly, the nucleic acid molecule in accordance with the present disclosure reinforces Th 1  immune response. As an example, the composition of the present disclosure may be used for inducing tumor-specific or pathogen-specific immune response. Such compositions or vaccines in accordance with the present disclosure can be used particularly preferably for increasing immune responses of antigen-presenting cells (APCs). Likewise particularly preferably, the compositions or vaccines in accordance with to the present disclosure can be used for the treatment of cancer or tumor diseases. 
     Also, the composition including the nucleic acid molecule in accordance with the present disclosure can be used for the treatment of infectious diseases, such infectious diseases are preferably selected from influenza, malaria. SARS, yellow fever, AIDS, Lyme borreliosis, Leishmaniasis, anthrax, meningitis, viral infectious diseases such as AIDS, Condyloma acuminata, hollow warts, Dengue fever, three-day fever, Ebola virus, cold, early summer meningoencephalitis (FSME), flu, shingles, hepatitis, herpes simplex type I, herpes simplex type II, Herpes zoster, influenza, Japanese encephalitis. Lassa fever, Marburg virus, measles, foot-and-mouth disease, mononucleosis, mumps, Norwalk virus infection, Pfeiffer&#39;s glandular fever, smallpox, polio (childhood lameness), pseudo-croup, fifth disease, rabies, warts, West Nile fever, chickenpox, cytomegalic virus (CMV), from bacterial infectious diseases such as miscarriage (prostate inflammation), anthrax, appendicitis, borreliosis, botulism. Camphylobacter, Chlamydia trachomatis (inflammation of the urethra, conjunctivitis), cholera, diphtheria, donavanosis, epiglottitis, typhus fever, gas gangrene, gonorrhoea, rabbit fever, Heliobacter pylori, whooping cough, climatic bubo, osteomyelitis, Legionnaire&#39;s disease, leprosy, listeriosis, pneumonia, meningitis, bacterial meningitis, anthrax, otitis media, Mycoplasma hominis, neonatal sepsis (Chorioamnionitis), noma, paratyphus, plague, Reiter&#39;s syndrome, Rocky Mountain spotted fever, Salmonella paratyphus, Salmonella typhus, scarlet fever, syphilis, tetanus, tripper, tsutsugamushi disease, tuberculosis, typhus, vaginitis (colpitis), soft chancre, and from infectious diseases caused by parasites, protozoa or fungi, such as amoebiasis, bilharziosis, Chagas disease, athlete&#39;s foot, yeast fungus spots, scabies, malaria, onchocercosis (river blindness), or fungal diseases, toxoplasmosis, trichomoniasis, trypanosomiasis (sleeping sickness), visceral Leishmaniosis, nappy/diaper dermatitis, schistosomiasis, fish poisoning (Ciguatera), candidosis, cutaneous Leishmaniosis, lambliasis (giardiasis), or sleeping sickness, or from infectious diseases caused by Echinococcus, fish tapeworm, fox tapeworm, canine tapeworm, lice, bovine tapeworm, porcine tapeworm, miniature tapeworm. 
     In addition, the composition including the nucleic acid molecule in accordance with the present disclosure can be used for the preparation of a medicament for the treatment of an allergic disorder or disease. Allergy is a condition that typically involves an abnormal, acquired immunological hypersensitivity to certain foreign antigens or allergens. Allergies normally result in a local or systemic inflammatory response to these antigens or allergens and leading to immunity in the body against these allergens. Allergens in this context include e.g. grasses, pollens, molds, drugs, or numerous environmental triggers, and the likes. Well known types of allergies include, without being limited thereto, allergic asthma (leading to swelling of the nasal mucosa), allergic conjunctivitis (leading to redness and itching of the conjunctiva), allergic rhinitis (“hay fever”), anaphylaxis, angioderm, atopic dermatitis (eczema), urticaria (hives), eosinophilia, respiratory, allergies to insect stings, skin allergies (leading to and including various rashes, such as eczema, hives (urticaria) and (contact) dermatitis), food allergies, allergies to medicine, and the likes. 
     For example, the composition of the present disclosure may treat and/or prevent allergic disorders or diseases derived from an allergen (e.g. from a cat allergen, a dust allergen, a mite antigen, a plant antigen (e.g. a birch antigen) and the likes) either as a protein. The composition may shift the exceeding immune response to a stronger Th 1  response, thereby suppressing or attenuating the undesired IgE response. 
     Moreover, the composition including the nucleic acid molecule and the metal complex may be used for the preparation of a medicament for the treatment of autoimmune diseases. Autoimmune diseases can be broadly divided into systemic and organ-specific or localized autoimmune disorders, depending on the principal clinico-pathologic features of each disease. Autoimmune disease, can be treated or prevented by the pharmaceutical composition, may be divided into the categories of systemic syndromes, including SLE, Sjögren&#39;s syndrome, Scleroderma, Rheumatoid Arthritis and polymyositis or local syndromes which may be endocrinologic (DM Type 1, Hashimoto&#39;s thyroiditis, Addison&#39;s disease and the likes), dermatologic (pemphigus vulgaris), haematologic (autoimmune haemolytic anaemia), neural (multiple sclerosis) or can involve virtually any circumscribed mass of body tissue. The autoimmune diseases to be treated may be selected from the group consisting of type 1 autoimmune diseases or type II autoimmune diseases or type III autoimmune diseases or type IV autoimmune diseases, such as, for example, multiple sclerosis (MS), rheumatoid arthritis, diabetes, type I diabetes (Diabetes mellitus), systemic lupus erythematosus (SLE), chronic polyarthritis, Basedow&#39;s disease, autoimmune forms of chronic hepatitis, colitis ulcerosa, type I allergy diseases, type II allergy diseases, type III allergy diseases, type IV allergy diseases, fibromyalgia, hair loss, Bechterew&#39;s disease, Crohn&#39;s disease, Myasthenia gravis, neurodermitis, Polymyalgia rheumatica, progressive systemic sclerosis (PSS), psoriasis, Reiter&#39;s syndrome, rheumatic arthritis, psoriasis, vasculitis, etc, or type II diabetes. 
     Hereinafter, while the present disclosure will be described via exemplary embodiments, the present disclosure is not limited to technical ideas illustrated in the following Examples. 
     Preparation Example 1: Fabrication of Nucleic Acid Molecule of RNA Platform 
     An artificial nucleic acid molecule of RNA platform including a IRES element derived from Coxsackie virus B3 (CVB3) was fabricated. A template DNA having the following ordered sequence was designed: 
     5′-BamH I recognition site-T7 promoter (SEQ ID NO: 6)-multiple adenosine (MA50)-5′ UTR of CVB3 (SEQ ID NO: 1)-expression enhancing sequence (ATGGCAGCTCAA (SEQ ID NO: 56))-MCS (EcoR I-Cla I-Pac I-Sac I recognition sites)-3′ UTR of CVB3 (SEQ ID NO: 4)-poly A 50-Not I recognition site-3′. 
     The template DNA was cloned into pGH vector and linearized using restriction endonuclease. In vitro transcription (IVT) was performed using the Ribomax Large-scale RNA Production System T7 (Promega, USA). 
     For in vitro transcription, all RNA platforms were linearized with Not I. Transcription reactions contained 3 μg of Not I-cut plasmid DNA, T7 transcription buffer (5×), 25 mM rNTP, nuclease-free water, and T7 enzyme mix and were incubated for 4 h at 37° C. The transcripts were incubated with 1 μl of RNase-free DNase I (Promega) per 1 μg of plasmid DNA for 15 min at 37° C., followed by termination of the reaction by incubation at 65° C. for 10 min. DNase I treatment (Promega) was always performed to remove any DNA contamination during RNA purification using high yield RNA ultra-purification kits (RBC, Taiwan), according to the manufacturer&#39;s instructions. DNA and RNA purity and concentration were evaluated using a NanoDrop-2000 spectrophotometer (Thermo Fisher-Scientific, USA). The nucleic acid molecule of RNA platform fabricated in this Preparation Example will be referred as “pMA-CVB3-MCS”. 
     Preparation Example 2: Fabrication of Nucleic Acid Molecule of RNA Platform 
     An artificial nucleic acid molecule of RNA platform was fabricated by repeating the same process as Preparation Example 1 except designing the following ordered template DNA having an IRES element derived from encephalomyocarditis virus (EMCV). The nucleic acid molecule of RNA platform fabricated in this Preparation Example will be referred as “pMA-EMCV-MCS”. 
     5′-EcoR I recognition site-T7 promoter (SEQ ID NO: 6)-Multiple adenosines (MA50)-5′ UTR of EMCV (SEQ ID NO: 2)-MCS (Cla I-Pac I-Sac I recognition sites)-3′ UTR of EMCV (SEQ ID NO: 5)-poly A 50-Not I recognition site-3′. 
     Preparation Example 3: Fabrication of Nucleic Acid Molecule of RNA Platform 
     An artificial nucleic acid molecule of RNA platform was fabricated by repeating the same process as Preparation Example 1 except designing the following ordered template DNA having an IRES element derived from cricket paralysis virus (CrPV). The nucleic acid molecule of RNA platform fabricated in this Preparation Example will be referred as “pMA-CrPV-MCS”. 
     5′-BamH I recognition site-T7 promoter (SEQ ID NO: 6)-Multiple adenosines (MA-50)-CrPV IGR IRES (SEQ ID NO: 3)-MCS (BamH I-EcoR I-Pac I-Sac I recognition sites)-SV40 late polyadenylation signal sequence (SEQ ID NO: 7)-Not I recognition site-3′. 
     Preparation Example 4: Fabrication of Nucleic Acid Molecule of RNA Platform 
     An artificial nucleic acid molecule of RNA platform was fabricated by repeating the same process as Preparation Example 1 except inserting 50 thymidines (MT-50) between T7 promoter and CVB3 5-UTR instead of 50 adenosines (MA-50). The nucleic acid molecule of RNA platform fabricated in this Preparation Example will be referred as “pMT-CVB3-MCS”. 
     Preparation Example 5: Fabrication of Nucleic Acid Molecule of RNA Platform 
     An artificial nucleic acid molecule of RNA platform was fabricated by repeating the same process as Preparation Example 2 except inserting 50 thymidines (MT-50) between T7 promoter and EMCV 5-UTR instead of 50 adenosines (MA-50). The nucleic acid molecule of RNA platform fabricated in this Preparation Example will be referred as “pMT-EMCV-MCS”. 
     Preparation Example 6: Fabrication of Nucleic Acid Molecule of RNA Platform 
     An artificial nucleic acid molecule of RNA platform was fabricated by repeating the same process as Preparation Example 3 except inserting 50 thymidines (MT-50) between T7 promoter and CrPV IGR IRES instead of 50 adenosines (MA-50. The nucleic acid molecule of RNA platform fabricated in this Preparation Example will be referred as “pMT-CrPV-MCS”. 
     Preparation Example 7: Fabrication of Nucleic Acid Molecule of RNA Platform 
     An artificial nucleic acid molecule of RNA platform was fabricated by repeating the same process as Preparation Example 1 except not inserting 50 adenosines (MA-50) between T7 promoter and CVB3 5-UTR. The nucleic acid molecule of RNA platform fabricated in this Preparation Example will be referred as “pCVB3-MCS”. 
     Preparation Example 8: Fabrication of Nucleic Acid Molecule of RNA Platform 
     An artificial nucleic acid molecule of RNA platform was fabricated by repeating the same process as Preparation Example 2 except not inserting 50 adenosines (MA-50) between T7 promoter and EMCV 5-UTR. The nucleic acid molecule of RNA platform fabricated in this Preparation Example will be referred as “pEMCV-MCS”. 
     Preparation Example 9: Fabrication of Nucleic Acid Molecule of RNA Platform 
     An artificial nucleic acid molecule of RNA platform was fabricated by repeating the same process as Preparation Example 3 except not inserting 50 adenosines (MA-50) between T7 promoter and CrPV IGR IRES. The nucleic acid molecule of RNA platform fabricated in this Preparation Example will be referred as “pCrPV-MCS”. 
     Example 1: Immunoassay 
     Immunoassay using each of the nucleic acid molecules of RNA platform fabricated in Preparation Examples 1 to 9 was performed to investigate the molecule of RNA platform as an adjuvant. C57BL/6 mice (Dae-Han Bio-Link, Republic of Korea) aged 6 weeks were inoculated by intramuscular injection, 2 times at 1 week interval with 5 μg of vaccine (SK Bioscience, Republic of Korea) having a MERS-CoV soluble spike protein (SEQ ID NO: 15; MERS S protein) as an antigen, 20 μg of nucleic acid molecule prepared in Preparation Examples 1-9 and 120 μg of alum. The Immunized group was divided to total 12 Groups as indicated by the following Table 1. 
     
       
         
           
               
             
               
                 TABLE 1 
               
             
            
               
                   
               
               
                 Nucleic Acid Molecule and MERS protein 
               
            
           
           
               
               
            
               
                 Group 
                 Immune Substance 
               
               
                   
               
               
                 G1  
                 PBS (60     ) 
               
               
                 G2  
                 MERS S protein 
               
               
                 G2  
                 MERS S protein + Alum 
               
               
                 G4  
                 MERS S protein + Alum + pMA-pCVB3-MCS 
               
               
                 G5  
                 MERS S protein + Alum + pMA-EMCV-MCS 
               
               
                 G6  
                 MERS S protein + Alum + pMA-CrPV-MCS 
               
               
                 G7  
                 MERS S protein + Alum + pMT-CVB3-MCS 
               
               
                 G8  
                 MERS S protein + Alum + pMT-EMCV-MCS 
               
               
                 G9  
                 MERS S protein + Alum + pMT-CrPV-MCS 
               
               
                 G10 
                 MERS S protein + Alum + pCVB3-MCS 
               
               
                 G11 
                 MERS S protein + Alum + pEMCV-MCS 
               
               
                 G12 
                 MERS S protein + Alum + pCrPV-MCS 
               
               
                   
               
            
           
         
       
     
     Blood samples from all immunized mice were taken at two weeks after second immunization, and measured IgG1 and IgG2c immunoglobulins, each of which is specific for the injected MERS-CoV spike protein as an antigen, within the collected mouse serum using ELISA. The 96-well plates (Corning®) were coated with 50 ng/well MERS spike soluble protein vaccine overnight at 4° C. After incubation, the wells were blocked with 200 μl blocking buffer (PBS-1% BSA) for 1 hour at room temperature. Diluted serum samples were added to the plates and incubated for 1 hour at room temperature. After incubation, the wells were washed three times with 200 μl PBS-T (PBS-0.05% tween 20). The anti-mouse IgG1 and IgG2c-HRP (Bethyl, Invitrogen, and Novus, respectively) conjugated antibody and IgG1-biotin antibody and anti-IgG2c-HRP diluted 1/1000- 1/10000 in PBS were added to the plate and incubated for 1 hour at room temperature. After washing the plate three times with PBS-T, 3,3′-5,5′-tetramethylbenzidine (TMB) substrate was added, the plate was incubated for 15 min and then 2N H2504 was used to stop the reaction. The O.D. values were measured at 450 nm using a GloMax explorer 817 microplate reader (Promega). Assay results are illustrated in  FIGS. 3 and 4 . As illustrated in  FIG. 3 , compared to G2 inoculating only MERS-CoV antigen, G3 formulated with alum and G4-G12 formulated with the nucleic acid molecule showed high IgG1 level which is related to Th 2  immune response. This means that the nucleic acid molecule including viral IRES elements without any coding region acts as immune stimulating agent inducing Th 2  immune response, that is, humoral immunity. In addition, as illustrated in  FIG. 4 , compared to Group G3 formulated with alum, Groups G6, G7, G8, G10 and G12, each of which is formulated with the nucleic acid molecule of RNA platform, showed high IgG2c level of immunoglobulin indicating mainly Th 1  immune response. It can be seen that the nucleic acid molecule including only viral IRES elements can function as an immune stimulating factor inducing T cell activation through Th 1  immune response and Th 2  immune response. 
     Preparation Example 10: Fabrication of Nucleic Acid Molecule of RNA Platform 
     An artificial nucleic acid molecule of RNA platform as multiple expression cassettes including multiple viral IRES elements derived from CrPV and EMCV. The process in Preparation Example 1 was repeated except that the designed template DNA has the following ordered sequences. The nucleic acid molecule of RNA platform fabricated in this Preparation Example will be referred as “pCrPV-HA-EMCV-HA. 
     5′-BamH I recognition site-T 7  promoter (SEQ ID NO: 6)-CrPV IGR IRES (SEQ ID NO: 3)-EcoR I recognition site-coding sequence of hemagglutin (HA) of influenza virus as a first coding region (SEQ ID NO: 9; add ATG at 5′ end and TGA at 3′ end)-MCS (Cla I-Mlu I-Sac I recognition sites)-5′ UTR of EMCV (SEQ ID NO: 2)-MCS (EcoRV-Sal I-Pac I recognition sites)-Kozak sequence (GACC)-coding sequence of HA of influenza virus as a second coding region (SEQ ID NO: 10; add TGA at 3′ end)-MCS (Pac I-SacII-recognition sites)-SV40 polyadenylation signal sequence (SEQ ID NO: 7)-Not I recognition site-3′. 
     Preparation Example 11: Fabrication of Nucleic Acid Molecule of RNA Platform 
     An artificial nucleic acid molecule of RNA platform as multiple expression cassettes including multiple viral IRES elements derived from CVB3 and EMCV. The process in Preparation Example 1 was repeated except that the designed template DNA has the following ordered sequences. The nucleic acid molecule of RNA platform fabricated in this Preparation Example will be referred as “pMA-CVB3-HA-EMCV-HA”. 
     5′-BamH I recognition site-T7 promoter (SEQ ID NO: 6)-Hpa I recognition site-50 adenosines (MA)-Hpa I recognition site-5′ UTR of CVB3 (SEQ ID NO: 1)-EcoR I recognition site-Kozak sequence-coding sequence of hemagglutin (HA) of influenza virus as a first coding region (SEQ ID NO: 9; add ATG at 5′ end and TGA at 3′ end)-MCS (Cla I-Mlu I-Sac I recognition sites)-5′ UTR of EMCV (SEQ ID NO: 2)-MCS (EcoRV-Sal I-Pac I recognition sites)-Kozak sequence (GACC)-coding sequence of HA of influenza virus as a second coding region (SEQ ID NO: 10; add TGA at 3′ end)-MCS (Pac I-SacII-recognition sites)-3′ UTR of CVB3 (SEQ ID NO: 4)-50 adenosines (poly A tail)-Not I recognition site-3′. 
     Example 2: Immunoassay 
     Each of the nucleic acid molecules of RNA platform prepared in Preparation Examples 10-11 were injected into C57BL/6 mice (Dae-Han Bio-Link) aged 6 weeks 3 times at 2 week interval by repeating the same process as Example 1. For comparison, PBS, inactivated PR8 influenza virus (iPR8; SEQ ID NO: 16), alum (aluminum hydroxide), protamine and/or LNP (lipid nano particle) were injected into mice in accordance with the same immunization schedule. 
     Each of the coding regions was amplified using forward and reverse primers that covered the restriction site for the insertion of the MCS into each RNA platform. The target sequences in each condign region were inserted into the MCS of the RNA platform using restriction endonucleases (New England Biolabs, USA).  Escherichia coli  DH5α-competent cells were used for plasmid preparation, and all plasmid clones were checked by restriction mapping and direct DNA sequencing (Cosmo Genetech, Korea). Transfection-grade plasmid was obtained using LaboPass Plasmid Mini Purification Kits, according to the manufacturer&#39;s instructions (Cosmo Genetech). 
     Immunization Groups are divided into total 11 groups as indicated below Table 2. The iPR8 virus as an antigen was treated with 2.5×10 5  pfu/50 μl/mice, and alum was formulated 120 μg/mice per 5 μg of the antigen and then immunized into mice. While some of the nucleic acid molecule of RNA platform for the immunization was inoculated in a level of 50 μg/mice, but other nucleic acid molecule formulated with 25 μg of protamine (RNA: protamine=2:1) was inoculated to mice. The volume of whole immune substance in intramuscular injection was 100 μl/mice with exception 120 μl/mice in case of injecting LNP, and the volume of whole immune substance in electroporation injection was 45 μl/mice. 
     
       
         
           
               
             
               
                 TABLE 2 
               
             
            
               
                   
               
               
                 Formulation of Nucleic Acid Molecule and Influenza Protein 
               
            
           
           
               
               
               
               
            
               
                   
                 I.M 
                 EP 
                 I.M. 
               
            
           
           
               
               
               
               
               
               
               
               
               
               
               
               
            
               
                 Group 
                 PBS 
                 HA1 
                 HA2 
                 HA3 
                 HA4 
                 HA5 
                 HA6 
                 HA7 
                 HA8 
                 HA9 
                 HA10 
               
               
                   
               
               
                 iPR8 
                 − 
                 + 
                 + 
                 + 
                 + 
                 − 
                 − 
                 − 
                 − 
                 − 
                 − 
               
               
                 Alum 
                 − 
                 − 
                 + 
                 − 
                 − 
                 − 
                 − 
                 − 
                 − 
                 − 
                 − 
               
               
                 NA1 
                 − 
                 − 
                 − 
                 + 
                 − 
                 + 
                 + 
                 − 
                 − 
                 + 
                 − 
               
               
                 NA2 
                 − 
                 − 
                 − 
                 − 
                 + 
                 − 
                 − 
                 + 
                 + 
                 − 
                 + 
               
               
                 Protamine 
                 − 
                 − 
                 − 
                 − 
                 − 
                 − 
                 + 
                 − 
                 + 
                 − 
                 − 
               
               
                 LNP 
                 − 
                 − 
                 − 
                 − 
                 − 
                 − 
                 − 
                 − 
                 − 
                 + 
                 + 
               
               
                   
               
               
                 I.M: Intramuscular Injection; 
               
               
                 EP: Electroporation; 
               
               
                 NA1: pCrPV-HA-EMCV-HA; 
               
               
                 NA2: pMA-CVB3-HA-EMCV-HA 
               
            
           
         
       
     
     After eight days from the third immunization, the influenza virus was challenged into the immunized mice. After four days from the challenge, i.e., when the body weight of mice was expressly reduced, splenocytes (1×10 6  cells/100 μg/well; 96 well plate) obtained from sacrificed mice were treated with MHC I peptide and 2 μg (per well) of the recombinant iPR8 protein to stimulate them. After two days, HA specific Th 1  cells (IFN-γ secretion; IL-4) were assayed using ELISPOT (Mabtech). After three days from stimulation, cytokines in cultured supernatant were assayed using ELISA kit (eBioscience).  FIG. 5  shows ELISPOT assay result, and  FIGS. 6 and 7  show ELISA assay result. 
     As illustrated in  FIG. 5 , in case of stimulating with MHC I peptide, compared to Group HA2 formulated with alum against iPR8 as an antigen, T cell population secreting higher level of IL-4 was increased in Groups HA3 and HA4 each of which formulated with the nucleic acid molecule against iPR8 virus. As illustrated in  FIGS. 6 and 7 , in case of stimulating with the peptide, while Group HA2, formulated with alum against iPR8 virus as a positive control group, showed not high expression level of IL-6 and IFN-γ, Groups HA3 and HA4, formulated with the nucleic acid molecule against iPR8 virus, showed highly increased expression level of IL-6 and IFN-γ. 
     Preparation Example 12: Fabrication of Nucleic Acid Molecule of RNA Platform 
     An artificial nucleic acid molecule of RNA platform was fabricated by repeating the same process as Preparation Example 10 except designing the following ordered template DNA having an IRES element derived from CrPV. The nucleic acid molecule of RNA platform fabricated in the Preparation Example will be referred as “pCrPV-JEV”. 
     5′-Kpn I recognition site-T 7  promoter (SEQ ID NO: 6)-CrPV IGR IRES (SEQ ID NO: 3)-BamH I recognition site-coding sequence of JEV envelope protein (SEQ ID NO: 11)-MCS (Pac I-Sac I recognition sites)-SV40 late polyadenylation signal sequence (SEQ ID NO: 7)-Not I recognition site-3′. 
     Example 3: Immunoassay 
     C57BL/6 mice (Dae-Han Bio Link) aged 6 weeks were inoculated by intramuscular injection, 2 times at 2 weeks interval with a pharmaceutical composition including the nucleic acid molecule fabricated in Preparation Example 12 formulated with CA-1 or CA-2 of Formula 2 as a stabilizer to immunize mice. 5 μg/mice of a subunit vaccine including JEV envelope protein (Nakayama strain; GenBank: AF272392.1) as an antigen was injected into mice. For each group, 20 μg of pCrPV-JEV nucleic acid molecule, 22.3 μg of CA-1 as a stabilizer, 22.3 μg of CA-2 as a stabilizer and/or 120 μg of human alum were injected. For comparison, 16 μg of protamine (Sigma Aldrich) or 9.6 μg of LP (cationic peptide having a lipid chain) was injected into each mouse. The immunization group was divided into total 9 groups as shown in Table 3. 
     
       
         
           
               
             
               
                 TABLE 3 
               
             
            
               
                   
               
               
                 Formulation of Nucleic Acid Molecule and JEV Protein 
               
            
           
           
               
               
               
               
               
               
               
               
               
               
            
               
                 Group 
                 G1 
                 G2 
                 G3 
                 G4 
                 G5 
                 G6 
                 G7 
                 G8 
                 G9 
               
               
                   
               
               
                 JEV Envelope 
                 − 
                 + 
                 + 
                 + 
                 + 
                 + 
                 + 
                 + 
                 + 
               
               
                 Alum 
                 − 
                 − 
                 + 
                 − 
                 + 
                 + 
                 + 
                 + 
                 + 
               
               
                 pCrPV-JEV 
                 − 
                 − 
                 − 
                 + 
                 + 
                 + 
                 + 
                 + 
                 + 
               
               
                 Stabilizer 
                 − 
                 − 
                 − 
                 − 
                 − 
                 P 
                 LP 
                 CA-1 
                 CA-2 
               
               
                   
               
               
                 P: protamine 
               
            
           
         
       
     
     A level of immunoglobulin was assayed from the immunized mice sera in accordance with the same process as Example 1 with ELISA technology. Compared to group G5 without using the stabilizer after the 1 st  immunization, groups G8 and G9, formulating the nucleic acid molecule with a stabilizer CA-1 or CA-2 of metal complex form, showed increasing IgG1 production ( FIG. 8 ). Group 8, adding a composition formulated with the stabilizer CA-1 two weeks after the 2 nd  immunization, showed highly increased production of IgG2a, which is an immunoglobulin related to Th 1  immune response. 
     Preparation Example 13: Fabrication of Nucleic Acid Molecule of RNA Platform 
     An artificial nucleic acid molecule of RNA platform was fabricated by repeating the same process as Preparation Example 1 except using a nucleic acid sequence encoding MERS-CoV soluble spike protein (SEQ ID NO: 8; add ATG at 5′ end) as a target sequence of the coding region instead of the nucleic acid sequence encoding JEV envelope protein. The nucleic acid molecule of RNA platform fabricated in this Preparation Example will be referred as “pCrPV-MERS”. 
     Example 4: Evaluation of Physical Properties of Pharmaceutical Composition 
     (1) Measurement of Zeta Potential by N/P Ratio 
     Compositions as complex formulated with CA-1 or CA-2 of Formula 2 as a stabilizer with the nucleic acid molecule “pCrPV-MERS” fabricated in Preparation Example 13 were prepared at different N/P ratios in ultra-pure water. Zeta potential was determined using a Zetasizer Nano ZS (Malvern Instruments). The measurement result is shown in  FIG. 10 . The pharmaceutical composition with large absolute value 1.8 or 2.0 of N/P ratio was treated in cultured Human peripheral blood mononuclear cells (hPBMC; Zen Bio) to examine cytokine inductions. The −ve and +ve charges of N/P ratios did not affect to induction of cytokines, and the stabilizers themselves did not induce cytokines (data not shown). We used 1.8 (−ve charge) and 2.0 (+ve charge) N/P ratios between the stabilizer and the RNA nucleic acid molecules to immunize the mice. 
     In addition, atomic force microscopy (AFM) analysis was conducted to verify the successful complexation between RNA nucleic acid molecule and the stabilizer. The RNA-stabilizer was diluted in RNase-free water and deposited onto freshly cleaved mica substrate (Pelco Mica sheets, Ted Pella Corp) and incubated overnight. After incubation, the surface of mica was rinsed with RNase-free water and immediately dried using nitrogen gas. The resultant samples were scanned in non-contact mode on a Park NX-10 ADM (Park Systems Corp. Korea) with AC-240TS tips 752 (Olympus Micro-Cantilevers). Assay result is shown in  FIG. 11 . Stabilizer CA-1 formulated RNA adjuvant showed large spherical structures with a diameter of approximately 100 nm, and the LP-formulated RNA adjuvant showed spherical structures of about 50 nm diameter, stabilizer free RNA adjuvant showed about 25 nm. This means that the metal complex CA-1 used as a stabilizer was successfully complexed with the RNA adjuvant via charge interaction, which suggested that profession antigen presenting cells may easily uptake that complex. 
     Example 5: Immunoassay 
     C57BL/6 mice (Dae-Han Bio Link) aged 6 weeks were inoculated by intramuscular injection with a pharmaceutical composition including the nucleic acid molecule fabricated in Preparation Example 13 formulated with CA-1 as a stabilizer to immunize mice. 1 μg of vaccine including MERS-CoV Soluble spike protein (SEQ ID NO: 15; MERS S protein; MERS-CoV EMC/2012 strain; GenBank: AF88936.1) as an antigen was injected into mice. For each group, 20 μg of pCrPV-MERS nucleic acid molecule, 46 μg of CA-1 as a stabilizer, and/or 500 μg of alum (Thermo Scientific) were injected. For comparison, 19 μg of LP (cationic peptide having a lipid chain) was injected into each mouse. The immunization group was divided into total 8 groups as shown in Table 4. 
     
       
         
           
               
             
               
                 TABLE 4 
               
             
            
               
                   
               
               
                 Formulation of Nucleic Acid Molecule 
               
               
                 and MERS Soluble spike Protein 
               
            
           
           
               
               
               
               
               
               
               
               
               
            
               
                 Group 
                 G1 
                 G2 
                 G3 
                 G4 
                 G5 
                 G6 
                 G7 
                 G8 
               
               
                   
               
               
                 MESR S protein 
                 − 
                 + 
                 + 
                 + 
                 + 
                 + 
                 + 
                 + 
               
               
                 Alum 
                 − 
                 − 
                 + 
                 − 
                 − 
                 − 
                 − 
                 − 
               
               
                 pCrPV-MERS 
                 − 
                 − 
                 − 
                 + 
                 + 
                 + 
                 + 
                 + 
               
               
                 Stabilizer 
                 − 
                 − 
                 − 
                 − 
                 LP 
                 LP 
                 CA-1 
                 CA-1 
               
               
                 N/P Ratio 
                   
                   
                   
                   
                 1.8 
                 2.0 
                 1.8 
                 2.0 
               
               
                   
               
            
           
         
       
     
     A level of immunoglobulin IgG1 and IgG2c specific to the MERS soluble spike protein injected as antigen was assayed from the immunized mice sera after two weeks later form the immunization in accordance with the same process as Example 12 with ELISA technology. Assay result is shown in  FIG. 12 . The levels of IgG1, an immunoglobulin related to Th 2  immune response, were not significantly different among groups G3-G8. On the other hand, the levels of IgG2c, an immunoglobulin related to Th 1  immune response, were highly increased in groups G5-G8, groups injecting the RNA adjuvant formulated with the stabilizer CA-1. Also, N/P ratios were not significantly different in inducing IgG1 and IgG2c. Therefore, all subsequent immunizations were performed using the −ve N/P ratio 1.8 in formulating RNA adjuvant with the stabilizer. 
     Example 6: Immunoassay 
     hDPP4-transgenic mice (provided by Dr. Sungkyun Park, Korean Research Institute of Bioscience &amp; Biotechnology) aged 6 weeks were inoculated by intramuscular injection with a pharmaceutical composition including the nucleic acid molecule fabricated in Preparation Example 13 formulated with CA-1 of Formula 2 as a stabilizer to immunize mice. 1 μg of vaccine including MERS-CoV Soluble spike protein (SEQ ID NO: 15; MERS S protein) as an antigen was injected into mice. For each group, 20 μg of pCrPV-MERS nucleic acid molecule, 46 μg of CA-1 as a stabilizer, and/or 24 μg alum (Brentanne)) were injected. For comparison, 19 μg of LP (cationic peptide having a lipid chain) was injected into each mouse. The immunization group was divided into total 7 groups as shown in Table 5. 
     
       
         
           
               
             
               
                 TABLE 5 
               
             
            
               
                   
               
               
                 Formulation of Nucleic Acid Molecule 
               
               
                 and MERS Soluble spike Protein 
               
            
           
           
               
               
               
               
               
               
               
               
            
               
                 Group 
                 G1 
                 G2 
                 G3 
                 G4 
                 G5 
                 G6 
                 G7 
               
               
                   
               
               
                 MESR S Protein 
                 − 
                 + 
                 + 
                 + 
                 + 
                 + 
                 + 
               
               
                 Alum 
                 − 
                 − 
                 + 
                 − 
                 + 
                 + 
                 + 
               
               
                 pCrPV-MERS 
                 − 
                 − 
                 − 
                 + 
                 + 
                 + 
                 + 
               
               
                 Stabilizer 
                 − 
                 − 
                 − 
                 − 
                 − 
                 LP 
                 CA-1 
               
               
                 N/P Ratio 
                   
                   
                   
                   
                   
                 1.8 
                 1.8 
               
               
                   
               
            
           
         
       
     
     (1) Plaque Reduction Neutralization Test 
     Serum of MERS-CoV spike protein infected hDPP4 Tg mice were serially diluted from 1:10 to 1:5120 with serum-free media. The virus-serum mixture was prepared by mixing 100 PFU MERS-CoV with the diluted serum samples and incubated at 37° C. for 1 hour. The virus-serum mixture was inoculated onto Vero cells. The plates were incubated for 1 hour at 37° C. in 5% CO 2 . After virus adsorption, agar overlay media was added and the plates were incubated at 37° C. in 5% CO 2  for 3 days. The cells were stained with 0.1% crystal violet solution (Sigma). Plaques were counted with the naked eye. The percentage neutralization represented the reduction value, which was calculated as 100×the number of plaques in the 100 PFU virus infected well/the number of plaques in the virus-serum mixture infected well. Assay result is illustrated in  FIG. 13 . Group 7 using the pharmaceutical composition formulated with CA-1 showed the highest neutralizing antibody level related to Th2 immune response. 
     (2) Evaluation of Mice Survival Rate 
     At 3 week after the immunization, the immunized mice were challenged with MERS virus (5000 PFU/mouse), and then the survival rate of mice in each group was evaluated. Evaluation result is illustrated in  FIG. 14 . Group G7 immunized a pharmaceutical composition formulated with CA-1 showed 100% survival. Group G5 immunized together with alum and Group G6 immunized with a pharmaceutical composition formulated with LP showed about 90% survival, and Groups G3 and G4 immunized with alum or the nucleic acid molecule showed about 70% survival. 
     Example 7: Immunoassay 
     Cynomolgus macaques aged 5-6 years were intramuscularly immunized with a pharmaceutical composition as a complex between the nucleic acid molecule pCrPV-MERS fabricated in Preparation Example 1 and CA-1 of Formula 1 and the like. Nine macaques were randomly divided into three groups and were immunized with 100 μg MERS soluble protein vaccine (G1), 100 μg of MERS soluble protein vaccine with 2.4 mg of alum (G2), and 100 μg MERS soluble protein vaccine together with 200 μg of RNA nucleic acid (pCrPV-MERS) formulated with the CA-1 of Formula 2 as a stabilizer and 2.4 mg of alum (G3). At two weeks after the immunization, blood samples were drawn through the femoral vein of leg not inoculated with the formulations. Ketamine (10 mg/kg) was administered by intramuscular injection for blood sampling and immunization. 
     (1) ELISA Assay 
     At two weeks after the immunization, antigen-specific total IgG and IgM in the plasma from cynomolgus macaques were measured by ELISA. The 96-well plate membrane (Thermo Scientific) was coated with 50 ng/well of MERS spike protein overnight at 4° C. After incubation, the wells were blocked with 200 μl blocking buffer (PBS-0.05% Tween 20-10% FBS) for 1 hour at room temperature. Diluted plasma was added to the plates and incubated for 2 hours at room temperature. After incubation, the wells were washed six times with 200 μl PBS-T. The Anti-Monkey IgG and IgM-HRP conjugated antibodies diluted 1/10000 in blocking buffer were added and the plates were incubated for 1 hour at room temperature. After six washes with PBS-T, TMB substrate was 956 added, incubated for 15 minutes, and then 2N H2504 was added to stop the reaction. The O.D. values were determined at 450 nm using an ELISA plate reader (Epoch, Bio-Tek Instruments, Inc.). Group G3 immunized with the pharmaceutical composition including the nucleic acid as the adjuvant stabilized with CA-1 showed highly increased immunoglobulin level ( FIG. 15 ). 
     (2) Double Color Enzymatic ELISPOT 
     PMBC was isolated as following process. Ethylene diamine tetra acetic acid (EDTA) tubes were used to collect blood at 0, 2 and 4 weeks after immunization. PBMCs were isolated by centrifugation at 4000 rpm for 20 minutes with slow acceleration using Ficoll-925 Hypaque (Lymphoprep; Axis-Shield, 1114545). Existing red blood cells (RBCs) in PBMCs were lysed using ACK lysis buffer (Gibco) for 5 minutes at room temperature and washed once with FACS buffer (1×PBS with 2% FBS). Cells were resuspended in RPMI supplemented with 10% FBS and Penicillin/Streptomycin (1×). 
     The high protein binding PVDF filter membrane in the 96-well plates (Millipore) was coated with 10 μg/ml anti-monkey IgG, IgA, IgM (H&amp;L) goat antibody (Rockland) and MERS spike protein overnight at 4° C. After the incubation, wells were washed once with PBS. Suspended PBMCs were plated in 200 μl CTL-Test™ B Medium and then were incubated at 37° C. in 5% CO 2  for 4 hours. After incubation, the wells were washed two times with 200 μl PBS and two times with 200 μl PBS-0.05% Tween 20 (PBS-T). The Anti-Monkey IgG-FITC conjugated antibodies and IgM-Biotin conjugated antibodies (Rockland), diluted 1/1000 in PBS-0.05% Tween 20-1 FBS (PBS-T-F), was added to each well and incubated for 2 hours at room 939 temperature. Wells were washed two times with 200 μl PBS-T and FITC-HRP and Strep-AP (CTL) diluted 1/1000 in PBS-T-F were added. After 1 hour incubation at room temperature, wells were washed two times with 200 μl PBS-T and two times with DW. After the incubation, the developer solution (CTL) was added to each well and incubated for 15 minutes at room temperature. To stop the reaction, wells were washed with tap water. Once the membranes were completely dry, spots were scanned and counted using an immunospot CTL 945 reader (S6 Universal analyzer). As illustrated in  FIG. 16 , shows an assay result of measuring the number of splenocytes secreting the specific immunoglobulin indicating protein-specific antibody secreting cells (ASCs) using ELISPOT after immunizing apes, group G3 showed a higher number of ASCs (68±303 47.9/million), while relatively low numbers were observed in G2 (27±24.2/million). Further, a very weak protein-specific IgM secreting cell response was observed in all groups (G1: not detectable, G2: 2.7±2.9 and G3: 0.7±0.6). 
     (3) Assay of Neutralizing Antibody Titer 
     Neutralizing Antibody titer assay was performed using the plaque reduction neutralizing test (PRNT) by repeating the same process as Example 5. Assay result is shown in  FIG. 17 . Group G3 showed a little bit high neutralizing antibody titer. 
     Preparation Example 14: Fabrication of Nucleic Acid Molecule of RNA Platform 
     An artificial nucleic acid molecule of RNA platform was fabricated by repeating the process in Preparation Example 1 and using the following ordered template DNA with single expression cassette. The nucleic acid molecule of RNA platform fabricated in this Preparation Example will be referred as “pCrPV-VZV”. 
     5′-Kpn I recognition site-T7 promoter (SEQ ID NO: 6)-CrPV IGR IRES (SEQ ID NO: 3)-MCS (BamH I-EcoR I-Pac I recognition sites)-coding sequence of VZV (Varicella-Zoster-virus) gE as a coding region (SEQ ID NO: 12; add TTAATTAA at 3′ end)-Sac I recognition site-SV40 late polyadenylation signal sequence (SEQ ID NO: 7)-Not I recognition site-3′. 
     Example 8: Immunoassay 
     C57BL/6 mice (Dae-Han Bio Link) aged 6 weeks were inoculated by intramuscular injection with a pharmaceutical composition including the nucleic acid molecule fabricated in Preparation Example 14 formulated with CA-1 of Formula 2 as a stabilizer to immunize mice. First, C57BL/6 mice were primed with 2000 PFU of live-attenuated VZV vaccine (Oka/SK strain, SkyZoster, SK Bioscience) including recombinant VZV gE protein (260-927 nucleotides of Oka/SK strain, GenBank: 702 AF272392.1; expressed using an expression vector in Chinese hamster ovary (CHO) cells, SK Bioscience) for mimicking the immune system of VZV seropositive individuals. The primed mice are referred as “LAV priming”. At 5 weeks after priming all groups except G1, were immunized by intramuscular injection, 2 times at 4 week interval. For each group, 10 μg of vaccine including VZV gE protein as an antigen, 20 μg of RNA nucleic acid molecule (pCrPV-VZV) and 46 μg of CA-1. The immunization group was divided into total 5 groups as shown in Table 6. 
     
       
         
           
               
             
               
                 TABLE 6 
               
             
            
               
                   
               
               
                 Formulation of Nucleic Acid Molecule and VZV gE Protein 
               
            
           
           
               
               
               
               
               
               
            
               
                 Group 
                 G1 
                 G2 
                 G3 
                 G4 
                 G5 
               
               
                   
               
               
                 LAV priming 
                 − 
                 + 
                 + 
                 + 
                 + 
               
               
                 VZV gE Protein 
                 − 
                 − 
                 + 
                 + 
                 + 
               
               
                 pCrPV-VZV 
                 − 
                 − 
                 − 
                 + 
                 + 
               
               
                 Stabilizer 
                 − 
                   
                   
                   
                 CA-1 
               
               
                   
               
            
           
         
       
     
     (1) ELISA Assay 
     ELISA assay was performed using the immunized mice sera at 4 weeks after the second immunization. Compared to group G3 immunized only with the antigen, IgG1 and IgG2a levels were significantly increased in groups G4 and G5 immunized together with the nucleic acid molecule ( FIG. 18 ). 
     (2) ELISPOT Assay 
     The numbers of cells secreting IFN-γ and IL-2, cytokine related to Th 1  immune response, as a specific VZV gE protein from the mice splenocytes after 4 weeks from the 2 nd  immunization. Compared to group G1 immunized with only the antigen, the frequency of both IFN-γ and IL-2 secreting cells in the cultured splenocytes increased about 2- to 3-fold in groups G4 and G5 immunized together with the nucleic acid molecule ( FIG. 19 ). In particular, increase in the IL-2 secreting immune cells indicated the increases in T cell activation, expansion, development, and maintenance and the differentiation of CD8 T cells into terminal effector cells and memory cells. This induction of VZV-specific T cell activation is essential for successful VZV immunization in the aged people. These results suggested that the RNA adjuvant-VZV can be an ideal adjuvant for VZV to increase the gE subunit vaccine efficacy by inducing T cell activation and cellular immune response. 
     (3) FMMA Evaluation 
     Guinea pigs (Dunkin-Harley strain, KOSA Bio) aged 6 weeks were primed with about 5000 PFU/mouse live-attenuated VZV vaccine (SK Bioscience). At 5 weeks after priming, primed guinea pigs were immunized by intramuscular injection, 2 times at 2 week interval. For each group, 0.5 ml of vaccine including the VZV gE protein, 50 μg of RNA nucleic acid molecule (pCrPV-VZV) and 115 μg of CA-1. 
     Fluorescent Antibody to Membrane Antigen (FAMA) was performed using the following process. To determine anti-VZV IgG, 30 μl DPBS was added into U-bottom 96-well plates. Serum from the Guinea Pigs was serially diluted from ½ to 1/1024. Cell-associated virus (30 μl) from infected cells was added to wells and incubated for 30 minutes at 37° C. After centrifugation at 2000 rpm for 5 minutes, the supernatant was removed, and the cells were washed with 1% gelatin-DPBS (2:1) buffer and 30 μl 1/200 dilution of anti-human IgG-FITC conjugate was added to all wells and the plate was incubated for 30 minutes at 37° C. After washing with 1% gelatin-DPBS buffer, 4 μl glycerol-DPBS (2:1) was added to each well and visualized by confocal microscopy. Compared to group immunized only with antigen, neutralizing antibody was increased about two times in a group immunized together with the nucleic acid molecule of an adjuvant and CA-1 of a stabilizer. Accordingly, it was confirmed that the nucleic acid molecule of an adjuvant can activate further humoral immune response in the live-attenuated vaccine. 
     Preparation Example 15: Fabrication of Nucleic Acid Molecule of RNA Platform 
     An artificial nucleic acid molecule of RNA platform was fabricated by repeating the process in Preparation Example 3 and using the following ordered template DNA with single expression cassette. The nucleic acid molecule of RNA platform fabricated in this Preparation Example will be referred as “pCrPV-Flu-HA2 A”. 
     5′-Kpn I recognition site-T7 promoter (SEQ ID NO: 6)-CrPV IGR IRES (SEQ ID NO: 3)-BamH I recognition site-coding sequence of influenza HA2 A type as a coding region (SEQ ID NO: 13)-MCS (Pac I-Sac I recognition sites)-SV40 late polyadenylation signal sequence (SEQ ID NO: 7)-Not I recognition site-3′. 
     Preparation Example 16: Fabrication of Nucleic Acid Molecule of RNA Platform 
     An artificial nucleic acid molecule of RNA platform was fabricated by repeating the process in Preparation Example 15 except using a nucleic acid sequence encoding influenza HA2 B type (SEQ ID NO: 14) instead of the nucleic acid sequence encoding the influenza HA2 A type as a coding region. The nucleic acid molecule of RNA platform fabricated in this Preparation Example will be referred as “pCrPV-Flu-HA2 B”. 
     Example 9: Immunoassay 
     C57BL/6 mice (Dae-Han Bio Link) aged 6 weeks were inoculated by intramuscular injection, 2 times at 2 weeks interval with a pharmaceutical composition including the nucleic acid molecule fabricated in Preparation Example 15 or 16 formulated with CA-1 of Formula 2 as a stabilizer to immunize mice. For each group, 0.6 g/mouse of live-attenuated influenza virus vaccine (HA antigen) as an antigen, 20 μg of RNA nucleic acid (mixed pCrPV-Flu-HA2 A with pCrPV-Flu-HA2 B in 50:50; hereinafter “pCrPV-Flu”), 46 μg of CA-1 as a stabilizer. For comparison, the pCrPV-Flu was formulated with 19 μg of LP and/or 19.4 μg of protamine (P). The live-attenuated influenza vaccine (SKYCellful, SK Bioscience) was the seasonal vaccine for 2018-2019, which was a cell culture-based quadrivalent vaccine which mixed with 697 A/Michigan/45/2015(NYMC X-275) for A/H1N1, A/Singapore/INFIMH-16-0019/2016 (IVR-186) for A/H3N2, B/Phuket/3073/2013 for B/Yamagata, and B/Maryland/15/2016 for B/Victoria. The immunization group was divided into total 6 groups as shown in Table 7. 
     
       
         
           
               
             
               
                 TABLE 7 
               
             
            
               
                   
               
               
                 Formulation of Nucleic Acid Molecule and Influenza Protein 
               
            
           
           
               
               
               
               
               
               
               
               
            
               
                   
                 Group 
                 G1 
                 G2 
                 G3 
                 G4 
                 G5 
                 G6 
               
               
                   
                   
               
               
                   
                 Attenuated Vaccine 
                 − 
                 + 
                 + 
                 + 
                 + 
                 + 
               
               
                   
                 pCrPV-Flu 
                 − 
                 − 
                 + 
                 + 
                 + 
                 + 
               
               
                   
                 Stabilizer 
                   
                   
                   
                 CA-1 
                 LP 
                 P 
               
               
                   
                   
               
               
                   
                 P: Protamine 
               
            
           
         
       
     
     (1) Immunoglobulin ELISA Assay 
     The immunized mice sera at 2 weeks after the 1 st  immunization and at 2 weeks after the 2 nd  immunization were collected, and then levels of IgG1 and IgG2a were assayed by repeating the same process as Example 1. At 2 weeks after the 1 st  immunization, compared to group G2 immunized without the nucleic acid molecule, the levels of antigen-specific IgG1 and IgG2a was raised in groups G3-G6 immunized together with the nucleic acid molecule ( FIG. 21 ). On the other hand, at 2 weeks after the 2 nd  immunization, IgG1 levels in group G2 were induced similar to those in groups G3-G6, whereas IgG2a levels in G2 were still low. In contrast, all groups G3-G6 immunized with the nucleic acid molecule induced high levels of both IgG1 and IgG2a levels and showed strong boosting effects ( FIG. 22 ). 
     (2) Evaluation of Mucosal Immune Response 
     To evaluate the mucosal immune response, which is key for protection from influenza virus infection, antigen-specific secretory IgA levels in the bronchoalveolar lavage fluid (BALF) were measured by ELISA. Bronchoalveolar lavage (BAL) was performed on euthanized mice by flushing the airway compartment with 0.8 ml PBS with 1 FBS (PBS/FBS) by inserting a 22-gauge catheter into the trachea of the mice. The fluids obtained from BAL were centrifuged at 800×g for 10 800 min at 4° C. The collected serum, BALF, and spleen were used for ELISA. While IgA level was induced in all groups G3-G6 immunized together with the nucleic acid molecule, IgA production was not induced in group G2 immunized only with antigen ( FIG. 23 ). This indicated that the nucleic acid molecule an trigger mucosal immune response even when administered intramuscularly. 
     (2) Hemagglutination Inhibition (HI) Titer Assay 
     The HI assay was performed according to the “Manual for the laboratory diagnosis and virological surveillance of influenza.” The immunized mouse sera were treated with receptor-destroying enzyme (RDE) for 18 hours at 37° C. and heat-inactivated for 30 minutes at 56° C. followed by adsorption with chicken RBCs to remove nonspecific responses. All sera were then diluted serially in 25 μl PBS in V-bottom 96-well microtiter plates and incubated with standardized viral antigen (4 HA units/25 μl) at room temperature for 1 hour, after which 50 μl 0.5% chicken RBCs was added and the plates were incubated for 45 minutes at room temperature. The antibody titers (Geometric mean titers) were expressed as the reciprocal highest serum dilution that showed complete inhibition of agglutination in duplicate experiments. As the starting dilution was 1/10, the lower limit of the detectable antibody titer was 10. Titers &lt;10 were assigned a value of 5 for calculation purposes. 
     At 2 weeks after 1st vaccination, all mice in G2 were seronegative for the influenza strains (HI geometric mean titer of &lt;10). However, HI titers against A/H1N1 and A/H3N2 were in the range of 405 1:10˜1:80 in groups G3-G6. With respect to the B-type, HI titers for B/Yamagata lineage were measured at low levels at about 1:10 and HI titers for B/Victoria lineage were measured at 1:5 even in the groups that received the nucleic acid molecule ( FIG. 24 ) 
     After the 2 nd  immunization, the HI titers of groups G3-G6 were 9-14 fold higher for A/H1N1, 3-11 fold higher for A/H3N2, 3 fold higher for B/Yamagata, and 4-9 fold higher for B/Victoria than those of group G2 ( FIG. 25 ). 
     (2) ELISPOT Assay 
     The numbers of cells secreting IFN-γ, cytokine related to Th 1  immune response, and IL-4, cytokine related to Th 2  immune response, from the mice splenocytes after the immunization using ELISPOT. Compared to group G2 immunized with only the antigen, the frequency of cells secreting IFN-γ increased 2-to-3-fold in groups G3-G6 immunized together with the nucleic acid, but the frequency of cells secreting IL-4 was similar in all immunized groups G2-G6 ( FIG. 26 ). Summing up all the results, all the groups immunized together with the nucleic acid molecule exhibits a mucosal immune response, which is important to endow the protective effect for respiratory viruses, and Th 1  immune response of cellular immune response) and Th 2  response of humoral immune response). 
     Example 10: RNA Degradation Inhibition Assay 
     A pharmaceutical composition including each of RNA platform nucleic acid molecule fabricated in each of Preparation Examples 1-9 and CA-1 of Formula 2 was injected into mice intramuscularly, the mice muscles were extracted at predetermined time, and then real-time PCR was performed using primers corresponding to a length of RNA adjuvant fabricated in each of Preparation Examples 1-9. It can be seen that the muscle of mice inoculated together with CA-1 of a stabilizer preserves RNA better up to 6 hours than the muscle of mice inoculated with only the RNA adjuvant ( FIG. 27 ). 
     In addition, a pharmaceutical composition including each of RNA platform nucleic acid molecule fabricated in each of Preparation Examples 1-9 and CA-1 of Formula 1 with various N/P ratios were prepared, and then gel electrophoresis was performed. The decrease in mobility on the gel confirmed that the complex between the nucleic acid molecule and CA-1 was well formed at 1.4 or higher N/P ratio, and the complex appeared above the gel electrophoresis with low mobility. Moreover, after reacting by exposing the identically formed complex of CA-1 and the RNA nucleic acid molecule to RNase, residual RNA was confirmed through gel electrophoresis. It was confirmed that the degradation of RNA by RNase was inhibited in all formulation with CA-1. 
     It was confirmed that the complex was formed and that the complex appeared on the top of gel electrophoresis, and that all of those formulated with CA-1 inhibited RNA degradation by RNase. 
     While the present disclosure is described based upon exemplary embodiments and examples, the present disclosure is not limited to technical ideas described in the above embodiments and examples. Rather, a person having an ordinary skill in the art relating to the present disclosure may adopt various variations and modifications based upon the above embodiments and examples. However, it is apparent that those variations and modifications are within the scope of the present disclosure from the appended claims.