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Pneumolysin fusion proteins as
novel vaccine candidates against
experimental pneumococcal disease
Dr Kirsty Ross
Introduction
Streptococcus
pneumoniae
The burden of pneumococcal disease
Current and novel vaccine development
PATH project
Serology
Protection
from colonisation
Protection from invasive disease
Impact on host
Pneumococcal disease
•Non-invasive disease
–
Otitis media
– Sinusitis
•
Invasive disease
–
Pneumonia
– Bacteræmia
– Meningitis
• http://courses.cit.cornell.edu/biomi290/microscopycases/OtitisBiofilm/images/earDiagram.gif
• http://img.thebody.com/sfaf/2008/winter08_pneumonia1.jpg
Pneumococcal disease
•Non-invasive disease
–
Otitis media
– Sinusitis
•
Invasive disease
–
Pneumonia
– Bacteræmia
– Meningitis
• O’Brien et al Lancet 2009; 374: 893-902
QuickTime™ and a
TIFF (Uncompressed) decompressor
are needed to see this picture.
Streptococcus pneumoniae
Gram positive, -haemolytic, aerotolerant anaerobe
Capsule-main
virulence factor
Phosphorylcholine
Pneumolysin
Protein virulence factors
QuickTime™ and a
TIFF (LZW) decompressor
are needed to see this picture.
• http://www.laek-rlp.de/pictures/pneumokokken.png
• Mitchell et al Nature Reviews Microbiology 1, 219-230 (December 2003)
Current vaccines
Pneumovax®
Capsular
–
polysaccharide only
23 capsular types (1, 2, 3, 4, 5, 6B, 7F, 8,
9N, 9V, 10A, 11A, 12F, 14, 15B, 17F,
18C, 19F, 19A, 20, 22F, 23F & 33F)
– Not efficacious in children under 2
Current vaccines
Pneumovax®
Capsular
polysaccharide only
–
23 capsular types (1, 2, 3, 4, 5, 6B, 7F, 8, 9N,
9V, 10A, 11A, 12F, 14, 15B, 17F, 18C, 19F,
19A, 20, 22F, 23F & 33F)
– Not efficacious in children under 2
Prevenar/Prevnar® (PCV7)
Capsular
polysaccharide chemically
conjugated to CRM197
–
7 capsular types (4, 6B, 9V, 14, 18C, 19F &
23F)
– Versions with increased valency also available
with additional serotypes (1, 3, 5, 6A, 7F, &
19A)
– Efficacious in children under 2
Current vaccines
Pros
Pneumovax®
Capsular
polysaccharide only
–
23 capsular types (1, 2, 3, 4, 5, 6B, 7F, 8, 9N,
9V, 10A, 11A, 12F, 14, 15B, 17F, 18C, 19F,
19A, 20, 22F, 23F & 33F)
– Not efficacious in children under 2
Prevenar/Prevnar® (PCV7)
Major
decrease IPD caused by
vaccine serotypes (VT)
Protein based conjugation improves
efficacy in children under 2
Herd immunity
Cons
Capsular
polysaccharide chemically
conjugated to CRM197
–
7 capsular types (4, 6B, 9V, 14, 18C, 19F &
23F)
– Increased valency versions also available with
additional serotypes (1, 3, 5, 6A, 7F, & 19A)
– Efficacious in children under 2
Expensive
to produce
Replacement disease with nonvaccine serotypes (NVT)
Polysaccharide only vaccines require
boosters every 5-10 years
Next generation vaccines
Subunit
–
based
Many potentially protective antigens have been identified using whole genome
analysis and signature tagged mutagenesis screens
Next generation vaccines
Subunit
–
Many potentially protective antigens have been identified using whole genome
analysis and signature tagged mutagenesis screens
Cheap
–
based
to manufacture
Protein based vaccines would exploit existing manufacturing technologies for high
expression levels of protein
Next generation vaccines
Subunit
–
Many potentially protective antigens have been identified using whole genome
analysis and signature tagged mutagenesis screens
Cheap
–
to manufacture
Protein based vaccines would exploit existing manufacturing technologies for high
expression levels of protein
Ease
–
based
of distribution
Ideally would be freeze dried or lack a ‘cold chain supply’, which would simplify
delivery in developing countries
Next generation vaccines
Subunit
–
Many potentially protective antigens have been identified using whole genome
analysis and signature tagged mutagenesis screens
Cheap
–
to manufacture
Protein based vaccines would exploit existing manufacturing technologies for high
expression levels of protein
Ease
–
based
of distribution
Ideally would be freeze dried or lack a ‘cold chain supply’, which would simplify
delivery in developing countries
Mucosal
–
delivery
Avoid potential for contamination with blood-borne diseases and increase patient
acceptability
Next generation vaccines
Subunit
–
Many potentially protective antigens have been identified using whole genome
analysis and signature tagged mutagenesis screens
Cheap
–
to manufacture
Protein based vaccines would exploit existing manufacturing technologies for high
expression levels of protein
Ease
–
based
of distribution
Ideally would be freeze dried or lack a ‘cold chain supply’, which would simplify
delivery in developing countries
Mucosal
–
Avoid potential for contamination with blood-borne diseases and increase patient
acceptability
Life-long
–
delivery
immunity
Ideally protection would be conferred for life
Concept behind PATH project:
Antigens fused to the N terminus of
pneumolysin (PLY) become immunogenic
QuickTime™ and a
TIFF (Uncompressed) decompressor
are needed to see this picture.
Concept behind PATH project:
QuickTime™ and a
TIFF (Uncompressed) decompressor
are needed to see this picture.
eGFP
and PsaA were fused to PLY and 6PLY
–
One 200ng dose sufficient to stimulate systemic antigen specific IgG
– Antigens had to be fused to PLY to elicit a response
– Antigen specific IgA detected in nasal lavage and BALF
•
Douce et al Vaccine
Objectives
1.Clone and fuse four vaccine candidates (PsaA, PspA, PspC &
PhtD) from S. pneumoniae TIGR4 to PLY & 6PLY
2.Purify protein & vaccinate i.n. & s.c. to evaluate immune
response to fused antigens
3.Challenge vaccinated mice with homologous and heterologous
pneumococcal strains in models of colonisation & pneumonia
Cloning & protein purification
Infusion
system
Resulting constructs:
For
further details, see Jiangtao Ma
Purified protein & native protein from cell lysates
Pooled
antisera from animals vaccinated with PsaA6PLY
Sera recognises both recombinant & native forms of each protein partner
Jiangtao Ma
•
•
Vaccinated with either a mixture of
single antigens or PLY
–
This was administered three times
intranasally at fortnightly intervals
•
•
•
Single antigens & PLY group
•
–
Mice were monitored for 72hrs using
the following:
Initial images taken using a Xenogen IVIS
200 using 5 min on large bin, FOV E
Tail bleeds for development of bacteræmia
–
Mice were culled at 72hpi and
processed for blood, brain, nasal wash, &
lungs.
This group received 8µg 10xMix6PLY
–
This was administered three times
intranasally at fortnightly intervals
•
S. pneumoniae colonisation
All mice were given ~ 107 cfu/10 µl of
Xen 10 A66.1, D39 or Xen 35 TIGR4 S.
pneumoniae
10xMixture6PLY group
•
S. pneumoniae invasion
All mice were given ~ 107 cfu/50 µl of
D39 S. pneumoniae
–
Mice were monitored for 72hrs using
the following:
Tail bleeds for development of bacteræmia
–
Mice were culled at 72hpi and
processed for blood, brain, nasal wash, &
lungs.
In conclusion
& 6PLY are capable of significant adjuvant activity at nanogram
doses
PLY
In conclusion
& 6PLY are capable of significant adjuvant activity at nanogram
doses
Fusing other antigens to the N terminus appears not to affect haemolytic
activity (max. 96kDa tested so far)
PLY
In conclusion
& 6PLY are capable of significant adjuvant activity at nanogram
doses
Fusing other antigens to the N terminus appears not to affect haemolytic
activity (max. 96kDa tested so far)
High titres of antigen specific IgG and IgA are generated in response to
i.n. delivery
PLY
In conclusion
& 6PLY are capable of significant adjuvant activity at nanogram
doses
Fusing other antigens to the N terminus appears not to affect haemolytic
activity (max. 96kDa tested so far)
High titres of antigen specific IgG and IgA are generated in response to
i.n. delivery
Potential use as a platform delivery system for other antigens of interest
PLY
In conclusion
& 6PLY are capable of significant adjuvant activity at nanogram
doses
Fusing other antigens to the N terminus appears not to affect haemolytic
activity (max. 96kDa tested so far)
High titres of antigen specific IgG and IgA are generated in response to
i.n. delivery
Potential use as a platform delivery system for other antigens of interest
PLY
The response to mixed fusion proteins included:
In conclusion
& 6PLY are capable of significant adjuvant activity at nanogram
doses
Fusing other antigens to the N terminus appears not to affect haemolytic
activity (max. 96kDa tested so far)
High titres of antigen specific IgG and IgA are generated in response to
i.n. delivery
Potential use as a platform delivery system for other antigens of interest
PLY
The response to mixed fusion proteins included:
Increased clearance of three different serotypes of pneumococcus during
colonisation
In conclusion
& 6PLY are capable of significant adjuvant activity at nanogram
doses
Fusing other antigens to the N terminus appears not to affect haemolytic
activity (max. 96kDa tested so far)
High titres of antigen specific IgG and IgA are generated in response to
i.n. delivery
Potential use as a platform delivery system for other antigens of interest
PLY
The response to mixed fusion proteins included:
Increased clearance of three different serotypes of pneumococcus during
colonisation
Reduction in bacterial burden & protection from invasive disease caused
by a heterologous serotype
Thank you
–
Prof. Tim Mitchell
– Dr Gill Douce
– Jiangtao Ma
–
Dr Andrea Mitchell
– Ashleigh Holmes
– Catherine Dalziel
–
Carol McInally
– Jenny Herbert
– M. Kashif Mughal
– Matt Horsham
– Ryan Ritchie
– M. Sultan Al-Sharif
– M. Yahya Noori