LBERI Update on Animal Model Development Sub-NIAID Tech Call 5 January 2010 Lovelace Respiratory Research Institute 2425 Ridgecrest Drive SE, Albuquerque, NM 87108 Slide 1 Active Milestones #2 Active Vaccinations of study personnel- no work in December #8 Active LVS vaccination protection of aerosol Schu4 confirmed in primates #9 Active Aerosol SOP developed for GLP transitionno work in December #10 Active Efficacy testing of vaccine candidates (LBERI)- no work in December #11 Active In Vivo GLP NHP model efficacy SOPs and efficacy testing of vaccine candidates- no work in December #12/13 Active Assays for detecting relevant immune responses in animals and humans #21 Active Correlates of protection- in vitro assay or other readout of effector function of Ft developed for multiple species #29 Active Analysis of T cells from lymph nodes and T cell epitopes- no work in December Slide 2 MS#8 – LVS Vaccinated NHP Challenged with SCHU S4 LVS Vaccinated NHP Challenged with SCHU S4 Round 1 Vaccination Practice/Challenge (n=3 scarification; n=2 subcutaneous) Round 2 Vaccination/Challenge (n=3 by scarification; n=3 by subcutaneous route; n=4 previously vaccinated; 2 SC, 2 ID) SCHU S4 Challenge 500 CFU Round 3 Vaccination/Challenge (Vaccination with Highest Dose of LVS attainable by scarification and s.c.) SCHU S4 Challenge 1000 CFU Round 4 Vaccination/Challenge (Vaccination with Lot 16 n=3; Lot 17 n=3; Lot 20 n=8; Lot 4 n=8) SCHU S4 Challenge 1000 CFU Red: completed Green: in progress Blue: steps in the milestone Slide 3 Milestone #8 - Objective and Endpoints Describe the natural history of aerosol delivered SCHU S4 infection in NHPs that have been previously vaccinated with LVS – Compare two different methods of vaccination (scarification and subcutaneous) – Compare 4 different LVS lots as vaccines (all delivered by subcutaneous route) Endpoints – histopathology – bacterial CFUs of internal organs (lung, spleen, liver, kidneys, and lymph nodes) – records of clinical symptoms post-infection – clinical chemistry and hematology during infection Slide 4 Milestone #8 – December 2009 Accomplishments Euthanized survivors on Day 21 Necropsies were performed Blood was collected for bacteremia and IFNγ ELISPOT analysis Tissues were collected and cultured for SCHU S4 burden Re-graphed IFNγ ELISPOT data using different strategies Ordered 18 primates for the next study- comparison of SCHU S4 grown in Mueller Hinton broth versus Chamberlain’s broth. Slide 5 Organ Burden by Animal and Group LVS lot and Animal Number Presented dose (CFU) Study Day of Death Lung TBLN Spleen Liver Mesenteric LN A07624 30015 A06872 1268 1823 636 Found day 5 4 4 3.01E+08 5.24E+08 1.75E+09 3.94E+07 4.72E+08 1.38E+09 3.11E+07 9.07E+07 2.68E+07 9.12E+05 6.29E+05 5.36E+05 1.35E+05 1.25E+04 3.88E+05 30003 29975 29992 2872 1667 1540 9 NA NA 2.19E+08 4.86E+04 BLD 1.72E+06 BLD 6.61E+02 2.95E+06 BLD BLD 2.35E+05 BLD BLD 1.45E+07 BLD BLD A07872 A07754 A07699 1860 1897 787 7 NA NA 1.97E+08 BLD 9.21E+04 5.31E+04 BLD 1.50E+03 9.64E+03 BLD BLD 4.57E+03 BLD BLD BLD BLD BLD 30048 29976 A06488 A07683 29996 29991 30014 28461 1479 2510 2250 828 2148 304 728 575 8 NA NA NA 12 6 10 7 1.43E+08 BLD 1.33E+02 4.74E+04 2.76E+07 1.78E+07 3.66E+08 5.62E+08 2.75E+04 4.19E+02 2.98E+03 5.02E+03 5.95E+05 BLD 1.58E+03 4.74E+06 9.21E+03 BLD BLD BLD BLD 1.31E+02 2.60E+05 2.04E+05 6.30E+03 BLD BLD BLD BLD 5.49E+01 8.54E+04 1.26E+04 BLD BLD BLD BLD BLD BLD BLD 4.56E+02 1.01E+02 1.47E+03 3.45E+08 1.23E+02 1.55E+04 1.34E+03 1.63E+06 2.89E+07 6.36E+02 1.55E+04 1.90E+05 7.92E+03 2.03E+02 1.33E+04 BLD BLD BLD BLD 2.32E+03 BLD BLD BLD 5.26E+04 4.96E+02 BLD BLD 6.61E+02 BLD BLD BLD 1.12E+05 BLD BLD BLD 4.63E+02 BLD BLD BLD BLD BLD Control NHP Lot 16 Lot 17 Lot 20 Lot 4 30017 1257 NA A07756 1669 NA 30019 1785 7 29987 1511 NA 30039 3766 NA A07720 119 NA A07842 1090 21 A07738 416 5 Note: 5e1 is BLD for all tissues but LN for which 2e1 is BLD Slide 6 Log10 CFU Dose for Dead and Surviving NHPs 3,50 3,40 3,30 Log10 CFU 3,20 3,10 3,00 2,90 2,80 2,70 2,60 Slide 7 Log10 CFU Lung Titers for Dead and Surviving NHPs 10,00 9,00 8,00 7,00 Log10CFU 6,00 5,00 4,00 3,00 2,00 1,00 0,00 Slide 8 Log10 CFU TBLN Titers for Dead and Surviving NHPs 9,00 8,00 7,00 Log10 CFU 6,00 5,00 4,00 3,00 2,00 1,00 0,00 Slide 9 Log10 CFU Spleen Titers for Dead and Surviving NHPs 8,00 7,00 6,00 Log10 CFU 5,00 4,00 3,00 2,00 1,00 0,00 Slide 10 Log10 CFU Liver Titers for Dead and Surviving NHPs 7,00 6,00 Log10 CFU 5,00 4,00 3,00 2,00 1,00 0,00 Slide 11 Log10 CFU Mesenteric LN Titers for Dead and Surviving NHPs 8,00 7,00 6,00 Log10 CFU 5,00 4,00 3,00 2,00 1,00 0,00 Slide 12 Recovery of Viable SCHU S4 from Tissues of Vaccinated NHPs LVS lot and Animal # Control NHP Mean (Dead) StDev (Dead) N (Dead) Mean (Survivors) StDev (Survivors) N (Survivors) Lot 16 Mean (Dead) StDev (Dead) N (Dead) Mean (Survivors) StDev (Survivors) N (Survivors) Lot 17 Mean (Dead) StDev (Dead) N (Dead) Mean (Survivors) StDev (Survivors) N (Survivors) Lot 20 Mean (Dead) StDev (Dead) N (Dead) Mean (Survivors) StDev (Survivors) N (Survivors) Lot 4 Mean (Dead) StDev (Dead) N (Dead) Mean (Survivors) StDev (Survivors) N (Survivors) Log Dose Lung TBLN Spleen Liver Mesenteric LN 3.06 0.232 3 8.81 0.391 3 8.14 1.355 3 7.29 0.744 3 5.83 0.116 3 5.06 0.838 3 0 0 0 0 0 0 3.46 8.34 6.24 6.45 5.37 7.16 1 3.20 1 4.69 1 2.82 1 1 1 2 1 1 0 0 0 3.27 8.29 4.73 3.98 3.66 1 3.09 1 4.96 1 3.18 1 1 0 2 1 1 0 0 0 2.92 0.336 5 3.22 0.265 3 8.03 0.666 5 3.40 1.804 2 5.02 1.524 4 3.27 0.569 3 4.20 1.538 4 3.65 1.364 4 2.66 0 0 0 2.97 0.3 3 3.03 0.564 5 7.40 1.2 3 2.92 0.901 5 5.28 3.59 1.0 3 3.93 2.67 2 1 0 0 0 1 3.46 0.855 5 1 Slide 13 Milestone #8 – December 2009 Accomplishments Peak IFN-g response to LVS hk 350 300 No obvious correlations between day of peak IFN-g response to hk LVS stimulation and vaccine lot or time to death post challenge 250 lot 4 lot 16 200 lot 17 150 lot 20 100 Day of peak IFN-g reponse versus survival time; hk LVS restim. 600 50 500 0 0 5 10 15 Day of peak IFN-g response 20 25 Hours to death post challenge IFNg spots per 2x10^5 PBMC (media bg subtracted) 400 400 lot 4 300 lot 16 lot 17 200 lot 20 100 0 0 5 10 15 Day of peak IFN-g response 20 25 Slide 14 Milestone #8 – December 2009 Accomplishments 500 Peak Stimulation index (IFN-g) to hkLVS 450 Stimulation index = # of spots in antigen well/ # of spots in media control 350 300 lot 4 250 lot 16 200 lot 17 150 lot 20 100 50 Day of peak stimulation index versus survival time post challenge; hk LVS 600 0 0 5 10 15 20 Day of peak stimulation index No obvious correlation between day of peak IFN-g stimulation index to hk LVS stimulation and vaccine lot or time to death post challenge 25 Hours post challenge until death Stimulation index 400 500 400 lot 4 300 lot 16 lot 17 200 lot 20 100 0 0 5 10 15 Day of peak stimulation index 20 25 Slide 15 Tables: IFN-g peak response day, number of animals – hk LVS Peak in number of IFN-g spots with media background subtracted; hk LVS Peak day 0 Peak day 7 Day 7 % Peak day 14 Day 14 % Peak day 21 Day 21 % Total NHP % Survival Lot 4 0 1 13% 3 38% 4 50% 8 63% Lot 16 0 1 33% 0 0% 2 67% 3 67% Lot 17 0 2 67% 0 0% 1 33% 3 67% Lot 20 0 5 63% 3 38% 0 0% 8 38% Total 0 9 41% 6 27% 7 32% 22 Peak in stimulation index (antigen stimulated spots/media control spots); hkLVS Peak day 0 Peak day 7 Day 7 % Peak day 14 Day 14 % Peak day 21 Day 21 % Total NHP % Survival Lot 4 0 2 25% 5 63% 1 13% 8 63% Lot 16 0 1 33% 0 0% 2 67% 3 67% Lot 17 0 1 33% 1 33% 1 33% 3 67% Lot 20 1 5 63% 1 13% 1 13% 8 38% Total 1 9 41% 7 32% 5 23% 22 Slide 16 Tables: IFN-g peak response day, number of animals – ff LVS Peak in number of IFN-g spots with media background subtracted; ffLVS Peak day 0 Peak day 7 Day 7 % Peak day 14 Day 14 % Peak day 21 Day 21 % Total NHP % Survival Lot 4 0 0 0% 5 63% 3 38% 8 63% Lot 16 0 2 67% 0 0% 1 33% 3 67% Lot 17 0 2 67% 0 0% 1 33% 3 67% Lot 20 0 4 50% 2 25% 2 25% 8 38% Total 0 8 36% 7 32% 7 32% 22 Peak in stimulation index (antigen stimulated spots/media control spots); ffLVS Peak day 0 Peak day 7 Day 7 % Peak day 14 Day 14 % Peak day 21 Day 21 % Total NHP % Survival Lot 4 0 1 13% 6 75% 1 13% 8 63% Lot 16 0 1 33% 0 0% 2 67% 3 67% Lot 17 0 1 33% 1 33% 1 33% 3 67% Lot 20 1 4 50% 1 13% 2 25% 8 38% Total 1 7 32% 8 36% 6 27% 22 Slide 17 No obvious correlations between day of peak IFN-g response to ff LVS stimulation and vaccine lot or time to death post challenge Peak IFN-g response to ff LVS 700 600 500 400 lot 4 300 lot 16 lot 17 200 lot 20 100 0 0 5 10 15 20 600 25 Day of peak IFN-g response versus survival time; ffLVS restim. Day of peak IFN-g reponse 500 Hours to death post challenge IFN-g spots per 2x10^5 PBMC (media bg subtracted) Milestone #8 – December 2009 Accomplishments 400 lot 4 300 lot 16 lot 17 200 lot 20 100 0 0 5 10 15 Day of peak IFN-g response 20 25 Slide 18 Milestone #8 – December 2009 Accomplishments 500 Peak stimulation index (IFN-g) to ffLVS Stimulation index = # of spots in antigen well/ # of spots in media control 450 Peak Stimulation Index 400 350 300 lot 4 250 lot 16 200 lot 17 150 lot 20 100 50 600 0 5 10 15 20 25 Day of peak stimulation index No obvious correlation between day of peak IFN-g stimulation index to ff LVS stimulation and vaccine lot or time to death post challenge Hours post challenge until death 0 Day of peak stimulation index versus survival time post challenge; ffLVS 500 400 lot 4 300 lot 16 lot 17 200 lot 20 100 0 0 5 10 15 Day of peak stimulation index 20 25 Slide 19 Milestone #8 – Plans for next month Fully analyze IFNγ ELISPOT data from survivors Slide 20 Milestone #12/13 – Immune Responses in Animals and Humans Immunoassay Development and Comparisons in Animal Models Choose PBMC Purification Method Choose PBMC Freezing Method Method chosen: Purdue ListServ Cerus Red: completed Green: In progress Yellow: on hold; restart if necessary Blue: steps in the milestone Develop Immunoassay methodologies IFNg Proliferation assay ELISPOT Microagglutination assay Determine protein:CFU relationship in FF and HK LVS antigens Plasma IgG ELISA Plasma IgA ELISA Slide 21 Milestone #12/13 – December 2009 Accomplishments Microagglutination assay was run at UNM and is being optimized there – No assays run on NHP plasma as of yet Received information from Dr. Anders Sjostedt regarding kit used for protein determination of LVS Received 4 FF F. tularensis preparations from DVC (2 SCHU S4 and 2 LVS) Slide 22 Milestone #12/13 – Plans for next month Continue to communicate with UNM personnel on the progress on the development of the microagglutination assay – Run NHP plasma when it is optimized with control positive rabbit sera Order Bradford kit/reagent recommended by Dr. Anders Sjostedt and try it using live LVS vs. various HK and FF preparations Test the new 4 FF F. tularensis preparations recently received from DVC (2 SCHU S4 and 2 LVS) in the NHP plasma IgG antiLVS ELISA Slide 23 MS #21 – Correlates of protection Establish assays of effector function that detect correlates of protection Establish conditions to detect intracellular cytokines in NHP PBMCs Confirm response in LVS-vaccinated NHPs Confirm low response in non- LVSvaccinated NHPs Establish conditions to detect growth of LVS in NHP PBMCs Confirm reduced growth in LVSvaccinated NHPs Confirm growth in non- LVSvaccinated NHPs Slide 24 Milestone #21 – December 2009 Accomplishments PBMC from NHP A07610 frozen on day 7 post LVS (showing a day 7 IFN-g ELISpot response to hkLVS and ff LVS) were stimulated for 20 h with 3 different concentrations of hkLVS or ffLVS or media only, – FcR’s were blocked with anti-CD32 – Cells were surface stained for CD3, CD4, CD8, CD16 and CD56 and i.c.-stained for IFN-g In human PBMC, CD56 is expressed on NK cells but Carter, D et al (Cytometry 37:41-50, 1999) suggest that CD56 identifies monocytes and not NK cells in (rhesus) macaques – This needed to be confirmed in cynomologus macaques Slide 25 Milestone #21 – December 2009 Accomplishments 2x10^5 hkLVS per well (4x10^5 PBMC) Media only controls Slide 26 Milestone #21 – December 2009 Accomplishments hk LVS stimulation 20 h; % IFN-g+ and median fluorescence intensity % IFN-g+ of parent population 70 60 50 40 %IFNg+ of CD3+CD4+ %IFNg+ of CD3+CD8+ 30 %IFNg+ of CD3-CD16+ 20 % IFNg+ of CD56+ 10 MFI IFN-g hkLVS 20 h Median Fluorescence Intensity IFN-g-FITC % IFN-g+ PBMC, hkLVS stimulated 20 h 700 600 500 400 CD3+CD4+ 300 CD3+CD8+ 200 CD3-CD16+ CD56+ 100 0 0,00E+00 1,25E+04 5,00E+04 2,00E+05 hkLVS per well with 4x10^5 PBMC 0 0,00E+00 1,25E+04 5,00E+04 2,00E+05 hkLVS per well with 4x10^5 PBMC CD56+ cells are the only identified cells in the PBMC population that show an increasing IFN-g expression with increasing hk LVS antigen concentration. Slide 27 Milestone #21 – December 2009 Accomplishments ff LVS stimulation 20 h; % IFN-g+ and median fluorescence intensity % IFN-g+ PBMC, ffLVS stimulated 20 h 70 60 50 Median Fluorescence Intensity IFN-g-FITC % IFN-g+ of parent population 80 MFI IFN-g ffLVS 20 h %IFNg+ of CD3+CD4+ 40 %IFNg+ of CD3+CD8+ 30 %IFNg+ of CD3-CD16+ %IFNg+ of CD56+ 20 10 0 0,00E+00 1,25E+04 5,00E+04 2,00E+05 ffLVS per well with 4x10^5 PBMC 800 700 600 500 CD3+CD4+ 400 CD3+CD8+ 300 CD3-CD16+ 200 CD56+ 100 0 0,00E+00 1,25E+04 5,00E+04 2,00E+05 ffLVS per well with 4x10^5 PBMC CD56+ cells is the only identified PBMC population that shows an increasing IFN-g expression with increasing ff LVS antigen concentration. Slide 28 Milestone #21- Plans for next month Repeat 20 h of restimulation for intracellular staining of IFN-g in CD56+ cells and add a CD14 marker to investigate if CD56+ cells are monocyte/macrophage like in macaques. – Also stain NK cells (CD3-,CD16+, CD8+/-). – The 20 h time point is similar to the ELIspot restimulation and PBMC from an NHP with a good ELISpot IFN-g response will be chosen for this experiment. The F.t infection and growth assay will be tested using frozen NHP PBMC (vaccinated versus naïve) with live LVS. Slide 29 Additional Points Deliverables completed for each active milestone: No deliverables were completed during the month of December. List of relevant publications from the past month 2 LBERI abstracts accepted for ASM Biodefense meeting in 2010 MSCR status MS 3: LBERI reviewing revised MSCR (BG sent edits on 12/18/09 ) MS 4: UNM reviewing MSCR (LBERI sent edits to BG on 12/7/09) MS 7: LBERI reviewing revised MSCR (BG sent edits on 11/18/09) Slide 30 Action Items (1 of 2) Michelle: will correct in the 1/5/2010 meeting minutes for data in the table on slide 6 for the NHP A07842 (completed in minutes 1/8/10) Cecilia will add a table showing the number of NHP from each LVS vaccine lot that are peaking on each day (7, 14, and 21) to allow comparison of peak day from each LVS lot in a table. Cecilia will add the table to the minutes of this 1/5/10 meeting. (completed in minutes 1/8/10) Julie could present on a future technical call, that LBERI often detects a day 0 mitogen type response to FF antigen and LBERI does not often get day 0 response to HK antigen. Michelle: will check on status of histopathology slide review for MS 11, MS 8B , and MS8C studies. Michelle will gather the histopathology status for each of the “in life” completed studies (MS 8B, MS8C, MS 11) and present it to an LBERI internal meeting in January as well as to NIAID at the next LBERI monthly technical call. Slide 31 Action Items (2 of 2) Michelle: will check on status of histopathology slide review for MS 11, MS 8B , and MS8C studies. Michelle will gather the histopathology status for each of the “in life” completed studies (MS 8B, MS8C, MS 11) and present it to an LBERI internal meeting in January as well as to NIAID at the next LBERI monthly technical call. (Completed; see text below) Histology status: – Tul 08B (in-life May/June 09)- Histology report was provided and Julie Wilder and Michelle Valderas have access to it. – Tul 08C (in-life Nov/Dec 09)- Histology is complete and slides are to be given to Julie Hutt on 1/8/10. Michelle has asked for a report by the end of Feb 2010. – Tul 11A and 11B (in-life April 8th for 11A and Sept 12th for 11B. )- Julie Hutt has the slides and said that she will have the report complete by mid-Feb 2010. Slide 32