Progress Report 12/02/2009 TVDC team – UNM Prepared by Terry Wu 1 Active Milestones 10. Testing vaccine candidates: Aduro’s Lm-based vaccines in mice and rats 11. Cellular and humoral immunity in LVS vaccinated Fischer rats: Effect of multiple serum treatments on protection 12/13. Immunoassays: Staining LVS for microagglutination assay 21. Correlate of protection assay using human PBMC New data from prevaccination samples and UBS samples 2 MS 11: Characterization of Fischer 344 Rat Fischer 344 rats Humoral immunity Cell mediated immunity. LVS vaccination Purchase and culture hybridoma cell lines Passive transfer of serum Production of ascites fluid for CD4 and CD8 depletion Protection against i.t SCHU challenge In vivo depletion Adoptive transfer Characterizing elements of protection Blue: Steps in the milestone Red: Completed Green: In progress Protection against i.t. SCHU challenge 3 Milestone 11: Humoral Immunity • Antibody responses develop within 7 days of s.c. LVS vaccination; IgG2a, IgG2b > IgG1, IgG2c, IgM, no IgA • Passive immunization with immune serum or purified IgG protected rats against low dose i.t. SCHU S4 challenge • Intermediate phenotype between NRS and LVS vaccinated rats: bacteriology & histopathology, disease severity • No increase in protection with larger serum dose or with repeated serum treatment • Protection eliminated by depletion of CD8 T cells and in nude rats • Completing experiments for manuscript 4 Repeated Serum Treatment Did Not Reduce Bacterial Burden Questions: Repeatable? Any effect before day 7? 5 Repeated Serum Treatment Did Not Reduce Bacterial Burden Compared with Single Treatment Lung Spleen Liver Total CFU (Log10) 10 10 10 8 8 6 6 4 4 4 2 2 2 0 0 0 8 6 0 3 6 9 12 Days Post-challenge 15 0 3 6 9 12 Days Post-challenge 15 NRS IRS (d -1) IRS (d -1, 1, 4, 7, 10, 13) 0 3 6 9 12 15 Days Post-challenge 6 Milestone 11 Humoral Immunity (in progress) • Complete experiment with multiple serum treatment • Confirm CD4 inactivation by functional assay • Repeat passive immunization/challenge in T cell deficient nude rats • Continue manuscript preparation 7 Splenomegaly in Passively Immunized Rats after SCHU S4 Challenge 8 Milestone 11 Cellular Immunity: Plans • Develop method for adoptive transfer of immune T cells into naïve rats (technique reported for Fischer 344 rats) – rats vaccinated 9 MS 21: Assays in Vaccinated Humans Assay to measure activation of PMBC killing mechanisms in humans Determine the approximate yield of PBMC from whole blood (1-200 ml max) Determine and optimize cell number and MOI Evaluate assay with IFNg and TNF Develop assay with F. tualrensis Compare human vaccinees and controls Blue: Steps in the milestone Red: Completed Green: In progress Statistical analysis 10 Assumptions Used to Develop Assays for Protection Status Unvaccinated monocytes T cell LVS vaccinated monocytes T cell T cell Ft growth NOT controlled IFNg Ft growth controlled TNF 11 MS21: Background • Human PBMC supports SCHU S4 growth • Pre-stimulation of vaccinated human PBMC with formalin-fixed LVS – induced IFNg production within 24 h – inhibited /reduced SCHU S4 growth @ 72 h post infection Wash SCHU S4 FF LVS -48 h -24 h 0h Burden 24 h 48 h 72 h • Current goal: Increase sample size (unvaccinated and vaccinated ) to determine statistical significance 12 Accumulated Results from Human PBMC Studies – end of Oct 2009 CFU-fold increase with 48-hour FF-LVS pretreatment, absolute 4000 FT-AH-#32 (UBS) -fold increase 3000 #31(prevacc) 2000 1000 #28 #29(prevacc) #30(prevacc) 0 vaccinated unvaccinated 13 Accumulated Results from Human PBMC Studies – end of Nov 2009 CFU -fold increase with 48-hour FF-LVS pretreatment, normalized to no-pretreatment control 1.25 -fold increase, normalized to control 2-tailed Mann-Whitney nonparametric p=0.0759 18.1 (UBS) 1.00 35 (prevax 8.1) 0.75 31 (prevax 6.1) 0.50 27.2 (UBS) 0.25 33 0.00 32 (UBS) 18.2 36 (prevac 9.1) 27.1 (UBS) 29 (prevac 4.1) 34 (UBS) 20 30 (prevax 5.1) 26.1 vaccinated (N = 4) unvaccinated (N = 9) 14 Optimization to Reduce Variability Among Unvaccinated samples: Ag titration FT-AH-35 prevax 8.1 PBMC FF-LVS #6 FT-AH-34 UBS PBMC 1. FF-LVS #6 titration 1.010 8 1.010 8 control (no pretreatment) (3870x increase) FF-LVS#6 5.0% (340x increase) FF-LVS#6 0.5% (940x increase) FF-LVS#6 0.05% (4510x increase) 1.010 7 1.010 7 1.010 6 1.010 6 total CFU / well total CFU / well control (no pretreatment) (1350x increase) FF-LVS#6 5.0% (1210x increase) FF-LVS#6 0.5% (1960x increase) FF-LVS#6 0.05% (1770x increase) 1.010 5 1.010 5 1.010 4 1.010 4 1.010 3 1.010 3 1.010 2 1.010 2 0 24 48 72 HOURS POST-INFECTION 0 24 48 72 HOURS POST-INFECTION 15 Planned Experiments • Compare FF-LVS from Lyons lab and newly arriving DVC stocks • Continue screen of human vaccinees – Vaccinated vs. unvaccinated – Pre vs. post vaccination – Meet with statistician • Determine the mechanism of inhibition, e.g. inhibiting with anti-IFNg antibody • Develop functional assay in NHP and Fischer 344 rats 16 MS 10: Testing Vaccines Candidates Cerus/Aduro ASU UTSA Others UNM BALB/c mice Blue: Steps in the milestone Red: Completed Green: In progress Fischer 344 rats 17 Milestone 10: In progress • Test Lm-based vaccines from Aduro in mice and rats for protection against SCHU S4 challenge – BH2172 (Live Lm677 KatG-SL8) – BH2182 (Live Lm677 IglC-B8R) 18 Vaccination with rLM/iglC Protected Mice Against i.n. LVS Challenge (UCLA) i.d. immunization – 0 and 4 weeks 106 Lm strains/mouse, 104 LVS/mouse i.n. challenge – 8 weeks 4400 cfu 4.5 x 104 cfu 19 Vaccination with rLM/iglC Protected Mice Against Aerosal SCHU S4 Challenge (UCLA) i.d. immunization – 0 and 4 weeks 107 Lm strains/mouse, 104 LVS/mouse Aerosol challenge – 10 weeks 20 Experimental Design 21 Intravenous Vaccination with Lm-based Vaccines Protected Mice Against i.v. LVS challenge but not i.n. SCHU S4 challenge (Aduro/UNM) Immunization (0 wk) – 3 x 105 Lm strains/mouse i.v. & 4 x 103 LVS/mouse i.n. Boost (6 wk) -- 2 x 106 Lm strains/mouse i.v. & 5 x 103 LVS/mouse i.n. Challenge (10 wk) – 1.52 x 105 LVS i.v. and ~80 SCHU i.n. n = 10 / group i.v. LVS challenge i.n. Schu4 Challenge 100 Percent survival Percent survival 100 80 60 40 20 0 80 PBS LVS BH2172 (Lm677 KatG-SL8) BH2182 (Lm677 IglC-B8R) 60 40 20 0 0 5 10 Days post challenge 15 0 5 10 15 Days post challenge 22 Milestone 10: Plans • Repeat mouse vaccination/challenge with lower SCHU S4 dose and i.v. route? • Challenge vaccinated F344 rats 23 Others • MS 12/13: Immunoassays – Microagglutination assay • Stained LVS lot 9 with hematoxylin • Estimate enough for 4 x 96 well plates • Titer Ag with positive control rabbit serum – may need more lot 9 LVS • Develop assays with sera from human, rat, mouse • MS 5: model development – F344 rats infected with 5 x 104 SCHU S4 developed bacteremia within 2 d of infection – Tested persistence of immunity 24 LVS-induced Immunity Maintained 3 mo after LVS Vaccination Challenge dose = 3.5 x 104 cfu/rat Percent survival 100 80 60 Naive (n = 6) LVS vaccinated (90d; n = 5) 40 20 0 0 5 10 15 20 25 Days post challenge 25 • Terry will grow Lot 9 LVS from the one remaining lot 9 LVS vial and make more stained antigen preparation for the microagglutination assay. • Barbara will ask USAMRIID how grow lot 9 LVS. Was Mueller Hinton Broth used? 26