LBERI Update on Animal Model Development Sub-NIAID Tech Call 2 June 2009 Lovelace Respiratory Research Institute 2425 Ridgecrest Drive SE, Albuquerque, NM 87108 Slide 1 Milestones #2 Active Vaccinations of study personnel- no work this month #4 Active Confirmation of aerosol in vivo in NHP efficacy studies in primates #7 Active SCHU S4 LD50 in primates #8 Active LVS vaccination protection of aerosol Schu4 validated in primates #9 Active Aerosol SOP developed for GLP transition #11 Active In Vivo GLP model efficacy SOPs developed in one small species and primate and efficacy testing of vaccine candidates #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 Slide 2 MS#8 – Flow Diagram MS 8: 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.) Red: completed Green: in progress Blue: steps in the milestone SCHU S4 Challenge 1000 CFU 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. Two different methods of vaccination are being compared (scarification and subcutaneous). Endpoints include histopathology and bacterial CFUs of internal organs (lung, spleen, liver, kidneys, and lymph nodes), records of clinical symptoms post-infection, and clinical chemistry and hematology during infection. Slide 4 Milestone #8 – May 2009 Accomplishments ELISPOT plates from survivors of TUL08 Part A study were retrieved from the ABSL3 and analyzed. The IACUC protocol and study protocol were written for the repeat vaccination/challenge study. 15 animals were released from quarantine on May 7. Physical exams and baseline blood draws were performed for assessment of immune response and clinical chemistry. Animals were vaccinated during the week of May 17 (1 control, 2 scarified and 2 s.c. vaccinated/day on 3 separate days). The LVS was resuspended in 0.25 mL sterile water and a “drop” (60 microliters) of neat material was used for vaccination by scarification. This was the highest dose possible from the DVC LVS Lot 16. For the subcutaneous dose 0.12 ml of LVS was diluted 1:1 with saline and injected. Both vaccinations were applied to the upper shaved back of the monkeys. Day 7 blood draws for assessment of immune response were completed. Slide 5 IFNγ Production by PBMCs from Naïve and LVS-vaccinated NHPs pre- and post-SCHU S4 Challenge (three survivors from TUL08 Part A) Post-SCHU S4 challenge 700 600 A03152 Vaccine naive Media LVS hk Hi LVS hk Mid LVS ff Hi LVS ff Mid LVS ff Lo LVS hk Super SCHUS4 hk Super 300 SCHUS4 hk Hi SCHUS4 hk Mid 200 SCHUS4 ff Super SCHUS4 ff Hi 500 400 SCHUS4 ff Mid 100 0 TUL61 TUL70 700 700 600 500 400 28643 LVS Scarified (dose of 3 x 104) 600 500 400 300 300 200 200 100 100 0 0 Day 0 Day 25 Day 56 A00937 LVS by ID (dose of 1.5 x 107) Day 795 All PBMCs plated at 200,000/well Day 836 Slide 6 IFNg Spots (Mean +/- S.D.) IFNγ Production by Spleen Cells from Naïve and LVSvaccinated NHPs post-SCHU S4 Challenge (three survivors from TUL08 Part A) 800 700 LVS by Scarification 56 days earlier LVS by ID 836 days earlier No LVS Vaccination 600 500 400 300 200 100 Media LVS hk Hi LVS hk Mid LVS ff Hi LVS ff Mid LVS ff Lo LVS hk Super SCHUS4 hk Super SCHUS4 hk Hi SCHUS4 hk Mid SCHUS4 ff Super SCHUS4 ff Hi SCHUS4 ff Mid 0 28643 A00937 Splenocytes were cultured at 1 x 106/ml (150,000/well) Antigen: Lo = 0.06 x 105/ml Mid = 0.25 x 105/ml Hi = 1 x 105/ml Super = 4 x 105/ml A03152 Slide 7 TUL08B: LVS Vaccination/SCHU S4 Challenge Animals were vaccinated with the highest dose of LVS achievable – Lyophilized LVS vials were resuspended in 250 microliters of water according to the DVC protocol – 60 microliters were used to scarify; althernatively, a 1:1 dilution was made in saline and used to inject 120 microliters sub-cutaneously Baseline immune responses were measured using PBMCs prepared from blood draws before the vaccination Slide 8 Milestone #8 – LVS Dosing Data Preparation Date: 18-May-09 Scarification Inoculum Raw Data Dose Data Dilution Vol. Plated (mL) Plate 1 Plate 2 Plate 3 Mean Mean CFU/mL Dilution Mean CFU/dose 10-1 0.1 > 300 > 300 > 300 > 300 TNTC 10-1 TNTC 10-2 0.1 > 300 > 300 > 300 > 300 TNTC 10-2 TNTC 10-3 0.1 > 300 > 300 > 300 > 300 TNTC 10-3 TNTC 10-4 0.1 > 300 > 300 > 300 > 300 TNTC 10-4 TNTC 10-5 0.1 162 198 189 183 1.83E+08 10-5 1.10E+07 10-6 0.1 22 14 18 18 1.80E+08 10-6 1.08E+07 10-7 0.1 2 2 1 1.7 1.67E+08 10-7 1.02E+07 10-8 0.1 0 0 0 0 0.00E+00 10-8 0.00E+00 Slide 9 Milestone #8 – LVS Dosing Data Preparation Date: 20-May-09 Scarification Inoculum Raw Data Dose Data Dilution Vol. Plated (mL) Plate 1 Plate 2 Plate 3 Mean Mean CFU/mL Dilution Mean CFU/dose 10-1 0.1 > 300 > 300 > 300 > 300 TNTC 10-1 TNTC 10-2 0.1 > 300 > 300 > 300 > 300 TNTC 10-2 TNTC 10-3 0.1 > 300 > 300 > 300 > 300 TNTC 10-3 TNTC 10-4 0.1 > 300 > 300 > 300 > 300 TNTC 10-4 TNTC 10-5 0.1 230 230 120 193 1.93E+08 10-5 1.16E+07 10-6 0.1 18 18 18 18 1.80E+08 10-6 1.08E+07 10-7 0.1 2 0 2 1.3 1.33E+08 10-7 7.80E+06 10-8 0.1 0 0 0 0 0.00E+00 10-8 7.80E+06 Slide 10 Milestone #8 – LVS Dosing Data Preparation Date: 21-May-09 Scarification Inoculum Raw Data Dilution Vol. Plated (mL) Plate 1 Plate 2 Plate 3 Mean Mean CFU/mL 10-1 10-2 10-3 10-4 10-5 10-6 10-7 0.1 0.1 0.1 0.1 0.1 0.1 0.1 > 300 > 300 > 300 > 300 n/a 15 1 > 300 > 300 > 300 > 300 n/a 15 1 > 300 > 300 > 300 > 300 n/a 12 3 > 300 > 300 > 300 > 300 n/a 14 1.7 TNTC TNTC TNTC TNTC n/a 1.40E+08 1.67E+08 10-8 0.1 0 0 0 0 0.00E+00 Dilution Bad CHAB batch? Scarification Inoculum Raw Data (after sitting at RT 2-3 hrs) Vol. Plated Plate 1 Plate 2 Plate 3 Mean Mean CFU/mL (mL) 10-1 10-2 10-3 10-4 10-5 10-6 10-7 0.1 0.1 0.1 0.1 0.1 0.1 0.1 > 300 > 300 > 300 440 26 3 1 > 300 > 300 > 300 382 25 4 0 > 300 > 300 > 300 377 46 5 0 > 300 > 300 > 300 400 32 4 0.3 TNTC TNTC TNTC 4.00E+07 3.23E+07 4.00E+07 3.33E+07 10-8 0.1 0 0 0 0 0.00E+00 NOTE: Vaccine was NOT administered this day Slide 11 Milestone #8 – LVS Dosing Data Preparation Date: 22-May-09 Scarification Inoculum Raw Data Dose Data Dilution Vol. Plated (mL) Plate 1 Plate 2 Plate 3 Mean Mean CFU/mL Dilution Mean CFU/dose 10-1 0.1 > 300 > 300 > 300 > 300 TNTC 10-1 TNTC 10-2 0.1 > 300 > 300 > 300 > 300 TNTC 10-2 TNTC 10-3 0.1 > 300 > 300 > 300 > 300 TNTC 10-3 TNTC 10-4 0.1 0 0 0 0 0.00E+00 10-4 0.00E+00 10-5 0.1 0 0 0 0.0 0.00E+00 10-5 0.00E+00 10-6 0.1 3 2 0 1.7 1.67E+07 10-6 1.02E+06 10-7 0.1 0 0 0 0.0 0.00E+00 10-7 0.00E+00 10-8 0.1 0 0 0 0 0.00E+00 10-8 0.00E+00 NOTE: Boxed dilution samples likely the result of bad CHAB batch Slide 12 Summary of LVS Vaccination Groups LVS Route Group 1 (5/18/09 1.1 x 107) Group 2 (5/20/09 1.2 x107) Group 3 (5/22/09 1 x 106?) Scarification A06873 (F) A06674 (M) A06693 (M) Scarification A07386 (F) A07682 (F) A07686 (F) Sub-cutaneous A07395 (F) A06675 (M) A06702 (M) Sub-cutaneous A07418 (F) A07566 (F) A07610 (F) Slide 13 Baseline IFNγ Responses of PBMCs from TUL08B NHPs (Low and Mid-responders) 30 Low Responders 20 10 LVS hk Mid LVS ff Hi LVS ff Mid LVS ff Lo LVS hk Super .67, A07427 40 20 0 Media LVS hk Hi .67, A06702 140 120 100 80 60 Mid-responders .67, A06674 200 180 160 1.33, A07686 1.33, A07682 1.33, A07566 1.33, A07610 IFNg Spots (Mean +/- S.D.) PBMCs were cultured at 0.67 or 1.33 x 106/ml (100,000 – 200,000/well) Antigen: Lo = 0.06 x 105/ml Mid = 0.25 x 105/ml Hi = 1 x 105/ml Super = 4 x 105/ml 1.33, A07386 1.33, A06882 1.33, A06694 .67, A07686 .67, A07682 .67, A07610 .67, A07566 .67, A07386 NT .67, A06882 0 1.33, A07427 40 No NHP exhibited baseline IgG antiLVS levels higher than normal 1.33, A06702 50 Media LVS hk Hi LVS hk Mid LVS ff Hi LVS ff Mid LVS ff Lo LVS hk Super 1.33, A06674 60 .67, A06694 IFNg Spots (Mean +/- S.D.) 70 Slide 14 Baseline IFNγ Responses of PBMCs from TUL08B NHPs (High responders) 600 No NHP exhibited baseline IgG antiLVS levels higher than normal Media LVS hk Hi LVS hk Mid 500 LVS ff Hi 400 LVS ff Mid LVS ff Lo 300 LVS hk Super 200 1.33, A07418 1.33, A07395 1.33, A06873 1.33, A06693 1.33, A06675 .67, A07418 .67, A07395 .67, A06873 0 .67, A06693 100 .67, A06675 IFNg Spots (Mean +/- S.D.) 700 PBMCs were cultured at 0.67 or 1.33 x 106/ml (100,000 – 200,000/well) Antigen: Lo = 0.06 x 105/ml Mid = 0.25 x 105/ml Hi = 1 x 105/ml Super = 4 x 105/ml TNTC = 600 spots Slide 15 Scarified X indicates a response not different than baseline LVS hk Mid 300 x LVS ff Lo LVS hk Super 200 700 600 1.33, A07686 1.33, A07682 1.33, A07386 1.33, A06873 1.33, A06693 1.33, A06674 S.C. Inoculation Media LVS hk Hi LVS hk Mid 500 LVS ff Hi 400 LVS ff Mid LVS ff Lo 300 LVS hk Super 200 .67, A07566 .67, A07418 .67, A07395 0 .67, A06702 100 .67, A06675 IFNg Spots (Mean +/- S.D.) PBMCs were cultured at 0.67 or 1.33 x 106/ml (100,000 – 200,000/well) Antigen: Lo = 0.06 x 105/ml Mid = 0.25 x 105/ml Hi = 1 x 105/ml Super = 4 x 105/ml TNTC = 600 spots .67, A07686 .67, A07682 .67, A07386 .67, A06873 0 .67, A06693 100 1.33, A07610 LVS ff Mid 1.33, A07566 400 1.33, A07418 LVS ff Hi 1.33, A07395 500 1.33, A06702 LVS hk Hi 1.33, A06675 600 Media .67, A07610 700 .67, A06674 IFNg Spots (Mean +/- S.D.) IFNγ Production by PBMCs from NHPs vaccinated with LVS one Week Earlier Slide 16 Milestone #8 – LVS Vaccination Plans for next month Weekly blood draws will continue to assess immune response post-vaccination. Animals will be trained to pole and collars and chairs. Animals will be moved to the ABSL3. Pre-SCHU S4 challenge observations (three times daily) will be initiated (temperatures and respirations). Slide 17 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: Works for Con A and LVS ELISPOT Determine protein:CFU relationship in FF and HK LVS antigens Plasma IgG ELISA Plasma IgA ELISA Slide 18 Milestone #12/13 – May 2009 Accomplishments No work was performed this month on this Milestone Slide 19 Milestone #12/13 - Immune Responses in Animals and Humans Plans for next month Our goal is to establish the correlation between LVS CFU and protein content – When fixed or heat-killed LVS is prepared, the actual CFU/ml can only be estimated from the starting (live) material; we cannot be sure that no loss occurred during preparation – By measuring the protein content of such preparations, we can relate it to CFU/ml Based on the data obtained in April we will repeat the LVS CFU:Protein content assay - Make 1:1 dilutions rather than 1:9 dilutions - Sonicate the LVS in lysis buffer to possibly elaborate more protein from the HK and FF preparations Slide 20 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- LVS-vaccinated NHPs Slide 21 Milestone #21 May 2009 Accomplishments Examined the IFNγ production from a single NHP that was vaccinated with LVS in October 2008 by scarification (3 x 105 CFU) and challenged with SCHU S4 (800 CFU) by bronchoscopy – Day 21 post-bronchoscopy: PBMCs were processed at LRRI; other tissues sent to UNM (PPG) Slide 22 700 600 500 400 300 Day 21 postSCHU S4 Bronchoscopy Media LVS hk Hi LVS hk Mid LVS ff Hi LVS ff Mid LVS ff Lo LVS hk Super 200 PBMCs were cultured at 0.67 or 1.33 x 106/ml (100,000 – 200,000/well) Antigen: Day Post-LVS Vaccination Lo = 0.06 x 105/ml Mid = 0.25 x 105/ml Hi = 1 x 105/ml Super = 4 x 105/ml TNTC = 600 spots 1.33, Day 211 1.33, Day 175 1.33, Day 35 .67, Day 211 0 .67, Day 175 100 .67, Day 35 IFNg Spots (Mean +/- S.D.) IFNγ Production by an LVS-vaccinated NHP pre- and post-bronchoscopy with SCHU S4 Slide 23 Milestone #21 Upcoming work in the next month Repeat ICCS assay and include a positive mitogen control (Con A); use PBMCs from newly vaccinated NHPs (for MS8) Test 20 – 48 hours of stimulation with LVS Slide 24 Action Items Terry Wu: will check with Jason and Gloria regarding observations of lack of SCHU S4 growth on CHAB. Trevor will look at raw data and review the lot numbers of Remel commercial CHAB plates used in the May LVS titers. Are these few bad CHAB plates from a different lot relative to all other Remel commercial CHAB plates picked up from UNM? Julie is checking lot numbers of HK LVS and FF LVS antigen preps used for ELIspots on pre-vaccination PBMC from 15 NHP for the Tul8B study. Why are naïve PBMC responding best to HK LVS, though in past naives responded better to FF LVS? Julie will graph the ELIspot data differently. Will pick one or two antigens that make sense and plot pre vs post for each NHP . So can look at comparability between animals and between draws from same animal. Graph by recall antigens. Do perhaps just high dose SCHU S4 on pre and post, rather than multiple SCHU S4 doses. Will pick high dose of cells as don’t need to dilute out anymore. Will present the LVS antigen responses. Can do HK, FF LVS on different slides. Can do SCHU S4 FF and HK on different slides. Will do SCHU S4 pre and post, with pre one week before challenge. Slide 25