KBMA Tularemia Vaccine Progress Update Nov 11th 2008 Justin Skoble 11/11/2008 • • • • • Cerus-Anza Milestones Milestone 55: Compare Cellular Immune Responses Induced by Lm and Ft-Based Tularemia Vaccines • Measure cellular immunogenicity of live-attenuated vaccine platforms using model epitope • Compare immunogenicity of KBMA tularemia vaccine platforms using model epitope Milestone 56: Demonstrate that Lm Vaccines Induce Protective Cellular Immune Responses to Ft Antigens • Measure the T-cell response to IglC induced by live and KBMA Lm expressing IglC compared with those elicited by Ftn or LVS vaccination • Demonstrate that Live and KBMA Lm-IglC and Lm-KatG protect against an LVS challenge • Demonstrate that Live and KBMA Lm-IglC and Lm-KatG protect against a SchuS4 challenge Milestone 57: Optimization of KBMA Lm Vaccination Route and Regimen • Compare various routes of administration including IV, IM, IN, ID and oral • Optimize dosing regimen of most potent and tolerable route • Confirm optimized route and regimen provides protection against SchuS4 at UNM Milestone 58: Large Scale GMP-Like Production of KBMA Lm Tularemia Vaccine • Optimize scalable KBMA vaccine production at 4L scale • Produce up to a 30L lot of most potent vaccine under GMP-like conditions • Develop quality assays to support release and stability testing of vaccine lots • Perform toxicology studies using KBMA Lm platform Milestone 59: Use Lm Platform For Delivery of Novel Ft Antigens Discovered by TVDC • Cerus could potentially make available the Lm platform • Clone up to 10 Ft antigens identified by TVDC group into Lm expression cassettes • Characterize the intracellular expression levels of various Ft antigens (and SL8 immunogenicity) • Rank potency of each vaccine candidate by sharing with UNM for protection studies • Determined the minimal concentration of S-59 to inactivate LVS uvrB 11/11/2008 2 Milestone 55: Summary • Cellular immunogenicity of live-attenuated Lm vaccine platforms were measured • Lm-expressing IglC-SL8 and Lm KatG-SL8 fusion proteins were cloned • The ability of each to stimulate a CD8+ T cell response to SL8 was evaluated using a B3Z assay, ICS, and ELISpot • CD8 T cell responses against SL8 were stronger when fused to IglC than KatG • prfA* enhanced immunogenicity of IglC-SL8 vaccine ~ 2 fold • Quadrotope tag decreased immunogenicity and will not be used actAp actAp Molecular constructs at tRNAArg: ActAN100 IglC actAp ActAN100 SL8 actAp ActAN100 IglC SL8 A42R C4L K3L KatG Molecular construct at comK: ActAN100 B8R 11/11/2008 SL8 3 IglC B8R Lm-Ft constructs actAp actAp Molecular constructs at tRNAArg: ActAN100 IglC actAp SL8 ActAN100 actAp ActAN100 IglC SL8 A42R C4L K3L Strain CRS-100/LM11 LM677 BH137 BH1222 BH2282 BH1228 BH1398 BH2094 BH2172 BH2098 BH2100 BH2180 BH2182 BH2316 Genetic Background actAinlB actAinlBuvrABprfAG155S actAinlB actAinlB actAinlB actAinlBuvrAB actAinlBuvrAB actAinlBuvrABprfAG155S actAinlBuvrABprfAG155S actAinlB actAinlBuvrABprfAG155S actAinlB actAinlBuvrABprfAG155S actAinlB BH2292 actAinlBuvrABprfAG155S KatG Molecular construct at comK: ActAN100 IglC B8R B8R Antigen Cassette none none ActAN100-Ova ActAN100-IglC-SL8 ActAN100-KatG-SL8 ActAN100-IglC-SL8 ActAN100-KatG-SL8 ActAN100-IglC-SL8 ActAN100-KatG-SL8 ActAN100-IglC-VacQuad-SL8 ActAN100-IglC-VacQuad-SL8 ActAN100-IglC-B8R (@ comK) ActAN100-IglC-B8R (@ comK) ActAN100-IglC-B8R (@ comK) ActAN100-KatG-SL8 (@tRNAarg) ActAN100-IglC-B8R (@ comK) ActAN100-KatG-SL8 (@tRNAarg) 11/11/2008 4 Status Sequence verified Sequence verified Sequence verified Sequence verified Sequence verified Sequence verified Sequence verified Sequence verified Sequence verified Sequence verified Sequence verified Sequence verified Sequence verified Remade and verified (BH2184 had point mutation in KatG) Sequence verified SL8 Strains Evaluated for Intracellular Expression by Multiplex IR-fluorescence Western Blot Insert Lane Sample Parent tRNA-Arg 1 SeeBlue Plus2 2 Mock 3 BH1029 CRS-100 NS5b 4 CRS-100 CRS-100 5 CRS207 CRS-100 6 BH2292 Lm 677 7 BH2182 Lm 677 8 BH2172 Lm 677 katG-SL8 9 BH2316 CRS-100 katG-SL8 10 BH2180 CRS-100 11 BH2282 CRS-100 comK inlB mesothelin katG-SL8 iglC-B8R iglC-B8R iglC-B8R iglC-B8R katG-SL8 NB2006_053 11/11/2008 5 Overlay of 700nm and 800nm Images 188 < katG 62 < p60 49 < iglC 38 28 1 2 3 4 5 6 7 iglC + + katG + 8 + 9 10 + + + 11 + Overlay image with boxes showing integrated intensities of selected proteins NB2006_053: 1 2 3 4 5 6 7 iglC + + katG + 11/11/2008 8 + 7 9 10 + + + 11 + Relative IglC and KatG Expression Levels Insert Strain iglc katG BH2292 + + BH2182 + BH2172 BH2316 + BH2180 + BH2282 katG* iglC* p60* iglC/p60 katG/p60 0.26 33.68 5.98 5.63 0.04 0 30.06 4.01 7.50 0.00 + 0.19 0 4.76 0.00 0.04 + 0.31 11.02 3.66 3.01 0.08 0.05 30.87 3.61 8.55 0.01 0.41 -0.03 3.01 -0.01 0.14 + BH1029 NS5b 52.97 3.12 16.98 ANZ207 Meso 0.36 3.13 0.12 11/11/2008 8 Immunogenicity of Bivalent vs Monovalent Live-attenuated Lm vaccines (ICS) IglC-tag KatG-tag Lm-control * * *** ** * • C57BL/6 Mice immunized IV with 1e6 prfA* or 5e6 actA/inlB • Compared bivalent strain to dosing with ½ dose of both monovalent strains -Slight decrease in T cell frequency with bivalent strain -Decrease in immunogenicity was larger when dose decreased by ½ * p<.05, **P<.005, ***p<.005 11/11/2008 9 IglC and SL8 Responses not Induced or Boosted by LVS-PepO-SL8 IM08-090 • 1e6 Lm-IglC administered IV, 1e4 LVSPepO-SL8 delivered ID • 3 weeks between prime and boost, spleens harvested d6 post-boost • LVS-pepO-SL8 does not induce measurable IglC or SL8 responses by itself • Lm-induced responses not primed or boosted by LVS 11/11/2008 10 Live-attenuated vs. KBMA primary response (ICS) 1222 ActA inlB 1228 ActAinlBuvrAB • KBMA-Lm primary responses reduced by ~75% • May improve after a boost 11/11/2008 11 Live-attenuated vs. KBMA primary response (ELISpot) 1222 ActA inlB 1228 ActAinlBuvrAB 11/11/2008 12 Milestone 55: Upcoming Experiments • We will confirm that p60 expression correlates with cfu by performing an MOI dose response and perform western blot and cfu analysis in parallel • We will evaluate the immunogenicity of KBMA strains after a prime and boost vaccination 11/11/2008 13 Milestone 56: Demonstrate that Lm Vaccines Induce Protective Cellular Immune Responses to Ft Antigens • Measure the T-cell response to IglC induced by live and KBMA Lm expressing IglC compared with those elicited by Ftn or LVS vaccination • Produce IglC overlapping peptide library 15aa overlapping by 11aa (211 amino acid long protein) • Use IglC peptide library for ELISpot assays to measure the IglC-specific T cell responses induced after vaccination with live and KBMA Lm-IglC and compare to live and KBMA Ftn and LVS vaccination • Demonstrate mechanism of protection induced by Lm vaccines is cellular by depletion of T cell populations and passive transfer studies • Demonstrate that strains of Live and KBMA Lm-IglC-SL8 and Lm-KatGSL8 protect against a SchuS4 challenge • Produce lots of KBMA vaccine and send to UNM for testing in animal models (mice and rats) 11/11/2008 14 Previous work • A single IV vaccination with Lm-IglC induces cellular immune responses to IglC in Balb/c, C57BL/6, FVBN, and C3H/HeJ mice • Responses are CD4+, CD8+, or both depending on the haplotype of the mice • IglC-specific CD8+ epitopes were identified in C57BL/6 and Balb/c mice • Preliminary results suggest that Lm-IglC vaccine induces stronger IglC and SL8 responses than LVS-pepO-SL8 11/11/2008 15 Lm Induces Responses Against IglC Peptide by ICS and ELISpot in C57BL/6 Mice ICS ELISpot •Vaccination with Lm-KatG induced response against IglC peptide (33-10). • GIMIDLSNL sequence not present in KatG • GIMIDLS is present in Lm genome- hypothetical protein lmo0368 11/11/2008 16 Lm-IglC Vaccine Protects Balb/c mice Against Lethal LVS Challenge 11/11/2008 17 MS56 Summary • Endogenous Lm antigen is cross-reactive with IglC in C57BL/6 mice • Should not use this strain for further IglC immunogenicity • OK to use for SL8 or B8R studies • Will focus on Balb/c mice • IV vaccination with LM-IglC protects 100% Balb/c against 10x LD50 LVS challenge • Lm-KatG only protects 40% of animals • Vaccination with1/2 dose of both Lm strains also protected 100% • as did LVS vaccination 11/11/2008 18 MS56 Next Steps • Increase stringency of LVS challenge (look at 10 vs 100 LD50) • Anza will vaccinate mice with various live and KBMA Lm vaccines to determine whether IglC, KatG, or both protect against lethal LVS infection • Entire IglC peptide library will be tested with Lm expressing an irrelevant antigen to determine if there is cross-reactivity between Lm and IglC in Balb/c mice as well • Once MTA is approved, live and KBMA Lm lots will be sent to UNM for evaluation in SchuS4 challenge model. 11/11/2008 19 Milestone 57: Optimization of KBMA Lm Vaccination Route and Regimen • Compare various routes of administration including IV, IM, IN, ID and oral • For oral, IN, and ID administration we will first mutate the inlA gene of Lm to allow for binding of murine E-cadherin in order to mimic the human interaction • We will compare the potency of the inlA gain of function mutants to our traditional platform strain • Routes will be ranked by ability to induce a cellular immune response: Elispot, in vivo cytotoxity, and ICS • Optimize dosing regimen of most potent and tolerable route • Lm expressing IglC and/or KatG will be used • Initial evaluation will be performed by immunogenicity • Optimized route and regimen will be confirmed by SchuS4 protection studies at UNM 11/11/2008 20 MS57: Strain Construction for Route Optimization • To facilitate route optimization, the inlA gene of our platform Lm strains has been altered to allow for binding to murine E-cadherin • The sequence of the wild-type EGDe inlA gene was synthesized and the inlA gene in our platform strain was replaced (inlAWT) in our wild-type and KBMA platform strains • 2 point mutations S192N and Y369S were incorporated into the EGDe inlA sequence (inlAM) and inserted into the chromosome of our wild-type and KBMA platform strains • As published in Wollert et al., Cell 2007 Strain CRS-100 BH2130 BH2164 BH2170 BH2194 BH2132 BH2166 BH2134 BH2168 Genetic Background actAinlB actAinlBinlAWT actAinlBinlAWT actAinlBinlAM actAinlBinlAM actAinlBuvrABprfAG155SinlAWT actAinlBuvrABprfAG155SinlAWT actAinlBuvrABprfAG155SinlAM actAinlBuvrABprfAG155SinlAM Antigen Cassette none none ActAN100-IglC-SL8 none ActAN100-IglC-SL8 none ActAN100-iglC-SL8 none ActAN100-iglC-SL8 11/11/2008 21 Status Sequence verified Sequence verified Sequence verified Sequence verified Sequence verified Sequence verified Sequence verified Sequence verified Sequence verified inlAM Allele Does Not Increase Invasion of CaCo2 Cells CaCo2 Invasion NB2006-024 10 6 CFU/mL 10 5 10 4 10 3 10 2 10 1 11/11/2008 H 21 66 B B B 22 H 21 94 H 21 64 H 21 B • CaCo2 cells are of human origin not mouse • But was the cell line used in Wollert at al. 68 10 0 Name Description Antigen BH 2164 BH 2194 BH 2166 BH 2168 actAinlBinlAwt actAinlBinlAM actAinlBuvrprfA*nlAwt actAinlBuvrprfA*inlAM ActAN100-iglC-SL8 ActAN100-iglC-SL8 ActAN100-iglC-SL8 ActAN100-iglC-SL8 MS57 Previously Reported • Route comparison initiated • C57BL/6 mice were vaccinated with BH2164 and BH2194 IV and orally to determine whether the inlAm gain of function contributes to immunogenicity • InlA Gain-of-Function mutation did not significantly enhance splenic immunogenicity either by oral or IV route 11/11/2008 23 Oral Administration Induces Lower Splenic but Equal Mucosal Immunity as IV BH1228: actAinlBuvrAB-iglC-SL8, 5e6 CFU-IV, 1e9cfu Oral 11/11/2008 24 Repeat of (1e9) Oral Administration with inlAm vs inlAwt, Splenic responses by ELISpot Name Description BH 2164 BH 2194 BH 1228 actAinlBinlAwt actAinlBinlAM actAinlBuvr Antigen ActAN100-iglC-SL8 ActAN100-iglC-SL8 ActAN100-iglC-SL8 • No significant differences with inlAM • 2194 trending higher than 2164 after oral 11/11/2008 25 IEL Responses after Oral Administration • IEL Responses to IglC and LLO epitopes were below LOD • inlAm gain of function may increase SL8 mucosal immune response after oral administration, but needs repeating 11/11/2008 26 MS57 Next Steps • Mucosal immunity will be evaluated again after oral immunization to determine whether the >2fold increase in mucosal immunity seen with the inlAM strain is reproducible. • An intranasal LD50 will be performed with DVC lot16 LVS as this route of infection may be more relevant for investigation of tularemia vaccines. • Murine epithelial cell line will be purchased for invasion assays Action Items • Barbara will contact Nancy Carr at UNM HSC Contracts and grants to urge completion of the MTA (done 11/12/08). BG offered to organize a teleconference call also. • Justin- do intranasal vaccination route at some time. IV vs. IN may be different enough due to targeting differences 11/11/2008 28