Update on Fischer 344 Rat Model UNM Team Rick Lyons, Terry Wu, Jason Zsemlye, Gloria Statom, Alexandra Scrymegeour, Amanda DuBois, Gopi Mara-Koosham, Julie Hutt, 1 Active Milestones 5 Evaluation of small animal models • Rats from NCI and Harlan were equally sensitive to SCHU S4 • Developed bronchopneumonia • Statistical analyses indicated 6 or 8 rats per group and104 per rat 11 Develop GLP-like SOP for small animal model • Improved inoculation with quantum dots for tracking pulmonary delivery 13 Assays for detecting relevant immune responses • Optimized IFNg ELISpot assays for mouse, rats, & NHP 14 Assays in vaccinated humans • Just started, not much data yet • Activation of macrophage killing mechanisms by LVS vaccinees T cells 17 Analyses of cellular and humoral immunity in vaccinated humans and animals • Passive immunization protected rats but not mice against i.t. SCHU S4 2 challenge Active Milestones 19 Interactions between human alveolar macrophages and F. tularensis • Cytokine responses after LVS and SCHU S4 infection 21 Correlates of protection • Developed assay to measure activation of macrophage killing mechanisms by immune T cells in mouse, working on rats • Detection of multifunctional T cells in NHP 27 Optimization of IFNg ELISpot for identification of protein vaccine candidates • Helped ASU identify strategy for producing and purifying ivt protein vaccine candidates 35 Optimization of RNA isolation and hybridization conditions • Provided ASU with RNA and DNA as needed 3 High Impact Findings 1. Fischer 344 rats from NCI and Harlan have similar sensitivity to SCHU S4 infection 2. Lung histopathology in Fischer 344 rats similar to Cynomolgus macaque but different from BALB/c mice 3. Passive immunization with immune rat serum is protective against SCHU S4 for rats but not mice 4. Statistical analyses indicated 6 (max 8) rats sufficient to detect significant effect by vaccines LVS Vaccination Protected Fischer 344 Rats Against i.t. SCHU S4 Challenge NCI and Harlan Rats Have Similar Sensitivity to SCHU S4 6 Variability and Group Size • n > 90 for statistical significance due to large variation in natural resistance to SCHU challenge Downs, C. M., L. L. Coriell, G. B. Pinchot, E. Maumenee, A. Klauber, S. S. Chapman, and B. Owen. 1947. Studies on Tularemia: I. The Comparative Susceptibility of Various Laboratory Animals. J Immunol 56:217-228. Olsufiev, N. G., O. S. Emelyanova, and T. N. Dunayeva. 1959. Comparative study of strains of B. tularense in the old and new world and their taxonomy. J Hyg Epidemiol Microbiol Immunol 3:138-49. 7 Proportional Hazard Regression Analyses of Fischer 344 rats Unvaccinated 0 0 Estimated Survival (%) 20 40 60 80 Estimated Survival (%) 20 40 60 80 100 100 Intratracheal 2 4 6 8 10 Days Post-Innoculation 12 2 Intradermal 100 100 Estimated Survival (%) 20 40 60 80 Estimated Survival (%) 20 40 60 80 2 10 CFU 4 10 CFU 0 4 6 8 10 Days Post-Innoculation 12 Subcutaneous 0 2 4 6 8 10 Days Post-Innoculation 12 2 6 10 CFU 8 10 CFU 4 6 8 10 Days Post-Innoculation 12 8 Results of Statistical Analyses • i.d. and s.c. are equally protective and both are slightly better than i.t. LVS vaccination • Future challenge dose should be 104 SCHU S4 for best confidence for 90% of naïve rats to die but 90% of vaccinated rats to survive • If the vaccine candidate is as effective as LVS, then 6 rats per group is sufficient to detect a significant improvement over unvaccinated rats • If vaccine is not as effective as LVS (using i.t. LVS vaccination as reference), then 8 per group is the maximum number required to detect a significant protective effect 9 Bronchopneumonia in SCHU S4 Infected Rats 10 Bronchopneumonia (Rats) vs. Vasculitis (Mice) 11 Reports of Effective Passive Immunization • Foshay, L. 1940. Tularemia: A summary of certain aspects of the disease including methods for early diagnosis and the results of serum treatment in 600 patients. Medicine:1. • Foshay, L. 1946. A comparative study of the treatment of tularemia with immune serum, hyperimmune serum, and streptomycin. Am. J. Med. 1:180 • Foshay, L., I. Ruchman, and P. S. Nicholes. 1947. Antitularense Serum: Correlation between Protective Capacity for White Rats and Precipitable Antibody Content. J Clin Invest 26:756-60. Immune Rat Serum Did Not Protect BALB/c Mice Against Intranasal SCHU S4 Challenge LVS Challenge SCHU Challenge Naive Normal serum Immune serum 100 Percent survival Percent survival 100 75 50 25 0 75 50 25 0 0 5 10 15 Days p.i. 20 25 0 5 10 Days p.i. 13 Passive Immunization Protects Against i.t. SCHU S4 challenge Treatment Unvaccinated LVS vaccinated Normal serum Immune serum Survival Ratio (No. alive/total) 0/6 6/6 0/6 6/6 Implications Much better characterized model 1. Model is robust (NCI vs. Harlan) 2. Reasonable group size (proportional hazard regression) 3. Optimal challenge dose 104 SCHU S4/rat 4. Similar lung pathogenesis as Cynomolgus macaque (and humans?) (histopathology) 5. Similar protective effect of humoral immunity as humans? 15 Problems & Corrective Actions • Loss of protection in LVS-vaccinated mice but not rats – Testing new LVS and SCHU S4 stocks in mice – Currently using 10-fold higher LVS vaccination dose to protect against 10-fold lower SCHU S4 dose • Low macrophage yield from whole blood for activation assay – Reduce scale Next 6 Months 5 Evaluation of small animal models • Complete MSCR 11 Develop GLP-like SOP for small animal model • Complete & test SOPs for the rat 13 Assays for detecting relevant immune responses • None 14 Assays in vaccinated humans • Activation of macrophage killing mechanisms by LVS vaccinees T cells 17 Analyses of cellular and humoral immunity in vaccinated humans and animals • Continue studies of cellular (CD4/8 depletion) and humoral (passive transfer) immunity in rats • Start work with CD4/8 T cells from human LVS vaccinees 17 Next 6 Months 19 Interactions between human alveolar macrophages and F. tularensis • Cytokine responses after LVS and SCHU S4 infection 21 Correlates of protection • Continue assay development to functional measure of T cell function in rats and humans • Continue multifunctional T cells in NHP 27 Optimization of IFNg ELISpot for identification of protein vaccine candidates • Screen protein vaccine candidates from ASU 35 Optimization of RNA isolation and hybridization conditions • Provide ASU with RNA and DNA as needed 18