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Bacterial ghosts – biological particles as delivery systems for antigens, nucleic acids and drugs Chakameh Azimpour Tabrizi1, Petra Walcher1, Ulrike Beate Mayr1, Thomas Stiedl1,2, Matthias Binder1,2, John McGrath1,3 and Werner Lubitz1,2, Despite the exponential rate of discovery of new antigens and DNA vaccines resulting from modern molecular biology and proteomics, the lack of effective delivery technology is a major limiting factor in their application. The bacterial ghost system represents a platform technology for antigen, nucleic acid and drug delivery. Bacterial ghosts have significant advantages over other engineered biological delivery particles, owing to their intrinsic cellular and tissue tropic abilities, ease of production and the fact that they can be stored and processed without the need for refrigeration. These particles have found both veterinary and medical applications for the vaccination and treatment of tumors and various infectious diseases. Addresses 1 Institute of Microbiology and Genetics, Section Microbiology and Biotechnology, University of Vienna, Althanstrasse 14, UZAII, 2B 522, A-1090, Vienna, Austria 2 BIRD-C GmbH&CoKEG, Schonborngasse 12/12, A-1080 Vienna, Austria 3 Gadi Research Centre, University of Canberra, ACT 2601, Australia e-mail: [email protected] Current Opinion in Biotechnology 2004, 15:530–537 This review comes from a themed issue on Pharmaceutical biotechnology Edited by Carlos A Guzman and Giora Z Feuerstein Available online 28th October 2004 0958-1669/$ – see front matter # 2004 Elsevier Ltd. All rights reserved. DOI 10.1016/j.copbio.2004.10.004 Abbreviations APC antigen-presenting cell DOX doxorubicin DDS drug delivery system MHC major histocompatibility complex OmpA outer membrane protein A efficacy with minimum number of doses, delivered safely and easily [1] (see Table 1; Box 1). Several biological and synthetic systems ranging from fusion proteins, lipid spheres and sugar particles to virus-like particles and whole-cell bacteria are in use or being investigated as dual-carrier molecules and adjuvants for antigens, nucleic acids and drugs (Box 2). This review will focus on current strategies for antigen, nucleic acid and drug delivery by biological particles with an emphasis on the use of bacterial ghosts as delivery systems. Non-bacterial delivery systems Various non-bacterial biological delivery systems are listed in Box 2. Of these, live attenuated or inactivated viruses and virus-derived particles are the best documented delivery systems, as they are obligate parasites of eukaryotic cells. So far, live attenuated viruses, virus-like particles and virosomes have been developed [2]. Viral vectors can improve the long-term expression of target genes through the natural integration of the viral genome into that of the host. Virus-like particles have been engineered using viral structural proteins and nucleic acids as an alternative delivery system. One disadvantage of viruses, virus-like particles and virosomes alike, is that their capacity to encapsulate foreign antigens or DNA is restricted. Virosomes are immunopotentiating reconstituted influenza virus envelopes of approximately 150 nm in diameter, which comprise the influenza surface glycoproteins haemagglutinin and neuraminidase (NA) and a mixture of natural and synthetic phospholipids [3]. Safety concerns owing to the possibility of incomplete inactivation, immunocompromised vaccine recipients or revertants further limit the use of virosomes and live attenuated viruses [4]. Edible vaccines from transgenic plants offer a safer delivery system, but unfortunately this system requires strong adjuvants to be immunogenic [5] and much work is still needed to improve the practical aspects of this approach. Introduction New generation recombinant protein and DNA vaccines are generally poorly immunogenic, thus there is an urgent need to develop improved delivery systems and adjuvant formulations. This requirement has fueled intense worldwide research into biological particles as novel delivery systems for antigens, nucleic acids and drugs. The ambitious aim of future vaccines is to provide maximum Current Opinion in Biotechnology 2004, 15:530–537 Non-organism alternatives are being developed as delivery vehicles with greater success, especially for drug delivery. Liposomes are spherical phospholipid bilayers with an internal space that allows the incorporation of hydrophilic antigens. To enhance the delivery capacity of liposomes, different receptor molecules have been included in the bilayer [6,7,8,9,10,11]. ISCOMs www.sciencedirect.com Bacterial ghosts Tabrizi et al. 531 Table 1 Advantages and limitations of biological particles as delivery vehicles. Biological particle Advantages Limitations Live attenuated or inactivated bacteria Activation of innate immune system via pattern recognition receptors Generation of humoral and cell-mediated immune response Used as carrier for antigens Live GRAS bacteria Virosomes Non-pathogenic Biodegradable, contain no preservatives or detergents and present fewer localized adverse events Live attenuated or inactivated viruses Improved long-term expression of target genes using viral integration system into host genome Reversion to virulence Horizontal gene transfer Stability of recombinant phenotype Pre-existing immunity against carrier strain Antibiotic markers Poorly immunogenic Pathogenic for immunocompromised recipients Limited capacity to encapsulate foreign antigens or DNA Incomplete inactivation Revertants to virulence Edible vaccines from transgenic plants Erythrocytes Low-cost production, ease of use Requirement for strong adjuvants Biocompatibility, complete biodegradability Different serotypes Hazard for blood transfusion Presence of lipopolysaccharides Bacterial ghosts Non-living carriers Carriage of different antigens, DNA and drugs simultaneously Strong adjuvant properties Good recognition and uptake by antigen-presenting cells High loading capacity for DNA Targeting properties for different tissues Ideal vaccine characteristics are summarized in Box 2. GRAS, generally recognized as safe. (immune-stimulating complexes) are nanometer-sized micellar assemblies composed of saponin, cholesterol and phospholipids that contain amphiphilic membrane protein antigens [11]. Nanoparticles and microparticles based on liposomal or vesicular (niosomes) systems might find a broad range of application in the future [12,13]. Bacterial delivery systems receptors [15]. Thus, heterologous antigens aside, carrier bacteria can generate both humoral and cell-mediated immunity. As a constituent of the bacteria, the heterologous antigens are not only targeted to appropriate pathways of major histocompatibility complex (MHC) class I and class II antigen processing and presentation, but also generate an adequate cytokine milieu for promoting antigen-specific responses [16]. It is well accepted that live attenuated and inactivated whole-cell bacteria constitute an effective delivery system for recombinant antigens and nucleic acids [14]. Despite the strong and well-documented immunological advantages of bacterial delivery vectors, there are safety The advantage of live or inactivated bacteria is that innate immune cells recognize highly conserved structures on microorganisms — termed pathogen-associated molecular patterns (e.g. lipopolysaccharides, CpG and outer membrane protein A [OmpA]) — via pattern-recognition receptors, such as the mannose receptor and Toll-like Box 1 Ideal vaccine characteristics. Safe in all ages and in immunocompromised patients Efficacious in all ages (from young infants to the elderly) Efficacious single-dose vaccine to be administered soon after birth Early onset of protection (day 8) Long-lived protection (years) Cold-chain independent (i.e. can be stored and processed without refrigeration) Needle-free delivery (e.g. mucosal route of immunisation) Practical, simple formulation (e.g. stable dry powder for non-invasive administration) Multiple vaccine combinations www.sciencedirect.com Box 2 Particles used for immunization and drug delivery. Biological particles Live attenuated or inactivated bacteria [14,15,17,31,33,51–53] Bacterial ghosts [28–30,54] Live attenuated or inactivated viruses [55–58] Virus-like particles [5,36,37,59,60] Edible vaccines from transgenic plants [5] Erythrocytes [43] Phage display of antigens [61] Synthetic particles Virosomes [3,4,62] Liposomes [6,7,8,9,10,11,32] Peptides and proteins [44,63] Proteosomes [11,64] Niosomes [12,13] ISCOM (immune-stimulating complexes) [11,65,66] Chitosan microspheres [11,67,68] Polylactide/polyglycolide microspheres [69–71] Cochleates, phospholipids-calcein precipitates [11] Current Opinion in Biotechnology 2004, 15:530–537 532 Pharmaceutical biotechnology Figure 1 Scanning electron micrograph of an E. coli bacterial ghost produced using modified protein E lysis procedure [28]. A large opening enables the bacterial ghost envelope complex to be revealed. limitations with the bacterial adjuvant/delivery system. Traditionally, pathogenic bacteria like Listeria spp., Salmonella spp., Yersinia spp., Shigella spp. and Mycobacteria spp. are the most frequently used bacterial carriers. The most significant problems in their usage are the possibility of reversion to virulence, horizontal gene transfer, the stability of the recombinant phenotype, pre-existing immunity against the carrier strain and the presence of antibiotic markers [17]. An alternative approach is the use of live GRAS (generally recognized as safe) bacteria, which are non-pathogenic and are investigated solely as delivery vectors (see Table 1; Box 1) [18]. Bacterial ghosts as delivery systems Bacterial ghosts represent empty non-denaturated envelopes derived from Gram-negative bacteria by proteinE-mediated lysis, which retain all morphological and structural features of the natural cell (for a review see [19]). They can be used as vaccine candidates per se with intrinsic adjuvant properties based on well-known immune-stimulating compounds such as lipopolysaccharides, lipid A and peptidoglycan (Figures 1 and 2). Alternatively, they can be employed as a delivery system for proteins/antigens, nucleic acids, drugs and soluble compounds for various medical and technical applications [20–27]. Not only can bacterial ghosts act as delivery vehicles for inner and/or outer membrane tethered antigens, but they can also deliver water-soluble drugs or antigens (see Figure 2; Table 2) [28–30]. The results of several in vivo and in vitro studies confirm the potential of bacterial ghosts as dual carrier/adjuvant technology for modern vaccine development (for a review see [28]). The cellular and tissue tropism of bacterial ghosts in combination with excellent carrier capacity in several cellular compartments (Table 2) offers much potential for antiCurrent Opinion in Biotechnology 2004, 15:530–537 gen, nucleic acid and drug delivery. Bacterial ghosts are taken up very effectively by antigen-presenting cells (APCs) such as macrophages and dendritic cells and are particularly suited as vaccines for mucosal administration by oral, intranasal or aerogenic routes, resulting in the induction of humoral and cellular immune responses [28,30]. Delivery systems for antigens Because new-generation vaccines based on recombinant proteins are often less immunogenic than traditional vaccines, they require specific choices of delivery particles and adjuvants to improve their presentation and targeting and to thus induce an appropriate protective immune response. This is particularly important at the mucosa, the most effective site for immune stimulation. The choice of carriers and/or adjuvants and of the antigen itself have the potential to modulate the immune response (i.e. predominantly B-cell or T-cell based) appropriate for a particular pathogen. The development of efficacious vaccines against intracellular bacteria, parasites and viruses requires the induction of T-cell mediated responses. One ingenious delivery system makes use of antigen fusions with the listeriolysin enzyme of Listeria monocytogenes to help induce a CD8+ T-cell response against phagosomal and cytosolic antigens [31]. Listeriolysin expression disrupts the phagosomal membrane, releasing the target antigen into the cytoplasm for MHC I presentation and T-cell activation. Similarly, other groups have employed the Escherichia coli a-haemolysin (HlyA) secretion system for delivery of heterologous antigens and a large number of hybrid proteins have been generated by gene fusion with the C-terminal end of HlyA [32]. www.sciencedirect.com Bacterial ghosts Tabrizi et al. 533 Figure 2 Outer membrane Pilus Inner membrane and cytoplasm Porin Membrane proteins Periplasm Lipoprotein Omp A E′ Lipopolysaccharide S-layer protein L′ Membrane anchor Peptidoglycan Streptavidin Mannose Phospholipid Target antigen DNA Biotin Maltose-binding protein Drug LacI LacOs Current Opinion in Biotechnology Schematic of the localisation of different molecules in bacterial ghosts. The outer membrane, the periplasmic space and the inner membrane facing the cytoplasmic lumen with integrated target antigens and different structural elements are drawn in a cartoon with specific emphasis on the potential locations of target antigens and their carrier proteins. Another intracellular antigen delivery system has been developed with virus-like particles as well as virosomes [4]. Peptide vaccination with virosome carriers has been investigated in several disease models including malaria, melanoma and hepatitis C [3]. Compared with simple virus-like particle carriers, the bacterial cell offers several compartments for the delivery of immunogenic antigens and has a greater capacity. Expression of an antigen in the cytosol, periplasm or outer membrane of the carrier bacteria can have a profound impact on the elicited immune response. For example, surface-exposed expression or secretion of antigens leads to a better induction of specific antibodies [14]. Antigenic epitopes have also been inserted into flagellin, fimbriae or in the outer membrane or periplasmic proteins MalE, LamB, OmpA and PhoE in different Salmonella strains [31]. An alternative to conventional bacterial delivery system approaches has been reported in the development of a surface-display system based on the use of the spore coat of Bacillus subtilis [33]. This has an interesting advantage in that bacterial spores can survive extremes of temperature, desiccation and exposure to solvents and other noxious chemicals. Table 2 Applications of bacterial ghosts as delivery systems. Display compartment Display of antigens Outer membrane Surface presentation by OmpA fusion or through fusion with pili structures Periplasmic space Inner membrane Presentation of foreign antigens by MalE fusion Anchoring of foreign proteins specific with N0 -, C0 - or N0 - and C0 - membrane anchors to the inner membrane Paracristalline fusion protein sheets, which remain in the cytoplasmic lumen after E-mediated lysis of the carrier bacteria Cytoplasmic space www.sciencedirect.com Therapeutic proteins or peptides Nucleic acids Drugs Binding of hydrophobic drugs by affinity to membranes Membrane-bound enzymes Filling with DNA plasmids from 4 to 5000 copies/ghost Sealing bacterial ghosts for water soluble drugs Current Opinion in Biotechnology 2004, 15:530–537 534 Pharmaceutical biotechnology Bacterial ghosts offer a safe, easy to manipulate and straightforward to produce alternative to traditional antigen bacterial carrier systems, with all of the advantages of the latter. Foreign protein localisation within bacterial ghosts is performed by fusion with specific anchor sequences for attachment on the inside of the inner membrane, export into the periplasmic space by fusion to the MalE signal sequence or attachment to the outer membrane as fusion proteins with OmpA or pili (Table 2; Figure 2) [34]. Together with heterologously expressed S-layer proteins SbsA and SbsB, which form shell-like self-assembly structures filling the periplasmic and/or the internal lumen cytoplasmic space, the capacity of ghost vectors to function as carriers of polypeptides is vastly extended [35]. The suitability of bacterial ghost technology for designing an antichlamydial vaccine was evaluated by constructing a candidate vaccine based on a Vibrio cholerae vector expressing major outer membrane proteins. The efficacy of the vaccine was assessed in a murine model of Chlamidia trachomatis genital infection [34]. Intramuscular delivery of the vaccine candidate induced elevated local genital mucosal as well as systemic T helper 1 (Th1) responses. In addition, immune T cells from immunized mice could transfer partial protection against a C. trachomatis genital challenge to naı̈ve mice. These results suggest that V. cholerae ghosts expressing chlamydial proteins might constitute a suitable subunit vaccine for inducing an efficient mucosal T-cell response that protects against C. trachomatis infection. Importantly for conformation-dependent B-cell epitope presentation, it has been shown that the enzymatic activities of membrane-attached b-galactosidase and polyhydroxybutyrate synthase in bacterial ghosts is not impaired by the attachment. This indicates that the membrane anchors do not interfere with the proper folding of the target proteins and that self-assembly of subunits (e.g. for b-galactosidase) is possible [30]. Delivery systems for nucleic acids Although no DNA vaccine has yet been approved for routine human or veterinary use, the potential of this vaccination strategy has been repeatedly demonstrated in experimental animal models. Because of the simplicity and versatility of these vaccines, various routes and modes of delivery are used to elicit the desired immune response; however, the need for large amounts of DNA and numerous doses for optimal vaccination has led to the search for delivery systems better able to target cells and improve currently poor immunogenicity. The intracellular nature of viruses has been exploited as a tool for DNA delivery with the development of virus-like particles. The abilities of a non-replicative DNA delivery system based on parvovirus-like particles to induce cytoCurrent Opinion in Biotechnology 2004, 15:530–537 toxic T lymphocyte responses in the neonatal period has been shown recently [36]. Results from phase I and phase II human clinical trials indicated that virus-like particles are safe, well tolerated and immunogenic when administered parenterally [5,37]. In a more complex approach, the efficacy of an intranasally administered mumps DNAvaccine delivered using cationic virosomes as carrier and E. coli heat-labile toxin as adjuvant has been demonstrated in a mouse model [3]. The development of bacterial carriers somewhat extends the application of DNA vaccines for mucosal immunization [28]. Significant humoral and cellular immune responses against bacterial, viral and tumor antigens have been induced by in vivo delivery of DNA vaccines in small-animal models. Encouragingly, results have been demonstrated with a broad spectrum of Gram-positive and Gram-negative bacterial vectors, including L. monocytogenes [38], Salmonella typhimurium [39], Salmonella typhi, Shigella flexneri [39,40] and invasive E. coli [38]. A delivery system based on bacterial ghosts has also proven effective for DNA vaccines. In vitro studies showed that Mannheimia haemolytica ghosts loaded with a plasmid carrying the gene encoding green fluorescent protein are efficiently taken up by APCs with high (52– 60%) transfection rates [41]. Subsequent in vivo vaccination studies in Balb/c mice demonstrated that M. haemolytica ghost-mediated DNA delivery by intradermal or intramuscular route of a eukaryotic expression plasmid encoding for b-galactosidase under the control of a cytomegalovirus promoter (pCMVbeta), stimulated more efficient antigen-specific humoral and cellular (CD4+ and CD8+) immune responses than naked DNA. It was shown that the use of bacterial ghosts as DNA carriers allowed for modulation of the major T-helper cell response (from a mixed Th1/Th2 to a more dominant Th2 pattern) to the b-galactosidase gene product compared with the naked DNA. Moreover, intravenous immunization with dendritic cells loaded ex vivo with pCMVbeta-containing ghosts elicited b-galactosidase-specific responses [41]. The results are certainly encouraging considering the primary role of dendritic cells as APCs. Bacterial ghosts not only target the DNA vaccine construct to APCs, but also provide a strong danger signal by acting as natural adjuvants (being inactivated whole-cell bacteria), thereby promoting efficient maturation and activation of dendritic cells. Thus, bacterial ghosts constitute a promising technology platform for the development of more efficient DNA vaccines. More recently, a new delivery system based on bacterial ghosts has been developed in which, following Emediated lysis, DNA is tethered via a DNA-binding membrane-anchored protein to the ghost inner membrane. This system is the subject of continuing studies (P Mayrhofer et al., unpublished). www.sciencedirect.com Bacterial ghosts Tabrizi et al. 535 Delivery systems for drugs Many diseases and cancers require the systemic administration of highly aggressive drugs to already immunocompromised patients. Deleterious and often severe side effects result from a lack of cellular and tissue selectivity. Another major issue is the poor solubility of some drugs used in cancer treatment. Considering this, the development of a safer and more efficient drug delivery system (DDS) is the priority for future prophylactic treatments. The DDS has three major goals: enhancement of drug permeability for crossing physiological barriers; targeting of drugs to the point of action; and the controlled release of drugs [42]. Several biological DDSs are currently employed, although none is ideal for all applications. The use of erythrocytes in drug targeting has many advantages, including biocompatibility, complete biodegradability and lack of toxic products, longer life-span compared with synthetic carriers and a relatively inert intracellular environment. Applications for this system include intravenous slow drug release (e.g. antineoplasms, vitamins and antibiotics), enzyme therapy, targeting the reticuloendothelial system (e.g. adriamycin and bleomycin against hepatic tumors and antileishmanial or antiamoebial drugs against parasitic disease), and the improvement of oxygen delivery to tissues [43]. Another DDS that exploits host constituents is the use of fusions with the plasma protein, albumin. Albumin meets several requirements of a drug carrier and shows accumulation in tumors and in inflamed joints in patients with rheumatoid arthritis [44]. In a similar drug-packaging mechanism to erythrocytes, liposomes have been utilized as drug delivery vehicles for cancer treatment [45,46]. An ideal liposome formulation, optimized for stability, will improve drug delivery by decreasing the required dose and increasing the efficacy of the entrapped drug at the target organ or tissue [47]. More recently, several novel DDSs have been developed. One of these involves nanoscale hepatitis B virus surface antigen (HBsAg) L particles, which have many properties that make them useful as in vivo gene transfer vectors and as a DDS. The display of various cell-binding molecules on the surface makes L particles particularly useful for cell- and tissue-specific gene/drug delivery [48]. cells. Cytotoxicity assays showed a two-log enhancement in cytotoxic and antiproliferative activity in cells incubated with DOX-loaded ghosts compared with DOX directly added to the culture media [49]. Current work with bacterial ghosts lies in the investigation of the carrier capacity of the cytoplasmic lumen. This intracellular space of bacterial ghosts can be filled either with water-soluble substances or emulsions such that the drug(s) of interest can be coupled to streptavidin anchored on the inside of the cytoplasmic membrane. For some purposes, it is advantageous to fill the internal space of the ghost with a substituted matrix, which then binds the drug(s) of interest. In model experiments, biotinylated fluorescence-labelled dextran has been used to completely fill the internal space of streptavidin-ghosts [50]. As substituted dextran has a high capacity for binding peptides, drugs or other substances, therapy and prevention might yet prove feasible with bacterial ghosts as tropic carriers. Also, bacterial ghosts can be filled and sealed for the delivery of fluid, non-anchored substances. In a recent study, E. coli ghosts were filled with the reporter substance calcein and were sealed by fusion with membrane vesicles to maintain inner membrane integrity. Adherence and uptake studies showed that murine macrophages and human Caco-2 cells took up the bacterial ghosts and calcein was released within the cell [29]. Conclusions Bacterial ghosts are very useful non-living carriers, as they can carry foreign antigens, nucleic acids and drugs in one or more cellular locations simultaneously. Their ease of manufacture, the fact that they can be stored and processed without the need for refrigeration and their excellent safety profile — even when administered at high doses — are important considerations for a broad spectrum of applications. The identical surface receptors of bacterial ghosts and their living counterparts are being exploited for specific cellular and tissue targeting. Few other biological delivery systems offer such excellent carrier qualities in combination with application-based tropism in humans, animals or plant tissues. Acknowledgements The technical assistance of Beate Bauer for preparing the manuscript is greatly appreciated. This work was supported by grant GZ 309.049/1-VI/6/2003. References and recommended reading Bacteria might also offer a solution for drug delivery, particularly through their tropic capacity. As a naturally tissue tropic delivery system, bacterial ghosts have shown early promise as a DDS. Recently, bacterial ghosts made from the colonic commensal M. haemolytica were used for the in vitro delivery of doxorubicin (DOX) to human colorectal adenocarcinoma (Caco-2) cells. Adherence studies showed that the M. haemolytica ghosts targeted the Caco-2 cells and released the loaded DOX within the www.sciencedirect.com Papers of particular interest, published within the annual period of review, have been highlighted as: of special interest of outstanding interest 1. Sesardic D, Dobbelaer R: European union regulatory developments for new vaccine adjuvants and delivery systems. Vaccine 2004, 22:2452-2456. This review covers EU regulations for new vaccine adjuvants, delivery systems, safety evaluations and existing bottle necks in the field of vaccine development. Current Opinion in Biotechnology 2004, 15:530–537 536 Pharmaceutical biotechnology 2. Warfield KL, Swenson DL, Negley DL, Schmaljohn A, Aman MJ, Bavari S: Marburg virus-like particles protect guinea pigs from lethal Marburg virus infection. Vaccine 2004, 22:3459-3502. 3. Gluck R, Metcalfe IC: Novel approaches in the development of immunopotentiating reconstituted influenza virosomes as efficient antigen carrier systems. Vaccine 2003, 21:611-615. 4. Gluck R, Metcalfe IC: New technology platforms in the development of vaccines for the future. Vaccine 2002, 20 (Suppl 5):B10-B16. In this paper, the authors extensively describe virosomes and their use as cytosolic delivery systems for drugs and peptides and genetic vaccines. In addition, other novel approaches including bacterial carriers, recombinant measles virus vaccine and polysaccharide–protein conjugates are discussed. 5. Warzecha H, Mason HS, Lane C, Tryggvesson A, Rybicki E, Williamson AL, Clements JD, Rose RC: Oral immunogenicity of human papillomavirus-like particles expressed in potato. J Virol 2003, 77:8702-8711. This study demonstrates the feasibility of producing edible vaccines using virus-like particles by introducing a codon-optimized version of human papilloma virus type 11 L1 into tobacco and potato. 6. Copland MJ, Baird MA, Rades T, McKenzie JL, Becker B, Reck F, Tyler PC, Davies NM: Liposomal delivery of antigen to human dendritic cells. Vaccine 2003, 21:883-890. 7. Gregoriadis G, Bacon A, Caparros-Wanderley W, McCormack B: A role for liposomes in genetic vaccination. Vaccine 2002, 20 (Suppl 5):B1-B9. 8. Park JW: Liposome-based drug delivery in breast cancer treatment. Breast Cancer Res 2002, 4:95-99. This publication focuses on different approaches to treating breast cancer, including a description of different drugs for therapeutic applications and a discussion of targeting systems that are still in development or which have already been approved. 9. Wolff AC: Liposomal anthracyclines and new treatment approaches for breast cancer. Oncologist 2003, 8 (Suppl 2):25-30. 10. Colletier JP, Chaize B, Winterhalter M, Fournier D: Protein encapsulation in liposomes: efficiency depends on interactions between protein and phospholipid bilayer. BMC Biotechnol 2002, 2:9. 11. Kersten GF, Crommelin DJ: Liposomes and ISCOMs. Vaccine 2003, 21:915-920. This review focuses on developments in the field of liposomes, liposomelike particles as well as ISCOMs (immune-stimulating complexes). A brief overview on recent developments with emphasis on pharmaceutical aspects is given. 12. Roco MC: Nanotechnology: convergence with modern biology and medicine. Curr Opin Biotechnol 2003, 14:337-346. 13. Nasseri B, Florence AT: Microtubules formed by capillary extrusion and fusion of surfactant vesicles. Int J Pharm 2003, 266:91-98. 14. Kang HY, Curtiss R III: Immune responses dependent on antigen location in recombinant attenuated Salmonella typhimurium vaccines following oral immunization. FEMS Immunol Med Microbiol 2003, 37:99-104. 15. Jeannin P, Magistrelli G, Goetsch L, Haeuw JF, Thieblemont N, Bonnefoy JY, Delneste Y: Outer membrane protein A (OmpA): a new pathogen-associated molecular pattern that interacts with antigen presenting cells-impact on vaccine strategies. Vaccine 2002, 20 (Suppl 4):A23-A27. 16. Beyer T, Herrmann M, Reiser C, Bertling W, Hess J: Bacterial carriers and virus-like-particles as antigen delivery devices: role of dendritic cells in antigen presentation. Curr Drug Targets Infect Disord 2001, 1:287-302. 17. Dietrich G, Spreng S, Favre D, Viret JF, Guzman CA: Live attenuated bacteria as vectors to deliver plasmid DNA vaccines. Curr Opin Mol Ther 2003, 5:10-19. 18. Medina E, Guzman CA: Use of live bacterial vaccine vectors for antigen delivery: potential and limitations. Vaccine 2001, 19:1573-1580. Current Opinion in Biotechnology 2004, 15:530–537 19. Lubitz W, Witte A, Eko FO, Kamal M, Jechlinger W, Brand E, Marchart J, Haidinger W, Huter V, Felnerova D et al.: Extended recombinant bacterial ghost system. J Biotechnol 1999, 73:261-273. 20. Lubitz W, Szostak M: Carrier-bound recombinant proteins, processes for their production and use as immunogens and vaccines. 1997, US Patent 5,470,573. 21. Lubitz W, Haidinger W: Nucleic acid free ghost preparations. 2002, Patent PCT/EP02/07758. 22. Lubitz W: Process for the production of vaccines and their use. 2001, US Patent 6,177,083. 23. Lubitz W: Compartmentalization of recombinant polypeptides in host cells. 2003, US Patent 6,610,517. 24. Lubitz W, Resch S: Secretion of carrier-bound proteins into the periplasm and into the extracellular space. 2003, US Patent 6,596,510. 25. Lubitz W, Huter V: Loaded bacterial ghosts as targeting and carrier vehicles. 2003, Patent EP 1158966 B1. 26. Lubitz W, Harkness R: Recombinant DNA, process for the production thereof and the use thereof. 1991, US Patent 5,075,223. 27. Lubitz W, Paukner S: Sealing of bacterial ghosts. 2001, Patent PCT/EP01/00864. 28. Jalava K, Eko FO, Riedmann E, Lubitz W: Bacterial ghosts as carrier and targeting systems for mucosal antigen delivery. Expert Rev Vaccines 2003, 2:45-51. 29. Paukner S, Kohl G, Jalava K, Lubitz W: Sealed bacterial ghosts – novel targeting vehicles for advanced drug delivery of water-soluble substances. J Drug Target 2003, 11:151-161. 30. Jechlinger W, Haidinger W, Paukner S, Mayrhofer P, Riedmann E, Marchart J, Mayr U, Haller C, Kohl G, Walcher P et al.: Bacterial ghosts as carrier and targeting systems for antigen delivery. In Vaccine Delivery Strategies. Edited by Goebel W. Horizon Scientific Press; 2002:163-184. 31. Samuelson P, Gunneriusson E, Nygren PA, Stahl S: Display of proteins on bacteria. J Biotechnol 2002, 96:129-154. This review gives an overview of the basic principles of various bacterial display systems and highlights current uses and possible future trends in their technological application. 32. Dietrich G, Viret JF, Gentschev I: Haemolysin A and listeriolysin – two vaccine delivery tools for the induction of cell-mediated immunity. Int J Parasitol 2003, 33:495-505. This review demonstrates the use of haemolysin A and listeriolysin as vaccine delivery tools and highlights their use for vaccination against protozoan parasites by induction of cell-mediated immunity. 33. Mauriello EM, Duc le H, Isticato R, Cangiano G, Hong HA, De Felice M, Ricca E, Cutting SM: Display of heterologous antigens on the Bacillus subtilis spore coat using CotC as a fusion partner. Vaccine 2004, 22:1177-1187. In this paper the authors describe the bacterial spore as an efficient vehicle for mucosal immunization and demonstrate the advantages of this novel antigen delivery strategy. 34. Eko FO, Lubitz W, McMillan L, Ramey K, Moore TT, Ananaba GA, Lyn D, Black CM, Igietseme JU: Recombinant Vibrio cholerae ghosts as a delivery vehicle for vaccinating against Chlamydia trachomatis. Vaccine 2003, 21:1694-1703. 35. Riedmann EM, Kyd JM, Smith AM, Gomez-Gallego S, Jalava K, Cripps AW, Lubitz W: Construction of recombinant S-layer proteins (rSbsA) and their expression in bacterial ghosts – a delivery system for the nontypeable Haemophilus influenzae antigen Omp26. FEMS Immunol Med Microbiol 2003, 37:185-192. 36. Martinez X, Regner M, Kovarik J, Zarei S, Hauser C, Lambert PH, Leclerc C, Siegrist CA: CD4-independent protective cytotoxic T cells induced in early life by a non-replicative delivery system based on virus-like particles. Virology 2003, 305:428-435. 37. Koutsky LA, Ault KA, Wheeler CM, Brown DR, Barr E, Alvarez FB, Chiacchierini LM, Jansen KU: A controlled trial of a human papillomavirus type 16 vaccine. N Engl J Med 2002, 347:1645-1651. www.sciencedirect.com Bacterial ghosts Tabrizi et al. 537 38. Gentschev I, Dietrich G, Spreng S, Kolb-Maürer A, Brinkmann V, Grode L, Hess J, Kaufmann SH, Goebel W: Recombinant attenuated bacteria for the delivery of subunit vaccines. Vaccine 2001, 19:2621-2628. 39. Weiss J: Transfer of eukaryotic expression plasmids to mammalian host cells by salmonella spp. Int J Med Microbiol 2003, 293:95-106. This comprehensive review addresses the principles and application of bacteria-mediated gene transfer. The paper highlights the ability of attenuated intracellular bacterial, such as S. typhimurium, S. typhi and S. flexneri, L. monocytogenes, to transfer plasmid DNA into the host cell. Recombinant E. coli and Agrobacterium tumeophaciens baterial ghosts are described in this context. In addition, the author thoroughly evaluates the effectiveness and potential of Salmonella-mediated and mucosal DNA vaccination. 40. Xu F, Hong M, Ulmer JB: Immunogenicity of an HIV-gag DNA vaccine carried by attenuated Shigella. Vaccine 2003, 21:644-648. 41. Ebensen T, Paukner S, Link C, Kudela P, de Domenico C, Lubitz W, Guzman CA: Bacterial ghosts are an efficient delivery system for DNA vaccines. J Immunol 2004, 172:6858-6865. 42. Yasukawa T, Ogura Y, Tabata Y, Kimura H, Wiedemann P, Honda Y: Drug delivery systems for vitreoretinal diseases. Prog Retin Eye Res 2004, 23:253-281. 43. Hamidi M, Tajerzadeh H: Carrier erythrocytes: an overview. Drug Deliv 2003, 10:9-20. An excellent review covering most aspects of erythrocytes as carrier vehicles. Besides the descriptions of various carrier applications it gives an overview of methods for encapsulation of drugs and bioactive agents, advantages of erythrocytes for drug delivery, in vitro characteristics and storage of carrier erythrocytes and information about drug release. 44. Wunder A, Muller-Ladner U, Stelzer EH, Funk J, Neumann E, Stehle G, Pap T, Sinn H, Gay S, Fiehn C: Albumin-based drug delivery as novel therapeutic approach for rheumatoid arthritis. J Immunol 2003, 170:4793-4801. An interesting publication concerning a new approach in the therapy of rheumatoid arthritis using methothrexat coupled to human serum albumin. Results of both in vitro and in vivo experiments are shown. 45. Pignatello R, Puleo A, Puglisi G, Vicari L, Messina A: Effect of liposomal delivery on in vitro antitumor activity of lipophilic conjugates of methotrexate with lipoamino acids. Drug Deliv 2003, 10:95-100. 46. Mandal AK, Sinha J, Mandal S, Mukhopadhyay S, Das N: Targeting of liposomal flavonoid to liver in combating hepatocellular oxidative damage. Drug Deliv 2002, 9:181-185. 47. Anderson M, Omri A: The effect of different lipid components on the in vitro stability and release kinetics of liposome formulations. Drug Deliv 2004, 11:33-39. 48. Yamada T, Ueda M, Seno M, Kondo A, Tanizawa K, Kuroda S: Novel tissue and cell type-specific gene/drug delivery system using surface engineered hepatitis B virus nano-particles. Curr Drug Targets Infect Disord 2004, 4:163-167. 49. Paukner S, Kohl G, Lubitz W: Bacterial ghosts as novel advanced drug delivery systems: antiproliferative activity of loaded doxorubicin in human Caco-2 cells. J Control Release 2004, 94:63-74. 50. Huter V, Szostak MP, Gampfer J, Prethaler S, Wanner G, Gabor F, Lubitz W: Bacterial ghosts as drug carrier and targeting vehicles. J Control Release 1999, 61:51-63. 51. Dietrich G, Kolb-Maurer A, Spreng S, Schartl M, Goebel W, Gentschev I: Gram-positive and Gram-negative bacteria as carrier systems for DNA vaccines. Vaccine 2001, 19:2506-2512. 52. Weiss S: Transfer of eukaryotic expression plasmids to mammalian hosts by attenuated Salmonella spp. Int J Med Microbiol 2003, 293:95-106. 53. Spreng S, Dietrich G, Goebel W, Gentschev I: Protection against murine listeriosis by oral vaccination with recombinant Salmonella expressing protective listerial epitopes within a surface-exposed loop of the TolC-protein. Vaccine 2003, 21:746-752. www.sciencedirect.com 54. Riedmann EM, Kyd JM, Cripps AW, Lubitz W: Adjuvant properties of bacterial ghosts. 2004, in press. 55. Rayner JO, Dryga SA, Kamrud KI: Alphavirus vectors and vaccination. Rev Med Virol 2002, 12:279-296. 56. Lundstrom K: Alphavirus vectors for vaccine production and gene therapy. Expert Rev Vaccines 2003, 2:447-459. 57. Balasuriya UB, Heidner HW, Davis NL, Wagner HM, Hullinger PJ, Hedges JF, Williams JC, Johnston RE, David Wilson W, Liu IK et al.: Alphavirus replicon particles expressing the two major envelope proteins of equine arthritis virus induce high level protection against challenge with virulent virus in vaccinated horses. Vaccine 2002, 20:1609-1617. 58. Bramson J, Dayball K, Evelegh C, Wan YH, Page D, Smith A: Enabling topical immunization via microporation: a novel method for pain-free and needle-free delivery of adenovirus-based vaccines. Gene Ther 2003, 10:251-260. 59. Yao Q, Bu Z, Vzorov A, Yang C, Compans RW: Virus-like particle and DNA-based candidate AIDS vaccines. Vaccine 2003, 21:638-643. 60. Reed SG, Campos-Neto A: Vaccines for parasitic and bacterial diseases. Curr Opin Immunol 2003, 15:456-460. This paper outlines recent developments in vaccine strategies against common parasitic diseases such as malaria and leishmaniasis, as well as bacterial diseases like tuberculosis and meningitis. 61. McGrath S, Fitzgerald GF, van Sinderen D: The impact of bacteriophage genomics. Curr Opin Biotechnol 2004, 15:94-99. 62. Cusi MG, Zurbriggen R, Valassina M, Bianchi S, Durrer P, Valensin PE, Donati M, Gluck R: Intranasal immunization with mumps virus DNA vaccine delivered by influenza virosomes elicits mucosal and systemic immunity. Virology 2000, 277:111-118. 63. Tung CH, Weissleder R: Arginine containing peptides as delivery vectors. Adv Drug Deliv Rev 2003, 55:281-294. 64. Jones T, Allard F, Cyr SL, Tran SP, Plante M, Gauthier J, Bellerose N, Lowell GH, Burt DS: A nasal proteosome influenza vaccine containing baculovirus-derived hemagglutinin induces protective mucosal and systemic immunity. Vaccine 2003, 21:3706-3712. 65. Agrawal L, Haq W, Hanson CV, Rao DN: Generating neutralizing antibodies, Th1 response and MHC non-restricted immunogenicity of HIV-I env and gag peptides in liposomes and ISCOMs with in-built adjuvanticity. J Immune Based Ther Vaccines 2003, 1:5. 66. Demana PH, Davies NM, Berger B, Rades T: Incorporation of ovalbumin into ISCOMs and related colloidal particles prepared by the lipid film hydration method. Int J Pharm 2004, 278:263-274. 67. Sinha VR, Singla AK, Wadhawan S, Kaushik R, Kumria R, Bansal K, Dhawan S: Chitosan microspheres as a potential carrier for drugs. Int J Pharm 2004, 274:1-33. 68. Jiang HL, Park IK, Shin NR, Yoo HS, Akaike T, Cho CS: Controlled release of Bordetella Bronchiseptica Dermonecrotoxin (BBD) vaccine from BBD-loaded chitosan microspheres in vitro. Arch Pharm Res 2004, 27:346-350. 69. Peyre M, Fleck R, Hockley D, Gander B, Sesardic D: In vivo uptake of an experimental microencapsulated diphtheria vaccine following sub-cutaneous immunisation. Vaccine 2004, 22:2430-2437. 70. Stanley AC, Buxton D, Innes EA, Huntley JF: Intranasal immunisation with Toxoplasma gondii tachyzoite antigen encapsulated into PLG microspheres induces humoral and cell-mediated immunity in sheep. Vaccine 2004, 22:3929-3941. 71. Keegan ME, Whittum-Hudson JA, Mark Saltzman W: Biomimetic design in microparticulate vaccines. Biomaterials 2003, 24:4435-4443. Current Opinion in Biotechnology 2004, 15:530–537 www.elsevier.com/locate/jconrel Immobilization of plasmid DNA in bacterial ghosts Peter Mayrhofera,b,c, Chakameh Azimpour Tabrizia, Petra Walchera,b, Wolfgang Haidingera,b, Wolfgang Jechlingera,b,c,*, Werner Lubitza,b a Institute of Microbiology and Genetics, Section Microbiology and Biotechnology, University of Vienna, UZA II, 2B522, Althanstrasse 14, A-1090 Wien, Austria b BIRD-C GmbH and CoKEG, Schönborngasse 12, A-1080 Vienna, Austria c Mayrhofer and Jechlinger OEG, Strozzigasse 38/12, A-1080 Vienna, Austria Received 8 July 2004; accepted 21 October 2004 Available online 14 November 2004 Abstract The development of novel delivery vehicles is crucial for the improvement of DNA vaccine efficiency. In this report, we describe a new platform technology, which is based on the immobilization of plasmid DNA in the cytoplasmic membrane of a bacterial carrier. This technology retains plasmid DNA (Self–Immobilizing Plasmid, pSIP) in the host envelope complex due to a specific protein/DNA interaction during and after protein E-mediated lysis. The resulting bacterial ghosts (empty bacterial envelopes) loaded with pDNA were analyzed in detail by real time PCR assays. We could verify that pSIP plasmids were retained in the pellets of lysed Escherichia coli cultures indicating that they are efficiently anchored in the inner membrane of bacterial ghosts. In contrast, a high percentage of control plasmids that lack essential features of the self-immobilization system were expelled in the culture broth during the lysis process. We believe that the combination of this plasmid immobilization procedure and the protein E-mediated lysis technology represents an efficient in vivo technique for the production of non-living DNA carrier vehicles. In conclusion, we present a bself-loadingQ, non-living bacterial DNA delivery vector for vaccination endowed with intrinsic adjuvant properties of the Gram-negative bacterial cell envelope. D 2004 Elsevier B.V. All rights reserved. Keywords: Bacterial ghosts; Self-immobilization; DNA carrier vehicle; DNA delivery system; Gene transfer 1. Introduction * Corresponding author. Institute of Bacteriology, Mycology and Hygiene, Department of Pathobiology, University of Veterinary Medicine, Veterin7rplatz 1, A-1210, Vienna, Austria. Tel.: +43 1 25077 2104; fax: +43 1 25077 2190. E-mail address: [email protected] (W. Jechlinger). 0168-3659/$ - see front matter D 2004 Elsevier B.V. All rights reserved. doi:10.1016/j.jconrel.2004.10.026 The ability of DNA vaccination to induce immune response has been shown in a range of infectious disease models [1]. However, using naked DNA, it has become apparent that high doses and/or multiple immunizations are required to induce immune responses in larger animals and humans [2,3]. Therefore much effort is now focused on increasing the GENE DELIVERY Journal of Controlled Release 102 (2005) 725 – 735 GENE DELIVERY 726 P. Mayrhofer et al. / Journal of Controlled Release 102 (2005) 725–735 efficiency of DNA vaccines. The various approaches being taken to improve the potential of this emerging technology are: (i) modification of vector DNA to increase expression levels or to affect the type of immune response [4], (ii) use of adjuvants to enhance the immune response elicited by DNA vaccines [5,6], and (iii) development of new delivery systems for specific targeting and/or better DNA uptake [7–9]. As the major role of antigen presenting cells (APCs) in vaccination strategies became clear, the latter approach especially deals with the recruitment of APC’s to the application site or with the increase of the transfection efficiency [10,11]. Delivery of vaccine antigens using bacterial carriers has resulted in the elicitation of effective humoral and cellular immune response due to the adjuvant properties of these vector systems [7]. In this report, we describe the development of a new, nonliving bacterial DNA delivery system based on the bacterial ghost technology. Bacterial ghosts are empty envelopes of Gram-negative bacteria, which are produced by controlled expression of the cloned lysis gene E of bacteriophage fX174 [12]. Expression of gene E results in the formation of a protein E specific transmembrane tunnel structure [13]. During this process the cytoplasmic content is expelled through this lysis tunnel due to the osmotic pressure difference between the cytoplasm and the culture medium [13]. The bacterial ghosts retain the structural integrity of native cell envelopes therefore representing excellent vaccine candidates endowed with the intrinsic adjuvant properties. In the extended bacterial ghost system, heterologous proteins are either mixed with ghosts, exported into the periplasmic space, or they are attached to the cytoplasmic membrane via specific hydrophobic membrane anchor-peptides [14–16]. In addition to proteins, this system can be used for the packaging of drugs, nucleic acids or other compounds for numerous applications [9,16,17]. In this study we developed a novel technique to immobilize plasmid DNA to the inner membrane of bacterial ghosts. This plasmid DNA (the Self-Immobilizing Plasmid, pSIP) carries a tandem repeat of a modified lactose operator sequence (the lacO s sites), which is recognized by a fusion protein composed of the repressor of the lactose operon (LacI) and a hydrophobic membrane anchoring sequence (LV) [14,15] derived from the lysis protein of phage MS2. The LacI-LVfusion protein produced from pSIP is immobilized in the cytoplasmic membrane of Escherichia coli via the hydrophobic sequences of the truncated lysis protein (LV), whereby the LacI repressor domain simultaneously binds to the lacO s elements on the pSIP. During the lysis process most of the cytoplasmic proteins and nucleic acids are expelled through the E-specific lysis tunnel but the anchored plasmid DNA is retained in the bacterial cell envelopes. This novel platform technology is designed to combine three essential steps in production of nonliving bacterial vaccine vectors for gene delivery: (i) the preparation of a non-living bacterial delivery vehicle with adjuvant properties, (ii) the amplification of plasmid DNA, and (iii) the loading of this nonliving bacterial vector with plasmid DNA. Using the SIP technology these three steps can be performed in vivo in a single cost-efficient process using the appropriate bacterial carrier co-transformed with an E-specific lysis vector and the self-immobilizing plasmid. The proof of principle of the SIP technology has been demonstrated in E. coli by comparing the supernatant and pellet fractions of lysed bacterial cultures, which were transformed either with the pSIP or two control plasmids, each lacking an essential feature of the immobilization system. Quantitative analysis using real-time PCR reveals that only a negligible percentage of the SIPDNA is expelled during the lysis process, whereas about 50% of control plasmids can be found in the supernatants of the bacterial lysates. 2. Materials and methods 2.1. Bacterial strains, plasmids and growth conditions Plasmids pAWJ [18], pBAD24 [19], pPHB-LV[20] and pBBR122 [21] as well as E. coli strains MC4100 [22] and MG1655 [23] have been described. Plasmid pREP-4 was purchased from QIAgen (Hilden, Germany). Bacteria were grown in Luria broth (LB) supplemented with ampicillin (200 Ag/ml), and kanamycin (50 Ag/ml) as required. For gene expression from vectors derived from pBAD24 the medium was supplemented with 0.5% l-arabinose final concentration. Expression of the lysis gene E from vector pKLys36 was achieved by a temperature shift from 35 8C to 42 8C. Growth and lysis of bacterial cells was monitored by measuring the optical density at 600 nm (OD600 nm). To determine the E-mediated inactivation of bacterial cultures, colony forming unit counts were performed as previously described [24]. 2.2. DNA manipulations Preparation of plasmid DNA and isolation of DNA fragments was carried out using kits from QIAgen (PCR Purification Kit and Gel Extraction Kit) and Peqlab (E.Z.N.A. Plasmid Miniprep Kit I; PEQLAB—Biotechnologie, Erlangen, Germany). Transformation of bacterial strains and electrophoresis of DNA were performed as described previously [25]. If not otherwise stated, restriction enzymes, DNAmodifying enzymes and nucleotides were obtained from New England Biolabs (Frankfurt am Main, Germany) or Roche Diganostics (Vienna, Austria). The Pfu ploymerase used for PCR reactions was purchased from Promega (Mannheim, Germany) and used as specified by the manufacturer. For real time PCR analysis, Dynazyme polymerase (Finnzymes Oy, Espoo, Finland) and SYBR-Green I (Molecular probes; Invitrogen, Lofer, Austria) were used according to the instructions of the manufacturers. 2.3. Construction of plasmid pLacOs A 306 bp PCR fragment containing an unrelated spacer sequence derived from the archea phage fCH1 [26] flanked by lacO s sites (underlined sequence in primers lacos5 and lacos3) was generated by PCR amplification using plasmid pQE32a/h (a kind gift of Dr. Angela Witte; unpublished data) as template and primers lacos5 (5V-CAGCAGATCGATAATTGTGAGCGCTCACAATTGGAACTCAATACGACGGC-3V) and lacos3 (5V-CTGCTGATCGATAATTGTGAGCGCTCACAATTAGCCGTGCCGGAGTA-3V) to introduce ClaI restriction sites at the termini. The PCR reaction containing 0.01 Ag/Al primer DNA, 0.2 mM dNTPs, template DNA, 0.05 U/Al Pfu polymerase in Pfu polymerase buffer was subjected to the following conditions: 3 min 94 8C pre-denaturation, 30 cycles: 30 s 94 8C, 30 s 55 8C, 1 min 72 8C. The PCR 727 fragment was digested with ClaI and subsequently cloned in the corresponding single site of the plasmid pBAD24 resulting in the vector pLacOs. 2.4. Construction of plasmid pLacOsI Using pREP-4 as template a 1118 bp PCR fragment containing the lacI gene was obtained by PCR amplification. Oligonucleotides laci5 (5V-CAGCAGCCATGGGTAAACCAGTAAC GTATACGATGTC-3V) and laci3 (5V-TGCTGCCTGCAGCTGCTGTCATCTAGACTGCC CGCTTTCCA-3V) containing NcoI (laci5) and XbaI/PstI (laci3) as terminal restriction sites were used as primers. As the NcoI site was used, the lacI sequence starts with ATG as the first codon thereby removing the original lacI start codon GGT. The laci3 primer contains a stop codon in between the XbaI and PstI sites. Amplifying the lacI sequence with these primers resulted in a sequence with an additional serine and arginine codon (derived from the XbaI site) at the 3V-end. The PCR reaction was performed using the Expand Long Template PCR System from Roche according to the instruction of the manufacturer. The reaction mixture was subjected to the following conditions: 2 min 94 8C pre-denaturation, 30 cycles: 30 s 94 8C, 30 s 53 8C, 2 min 68 8C and finally 5 min elongation at 68 8C. The PCR fragment was digested with NcoI and PstI and subsequently cloned in the corresponding single sites of plasmid pLacOs resulting in vector pLacOsI. The vector pLacOsI contains the lacI gene under the control of the araB promoter. 2.5. Construction of plasmid pSIP A 196 kb fragment containing the membrane anchoring sequence, encoding the 56 C-terminal amino acids of the lysis protein L derived from the phage MS2, was generated by PCR amplification. Plasmid pPHB-LVwas used as template and primers ms2l5 and ms2l3 to introduce terminal XbaI and PstI restriction sites, respectively: ms215 (5V-CAG CAGTCTAGAGGGCCATTCAAACATGA-3V); ms2l3 (5VTGCTGCCTGCAGTTAAGTA AGCAATTGCTGTAAAGTC-3V). PCR was performed as described above (see Construction of plasmid pLacOs) except for the annealing temperature, which was 53 8C. The resulting PCR fragment was digested with XbaI and PstI and subsequently cloned in the corresponding GENE DELIVERY P. Mayrhofer et al. / Journal of Controlled Release 102 (2005) 725–735 GENE DELIVERY 728 P. Mayrhofer et al. / Journal of Controlled Release 102 (2005) 725–735 single sites of plasmid pLacOsI resulting in the vector pSIP. The vector pSIP contains the lactose repressor fused to 56 C-terminal amino acids of the lysis protein L under control of the araB promoter. 2.6. Construction of plasmid pDSIP The vector pDSIP was constructed by digesting pSIP with ClaI. The vector was eluted from an agarose gel to remove the fragment containing the lacO s sites and the spacer sequence. The eluted plasmid fragment was religated resulting in the vector pDSIP. 2.7. Construction of plasmid pKLys36 A 1.98 kb fragment containing an E-specific lysis cassette (cI857 repressor-Ep Rmut-gene E) of plasmid pAWJwasgeneratedbyPCRamplification(948C,1min; 55 8C, 1 min; 72 8C 2 min; 30 cycles). The following primers were used to introduce NcoI restriction sites: sense (cI-Pvu) 5V-TTCCCCCCATGGCGATCGGCTCAATTGTTATCAGC–3V; anti-sense (E-Pvu) 5VTTAAAAACCATGGCGATCGCTCGGTACGGTCAGGC–3V. The PCR fragment was cloned in the corresponding restriction site of the broad-host range low copy number plasmid pBBR122. The resulting plasmid pKLys36 contains the E-specific lysis cassette, a broad-host range origin of replication and a kanamycin resistance gene. 2.8. DNA precipitation from culture broth and pellet of lysed E. coli cultures Twenty-milliliter samples were taken at each time point (onset and end of lysis). These samples were centrifuged at 10,000g for 15 min. The supernatants of the lysed culture were collected in a SS-34 centrifuge tube, whereas the pellets were washed three times with 500 Al of 10 mM Tris–Cl; pH 8.00. After washing the pellet, the supernatant of the washing step was added to the previously collected culture supernatant samples. Plasmid DNA from the washed pellets was isolated using the Peqlab E.Z.N.A Plasmid Miniprep Kit I and plasmid DNA of the supernatant sample were extracted using the CTAB method as previously described [27] with some modifications. Briefly, the supernatant was filtered using 0.22-Am filter to avoid contamination with cellular debris before 2.5 ml of 5% CTAB (w/v in 0.5 N NaCl) was added to 20 ml supernatant of the lysates. After centrifugation at 10,000g for 15 min at 4 8C, the pellet was resuspended in 400 Al 1.2 N NaCl and transferred to a 1.5-ml tube. The DNA was precipitated with 2.5 volumes of absolute Ethanol, washed with 1 ml 70% EtOH and air-dried. To remove the bulk of chromosomal DNA, the preparation was further purified with QIAgen Extraction kit according to the instructions of the manufacturer. The amount of DNA recovered from the supernatant using the CTAB method was evaluated. Duplicates of six DNA standards in 20 ml LB were extracted using the CTAB method and quantified by real-time PCR in duplicates. This revealed that 93F3.2% of the DNA could be recovered using this CTAB protocol. The evaluation of the Peqlab mini preparation kit was performed as well by parallel extractions of six DNA standards in duplicates followed by quantification in duplicates. This revealed that 84.6F12.7 of the loaded DNA was extracted. 2.9. Quantification of plasmid DNA using real time PCR A real time PCR approach was optimized to quantify the amount of pKLys36, pSIP, pDSIP and pLacOsI in the pellet as well as in the supernatant of lysed cultures. The template DNA was prepared from supernatants and pellets of lysed bacterial cultures as described above. Real time PCR was performed in 200 Al reaction tubes containing 200 AM dNTP, 1 AM of each primer, 2.5 Al of polymerase buffer (10), 5 Al of 1:100 diluted extracted DNA as template, 0.25 Al SYBR-Green I and 0.25 Al Dynazyme polymerase (2 U/Al) in a final volume of 25 Al. Primers binding to the ampicillin resistance gene (fwd: 5V-ATGAGTATTCAACATTTCCGTGTC3V; rev: 5V-TTACCAATGCTTAATCAGTGAGG-3V) of plasmids pSIP, pDSIP and pLacOsI, respectively, were used to amplify a 860 bp PCR fragment. To quantify the plasmid pKLys36, a pair of primers was designed to amplify gene E as follows: Fwd: 5VGCT GGACTTGGGATAC-3V, rev: 5V-GACATTACATCACTCCTTCTGC-3V. Tenfold serial dilutions (10 2–10 6) of the plasmid pLacOsI, which was prepared using a DNA minipreparation kit (Peqlab) were used as the standard for reactions amplifying the ampicillin resistance gene. As with the pLacOsI standard, tenfold serial dilutions (10 2–10 6) of the plasmid pKLys36 were used as standard for reactions amplifying gene E. For all PCR reactions the following conditions were applied: 1 min 94 8C, 1 min 60 8C and 1 min 72 8C (30 cycles). The data shown in Fig. 4 represents an average of 3 measurements for each construct. Samples for real time PCR analysis were taken at the first time-point when the OD600 of the cultures was decreasing (onset of lysis) or at the last time-point measured (end of lysis). The Rotor Gene 2000, real time Cycler (Corbett Research, Mortlake, Australia) was used as specified by the manufacturer. Data had been analysed with special software, supplied by the manufacturer. 2.10. SDS-PAGE and Western blotting Protein samples were heated to 95 8C for 5 min in sample buffer and separated on a 12% SDS-PAGE gel according to Laemmli [28]. Proteins were transferred to nitrocellulose membranes by semidry electro blotting. Membranes were blocked for 1 h in 5% low fat milk powder in TBS. Proteins were detected either with polyclonal rabbit antiserum to the Lac Repressor or to the MS2 lysis protein L. The a-LacI antiserum was purchased from Stratagene (Strategene Europe, Amsterdam, The Netherlands), the a-MS2 serum was a kind gift from JoachimVolker Hfltje (Max-Planck-Institute for Evolutionary Biology in Tqbingen, Germany). Anti Lac Repressor serum was diluted 1:3000, anti L serum was diluted 1:350 in TBS, 0.5% BSA, 0.05% NaN3. Alkaline phosphatase coupled to goat anti-rabbit antibodies from Sigma was used in a 1:5000 dilution. The membranes were incubated for 1 h with the respective antiserum dilution. To stain the antigen– antibody complex, BCIP and NTB from Roche in alkaline phosphatase buffer were used as recommended by the supplier. Antisera were pre-treated with acetone powder from the appropriate E. coli strain as described previously to avoid unspecific binding [29]. 2.11. Preparation of membrane fractions from E. coli Five-hundred-milliliter cultures of E. coli MC4100 transformed either with pLacOsI or pSIP were grown 729 at 28 8C. Expression of the repressor protein LacI from plasmid pLacOsI as well as the LacI-LV fusion protein from plasmid pSIP was induced with larabinose at an OD600 of 0.3. Cells were harvested after 2 h of induction. Membrane fractions were prepared according to Schnaitman [30,31] with a slight modification. Briefly, prior to cell disruption, the buffer was supplemented with the complete mini protease inhibitor cocktail from Roche, according to the manufacturer’s instructions. The cells were opened by two times passing through the French Press. The membranes were subsequently collected by high-speed centrifugation (1 h, 4 8C, 105,000g). The proteins in the supernatant fraction of the centrifugation step were considered as the soluble cytoplasmic protein fraction. The pellet after highspeed centrifugation, the membrane fraction, was further treated according to Schnaitman to separate the inner (cytoplasmic) and outer membrane fraction. After separation a 1-ml aliquot of the inner membrane band in the sucrose gradient was collected for further analysis. 3. Results 3.1. Expression and membrane anchoring of protein LacI-LV Vectors pLacOsI and pSIP (Fig. 1) were analyzed for their ability to express the cloned LacI or the LacILVfusion proteins in E. coli MC4100, respectively. To determine whether the fusion protein is anchored in the cytoplasmic membrane, membrane fractions were prepared after protein expression and subjected to SDS-PAGE and Western Blot analysis. Aliquots of the inner membrane fraction, the cytoplasmic protein fraction as well as whole bacterial cells were analyzed. The expressed proteins were detected with both, antibodies to the LacI protein as well as antibodies to the LV-peptide part of the fusion protein. There is no detectable signal when proteins expressed from E. coli MC4100 (pLacOsI) were analyzed using anti-LV antibodies (Fig. 2A, lanes 1–3). Analysis of samples prepared from E. coli MC4100 (pSIP) revealed a signal at the molecular weight expected for the LacI-LV hybrid protein. This 45 kDa protein can be detected in whole bacterial cells, in the inner GENE DELIVERY P. Mayrhofer et al. / Journal of Controlled Release 102 (2005) 725–735 GENE DELIVERY 730 P. Mayrhofer et al. / Journal of Controlled Release 102 (2005) 725–735 Fig. 1. The Self-Immobilizing Plasmid pSIP (A) and the control plasmids each lacking essential features for immobilization pDSIP (B) and pLacOsI (C), respectively. Ap, ampicillin resistance gene; ColE1, origin of replication; lacI, lac repressor gene; LV, amino acids 21–75 of MS2 L protein; PBAD, arabinose-inducible promoter; araC, repressor/inducer of the PBAD promoter; Os, lac operator sites with a tenfold higher binding affinity for the lac repressor than the wild-type operator sites; spacer, unrelated spacer sequence derived from the archea phage fCH1. membrane fraction as well as in the cytoplasmic fraction (see Fig. 2A, lanes 4–6). Aliquots of the same samples were applied for protein detection with anti-LacI antiserum (Fig. 2B). The LacI protein expressed from MC4100 (pLacOsI) can be detected at the expected molecular weight of 38 kd in whole bacterial cells (Fig 2B, lane 1), in the cytoplasmic fraction (Fig. 2B, lane 3) but not in the inner membrane fraction (Fig. 2B, lane 2). As expected analysis of the LacI-LVsamples derived from E. coli MC4100 (pSIP) using anti-LacI antiserum revealed the same signals as when detection was performed with anti-LV-antiserum (Fig. 2A, lanes 4–6). The Western blot analyses show that the LacI-LV fusion protein, but not the lactose repressor alone, can be found in the membrane fraction, indicating that the fusion protein is associated with the cytoplasmic membrane via the LVsequence. Fig. 2. Western blot analysis for the detection of LacI-LVwith anti-L antiserum (A) and with anti-LacI antiserum (B), respectively: lane 1, E. coli MC4100 (pLacOsI) whole cells; lane 2, E. coli MC4100 (pLacOsI) inner membrane fraction; lane 3, E. coli MC4100 (pLacOsI) cytoplasmic fraction; lane 4, E. coli MC4100 (pSIP) whole cells; lane 5, E. coli MC4100 (pSIP) inner membrane fraction; lane 6, E. coli MC4100 (pSIP) cytoplasmic fraction. 3.2. Self-immobilization of plasmid pSIP and quantification of DNA by real time PCR A schematic system description is provided in Fig. 3A. Co-transformed E. coli MC4100 harboring the lysis plasmid pKLys36 and the vectors pLacOsI, pDSIP or pSIP, respectively, were monitored for the lysis and immobilization behavior. Control plasmids pDSIP and pLacOsI should not be immobilized in the cytoplasmic membrane as they lack the lacI recognition sites or the LV anchor sequence, respectively. Protein expression from the araBAD promoter was induced with l-arabinose at an optical density of about OD600 0.1. Induced cells were grown to an OD600 of about 0.3 and subsequently shifted to 42 8C to induce expression of the lysis protein (Fig. 3B). Expression of the LacI-LVhybrid protein for 75 min in MC4100 (pSIP) and MC4100 (pDSIP) does not significantly influence the lysis behavior compared to MC4100 (pLacOsI) (Fig. 3B). Analyzing 731 CFU counts revealed that at least 99.9% of bacteria were killed by protein E mediated lysis. DNA was precipitated from the culture supernatant as described in Materials and methods. The control vectors pDSIP and pLacOsI could be precipitated from the culture supernatant after lysis, whereas no visible band was found when a corresponding volume of the supernatant preparation derived from a lysed MC4100 (pSIP) culture was applied on the agarose gel (data not shown). For the initial experiments E. coli MC4100, which is a D(arg-lac)U169 strain, was chosen to avoid interference with the endogenous lac operon. Performing the same experiments with an E. coli wild type strain (MG1655) led to the same results as with MC4100 suggesting that the principle of self-immobilization is independent from the genetic background of the host. These findings indicate that the plasmid pSIP is immobilized in the cytoplasmic membrane of the bacterial ghosts, whereas the control plasmids are expelled in the Fig. 3. Schematic system description (A) and growth/lysis experiments with E. coli MC4100 harbouring pSIP or control plasmids together with pKLys36 (B). (A) Cells transformed with pSIP and the lysis plasmid pKLys36 are grown at 35 8C and LacI-LVis expressed from the PBAD promoter. The hybrid protein integrates in the bacterial membrane and binds to lacO s sites on the pSIP vector. The culture is shifted to 42 8C to inactivate the cI857 repressor for lysis induction. The cytoplasmic content including the lysis plasmid is expelled. The pSIP vector is retained in the bacterial ghost. (B) Growth and lysis of E. coli MC4100 (pKLys36) co-transformed with pLacOsI (E), pSIP (n) or pDSIP (x). As indicated by arrows cells were grown at 35 8C to an OD600 of approximately 0.1 for induction of protein expression with l-arabinose and subsequently shifted to 42 8C for induction of lysis. Open symbols indicate the ghost formation. GENE DELIVERY P. Mayrhofer et al. / Journal of Controlled Release 102 (2005) 725–735 GENE DELIVERY 732 P. Mayrhofer et al. / Journal of Controlled Release 102 (2005) 725–735 culture broth during the lysis process. However, to give clear evidence of the self-immobilization these DNA preparations were further analyzed. The amount of pSIP DNA and control plasmids in the pellet and in the supernatant of bacterial lysates were quantified by real time PCR. To analyze the general ratio of pDNA expelled to the culture broth and plasmids unspecifically retained after protein E mediated lysis, real-time PCR was performed with samples derived from E. coli MC4100 (pKLys36) at first. As it is shown in Fig. 4, row 4, by onset of the lysis process, only low amounts of plasmid pKLys36 are detectable, whereas at the end of lysis process around 50% of the lysis plasmid were expelled. The same experiments were performed with E. coli MC4100, which harbored the lysis plasmid together with either pSIP (Fig. 4, row 1) or pLacOsI (Fig. 4, row 2) or pDSIP (Fig. 4, row 3). Comparable to pKLys36, about 45% of the control plasmid pDSIP and pLacOsI were lost during the lysis process, whereas the loss of immobilized plasmid Fig. 4. Quantification of plasmid DNA in the pellet and in the supernatant of lysed E. coli MC4100 cultures by real time PCR. 100% represents the total amount of plasmid DNA measured in the pellet and supernatant of the corresponding lysates. Row 1, E. coli MC4100 (pSIP, pKLys36); row 2, E. coli MC4100 (pLacOsI, pKLys36); row 3, E. coli MC4100 (pDSIP, pKLys36); row 4, E. coli MC4100 (pKLys36). Dark-gray bars represent the percentage of plasmid DNA measured in the pellets of lysed cells, whereas white bars indicate the percentage of plasmid DNA detected in the supernatants of lysates. Samples for real time PCR analysis were taken at the first time-point when the OD600 of the cultures was decreasing (onset of lysis) or at the last time-point measured (end of lysis) (Fig. 3). The error bars indicate the standard deviation of three individual experiments. pSIP was on average 7%. We calculated that roughly 10 Ag pSIP DNA was immobilized per mg of bacterial ghosts. 4. Discussion Immobilization of the target sequence in the cytoplasmic membrane of a bacterial delivery vector is the key element of this novel platform technology. The combination of the SIP technology and protein E mediated lysis results in a bself-loadingQ, non-living bacterial DNA carrier system. Using the SIP, the target DNA can be amplified and retained in the bacterial ghosts, while the bulk of the cytoplasmic content is expelled into the culture broth during the lysis process. The central element of the SIP technology is the LacI-LV hybrid protein. Results indicate that the fusion of the highly hydrophobic membrane spanning sequence (56 amino acids) used in this study does not impair the DNA binding functionality of the lactose repressor protein. The results of the Western Blot analyses show that LacI-LV is associated with the inner membrane solely due to its hydrophobic sequence. Since the LacI-LVfusion protein proves to be functional, we conclude that the membrane anchoring fragment does not interfere with the DNA binding properties of the repressor protein and vice versa (e.g. by inducing conformational changes in the DNA binding domain due to improper folding or by inhibiting the essential oligomerization). The LacI-LV hybrid has also been detected in the cytoplasmic fraction after high-speed centrifugation, indicating that the hybrid is still soluble although the repressor protein was fused to a highly hydrophobic sequence. This might result from the fact that a 38.5 kDa protein was fused to a 6.4 kDa peptide and that the larger protein simply plays the dominant role in terms of physico-chemical characteristics including solubility. The harsh mechanical disruption of bacterial cells by two times passing through the French Press for membrane fraction preparation (described in Sections 2.11. and 3.1) completely destroys the integrity of the membrane system, thereby releasing associated proteins in the cytoplasmic fraction. Apart from the formation of a trans-membrane tunnel, the protein E mediated lysis process does not alter the bacterial envelope and will therefore not release that much, if any immobilized hybrid proteins. The repressor of the lactose operon was chosen because the structural and functional stability of this molecule has been demonstrated in various studies, e.g. (i) it has been shown that fusions to the Cterminus of LacI do not alter the DNA binding properties of the protein even if the fusion protein is as large as h-galactosidase [32], (ii) several modifications of this repressor had been performed without significant loss of the DNA binding capability [33–35] and (iii) it has been demonstrated that plasmid expressed LacI fusion proteins bind to the vector encoding them, when the lactose operator sequence is integrated in this construct [36,37]. Apart from its functional stability, the high stability of the protein/DNA complex is another advantageous feature of the lactose operator/repressor system. The repressor tetramer has two DNA binding sites and exhibits strong cooperative binding to DNA molecules containing two suitably spaced operator sequences, thereby forcing the intervening DNA into a loop structure [38,39]. This complex is further stabilized using a symmetric variant of the wild type operator with a tenfold higher affinity, the lacO s site [40,41]. Pellet as well as supernatant DNA preparations corresponding to an identical volume of culture broth was subjected to real-time PCR analysis. The DNA content of both fractions calculated on basis of the real-time PCR assays was summarized and defined as 100%. Therefore the calculations made are based on isolated DNA only, i.e. losses during the preparation are not considered. Furthermore, different methods have been applied to isolate DNA from the culture broth (CTAB method) and the lysed bacterial pellet (Peqlab kit). Therefore, the calculated ratio of plasmid DNA might not properly reflect the exact ratio in the culture broth and the pellets, even though the comparison of the methods revealed very similar yields if they are used to isolate DNA from the supernatant or the bacterial ghost pellet, respectively. Although the bacterial ghost pellets have been washed several times, it cannot be excluded that there is still plasmid DNA unspecifically associated with these cell envelopes. Evaluation of the lysis 733 efficiency revealed only 0.1% unlysed cells indicating only a negligible contribution of these survivors to the overall result. Based on these findings it is probably not possible to exactly determine the percentage of control plasmid DNA (pLacOSI, pDSIP) retained in bacterial ghosts compared to a DNA content of 100%, which is the number of plasmids in intact (unlysed) bacterial cells. However, the experimental setup for this study and the calculations based on it were designed to answer the question if there is more pSIP retained in bacterial ghosts than control plasmids. As the conditions mentioned above are similar for each investigated plasmid, the results for the different control plasmids and the pSIP can naturally be compared to each other. The significant higher level of retained pSIP clearly demonstrates the efficiency of the self-immobilization system. It has been shown that there is still residual genomic DNA as well as unspecifically associated plasmid DNA in ghost preparations, if not treated with a nuclease [24]. However, many immunization studies have been performed with bacterial ghosts [9,42–44]. In none of these studies there has been evidence for a negative effect of the residual DNA on the immune response. Recently it has been demonstrated that bacterial ghosts are excellent vehicles for the delivery of in vitro loaded plasmid DNA [9]. They showed high efficiency in the transfection of macrophages and primary dendritic cells (52% to 60%). Ghost-mediated DNA delivery resulted in the elicitation of more efficient humoral and cellular immune responses than using equal amounts of naked DNA [9]. At present there is no evidence whether the strong interaction between the membrane-anchored LacI protein and the plasmid DNA hampers or even improves immune responses. Immunization studies are planned which will compare ghosts mediated immune responses against target antigens encoded on pSIP or on conventional in vitro loaded plasmids. To formulate a non-living DNA delivery system, normally the production of the carrier, the pDNA as well as the loading of the carrier with the pDNA are separate, laborious and therefore cost intensive processes. In this report we demonstrated that the SIP system is able to combine these essential steps in a single in vivo process, resulting in a non-living bacterial DNA delivery vehicle. GENE DELIVERY P. Mayrhofer et al. / Journal of Controlled Release 102 (2005) 725–735 GENE DELIVERY 734 P. Mayrhofer et al. / Journal of Controlled Release 102 (2005) 725–735 Appendix A. Supplementary data Supplementary data associated with this article can be found, in the online version, at doi:10.1016/ j.jconrel.2004.10.026. [16] References [1] W.C. Lai, M. Bennett, DNA vaccines, Crit. Rev. Immunol. 18 (1998) 449 – 484. [2] S. van Drunen Littel-van den Hurk, V. Gerdts, B.I. Loehr, R. Pontarollo, R. Rankin, R. Uwiera, L.A. Babiuk, Recent advances in the use of DNA vaccines for the treatment of diseases of farmed animals, Adv. Drug Deliv. Rev. 43 (2000) 13 – 28. [3] S.A. Johnston, A.M. Talaat, M.J. McGuire, Genetic immunization: what’s in a name? Arch. Med. Res. 33 (2002) 325 – 329. [4] S. Manoj, L.A. Babiuk, S. van Drunen Littel-van den Hurk, Approaches to enhance the efficacy of DNA vaccines, Crit. Rev. Clin. Lab. Sci. 41 (2004) 1 – 39. [5] J.Y. Scheerlinck, Genetic adjuvants for DNA vaccines, Vaccine 19 (2001) 2647 – 2656. [6] A.D. Cohen, J.D. Boyer, D.B. Weiner, Modulating the immune response to genetic immunization, FASEB J. 12 (1998) 1611 – 1626. [7] E. Medina, C.A. Guzman, Use of live bacterial vaccine vectors for antigen delivery: potential and limitations, Vaccine 19 (2001) 1573 – 1580. [8] M.D. Brown, A.G. Sch7tzlein, I.F. Uchegbu, Gene delivery with synthetic (non viral) carriers, Int. J. Pharm. 229 (2001) 1 – 21. [9] T. Ebensen, S. Paukner, C. Link, P. Kudela, C. de Domenico, W. Lubitz, C.A. Guzman, Bacterial ghosts are an efficient delivery system for DNA vaccines, J. Immunol. 172 (2004) 6858 – 6865. [10] J.J. Donnelly, M.A. Liu, J.B. Ulmer, Antigen presentation and DNA vaccines, Am. J. Respir. Crit. Care Med. 162 (2000) S190 – S193. [11] J.B. Ulmer, G.R. Otten, Priming of CTL responses by DNA vaccines: direct transfection of antigen presenting cells versus cross-priming, Dev. Biol. (Basel) 104 (2000) 9 – 14. [12] M.P. Szostak, A. Hensel, F.O. Eko, R. Klein, T. Auer, H. Mader, A. Haslberger, S. Bunka, G. Wanner, W. Lubitz, Bacterial ghosts: non-living candidate vaccines, J. Biotechnol. 44 (1996) 161 – 170. [13] A. Witte, G. Wanner, U. Bl7si, G. Halfmann, M. Szostak, W. Lubitz, Endogenous transmembrane tunnel formation mediated by phi X174 lysis protein E, J. Bacteriol. 172 (1990) 4109 – 4114. [14] M. Szostak, G. Wanner, W. Lubitz, Recombinant bacterial ghosts as vaccines, Res. Microbiol. 141 (1990) 1005 – 1007. [15] M.P. Szostak, T. Auer, W. Lubitz, Immune response against recombinant bacterial ghosts carrying HIV-1 reverse tran- [17] [18] [19] [20] [21] [22] [23] [24] [25] [26] [27] scriptase, in: F. Brown, R.M. Chanock, H.S. Ginsberg, R.A. Lerner (Eds.), Modern Approaches to New Vaccines Including Prevention of AIDS, Cold Spring Harbor Laboratory Press, New York, 1993, pp. 419 – 425. W. Jechlinger, W. Haidinger, S. Paukner, P. Mayrhofer, E. Riedmann, J. Marchart, U. Mayr, C. Haller, G. Kohl, P. Walcher, P. Kudela, J. Bizik, D. Felnerova, E.M.B. Denner, A. Indra, A. Haslberger, M. Szostak, S. Resch, F. Eko, T. Schukovskaya, V. Kutyrev, A. Hensel, S. Friederichs, T. Schlapp, W. Lubitz, Bacterial ghosts as carrier and targeting systems for antigen delivery, in: G. Dietrich, W. Goebel (Eds.), Vaccine Delivery Strategies, Horizon Scientific Press, Wymondham, 2002, pp. 163 – 184. S. Paukner, G. Kohl, W. Lubitz, Bacterial ghosts as novel advanced drug delivery systems: antiproliferative activity of loaded doxorubicin in human Caco-2 cells, J. Control. Release 94 (2004) 63 – 74. W. Jechlinger, M.P. Szostak, A. Witte, W. Lubitz, Altered temperature induction sensitivity of the lambda p R/cI857 system for controlled gene E expression in Escherichia coli, FEMS Microbiol. Lett. 173 (1999) 347 – 352. L.M. Guzman, D. Belin, M.J. Carson, J. Beckwith, Tight regulation, modulation, and high-level expression by vectors containing the arabinose PBAD promoter, J. Bacteriol. 177 (1995) 4121 – 4130. S. Kalousek, Molekularbiologische Untersuchungen zur rekombinanten Expression des PHB-Operons von Alcaligenes Eutrophus in Escherichia coli, PhD Thesis, Institute of Microbiology and Genetics, University of Vienna, Vienna, 1993. R. Antoine, C. Locht, Isolation and molecular characterization of a novel broad-host-range plasmid from Bordetella bronchiseptica with sequence similarities to plasmids from gram-positive organisms, Mol. Microbiol. 6 (1992) 1785 – 1799. T.J. Silhavy, M.L. Berman, L.W. Enquist, Experiments with Gene Fusions, Cold Spring Habor Laboratory, Cold Spring Habor, NY, 1984. B.J. Bachmann, Derivations and genotypes of some mutant derivatives of Escherichia coli K12, in: J.L. Ingarahan, K.B. Low, B. Magasanik, M. Schaechter, H.E. Umbarger (Eds.), Escherichia coli and Samonella thyphimurium: Cellular and Molecular Biology, American Society for Micorbiology, Washington, DC, 1987, pp. 1191 – 1219. W. Haidinger, U.B. Mayr, M.P. Szostak, S. Resch, W. Lubitz, Escherichia coli ghost production by expression of lysis gene E and Staphylococcal nuclease, Appl. Environ. Microbiol. 69 (2003) 6106 – 6113. J. Sambrook, E.F. Fritsch, T. Maniatis, Molecular Cloning: a Laboratory Manual, Cold Spring Harbor Press, 1989. R. Klein, U. Baranyi, N. Rfssler, B. Greineder, H. Scholz, A. Witte, Natrialba magadii virus phiCh1: first complete nucleotide sequence and functional organization of a virus infecting a haloalkaliphilic archaeon, Mol. Microbiol. 45 (2002) 851 – 863. G. Del Sal, G. Manfioletti, C. Schneider, The CTAB-DNA precipitation method: a common mini-scale preparation of [28] [29] [30] [31] [32] [33] [34] [35] [36] [37] template DNA from phagemids, phages or plasmids suitable for sequencing, BioTechniques 7 (1989) 514 – 520. U.K. Laemmli, Cleavage of structural proteins during the assembly of the head of bacteriophage T4, Nature 227 (1970) 680 – 685. E. Harlow, D. Lane, Antibodies, A Laboratory Manual, Cold Spring Harbor Press, 1988. C.A. Schnaitman, Examination of the protein composition of the cell envelope of Escherichia coli by polyacrylamide gel electrophoresis, J. Bacteriol. 104 (1970) 882 – 889. C.A. Schnaitman, Protein composition of the cell wall and cytoplasmic membrane of Escherichia coli, J. Bacteriol. 104 (1970) 890 – 901. B. Mqller-Hill, J. Kania, Lac repressor can be fused to betagalactosidase, Nature 249 (1974) 561 – 563. M.C. Hu, N. Davidson, Targeting the Escherichia coli lac repressor to the mammalian cell nucleus, Gene 99 (1991) 141 – 150. M.A. Labow, S.B. Baim, T. Shenk, A.J. Levine, Conversion of the lac repressor into an allosterically regulated transcriptional activator for mammalian cells, Mol. Cell. Biol. 10 (1990) 3343 – 3356. N. Panayotatos, A. Fontaine, S. Backman, Biosynthesis of a repressor/nuclease hybrid protein, J. Biol. Chem. 264 (1989) 15066 – 15069. M.G. Cull, J.F. Miller, P.J. Schatz, Screening for receptor ligands using large libraries of peptides linked to the C terminus of the lac repressor, Proc. Natl. Acad. Sci. U. S. A. 89 (1992) 1865 – 1869. P.J. Schatz, Use of peptide libraries to map the substrate specificity of a peptide-modifying enzyme: a 13 residue [38] [39] [40] [41] [42] [43] [44] 735 consensus peptide specifies biotinylation in Escherichia coli, Biotechnology (NY) 11 (1993) 1138 – 1143. H. Kramer, M. Amouyal, A. Nordheim, B. Mqller-Hill, DNA supercoiling changes the spacing requirement of two lac operators for DNA loop formation with lac repressor, EMBO J. 7 (1988) 547 – 556. H. Kramer, M. Niemoller, M. Amouyal, B. Revet, B. von Wilcken-Bergmann, B. Mqller-Hill, Lac repressor forms loops with linear DNA carrying two suitably spaced lac operators, EMBO J. 6 (1987) 1481 – 1491. J.R. Sadler, H. Sasmor, J.L. Betz, A perfectly symmetric lac operator binds the lac repressor very tightly, Proc. Natl. Acad. Sci. U. S. A. 80 (1983) 6785 – 6789. A. Simons, D. Tils, B. von Wilcken-Bergmann, B. Mqller-Hill, Possible ideal lac operator: Escherichia coli lac operator-like sequences from eukaryotic genomes lack the central G X C pair, Proc. Natl. Acad. Sci. U. S. A. 81 (1984) 1624 – 1628. F.O. Eko, W. Lubitz, L. McMillan, K. Ramey, T.T. Moore, G.A. Ananaba, D. Lyn, C.M. Black, J.U. Igietseme, Recombinant Vibrio cholerae ghosts as a delivery vehicle for vaccinating against Chlamydia trachomatis, Vaccine 21 (2003) 1694 – 1703. J. Marchart, M. Rehagen, G. Dropmann, M.P. Szostak, S. Alldinger, S. Lechleitner, T. Schlapp, S. Resch, W. Lubitz, Protective immunity against pasteurellosis in cattle, induced by Pasteurella haemolytica ghosts, Vaccine 21 (2003) 1415 – 1422. K. Panthel, W. Jechlinger, A. Matis, M. Rohde, M. Szostak, W. Lubitz, R. Haas, Generation of Helicobacter pylori ghosts by PhiX protein E-mediated inactivation and their evaluation as vaccine candidates, Infect. Immun. 71 (2003) 109 – 116. GENE DELIVERY P. Mayrhofer et al. / Journal of Controlled Release 102 (2005) 725–735 DTD 5 ARTICLE IN PRESS Advanced Drug Delivery Reviews xx (2005) xxx – xxx 1 . www.elsevier.com/locate/addr Bacterial ghosts as antigen delivery vehicles 3 4 Ulrike Beate Mayra, Petra Walchera, Chakameh Azimpoura, Eva Riedmanna,b, Christoph Hallera, Werner Lubitza,b,T O F 2 a Institute of Microbiology and Genetics, University of Vienna, A-1090 Vienna, Austria b BIRD-C GmbH and CoKEG, Schoenborngasse 12, A-1080 Vienna, Austria Received 31 January 2004; accepted 25 January 2005 PR 7 8 O 5 6 Abstract 10 11 12 13 14 15 16 17 18 The bacterial ghost system is a novel vaccine delivery system unusual in that it combines excellent natural intrinsic adjuvant properties with versatile carrier functions for foreign antigens. The efficient tropism of bacterial ghosts (BG) for antigen presenting cells promotes the generation of both cellular and humoral responses to heterologous antigens and carrier envelope structures. The simplicity of both BG production and packaging of (multiple) target antigens makes them particularly suitable for use as combination vaccines. Further advantages of BG vaccines include a long shelf-life without the need of cold-chain storage due to their freeze-dried status, they are safe as they do not involve host DNA or live organisms, they exhibit improved potency with regard to target antigens compared to conventional approaches, they are versatile with regards to DNA or protein antigen choice and size, and as a delivery system they offer high bioavailability. D 2005 Elsevier B.V. All rights reserved. 19 20 Keywords: Target antigen; Gram-negative bacterial envelope; Particle presentation technology; DNA vaccine; Adjuvant; Delivery system; Bacterial ghosts TE EC R O R C Contents 1. Introduction . . . . . . . . . . . . . . . . . . . . . . 2. Production of bacterial ghosts . . . . . . . . . . . . 3. Bacterial ghosts as candidate vaccines . . . . . . . . 3.1. Parenteral immunization with bacterial ghosts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 0 0 0 0 N 22 23 24 25 26 Abbreviations: APC, antigen presenting cells; APP, Actinobacillus pleuropneumoniae; BG, bacterial ghosts; CPS, cytoplasmic space; DC, dendritic cells; GFP, green fluorescent protein; IM, inner membrane; LPS, lipopolysaccharide; MBP, maltose binding protein; OM, outer membrane; OMP, outer membrane protein; PBMC, peripheral blood derived monocytic cells; PPS, periplasmic space; StrpA, streptavidin; TA, target antigen; TCP, toxin-co-regulated pili; VCG, Vibrio cholerae ghosts. T Corresponding author. Institute of Microbiology and Genetics, University of Vienna, A-1090 Vienna, Austria. Tel.: +43 1 4277 54670; fax: +43 1 406 50 93. E-mail addresses: [email protected], [email protected] (W. Lubitz). U 21 D 9 0169-409X/$ - see front matter D 2005 Elsevier B.V. All rights reserved. doi:10.1016/j.addr.2005.01.027 ADR-11331; No of Pages 11 ARTICLE IN PRESS 2 27 28 29 30 31 U.B. Mayr et al. / Advanced Drug Delivery Reviews xx (2005) xxx–xxx 3.2. Induction of cytokines by bacterial ghosts . . . . . . 3.3. Mucosal immunizations with bacterial ghosts . . . . 4. Bacterial ghost system as carrier of foreign target antigens . Acknowledgements . . . . . . . . . . . . . . . . . . . . . . . . References . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 0 0 0 0 0 32 F O O Subunit vaccines composed of purified components can be produced from many microorganisms; however, they are often poorly immunogenic necessitating an appropriate adjuvant in the vaccine formulation. Similarly, for DNA vaccines to reach their full potential, new vaccine delivery systems need to be developed which better activate mucosal immune responses. The bacterial ghost system is one such vaccine delivery system, combining targeting of antigen components to antigen presenting cells (APC) and providing the required adjuvant activity without the need for further additions. BG are produced by protein E-mediated lysis of Gram-negative bacteria. They are non-living bacterial envelopes, which maintain the cellular morphology and native surface antigenic structures including bioadhesive properties of the natural cell. Lipopolysaccharide (LPS) present in the outer membrane (OM) does not limit the use of BG as vaccine candidates because of the minimal toxicity of cell-associated LPS compared to free LPS. The intrinsic adjuvant properties of BG enhances T-cell activation and systemic, mucosal and cellular immunity to target antigens. E-mediated lysis has been achieved in various Gram-negative bacteria, including Escherichia coli K12, enterohaemorrhagic (EHEC) and entertoxigenic (ETEC) strains, Actinobacillus pleuropneumoniae, Bordetella bronchiseptica, Erwinia cypripedii, Helicobacter pylori, Klebsiella pneumoniae, Mannheimia haemolytica, Pasteurella multocida, Pseudomonas putida, Ralstonia eutropha, Salmonella typhimurium and enteritidis strains, and Vibrio cholerae. This broad spectrum of bacteria shows that E-mediated lysis most probably works in every Gram-negative bacterium, provided that the E specific lysis cassette can be introduced into the new recipient by an appropriate vector allowing tight repression and induction control PR 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 of lethal gene E. Although BG have been used as vaccine candidates against their own envelope structures, a more practical use remains versatile carrier and adjuvant vehicles for foreign target antigens of bacterial or viral origin. As described in more detail in the following sections, BG have the capacity for pre-lysis localization of target antigens in or a combination of the OM, the inner membrane (IM), the periplasmic space (PPS) and the internal lumen of the cytoplasmic space (CPS). The choice of antigen compartmentalization gives the bacterial ghost system significant potential for the challenges of constructing subunit or DNA human and veterinary vaccines. D 1. Introduction EC R O R C N U 72 73 74 75 76 77 78 79 80 81 82 83 84 2. Production of bacterial ghosts 85 BG are produced by expression of cloned gene E from bacteriophage PhiX174 resulting cell lysis in Gram-negative bacteria. Expression of gene E can be placed under transcriptional control of either the thermosensitive EpL/pR-cI857 promoter, or under chemical inducible promoter repressor systems, like lacPO or the tol expression system [1–3]. Mutations to the EpR promoter/operator regions have resulted in new expression systems, which stably repress gene E expression at temperatures of up to 37 8C, but still allowed induction of cell lysis at a temperature range of 39–42 8C [4]. Alternatively, by combining the EpR promoter/cI repressor system with the lacI/lacPO for control of gene E expression, a cold-sensitive system for ghost formation by lowering the growth temperature of the bacteria from 37 8C or higher to 28 8C or lower has been obtained [5]. Gene E codes for a membrane protein of 91 amino acids, which is able to fuse inner and outer membranes of Gram-negative bacteria [6,7], forming an Especific lysis tunnel through which the cytoplasmic content is expelled [8]. The remaining empty CPS (internal lumen) of the bacteria is largely devoid of 86 87 88 89 90 91 92 93 94 95 96 97 98 99 100 101 102 103 104 105 106 107 108 TE 33 ARTICLE IN PRESS U.B. Mayr et al. / Advanced Drug Delivery Reviews xx (2005) xxx–xxx 157 158 159 160 3. Bacterial ghosts as candidate vaccines 161 3.1. Parenteral immunization with bacterial ghosts 162 Bovine pneumonic pasteurellosis caused by M. haemolytica is a serious disease leading to death in cattle if it remains untreated. Pilot subcutaneous BG immunization studies of mice and rabbits with either P. multocida- or M. haemolytica-ghosts induced antibodies cross-reactive to heterologous Pasteurella strains. The number of proteins in Pasteurella wholecell protein extracts recognized by the sera constantly increased during the observation period of 50 days. More importantly, dose-dependent protection against homologous nasal challenge was observed in mice immunized with P. multocida ghosts [18]. Following on from this work, M. haemolytica ghosts cattle immunization studies were performed using a cattle lung challenge model. Protective immunity of cattle against homologous challenge was induced by alum-adjuvanted M. haemolytica ghosts. It is important to note that BG do not need additional adjuvants to induce protective immunity. However, alum was added to the ghost vaccine preparation in this study to compare its antigenicity with a commercially available vaccine [19]. Bacterial ghosts have been tested as a vaccine against swine pleuropneumonia, a disease with a high mortality rate in pigs. Intramuscular immunization of pigs with A. pleuropneumoniae (APP) ghosts or formalin-inactivated APP whole-cell bacteria protected for clinical disease in both vaccination groups. The protective efficacy was evaluated by clinical, bacteriological, serological and post-mortem examinations. Immunization with BG did not cause clinical side-effects. After aerosol challenge, the control group of pigs developed fever and pleuropneumonia. In both vaccination groups, animals were fully protected against clinical disease and lung lesions, whereas colonization of the respiratory tract with APP was prevented by BG immunization alone. The induction of specific mucosal antibodies as detected in the 163 164 165 166 167 168 169 170 171 172 173 174 175 176 177 178 179 180 181 182 183 184 185 186 187 188 189 190 191 192 193 194 195 196 197 198 199 200 D PR O O F induce an immune response against the target antigens has also been studied extensively by our group (reviews in [14–17]) and promising results of recent studies will be presented below. N C O R R EC TE nucleic acids, ribosomes or other constituents, whereas the IM and OM structures of the BG are well preserved [6,9]. The IM remains intact during expulsion of cytoplasmic material and electron micrographs clearly show a sealed PPS [6,8]. The protein Einduced occurrence of lysophosphatidylethanol-amine in the host cell membrane most probably facilitates the IM and OM fusion [10]. Although E-mediated lysis is dependent on activities of the autolytic system of the bacteria peptidoglycan, sacculi prepared from E-lysed cells remain intact emphasizing that the overall composition of this rigid layer is not changed by the E-mediated process. The diameter of the Especific transmembrane tunnel structure ranges between 40 and 200 nm and is determined by the mesh size of the surrounding murein [11]. Electron microscopic studies emphasize that the E-specific transmembrane tunnel structure is not randomly distributed over the cell envelope but is restricted to areas of potential division sites, predominantly in the middle of the cell or at polar sites [6,8]. Analysis of Emediated lysis in bacterial mutant strains with defects in cell division suggest that initiation of cell division rather than specific functions of the septosome plays an essential role in protein E-mediated lysis [9,11]. The E-specific membrane fusion process can be divided into three phases including the integration of protein E into the IM, followed by a conformational change of protein E and assembly into multimers at potential cell division sites [12]. The mechanism for the conformational change is most probably a cis– trans isomerization of the proline 21 residue within the first membrane-embedded a-helix of protein E [13]. The local fusion of the IM and OM is achieved by a transfer of the C-terminal domain of protein E towards the surface of the OM of the bacterium. BG have been developed for envelope and/or heterologous antigen presentation from a range of important Gram-negative bacterial pathogens including Francisella tularensis, Brucella melitensis, enterotoxigenic and enterohemaorrhagic E. coli (EHEC, ETEC), and V. cholerae. To date, immune responses against P. multocida, Mannheimia (former Pasteurella) haemolytica, A. pleuropneumoniae and V. cholerae have been assessed in several animal models for parenteral, oral and aerogenic modes of delivery, in view of human and veterinary applications. The BG particle presentation technology for target antigens to U 109 110 111 112 113 114 115 116 117 118 119 120 121 122 123 124 125 126 127 128 129 130 131 132 133 134 135 136 137 138 139 140 141 142 143 144 145 146 147 148 149 150 151 152 153 154 155 156 3 ARTICLE IN PRESS EC O R 232 3.2. Induction of cytokines by bacterial ghosts N C To investigate the activation of APC by BG we studied the in vitro uptake of VCG and E. coli BG in dendritic cells (DC) and RAW macrophages and the induction of inflammatory mediators in the THP-1 human macrophage cell line. The synthesis of inflammatory mediators such as TNF-a in the THP-1 cell line was stimulated by a hundred-fold higher dose of VCG than the corresponding amount of free LPS [23,24]. These results support in vivo experiments in rabbits with intravenous administration of E. coli BG. Below a threshold dose, no toxic effects of BG administration could be detected whilst the doses used stimulated significant humoral immune responses [25]. Significant production of IL-12 in DC was induced by E. coli U 233 234 235 236 237 238 239 240 241 242 243 244 245 246 F BG. Secretion in DC of cytokines TNFa and IL-12 was increased 37 and 18-fold, respectively, whereas in peripheral blood monocytes the secretion of TNFa and IL-12 increased only twofold. These results suggest that BG stimulate the activation of cellular Th1 immune responses. In addition, maturation of DC is a prerequisite for efficient stimulation of T cells and exposure of DC to BG resulted in a marked increase in their ability to activate T cells. Thus, BG are promising carrier and adjuvants for target antigens. O 3.3. Mucosal immunizations with bacterial ghosts PR O Different routes of mucosal immunizations with BG (aerogen, oral, intranasal, intravaginal, intraocular or rectal) have been assessed in various animal models. Binding and uptake of BG into APC is dependent on surface structures of the envelope being recognized by toll like receptors on human or animal cells. Inhalation and deposition of BG within the airways are the initial steps preceding adherence of the vaccine candidates to the respiratory tract. Once BG are deposited in the lung lining fluids (mucosa), they are rapidly cleared by alveolar macrophages and translocation of deposited particles in the mucus also lead to clearance via the gastrointestinal tract [26]. APP-BG, after evaluation in the pig lung infection model was then further assessed in an aerosol immunization model [27]. The model utilized computer-controlled standardized inhalation conditions for the recipient pigs. APP-BG aerosol immunization has been shown to induce complete protection against pleuropneumonia in pigs [28]. The capability of BG to induce a T-cell-mediated immune response was studied following uptake of APP ghosts by primary APC of pigs. Specific T-cell responses were detected after in vitro re-stimulation of primed blood T cells with APP ghosts. In addition, we investigated uptake of APP BG by DC and subsequent DC activation. DC are known to be phagocytic in specific immature stages of development. Following the internalization and processing of the antigens, increased expression of MHC class II molecules in APC was shown 12 h after their exposure to BG. Together with the specific T-cell response to the antigen processed by the APC, it could be demonstrated that porcine APC have the capacity to stimulate antigen-specific T cells after internalization TE bronchoalveolar lavage suggests that immunization with BG induces antibody populations specific to non-denaturated surface antigens. In this study at least, APP-BG are more efficacious in protecting pigs against colonization and infection than the inactivated whole-cell vaccine [20]. Indications for a crossprotective potential of the ghost vaccine were supported by studies on rabbit hyperimmune sera [21]. Cholera is a significant cause of morbidity and mortality in humans and a vaccine is very much needed. To this end, V. cholerae ghosts were produced and assessed in a rabbit model. Rabbits were immunized s.c./i.m. with ghosts prepared from V. cholerae strains of O1 or O139 serogroup following growth under culture conditions which favour or repress the production of toxin-co-regulated pili (TCP). Immunoblotting confirmed the TCP status of V. cholerae ghosts (VCG), which retained the cellular morphology and surface component profile of viable bacteria. Sera from immunized rabbits was assayed for antibodies to lipopolysaccharide (LPS) and to TCP. Regardless of the TCP status of the VCG preparations used for immunization, all animals produced antibodies to LPS as demonstrated in bactericidal assays. Anti-LPS antibodies were likely responsible for conferring passive immunity in the infant mouse cholera model to challenge with the homologous O139 strain. Cross-protective anti-TCP antibody was generated only in rabbits immunized with TCPpositive VCG. This sera induced protection against heterologous challenge [22]. R 201 202 203 204 205 206 207 208 209 210 211 212 213 214 215 216 217 218 219 220 221 222 223 224 225 226 227 228 229 230 231 U.B. Mayr et al. / Advanced Drug Delivery Reviews xx (2005) xxx–xxx D 4 247 248 249 250 251 252 253 254 255 256 257 258 259 260 261 262 263 264 265 266 267 268 269 270 271 272 273 274 275 276 277 278 279 280 281 282 283 284 285 286 287 288 289 290 291 292 ARTICLE IN PRESS U.B. Mayr et al. / Advanced Drug Delivery Reviews xx (2005) xxx–xxx EC O R 322 4. Bacterial ghost system as carrier of foreign 323 target antigens N C Foreign target antigens can be tethered to the OM or IM, exported into the PPS or can be expressed as Slayer fusion proteins, which form shell-like self assembly structures filling either the PPS or CPS (Fig. 1). The OM (Fig. 1) is an asymmetric lipid bilayer with LPS in the outer leaflet and phospholipids in the inner leaflet. The polysaccharide moieties of LPS, filaments and pili extend from the OM to the environment. The role of TCP to confer cross-protective immunity in VCG has been mentioned earlier. Outer membrane target antigen expression exploits outer membrane proteins (OMP), which can be modified to incorporate unrelated sequences [30]. In a recent study, hepatitis B virus core 149 antigen was U 324 325 326 327 328 329 330 331 332 333 334 335 336 337 D PR O O F incorporated into OMP-A as fusion protein and displayed on the surface of E. coli BG. These ghosts induced a significant immune response against the HBC 149 core antigen in mice [31]. Localization of target antigens in the PPS offers several advantages. Target antigens exported to this compartment are not only protected from external degradation processes but are also immersed in a sugarrich environment of membrane-derived oligosaccharides, which protect TA during lyophilization. Furthermore, soluble target antigens can be expressed in the PPS of BG as the E-lysis tunnel seals the IM and OM. MalE fusion proteins have been constructed which secrete the target antigens into the PPS either as a soluble protein or as part of a S-layer self-assembly structure (Fig. 1). Site-directed mutagenesis of the Slayer genes sbsA and sbsB and structural/functional analysis of S-layer domains essential for intra- and/or inter-molecular interactions [32–34] revealed flexible surface loops in both proteins that accept foreign target antigens sequences coding for up to 600 aa [35]. Such recombinant S-layer fusion proteins within a BG consist of several hundred thousand monomers per cell and because of their ability to assemble into a superstructure, they do not form inclusion bodies. Depending on the specific aim, multiple presentation of target antigens within the S-layer structure could have beneficial effects compared to the soluble form of the corresponding antigen (Fig. 1). Electron microscopic pictures show sheet like selfassembly structures of recombinant SbsA–Omp26 subunits in the PPS of E. coli ghosts [36]. The Omp26 of non-typeable Haemophilus influenzae (NTHi) was carried within the superstructure and E. coli BG harboring this construct were highly immunogenic for Omp26 when administered intraperitoneally to mice [33]. The potential of E. coli ghosts carrying MalE– Omp26 or MalE–SbsA–Omp26 fusion proteins in the PPS was assessed as a delivery system for mucosal immunization in a rat model and different routes of immunization were evaluated. Animals were mucosally immunized targeting either gut only or gut and lung mucosal sites. In the gut/lung regime, two initial gut targeted inoculations with BG were followed by an intratracheal (IT) boost with purified Omp26. The gut only immunization regime showed a moderate enhancement of bacterial clearance following pulmo- TE and processing of the antigen. The data suggest that BG effectively stimulate monocytes and macrophages to induce TH1-type cytokine directed immune responses. DC stimulated by BG can be used for active immunization and immunotherapy in situ [24]. The immunological and protective efficacy of V. cholerae ghosts (VCG) expressing TCP (VCG-TCP) from V. cholerae serogroups O1 and O139 has been investigated in the reversible intestinal tie adult rabbit diarrhea (RITARD) model. Rabbits were immunized 3 times intragastrically with a mixture of lyophilized VCG-TCP from serogroup O1 and serogroup O139 and were challenged 30 days after the first immunization with virulent V. cholerae O1 and V. cholerae O139 strains. Serum vibriocidal antibodies were observed in all immunized animals and it could be shown that adult rabbits were protected against diarrhea and death following intralumen challenge with fully virulent V. cholerae serogroups O1 and O139 [29]. Animal models indicate that VCG induce humoral and cellular immune responses against cell envelope constituents including protective immunity against challenge infections. All oral ghost vaccination experiments were carried out with freeze-dried ghosts resuspended in saline without the addition of adjuvants, stabilizers or other substances [29]. VCG have the advantage of ease of production by simple fermentation under conditions, which favour the expression of TCP. R 293 294 295 296 297 298 299 300 301 302 303 304 305 306 307 308 309 310 311 312 313 314 315 316 317 318 319 320 321 5 338 339 340 341 342 343 344 345 346 347 348 349 350 351 352 353 354 355 356 357 358 359 360 361 362 363 364 365 366 367 368 369 370 371 372 373 374 375 376 377 378 379 380 381 382 383 384 385 ARTICLE IN PRESS U.B. Mayr et al. / Advanced Drug Delivery Reviews xx (2005) xxx–xxx OMP A Porin 6 LPS OM PPS OM F IM OM O PPS IM PR O CPS IM IM L D L CPS TE CPS Maltose binding protein S-layer Outer membrane protein Outer membrane protein A carrying a target antigen Inner membrane protein LPS Target antigen Porin Phospholipid E’-Anchor L’-Anchor Penicillin binding protein Flagellum E’anchored StrpA L’anchored LacI repressor cccDNA ccc-DNA carrying the lac operator site Biotin Biotinylated target antigen U N C O R Pilus R EC Fig. 1. Bacterial ghost as carriers of autologous or foreign target antigens. Target antigens are compartmentalized into the outer membrane (OM), the periplasmic space (PPS), the inner membrane (IM) and the cytoplasmic space (CPS). Target antigens (TA) can be BG components themselves (e.g. pili, LPS, OMP, inner membrane proteins (IMP) and flagella). Foreign target antigens are displayed on the BG surface as a fusion protein with OMP-A (upper left corner), or are exported to the sealed PPS as maltose binding protein (malE) or malE-sbsA/sbsB S-layer fusion proteins (upper right corner). Target antigens can be anchored to the inner membrane via EV, LV or EV and LV anchor sequences. Membrane anchored StrpA (EV-StrpA) can bind any biotinylated target antigen to the inner membrane. DNA carrying a lac operator sequence can bind to a membrane anchored lacI (LacI-LV) repressor molecule (lower left and right corners). Recombinant S-layer proteins carrying foreign target antigens can fill up the CPS of the BG. By loading the bacterial lumen with cccDNA plasmids, BG can act as carrier for DNA vaccines (lower left corner) . Peptidoglycan Bacterial ghost ARTICLE IN PRESS U.B. Mayr et al. / Advanced Drug Delivery Reviews xx (2005) xxx–xxx D PR O O F galactosidase) is possible. The IM anchored HIV1RT and HIV1-gp41 target antigens carried by BG induced humoral as well as a cellular immune responses in animal models [40,41]. Any BG can be used as carrier for foreign antigens. In a recent study [42], VCG have been successful used to immunize against Chlamydia trachomatis. In accordance with the new paradigm for vaccine design, an efficacious anti-chlamydial vaccine should elicit a genital mucosal Th1 response. To design a candidate vaccine against Chlamydia based on the BGS, the gene encoding the major OMP, omp1, of C. trachomatis was expressed in V. cholerae, as an IM-anchored protein. Intranasal and intramuscular immunization of naive mice with V. cholerae ghosts expressing OMP1 induced a strong Th1 immune response in the genital mucosa. The ability of this vaccine delivery system to protect susceptible animals from chlamydial infection offers potential for the future development of efficacious vaccines capable of protecting human against pathogens causing intracellular infections. In addition, immune T cells from immunized mice could transfer partial protection against a C. trachomatis genital challenge to naRve mice. These results suggest that VCG expressing chlamydial proteins may constitute a suitable subunit vaccine for inducing an efficient mucosal T-cell response that protects against C. trachomatis infection [42]. In this example, VCG offer the opportunity for designing TA vaccines within the context of a cell envelope which is also able to induce protective immunity against cholera. Bacterial ghosts have been more recently developed for delivery of antigens such as DNA. The internal space of BG can be filled with a substituted matrix, e.g. biotinylated dextran or polylysine which then binds the target antigens of interest (Fig. 2a). For DNA vaccines, it has been shown that plasmid DNA complexed with polylysine can be efficiently packaged into BG [38]. If the lac repressor proteins (LacI) is membrane anchored (Fig. 1), it is still able to bind lac operator sequences carried on plasmid DNA. Plasmids bound to the membrane by this specific interaction are retained in BG and are not expelled to the culture medium following induction of E-mediated lysis. It has also been observed that plasmid DNA associates unspecifically with the inside of the IM. Purified covalent closed circular DNA (cccDNA) can be loaded to BG by resuspension of freeze dried BG N C O R R EC TE nary challenge whereas the gut/lung immunization regime resulted in significantly enhanced pulmonary clearance of NTHi. Both immunization regimes induced high levels of Omp26 specific antibodies in the serum of immunized rats, with higher levels in the groups that received the IT boost with purified Omp26. Analysis of IgG isotypes present in serum suggest that the immune response was predominantly of a T-helper1 type. Additionally, immunization induced a significant cellular immune response with lymphocytes from animals vaccinated using the gut/lung regime responding significantly to Omp26 when compared to control groups. In summary, mucosal immunization with recombinant Omp26 in E. coli ghosts followed by a boost with purified Omp26 induced a specific and protective immune response [37]. Bacterial ghosts have also been produced to express target antigens in the CPS. Expression of SbsA or SbsB fusion proteins in the CPS followed by E-mediated lysis of the bacteria results in crystalline planar arrays of S-layer proteins not released to the surrounding medium (Fig. 1). The CPS of BG can be filled either with water soluble subunit antigens or emulsions such that the target antigen itself or a matrix can be coupled to appropriate anchors on the inside of the IM of BG (Fig. 2). For example, BG with streptavidin anchored on the inside of the IM can be filled by resuspending lyophilized BG in solutions carrying biotinylated TA [38]. For membrane anchoring of target antigens or of acceptor proteins like streptavidin to the cytoplasmic side of the IM, a membrane targeting system was developed [39]. By cloning foreign DNA sequences into the membrane targeting vector pMTV5, any gene of interest can be expressed as a hybrid protein with N-, C- or N-/C-terminal (EV-, LV-, EV-LV; Figs. 1 and 2) membrane anchors directing and attaching the fusion proteins to the cytoplasmic side of the IM of the bacteria prior to E-mediated lysis. The current list of membrane anchored target proteins comprises various viral core or envelope proteins and bacterial target antigens or enzymes. For the latter, it could be shown that the enzymatic activities of h-galactosidase, PHBsynthase or alkaline phosphatase were not impaired indicating that the membrane anchors do not interfere with the proper folding of the target proteins and that clustering and self-assembly (for example for h- U 386 387 388 389 390 391 392 393 394 395 396 397 398 399 400 401 402 403 404 405 406 407 408 409 410 411 412 413 414 415 416 417 418 419 420 421 422 423 424 425 426 427 428 429 430 431 432 433 7 434 435 436 437 438 439 440 441 442 443 444 445 446 447 448 449 450 451 452 453 454 455 456 457 458 459 460 461 462 463 464 465 466 467 468 469 470 471 472 473 474 475 476 477 478 479 480 481 ARTICLE IN PRESS 8 U.B. Mayr et al. / Advanced Drug Delivery Reviews xx (2005) xxx–xxx a b ETTS StrpA Biotinylated TA Biotinylated Polymer PR O O F StrpA d O R R EC TE D c f U N C e Fig. 2. Targeting membrane vesicles on top of the E-specific transmembrane tunnel (ETTS) structure of bacterial ghosts. (a) BG with streptavidin-biotin coupled target antigens (TA) or biotinylated polymer in the CPS with open E-specific transmembrane tunnel structure. (b) Sealing of inside-out vesicles of Gram-negative bacteria to the E-specific transmembrane tunnel structure of BG. Protein E fusion proteins (c) in vivo biotinylated ( ) or (d) extended with streptavidin ( ) using the specific biotin–streptavidin interactions ( ) to position the membrane vesicle of the E-specific transmembrane tunnel structure. (e) Multimers of streptavidin–biotin molecules (for simplicity only one construct is shown) can form chimney like structures between the BG and the targeted vesicle. (f) Soluble target antigens of other substances ( ) can be carried in the CPS of BG. ARTICLE IN PRESS U.B. Mayr et al. / Advanced Drug Delivery Reviews xx (2005) xxx–xxx 530 531 532 533 534 535 536 537 538 539 540 541 542 543 544 545 546 547 548 549 550 551 552 553 554 555 556 557 558 559 Acknowledgements 560 This work was supported by grant GZ 309.049/1VI/6/2003 from the Austrian Ministry of Science. The technical assistance of Beate Bauer, Alisa Lajta, Roland N. Leitner and John McGrath for preparing the manuscript is highly appreciated. 561 562 563 564 565 References 566 D PR O O F used to construct BG carrying back packed envelope fragments from other bacteria or viruses being either biotinylated or modified with streptavidin. With such constructs soluble drugs or antigens filled into BG may be able to leak out through the tiny cleft between the vesicle and the BG carrier (Fig. 2f). The release rate of the enclosed substances can be regulated by the distance between the BG carrier and vesicle attached by adding various amounts of free biotin and streptavidin, forming chimney-like structures which can be constructed with different release properties. Target antigens embedded in BG can be regarded as subunit vaccine candidates fully equipped with a whole bacterial cell adjuvant for better uptake by APC by pattern recognition. The bacterial ghost antigen presentation technology combines target antigen(s) on a carrier, which elicits an efficient immune response. The formulation of the target antigens packaged into the ghost envelope structures is dependant on their own physiochemical properties and it may be of benefit to either loosely package them into the inner space of the envelopes or to fix them to a matrix. Clearly, different combinations of substances may need to be located simultaneously in various compartments of the BGS for optimal formulation. The bacterial ghost technology warrants further investigation as it has great strategic potential in areas of vaccine development against viral and bacterial threats for which conventional vaccines do not exist or are not sufficiently efficient. N C O R R EC TE in DNA solutions. Depending on the DNA concentration roughly 2000–4000 plasmids per single BG can be attached to the IM. When BG carrying plasmids encoding the green fluorescent protein (GFP) were exposed under tissue culture conditions to Caco-2 cells, DC or macrophages the cells expressed high levels of GFP [43]. As the latter two cell types are well known for their high capacity to degrade phagocytosed material, it is even more astonishing that GFP plasmids delivered by BG transferred the DNA from the endosome/lysosome to the nucleus without any help of endosomolytic agents or of nuclear localization signals. In an initial immunization study, plasmids encoding the TA LacZ loaded in BG revealed strong humoral as well as a Th1 help-mediated immune responses against h-galactosidase in mice [44]. The feasibility of plugging the E-lysis tunnel of BG to entrap target antigens in the CPS following loss of cellular cytoplasmic constituents has been assessed. Using a vesicle-to-ghost membrane fusion system, BG can be plugged in order to use BG as carrier and adjuvant systems for soluble, non-attached, hydrophilic TA. The sealing process of ghosts requires inside-out vesicles of gram-negative bacteria and fuses the vesicles to the inner membrane at the edges of the lysis tunnel of the ghost carrier. Orthonitrophenyl-galactoside (ONPG), calcein and fluorescein-labeled DNA were used as reporter substances to test that BG can be sealed by restoring membrane integrity (Fig. 2b) [45]. The technique of loosely closing BG is under optimization and, as can be seen in Fig. 2c–f, antigen carriers can be obtained by targeting a vesicle on top of the E-specific transmembrane tunnel. In the most simple model, vesicles can be targeted to the Especific transmembrane tunnel by specific interaction of biotinylated protein E with membrane anchored streptavidin on the surface of inside out vesicles (Fig. 2c) or vice versa by using E-streptavidin fusion proteins for creation of the E-specific transmembrane tunnel and inside out vesicles with membrane anchored biotinylated receptor sequences (Fig. 2d). In an alternative model, both receptor sequences on the BG as well as on the inside out vesicle display streptavidin on the surface and free biotin is used as coupling agent (Fig. 2e). This traps the vesicle on top of the E-specific transmembrane tunnel and can be U 482 483 484 485 486 487 488 489 490 491 492 493 494 495 496 497 498 499 500 501 502 503 504 505 506 507 508 509 510 511 512 513 514 515 516 517 518 519 520 521 522 523 524 525 526 527 528 529 9 567 [1] M.P. Szostak, A. Hensel, F.O. Eko, R. Klein, T. Auer, H. Mader, A. Haslberger, S. Bunka, G. Wanner, W. Lubitz, Bacterial ghosts: non-living candidate vaccines, J. Biotechnol. 44 (1996) 161 – 170. [2] M.C. Ronchel, A. Molina, W. Witte, S. Lubitz, J.L. Molin, C. Ramos, Characterization of cell lysis in Pseudomonas putida 568 569 570 571 572 573 ARTICLE IN PRESS [9] [10] [11] [12] [13] [15] N C [14] F O O [8] PR [7] [16] K. Jalava, A. Hensel, M. Szostak, S. Resch, W. Lubitz, Bacterial ghosts as vaccine candidates for veterinary applications, J. Control. Release 85 (2002) 17 – 25. [17] K. Jalava, F.O. Eko, E. Riedmann, W. Lubitz, Bacterial ghosts as carrier and targeting systems for mucosal antigen delivery, Expert Rev. Vaccines 2 (2003) 45 – 51. [18] J. Marchart, G. Dropmann, S. Lechleitner, T. Schlapp, G. Wanner, M.P. Szostak, W. Lubitz, Pasteurella multocida- and Pasteurella haemolytica-ghosts: new vaccine candidates, Vaccine 21 (2003) 3988 – 3997. [19] J. Marchart, M. Rehagen, G. Dropmann, M.P. Szostak, S. Alldinger, S. Lechleitner, T. Schlapp, S. Resch, W. Lubitz, Protective immunity against Pasteurellosis in cattle, induced by Pasteurella haemolytica ghosts, Vaccine 21 (2003) 1415 – 1422. [20] A. Hensel, V. Huter, A. Katinger, P. Raza, C. Strnistschie, U. Roessler, E. Brand, W. Lubitz, Intramuscular immunization with genetically inactivated (ghosts) Actinobacillus pleuropneumoniae serotype 9 protects pigs against homologous aerosol challenge and prevents carrier state, Vaccine 18 (2000) 2945 – 2955. [21] V. Huter, A. Hensel, E. Brand, W. Lubitz, Improved protection against lung colonization by Actinobacillus pleuropneumoniae ghosts: characterization of a genetically inactivated vaccine, J. Biotechnol. 83 (2000) 161 – 172. [22] F.O. Eko, U.B. Mayr, S.R. Attridge, W. Lubitz, Characterization and immunogenicity of Vibrio cholerae ghosts expressing toxin-coregulated pili, J. Biotechnol. 83 (2000) 115 – 123. [23] A.G. Haslberger, H.J. Mader, M. Schmalnauer, G. Kohl, P. Messner, U.B. Sleytr, G. Wanner, S. Fqrst-Ladani, W. Lubitz, Bacterial cell envelops (ghosts) and LPS but not bacterial Slayers induce synthesis of immune-mediators in mouse macrophages involving CD14, J. Endotoxin Res. 4 (1997) 431 – 441. [24] A. Haslberger, G. Kohl, D. Felnerova, U.B. Mayr, S. FqrstLadani, W. Lubitz, Activation, stimulation and uptake of bacterial ghosts in antigen presenting cells, J. Biotechnol. 83 (2000) 57 – 66. [25] H.J. Mader, M.P. Szostak, A. Hensel, W. Lubitz, A.G. Haslberger, Endotoxicity does not limit the use of bacterial ghosts as candidate vaccine, Vaccine 15 (1997) 195 – 202. [26] A. Hensel, W. Lubitz, Vaccination by aerosols: modulation of clearance mechanisms in the lung, Behring-Inst.-Mitt. 98 (1997) 212 – 219. [27] A. Hensel, L.A.G. van Leengoed, M. Szostak, H. Windt, H. Weissenbfck, N. Stockhofe-Zurwieden, A. Katinger, M. Stadler, M. Ganter, S. Bunka, R. Pabst, W. Lubitz, Induction of protective immunity by aerosol or oral application of candidate vaccines in a dose-controlled pig aerosol infection model, J. Biotechnol. 44 (1996) 171 – 181. [28] A. Katinger, W. Lubitz, M.P. Szostak, M. Stadler, R. Klein, A. Indra, Pigs aerogenously immunized with genetically inactivated (ghosts) or irradiated Actinobacillus pleuropneumoniae are protected against a homologous aerosol challenge despite differing in pulmonary cellular and antibody responses, J. Biotechnol. 73 (1999) 251 – 260. TE [6] EC [5] R [4] O R [3] induced upon expression of heterologous killing genes, Appl. Environ. Microbiol. 64 (1998) 4904 – 4911. D.U. Kloos, M. Stratz, A. Guttler, R.J. Steffan, K.N. Timmis, Inducible cell lysis system for the study of natural transformation and environmental fate of DNA released by cell death, J. Bacteriol. 176 (1994) 7352 – 7361. W. Jechlinger, M. Szostak, A. Witte, W. Lubitz, Altered temperature induction sensitivity of the lambda PR/cI857 system for controlled gene E-expression in Escherichia coli, FEMS Microbiol. Lett. 173 (1999) 347 – 352. W. Jechlinger, M. Szostak, W. Lubitz, Cold-sensitive E-lysis systems, Gene 218 (1998) 1 – 7. A. Witte, G. Wanner, U. Bl7si, G. Halfmann, M. Szostak, W. Lubitz, Endogenous transmembrane tunnel formation mediated by PhiX174 lysis protein E, J. Bacteriol. 172 (1990) 4109 – 4114. A. Witte, U. Bl7si, G. Halfmann, M. Szostak, G. Wanner, W. Lubitz, PhiX174 protein E mediated lysis of Escherichia coli, Biochimie 72 (1990) 191 – 200. A. Witte, G. Wanner, M. Sulzner, W. Lubitz, Dynamics of PhiX174 protein E-mediated lysis of Escherichia coli, Arch. Microbiol. 157 (1992) 381 – 388. A. Witte, E. Brand, G. Schrot, W. Lubitz, Pathway of PhiX174 Protein E Mediated Lysis of Escherichia coli, in: M.A. dePedro, J.-V. Hfltje, W. Lfffelhardt (Eds.), Bacterial Growth and Lysis, Plenum Press, New York, 1993, pp. 277 – 283. W. Lubitz, A.P. Pugsley, Changes in host cell phospholipid composition of PhiX174 gene E product, FEMS Microbiol. Lett. 30 (1985) 171 – 175. A. Witte, E. Brand, P. Mayrhofer, F. Narendja, W. Lubitz, Dependence of PhiX174 protein E-mediated lysis on cell division activities of Escherichia coli, Arch. Microbiol. 170 (1998) 259 – 268. P. Schfn, G. Schrot, G. Wanner, W. Lubitz, A. Witte, Twostage model for integration of the lysis protein E of PhiX174 into the cell envelope of Escherichia coli, FEMS Microbiol. Rev. 17 (1995) 207 – 212. A. Witte, G. Schrot, P. Schfn, W. Lubitz, Proline 21, a residue within the a-helical domain of a 174 lysis protein E, is required for its function in Escherichia coli, Mol. Microbiol. 26 (1997) 337 – 346. F.O. Eko, A. Witte, V. Huter, B. Kuen, S. Fqrst-Ladani, A. Haslberger, A. Katinger, A. Hensel, M.P. Szostak, S. Resch, H. Mader, P. Raza, E. Brand, J. Marchart, W. Jechlinger, W. Haidinger, W. Lubitz, New strategies for combination vaccines based on the extended recombinant bacterial ghost system, Vaccine 17 (1999) 1643 – 1649. W.W. Jechlinger, W. Haidinger, S. Paukner, P. Mayrhofer, E. Riedmann, J. Marchart, U. Mayr, C. Haller, G. Kohl, P. Walcher, P. Kudela, J. Bizik, D. Felnerova, E.M.B. Denner, A. Indra, A. Haslberger, M. Szostak, S. Resch, F. Eko, T. Schukovskaya, V. Kutyrev, A. Hensel, S. Friederichs, T. Schlapp, W. Lubitz, Bacterial ghosts as carrier and targeting systems for antigen delivery, in: Guido Dietrich, Werner Goebel (Eds.), Vaccine Delivery Strategies, Horizin Scientific Press, Wymondham, UK, 2002, pp. 163 – 184. U 574 575 576 577 578 579 580 581 582 583 584 585 586 587 588 589 590 591 592 593 594 595 596 597 598 599 600 601 602 603 604 605 606 607 608 609 610 611 612 613 614 615 616 617 618 619 620 621 622 623 624 625 626 627 628 629 630 U.B. Mayr et al. / Advanced Drug Delivery Reviews xx (2005) xxx–xxx D 10 631 632 633 634 635 636 637 638 639 640 641 642 643 644 645 646 647 648 649 650 651 652 653 654 655 656 657 658 659 660 661 662 663 664 665 666 667 668 669 670 671 672 673 674 675 676 677 678 679 680 681 682 683 684 685 686 687 ARTICLE IN PRESS U.B. Mayr et al. / Advanced Drug Delivery Reviews xx (2005) xxx–xxx D PR O O F [37] E. Riedmann, W. Lubitz, A.M. Smith, S. Gomez-Gallego, J. McGrath, A.W. Cripps, J.M. Kyd, Immune responses to the nontypeable Haemophilus influenzae antigen Omp26 delivered mucosally in bacterial ghosts, Vaccine, in press. [38] V. Huter, M.P. Szostak, J. Gampfer, S. Prethaler, G. Wanner, F. Gabor, W. Lubitz, Bacterial ghosts as drug carrier and targeting vehicles, J. Control. Release 61 (1999) 51 – 63. [39] M.P. Szostak, W. Lubitz, Recombinant bacterial ghosts as multivaccine vehicles, in: R.M. Chanock, et al., (Eds.), Modern Approaches to New Vaccines Including Prevention of AIDS, Vaccines, vol. 91, Cold Spring Harbor Laboratory Press, New York, 1991, pp. 409 – 414. [40] M.P. Szostak, T. Auer, W. Lubitz, Immune response against recombinant bacterial ghosts carrying HIV-1 reverse transcriptase, Vaccine 93 (1993) 419 – 425. [41] M.P. Szostak, A. Hensel, F.O. Eko, R. Klein, T. Auer, H. Mader, A. Haselberger, S. Bunka, G. Wanner, W. Lubitz, Bacterial ghosts, non-living candidate vaccines, J. Biotechnol. 44 (1996) 161 – 170. [42] F.O. Eko, W. Lubitz, L. Mcmillan, K. Ramey, T.T. Moore, G.A. Ananaba, D. Lyn, C.M. Black, J.U. Igietseme, Recombinant Vibrio cholerae ghosts as a delivery vehicle for vaccinating against Chlamydia trachomatis, Vaccine 21 (2003) 1694 – 1703. [43] S. Paukner, G. Kohl, W. Lubitz, Bacterial ghosts as novel advanced drug delivery systems: antiproliferative activity of loaded doxorubicin in human Caco-2 cells, J. Control. Release 94 (2004) 63 – 74. [44] T. Ebensen, S. Paukner, C. Link, P. Kudela, C. de Domenico, W. Lubitz, C.A. Guzmán, Bacterial ghosts are an efficient delivery system for DNA vaccines, J. Immunol. 172 (2004) 6858 – 6865. [45] S. Paukner, G. Kohl, K. Jalava, W. Lubitz, Sealed bacterial ghosts—novel targeting vehicles for advanced drug delivery of water-soluble substances, J. Drug Target. 11 (2003) 151 – 161. TE [29] F.O. Eko, T. Schukovskaya, E.Y. Lotzmanova, V.V. Firstova, N.V. Emalyanova, S.N. Klueva, A.L. Kravtzov, L.F. Livanova, V.V. Kutyrev, J.U. Igietseme, W. Lubitz, Evaluation of the protective efficacy of Vibrio cholerae ghost (VCG) candidate vaccines in rabbits, Vaccine 21 (2003) 3663 – 3674. [30] G. Hobom, N. Arnold, A. Ruppert, Omp A fusion proteins for presentation of foreign antigens on the bacterial outer membrane, Dev. Biol. Stand. 84 (1995) 255 – 262. [31] W. Jechlinger, C. Haller, S. Resch, A. Hofmann, M.P. Szostak, W. Lubitz, Comparative immunogenicity of the hepatitis B virus core 149 antigen displayed on the inner and outer membrane of bacterial ghosts, Vaccine, in press. [32] M. Truppe, S. Howorka, G. Schroll, S. Lechleitner, B. Kuen, S. Resch, W. Lubitz, Biotechnological applications of recombinant Slayer proteins rSbsA and rSbsB from Bacillus stearothermophilus PV72, FEMS Microbiol. Rev. 20 (1997) 47 – 98. [33] B. Kuen, M. Sara, W. Lubitz, Heterologous expression and self assembly of the S-layer protein SbsA of Bacillus stearothermophilus in Escherichia coli, Mol. Microbiol. 19 (1995) 495 – 503. [34] B. Kuen, A. Koch, W. Asenbauer, M. Sara, W. Lubitz, Sequence analysis of the sbsA gene encoding the 130-kDa surface-layer protein of Bacillus stearothermophilus PV72, Gene 145 (1994) 115 – 120. [35] M. Truppe, S. Howorka, G. Schroll, S. Lechleitner, B. Kuen, S. Resch, W. Lubitz, Biotechnological applications of recombinant slayer proteins rSbsA and rSbsB from Bacillus stearothermophilus PV72, FEMS Microbiol. Rev. 20 (1997) 47 – 98. [36] E. Riedmann, J. Kyd, A. Smith, S. Gomez-Gallego, K. Jalava, A. Cripps, W. Lubitz, Construction of recombinant S-layer proteins (rSbsA) and their expression in bacterial ghosts—a delivery system for the nontypeable Haemophilus influenzae antigen Omp26, FEMS Immunol. Med. Microbiol. 37 (2003) 185 – 192. EC 688 689 690 691 692 693 694 695 696 697 698 699 700 701 702 703 704 705 706 707 708 709 710 711 712 713 714 715 716 717 718 719 720 721 722 U N C O R R 758 11 723 724 725 726 727 728 729 730 731 732 733 734 735 736 737 738 739 740 741 742 743 744 745 746 747 748 749 750 751 752 753 754 755 756 757