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Concepts Regarding Adenovirus based vaccine systems. By: Andrea Amalfitano D.O., Ph.D. Osteopathic Heritage Foundation Professor Dept of Microbiology and Molecular Genetics and Pediatrics Michigan State University Objectives: Adenovirus Biology: Basics Adenovirus Vectors – Construction – Propagation – Purification Utilization of Adenovirus Vectors as a Vaccine platform Limitations of Adenovirus Vectors Adenovirus: -7 Human subgroups , ~42 serotypes - primate, porcine, ovine, avian, murine -70-90 nanometers -36 kb dsDNA linear genome Adenovirus –Pathology/Facts 5% of all Acute respiratory illnesses(~30,000,000 cases/yr) Pharyngitis-infants Gastroenteritis-infants Conjunctivitis-All Pneumonia- Infants, Military Recruits – (Ad 4, 7,21) – Literally millions vaccinated with large oral doses of these wild-type viruses Adenovirus Genomic Organization reflects life cycle Adenovirus life cycle ssDBP E1 pol pTP E2 E1 E3 E4 E1 E2 E3 E4 ssDBP pTP pol ΨΨ ΨΨ ΨΨ Ψ Late gene expression (structural proteins) 100K Preformed empty capsids Adenovirus as a “work-horse” gene transfer vector: Your favorite antigen Construction of [E1-]Ad vectors Gene X Homologous recombination ΔE1 Gene X Pac I Enhancer/Promoter Pac I ori Kan GENE X Poly A Pme I Ampr Pac I Pme I Newer methods for creating modified Ad vectorsbacterial recombination pAd[E1-] Pac I Pac I Kan ori Gene X E1 GENE X PacI E3 { } E1+,E2b+ cells pAd[E1-] GENE X Ad[E1-]ANTIGEN X Viral Particles [E1-] Ad Vector Production ssDBP E2 Gene X pTP pol E3 E4 293 cells E1 100K Ease of scale-up for production of modified Ad vectors Gene X X X X X X X X X X X x x x x x x x x x x x x x x x x x x x x x x x x xx x x x x x x x x x x xx x xx x x x x x x x x x x x x x x x x x x x x x x x x x xx x x x x x x x x x x x x x x x x xx x x x x x x x x x x x x x x x x x x x x x Large-scale purification: independent of CsCl2 centrifugation CsCl2 purified Adenovirus vector: Adenovirus vector production, purification, and storage: Serum Free Cell Culture Large Scale Cultivation Systems: – cell suspension based systems – Micro-carrier bead based – Hollow fiber Isayeva et.al.: BioProcessing Journal p.64-70: 2003 Anion Exchange Based Column Chromatography Purification Huyghe et.al.: Human Gene Therapy 6:11403-1416: 1996 Green et.al.: Human Gene Therapy 13:1921-1934: 2002 Stability and long term storage – Long term stability and lyophilization capability Croyle et.al.: Gene Therapy 8(17):1281-90: 2001 Efficacy of Adenovirus based Vaccine: Humoral and Cellular Immune response induction “Phase 1 safety and immunogenicity evaluation of a multiclade HIV-1 candidate vaccine delivered by a replication-defective recombinant adenovirus vector” – “Protection of mice and poultry from lethal H5N1 avian influenza virus through adenovirus-based immunization” – Catamzaro et.al.: J. Infectious Diseases: 194(12):1638-1649: 2006 Gao et.al.: J. Virology 80(4): 1959-1964:2006 “Safety and immunogenicity of Adenovirus vectored nasal and epicutaneous influenza vaccines in humans.” – Van Kampen et. al.: Vaccine 23: 1029-1036: 2005 Why are Adenoviruses so potent? The Ad capsid is intrinsically capable of inducing potent innate immune responses. – In part, these responses are TLR mediated. Harman et.al. J. Virology : in press Ad induced innate immune responses are in part, MyD88 dependent Ad dyregulated Liver Transcriptome is significantly impacted upon by lack of MyD88 functionality: Ad infected Wt mice 6 hpi Ad treated Wild-Type mice exhibit significantly higher activation of immune response, nucleotide binding, RNA processing, and Extracellular and Adhesion Genes relative to Ad treated, MyD88KO mice. Ad treated Wild-Type mice exhibit significantly greater repression of mitochondria-related genes as well as cell cycle and growth gene groups relative to Ad treated, MyD88KO mice. – Hartman et.al.: J. Virology: in press. Statistically different genes between Ad and mock infected samples assessed using a 1-way ANOVA, p = .05 with Benjamini and Hochberg Multiple Testing Correction. Adenovirus Limitations: “Toxicity” due to continued expression of multiple Ad encoded genes present in [E1-]Ad based vectors: ssDBP pTP polGene X E2 Protein X E3 “E1 like ” E4 100K Pre-existing Immunity hampers efficacy and might increase toxicity Upwards of 50-85% of adults have some pre-existing immunity to Adenoviruses Piedra et.al.: Pediatrics 101:1013-1019: 1998 Chirmule et.al.: Gene Therapy 6: 1574-1583: 1999 Varnavski et.al.: J. Virology 76(11): 5711-5719:2002 Wild-type Ad (RCA) reversion during production 293 cells: 0 4344 Ψ E1a and E1b RCA due to recombination with Ad sequences present in 293 cells 0 480 Ψ 4344 Your Favorite Antigen Wild-type Ad=RCA 0 E1a and E1b Ψ 0 4344 Ψ E1a and E1b 4344 Conclusions: Great potential Several Obstacles /Limitations must be considered