TW200918552A - Composition and method for immunization - Google Patents
Composition and method for immunization Download PDFInfo
- Publication number
- TW200918552A TW200918552A TW097120955A TW97120955A TW200918552A TW 200918552 A TW200918552 A TW 200918552A TW 097120955 A TW097120955 A TW 097120955A TW 97120955 A TW97120955 A TW 97120955A TW 200918552 A TW200918552 A TW 200918552A
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- Prior art keywords
- colostrum
- antigen
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- individual
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Classifications
-
- C—CHEMISTRY; METALLURGY
- C07—ORGANIC CHEMISTRY
- C07K—PEPTIDES
- C07K16/00—Immunoglobulins [IGs], e.g. monoclonal or polyclonal antibodies
- C07K16/08—Immunoglobulins [IGs], e.g. monoclonal or polyclonal antibodies against material from viruses
- C07K16/10—Immunoglobulins [IGs], e.g. monoclonal or polyclonal antibodies against material from viruses from RNA viruses
- C07K16/1009—Picornaviridae, e.g. hepatitis A virus
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K39/00—Medicinal preparations containing antigens or antibodies
- A61K2039/505—Medicinal preparations containing antigens or antibodies comprising antibodies
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K39/00—Medicinal preparations containing antigens or antibodies
- A61K2039/505—Medicinal preparations containing antigens or antibodies comprising antibodies
- A61K2039/507—Comprising a combination of two or more separate antibodies
-
- C—CHEMISTRY; METALLURGY
- C07—ORGANIC CHEMISTRY
- C07K—PEPTIDES
- C07K2317/00—Immunoglobulins specific features
- C07K2317/10—Immunoglobulins specific features characterized by their source of isolation or production
- C07K2317/12—Immunoglobulins specific features characterized by their source of isolation or production isolated from milk
-
- C—CHEMISTRY; METALLURGY
- C07—ORGANIC CHEMISTRY
- C07K—PEPTIDES
- C07K2317/00—Immunoglobulins specific features
- C07K2317/20—Immunoglobulins specific features characterized by taxonomic origin
- C07K2317/23—Immunoglobulins specific features characterized by taxonomic origin from birds
-
- C—CHEMISTRY; METALLURGY
- C12—BIOCHEMISTRY; BEER; SPIRITS; WINE; VINEGAR; MICROBIOLOGY; ENZYMOLOGY; MUTATION OR GENETIC ENGINEERING
- C12N—MICROORGANISMS OR ENZYMES; COMPOSITIONS THEREOF; PROPAGATING, PRESERVING, OR MAINTAINING MICROORGANISMS; MUTATION OR GENETIC ENGINEERING; CULTURE MEDIA
- C12N2770/00—MICROORGANISMS OR ENZYMES; COMPOSITIONS THEREOF; PROPAGATING, PRESERVING, OR MAINTAINING MICROORGANISMS; MUTATION OR GENETIC ENGINEERING; CULTURE MEDIA ssRNA viruses positive-sense
- C12N2770/00011—Details
- C12N2770/32011—Picornaviridae
- C12N2770/32311—Enterovirus
Landscapes
- Chemical & Material Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Health & Medical Sciences (AREA)
- Organic Chemistry (AREA)
- Virology (AREA)
- Biochemistry (AREA)
- Immunology (AREA)
- Biophysics (AREA)
- General Health & Medical Sciences (AREA)
- Genetics & Genomics (AREA)
- Medicinal Chemistry (AREA)
- Molecular Biology (AREA)
- Proteomics, Peptides & Aminoacids (AREA)
- Communicable Diseases (AREA)
- Medicines Containing Antibodies Or Antigens For Use As Internal Diagnostic Agents (AREA)
Abstract
Description
200918552 九、發明說明: 【發明所屬之技術領域】 本專利案係有關一種治療或抑制腸道病毒71感染之方法 和一種抑制腸道病毒71感染在團體中傳播之方法。本發明 更進一步有關一種用於抑制腸道病毒71感染之組合物和一 種製備該組合物之方法。 【先前技術】200918552 IX. INSTRUCTIONS: [Technical field to which the invention pertains] This patent relates to a method for treating or inhibiting enterovirus 71 infection and a method for inhibiting transmission of enterovirus 71 infection in a group. The invention further relates to a composition for inhibiting enterovirus 71 infection and a method of preparing the composition. [Prior Art]
腸道病毒7 1屬於小核糖核酸病毒科(作⑽⑽咖㈣中之腸道 病毒(仏妙屬之人類腸道病毒A種。重要的是注意到 咖不是動物感染病的媒介。则是許多神經疾病忑括 無菌性腦膜炎、腦炎和類小兒麻療癱瘓)之致病因子。該 病毒還與大規模爆發的人類手足口病有關。亞洲國家常爆 發與_相關疾病,如:臺灣、馬來西亞、新加坡、日 本、韓國、泰國、越南、香港,甚至包括澳洲。 1975年,在保加利亞’爆發最大的EV71,導致44人死 亡;1978年,匈牙利,45人死亡;1997年,馬來西亞,川 人死亡’ 1998年、2〇〇〇年和1生 ± ^ 千和2001年,臺灣,死亡人數分別 為78、25和26。在軎遭(,10 仕莖,4 ’ 1998年該疾病爆發涉及超過 13〇,〇〇〇個報告病例句 J包括400個以上嚴重的神經學上的病 例和78人死亡,其中9〗0 f 91疋不到五歲的兒童。更多近來爆 么於2005年年初在香港、 ^ 趣南和臺灣’其中一共死亡31 人;2006年年初在馬來 亞’導致8人死亡。由於它高的Enterovirus 7 1 belongs to the picornavirus family (as (10) (10) coffee (4) enterovirus (a human enterovirus A species of the genus genus. It is important to note that coffee is not a vector of animal infections. The disease includes the pathogenic factors of aseptic meningitis, encephalitis and pediatric anesthesia. The virus is also associated with large-scale human hand, foot and mouth disease. Asian countries often have _ related diseases, such as: Taiwan, Malaysia Singapore, Japan, South Korea, Thailand, Vietnam, Hong Kong, and even Australia. In 1975, the largest EV71 broke out in Bulgaria, resulting in 44 deaths; in 1978, Hungary, 45 people died; in 1997, Malaysia, Sichuan people died '1998, 2 years and 1 year ± ^ thousand and 2001, Taiwan, the death toll was 78, 25 and 26 respectively. In the plague (10 stalks, 4 ' 1998 the disease broke more than 13 Hey, a report case J includes more than 400 serious neurological cases and 78 deaths, of which 9 ** 0 f 91 疋 less than five years old. More recent explosions in early 2005 Hong Kong ^ Fun South Taiwan 'death in which a total of 31 people; early 2006 in Malaya' led to eight deaths due to its high.
死亡率和受害者通常為I 馬小孩’大眾已經提高對EV71的關 注。 131999.doc 200918552 乂幻用於控制源於流行病病原 括: 體之臨床疾病之方法 包 0隔離感染個體 〇勤洗手和玩具 0避免擁擠 〇舒緩式照護 〇關閉學校Mortality and the victim are usually I horses. Volkswagen has raised concerns about EV71. 131999.doc 200918552 乂 用于 用于 用于 用于 用于 用于 用于 用于 用于 用于 用于 用于 用于 用于 用于 用于 用于 用于 用于 用于 用于 用于 用于 用于 用于 用于 用于 用于 用于 用于 用于 用于 用于 用于 用于 用于 用于 用于 用于 隔离 隔离 隔离 隔离 隔离 隔离 隔离 隔离 隔离 隔离 隔离
(參考:臺灣感染病中心’公共關係小冊子,1999) 美國專利公開案2〇〇6/0292693提供用於中和EV7丨之單株 抗體,其藉由非經腸式投藥給病人之方式用於接種_ 苗(passive vaccination)中。為了減少病人血流之免疫反 應,單株抗體被人源化。因此,該疫苗製劑相#昂#且非 經腸式投藥法之要求使其難㈣證提供有經濟效益之族群 控制。而且,儘管〜71感染起始於腸部,美國2〇〇繼咖 敍述了涉及EV71威毕之f篛舌从入ώ ν η Α木心更厭重的全身併發症而非感染 源。 然而’當預防臨床病例時’最好發展族群對病原體之免 疫性。為避S疾病廣泛流行,重要的是減少其在人們之間 的傳播率。極需要使用a)降低健康族群的感染率和b)減; 透過感染者對環境的污染之生物活性劑。 進-步地,由於缺乏可接受的安全性資料,通常不建議 疫苗用於不滿13個月的兒童。同樣地,對於大多數的疫苗 來說,僅在多劑量以後’才逐漸發展出免疫相關性和達到 充分的保護。 131999.doc 200918552 本說明書所包括之文獻、法令、材料、裝置、物品等等 之討論僅為本發明提供背景。其_並未建議或代表此等形 成先前技藝基礎或一般相關技藝習知之一部份之任何或所 有物質與本發明有相關性,就如同本申請案各申請項之優 先權曰期先前之狀態。 【發明内容】 在一個實施例t,我們提供為個體被動免疫對抗EV71 之口服製劑之組合物,其包含從有蹄類動物之初乳或禽類 蛋中產生對抗E V 71抗原之多株抗體。 在-個實施例中,我們提供一種使個體被動免疫對抗 EV71之方法,包括: 提供包含用EV71接種牛屬勿或禽類所產生之多株抗 體之超免疫物質,並對料個體經口投與該辣抗體。 用於接種動物之EV7m苗通常選自包含滅活的訓疫 苗或EV7i之抗原性衣殼蛋白,如:衣殼蛋白νρι之群組。 在另一個實施例中,我們提供—種製備被動口服疫苗以 免疫個體對抗EV71感染之方法,該方法包括:以洲抗 原免疫選自牛屬和禽類之動物; 並收集選自牛初乳和禽類蛋之超免疫物質,該超免疫物 ^ ^ s針對EV71抗原之多株抗體。多株抗體最好以口服 製《丨使用,如.食物或食物添加劑、藥片 膠囊等 等。 在另一個實施例中,提供以針對_抗原之多株抗體 藉由形成多株抗體之口服製劑,於製備為個體被動免疫對 131999.doc 200918552 抗EV71感染之口服疫苗上之用途;用於個體口服之該口 服製劑最好包含牛初乳。 在另一個實施例中,提供一種以EV71於製備包含多株 抗體’供個體口服’以免疫個體對抗EV71感染之被動疫 苗上之用途,其中多株抗體之製法為對選自牛屬動物和禽 類動物之動物接種EV71抗原’收集選自牛初乳和禽類蛋 之物質,該物質在針對EV71抗原之多株抗體上具有超免 疫性。 接種被動疫苗之個體最好為人類個體。 在本發明之一個實施例中,被動疫苗係與接種主動疫苗 (active vaccinati〇n)同時進行。一般而言,EV7丨抗原之接 種主動疫苗需要一段時間,經由體内對主動疫苗產生抗體 而賦與免疫性。在開始變得明顯感染之後的關鍵階段,可 採用上述之被動疫苗作為抑制感染*EV7l感染流行之測 定值。 在一個實施例中,在高風險期,定期投與本口服製劑至 少20天’其巾高風險期可能包括大量出現病原體的時期, 或者直到主動疫苗過程完成之前的時期。最好定期投與該 口服裝劑40天。在—個較佳實施例中’口服製劑至少一天 才又/、 '人。在一個較佳實施例中,口服製劑在主食之前、 期間或之後立即投與。 【實施方式】 本組合物包括EV71抗原。EV71抗原可以包括例如… 或夕種選自包含滅活的完整病毒與一種或多種EV71病 131999.doc 200918552 毒衣殼蛋白(如:衣殼蛋白νρι)之群組。 本術語"有蹄類"指四足、 學亞科丰雔w 有蹄和卓食性哺乳動物。生物 養Γ個種類的中型到大型有蹄類動物的群 羊。 牛、犛牛以及四角和螺旋角羚 二用ΓΓ乳(一,此包括初乳奶(一 Γ種了^ 及㈣^ 細胞碎屑、乳糖和路蛋白之初乳奶; ^法=·冷;東乾燥、噴霧乾燥或相關技藝熟知之其他 初乳奶或加工初乳奶。初乳奶通常取自有蹄 如··分媿後五曰内之母牛。在-個實施例 勺人:,、病人之組合物包括乾燥形式之初乳。組合物中可 二他選自包含佐劑、載劑、藥物和其他活性成分之群 2之成分,並在乾燥過程之前、期間或之後均句混合。包 ::之該組合物可利用冷,東乾燥法或相關技藝上已知用 於乾燥初乳之其他方法乾燥。 投與個體之組合物可以是超免疫物質,但是最好衍生自 超免疫物質。例如’就初乳而言,投與個體之該組合物可 :用具體操作進行處理,更適宜地為利用去脂防操作和除 、’田胞碎肩之操作,更適宜地為利用去脂防操作、除去细 胞碎屬之操作和除去食鹽、糖、其他低分子量物質和一些 水之操作。 一 本說明書全文和申請項中’詞語"包括"(l,compdse”)及 /、變化形式(包含("compnsing”、”comprises"))並無意排除 I31999.doc 200918552 其他添加劑、成分、整體或者步驟。 本發明係有關提供包含針對EV71抗原產生之多株疒 之、、且口物。该組合物最好源於選自包含有蹄類動物之。 和禽類蛋之蛋黃之群組之超免疫物質。 乳 該口服製劑包含多株抗體或其結合片段,其中該多株疒 體來自有蹄類動物之初乳或蛋之蛋黃。該口服製劑最好^ 合取自已接種對抗至少一種來自EV71抗原之疫苗之母牛 或水牛之至少部分純化之牛初乳。 用於產生多株抗體之該疫苗可投與牛屬動物且可包含至 少一種滅活的EV71病毒和£:¥71衣殼蛋白,如:衣殼蛋白 VP1。該組合物可以包含一種或多種佐劑。該佐劑可能是 包含十八碳烯酸和脫水甘露醇的酯的免疫刺激劑組合物。 其他佐劑的例子包括氫氧化鋁或者不完全弗氏佐劑或 ISCOMS。該疫苗最好包括該M〇ntanide佐劑或類似的多相 佐劑。例如,該佐劑可能是”M〇ntanide ISA 2〇6 vG",係 一種APVMA批准且由Seppic製備,由澳洲Tan Bennett供 應之獸醫用佐劑。Montanide ISA 206 VG是包含在油狀溶 液中十八碳烯酸和脫水甘露醇的酯的免疫刺激劑組合物。 當該多株抗體源於超免疫初乳時,該初乳於分娩後3曰 内收集為適宜,分娩後1日内更適宜,第一次泌乳之初乳 最適宜。 例如’各口服製劑可以包含少於8〇〇毫克(乾物重)之初 乳當量’小於400毫克為適宜,小於200毫克更適宜。初乳 當量(colostrum equivalent)意指未加工的初乳量,然而在 131999.doc 200918552 純化後’經過處理可提供作為製劑之内容物。 =個實把例中’該多株抗體在該組合物中之含量足夠 /、組合物至少1>5重量%之針對_抗原具有特異性 。之免疫球蛋白’如:占該組合物至少2重量%或至少3重量 /〇,至至多25重量〇/。或至多2〇重量%。 6亥口服製劑最好包括源於超免疫初乳和/或根據(Reference: Taiwan Infectious Diseases Center' Public Relations Booklet, 1999) US Patent Publication No. 2〇〇6/0292693 provides a monoclonal antibody for neutralizing EV7丨, which is administered to patients by parenteral administration. Inoculation _ seedling (passive vaccination). In order to reduce the immune response of the patient's bloodstream, individual antibodies are humanized. Therefore, the vaccine formulation phase #昂# and the requirements of the parenteral administration method make it difficult (4) to provide economically beneficial ethnic control. Moreover, although the ~71 infection originated in the intestine, the US 〇〇 咖 叙述 叙述 叙述 叙述 叙述 EV EV EV EV EV EV EV EV EV EV EV EV EV EV EV EV EV EV EV EV EV EV EV EV EV EV EV EV EV EV EV EV EV However, it is best to develop the immunity of the population to pathogens when preventing clinical cases. In order to avoid the widespread prevalence of S diseases, it is important to reduce their transmission rate among people. It is highly desirable to use a) to reduce the infection rate of healthy people and b) to reduce the bioactive agent that is contaminated by the infected person. Further, due to the lack of acceptable safety information, vaccines are generally not recommended for children under 13 months of age. Similarly, for most vaccines, the immune correlation and adequate protection are gradually developed only after multiple doses. 131999.doc 200918552 The discussion of documents, stipulations, materials, devices, articles, etc., which are included in this specification, is only a context of the invention. It does not suggest or represent any or all of the substances that form part of the prior art or a part of the general related art, and is related to the present invention, as in the prior state of each application of the present application. . SUMMARY OF THE INVENTION In one embodiment, we provide a composition for oral immunization of an individual against oral administration of EV71 comprising the production of antibodies against EVS 71 antigen from colostrum or avian eggs of ungulates. In one embodiment, we provide a method for passively immunizing an individual against EV71, comprising: providing a hyperimmune substance comprising a plurality of antibodies produced by inoculating bovine or bird with EV71, and orally administering the individual to the individual The spicy antibody. The EV7m seedlings used to inoculate animals are typically selected from the group consisting of inactivated vaccines or antigenic capsid proteins of EV7i, such as the group of capsid proteins νρι. In another embodiment, we provide a method of preparing a passive oral vaccine to immunize an individual against EV71 infection, the method comprising: immunizing an animal selected from the group consisting of bovine and avian with a continental antigen; and collecting selected from bovine colostrum and poultry The hyperimmune substance of the egg, the hyperimmune substance ^ ^ s against the multi-strain antibody of the EV71 antigen. It is preferable to use a plurality of antibodies for oral administration, such as food or food additives, capsules, and the like. In another embodiment, the use of an oral preparation for forming a plurality of antibodies against an antibody against a plurality of antibodies is used for the preparation of an individual for passive immunization against an oral vaccine against EV71 infection of 131999.doc 200918552; The oral preparation for oral administration preferably comprises bovine colostrum. In another embodiment, there is provided the use of EV71 for the preparation of a passive vaccine comprising a plurality of antibodies 'for oral administration' to immunize an individual against EV71 infection, wherein the plurality of antibodies are produced by selecting a bovine animal and a poultry Animal animals inoculated with EV71 antigen 'collecting substances selected from bovine colostrum and avian eggs, which are hyperimmune on a plurality of antibodies against the EV71 antigen. The individual vaccinated with the passive vaccine is preferably a human individual. In one embodiment of the invention, the passive vaccine is administered concurrently with an active vaccine (active vaccinati). In general, the active vaccine of the EV7 丨 antigen requires a period of time to confer immunity through the production of antibodies to the active vaccine in vivo. The passive vaccine described above can be used as a measure to suppress the prevalence of infection*EV7l infection at a critical stage after becoming apparently infected. In one embodiment, the oral formulation is administered periodically for at least 20 days during the high-risk period. The high-risk period of the towel may include a period of substantial occurrence of pathogens, or until the period prior to completion of the active vaccine process. It is best to administer the oral lotion for 40 days. In a preferred embodiment, the oral formulation is at least one day old and/or human. In a preferred embodiment, the oral formulation is administered immediately before, during or after the staple food. [Embodiment] The composition includes an EV71 antigen. The EV71 antigen may comprise, for example, a group selected from the group consisting of an inactivated intact virus and one or more EV71 diseases 131999.doc 200918552 toxic capsid protein (e.g., capsid protein νρι). The term "hoofed" refers to the four-legged, subfamily, hoofed and vegetative mammal. The organism raises a range of medium to large ungulates. Bovine, yak, and four-horned and helio-horned antelopes (one, this includes colostrum milk (one ^ 及 ^ and ( four) ^ cell debris, lactose and road protein colostrum milk; ^ method = · cold; east Drying, spray drying or other colostrum milk or processed colostrum well known in the art. Colostrum milk is usually taken from cows with hoofs such as five cents after splitting. In one embodiment, people:, The composition of the patient comprises a colostrum in a dry form. The composition may be selected from the group consisting of adjuvants, carriers, drugs and other active ingredients, and is mixed before, during or after the drying process. The composition of the package: can be dried by cold, Eastern drying or other methods known in the art for drying colostrum. The composition for administration to an individual can be a hyperimmune substance, but preferably derived from a hyperimmune substance. For example, in the case of colostrum, the composition administered to the individual may be treated by a specific operation, more preferably by using a degreasing operation and removing, 'field breaking shoulders' operation, more preferably for use. Lipid prevention operation, removal of cell debris and removal of salt Operation of sugar, other low molecular weight substances and some water. In the entire text of this manual and in the application, 'words" includes "(l,compdse)) and /, variations (including ("compnsing", "comprises") It is not intended to exclude other additives, ingredients, entities or steps from I31999.doc 200918552. The present invention relates to the provision of a plurality of sputum containing EV71 antigens, and the composition is preferably derived from hoofs. An animal-like substance and a hyperimmune substance in the group of egg yolks of poultry eggs. The oral preparation comprises a plurality of antibodies or a binding fragment thereof, wherein the plurality of steroids are derived from colostrum of ungulates or egg yolk. Preferably, the oral preparation is taken from at least partially purified bovine colostrum that has been inoculated against at least one vaccine or vaccine from the EV71 antigen. The vaccine for producing a plurality of antibodies can be administered to bovine animals and can comprise At least one inactivated EV71 virus and £:¥capsid protein, such as capsid protein VP1. The composition may comprise one or more adjuvants. The adjuvant may be containing eighteen carbons An immunostimulant composition of an acid and an ester of dehydrated mannitol. Examples of other adjuvants include aluminum hydroxide or incomplete Freund's adjuvant or ISCOMS. The vaccine preferably includes the M〇ntanide adjuvant or a similar multiphase adjuvant. For example, the adjuvant may be "M〇ntanide ISA 2〇6 vG", an APVMA-approved and veterinary adjuvant supplied by Seppic, supplied by Tan Bennett, Australia. Montanide ISA 206 VG is contained in an oily solution. An immunostimulant composition of an ester of octadecenoic acid and dehydrated mannitol. When the multi-drug antibody is derived from hyperimmune colostrum, the colostrum is collected within 3 weeks after delivery, and is more suitable within 1 day after delivery. Suitable, the first lactating colostrum is most suitable. For example, 'each oral preparation may contain less than 8 mg (dry weight) of the initial milk equivalent' less than 400 mg, preferably less than 200 mg. Colostrum equivalent means the amount of unprocessed colostrum, however after treatment at 131999.doc 200918552 'processed to provide the content as a formulation. In the example, the amount of the multi-strain antibody in the composition is sufficient / and the composition is at least 1 > 5 wt% specific for the antigen. The immunoglobulins are, for example, at least 2% by weight or at least 3% by weight of the composition, up to 25 parts by weight. Or up to 2% by weight. 6 Hai oral preparation preferably includes from hyperimmune colostrum and / or according to
14些專利案的内容以引用之形式併入 pCT/AUG3/()()348(公開案號:Wq/2q咖咖取教示加到 該多株抗體之初乳。該口服製劑還可能包含如:揭露於 2005/001746(公開案號:w〇/2QQ6/()53383)之緩 較佳時’該口服製劑與涉及使用針對病原體之主動疫苗 之接種主動疫苗方案聯合使用。肖口服製劑最好用於該接 種主動疫苗方案和反應完成之前的時期。 在-個較佳實施例中,該口服組合物包含針對至少一種 取自腸道病#71群之病毒之表面抗原之多株抗體。 '最向風險期例如夏季,該口服製劑適宜定期投與至少 為期天更適且地為至少4〇天’尤更適宜地為至少 天0 該多株抗體係藉由使用包含EV71抗原(如:滅活的完整 EV71和/或EV71衣殼蛋白,如:νρι衣般蛋白)之疫苗接種 選自有蹄類動物和禽類類之動物而產生。該抗原可以包含 種或多種選自由滅活的完整EV71 8型、來自EV7i 3型 之衣设蛋白(如:VPI)、滅活的完整EV71 c型和來自ev7! C3L之衣Λ又蛋白(如:vp丨)所組成之群組。該多株抗體最好 131999.doc 12 200918552 針對每種腸道病毒71 B型抗原的至少一種抗原和-種腸道 病毒71 c型抗原產生。 该疫苗最好包括滅活的完整EV71病毒。 在另一個較佳實施财,該疫苗包括滅活的病毒和更進 一步地包括該表面抗原VP1。 該抗體最好包含分別針對EV71 B型抗原和C型抗 原產生之抗體。 該組合物可以是選自由食物或食物添加劑、藥片、糖 漿、膠囊和膜衣錠所組成群組中之形式。 如雨述請求項中任-項之組合物係呈為與食物或飲料混 合之顆粒形式。 如前述請求項中任一項之組合物,其中該多株抗體存在 於衍生自初乳之載體中。 用於提供多株抗體之初乳最好從各動物收集於單獨的容 器中’彙集前,分別測試來自各容器中之初乳。取自各動物 之初乳最好分開冷珠。收集初乳之方法和儀器已説明於Pub. No.: WO/20〇4/1〇785U國際申請號:pCT/AU2〇〇4/〇〇〇773), 其揭示内容已以引用方式併入本文中。 在一個實施例中,彙集之乾燥初乳針對至少一種B 和EV71C之中和效價至少為1:2〇,適宜地為1:4〇,更適宜 地為1:100,1:200尤更適宜。 中和試驗涉及"TCIDSO"中和分析(1(:1〇5〇 = 5〇%組織培養 感染劑量)。在該分析裏,由抗EV71初乳粉末的1〇%溶液 依數種稀釋度與100 TCID50 £¥71病毒混合。為報告中和 131999.doc •13- 200918552 效價’以該ίο%溶液組成未稀釋之參考溶液(亦即ι:2〇中和 效價意指該10%溶液需要稀釋1:2〇(或者更低)才可達到中 和)。經過一段培養期後,添加這些初乳和病毒混合物至 包含擔當宿主細胞轉持病毒生長之活的腎細胞之培養板 中。當活性病毒與該宿主細胞接觸時,其很容易藉由附在 細胞表Φ而絲該細胞並引起I終導致細胞死亡之稱作細 胞病變效應(CPE)之變化。CPE是細胞中(由於病毒感染)任 何可檢測的變化,包括細胞變圓、膨脹、縮小、死亡或者 從表面剝離。 該抗體口服製劑最好呈可與食物或飲料混合之細分散粉 末。 在另一個較佳實施例中,該抗體口服製劑存在於可加入 食物(最好為非加熱食物)中之包涵體内部。可加入食物之 該包涵體尺寸大於10微米,更適宜地大於100微米,大於! 毫米尤更適宜。 包3抗體之该包涵體最好在一種非加熱食物,例如··霜 淇淋或果凍或由粉末製成之牛奶飲料中。 包含抗體之該包涵體最好進一步地包括另一種可口成 分’如:巧克力、糖果或其他食物成分。 本發明尤其有利於控制在疾病群體中(尤其涉及兒童之 疾病群體)爆發EV71感染。因此,在一個實施例中,該方 法包括抑制疾病群中爆發EV71,其包括對直接接觸感染 個體之兒童和家屬經口投與多株抗體。 該組合物最好在該群體中投與至少30%或至少50%的個 131999.doc -14- 200918552 體更佳為該疾病群體中全部成員。 本發明現弓丨用w τ y, 乂下例子敍述。應理解··提供下列實例說 明本發明,但絕未限制本發明的範圍。 實例1 製備八有對抗EV71 c(臺灣菌株)活性之抗體調配物。使 EV71病毒於細胞培養燒瓶内,在於mem生長培養基中之 Vero、'、田胞内生& ’製備牛疫苗。收集該生長培養基,利用 離u步驟除去顆粒物質’產生的上清液用胰蛋白酶溶液水 解。該液體在交又流過漶體系中進行超遽、,以除去少於9〇 KDa的片段。依次用福馬林處理步驟及bei處理步驟,使 剩餘較大成分失活。 依以下步驟順序製備牛疫苗: 1) 擴充Vero細胞(預製法) 利用病毒製造無血清培養基(Viral Productic)I1 Senjm Ffee Media) ’於Cytodex 1微載體小珠上培養一系列yer〇細胞 2) 開始產生Vero細胞培養物-利用Cytodex 1微載體和vp_ SFM。 3) 用EV71感染融合細胞-感染試驗病毒菌種M〇 l=〇. 〇〇1。 4) 收集培養基SN,沖洗小珠和過濾淨化- 感染48小時後,讓小珠沉降並通過不銹鋼筛子㈠〇〇 um)、深濾器(〜5 um)和0.8/0.2 um濾器收集培養基SN。 用2X1/4體積PBS洗滌小珠,用培養基SN過濾並彙集。 5) 測試病毒效價,污染物(黴漿菌/細菌/真菌)和無菌性 6) 用胰蛋白酶酶解 131999.doc -15- 200918552 7) 使用ΒΕΙ和甲醛滅活 8) 利用100 KDa濾器進行正切向流動過濾 9) 收集純化且濃縮之EV71抗原之TFF保留物 1 〇)對純度、無菌性和失活性進行測試 純度-SDS-PAGE凝膠,西方墨點分析;抗原效力_ELISA 滅活-藉由接種Vero細胞以檢測病毒滅活性 11) 利用0.2 um濾器過濾除菌-測試細菌、真菌無菌性和黴 漿菌污染 12) 組合使用]yjontanide 206佐劑與EV71抗原_ 最終無菌檢查/無福馬林測試/安全性試驗/疫苗釋放 取所得抗原與Montanide佐劑之混合物,在牛妊娠最後 三個月注射至體内,每2周至少兩次。 牛分娩後產生的初乳利用敍述於美國公開案第 2〇〇6〇249〇84號之系統收集。 該液體初乳在敍述於美國專利公開案第2〇〇7〇〇53917號 之系統中進一步地處理, 理,以產生含有至少3〇% IgG之冷凍The contents of the 14 patents are incorporated by reference into pCT/AUG3/()() 348 (publication number: Wq/2q café teaches the addition of colostrum to the multi-drug antibody. The oral preparation may also contain : disclosed in 2005/001746 (publication number: w〇/2QQ6/()53383), the oral preparation is used in combination with an active vaccine scheme involving the use of an active vaccine against pathogens. For the vaccination active vaccine protocol and the period prior to completion of the reaction. In a preferred embodiment, the oral composition comprises a multi-strain antibody against at least one surface antigen of the virus taken from the Group #71 group. In the most risky period, for example, in summer, the oral preparation is suitable for regular administration at least for a period of at least 4 days, and more preferably at least 0 days. The multi-strain system is used by using an EV71-containing antigen (eg, extinction). Vaccination of live intact EV71 and/or EV71 capsid proteins, such as: νρι-like protein, from ungulates and avian animals. The antigen may comprise one or more selected from inactivated intact EV71 Type 8, from EV7i 3 A group consisting of a protein (eg, VPI), an inactivated intact EV71 c-type, and a protein from ev7! C3L (eg, vp丨). The polyclonal antibody is preferably 131999.doc 12 200918552 for each At least one antigen of enterovirus 71 type B antigen and an enterovirus 71 c-type antigen are produced. The vaccine preferably comprises an inactivated intact EV71 virus. In another preferred embodiment, the vaccine comprises inactivated The virus and the surface antigen VP1 are further included. The antibody preferably comprises antibodies produced against EV71 type B antigen and type C antigen, respectively. The composition may be selected from food or food additives, tablets, syrups, capsules and film coats. The composition of the group of the ingots. The composition of any of the items of the present invention is in the form of a particle mixed with a food or a beverage. The composition of any one of the preceding claims, wherein the multi-drug antibody It is present in a carrier derived from colostrum. The colostrum used to provide multiple antibodies is preferably collected from individual animals in separate containers. 'Before collecting, the colostrum from each container is tested separately. From the beginning of each animal Milk best The cold beads are separated. The method and apparatus for collecting colostrum have been described in Pub. No.: WO/20〇4/1〇785U International Application No.: pCT/AU2〇〇4/〇〇〇773), the disclosure of which has been The citations are incorporated herein by reference. In one embodiment, the pooled dry colostrum has a neutralization titer of at least 1:2 Torr for at least one of B and EV71C, suitably 1:4 Torr, more suitably 1:100, 1:200, and more suitable. The neutralization test involved "TCIDSO" neutralization analysis (1 (: 1〇5〇 = 5〇% tissue culture infectious dose). In this analysis, the dilution of the anti-EV71 colostrum powder in 1%% solution Mixed with 100 TCID50 £¥71 virus. For the report and 131999.doc •13- 200918552 valency' to form an undiluted reference solution with this ίο% solution (ie ι: 2 〇 neutralization titer means 10%) The solution needs to be diluted 1:2 〇 (or lower) to achieve neutralization. After a period of incubation, these colostrum and virus mixtures are added to a plate containing kidney cells that serve as host cell-transfer virus growth. When the active virus is in contact with the host cell, it is easily changed by the cytopathic effect (CPE) by attaching it to the cell surface Φ and causing the cell to eventually cause cell death. CPE is in the cell (due to Viral infection) Any detectable change, including rounding, swelling, shrinking, dying, or detachment of the cells. The oral formulation of the antibody is preferably a finely divided powder that can be mixed with food or beverage. In another preferred embodiment , the antibody mouth The formulation is present in the inclusion body which can be added to the food, preferably a non-heated food. The size of the inclusion body which can be added to the food is greater than 10 microns, more preferably greater than 100 microns, and more preferably greater than ! mm. Preferably, the inclusion body is in a non-heated food such as a cream or jelly or a milk beverage made from a powder. The inclusion body comprising the antibody preferably further comprises another palatable ingredient such as chocolate. Confectionery or other food ingredient. The present invention is particularly advantageous for controlling outbreaks of EV71 infection in disease populations, particularly those involving children. Thus, in one embodiment, the method comprises inhibiting outbreaks of EV71 in a disease population, including direct Children and their families exposed to infected individuals are orally administered with multiple antibodies. The composition preferably administers at least 30% or at least 50% of the population in the population. 131999.doc -14-200918552 is better in the disease population All of the members of the present invention are described by the following examples. It is to be understood that the following examples are provided to illustrate the invention, but in no way limit the scope of the invention Example 1 An antibody formulation was prepared which was active against EV71 c (Taiwan strain). The EV71 virus was placed in a cell culture flask in the presence of Vero, ', Endogenous & ' in a mem growth medium to prepare a bovine vaccine. The growth medium is hydrolyzed with a trypsin solution by removing the particulate matter from the u step. The liquid is superfluidized in the cross-flow system to remove fragments less than 9 KDa. The formalin treatment step and the bei treatment step inactivate the remaining large components. Prepare the bovine vaccine according to the following sequence: 1) Expand the Vero cells (prefabricated method) Make a serum-free medium (Viral Productic) I1 Senjm Ffee Media) Culture of a series of yer〇 cells on Cytodex 1 microcarrier beads 2) Start production of Vero cell cultures - using Cytodex 1 microcarriers and vp_SFM. 3) Infecting fusion cells with EV71 - Infection test virus strain M〇 l=〇. 〇〇1. 4) Collect medium SN, rinse beads and filter purification - After 48 hours of infection, allow the beads to settle and collect the medium SN through a stainless steel sieve (1) um um), a deep filter (~5 um) and a 0.8/0.2 um filter. The beads were washed with 2X 1/4 volume PBS, filtered through medium SN and pooled. 5) Test virus titer, contaminant (mycoplasma/bacteria/fungus) and sterility 6) Enzymatic hydrolysis with trypsin 131999.doc -15- 200918552 7) Inactivation with hydrazine and formaldehyde 8) Using a 100 KDa filter Tangential flow filtration 9) Collection of purified and concentrated TFF retentate of EV71 antigen 1 〇) Purity, sterility and inactivation were tested for purity - SDS-PAGE gel, Western blot analysis; antigen potency - ELISA inactivation - Inoculation of Vero cells to detect virus inactivation 11) Filtration by 0.2 um filter - test bacteria, fungal sterility and mycoplasma contamination 12) Combination use yjontanide 206 adjuvant with EV71 antigen _ Final sterility check / no fuma Lin test/safety test/vaccine release A mixture of the obtained antigen and Montanide adjuvant is injected into the body during the last trimester of the bovine pregnancy at least twice every 2 weeks. The colostrum produced after the delivery of the cattle is collected using the system described in U.S. Publication No. 2〇〇6〇249〇84. The liquid colostrum is further processed in a system described in U.S. Patent Publication No. 2, No. 5,391,917 to produce a freeze containing at least 3 % IgG.
異性免疫球蛋白。 實例2 依據實例1之方法所製成多株抗體之中和效價Heterologous immunoglobulin. Example 2 Neutralization titer of multiple antibodies prepared according to the method of Example 1.
131999.doc -16· 200918552 初乳和病毒混合物至包含擔當宿主細胞以維持病毒生長之 活的腎細胞之培養板中。當活性病毒與該宿主細胞接觸 時’其很谷易藉由附在細胞表面而感染細胞,且引起最終 導致細胞死亡之稱為細胞病變效應(CPE)i變化。cpE是 在細胞中(由於病毒感染)任何可檢測的變化,包括細胞變 圓、膨脹、縮小、死亡或者從表面剝離。已發現:添加包 含特異性抗體之初乳至病毒中時,可中和EV7 1並降低其 感染細胞的能力。 對於實例1之初乳粉末’據發現1:2 5 6之稀釋度可中和 EV71並且抑制至少50%病毒之典型CPE。 該中和分析顯示(見下表)僅需要1 〇 mg實例1之初乳粉末 來中和 106 pfu EV71C。 以來自實例1之EV71抗體測定EV71C臺灣菌株131999.doc -16· 200918552 A mixture of colostrum and virus into a culture plate containing kidney cells that act as host cells to maintain viral growth. When the active virus is in contact with the host cell, it is susceptible to infection by attaching to the cell surface and causing a change in cytopathic effect (CPE) i which ultimately leads to cell death. cpE is any detectable change in cells (due to viral infection), including rounding, swelling, shrinking, dying, or detachment from the surface. It has been found that when colostrum containing a specific antibody is added to the virus, EV7 1 is neutralized and its ability to infect cells is reduced. For the colostrum powder of Example 1, a dilution of 1:25 was found to neutralize EV71 and inhibit typical CPE of at least 50% of the virus. This neutralization analysis (see table below) requires only 1 〇 mg of the colostrum powder of Example 1 to neutralize 106 pfu of EV71C. EV71C Taiwan strain was determined by EV71 antibody from Example 1.
輸入病毒* (10V0.1 mL) 利用EV71免疫初乳, 得到TCID5〇/〇.l mL 對照組 (未中和效償) 10 mg/0.1 mL 1 mg/〇.l mL 7.5 6.8, 6.68 (平均值6.74) 7.55,7.16,7.55 6.5 <2.8, 0.8, 1.41 (平均值1.20) 5.68 5.5 <1.8, N 4.15,4.01 (平均值4.08) 4.5 N 2.3, 1.16 (平均值2.03) 3.5 N N 2.5 N N "N"意指未檢測到 131999.doc 17 200918552 實例3 在動物模式中之抗體效力: 在倫理上無法接受以兒童進行人 因為他們要求兒童與有害病毒接觸 發生在地理上不可預見的流行病環 類效力挑戰臨床試驗, ,並且自然的疾病僅僅 境,故發展出利用EV- 71菌株挑戰小白鼠之動物模式。在使用i()6 tci〜e^7ic 挑戰劑量前,給多組成年Balb/C小白鼠口服2〇叫實例!之Enter virus* (10V0.1 mL) Use EV71 to immunize colostrum and obtain TCID5〇/〇.l mL control group (not neutralized) 10 mg/0.1 mL 1 mg/〇.l mL 7.5 6.8, 6.68 (Average Value 6.74) 7.55, 7.16, 7.55 6.5 <2.8, 0.8, 1.41 (average 1.20) 5.68 5.5 <1.8, N 4.15, 4.01 (average 4.08) 4.5 N 2.3, 1.16 (average 2.03) 3.5 NN 2.5 NN "N" means not detected 131999.doc 17 200918552 Example 3 Antibody potency in animal models: It is ethically unacceptable for children to be children because they require children to be exposed to harmful viruses in geographically unpredictable epidemics The efficacy of the loops challenges clinical trials, and the natural disease is only the environment, so the animal model that uses the EV-71 strain to challenge mice is developed. Before using the i()6 tci~e^7ic challenge dose, give a group of years of Balb/C mice oral 2 实例 example!
初乳粉末(200 ul 100 mg/ml懸浮液)。 3組每組各5隻Balb/c成年小白鼠 理: 依下表所示方式處 組 處理 一~~ 1 僅EV71 C臺灣(傳代8次)(1〇6) - 2 EV71 C+免疫初乳(預先中和) 3 EV71 C+免疫初乳(感染~ 第3組利用胃管經口灌食接種2〇 mg £¥71免疫初乳,一 小時後,第1組和第3組分別接種200 EV71C臺灣(包含 1〇6 TCID50)。第2組利用胃管經口灌輸2〇() μ預先_和的 EV71C(包含1〇6 TCID5々2() mg EV71免疫初乳之預培養混 合物)。在6小時時間段中,收集每隻小白鼠的每粒糞便。 母次糞便單獨收集並歸於每個小時的時間段尹。糞便樣本 再懸斤於培養基中,並添加〗00 uL三氯甲烷至每個樣本 中。離〜後收集上清液並稀釋,以分析病毒存留。 I31999.doc • 18- 200918552 結果:成年小白鼠試驗 組 糞便分-- lh 2h 3h -Si —物 1-僅感染(10, * J5h 小白鼠1 小白鼠2 - _ + - + 小白鼠3 - - 小白鼠4 小白鼠5 + + + + 一 + 2-預先中和 ^ - 小白鼠1 小白鼠2 - - - * • 小白鼠3 . - - 小白鼠4 + - - 小白鼠5 . - - 3-感染前1小時使用初乳 小白鼠1 小白鼠2 - - - + • 小白鼠3 十 小白鼠4 - - 小白鼠5 - 一 - ”十”異便甲贫現有病蚕 一~~-- 糞便中未發現有病毒 該成年小白鼠研究證明:1〇6EV71c挑戰劑量僅需使用 20 mg EVProtec初乳粉末即可預先中和,且其中除^隻小白 鼠外,其餘均在通過胃腸道後仍保持十和狀態。第丨組中 所有小白鼠(僅感染,不使用初乳)顯示其糞便中含有 重要地’先(利用胃管灌食)接受接種之第3組小 白鼠中,在接受EV71C挑戰前H、時先接受2〇mgEvpr〇tec 初乳粉末時’小白鼠胃腸道中亦中和挑戰之EV7丨c。 最後,應理解:各種各樣其他的修改和/或變更均可在 不脫離本發明之概述之精神内進行。 131999.doc • 19-Colostrum powder (200 ul 100 mg/ml suspension). 5 groups of Balb/c adult mice in each group: Treated according to the following table: 1~~ 1 Only EV71 C Taiwan (passage 8 times) (1〇6) - 2 EV71 C+ immune colostrum (Pre-neutralization) 3 EV71 C+ Immune colostrum (infection ~ Group 3 was inoculated with 2 〇 mg £¥71 to immunize colostrum by gastric tube, and after 1 hour, Group 1 and Group 3 were inoculated with 200 EV71C, respectively. Taiwan (including 1〇6 TCID50). Group 2 uses a gastric tube to infuse 2〇() μ pre- and EV71C (containing a pre-culture mixture of 1〇6 TCID5々2() mg EV71 immune colostrum). During the 6-hour period, each feces of each mouse was collected. The feces were collected separately and returned to the hour of each hour. The stool samples were resuspended in the medium and 00 uL of chloroform was added to each. In the sample, the supernatant was collected and diluted to analyze the virus retention. I31999.doc • 18- 200918552 Result: Adult mouse test group fecal fraction -- lh 2h 3h -Si - substance 1 - infection only (10 , * J5h white mouse 1 white mouse 2 - _ + - + white mouse 3 - - white mouse 4 white mouse 5 + + + + one + 2 - pre-neutralization ^ - Mouse 1 Mouse 2 - - - * • Mouse 3 . - - Mouse 4 + - - Mouse 5 . - - 3 Use colostrum 1 hour before infection 1 Mouse 2 - - - + • White mice 3 Ten white mice 4 - - White mice 5 - One - "Ten" stagnation is a disease of the existing silkworms ~ ~ --- No virus found in the feces The adult mouse study proves: 1 〇 6EV71c challenge dose only 20 mg EVProtec colostrum powder can be used for pre-neutralization, and all the mice except the mice are kept in the tenth state after passing through the gastrointestinal tract. All the mice in the third group (infected, not using colostrum) ) showed that in the third group of mice whose faeces contained important 'first (with gastric tube feeding) vaccination, before receiving EV71C challenge H, when receiving 2 〇mgEvpr〇tec colostrum powder, 'white gastrointestinal tract EV7丨c, which also neutralizes the challenge. Finally, it should be understood that various other modifications and/or changes can be made without departing from the spirit of the invention. 131999.doc • 19-
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| CN101947316B (en) * | 2010-02-02 | 2012-08-29 | 中国医学科学院实验动物研究所 | Subunit mixed vaccine of human enterovirus 71 |
| CN101897963B (en) * | 2010-03-18 | 2012-07-25 | 北京绿竹生物技术有限责任公司 | Vaccine for hand-foot-and-mouth disease viruses |
| CN102243237A (en) * | 2010-05-14 | 2011-11-16 | 北京贝尔生物工程有限公司 | Enterovirus 71 antigen detection test strip (colloidal gold method) |
| WO2012060779A1 (en) * | 2010-11-02 | 2012-05-10 | Singapore Polytechnic | Method for detection of enterovirus ev71 |
| CN103421112B (en) * | 2012-05-24 | 2015-04-29 | 中国科学院上海巴斯德研究所 | Binding molecule capable of resisting enterovirus, and applications thereof |
| CN102702352B (en) * | 2012-06-21 | 2013-12-25 | 中国医学科学院病原生物学研究所 | Human anti-EV71 virus neutralization antibody EV71FabL4 and preparation method and application thereof |
| CN102718865B (en) * | 2012-06-21 | 2013-12-25 | 中国医学科学院病原生物学研究所 | Humanized anti-EV71 virus neutralizing antibody EV71FabL11, preparation method and application thereof |
| CN102718864B (en) * | 2012-06-21 | 2013-12-25 | 中国医学科学院病原生物学研究所 | Human anti-EV71 (enterovirus 71) neutralizing antibody EV71FabK7 and preparation method and application thereof |
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