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US20060057160A1 - Vaccine composition - Google Patents

Vaccine composition Download PDF

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US20060057160A1
US20060057160A1 US10/523,055 US52305505A US2006057160A1 US 20060057160 A1 US20060057160 A1 US 20060057160A1 US 52305505 A US52305505 A US 52305505A US 2006057160 A1 US2006057160 A1 US 2006057160A1
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los
gene
strain
blebs
neisserial
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Ralph Biemans
Philippe Denoel
Christiane Feron
Carine Goraj
Michael Jennings
Jan Poolman
Vincent Weynants
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University of Queensland UQ
GlaxoSmithKline Biologicals SA
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Priority claimed from GB0218037A external-priority patent/GB0218037D0/en
Priority claimed from GB0218051A external-priority patent/GB0218051D0/en
Priority claimed from GB0218035A external-priority patent/GB0218035D0/en
Priority claimed from GB0218036A external-priority patent/GB0218036D0/en
Priority claimed from GBGB0220197.8A external-priority patent/GB0220197D0/en
Priority claimed from GBGB0220199.4A external-priority patent/GB0220199D0/en
Priority claimed from GB0225524A external-priority patent/GB0225524D0/en
Priority claimed from GB0225531A external-priority patent/GB0225531D0/en
Priority claimed from GB0230168A external-priority patent/GB0230168D0/en
Priority claimed from GB0230170A external-priority patent/GB0230170D0/en
Priority claimed from GB0230164A external-priority patent/GB0230164D0/en
Priority claimed from GB0305028A external-priority patent/GB0305028D0/en
Application filed by Individual filed Critical Individual
Assigned to GLAXOSMITHLKINE BIOLOGICALS S.A., UNIVERSITY OF QUEENSLAND OF BRISBANE, THE reassignment GLAXOSMITHLKINE BIOLOGICALS S.A. ASSIGNMENT OF ASSIGNORS INTEREST (SEE DOCUMENT FOR DETAILS). Assignors: JENNINGS, MICHAEL PAUL, PERON, CHRISTIANE, BIEMANS, RALPH, DENOEL, PHILIPPE, GORAJ, CARINE, POOLMAN, JAN, WEYNANTS, VINCENT
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K39/00Medicinal preparations containing antigens or antibodies
    • A61K39/02Bacterial antigens
    • A61K39/095Neisseria
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K39/00Medicinal preparations containing antigens or antibodies
    • A61K39/02Bacterial antigens
    • AHUMAN NECESSITIES
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    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K39/00Medicinal preparations containing antigens or antibodies
    • A61K39/02Bacterial antigens
    • A61K39/102Pasteurellales, e.g. Actinobacillus, Pasteurella; Haemophilus
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K39/00Medicinal preparations containing antigens or antibodies
    • A61K39/02Bacterial antigens
    • A61K39/104Pseudomonadales, e.g. Pseudomonas
    • A61K39/1045Moraxella
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P11/00Drugs for disorders of the respiratory system
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P31/00Antiinfectives, i.e. antibiotics, antiseptics, chemotherapeutics
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P31/00Antiinfectives, i.e. antibiotics, antiseptics, chemotherapeutics
    • A61P31/04Antibacterial agents
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P37/00Drugs for immunological or allergic disorders
    • AHUMAN NECESSITIES
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    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P37/00Drugs for immunological or allergic disorders
    • A61P37/02Immunomodulators
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P37/00Drugs for immunological or allergic disorders
    • A61P37/02Immunomodulators
    • A61P37/04Immunostimulants
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P43/00Drugs for specific purposes, not provided for in groups A61P1/00-A61P41/00
    • CCHEMISTRY; METALLURGY
    • C07ORGANIC CHEMISTRY
    • C07KPEPTIDES
    • C07K14/00Peptides having more than 20 amino acids; Gastrins; Somatostatins; Melanotropins; Derivatives thereof
    • C07K14/195Peptides having more than 20 amino acids; Gastrins; Somatostatins; Melanotropins; Derivatives thereof from bacteria
    • C07K14/22Peptides having more than 20 amino acids; Gastrins; Somatostatins; Melanotropins; Derivatives thereof from bacteria from Neisseriaceae (F)
    • CCHEMISTRY; METALLURGY
    • C12BIOCHEMISTRY; BEER; SPIRITS; WINE; VINEGAR; MICROBIOLOGY; ENZYMOLOGY; MUTATION OR GENETIC ENGINEERING
    • C12NMICROORGANISMS OR ENZYMES; COMPOSITIONS THEREOF; PROPAGATING, PRESERVING, OR MAINTAINING MICROORGANISMS; MUTATION OR GENETIC ENGINEERING; CULTURE MEDIA
    • C12N15/00Mutation or genetic engineering; DNA or RNA concerning genetic engineering, vectors, e.g. plasmids, or their isolation, preparation or purification; Use of hosts therefor
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K39/00Medicinal preparations containing antigens or antibodies
    • A61K2039/51Medicinal preparations containing antigens or antibodies comprising whole cells, viruses or DNA/RNA
    • A61K2039/52Bacterial cells; Fungal cells; Protozoal cells
    • A61K2039/521Bacterial cells; Fungal cells; Protozoal cells inactivated (killed)
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K39/00Medicinal preparations containing antigens or antibodies
    • A61K2039/555Medicinal preparations containing antigens or antibodies characterised by a specific combination antigen/adjuvant
    • A61K2039/55505Inorganic adjuvants
    • AHUMAN NECESSITIES
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    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K39/00Medicinal preparations containing antigens or antibodies
    • A61K2039/555Medicinal preparations containing antigens or antibodies characterised by a specific combination antigen/adjuvant
    • A61K2039/55511Organic adjuvants
    • A61K2039/55516Proteins; Peptides
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    • A61K39/00Medicinal preparations containing antigens or antibodies
    • A61K2039/555Medicinal preparations containing antigens or antibodies characterised by a specific combination antigen/adjuvant
    • A61K2039/55511Organic adjuvants
    • A61K2039/55572Lipopolysaccharides; Lipid A; Monophosphoryl lipid A
    • AHUMAN NECESSITIES
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    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K39/00Medicinal preparations containing antigens or antibodies
    • A61K2039/555Medicinal preparations containing antigens or antibodies characterised by a specific combination antigen/adjuvant
    • A61K2039/55511Organic adjuvants
    • A61K2039/55577Saponins; Quil A; QS21; ISCOMS
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K39/00Medicinal preparations containing antigens or antibodies
    • A61K2039/70Multivalent vaccine
    • YGENERAL TAGGING OF NEW TECHNOLOGICAL DEVELOPMENTS; GENERAL TAGGING OF CROSS-SECTIONAL TECHNOLOGIES SPANNING OVER SEVERAL SECTIONS OF THE IPC; TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
    • Y02TECHNOLOGIES OR APPLICATIONS FOR MITIGATION OR ADAPTATION AGAINST CLIMATE CHANGE
    • Y02ATECHNOLOGIES FOR ADAPTATION TO CLIMATE CHANGE
    • Y02A50/00TECHNOLOGIES FOR ADAPTATION TO CLIMATE CHANGE in human health protection, e.g. against extreme weather
    • Y02A50/30Against vector-borne diseases, e.g. mosquito-borne, fly-borne, tick-borne or waterborne diseases whose impact is exacerbated by climate change

Definitions

  • the present invention relates to the field of neisserial vaccine compositions, their manufacture, and the use of such compositions in medicine. More particularly it relates to processes of making novel engineered meningococcal strains which are less phase variable in terms of their LOS immunotype, and from which novel LOS subunit or meningococcal outer-membrane vesicle (or bleb) vaccines can be derived.
  • Neisseria meningitidis is a Gram negative bacterium frequently isolated from the human upper respiratory tract. It is a cause of serious invasive bacterial diseases such as bacteremia and meningitis. The incidence of meningococcal disease shows geographical, seasonal and annual differences (Schwartz, B., Moore, P. S., Broome, C. V.; Clin. Microbiol. Rev. 2 (Supplement), S18-S24, 1989). The bacterium is commonly classified according to the serogroup if its capsular polysaccharide.
  • Neisseria meningitidis infections has risen in the past few decades in many European countries. This has been attributed to increased transmission due to an increase in social activities (for instance swimming pools, theatres, etc.). It is no longer uncommon to isolate Neisseria meningitidis strains that are less sensitive or resistant to some of the standard antibiotics. This phenomenon has created an unmet medical need and demand for new anti-microbial agents, vaccines, drug screening methods, and diagnostic tests for this organism.
  • a serogroup B vaccine is not available.
  • the serogroup B capsular polysaccharide has been found to be nonimmunogenic—most likely because it shares structural similarity with host components (Wyle, F. A., Artenstein, M. S., Brandt, M. L. et al. J. Infect. Dis. 126: 514-522, 1972; Finne, J. M., Leinonen, M., Gurkelä, P. M. Lancet ii.: 355-357, 1983). Effort has therefore been focused in trying to develop serogroup B vaccines from outer membrane vesicles (or blebs) or purified protein components therefrom.
  • meningococcal lipooligosaccharides are outer membrane bound glycolipids which differ from the lipopolysaccharides (LPS) of the Enterobacteriaceae by lacking the O side chains, and thus resemble the rough form of LPS (Griffiss et al. Rev Infect Dis 1988; 10: S287-295). Heterogeneity within the oligosaccharide moiety of the LOS generates structural and antigenic diversity among different meningococcal strains (Griffiss et al. Inf. Immun. 1987; 55: 1792-1800). This has been used to subdivide the strains into 12 immunotypes (Scholtan et al.
  • Immunotypes L3, L7, & L9 are immunologically identical and are structurally similar (or even the same) and have therefore been designated L3, 7, 9 (or, for the purposes of this specification, generically as “L3”).
  • Meningococcal LOS L3, 7, 9 (L3), L2 and L5 can be modified by sialylation, or by the addition of cytidine 5′-monophosphate-N-acetylneuraminic acid.
  • L2, L4 and L6 LOS are distinguishable immunologically, they are structurally similar and where L2 is mentioned herein, either L4 or L6 may be optionally substituted within the scope of the invention.
  • Antibodies to LOS have been shown to protect in experimental rats against infection and to contribute to the bactericidal activity in children infected with N. meningitidis (Griffiss et al J Infect Dis 1984; 150: 71-79).
  • LOS is also present on the surface of meningococcal blebs.
  • meningococcal outer membrane vesicle (or bleb) based vaccines de Moraes, J. C., Perkins, B., Camargo, M. C. et al. Lancet 340: 1074-1078, 1992; Bjune, G., Hoiby, E. A. Gronnesby, J. K. et al. 338: 1093-1096, 1991.
  • Such vaccines have the advantage of including several integral outer-membrane proteins in a properly folded conformation which can elicit a protective immunological response when administered to a host.
  • Neisserial strains including N.
  • meningitidis serogroup B—menB excrete outer membrane blebs in sufficient quantities to allow their manufacture on an industrial scale. More often, however, blebs are prepared by methods comprising a 0.5% detergent (e.g. deoxycholate) extraction of the bacterial cells (e.g. EP 11243). Although this is desired due to the toxicity of LOS (also called endotoxin) as described above, it also has the effect removing most of the LOS antigen from the vaccine.
  • LOS also called endotoxin
  • LOS also known as LPS or lipopolysaccharide
  • LPS lipopolysaccharide
  • a further problem with using LOS as a vaccine antigen is that 12 LPS immunotypes exist with a diverse range of carbohydrate-structures (M. P. Jennings et al, Microbiology 1999, 145, 3013-3021; Mol Microbiol 2002, 43:931-43). Antibodies raised against one immunotype fail to recognise a different immunotype. Although effort has been focused on producing a generic “core” region of the oligosaccharide portions of the LOS immunotypes (e.g. WO 94/08021), the bactericidal activity of antibodies generated against the modified LOS is lost. Thus a vaccine may need to have many LOS components of different immunotype to be effective.
  • meningococcal LOS or blebs containing LOS
  • a feature of meningococcal LOS is the reversible, high frequency switching of expression (phase variation) of terminal LOS structures (M. P. Jennings et al, Microbiology 1999, 145, 3013-3021).
  • the phase variation exhibited by the LOS is an obstacle to the development of a cross-protective OMV or subunit vaccine based on the use of LOS as a protective antigen.
  • MenB strain H44/76 for example, the rate of switching from L3 to L2 immunotype is estimated at 1 in 1000 to 5000. Antibodies raised against the L3 structure failed to recognize the L2 immunotype and vice versa. Therefore it is extremely hard to maintain a LOS or bleb production strain with a constant, homogenous LOS immunotype.
  • the present invention presents processes for ameliorating one or more of the above problems, and presents methods for making novel vaccines based on meningococcal LOS as a protective antigen, particularly when present on an outer membrane vesicle.
  • the present invention relates to processes of making vaccine compositions for the effective prevention or treatment of neisserial, preferably meningococcal, disease.
  • the processes of the invention involve making a genetically engineered meningococcal strain which has a fixed or locked LOS immunotype.
  • methods are disclosed which allow L2 and L3 LOS immunotypes to be fixed.
  • a process for making LOS or blebs from such engineered strains is further covered, as is a method of making an immunogenic composition comprising the steps of making the above LOS or blebs and mixing with a pharmaceutically acceptable excipient.
  • lipooligosaccharide (or “LOS”) may also be referred to as “lipopolysaccharide” or “LPS”.
  • a locus containing various lgt genes is required for the biosynthesis of the terminal LOS structure (the sequences of which are known in the art—see M. P. Jennings et al, Microbiology 1999, 145, 3013-3021 and references cited therein; J. Exp. Med. 180:2181-2190 [1994]; WO 96/10086).
  • Meningococci can change the immunotype of the expressed LOS via a mechanism of phase variable expression of some of these genes.
  • the phase variable expression of LOS in L3 type menB strains e.g. MC58, H44/76) operates via high frequency mutations in a homopolymeric G tract region of lgtA.
  • L2 and L3 (and other) immunotypes A major difference between L2 and L3 (and other) immunotypes is the presence or absence of a glucose residue on the second heptose (see FIG. 1 [with grey arrows showing phase variation] and FIG. 2 ). The addition of this residue is catalyzed by the lgtG gene product, which also exhibits phase variable expression.
  • Other strains e.g. 126E
  • the present inventors have overcome this problem by developing methods of producing neisserial vaccine production strains which are fixed (i.e. not phase variable) in their LOS immunotype.
  • a genetically engineered neisserial (preferably meningococcal, most preferably serogroup B) strain comprising the step of genetically engineering a neisserial (preferably meningococcal) strain with phase-variable LOS synthesis, to render LOS expression less phase variable (and preferably non-phase variable or fixed).
  • phase variability or “less phase variable” in terms of LOS immunotype it is meant that one or more (preferably all) phase variable genes involved in the synthesis of the LOS immunotype or related LOS immunotypes is made less phase-variable or fixed so that the rate of switching between immunotypes is reduced (preferably by more than 2, 3, 5, 10 or 50 fold).
  • fixed and non-phase variable in terms of LOS immunotype it is meant that one or more (preferably all) phase variable genes involved in the synthesis of the LOS immunotype or related LOS immunotypes is fixed or made non-phase variable.
  • reduced phase variability or “less phase variable” in terms of LOS biosynthesis gene expression, it is meant that the chance of switching functional gene expression between on and off is reduced (preferably by more than 2, 3, 5, 10 or 50 fold), and “fixed” and “non-phase variable” in terms of LOS biosynthesis gene expression means that a gene previously susceptible to phase variation is rendered not susceptible to phase variation beyond the background chance of non site-specific switching on or off of functional gene expression.
  • the process results in a reduced (preferably non) phase variable LOS having, preferably exclusively, an L2 immunotype (most preferably constitutively synthesised).
  • an L2 strain is used to perform this process of the invention.
  • such a process has a genetic engineering step comprising the element of reducing phase-variability of (preferably fixing) expression of the lgtA and/or lgtG gene products (i.e. fixing such that expression of full-length, functional gene product may not be switched off by phase variation—either or both the genes are constitutively expressed).
  • the expression of either or both of lgtA and lgtG gene products is reduced in phase variability (preferably fixed) by reducing the length of the homopolymeric nucleotide tract (see Jennings et al. Microbiology 1999 145:3013) within the open-reading frame of the respective gene whilst maintaining the open-reading frame of the gene in frame.
  • the tract is reduced to 8, more preferably 2, or most preferably 5 consecutive G nucleotides.
  • the gene with 5 consecutive G nucleotides was optimal in terms of reduction of tract length and maintenance of LgtA enzyme function.
  • a preferred embodiment is therefore a reduction of the tract to 5 nucleotides in combination with altering the codon usage within the tract as described below.
  • the tract is reduced to 8, 5 or 2 consecutive C nucleotides.
  • tract reductions can be simply performed in general using homologous recombination (see WO 01/09350) between a plasmid construct containing the reduced tract and the genomic DNA of the strain to be changed after transformation of the strain with the plasmid.
  • the expression of lgtA gene product can be reduced in phase-variability (preferably fixed) by changing the sequence of the homopolymeric nucleotide tract within the open-reading frame of the lgtA gene such that: one or more GGG codons encoding Glycine is changed to any other codon encoding glycine (GGA, GGC or GGT), or a codon encoding a conservative mutation, and/or the TCG codon encoding Serine (the final G being part of the tract) is changed to any other codon encoding Serine, or a codon encoding a conservative mutation, whilst maintaining the open-reading frame of the gene in frame.
  • a 5G homopolymeric tract can advantageously have one GGG Glycine codon mutated to a nucleotide sequence GGG(A/C/T)G.
  • the expression of lgtG gene product can be alternatively or additively reduced in phase-variation (preferably fixed) by changing the sequence of the homopolymeric nucleotide tract within the open-reading frame of the lgtG gene such that: one or more CCC codons encoding Proline is changed to any other codon encoding Proline (CCA, CCG or CCT), or a codon encoding a conservative mutation, and/or the GCC codon encoding Alanine (the final CC pair being part of the tract) is changed to any other codon encoding Alanine, or a codon encoding a conservative mutation, whilst maintaining the open-reading frame of the gene in frame.
  • codons are replaced with codons encoding the same amino acids, however where conservative mutations are used it is preferred that: 1) codons are selected containing 2 or (preferably) fewer nucleotides of the type making up the tract, & 2) the new encoded amino acid is a conservative mutation. Conservation mutations are understood by skilled persons in this field. However preferred substitutions are detailed in the table below. Exemplary Preferred Original residue substitutions substitution A V, L, I V G P, A A P A, G A S T, A T
  • a combination of the above methods of the invention could be used to fix the lgtA and/or lgtG genes. For instance by both reducing the lgtA tract to 5 G residues, and replacing one of the GGG codons encoding Glycine to one of the other 3 codons encoding Glycine [yielding a final tract nucleotide sequence of GGG(A/C/T)G].
  • the expression of the lgtA gene product is fixed by reducing the length of the homopolymeric G nucleotide tract within the open-reading frame of the respective gene to 2 or 5 consecutive G nucleotides whilst maintaining the open-reading frame of the gene in frame, and the expression of lgtG gene product is fixed by changing the sequence of the homopolymeric nucleotide tract within the open-reading frame of the lgtG gene such that: 1, 2 or preferably 3 CCC codons encoding Proline is changed to any other codon encoding Proline (CCA, CCG, or CCT), or a codon encoding a conservative mutation, and/or the GCC codon encoding Alanine is changed to any other codon encoding Alanine, or a codon encoding a conservative mutation, whilst maintaining the open-reading frame of the gene in frame.
  • the process of the invention results in a reduced (preferably non) phase variable LOS having (preferably exclusively) an L3 immunotype (most preferably constitutively synthesised).
  • a reduced (preferably non) phase variable LOS having (preferably exclusively) an L3 immunotype (most preferably constitutively synthesised).
  • the genetic engineering step preferably comprises the elements of reducing phase-variability of (preferably fixing) the expression of the lgtA gene product [preferably such that expression of full-length, functional product may not be switched off by phase variation (i.e. is constitutively expressed as described above)], and/or permanently downregulating the expression of functional gene product from the lgtG gene.
  • downregulating the expression of functional gene product it is meant that additions, deletions or substitutions are made to the promoter or open reading frame of the gene such that the biosynthetic activity of the total gene product reduces (by 60, 70, 80, 90, 95 or most preferably 100%).
  • frameshift mutations may be introduced, or weaker promoters substituted, however most preferably most or all of the open reading frame and/or promoter is deleted to ensure a permanent downregulation of the gene product. See WO 01/09350 for further methods of gene downregulation.
  • the expression of lgtA gene product can be made less phase variable (preferably fixed) by reducing the length of the homopolymeric nucleotide tract within the open-reading frame of the gene whilst maintaining the open-reading frame of the gene in frame (preferably the homopolymeric G tract in the lgtA open-reading frame is reduced to 8, more preferably 2 or, most preferably, 5 consecutive G nucleotides) and/or by changing the sequence of the homopolymeric nucleotide tract within the open-reading frame of the lgtA gene such that: one or more GGG codons encoding Glycine is changed to any other codon encoding glycine, or a codon encoding a conservative mutation, and/or the TCG codon encoding Serine is changed to any other codon encoding Serine, or a codon encoding a conservative mutation, whilst maintaining the open-reading frame of the gene in frame (as described above).
  • a 5G homopolymeric tract can advantageously
  • a combination of the above methods of the invention could be used to fix the lgtA gene. For instance by both reducing the lgtA tract to 5 G residues, and replacing one of the GGG codons encoding Glycine to one of the other 3 codons encoding Glycine [yielding a final tract nucleotide sequence of GGG(A/C/T)G].
  • the expression of functional gene product from the IgtG gene is switched off (i.e. there is no or negligible IgtG gene product biosynthetic activity post mutation).
  • the expression of the lgtA gene product is fixed by reducing the length of the homopolymeric G nucleotide tract within the open-reading frame of the respective gene to 5 or 2 consecutive G nucleotides whilst maintaining the open-reading frame of the gene in frame, and the expression of functional gene product from the lgtG gene is switched off by deleting all or part of the promoter and/or open-reading frame of the gene.
  • the meningococcal strain to be altered has an lgtC gene (e.g. strain 126E)
  • the processes of the invention have a genetic engineering step which comprises an element of permanently downregulating the expression of functional gene product from the lgtC gene, preferably by switching the gene off, most preferably by deleting all or part of the promoter and/or open-reading frame of the gene.
  • inactivation of the lgtB gene results in an intermediate LOS structure in which the terminal galactose residue and the sialic acid are absent (see FIG. 1-3 , the mutation leaves a 4GlcNAc ⁇ 1-3Gal ⁇ 1-4Glc ⁇ 1-structure in L2 and L3 LOS).
  • Such intermediates could be obtained in an fixed L3 (lgtA fixed on and/or lgtG fixed off) and a fixed L2 (lgtA and/or lgtG fixed on) LOS strain.
  • An alternative and less preferred (short) version of the LOS can be obtained by turning off the lgtE gene.
  • the above processes may also have a genetic engineering step comprising the element of downregulating (preferably permanently) the expression of functional gene product from the lgtB or lgtE gene, preferably by switching the gene off, most preferably by deleting all or part of the promoter and/or open-reading frame of the gene.
  • a process involving rendering a strain lgtB ⁇ is most preferred as the inventors have found that this is the optimal truncation for resolving the safety issue whilst still retaining an L2 or L3 LOS protective oligosaccharide epitope that can still induce a bactericidal (and even cross-bactericidal) antibody response.
  • the strains used in the processes of the invention are unable to synthesise capsular polysaccharide, where this is not the case it is advantageous to add a further process step of downregulating the expression of functional gene product critical for the production of capsular polysaccharide.
  • the genetic engineering step of the process comprises the element of permanently downregulating the expression of functional gene product from the siaD gene, preferably by switching the gene off, most preferably by deleting all or part of the promoter and/or open-reading frame of the gene.
  • Such an inactivation is also described in WO 01/09350.
  • the siaD (also known as synD) mutation is the most advantageous of many mutations that can result in removing the human-similar epitope from the capsular polysaccharide.
  • the processes of the invention utilise a meningococcus B mutant strain with the lgtB and siaD genes downregulated or inactivated (preferably a lgtB ⁇ siaD ⁇ strain).
  • the bleb production strain can be genetically engineered to permanently downregulate the expression of functional gene product from one or more of the following genes: ctrA, ctrB, ctrC, ctrD, synA (equivalent to synX and siaA), synB (equivalent to siaB) or synC (equivalent to siaC) genes, preferably by switching the gene off, most preferably by deleting all or part of the promoter and/or open-reading frame of the gene.
  • the lgtE ⁇ mutation may be combined with one or more of these mutations.
  • the lgtB ⁇ mutation is combined with one or more of these mutations.
  • a Neisserial locus containing various lgt genes, including lgtB and lgtE, and its sequence is known in the art (see M. P. Jennings et al, Microbiology 1999, 145, 3013-3021 and references cited therein; J. Exp. Med. 180:2181-2190 [1994]; WO 96/10086).
  • the processes of the invention may also include steps which render the LOS less toxic. Although this is not necessary for intranasal immunization with native OMV (J. J. Drabick et al, Vaccine (2000), 18, 160-172), for parenteral vaccination detoxification would present an advantage.
  • LOS can be detoxified genetically by mutation/modification/inactivation of genes involved in Lipid A biosynthesis for example by downregulating the expression of functional gene product from the msbB and/or htrB genes, preferably by switching the gene off, most preferably by deleting all or part of the promoter and/or open-reading frame of the gene.
  • one or more of the following genes may be upregulated (by introducing a stronger promoter or integrating an extra copy of the gene): pmrA, pmrB, pmrE and pmrF.
  • msbB and htrB genes of Neisseria are also called lpxL1 and lpxL2, respectively, (see WO 00/26384) and deletion mutations of these genes are characterised phenotypically by the msbB ⁇ mutant LOS losing one secondary acyl chain compared to wild-type (and retaining 4 primary and 1 secondary acyl chain), and the htrB ⁇ mutant LOS losing both secondary acyl chains.
  • Such mutations are preferably combined with mutations to ensure that the neisserial production strain is capsular polysaccharide deficient (see above) to ensure the optimal presentation of detoxified LOS on the bleb, or to aid the purification of the detoxified subunit LOS.
  • a further aspect of the invention is a process of isolating L2 LOS comprising the steps of producing a genetically engineered neisserial strain with a reduced phase variable (preferably fixed) L2 immunotype by the process of the invention as described above, and isolating L2 LOS from the resulting strain.
  • An additional advantageous step may be added to this process, namely conjugating the L2 LOS to a carrier comprising a source of T-cell epitopes (rendering the LOS an even better immunogen) and/or the step of presenting the L2 LOS in liposome formulations known in the art (see for instance WO 96/40063 and references cited therein).
  • a carrier comprising a source of T-cell epitopes is usually a peptide or, preferably, a polypeptide or protein. Conjugation techniques are well known in the art. Typical carriers include protein D from non typeable H. influenzae , tetanus toxoid, diphtheria toxoid, CRM197, or outer membrane proteins present in bleb (particularly neisserial or meningococcal) preparations. Preferably the oligosaccharide portion of the LOS is conjugated.
  • a still further aspect of the invention is a process of isolating L3 LOS comprising the steps of producing a genetically engineered meningococcal strain with a reduced phase variable (preferably fixed) L3 immunotype by the process of the invention as described above, and isolating L3 LOS from the resulting strain.
  • An additional advantageous step may be added to this process, namely conjugating the L3 LOS to a carrier comprising a source of T-cell epitopes and/or the step of presenting the L3 LOS in a liposome formulation.
  • the LOS is detoxified as part of the process. This may be done by known techniques of hydrazine or alkaline hydrolysis chemical treatments which remove acyl chains from the molecule (but which may reduce the protective efficacy of the molecule), but is preferably done by isolating the LOS from an htrB ⁇ and/or msbB ⁇ meningococcal mutant (as described above; particularly in capsule polysaccharide minus strains), or by adding a non-toxic peptide functional equivalent of polymyxin B [a molecule with high affinity to Lipid A] to the isolated LOS, in particular SAEP 2.
  • outer membrane proteins may optionally also be added, and the LOS may be conjugated intra-liposome to such outer membrane proteins to render the oligosaccharide a T-dependent antigen. This may be done with a similar chemistry as described for intra-bleb LOS cross-linking as described below.
  • a further aspect of the invention is a process of isolating meningococcal blebs having an L2 or L3 LOS immunotype, comprising the steps of producing a genetically engineered meningococcal strain with a reduced phase variable (preferably fixed) L2 or L3 immunotype, respectively, by the processes of the invention as described above; and isolating blebs from the resulting strain.
  • Outer Membrane Vesicles can be isolated by many known techniques (Fredriksen et al, NIPH Annals (1991), 14, 67-79; Zollinger et al, J. Clin Invest (1979), 63, 836-848; Saunders et al, Infect Immun (1999), 67, 113-119; J. J. Drabick et al, Vaccine (1999), 18, 160-172). These divide into 2 main groups—techniques which use deoxycholate (about 0.5%) to extract blebs from meningococcus, and techniques that use low levels of deoxycholate (DOC) or no deoxycholate at all.
  • DOC deoxycholate
  • DOC free process blebs have the interesting feature of maintaining high level of LOS in the OMV—which is advantageous in a vaccine where LOS is a protective antigen.
  • concentration of L3 Ags in OMV obtained by a DOC free process is approximately ten times higher, also taking into account the fixing of lgtA.
  • a detergent-free (preferably DOC-free) process of preparing blebs is preferred for the purposes of the processes of this invention for this reason, although extraction with a buffer containing low levels of detergent (preferably DOC) may also be advantageous in that the step would leave most of the tightly interacting LOS in the bleb whilst removing any more toxic loosely retained LOS.
  • the LOS content of the blebs isolated by the process of the invention is 3-30, 5-25, 10-25, 15-22, and most preferably around or exactly 20% LOS content as measured by silver staining after SDS-PAGE electrophoresis using purified LOS as a standard (see method of Tsai, J. Biol. Standardization (1986) 14:25-33).
  • Nmen L3 LOS as a standard in this method, in general LOS content in Nmen L3 immunotype blebs extracted with 0.1% DOC is about 20% LOS, with 0.2% DOC is about 15% LOS, with 0.3% DOC is about 10% LOS, and with 0.5% DOC is about 5% LOS.
  • the above bleb isolation processes of the invention may comprise an additional advantageous step of conjugating the L2 or L3 LOS in situ to an outer membrane protein (e.g. PorA or PorB) also present in the bleb preparation.
  • an outer membrane protein e.g. PorA or PorB
  • a further aspect of the invention is a process of the invention where the isolated bleb preparation is conjugated (through an integral outer-membrane protein) to LOS.
  • LOS may be added to a bleb preparation for conjugation, it is preferred that the LOS is naturally present on the surface of the bleb preparation.
  • This process can advantageously enhance the stability and/or immunogenicity (providing T-cell help) and/or antigenicity of the LOS antigen within the bleb formulation—thus giving T-cell help for the T-independent oligosaccharide immunogen in its most protective conformation—as LOS in its natural environment on the surface of the outer membrane.
  • conjugation of the LOS within the bleb can result in a detoxification of the LOS (without wishing to be bound by theory, the Lipid A portion may be more stably buried in the outer membrane if conjugated thus being less available to cause toxicity).
  • the processes of the invention may thus yield conjugated bleb preparations which are typically such that the toxicity of the LOS in the bleb is reduced compared to the same blebs with the same amount of totally unconjugated LOS.
  • LOS toxicity may be readily determined by a skilled person, for example using the LOS rabbit pyrogenicity assay in the European Pharmacopoeia.
  • a process of the invention yielding a composition comprising blebs wherein LOS present in the blebs has been conjugated in an intra-bleb fashion to outer membrane proteins also present in the bleb is advantageous in being part of a process to make a vaccine for the treatment or prevention of neisserial (preferably meningococcal) disease, wherein the process allows the vaccine to be of reduced toxicity and/or capable of inducing a T-dependent bactericidal response against LOS in its native environment.
  • This invention therefore further provides a method to make such an intra-bleb LOS conjugated bleb preparation from a strain of reduced phase variability (preferably fixed) LOS immunotype.
  • intra bleb it is meant that LOS naturally present in the bleb is conjugated to outer membrane protein present on the same bleb.
  • Such bleb preparations may be made by isolated blebs and then subjected them to known conjugation chemistries to link groups (e.g. NH 2 or COOH) on the oligosaccharide portion of LOS to groups (e.g. NH 2 or COOH) on bleb outer membrane proteins.
  • link groups e.g. NH 2 or COOH
  • cross-linking techniques using glutaraldehyde, formaldehyde, or glutaraldehyde/formaldehyde mixes may be used, but it is preferred that more selective chemistries are used such as EDAC or EDAC/NHS (J. V. Staros, R. W. Wright and D. M. Swingle. Enhancement by N-hydroxysuccinimide of water-soluble carbodiimide-mediated coupling reactions.
  • the bleb preparations are conjugated in the absence of capsular polysaccharide.
  • the blebs may be isolated from a strain which does not produce capsular polysaccharide (naturally or via mutation), or may be purified from most (more than 60, 70, 80, 90, or 99% removed) and preferably all contaminating capsular polysaccharide. In this way, the intra-bleb LOS conjugation reaction is much more efficient.
  • the blebs of the invention have been prepared such that the LOS content of the blebs is 3-30, 5-25, 10-25, 15-22, and most preferably around or exactly 20% LOS content as measured by silver staining after SDS-PAGE electrophoresis using purified LOS as a standard (see method of Tsai, J. Biol. Standardization (1986) 14:25-33). 20% LOS in meningococcal blebs can be achieved with a 0.1% low DOC extraction, which may remove losely held LOS molecules, but conserve the majority of the antigen.
  • the intra-bleb conjugated blebs made by the process of the invention are derived from meningococcus
  • the strain from which they are derived is a mutant strain that cannot produce capsular polysaccharide (e.g. one of the mutant strains described above, in particular siaD ⁇ ).
  • a typical L3 meningococcal strain that can be used for the present invention is the H44/76 menB strain.
  • a typical L2 strain is the B16B6 menB strain or the 39E meningococcus type C strain or strain 760676.
  • the process of the invention allows the detoxification of blebs to some degree by the act of conjugation, and need not be detoxified any further, however further detoxification methods may be used for additional security, for instance by using blebs derived from a meningococcal strain that is htrB ⁇ or msbB ⁇ or adding a non-toxic peptide functional equivalent of polymyxin B [a molecule with high affinity to Lipid A] (preferably SEAP 2) to the bleb composition (as described above).
  • meningococcal blebs and immunogenic compositions comprising blebs can be made by the processes of the invention which have as an important antigen LOS of a certain immunotype (preferably L2 or L3) which is reproducibly made without phase variation, is reduced in toxicity (and preferably substantially non-toxic), devoid of autoimmunity problems, has a T-dependent character, and is present in its natural environment.
  • a certain immunotype preferably L2 or L3
  • Men A, C, Y or W capsular polysaccharides or oligosaccharides may also be conjugated onto an outermembrane protein of the bleb in a process of the invention as well. Although this could be done in the same reaction as LOS cross-linking, it is preferred that this is done in a separate (preferably later) reaction.
  • Intrableb conjugation should preferably incorporate 1, 2 or all 3 of the following process steps: conjugation pH should be greater than pH 7.0, preferably greater than or equal to pH 7.5 (most preferably under pH 9); conditions of 1-5% preferably 2-4% most preferably around 3% sucrose should be maintained during the reaction; NaCl should be minimised in the conjugation reaction, preferably under 0.1M, 0.05M, 0.01M, 0.005M, 0.001M, and most preferably not present at all. All these process features make sure that the blebs remain stable and in solution throughout the conjugation process.
  • EDAC/NHS conjugation process is a preferred process for intra-bleb conjugation.
  • EDAC/NHS is preferred to formalydehyde which can cross-link to too high an extent thus adversely affecting filterability.
  • EDAC reacts with carboxylic acids (such as KDO in LOS) to create an active-ester intermediate.
  • carboxylic acids such as KDO in LOS
  • an amine nucleophile such as lysines in outer membrane proteins such as PorB
  • an amide bond is formed with release of an isourea by-product.
  • the efficiency of an EDAC-mediated reaction may be increased through the formation of a Sulfo-NHS ester intermediate.
  • EDAC/mg bleb by protein measured by Lowry
  • the amount of EDAC used depends on the amount of LOS present in the sample which in turn depends on the deoxycholate (DOC) % used to extract the blebs.
  • DOC deoxycholate
  • a preferred process of the invention is therefore a process for producing intra-bleb conjugated LOS (preferably meningococcal) comprising the steps of producing reduced phase variable LOS, isolating blebs, conjugating blebs in the presence of EDAC/NHS at a pH between pH 7.0 and pH 9.0 (preferably around pH 7.5), in 1-5% (preferably around 3%) sucrose, and optionally in conditions substantially devoid of NaCl (as described above), and isolating the conjugated blebs from the reaction mix.
  • LOS preferably meningococcal
  • the reaction may be followed on Western separation gels of the reaction mixture using anti-LOS (e.g. anti-L2 or anti-L3) mAbs to show the increase of LOS molecular weight for a greater proportion of the LOS in the blebs as reaction time goes on.
  • anti-LOS e.g. anti-L2 or anti-L3
  • EDAC was found to be an excellent intra-bleb cross-linking agent in that it cross-linked LOS to OMP sufficiently for improved LOS T-dependent immunogenicity, but did not cross link it to such a high degree that problems such as poor filterability, aggregation and inter-bleb cross-linking occurred.
  • the morphology of the blebs generated is similar to that of unconjugated blebs (by electron microscope).
  • the above protocol avoided an overly high cross-linking to take place (which can decrease the immunogenicity of protective OMPs naturally present on the surface of the bleb e.g. TbpA or Hsf).
  • a process for making immunogenic compositions or vaccines comprising the steps of producing isolated L2 LOS by the process of the invention as described above and/or producing isolated meningococcal blebs having an L2 LOS immunotype by the processes of the invention as described above, and formulating the L2 LOS and/or blebs with a pharmaceutically acceptable excipient.
  • a process for making immunogenic compositions or vaccines comprising the steps of producing isolated L3 LOS by the process of the invention as described above and/or producing isolated meningococcal blebs having an L3 LOS immunotype by the processes of the invention as described above, and formulating the L3 LOS and/or blebs with a pharmaceutically acceptable excipient.
  • An advantageous process of the invention is a process of making a multivalent immunogenic composition or vaccine comprising the steps of producing one or both of isolated L2 LOS or isolated meningococcal blebs having an L2 LOS immunotype by the processes of the invention as described above, and producing one or both of isolated L3 LOS or isolated meningococcal blebs having an L3 LOS immunotype by the processes of the invention as described above, and mixing said L2 and L3 vaccine components together along with a pharmaceutically acceptable excipient.
  • the process mixes isolated L2 and L3 LOS together which are made as described above (most preferably conjugated and in a liposome formulation). More preferably the process mixes L2 and L3 blebs together which are made as described above.
  • Such compositions are advantageous as approximately 70% of meningococcus B immunotypes observed in disease isolates have an L3 structure, and 30% are L2.
  • the invention therefore describes a process which can yield a universal meningococcus B vaccine.
  • the process of making immunogenic compositions or vaccines as described above may have an additional step of adding one or more (2, 3 or 4) meningococcal polysaccharides or oligosaccharides (either plain or conjugated to a carrier comprising T-cell epitopes) from serogroups A, C, Y or W to the composition.
  • at least C is added (most preferably conjugated), and more preferably A and C or Y and C (preferably all conjugated) and most preferably A, C, Y and W (preferably all conjugated).
  • Suitable adjuvants include an aluminium salt such as aluminum hydroxide gel (alum) or aluminium phosphate (preferably aluminum hydroxide), but may also be a salt of calcium particularly calcium carbonate), iron or zinc, or may be an insoluble suspension of acylated tyrosine, or acylated sugars, cationically or anionically derivatised polysaccharides, or polyphosphazenes.
  • aluminium salt such as aluminum hydroxide gel (alum) or aluminium phosphate (preferably aluminum hydroxide)
  • alum aluminium phosphate
  • iron or zinc or may be an insoluble suspension of acylated tyrosine, or acylated sugars, cationically or anionically derivatised polysaccharides, or polyphosphazenes.
  • Suitable Th1 adjuvant systems include, Monophosphoryl lipid A, particularly 3-de-O-acylated monophosphoryl lipid A (or other non-toxic derivatives of LPS), and a combination of monophosphoryl lipid A, preferably 3-de-O-acylated monophosphoryl lipid A (3D-MPL) [or non toxic LPS derivatives] together with an aluminium salt, preferably aluminium phosphate.
  • Monophosphoryl lipid A particularly 3-de-O-acylated monophosphoryl lipid A (or other non-toxic derivatives of LPS)
  • monophosphoryl lipid A preferably 3-de-O-acylated monophosphoryl lipid A (3D-MPL) [or non toxic LPS derivatives]
  • an aluminium salt preferably aluminium phosphate.
  • An enhanced system involves the combination of a monophosphoryl lipid A and a saponin derivative particularly the combination of QS21 [or other saponin] and 3D-MPL [or non toxic LPS derivative] as disclosed in WO 94/00153, or a less reactogenic composition where the QS21 [or saponin] is quenched with cholesterol as disclosed in WO96/33739.
  • a particularly potent adjuvant formulation involving QS21, 3D-MPL and tocopherol in an oil in water emulsion is described in WO95/17210 and is a preferred formulation that may be added.
  • Other adjuvants that may be added comprise a saponin, more preferably QS21 and/or an oil in water emulsion and tocopherol.
  • Unmethylated CpG containing oligo nucleotides (WO 96/02555) may also be added
  • Vaccine preparation is generally described in Vaccine Design (“The subunit and adjuvant approach” (eds Powell M. F. & Newman M. J.) (1995) Plenum Press New York).
  • An immunoprotective dose of vaccines can be administered via the systemic or mucosal route. These administrations may include injection via the intramuscular, intraperitoneal, intradermal or subcutaneous routes; or via mucosal administration to the oral/alimentary, respiratory, genitourinary tracts.
  • bleb quantity in each vaccine dose is selected as an amount which induces an immunoprotective response without significant, adverse side effects in typical vaccinees. Such amount will vary depending upon which specific immunogen is employed and how it is presented. Generally, it is expected that each dose will comprise 1-100 ⁇ g of each bleb, preferably 5-50 ⁇ g, and most typically in the range 5-25 ⁇ g.
  • Methods of making ghost preparations (empty cells with intact envelopes) from Gram-negative strains are well known in the art (see for example WO 92/01791).
  • Methods of killing whole cells to make inactivated cell preparations for use in vaccines are also well known.
  • the processes concerning blebs described throughout this document are therefore applicable to the processes concerning ghosts and killed whole cells for the purposes of this invention.
  • LOS phase variation is particularly problematic when trying to grow high cell densities of cells in fermentors.
  • meningococcal LOS immunotype to change (in particular to shorter oligosaccharide chain LOS immunotypes). This can happen for L2 and L3 strains, and in particular truncated (e.g. lgtB) strains.
  • lgtA should be reduced in phase-variability, preferably fixed.
  • an L2 or L3 meningococcal strain is grown (where preferably lgtA should be reduced in phase-variability, preferably fixed).
  • high cell density it is meant a cell density of OD 450 10-19, preferably 12-16, in iron non-limiting conditions, or 6-12, preferably 8-10, in iron limited conditions.
  • the process may be extended by adding steps of isolating the LOS from the culture at high cell density.
  • the LOS may then be conjugated to a carrier and/or introduced into a liposome as discussed above.
  • a bleb isolation step may alternately be added to obtain blebs from the culture of high cell density. This should be done ideally with a low detergent, preferably DOC, % process, typically 0-0.3%, preferably 0.05-70.2%, most preferably around or exactly 0.1% deoxycholate.
  • the bleb LOS may advantageously be intra-bleb cojugated to an outer membrane protein also present in the blebs as described above.
  • the process may be extended to producing an immunogenic composition by formulating the LOS produced above with a pharmaceutically acceptable excipient.
  • a process of making a multivalent immunogenic composition comprising the steps of producing isolated LOS or isolated blebs of a certain immunotype (preferably L2) by the above process, and producing isolated LOS or isolated blebs of a different immunotype (preferably L3) by the above process, and mixing these LOS components components together along with a pharmaceutically acceptable excipient.
  • Genes encoding glycosyltransferases in Neisseria meningitidis often contain simple tandem repeats (for example, homopolymeric tracts) which mediate phase variation (high frequency reversible on/off switching of gene expression (Jennings et al 1995, Mol Micro 18 724; Jennings et al 1999, Microbiology 145 3013).
  • the repeated sequences in these genes are present in the open reading frame and are transcribed and translated into protein. Phase variation may be eliminated by reducing (in frame) the homopolymeric tract.
  • the latter primer incorporated the change in the lgtA sequence from 14G to 2G.
  • the resulting PCR product was cloned into pT7Blue (Novogen), to create plasmid pT7lgtAG2.
  • pT7Blue Novogen
  • pT7lgtAG2 To reconstitute to complete lgtA gene so that the plasmid could be used to transform the new allele into Neisseria meningitidis , a BssHII fragment from plasmid p1B11 (Jennings et al 1995, supra) was cloned into the BssHII site of pT7lgtAG2 in the correct orientation.
  • Nucleotide sequence analysis confirmed the correct orientation of the gene and that the sequence segment was identical to the corresponding section of the wild-type lgtA gene (Genbank accession NMU25839) apart from the alteration of the homopolymeric tract from 14 to 2 G residues.
  • variants of the lgtAG2 primer mutations were made so that a series of similar plasmids were created that contained lgtA alleles with 3, 4, 5, 7 and 10 G residues in the homopolymeric tract region.
  • phase variation of the homopolymeric tract can also be fixed by altering the poly G regions so that the GGG codons are replaced with alternative glycine codons arranged so that the same amino acid sequence is encoded, but the nucleotide sequence does not have a repetitive nature and is unlikely to phase vary (see lgtG example below).
  • a combination of the 2 methods could also be used—for instance the homopolymeric tract could be cut to 5 G residues & a GGG codon replaced with an alternative glycine codon.
  • the plasmid pT7lgtAG2 was linearized and used to transform Neisseria meningitidis strain MC58 ⁇ 3 containing an lgtA::kan mutation (Jennings et al 1995, supra). Positive colonies were detected by mAb 4A8B2 in colony-immunoblot (Jennings et al 1999, supra).
  • LgtA positive phenotype (L3 immunotype structure) of the transformants was the result of the transfer of the lgtAG2 allele to the chromosome was confirmed by PCR of the relevant section of the lgtA gene using primers Lic31 ext and Lic16ext: 5′-CGA TGA TGC TGC GGT CTT TTT CCA T-3′, followed by nucleotide sequencing with the same set of primers.
  • the resulting strain 2G2 had the genotype: MC58 parent strain; siaD::ery lgtAG2).
  • Strain 2G2 was subsequently transformed with the a plasmid containing an lgtB::kan mutation (Jennings et al 1995, supra) to create strain 2G2ecoNI, this strain had the genotype: MC58 parent strain; siaD::ery lgtAG2 lgtB::kan
  • the MC58 derivative strain used is B:P1.7.16, opc-, siaD-.
  • This strain was genetically modified to express either L3 (strain 2G2 [modified to reduce the homopolymeric tract to only 2 G nucleotides], lgtA fixed on) or an intermediate epitope (strain 2G EcoN1b-1, lgtA fixed on as with 2G2 but lgtB additionally turned off) or an LPS in short version (strain C6, lgtE off).
  • L3 strain 2G2 [modified to reduce the homopolymeric tract to only 2 G nucleotides], lgtA fixed on
  • an intermediate epitope strain 2G EcoN1b-1, lgtA fixed on as with 2G2 but lgtB additionally turned off
  • an LPS in short version strain C6, lgtE off.
  • OMV were produced according either a DOC process or DOC free process.
  • mice (10 per group) were immunized three times by the intramuscular route on Day 0, 20 and 28. They received 1 or 10 ⁇ g (protein content) of blebs formulated on Al(OH)3. Blood samples were taken on day 28 (post II) and day 42 (post III).
  • Bactericidal assays were done on pooled sera and using homologous strains (MC58 and H44/76) and two heterologous strains (M97250687 and M9725078) with baby rabbit serum as source of exogenous complement.
  • L3 (2g2) or intermediate (2gecon1b-1) epitope induces cross-bactericidal antibodies, while blebs from truncated LPS strain (C6) induce lower level of cross-reacting antibodies. This was particularly illustrated when 1 ⁇ g of OMV was injected.
  • DOC free blebs may also advantageously retain some proteins losely interacting with the OMVs such as lipoproteins.
  • strain Neisseria meningitidis strain 35E (L2 immunotype typing strain) as a template primer pair Lg1: 5′-ATG AAG CTC AAA ATA GAC ATT G-3′ and Lg21: 5′-ATC TGC GGG CGG CGG CGC GAC TTG GAT-3′, and primer pair LGdell8: 5′-GAA TTC GGA TCC AAC TGA TTG TGG CGC ATT CC-3′ and Lg2UP: 5′-TGC CGT CTG AAG ACT TCA GAC GGC TTA TAC GGA TGC CAG CAT GTC-3′ (underlined sequence denotes a Neisseria meningitidis uptake sequence) were used to produce two PCR products.
  • Lg1 5′-ATG AAG CTC AAA ATA GAC ATT G-3′
  • Lg21 5′-ATC TGC GGG CGG CGG CGC GAC TTG GAT-3′
  • primer pair LGdell8 5′-GAA
  • the resulting strain ⁇ 3lgtA2GlgtG::kan-3, had the genotype: MC58 parent strain; siaD::ery lgtAG2 lgtG::kan.
  • This strain was then transformed with plasmid pL2+ and screened for colonies with an L2 phenotype and screen by colony-immuno blots (Mn 42F12.32).

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Abstract

The present invention relates to the field of neisserial vaccine compositions, their manufacture, and the use of such compositions in medicine. More particularly it relates to processes of making novel engineered meningococcal strains which are less phase variable in terms of their LOS immunotype, and from which novel LOS subunit or meningococcal outer-membrane vesicle (or bleb) vaccines can be derived.

Description

    FIELD OF THE INVENTION
  • The present invention relates to the field of neisserial vaccine compositions, their manufacture, and the use of such compositions in medicine. More particularly it relates to processes of making novel engineered meningococcal strains which are less phase variable in terms of their LOS immunotype, and from which novel LOS subunit or meningococcal outer-membrane vesicle (or bleb) vaccines can be derived.
  • BACKGROUND OF THE INVENTION
  • Neisseria meningitidis (meningococcus) is a Gram negative bacterium frequently isolated from the human upper respiratory tract. It is a cause of serious invasive bacterial diseases such as bacteremia and meningitis. The incidence of meningococcal disease shows geographical, seasonal and annual differences (Schwartz, B., Moore, P. S., Broome, C. V.; Clin. Microbiol. Rev. 2 (Supplement), S18-S24, 1989). The bacterium is commonly classified according to the serogroup if its capsular polysaccharide.
  • Most disease in temperate countries is due to strains of serogroup B and varies in incidence from 1-10/100,000/year total population—sometimes reaching higher values (Kaczmarski, E. B. (1997), Commun. Dis. Rep. Rev. 7: R55-9, 1995; Scholten, R. J. P. M., Bijlmer, H. A., Poolman, J. T. et al. Clin. Infect. Dis. 16: 237-246, 1993; Cruz, C., Pavez, G., Aguilar, E., et al. Epidemiol. Infect. 105: 119-126, 1990).
  • Epidemics dominated by serogroup A meningococci, mostly in central Africa, sometimes reach incidence levels of up to 1000/100,000/year (Schwartz, B., Moore, P. S., Broome, C. V. Clin. Microbiol. Rev. 2 (Supplement), S18-S24, 1989). Nearly all cases as a whole of meningococcal disease are caused by serogroup A, B, C, W-135 and Y meningococci, and a tetravalent A, C, W-135, Y capsular polysaccharide vaccine is available (Armand, J., Arminjon, F., Mynard, M. C., Lafaix, C., J. Biol. Stand. 10: 335-339, 1982).
  • The frequency of Neisseria meningitidis infections has risen in the past few decades in many European countries. This has been attributed to increased transmission due to an increase in social activities (for instance swimming pools, theatres, etc.). It is no longer uncommon to isolate Neisseria meningitidis strains that are less sensitive or resistant to some of the standard antibiotics. This phenomenon has created an unmet medical need and demand for new anti-microbial agents, vaccines, drug screening methods, and diagnostic tests for this organism.
  • The available polysaccharide vaccines are currently being improved by way of chemically conjugating them to carrier proteins (Lieberman, J. M., Chiu, S. S., Wong, V. K., et al. JAMA 275: 1499-1503, 1996).
  • A serogroup B vaccine, however, is not available. The serogroup B capsular polysaccharide has been found to be nonimmunogenic—most likely because it shares structural similarity with host components (Wyle, F. A., Artenstein, M. S., Brandt, M. L. et al. J. Infect. Dis. 126: 514-522, 1972; Finne, J. M., Leinonen, M., Mäkelä, P. M. Lancet ii.: 355-357, 1983). Effort has therefore been focused in trying to develop serogroup B vaccines from outer membrane vesicles (or blebs) or purified protein components therefrom.
  • Alternative meningococcal antigens for vaccine development are meningococcal lipooligosaccharides (LOS). These are outer membrane bound glycolipids which differ from the lipopolysaccharides (LPS) of the Enterobacteriaceae by lacking the O side chains, and thus resemble the rough form of LPS (Griffiss et al. Rev Infect Dis 1988; 10: S287-295). Heterogeneity within the oligosaccharide moiety of the LOS generates structural and antigenic diversity among different meningococcal strains (Griffiss et al. Inf. Immun. 1987; 55: 1792-1800). This has been used to subdivide the strains into 12 immunotypes (Scholtan et al. J Med Microbiol 1994, 41:236-243). Immunotypes L3, L7, & L9 are immunologically identical and are structurally similar (or even the same) and have therefore been designated L3, 7, 9 (or, for the purposes of this specification, generically as “L3”). Meningococcal LOS L3, 7, 9 (L3), L2 and L5 can be modified by sialylation, or by the addition of cytidine 5′-monophosphate-N-acetylneuraminic acid. Although L2, L4 and L6 LOS are distinguishable immunologically, they are structurally similar and where L2 is mentioned herein, either L4 or L6 may be optionally substituted within the scope of the invention. Antibodies to LOS have been shown to protect in experimental rats against infection and to contribute to the bactericidal activity in children infected with N. meningitidis (Griffiss et al J Infect Dis 1984; 150: 71-79).
  • A problem associated with the use of LOS in a meningococcal vaccine, however, is its toxicity (due to its Lipid A moiety).
  • LOS is also present on the surface of meningococcal blebs. For many years efforts have been focused on developing meningococcal outer membrane vesicle (or bleb) based vaccines (de Moraes, J. C., Perkins, B., Camargo, M. C. et al. Lancet 340: 1074-1078, 1992; Bjune, G., Hoiby, E. A. Gronnesby, J. K. et al. 338: 1093-1096, 1991). Such vaccines have the advantage of including several integral outer-membrane proteins in a properly folded conformation which can elicit a protective immunological response when administered to a host. In addition, Neisserial strains (including N. meningitidis serogroup B—menB) excrete outer membrane blebs in sufficient quantities to allow their manufacture on an industrial scale. More often, however, blebs are prepared by methods comprising a 0.5% detergent (e.g. deoxycholate) extraction of the bacterial cells (e.g. EP 11243). Although this is desired due to the toxicity of LOS (also called endotoxin) as described above, it also has the effect removing most of the LOS antigen from the vaccine.
  • A further problem exists with the use of LOS (also known as LPS or lipopolysaccharide) as antigens in human vaccines, namely that they carry saccharide structures that are similar to human saccharide structures (for instance on human red blood cells), thus posing a safety issue with their use. Yet changing the LOS structure is problematic due to the structural sensitivity of the bactericidal effectiveness of the LOS antigen.
  • A further problem with using LOS as a vaccine antigen is that 12 LPS immunotypes exist with a diverse range of carbohydrate-structures (M. P. Jennings et al, Microbiology 1999, 145, 3013-3021; Mol Microbiol 2002, 43:931-43). Antibodies raised against one immunotype fail to recognise a different immunotype. Although effort has been focused on producing a generic “core” region of the oligosaccharide portions of the LOS immunotypes (e.g. WO 94/08021), the bactericidal activity of antibodies generated against the modified LOS is lost. Thus a vaccine may need to have many LOS components of different immunotype to be effective.
  • Even if a few immunotypes could be selected, a final problem exists. To make LOS (or blebs containing LOS) of a certain immunotype a meningococcal strain needs to be cultured. A feature of meningococcal LOS is the reversible, high frequency switching of expression (phase variation) of terminal LOS structures (M. P. Jennings et al, Microbiology 1999, 145, 3013-3021). The phase variation exhibited by the LOS is an obstacle to the development of a cross-protective OMV or subunit vaccine based on the use of LOS as a protective antigen. For MenB strain H44/76, for example, the rate of switching from L3 to L2 immunotype is estimated at 1 in 1000 to 5000. Antibodies raised against the L3 structure failed to recognize the L2 immunotype and vice versa. Therefore it is extremely hard to maintain a LOS or bleb production strain with a constant, homogenous LOS immunotype.
  • The present invention presents processes for ameliorating one or more of the above problems, and presents methods for making novel vaccines based on meningococcal LOS as a protective antigen, particularly when present on an outer membrane vesicle.
  • SUMMARY OF THE INVENTION
  • The present invention relates to processes of making vaccine compositions for the effective prevention or treatment of neisserial, preferably meningococcal, disease. The processes of the invention involve making a genetically engineered meningococcal strain which has a fixed or locked LOS immunotype. In particular, methods are disclosed which allow L2 and L3 LOS immunotypes to be fixed. A process for making LOS or blebs from such engineered strains is further covered, as is a method of making an immunogenic composition comprising the steps of making the above LOS or blebs and mixing with a pharmaceutically acceptable excipient.
  • DESCRIPTION OF THE INVENTION
  • The subject matter of and information disclosed within the publications and patents or patent applications mentioned in this specification are incorporated by reference herein.
  • Reference to “lipooligosaccharide” (or “LOS”) may also be referred to as “lipopolysaccharide” or “LPS”.
  • The terms “comprising”, “comprise” and “comprises” herein is intended by the inventors to be optionally substitutable with the terms “consisting of”, “consist of”, and “consists of”, respectively, in every instance.
  • A locus containing various lgt genes is required for the biosynthesis of the terminal LOS structure (the sequences of which are known in the art—see M. P. Jennings et al, Microbiology 1999, 145, 3013-3021 and references cited therein; J. Exp. Med. 180:2181-2190 [1994]; WO 96/10086). Meningococci can change the immunotype of the expressed LOS via a mechanism of phase variable expression of some of these genes. The phase variable expression of LOS in L3 type menB strains (e.g. MC58, H44/76) operates via high frequency mutations in a homopolymeric G tract region of lgtA. A major difference between L2 and L3 (and other) immunotypes is the presence or absence of a glucose residue on the second heptose (see FIG. 1 [with grey arrows showing phase variation] and FIG. 2). The addition of this residue is catalyzed by the lgtG gene product, which also exhibits phase variable expression. Other strains (e.g. 126E) can switch its LOS saccharidic structure from an L3 to an L1 immunotype through the expression of a third phase variable lgtC gene that catalyzes the extension of an additional galactose (FIG. 1 and FIG. 3) (M. P. Jennings et al, Microbiology 1999, 145, 3013-3021).
  • The present inventors have overcome this problem by developing methods of producing neisserial vaccine production strains which are fixed (i.e. not phase variable) in their LOS immunotype. Thus in a first aspect the present invention provides a process of making a genetically engineered neisserial (preferably meningococcal, most preferably serogroup B) strain comprising the step of genetically engineering a neisserial (preferably meningococcal) strain with phase-variable LOS synthesis, to render LOS expression less phase variable (and preferably non-phase variable or fixed). By “reduced phase variability” or “less phase variable” in terms of LOS immunotype it is meant that one or more (preferably all) phase variable genes involved in the synthesis of the LOS immunotype or related LOS immunotypes is made less phase-variable or fixed so that the rate of switching between immunotypes is reduced (preferably by more than 2, 3, 5, 10 or 50 fold). By “fixed” and “non-phase variable” in terms of LOS immunotype it is meant that one or more (preferably all) phase variable genes involved in the synthesis of the LOS immunotype or related LOS immunotypes is fixed or made non-phase variable. By “reduced phase variability” or “less phase variable” in terms of LOS biosynthesis gene expression, it is meant that the chance of switching functional gene expression between on and off is reduced (preferably by more than 2, 3, 5, 10 or 50 fold), and “fixed” and “non-phase variable” in terms of LOS biosynthesis gene expression means that a gene previously susceptible to phase variation is rendered not susceptible to phase variation beyond the background chance of non site-specific switching on or off of functional gene expression.
  • In a specific embodiment, the process results in a reduced (preferably non) phase variable LOS having, preferably exclusively, an L2 immunotype (most preferably constitutively synthesised). Although this may be done with a strain with any immunotype (by switching on and off all appropriate genes, it is preferred that an L2 strain is used to perform this process of the invention.
  • Preferably such a process has a genetic engineering step comprising the element of reducing phase-variability of (preferably fixing) expression of the lgtA and/or lgtG gene products (i.e. fixing such that expression of full-length, functional gene product may not be switched off by phase variation—either or both the genes are constitutively expressed).
  • Clearly if either of the lgtA or lgtG genes is naturally in a fixed state in a neisserial strain to be used, only the gene that is still phase variable need be engineered.
  • Although fixing could take place in the present invention by inserting extra copies of either or both of the constitutively-expressed genes into the strain (whilst preferably inactivating the wild-type copy), this method is more convoluted than simply engineering the wild-type copy of the gene(s).
  • Preferably, the expression of either or both of lgtA and lgtG gene products is reduced in phase variability (preferably fixed) by reducing the length of the homopolymeric nucleotide tract (see Jennings et al. Microbiology 1999 145:3013) within the open-reading frame of the respective gene whilst maintaining the open-reading frame of the gene in frame.
  • For the homopolymeric G tract in the lgtA open-reading frame it is preferred that the tract is reduced to 8, more preferably 2, or most preferably 5 consecutive G nucleotides. Surprisingly the gene with 5 consecutive G nucleotides was optimal in terms of reduction of tract length and maintenance of LgtA enzyme function. A preferred embodiment is therefore a reduction of the tract to 5 nucleotides in combination with altering the codon usage within the tract as described below.
  • For the homopolymeric C tract in the lgtG open-reading frame it is preferred that the tract is reduced to 8, 5 or 2 consecutive C nucleotides.
  • Such tract reductions can be simply performed in general using homologous recombination (see WO 01/09350) between a plasmid construct containing the reduced tract and the genomic DNA of the strain to be changed after transformation of the strain with the plasmid.
  • Alternatively (or in addition), the expression of lgtA gene product can be reduced in phase-variability (preferably fixed) by changing the sequence of the homopolymeric nucleotide tract within the open-reading frame of the lgtA gene such that: one or more GGG codons encoding Glycine is changed to any other codon encoding glycine (GGA, GGC or GGT), or a codon encoding a conservative mutation, and/or the TCG codon encoding Serine (the final G being part of the tract) is changed to any other codon encoding Serine, or a codon encoding a conservative mutation, whilst maintaining the open-reading frame of the gene in frame. For instance, a 5G homopolymeric tract can advantageously have one GGG Glycine codon mutated to a nucleotide sequence GGG(A/C/T)G.
  • Furthermore, the expression of lgtG gene product can be alternatively or additively reduced in phase-variation (preferably fixed) by changing the sequence of the homopolymeric nucleotide tract within the open-reading frame of the lgtG gene such that: one or more CCC codons encoding Proline is changed to any other codon encoding Proline (CCA, CCG or CCT), or a codon encoding a conservative mutation, and/or the GCC codon encoding Alanine (the final CC pair being part of the tract) is changed to any other codon encoding Alanine, or a codon encoding a conservative mutation, whilst maintaining the open-reading frame of the gene in frame.
  • It is preferred that in the above scenarios codons are replaced with codons encoding the same amino acids, however where conservative mutations are used it is preferred that: 1) codons are selected containing 2 or (preferably) fewer nucleotides of the type making up the tract, & 2) the new encoded amino acid is a conservative mutation. Conservation mutations are understood by skilled persons in this field. However preferred substitutions are detailed in the table below.
    Exemplary Preferred
    Original residue substitutions substitution
    A V, L, I V
    G P, A A
    P A, G A
    S T, A T
  • In such a scenario it is preferred that 2, 3 or, more preferably, 4 codons in the homopolymeric tract are changed, most preferably to encode the identical amino acid.
  • A combination of the above methods of the invention (reducing the tract length and altering the tract's codon usage) could be used to fix the lgtA and/or lgtG genes. For instance by both reducing the lgtA tract to 5 G residues, and replacing one of the GGG codons encoding Glycine to one of the other 3 codons encoding Glycine [yielding a final tract nucleotide sequence of GGG(A/C/T)G].
  • In an advantageous embodiment the expression of the lgtA gene product is fixed by reducing the length of the homopolymeric G nucleotide tract within the open-reading frame of the respective gene to 2 or 5 consecutive G nucleotides whilst maintaining the open-reading frame of the gene in frame, and the expression of lgtG gene product is fixed by changing the sequence of the homopolymeric nucleotide tract within the open-reading frame of the lgtG gene such that: 1, 2 or preferably 3 CCC codons encoding Proline is changed to any other codon encoding Proline (CCA, CCG, or CCT), or a codon encoding a conservative mutation, and/or the GCC codon encoding Alanine is changed to any other codon encoding Alanine, or a codon encoding a conservative mutation, whilst maintaining the open-reading frame of the gene in frame.
  • In a further specific embodiment, the process of the invention results in a reduced (preferably non) phase variable LOS having (preferably exclusively) an L3 immunotype (most preferably constitutively synthesised). Although this may be done with a strain with any immunotype (by switching on and off all appropriate genes, it is preferred that an L3 strain is used to perform this process of the invention.
  • As stated above, in this specification all reference to “L3” immunotype will be a reference to “L3, 7, 9”, “L3”, “L7”, and “L9” immunotypes which have identical (or immunologically indistinguishable) carbohydrate structures.
  • In this process the genetic engineering step preferably comprises the elements of reducing phase-variability of (preferably fixing) the expression of the lgtA gene product [preferably such that expression of full-length, functional product may not be switched off by phase variation (i.e. is constitutively expressed as described above)], and/or permanently downregulating the expression of functional gene product from the lgtG gene.
  • By “downregulating the expression of functional gene product” it is meant that additions, deletions or substitutions are made to the promoter or open reading frame of the gene such that the biosynthetic activity of the total gene product reduces (by 60, 70, 80, 90, 95 or most preferably 100%). Clearly frameshift mutations may be introduced, or weaker promoters substituted, however most preferably most or all of the open reading frame and/or promoter is deleted to ensure a permanent downregulation of the gene product. See WO 01/09350 for further methods of gene downregulation.
  • Clearly if lgtA expression is naturally fixed or lgtG expression is naturally down-regulated in a wild-type meningococcal strain to be altered, only the gene that is in need of change to fix the immunotype should be engineered.
  • Although fixing could take place in the process of the invention by inserting extra copies of the constitutively expressed lgtA gene into the organism (whilst preferably inactivating the wild-type copy), this method is more convoluted than simply engineering the wild-type copy of the gene(s).
  • The expression of lgtA gene product can be made less phase variable (preferably fixed) by reducing the length of the homopolymeric nucleotide tract within the open-reading frame of the gene whilst maintaining the open-reading frame of the gene in frame (preferably the homopolymeric G tract in the lgtA open-reading frame is reduced to 8, more preferably 2 or, most preferably, 5 consecutive G nucleotides) and/or by changing the sequence of the homopolymeric nucleotide tract within the open-reading frame of the lgtA gene such that: one or more GGG codons encoding Glycine is changed to any other codon encoding glycine, or a codon encoding a conservative mutation, and/or the TCG codon encoding Serine is changed to any other codon encoding Serine, or a codon encoding a conservative mutation, whilst maintaining the open-reading frame of the gene in frame (as described above). For instance, a 5G homopolymeric tract can advantageously have one GGG Glycine codon be mutated to a nucleotide sequence GGG(A/C/T)G.
  • A combination of the above methods of the invention (reducing the tract length and altering the tract's codon usage) could be used to fix the lgtA gene. For instance by both reducing the lgtA tract to 5 G residues, and replacing one of the GGG codons encoding Glycine to one of the other 3 codons encoding Glycine [yielding a final tract nucleotide sequence of GGG(A/C/T)G].
  • Preferably the expression of functional gene product from the IgtG gene is switched off (i.e. there is no or negligible IgtG gene product biosynthetic activity post mutation).
  • In an advantageous embodiment the expression of the lgtA gene product is fixed by reducing the length of the homopolymeric G nucleotide tract within the open-reading frame of the respective gene to 5 or 2 consecutive G nucleotides whilst maintaining the open-reading frame of the gene in frame, and the expression of functional gene product from the lgtG gene is switched off by deleting all or part of the promoter and/or open-reading frame of the gene.
  • Where the meningococcal strain to be altered has an lgtC gene (e.g. strain 126E), it is preferred that the processes of the invention have a genetic engineering step which comprises an element of permanently downregulating the expression of functional gene product from the lgtC gene, preferably by switching the gene off, most preferably by deleting all or part of the promoter and/or open-reading frame of the gene.
  • For potential safety implications, the above processes may be advantageously extended. The safety of antibodies raised to L3 or L2 LOS has been questioned, due to the presence of a structure similar to the lacto-N-neotetraose oligosaccharide group (Galβ1-4GlcNAcβ1-3Galβ1-4Glcβ1-; FIGS. 1-3) present in human glycosphingolipids. Although a large number of people have been safely vaccinated with deoxycholate extracted vesicle vaccines containing residual amount of L3 LOS (G. Bjune et al, Lancet (1991), 338, 1093-1096; GVG. Sierra et al, NIPH ann (1991), 14, 195-210), if LOS is to be retained as an antigen as discussed herein, the deletion of a terminal part of the LOS saccharide structure has been found by the current inventors to be advantageous in preventing cross-reaction of the anti-LOS immune response with structures present at the surface of human tissues. In a preferred embodiment, inactivation of the lgtB gene results in an intermediate LOS structure in which the terminal galactose residue and the sialic acid are absent (see FIG. 1-3, the mutation leaves a 4GlcNAcβ1-3Galβ1-4Glcβ1-structure in L2 and L3 LOS). Such intermediates could be obtained in an fixed L3 (lgtA fixed on and/or lgtG fixed off) and a fixed L2 (lgtA and/or lgtG fixed on) LOS strain. An alternative and less preferred (short) version of the LOS can be obtained by turning off the lgtE gene.
  • Therefore, the above processes may also have a genetic engineering step comprising the element of downregulating (preferably permanently) the expression of functional gene product from the lgtB or lgtE gene, preferably by switching the gene off, most preferably by deleting all or part of the promoter and/or open-reading frame of the gene. A process involving rendering a strain lgtBis most preferred as the inventors have found that this is the optimal truncation for resolving the safety issue whilst still retaining an L2 or L3 LOS protective oligosaccharide epitope that can still induce a bactericidal (and even cross-bactericidal) antibody response.
  • Preferably the strains used in the processes of the invention are unable to synthesise capsular polysaccharide, where this is not the case it is advantageous to add a further process step of downregulating the expression of functional gene product critical for the production of capsular polysaccharide.
  • Where the process involves a wild-type meningococcus B strain, it is preferred that the genetic engineering step of the process comprises the element of permanently downregulating the expression of functional gene product from the siaD gene, preferably by switching the gene off, most preferably by deleting all or part of the promoter and/or open-reading frame of the gene. Such an inactivation is also described in WO 01/09350. The siaD (also known as synD) mutation is the most advantageous of many mutations that can result in removing the human-similar epitope from the capsular polysaccharide. This is because it is one of the only mutations that has no effect on the biosynthesis of the protective eptitopes of LOS, and thus it is advantageous in a process which aims at ultimately using LOS as a protective antigen, and has a minimal effect on the growth of the bacteria. Most preferably the processes of the invention utilise a meningococcus B mutant strain with the lgtB and siaD genes downregulated or inactivated (preferably a lgtBsiaDstrain).
  • Although siaDmutation is preferable for the above reasons, other mutations which switch off meningococcus B (or meningococcus in general) capsular polysaccharide synthesis may be used in the process of the invention. Thus the bleb production strain can be genetically engineered to permanently downregulate the expression of functional gene product from one or more of the following genes: ctrA, ctrB, ctrC, ctrD, synA (equivalent to synX and siaA), synB (equivalent to siaB) or synC (equivalent to siaC) genes, preferably by switching the gene off, most preferably by deleting all or part of the promoter and/or open-reading frame of the gene. The lgtEmutation may be combined with one or more of these mutations. Preferably the lgtBmutation is combined with one or more of these mutations.
  • A Neisserial locus containing various lgt genes, including lgtB and lgtE, and its sequence is known in the art (see M. P. Jennings et al, Microbiology 1999, 145, 3013-3021 and references cited therein; J. Exp. Med. 180:2181-2190 [1994]; WO 96/10086).
  • The processes of the invention may also include steps which render the LOS less toxic. Although this is not necessary for intranasal immunization with native OMV (J. J. Drabick et al, Vaccine (2000), 18, 160-172), for parenteral vaccination detoxification would present an advantage. LOS can be detoxified genetically by mutation/modification/inactivation of genes involved in Lipid A biosynthesis for example by downregulating the expression of functional gene product from the msbB and/or htrB genes, preferably by switching the gene off, most preferably by deleting all or part of the promoter and/or open-reading frame of the gene. Alternatively (or in addition) one or more of the following genes may be upregulated (by introducing a stronger promoter or integrating an extra copy of the gene): pmrA, pmrB, pmrE and pmrF.
  • See WO 01/09350 for more detail on the above detoxification methods, and for relevant promoter/gene sequences and upregulation and downregulation methods. The msbB and htrB genes of Neisseria are also called lpxL1 and lpxL2, respectively, (see WO 00/26384) and deletion mutations of these genes are characterised phenotypically by the msbBmutant LOS losing one secondary acyl chain compared to wild-type (and retaining 4 primary and 1 secondary acyl chain), and the htrBmutant LOS losing both secondary acyl chains. Such mutations are preferably combined with mutations to ensure that the neisserial production strain is capsular polysaccharide deficient (see above) to ensure the optimal presentation of detoxified LOS on the bleb, or to aid the purification of the detoxified subunit LOS.
  • A further aspect of the invention is a process of isolating L2 LOS comprising the steps of producing a genetically engineered neisserial strain with a reduced phase variable (preferably fixed) L2 immunotype by the process of the invention as described above, and isolating L2 LOS from the resulting strain. An additional advantageous step may be added to this process, namely conjugating the L2 LOS to a carrier comprising a source of T-cell epitopes (rendering the LOS an even better immunogen) and/or the step of presenting the L2 LOS in liposome formulations known in the art (see for instance WO 96/40063 and references cited therein).
  • The process of isolation of LOS from bacteria is well known in the art (see for instance the hot water-phenol procedure of Wesphal & Jann [Meth. Carbo. Chem. 1965, 5:83-91]). See also Galanos et al. 1969, Eur J Biochem 9:245-249, and Wu et al. 1987, Anal Bio Chem 160:281-289. Techniques for conjugating isolated LOS are also known (see for instance EP 941738 incorporated by reference herein).
  • For the purposes of this invention “a carrier comprising a source of T-cell epitopes” is usually a peptide or, preferably, a polypeptide or protein. Conjugation techniques are well known in the art. Typical carriers include protein D from non typeable H. influenzae, tetanus toxoid, diphtheria toxoid, CRM197, or outer membrane proteins present in bleb (particularly neisserial or meningococcal) preparations. Preferably the oligosaccharide portion of the LOS is conjugated.
  • Similarly a still further aspect of the invention is a process of isolating L3 LOS comprising the steps of producing a genetically engineered meningococcal strain with a reduced phase variable (preferably fixed) L3 immunotype by the process of the invention as described above, and isolating L3 LOS from the resulting strain. An additional advantageous step may be added to this process, namely conjugating the L3 LOS to a carrier comprising a source of T-cell epitopes and/or the step of presenting the L3 LOS in a liposome formulation.
  • For processes of the invention involving the isolation of LOS from strains with reduced phase variability, preferably the LOS is detoxified as part of the process. This may be done by known techniques of hydrazine or alkaline hydrolysis chemical treatments which remove acyl chains from the molecule (but which may reduce the protective efficacy of the molecule), but is preferably done by isolating the LOS from an htrBand/or msbBmeningococcal mutant (as described above; particularly in capsule polysaccharide minus strains), or by adding a non-toxic peptide functional equivalent of polymyxin B [a molecule with high affinity to Lipid A] to the isolated LOS, in particular SAEP 2. See WO 93/14115, WO 95/03327, Velucchi et al (1997) J Endotoxin Res 4: 1-12, and EP 976402 for further details of non-toxic peptide functional equivalents of polymyxin B that may be used in the processes of this invention—particularly the use of the peptide SAEP 2 (of sequence KTKCKFLKKC where the 2 cysteines form a disulphide bridge).
  • Where the process of isolating fixed LOS of the invention introduces LOS into a liposome, outer membrane proteins may optionally also be added, and the LOS may be conjugated intra-liposome to such outer membrane proteins to render the oligosaccharide a T-dependent antigen. This may be done with a similar chemistry as described for intra-bleb LOS cross-linking as described below.
  • A further aspect of the invention is a process of isolating meningococcal blebs having an L2 or L3 LOS immunotype, comprising the steps of producing a genetically engineered meningococcal strain with a reduced phase variable (preferably fixed) L2 or L3 immunotype, respectively, by the processes of the invention as described above; and isolating blebs from the resulting strain.
  • Outer Membrane Vesicles (OMVs or blebs) can be isolated by many known techniques (Fredriksen et al, NIPH Annals (1991), 14, 67-79; Zollinger et al, J. Clin Invest (1979), 63, 836-848; Saunders et al, Infect Immun (1999), 67, 113-119; J. J. Drabick et al, Vaccine (1999), 18, 160-172). These divide into 2 main groups—techniques which use deoxycholate (about 0.5%) to extract blebs from meningococcus, and techniques that use low levels of deoxycholate (DOC) or no deoxycholate at all. DOC free process blebs have the interesting feature of maintaining high level of LOS in the OMV—which is advantageous in a vaccine where LOS is a protective antigen. Compared to DOC extracted blebs, the concentration of L3 Ags in OMV obtained by a DOC free process is approximately ten times higher, also taking into account the fixing of lgtA. A detergent-free (preferably DOC-free) process of preparing blebs is preferred for the purposes of the processes of this invention for this reason, although extraction with a buffer containing low levels of detergent (preferably DOC) may also be advantageous in that the step would leave most of the tightly interacting LOS in the bleb whilst removing any more toxic loosely retained LOS. Typically 0-0.5% and preferably 0.02-0.4%, 0.04-3% or 0.06-2% detergent (preferably DOC) is used for bleb extraction, more preferably 0.08-0.15%, and most preferably around or exactly 0.1% is used to obtain an optimal amount of LOS to be stably present in the blebs. DOC free (or low DOC—0.3% or under (preferably 0.05-0.2%) DOC) extraction processes are particularly preferred where the LOS has been detoxified by one or more of the methods detailed above.
  • It is preferred that the LOS content of the blebs isolated by the process of the invention is 3-30, 5-25, 10-25, 15-22, and most preferably around or exactly 20% LOS content as measured by silver staining after SDS-PAGE electrophoresis using purified LOS as a standard (see method of Tsai, J. Biol. Standardization (1986) 14:25-33). Using Nmen L3 LOS as a standard in this method, in general LOS content in Nmen L3 immunotype blebs extracted with 0.1% DOC is about 20% LOS, with 0.2% DOC is about 15% LOS, with 0.3% DOC is about 10% LOS, and with 0.5% DOC is about 5% LOS.
  • The above bleb isolation processes of the invention may comprise an additional advantageous step of conjugating the L2 or L3 LOS in situ to an outer membrane protein (e.g. PorA or PorB) also present in the bleb preparation. Thus a further aspect of the invention is a process of the invention where the isolated bleb preparation is conjugated (through an integral outer-membrane protein) to LOS. Although LOS may be added to a bleb preparation for conjugation, it is preferred that the LOS is naturally present on the surface of the bleb preparation.
  • This process can advantageously enhance the stability and/or immunogenicity (providing T-cell help) and/or antigenicity of the LOS antigen within the bleb formulation—thus giving T-cell help for the T-independent oligosaccharide immunogen in its most protective conformation—as LOS in its natural environment on the surface of the outer membrane. In addition, conjugation of the LOS within the bleb can result in a detoxification of the LOS (without wishing to be bound by theory, the Lipid A portion may be more stably buried in the outer membrane if conjugated thus being less available to cause toxicity). Thus the detoxification methods mentioned above of isolating blebs from htrBor msbBmutants, or by adding non toxic peptide functional equivalent of polymyxin B to the composition may not be required (but which may be added in combination for additional security).
  • The processes of the invention may thus yield conjugated bleb preparations which are typically such that the toxicity of the LOS in the bleb is reduced compared to the same blebs with the same amount of totally unconjugated LOS. LOS toxicity may be readily determined by a skilled person, for example using the LOS rabbit pyrogenicity assay in the European Pharmacopoeia.
  • In particular, the inventors have found that a process of the invention yielding a composition comprising blebs wherein LOS present in the blebs has been conjugated in an intra-bleb fashion to outer membrane proteins also present in the bleb is advantageous in being part of a process to make a vaccine for the treatment or prevention of neisserial (preferably meningococcal) disease, wherein the process allows the vaccine to be of reduced toxicity and/or capable of inducing a T-dependent bactericidal response against LOS in its native environment.
  • This invention therefore further provides a method to make such an intra-bleb LOS conjugated bleb preparation from a strain of reduced phase variability (preferably fixed) LOS immunotype. By “intra bleb” it is meant that LOS naturally present in the bleb is conjugated to outer membrane protein present on the same bleb.
  • Such bleb preparations may be made by isolated blebs and then subjected them to known conjugation chemistries to link groups (e.g. NH2 or COOH) on the oligosaccharide portion of LOS to groups (e.g. NH2 or COOH) on bleb outer membrane proteins. Cross-linking techniques using glutaraldehyde, formaldehyde, or glutaraldehyde/formaldehyde mixes may be used, but it is preferred that more selective chemistries are used such as EDAC or EDAC/NHS (J. V. Staros, R. W. Wright and D. M. Swingle. Enhancement by N-hydroxysuccinimide of water-soluble carbodiimide-mediated coupling reactions. Analytical chemistry 156: 220-222 (1986); and Bioconjugates Techniques. Greg T. Hermanson (1996) pp173-176). Other conjugation chemistries or treatments capable of creating covalent links between LOS and protein molecules that could be used in this invention are described in EP 941738.
  • Preferably the bleb preparations are conjugated in the absence of capsular polysaccharide. The blebs may be isolated from a strain which does not produce capsular polysaccharide (naturally or via mutation), or may be purified from most (more than 60, 70, 80, 90, or 99% removed) and preferably all contaminating capsular polysaccharide. In this way, the intra-bleb LOS conjugation reaction is much more efficient.
  • Preferably more than 5, 10, 20, 30, 40, 50, 60, 70, 80, 90, or 95% of the LOS present in the blebs is cross-linked/conjugated.
  • Preferably the blebs of the invention have been prepared such that the LOS content of the blebs is 3-30, 5-25, 10-25, 15-22, and most preferably around or exactly 20% LOS content as measured by silver staining after SDS-PAGE electrophoresis using purified LOS as a standard (see method of Tsai, J. Biol. Standardization (1986) 14:25-33). 20% LOS in meningococcal blebs can be achieved with a 0.1% low DOC extraction, which may remove losely held LOS molecules, but conserve the majority of the antigen.
  • Where the intra-bleb conjugated blebs made by the process of the invention are derived from meningococcus, it is preferred that the strain from which they are derived is a mutant strain that cannot produce capsular polysaccharide (e.g. one of the mutant strains described above, in particular siaD).
  • A typical L3 meningococcal strain that can be used for the present invention is the H44/76 menB strain. A typical L2 strain is the B16B6 menB strain or the 39E meningococcus type C strain or strain 760676.
  • As stated above, the process of the invention allows the detoxification of blebs to some degree by the act of conjugation, and need not be detoxified any further, however further detoxification methods may be used for additional security, for instance by using blebs derived from a meningococcal strain that is htrB or msbB or adding a non-toxic peptide functional equivalent of polymyxin B [a molecule with high affinity to Lipid A] (preferably SEAP 2) to the bleb composition (as described above).
  • In the above way meningococcal blebs and immunogenic compositions comprising blebs can be made by the processes of the invention which have as an important antigen LOS of a certain immunotype (preferably L2 or L3) which is reproducibly made without phase variation, is reduced in toxicity (and preferably substantially non-toxic), devoid of autoimmunity problems, has a T-dependent character, and is present in its natural environment.
  • One or more of Men A, C, Y or W capsular polysaccharides or oligosaccharides (preferably at least MenC, or MenA and MenC, or Men C and MenY) may also be conjugated onto an outermembrane protein of the bleb in a process of the invention as well. Although this could be done in the same reaction as LOS cross-linking, it is preferred that this is done in a separate (preferably later) reaction.
  • Intrableb conjugation should preferably incorporate 1, 2 or all 3 of the following process steps: conjugation pH should be greater than pH 7.0, preferably greater than or equal to pH 7.5 (most preferably under pH 9); conditions of 1-5% preferably 2-4% most preferably around 3% sucrose should be maintained during the reaction; NaCl should be minimised in the conjugation reaction, preferably under 0.1M, 0.05M, 0.01M, 0.005M, 0.001M, and most preferably not present at all. All these process features make sure that the blebs remain stable and in solution throughout the conjugation process.
  • The EDAC/NHS conjugation process is a preferred process for intra-bleb conjugation. EDAC/NHS is preferred to formalydehyde which can cross-link to too high an extent thus adversely affecting filterability. EDAC reacts with carboxylic acids (such as KDO in LOS) to create an active-ester intermediate. In the presence of an amine nucleophile (such as lysines in outer membrane proteins such as PorB), an amide bond is formed with release of an isourea by-product. However, the efficiency of an EDAC-mediated reaction may be increased through the formation of a Sulfo-NHS ester intermediate. The Sulfo-NHS ester survives in aqueous solution longer than the active ester formed from the reaction of EDAC alone with a carboxylate. Thus, higher yields of amide bond formation may be realized using this two-stage process. EDAC/NHS conjugation is discussed in J. V. Staros, R. W. Wright and D. M. Swingle. Enhancement by N-hydroxysuccinimide of water-soluble carbodiimide-mediated coupling reactions. Analytical chemistry 156: 220-222 (1986); and Bioconjugates Techniques. Greg T. Hermanson (1996) pp173-176. Preferably 0.01-5 mg EDAC/mg bleb (by protein measured by Lowry) is used in the reaction, more preferably 0.05-1 mg EDAC/mg bleb. The amount of EDAC used depends on the amount of LOS present in the sample which in turn depends on the deoxycholate (DOC) % used to extract the blebs. At low % DOC (e.g. 0.1%), high amounts of EDAC are used (1 mg/mg and beyond), however at higher % DOC (e.g. 0.5%), lower amounts of EDAC are used (0.025-0.1 mg/mg) to avoid too much inter-bleb crosslinking.
  • A preferred process of the invention is therefore a process for producing intra-bleb conjugated LOS (preferably meningococcal) comprising the steps of producing reduced phase variable LOS, isolating blebs, conjugating blebs in the presence of EDAC/NHS at a pH between pH 7.0 and pH 9.0 (preferably around pH 7.5), in 1-5% (preferably around 3%) sucrose, and optionally in conditions substantially devoid of NaCl (as described above), and isolating the conjugated blebs from the reaction mix.
  • The reaction may be followed on Western separation gels of the reaction mixture using anti-LOS (e.g. anti-L2 or anti-L3) mAbs to show the increase of LOS molecular weight for a greater proportion of the LOS in the blebs as reaction time goes on.
  • Yields of 99% blebs can be recovered using such techniques.
  • EDAC was found to be an excellent intra-bleb cross-linking agent in that it cross-linked LOS to OMP sufficiently for improved LOS T-dependent immunogenicity, but did not cross link it to such a high degree that problems such as poor filterability, aggregation and inter-bleb cross-linking occurred. The morphology of the blebs generated is similar to that of unconjugated blebs (by electron microscope). In addition, the above protocol avoided an overly high cross-linking to take place (which can decrease the immunogenicity of protective OMPs naturally present on the surface of the bleb e.g. TbpA or Hsf).
  • A process for making immunogenic compositions or vaccines are also provided comprising the steps of producing isolated L2 LOS by the process of the invention as described above and/or producing isolated meningococcal blebs having an L2 LOS immunotype by the processes of the invention as described above, and formulating the L2 LOS and/or blebs with a pharmaceutically acceptable excipient.
  • Likewise a process for making immunogenic compositions or vaccines are also provided comprising the steps of producing isolated L3 LOS by the process of the invention as described above and/or producing isolated meningococcal blebs having an L3 LOS immunotype by the processes of the invention as described above, and formulating the L3 LOS and/or blebs with a pharmaceutically acceptable excipient.
  • An advantageous process of the invention is a process of making a multivalent immunogenic composition or vaccine comprising the steps of producing one or both of isolated L2 LOS or isolated meningococcal blebs having an L2 LOS immunotype by the processes of the invention as described above, and producing one or both of isolated L3 LOS or isolated meningococcal blebs having an L3 LOS immunotype by the processes of the invention as described above, and mixing said L2 and L3 vaccine components together along with a pharmaceutically acceptable excipient. Preferably the process mixes isolated L2 and L3 LOS together which are made as described above (most preferably conjugated and in a liposome formulation). More preferably the process mixes L2 and L3 blebs together which are made as described above. Such compositions are advantageous as approximately 70% of meningococcus B immunotypes observed in disease isolates have an L3 structure, and 30% are L2. The invention therefore describes a process which can yield a universal meningococcus B vaccine.
  • The process of making immunogenic compositions or vaccines as described above may have an additional step of adding one or more (2, 3 or 4) meningococcal polysaccharides or oligosaccharides (either plain or conjugated to a carrier comprising T-cell epitopes) from serogroups A, C, Y or W to the composition. Preferably at least C is added (most preferably conjugated), and more preferably A and C or Y and C (preferably all conjugated) and most preferably A, C, Y and W (preferably all conjugated).
  • A further step that may be added to the above processes for making immunogenic compositions or vaccines as described above is the addition of a suitable adjuvant. Suitable adjuvants include an aluminium salt such as aluminum hydroxide gel (alum) or aluminium phosphate (preferably aluminum hydroxide), but may also be a salt of calcium particularly calcium carbonate), iron or zinc, or may be an insoluble suspension of acylated tyrosine, or acylated sugars, cationically or anionically derivatised polysaccharides, or polyphosphazenes.
  • Suitable Th1 adjuvant systems that may be added include, Monophosphoryl lipid A, particularly 3-de-O-acylated monophosphoryl lipid A (or other non-toxic derivatives of LPS), and a combination of monophosphoryl lipid A, preferably 3-de-O-acylated monophosphoryl lipid A (3D-MPL) [or non toxic LPS derivatives] together with an aluminium salt, preferably aluminium phosphate. An enhanced system involves the combination of a monophosphoryl lipid A and a saponin derivative particularly the combination of QS21 [or other saponin] and 3D-MPL [or non toxic LPS derivative] as disclosed in WO 94/00153, or a less reactogenic composition where the QS21 [or saponin] is quenched with cholesterol as disclosed in WO96/33739. A particularly potent adjuvant formulation involving QS21, 3D-MPL and tocopherol in an oil in water emulsion is described in WO95/17210 and is a preferred formulation that may be added. Other adjuvants that may be added comprise a saponin, more preferably QS21 and/or an oil in water emulsion and tocopherol. Unmethylated CpG containing oligo nucleotides (WO 96/02555) may also be added
  • Vaccine preparation is generally described in Vaccine Design (“The subunit and adjuvant approach” (eds Powell M. F. & Newman M. J.) (1995) Plenum Press New York).
  • An immunoprotective dose of vaccines can be administered via the systemic or mucosal route. These administrations may include injection via the intramuscular, intraperitoneal, intradermal or subcutaneous routes; or via mucosal administration to the oral/alimentary, respiratory, genitourinary tracts. Typically bleb quantity in each vaccine dose is selected as an amount which induces an immunoprotective response without significant, adverse side effects in typical vaccinees. Such amount will vary depending upon which specific immunogen is employed and how it is presented. Generally, it is expected that each dose will comprise 1-100 μg of each bleb, preferably 5-50 μg, and most typically in the range 5-25 μg.
  • Ghost or Killed Whole cell Vaccines
  • The inventors envisage that the above processes concerning blebs can be easily extended to processes concerning ghost or killed whole cell preparations and vaccines (with identical advantages). Methods of making ghost preparations (empty cells with intact envelopes) from Gram-negative strains are well known in the art (see for example WO 92/01791). Methods of killing whole cells to make inactivated cell preparations for use in vaccines are also well known. The processes concerning blebs described throughout this document are therefore applicable to the processes concerning ghosts and killed whole cells for the purposes of this invention.
  • Growth of Neisserial Cells to High Cell Density in a Fermentor
  • The present inventors have also found that LOS phase variation is particularly problematic when trying to grow high cell densities of cells in fermentors. When nutrients become depleted it becomes more common for meningococcal LOS immunotype to change (in particular to shorter oligosaccharide chain LOS immunotypes). This can happen for L2 and L3 strains, and in particular truncated (e.g. lgtB) strains. The inventors have found that the processes of the invention in fixing LOS immunotype can alleviate this problem, and may allow high cell densities without change of immunotype. In particular, lgtA should be reduced in phase-variability, preferably fixed.
  • Thus, in a further aspect of the invention there is provided a process of growing a high cell density of a neisserial strain comprising the steps of:
    • a) genetically-engineering a neisserial strain to reduced the phase variability (and preferably fix) the LOS immunotype of said strain according to the processes of the invention above; and
    • b) growing the strain to high cell density in a fermentor.
  • Preferably an L2 or L3 meningococcal strain is grown (where preferably lgtA should be reduced in phase-variability, preferably fixed).
  • By “high cell density” it is meant a cell density of OD450 10-19, preferably 12-16, in iron non-limiting conditions, or 6-12, preferably 8-10, in iron limited conditions.
  • The process may be extended by adding steps of isolating the LOS from the culture at high cell density. The LOS may then be conjugated to a carrier and/or introduced into a liposome as discussed above.
  • A bleb isolation step may alternately be added to obtain blebs from the culture of high cell density. This should be done ideally with a low detergent, preferably DOC, % process, typically 0-0.3%, preferably 0.05-70.2%, most preferably around or exactly 0.1% deoxycholate.
  • The bleb LOS may advantageously be intra-bleb cojugated to an outer membrane protein also present in the blebs as described above.
  • The process may be extended to producing an immunogenic composition by formulating the LOS produced above with a pharmaceutically acceptable excipient.
  • Advantageously a process of making a multivalent immunogenic composition is provided comprising the steps of producing isolated LOS or isolated blebs of a certain immunotype (preferably L2) by the above process, and producing isolated LOS or isolated blebs of a different immunotype (preferably L3) by the above process, and mixing these LOS components components together along with a pharmaceutically acceptable excipient.
  • EXAMPLES
  • The examples below are carried out using standard techniques, which are well known and routine to those of skill in the art, except where otherwise described in detail. The examples are illustrative, but do not limit the invention.
  • Example 1 Making a Fixed L3 Strain (Fixed LgtA)
  • Genes encoding glycosyltransferases in Neisseria meningitidis often contain simple tandem repeats (for example, homopolymeric tracts) which mediate phase variation (high frequency reversible on/off switching of gene expression (Jennings et al 1995, Mol Micro 18 724; Jennings et al 1999, Microbiology 145 3013). The repeated sequences in these genes are present in the open reading frame and are transcribed and translated into protein. Phase variation may be eliminated by reducing (in frame) the homopolymeric tract. An alternative approach to deletion of the repeat sequences is to alter the nucleotide sequence in the repeat region so that it encodes the same amino acid sequence but does not constitute a repeat (see lgtG “fixed” mutant, Example 3). In this work we sought to “fix” the expression of certain glycosyltransferase genes in Neisseria meningitidis so that their expression was constituitively “on” or “off”. In this way the LPS antigen expressed could be fixed to a defined structure, no longer subject to phase variation.
  • Mutation of the LgtA ene of Give Constitutive Expression of LgtA—the LgtA2G Mutant
  • In order to fix the expression of the lgtA gene so that it was fixed “on” we altered the homopolymeric tract of the lgtA gene so that only 2 G residues remained in the homopolymeric tract region (the wild type strain, MC58, has 14 G; Jennings et al 1995, supra). Using primers Lic31ext: 5′-CCT TTA GTC AGC GTA TTG ATT TGC G-3′ and lgtAG2 5′-ATC GGT GCG CGC AAT ATA TTC CGA CTT TGC CAA TTC ATC-3′ in PCR with Neisseria meningitidis strain MC58 chromosomal DNA as template we amplified the region to be altered. The latter primer incorporated the change in the lgtA sequence from 14G to 2G. The resulting PCR product was cloned into pT7Blue (Novogen), to create plasmid pT7lgtAG2. To reconstitute to complete lgtA gene so that the plasmid could be used to transform the new allele into Neisseria meningitidis, a BssHII fragment from plasmid p1B11 (Jennings et al 1995, supra) was cloned into the BssHII site of pT7lgtAG2 in the correct orientation. Nucleotide sequence analysis confirmed the correct orientation of the gene and that the sequence segment was identical to the corresponding section of the wild-type lgtA gene (Genbank accession NMU25839) apart from the alteration of the homopolymeric tract from 14 to 2 G residues. Using a similar process, variants of the lgtAG2 primer mutations were made so that a series of similar plasmids were created that contained lgtA alleles with 3, 4, 5, 7 and 10 G residues in the homopolymeric tract region.
  • Using a similar process the phase variation of the homopolymeric tract can also be fixed by altering the poly G regions so that the GGG codons are replaced with alternative glycine codons arranged so that the same amino acid sequence is encoded, but the nucleotide sequence does not have a repetitive nature and is unlikely to phase vary (see lgtG example below). In addition, a combination of the 2 methods could also be used—for instance the homopolymeric tract could be cut to 5 G residues & a GGG codon replaced with an alternative glycine codon.
  • Transformation of Strain MC58¢3 with pT7lgtAG2 to Transfer the LgtAG2to the Chromosome of Neisseria Meningitidis Strain MC58¢3
  • In order to transfer the lgtAG2 mutation to the chromosome of Neisseria meningitidis to make a mutant strain, the plasmid pT7lgtAG2 was linearized and used to transform Neisseria meningitidis strain MC58¢3 containing an lgtA::kan mutation (Jennings et al 1995, supra). Positive colonies were detected by mAb 4A8B2 in colony-immunoblot (Jennings et al 1999, supra). Confirmation that the LgtA positive phenotype (L3 immunotype structure) of the transformants was the result of the transfer of the lgtAG2 allele to the chromosome was confirmed by PCR of the relevant section of the lgtA gene using primers Lic31 ext and Lic16ext: 5′-CGA TGA TGC TGC GGT CTT TTT CCA T-3′, followed by nucleotide sequencing with the same set of primers. The resulting strain 2G2 had the genotype: MC58 parent strain; siaD::ery lgtAG2). Strain 2G2 was subsequently transformed with the a plasmid containing an lgtB::kan mutation (Jennings et al 1995, supra) to create strain 2G2ecoNI, this strain had the genotype: MC58 parent strain; siaD::ery lgtAG2 lgtB::kan
  • Example 2 Experiments with Fixed L3 and Intermediate (LgtB) DOC Free Blebs (Non-Detoxified LOS) Induced Cross-Bactericidal Antibodies
  • The MC58 derivative strain used is B:P1.7.16, opc-, siaD-. This strain was genetically modified to express either L3 (strain 2G2 [modified to reduce the homopolymeric tract to only 2 G nucleotides], lgtA fixed on) or an intermediate epitope (strain 2G EcoN1b-1, lgtA fixed on as with 2G2 but lgtB additionally turned off) or an LPS in short version (strain C6, lgtE off). OMV were produced according either a DOC process or DOC free process.
  • Mice (10 per group) were immunized three times by the intramuscular route on Day 0, 20 and 28. They received 1 or 10 μg (protein content) of blebs formulated on Al(OH)3. Blood samples were taken on day 28 (post II) and day 42 (post III).
  • Bactericidal assays were done on pooled sera and using homologous strains (MC58 and H44/76) and two heterologous strains (M97250687 and M9725078) with baby rabbit serum as source of exogenous complement.
  • The following table summarizes the results (bactericidal titers for 50% killing):
    Strain and serotype
    Blood MC58 H44/76TT M97250687 M97252078
    Antigen samples P1.7.16 P1.7.16 P1.19.15 P1.4
    c6 no doc 10 μg IM Post II >2560 >2560 >2560 98
    c6 no doc 10 μg IM Post III 1 353 >2560 >2560 90
    c6 no doc 1 μg IM Post II 247 620 247 <20
    c6 no doc 1 μg IM Post III 411 878 748 <20
    2g2 no doc 10 μg IM Post II >320 >2560 >2560 >2560
    2g2 no doc 10 μg IM Post III >2560 >2560 >2560 1407
    2g2 no doc 1 μg IM Post II >2560 >2560 >2560 119
    2g2 no doc 1 μg IM Post III >2560 >2560 >2560 348
    2gecoN1b-1 no doc 10 μg IM Post II >2560 >2560 >2560 1162
    2gecoN1b-1 no doc 10 μg IM Post III >2560 >2560 >2560 1213
    2gecoN1b-1 no doc 1 μg IM Post II 1 151 >2560 1 696 22
    2gecoN1b-1 no doc 1 μg IM Post III 2 220 >2560 1 947 135
    c6 doc 10 μg IM Post II 308 248 341 <20
    c6 doc 10 μg IM Post III 189 104 400 <20
    c6 doc 1 μg IM Post II 33 43 63 <20
    c6 doc 1 μg IM Post III NC (>20) 24 156 <20
    2g2 doc 10 μg IM Post II NC (>20) 25 360 <20
    2g2 doc 10 μg IM Post III 201 <20 647 <20
    2g2 doc 1 μg IM Post II 275 <20 299/644 <20
    2g2 doc 1 μg IM Post III 237 <20 728 <20
    2gecoN1b-1 doc 10 μg IM Post II 573 31 685 <20
    2gecoN1b-1 doc 10 μg IM Post III NC (>40) 21 1 140 <20
    2gecoN1b-1 doc 1 μg IM Post II 261 NC 118 <20
    2gecoN1b-1 doc 1 μg IM Post III 348 NC 692 <20
  • Clearly, the presence of L3 (2g2) or intermediate (2gecon1b-1) epitope induces cross-bactericidal antibodies, while blebs from truncated LPS strain (C6) induce lower level of cross-reacting antibodies. This was particularly illustrated when 1 μg of OMV was injected.
  • Moreover, as shown with OMV purified with DOC, reducing the LPS content of blebs reduces the induction of cross-bactericidal antibodies. Aside from increased LPS, it is possible that DOC free blebs may also advantageously retain some proteins losely interacting with the OMVs such as lipoproteins.
  • Example 3 Mutation of the LgtG gene to Give Constitutive Expression of LgtG—the LgtG “Fixed” Mutant
  • Using strain Neisseria meningitidis strain 35E (L2 immunotype typing strain) as a template primer pair Lg1: 5′-ATG AAG CTC AAA ATA GAC ATT G-3′ and Lg21: 5′-ATC TGC GGG CGG CGG CGC GAC TTG GAT-3′, and primer pair LGdell8: 5′-GAA TTC GGA TCC AAC TGA TTG TGG CGC ATT CC-3′ and Lg2UP: 5′-TGC CGT CTG AAG ACT TCA GAC GGC TTA TAC GGA TGC CAG CAT GTC-3′ (underlined sequence denotes a Neisseria meningitidis uptake sequence) were used to produce two PCR products. These products were purified and then used in splice overlap PCR with primers Lg 1 and Lg2UP to produce a final product that was cloned into the pGEM-T Easy vector (Promega). The resulting plasmid, pL2+, was sequenced to confirm that the wild type sequence of 11C in the wild type polyC tract of lgtG had been replaced with 5′-CGCCGCCGCCC-3′. The sequence of the lgtG coding sequence in the region of the mutation is shown in FIG. 4 [which shows the alignment of nucleotide sequence of the wild-type sequence of the lgtG gene of Neisseria meningitidis strain 35E and the lgtG “fixed” mutation (underlined, bold) contained on plasmid pL2+. Also shown is an XcmI restriction endonuclease cleavage site used to construct an IgtG::kan mutant].
  • Transformation of Strain MC58¢3lgtAG2 with pL2+ to Transfer the LgtG “Fixed” Mutation to the Chromosome.
  • In order to transform the lgtG “fixed” mutation and detect the LPS phenotype with immunocolony-blot screening it was necessary to create a strain that was fixed “off ” expression for LgtG. A kanamycin cassette from pUK4kan was clones into the XcmI site of pL2+. The resulting plasmid, plgtG::kan, was used to transform 2G2 (see above) to kanamycion resistance and the correction position of the lgtG::kan allele was confirmed by PCR using primers Lg1 and Lg4 5′-AACCGTTTTCCTATTCCCAT-3′, followed by nucleotide sequencing with the same primers. The resulting strain, ¢3lgtA2GlgtG::kan-3, had the genotype: MC58 parent strain; siaD::ery lgtAG2 lgtG::kan. This strain was then transformed with plasmid pL2+ and screened for colonies with an L2 phenotype and screen by colony-immuno blots (Mn 42F12.32). Positive colonies were picked and tested for by both kanamycin sensitivity and PCR using primers Lg1 and Lg8 5′-CAC CGA TAT GCC CGA ACT CTA-3′ followed by sequencing with primer Lg5 5′-CAC CGC CAA ACT GAT TGT-3′ to confirm the lgtG “fixed” mutation had replaced the lgtG::kan allele. The resulting strain ¢3lgtA2GlgtGL2+has the genotype: MC58 parent strain; siaD::ery lgtAG2 lgtG “fixed”.

Claims (60)

1. A process of making a genetically engineered neisserial strain with an L2 or L3 LOS immunotype of reduced phase variability for manufacture of an immunogenic composition comprising the steps of:
a) selecting a neisserial strain with phase-variable LOS synthesis,
b) genetically engineering the strain such that the homopolymeric nucleotide tract of a phase-variable lgtA and/or lgtG LOS oligosaccharide synthesis gene is modified to render the expression of the gene less phase variable,
c) isolating L2 or L3 LOS from the neisserial strain, and
d) formulating the isolated L2 or L3 LOS with a pharmaceutically acceptable excipient.
2. The process of claim 1, wherein the LOS oligosaccharide synthesis gene is modified to render the expression of the gene non-phase variable.
3. The process of claim 1, wherein the genetically engineered neisserial strain made has an LOS immunotype that is non-phase variable.
4. The process of claim 1, wherein the neisserial strain is selected from the group of a meningococcal strain and a meningococcus B strain.
5. The process of claim 1, wherein the genetically engineered neisserial strain made has L2 LOS immunotype.
6. The process of claim 5, wherein step a) a neisserial strain with phase-variable L2 LOS synthesis is selected.
7. The process of claim 5, wherein step b) comprises the step of fixing expression of an IgtA gene product.
8. The process of claim 7, wherein the expression of an IgtA gene product is fixed by reducing the length of the homopolymeric nucleotide tract within the open-reading frame of the gene and maintaining the open-reading frame in frame.
9. The process of claim 8, wherein the homopolymeric G tract in the IgtA open-reading frame is reduced to 8, 5 or 2 consecutive G nucleotides.
10. The process of claim 7, wherein the expression of an IgtA gene product is fixed by changing the sequence of the homopolymeric G nucleotide tract within the open-reading frame of the IgtA gene such that: one or more GGG codons encoding Glycine is changed to any other codon encoding Glycine, or a codon encoding a conservative mutation, and/or the TCG codon encoding Serine is changed to any other codon encoding Serine, or a codon encoding a conservative mutation, and maintaining the open-reading frame of the gene in frame.
11. The process of claim 10, wherein 2, 3 or 4 codons in the homopolymeric tract are changed and encode the identical amino acid or a different amino acid.
12. The process of claim 5, wherein step b) comprises the step of fixing the expression of an IgtG gene product.
13. The process of claim 12, wherein the expression of an IgtG gene product is fixed by reducing the length of the homopolymeric nucleotide tract within the open-reading frame of the gene and maintaining the open-reading frame in frame.
14. The process of claim 13, wherein the homopolymeric C tract in the IgtG open-reading frame is reduced to 8, 5 or 2 consecutive C nucleotides.
15. The process of claim 12, wherein the expression of an IgtG gene product is fixed by changing the sequence of the homopolymeric C nucleotide tract within the open-reading frame of the IgtG gene such that: one or more CCC codons encoding Proline is changed to any other codon encoding Proline, or a codon encoding a conservative mutation, or the GCC codon encoding Alanine is changed to any other codon encoding Alanine, or a codon encoding a conservative mutation, and maintaining the open-reading frame frame.
16. The process of claim 15, wherein 2, 3 or 4 codons in the homopolymeric tract are changed and encode the identical amino acid or a different amino acid.
17. The process of claim 5, wherein step b) comprises the steps of (1) fixing the expression of an IgtA gene product by reducing the length of the homopolymeric G nucleotide tract within the open-reading frame of the gene to 5 or 2 consecutive G nucleotides and maintaining the open-reading frame in frame or optionally changing the sequence of the homopolymeric G nucleotide tract such that one or more GGG codons encoding Glycine is changed to any other codon encoding glycine, or a codon encoding a conservative mutation, or the TCG codon encoding Serine is changed to any other codon encoding Serine, or a codon encoding a conservative mutation, and maintaining the open-reading frame of the gene in frame, and (2) fixing the expression of an IgtG gene product by changing the sequence of the homopolymeric C nucleotide tract within the open-reading frame of the IgtG gene such that 1, 2 or 3 CCC codons encoding Proline is changed to any other codon encoding Proline, or a codon encoding a conservative mutation, or the GCC codon encoding Alanine is changed to any other codon encoding Alanine, or a codon encoding a conservative mutation, whilst maintaining the open-reading frame in frame.
18. The process of claim 2, wherein the genetically engineered neisserial strain made has an L3 LOS immunotype.
19. The process of claim 18, wherein step a) a neisserial strain with phase-variable L3 LOS synthesis is selected.
20. The process of claim 18 or 19, wherein step b) comprises the step of fixing the expression of an IgtA gene product.
21. The process of claim 20, wherein the expression of the IgtA gene product is fixed by reducing the length of the homopolymeric nucleotide tract within the open-reading frame of the gene and maintaining the open-reading frame in frame.
22. The process of claim 21, wherein the homopolymeric G tract in the IgtA open-reading frame is reduced to 8, 5 or 2 consecutive G nucleotides.
23. The process of claim 20, wherein the expression of an IgtA gene product is fixed by changing the sequence of the homopolymeric G nucleotide tract within the open-reading frame of the IgtA gene such that one or more GGG codons encoding Glycine is changed to any other codon encoding glycine, or a codon encoding a conservative mutation, or the TCG codon encoding Serine is changed to any other codon encoding Serine, or a codon encoding a conservative mutation and maintaining the open-reading frame of the gene in frame.
24. The process of claim 23, wherein 2, 3 or 4 codons in the homopolymeric tract are changed and encode the identical amino acid or a different amino acid.
25. The process of claim 18, wherein step b) comprises the step of permanently downregulating the expression of a gene product from the IgtG gene.
26. The process of claim 25, wherein the expression of the gene product from the IgtG gene is switched off, optionally by deleting all or part of the promoter or open-reading frame of the gene.
27. The process of claim 18, wherein step b) comprises the steps of fixing the expression of the lgtA gene product by reducing the length of the homopolymeric G nucleotide tract within the open-reading frame of the gene to 2 consecutive G nucleotides and maintaining the open-reading frame in frame, and switching off the expression of gene product from the IgtG gene by deleting all or part of the promoter or open-reading frame of the gene.
28. The process of claim 5, wherein step b) comprises the step of permanently downregulating the expression of gene product from the IgtC gene, optionally by switching the gene off or by deleting all or part of the promoter or open-reading frame of the gene.
29. The process of claim 5, wherein step a) comprises the step of selecting a neisserial strain that is IgtB, or step b) comprises the step of genetically engineering the strain such that the expression of gene product from the IgtB or IgtE gene is permanently downregulated, optionally by switching the gene off or by deleting all or part of the promoter or open-reading frame.
30. The process of claim 5, wherein step a) comprises the step of selecting a neisserial strain that is unable to synthesise capsular polysaccharide, or step b) comprises the step of genetically engineering the strain such that it is unable to synthesize capsular polysaccharide by permanently downregulating the expression of gene product from one of the following genes: saiD, ctrA, ctrB, ctrC, ctrD, synA, synB or synC, optionally by switching the gene off or by deleting all or part of the promoter or open-reading frame.
31. The process of claim 5, wherein step a) comprises the step of selecting a neisserial strain that is msbB- or htrB-, or step b) comprises the step of genetically engineering the strain such that the expression of functional gene product from the msbB or htrB gene(s) is permanently downregulated, optionally by switching the gene(s) off or by deleting all or part of the promoter or open-reading frame.
32. A process of isolating L2 LOS comprising the steps of producing a genetically engineered neisserial strain with a fixed L2 immunotype by the process of claim 5 or 28; and isolating L2 LOS from the resulting strain.
33. The process of claim 32, comprising the step of conjugating the L2 LOS to a carrier comprising a source of T-cell epitopes or the step of presenting the L2 LOS in a liposome formulation.
34. A process of isolating neisserial blebs having an L2 LOS immunotype, comprising the steps of producing a genetically engineered neisserial strain with a fixed L2 immunotype by the process of claim 5 or 28; and isolating blebs from the resulting strain.
35. The process of claim 34, where the step of isolating blebs involves extraction with about 0.03%, about 0.05-0.2% or about or exactly 0.1% deoxycholate.
36. The process of claim 34, comprising the step of intra-bleb conjugating the L2 LOS to an outer membrane protein present in the blebs.
37. A process of isolating L3 LOS comprising the steps of producing a genetically engineered neisserial strain with a fixed L3 immunotype by the process of claim 18; and isolating L3 LOS from the strain.
38. The process of claim 37, comprising the step of conjugating the L3 LOS to a carrier comprising a source of T-cell epitopes or the step of presenting the L3 LOS in a liposome formulation.
39. A process of isolating neisserial blebs having an L3 LOS immunotype, comprising the steps of producing a genetically engineered neisserial strain with a fixed L3 immunotype by the process of claim 18; and isolating blebs from the strain.
40. The process of claim 39, where the step of isolating blebs involves extraction with about 0.03%, about 0.05-0.2%, or about or exactly 0.1% deoxycholate.
41. The process of claim 39, comprising the step of intra-bleb conjugating the L3 LOS to an outer membrane protein present in the blebs.
42. A process of making an immunogenic composition comprising the steps of producing isolated L2 LOS by the process of claim 32 and formulating the L2 LOS with a pharmaceutically-acceptable excipient.
43. A process of making an immunogenic composition comprising the steps of producing isolated L3 LOS by the process of claim 37 and formulating the L3 LOS with a pharmaceutically acceptable excipient.
44. A process of making a multivalent immunogenic composition comprising the steps of producing isolated L2 LOS by the process of claim 32 producing isolated neisserial blebs having an L2 LOS immunotype, producing isolated L3 LOS or producing isolated neisserial blebs having an L3 LOS immunotype and mixing the L2 and L3 LOS components together along with a pharmaceutically acceptable excipient.
45. A process of growing a high cell density of an L2 or L3 neisserial strain comprising the steps of:
a) genetically-engineering a neisserial strain according to claim 5;
b) growing the strain to high cell density in a fermentor.
46. The process of claim 45, wherein the strain is grown to a cell density in iron non-limiting conditions of OD450 10-19, or OD450 12-16 or is grown to a cell density in iron limiting conditions of OD450 6-12 or OD450 8-10.
47. A process of isolating neisserial L2 or L3 LOS comprising the steps of growing an L2 or L3 neisserial strain to high cell density according to the process of claim 45, and isolating L2 or L3 LOS from the resulting strain.
48. The process of claim 47, comprising the step of conjugating the L2 or L3 LOS to a carrier comprising a source of T-cell epitopes or the step of presenting the L2 or L3 LOS in a liposome formulation.
49. A process of isolating neisserial blebs having an L2 or L3 LOS immunotype, comprising the steps of growing an L2 or L3 neisserial strain to high cell density according to the process of claim 45; and isolating blebs from the resulting strain.
50. The process of claim 49, where the step of isolating blebs involves extraction with about 0-0.3%, about 0.05-0.2%, or about or exactly 0.1% deoxycholate.
51. The process of claim 49, comprising the step of intra-bleb conjugating the L2 or L3 LOS to an outer membrane protein also present in the blebs.
52. A process of making an immunogenic composition comprising the steps of producing isolated L2 or L3 LOS by the process of claim 47 or producing isolated neisserial blebs having an L2 or L3 LOS immunotype and formulating the L2 or L3 LOS or blebs with a pharmaceutically acceptable excipient.
53. A process of making an immunogenic composition comprising the steps of producing isolated L2 LOS by the process of claim 47 or producing isolated neisserial blebs having an L2 LOS immunotype, producing isolated L3 LOS and mixing the L2 and L3 LOS components together along with a pharmaceutically acceptable excipient.
54. A process of making an immunogenic composition comprising the steps of producing isolated neisserial blebs having an L2 LOS immunotype by the process of claim 35, and formulating the L2 LOS or blebs with a pharmaceutically-acceptable excipient.
55. A process of making an immunogenic composition comprising the steps of producing isolated L3 LOS by the process of claims 39, and formulating the L3 LOS or blebs with a pharmaceutically acceptable excipient.
56. A process of making an immunogenic composition comprising the steps of producing isolated neisserial blebs having an L2 LOS immunotype by the process of claims 34, and mixing the L2 LOS or blebs with a pharmaceutically acceptable excipient.
57. A process of making an immunogenic composition comprising the steps of producing isolated neisserial blebs having an L3 LOS immunotype by the process of claim 39, and mixing the L3 LOS or blebs with a pharmaceutically acceptable excipient.
58. A process of making an immunogenic composition comprising the steps of producing isolated neisserial blebs having an L2 or L3 LOS immunotype by the process of claim 49, and formulating the L2 or L3 LOS or blebs with a pharmaceutically acceptable excipient.
59. A process of making an immunogenic composition comprising the steps of producing isolated neisserial blebs having an L2 LOS immunotype by the process of claim 49, and mixing the L2 LOS or blebs and a pharmaceutically acceptable excipient.
60. A process of making an immunogenic composition comprising the steps of producing isolated neisserial blebs having an L3 LOS immunotype by the process of claim 49, and mixing the L3 LOS or blebs with a pharmaceutically acceptable excipient.
US10/523,055 2002-08-02 2003-07-31 Vaccine composition Abandoned US20060057160A1 (en)

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GB0218037A GB0218037D0 (en) 2002-08-02 2002-08-02 Vaccine composition
GB0218051A GB0218051D0 (en) 2002-08-02 2002-08-02 Vaccine composition
GB0218035A GB0218035D0 (en) 2002-08-02 2002-08-02 Vaccine composition
GB0218035.4 2002-08-02
GB0218051.1 2002-08-02
GB0218036A GB0218036D0 (en) 2002-08-02 2002-08-02 Vaccine
GB0218036.2 2002-08-02
GBGB0220199.4A GB0220199D0 (en) 2002-08-30 2002-08-30 Mutant protein and refolding method
GBGB0220197.8A GB0220197D0 (en) 2002-08-30 2002-08-30 Refolding method
GB0220199.4 2002-08-30
GB0220197.8 2002-08-30
GB0225524A GB0225524D0 (en) 2002-11-01 2002-11-01 Vaccine composition
GB0225531.3 2002-11-01
GB0225531A GB0225531D0 (en) 2002-11-01 2002-11-01 Vaccine
GB0225524.8 2002-11-01
GB0230168.7 2002-12-24
GB0230170.3 2002-12-24
GB0230168A GB0230168D0 (en) 2002-12-24 2002-12-24 Vaccine composition
GB0230164.6 2002-12-24
GB0230170A GB0230170D0 (en) 2002-12-24 2002-12-24 Vaccine
GB0230164A GB0230164D0 (en) 2002-12-24 2002-12-24 Vaccine composition
GB0305028.3 2003-03-05
GB0305028A GB0305028D0 (en) 2003-03-05 2003-03-05 Vaccine
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US10/523,117 Abandoned US20060240045A1 (en) 2002-08-02 2003-07-31 Neisserial vaccine compositions comprising a combination of antigens
US10/523,044 Expired - Fee Related US7838014B2 (en) 2002-08-02 2003-07-31 Vaccine compositions comprising L2 and/or L3 immunotype lipooligosaccharides from LGTB- Neisseria meningitidis
US12/909,621 Expired - Fee Related US8221770B2 (en) 2002-08-02 2010-10-21 Vaccine compositions comprising L2 and/or L3 immunotype lipooligosaccharides from LGTB-neisseria meningitidis
US13/248,693 Abandoned US20120027800A1 (en) 2002-08-02 2011-09-29 Neisserial vaccine compositions comprising a combination of antigens
US13/299,007 Abandoned US20120064119A1 (en) 2002-08-02 2011-11-17 Neisserial vaccine compositions comprising a combination of antigens
US13/299,041 Abandoned US20120064120A1 (en) 2002-08-02 2011-11-17 Neisserial vaccine compositions comprising a combination of antigens
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US10/523,044 Expired - Fee Related US7838014B2 (en) 2002-08-02 2003-07-31 Vaccine compositions comprising L2 and/or L3 immunotype lipooligosaccharides from LGTB- Neisseria meningitidis
US12/909,621 Expired - Fee Related US8221770B2 (en) 2002-08-02 2010-10-21 Vaccine compositions comprising L2 and/or L3 immunotype lipooligosaccharides from LGTB-neisseria meningitidis
US13/248,693 Abandoned US20120027800A1 (en) 2002-08-02 2011-09-29 Neisserial vaccine compositions comprising a combination of antigens
US13/299,007 Abandoned US20120064119A1 (en) 2002-08-02 2011-11-17 Neisserial vaccine compositions comprising a combination of antigens
US13/299,041 Abandoned US20120064120A1 (en) 2002-08-02 2011-11-17 Neisserial vaccine compositions comprising a combination of antigens
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NO20050010L (en) 2005-02-09
AU2003269864A1 (en) 2004-02-25
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KR101239242B1 (en) 2013-03-11
DE20321889U1 (en) 2012-03-12
EP1524992B1 (en) 2015-03-04
JP2006506467A (en) 2006-02-23
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CN1674933B (en) 2012-09-26
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AU2003253375B2 (en) 2009-07-02
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NO20050421L (en) 2005-03-30
JP2006505628A (en) 2006-02-16
US7838014B2 (en) 2010-11-23
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DK1524993T3 (en) 2013-06-03
PL399492A1 (en) 2012-11-19
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PL375382A1 (en) 2005-11-28
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US8221770B2 (en) 2012-07-17
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US20120027800A1 (en) 2012-02-02
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NO20050008L (en) 2005-04-28
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US20120064120A1 (en) 2012-03-15
EP2255826A3 (en) 2012-03-28
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US20110033500A1 (en) 2011-02-10
JP4740738B2 (en) 2011-08-03
EP2258384A3 (en) 2011-12-28
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IL166433A0 (en) 2006-01-15
WO2004015099A2 (en) 2004-02-19
US20160082097A1 (en) 2016-03-24
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