WO2024209218A1 - Coronavirus vaccines inducing broad immunity against variants - Google Patents
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Definitions
- Coronavirus Vaccines Inducing Broad Immunity Against Variants
- This invention relates to polynucleotides, polypeptides, vectors, cells, fusion proteins, pharmaceutical compositions, combined preparations, and their use as vaccines against viruses of the coronavirus family.
- Coronaviruses Coronaviruses (CoVs) cause a wide variety of animal and human disease. Notable human diseases caused by CoVs are zoonotic infections, such as severe acute respiratory syndrome (SARS) and Middle-East respiratory syndrome (MERS). Viruses within this family generally cause mild, self-limiting respiratory infections in immunocompetent humans, but can also cause severe, lethal disease characterised by onset of fever, extreme fatigue, breathing difficulties, anoxia, and pneumonia.
- CoVs transmit through close contact via respiratory droplets of infected subjects, with varying degrees of infectivity within each strain.
- CoVs belong to the Coronaviridae family of viruses, all of which are enveloped.
- CoVs contain a single-stranded positive-sense RNA genome, with a length of between 25 and 31 kilobases (Siddell S.G.1995, The Coronaviridae), the largest genome so far found in RNA viruses.
- the Coronaviridae family are subtyped into four genera: ⁇ , ⁇ , ⁇ , and ⁇ coronaviruses, based on phylogenetic clustering, with each genus subdivided again into clusters depending on the strain of the virus.
- Lineage A (subgenus Embecovirus) includes HCoV-OC43 and HCoV-HKU1 (various species)
- Lineage B (subgenus Sarbecovirus) includes SARSr-CoV (which includes all its strains such as SARS-CoV, SARS-CoV-2, and Bat SL-CoV-WIV1)
- Lineage C (subgenus Merbecovirus) includes Tylonycteris bat coronavirus HKU4 (BtCoV-HKU4), Pipistrellus bat coronavirus HKU5 (BtCoV-HKU5), and MERS-CoV (various species)
- Lineage D (subgenus Nobecovirus) includes Rousettus bat coronavirus HKU9 (BtCoV- HKU9)
- CoV virions are spherical with characteristic club-shape spike projections emanating from the surface of the virion.
- the virions contain four main structural proteins: spike (S); membrane (M); envelope (E); and nucleocapsid (N) proteins, all of which are encoded by the viral genome.
- Some subsets of ⁇ -CoVs also comprise a fifth structural protein, hemagglutinin- esterase (HE), which enhances S protein-mediated cell entry and viral spread through the mucosa via its acetyl-esterase activity.
- HE hemagglutinin- esterase
- Homo-trimers of the S glycoprotein make up the distinctive spike structure on the surface of the virus.
- trimers are a class I fusion protein, mediating virus attachment to the host receptor by interaction of the S protein and its receptor.
- S is cleaved by host cell protease into two separate polypeptides – S1 and S2.
- S1 contains the receptor-binding domain (RBD) of the S protein (the exact positioning of the RBD varies depending on the viral strain), while S2 forms the stem of the spike molecule.
- Figure 1 shows SARS S-protein architecture. The N-terminal sequence is responsible for relaying extracellular signals intracellularly.
- S protein is much more diverse than the C-terminal region, which is highly conserved (Dong et al, Genomic and protein structure modelling analysis depicts the origin and infectivity of 2019- nCoV, a new coronavirus which caused a pneumonia outbreak in Wuhan, China.2020).
- the figure shows the S domain, which comprises S1 and S2 domains, responsible for receptor binding and cell membrane fusion respectively.
- SARS-CoV-2 S The total length of SARS-CoV-2 S is 1273 amino acids and consists of a signal peptide (amino acids 1–13) located at the N-terminus, the S1 subunit (14–685 residues), and the S2 subunit (686–1273 residues); the last two regions are responsible for receptor binding and membrane fusion, respectively.
- SARS2 binds to human angiotensin converting enzyme 2 (ACE2) receptor for viral attachment and entry.
- ACE2 angiotensin converting enzyme 2
- the S1 subunit there is an N-terminal domain (14– 305 residues) and a receptor-binding domain (RBD, 319–541 residues); the fusion peptide (FP) (788–806 residues), heptapeptide repeat sequence 1 (HR1) (912–984 residues), HR2 (1163–1213 residues), TM domain (1213–1237 residues), and cytoplasm domain (1237–1273 residues) comprise the S2 subunit.
- S protein trimers visually form a characteristic bulbous, crown-like halo surrounding the viral particle. Based on the structure of coronavirus S protein monomers, the S1 and S2 subunits form the bulbous head and stalk region.
- RNA viruses generally have very high mutation rates compared to DNA viruses, because viral RNA polymerases lack the proofreading ability of DNA polymerases (although CoVs are an exception here as they possess a proofreading system: ExoN, nsp14). This is one reason why the virus can transmit from its natural host reservoir to other species, and from human to human, and is why it is difficult to make effective vaccines to prevent diseases caused by RNA viruses.
- RNA viruses In most cases, current vaccine candidates against RNA viruses are limited by the viral strain used as the vaccine insert, which is often chosen based on availability of a wild-type strain rather than by informed design.
- Technical challenges for developing vaccines for enveloped RNA viruses include: i) viral variation of wild-type field isolate glycoproteins (GPs) provide limited breadth of protection as vaccine antigens; ii) selection of vaccine antigens expressed by the vaccine inserts is highly empirical; immunogen selection is a slow, trial and error process; iii) in an evolving or unanticipated viral epidemic, developing new vaccine candidates is time-consuming and can delay vaccine deployment.
- GPs wild-type field isolate glycoproteins
- CoVs were only thought to cause mild respiratory problems, and were endemic in the human population, causing 15-30% of respiratory tract infections each year.
- BNT162b2 BioNTech’s vaccine manufactured by Pfizer
- mRNA-1273 manufactured by Moderna
- Both of these vaccines demonstrated >94% efficacy at preventing coronavirus disease 2019 (COVID-19) in phase III clinical studies performed in late 2020 in multiple countries (Polack et al., C4591001 Clinical Trial Group (2020).
- B.1.1.7 also known as VOC-202012/01 or 501Y.V1, or alpha
- B.1.1.7 includes three amino acid deletions and seven missense mutations in spike, including D614G as well as N501Y in the ACE2 receptor-binding domain (RBD), and has been reported to be more infectious than variants with D614G mutation alone.
- B.1.429 Another variant, which emerged in California, termed B.1.429, contains four missense mutations in the S protein, one of which is a single L452R RBD mutation.
- P.1 also contains K417T and N501Y mutations in the RBD. These strains spread rapidly, but are no longer detected, or detected at extremely low levels in the EU/EEA.
- B.1.351 lineage also known as Beta variant, or 501Y.V2
- This lineage contains three RBD mutations, K417N, E484K, and N501Y, in addition to several mutations outside of RBD.
- B.1.617.2 (Delta variant) then emerged, comprising increased transmissibility.
- the variant contains four mutations in the RBD: L452R, T478K, K417N, and E484K.
- the B.1.1.529 (BA.1/Omicron) variant emerged, comprising 30 mutations in the S protein, 15 of which are in the RBD, which have shown to cause significant humoral immune evasion and high transmissibility.
- Some of these sub-variants also comprise sub-variants, including BA.2.12.1. BA.5 mutated into BQ.1 and BQ.1.1, and BA.2 mutated into XBB1.5, which is able to bind more tightly to ACE-2 than its predecessors.
- Figure 2 provides details of the variants of interest (VOI) in circulation globally as of 3 April 2023 (https://www.ecdc.europa.eu/en/covid- 19/variants-concern). At this point in time, there are no variants of concern in circulation, as many of the omicron sub-variants have been de-escalated by the European Centre for Disease Prevention and Control (ECDC).
- ECDC European Centre for Disease Prevention and Control
- BA.1, BA.2 and BA.3 share 12 RBD mutations, i.e., G339D, S373P, S375F, K417N, N440K, S477N, T478K, E484A, Q493R, Q498R, N501Y, and Y505H.
- BA.2 sub-lineage contains four additional mutations to BA.1, including S371F, T376A, D405N, and R408S, and lacks the S371L, G446S and G496S harboured by BA.1.
- BA.3 has distinct mutations S371F, D405N, and G446S.
- new Omicron variants are still continuously emerging.
- Mutants of BA.2 contain identical RBD sequences to BA.2 but with the addition of L452 and F486 substitutions, namely BA.2.12.1 (L452Q), BA.2.13 (L452M), BA.4 and BA.5 (L452R+F486V), and all display higher transmission advantage over BA.2.
- SARS-CoV-2 plays a key role in ACE-2 receptor recognition and fusion of the virus envelope with the host cell membrane.
- the S protein is the main antigen component of the structural proteins of SARS-CoV-2. responsible for inducing the host immune response, nAbs targeting the S protein can induce protective immunity against viral infection.
- polypeptides, and their encoding nucleic acid sequences are particularly advantageous as they elicit broadly neutralising antibody responses to a panel of coronavirus viruses, including Wuhan, Alpha, Beta, Gamma, Delta, and Omicron BA.1, BA.2, BA.2.12, and BA.4/5 pseudoviruses.
- the polypeptides and their encoding nucleic acid sequences also elicit broadly neutralising antibody responses against Omicron BA.2.75, BA.2.75.2, BA.2.3.20, BQ.1.1, XBB, and XBB.1.5 pseudoviruses.
- CoV_S_T2_25 elicits a broadly neutralising antibody response against Omicron BA.2.75, BA.2.75.2, BA.2.3.20, BQ.1.1, XBB, and XBB.1.5 pseudoviruses.
- CoV_S_T2_26 elicits a broadly neutralising antibody response against Omicron BA.2.75 and BA.2.3.20 pseudoviruses.
- the Applicant has also identified modifications to the amino acid sequences for better expression of the polypeptides of the invention.
- the Applicant has further identified amino acid residues responsible for increasing the stability of the polypeptides of the invention.
- the Applicant has designed a further polypeptide sequence, Omicron_vaccine, based on the Omicron BA.1 consensus sequence, but including the amino acid modifications that the Applicant has identified as being important for vaccine polypeptide stability and expression.
- S protein amino acid sequences according to the invention are described below.
- CoV_S_T2_35 deom
- an isolated polypeptide which comprises the amino acid sequence of SEQ ID NO:1 (CoV_S_T2_35), or an amino acid which has at least 97%, 98%, or 99% amino acid identity over its entire length with the amino acid sequence of SEQ ID NO:1.
- CoV_S_T2_35 is the most phylogenetically similar to the Delta variant of coronavirus, and so DeltaC is shown as the comparative reference sequence. The figure shows alignment of the aforementioned sequences at positions where CoV_S_T2_35 comprises novel amino acid residues, as discussed below.
- SEQ ID NOs:5-13 are consensus sequences of wild-type (WT) strains of coronavirus.
- residues 1253-1271 of SEQ ID NO:8 are shown as “deletion”.
- the deletion of these residues promotes expression of the design.
- residue positions shown in the table correspond to the reside positions of both DeltaC and CoV_S_T2_35 sequences.
- a polypeptide of the invention which comprises the amino acid sequence of SEQ ID NO:1 (CoV_S_T2_35), or an amino acid which has at least 97%, 98%, or 99% amino acid identity over its entire length with the amino acid sequence of SEQ ID NO:1, comprises at least one of the amino acid residues of SEQ ID NO:1, at positions corresponding to the amino acid residue positions of SEQ ID NO:8, as shown in Table 1.
- a polypeptide of the invention which comprises the amino acid sequence of SEQ ID NO:1 (CoV_S_T2_35), or an amino acid which has at least 97%, 98%, or 99% amino acid identity over its entire length with the amino acid sequence of SEQ ID NO:1, comprises at least five of the amino acid residues of SEQ ID NO:1, at positions corresponding to the amino acid residue positions of SEQ ID NO:8, as shown in Table 1.
- a polypeptide of the invention which comprises the amino acid sequence of SEQ ID NO:1 (CoV_S_T2_35), or an amino acid which has at least 97%, 98%, or 99% amino acid identity over its entire length with the amino acid sequence of SEQ ID NO:1, comprises at least ten of the amino acid residues of SEQ ID NO:1, at positions corresponding to the amino acid residue positions of SEQ ID NO:8, as shown in Table 1.
- a polypeptide of the invention which comprises the amino acid sequence of SEQ ID NO:1 (CoV_S_T2_35), or an amino acid which has at least 97%, 98%, or 99% amino acid identity over its entire length with the amino acid sequence of SEQ ID NO:1, comprises at least fifteen of the amino acid residues of SEQ ID NO:1, at positions corresponding to the amino acid residue positions of SEQ ID NO:4, as shown in Table 1.
- a polypeptide of the invention which comprises the amino acid sequence of SEQ ID NO:1 (CoV_S_T2_35), or an amino acid which has at least 97%, 98%, or 99% amino acid identity over its entire length with the amino acid sequence of SEQ ID NO:1, comprises at least twenty of the amino acid residues of SEQ ID NO:1, at positions corresponding to the amino acid residue positions of SEQ ID NO:8, as shown in Table 1.
- a polypeptide of the invention which comprises the amino acid sequence of SEQ ID NO:1 (CoV_S_T2_35), or an amino acid which has at least 97%, 98%, or 99% amino acid identity over its entire length with the amino acid sequence of SEQ ID NO:1, comprises the amino acid residues of SEQ ID NO:1, at positions corresponding to the amino acid residue positions of SEQ ID NO:8, as shown in Table 1.
- the amino acid differences of CoV_S_T2_35 (deom) (SEQ ID NO:1) from the DeltaC S protein reference sequence (SEQ ID NO:8) which are novel, are shown in Table 3 below.
- the residue positions shown in the table below correspond to the residue positions for both DeltaC and CoV_S_T2_35.
- a polypeptide of the invention which comprises the amino acid sequence of SEQ ID NO:1 (CoV_S_T2_35), or an amino acid which has at least 97%, 98%, or 99% amino acid identity over its entire length with the amino acid sequence of SEQ ID NO:1, comprises at least one of the amino acid residues of SEQ ID NO:1, at positions corresponding to the amino acid residue positions of SEQ ID NO:8, as shown in Table 3.
- a polypeptide of the invention which comprises the amino acid sequence of SEQ ID NO:1 (CoV_S_T2_35), or an amino acid which has at least 97%, 98%, or 99% amino acid identity over its entire length with the amino acid sequence of SEQ ID NO:1, comprises the amino acid residues of SEQ ID NO:1, at positions corresponding to the amino acid residue positions of SEQ ID NO:8, as shown in Table 3.
- polypeptides of the invention which comprise the above residue changes have better stability than polypeptides comprising the wild-type residues at these positions.
- CoV_S_T2_35 (deom) (SEQ ID NO:1) from the DeltaC S protein reference sequence (SEQ ID NO:8), which are present in at least one reference sequence or previously designed (DIOS) sequence, are shown in table 2 below.
- these amino acid differences are found in wild-type coronavirus sequences, and their incorporation into the vaccine designs ensures that variants comprising the amino acid changes are captured by the vaccine design.
- a polypeptide of the invention which comprises the amino acid sequence of SEQ ID NO:1 (CoV_S_T2_35), or an amino acid which has at least 97%, 98%, or 99% amino acid identity over its entire length with the amino acid sequence of SEQ ID NO:1, comprises the amino acid residues of SEQ ID NO:1, at positions corresponding to the amino acid residue positions of SEQ ID NO:8, as shown in Table 2.
- the polypeptides also elicit broadly neutralising antibody responses against Omicron BA.2.75, BA.2.75.2, BA.2.3.20, BA.2.12, BQ.1.1, XBB, and XBB.1.5 pseudoviruses.
- CoV_S_T2_25 elicits a broadly neutralising antibody response against Omicron BA.2.75, BA.2.75.2, BA.2.3.20, BQ.1.1, XBB, and XBB.1.5 pseudoviruses.
- CoV_S_T2_26 elicits a broadly neutralising antibody response against Omicron BA.2.75 and BA.2.3.20 pseudoviruses.
- a polypeptide of the invention which comprises the amino acid sequence of SEQ ID NO:1 (CoV_S_T2_35), or an amino acid which has at least 97%, 98%, or 99% amino acid identity over its entire length with the amino acid sequence of SEQ ID NO:1, comprises the following amino acid residues at positions corresponding to residues 984, and 985, of SEQ ID NO:8: ⁇ 984: P; and ⁇ 985: P.
- a proline residue at positions 984 and 985 increases the stability of the vaccine design.
- a polypeptide of the invention which comprises the amino acid sequence of SEQ ID NO:1 (CoV_S_T2_35), or an amino acid which has at least 97%, 98%, or 99% amino acid identity over its entire length with the amino acid sequence of SEQ ID NO:1, comprises the following amino acid residues at positions corresponding to residues 680, 681, 683, 984, and 985, of SEQ ID NO:8: ⁇ 680: G; ⁇ 681: S; ⁇ 683: S; ⁇ 984: P; and ⁇ 985: P.
- polypeptides of the invention which comprise the above residue changes have better stability than polypeptides comprising the wild-type residues at these positions.
- a polypeptide of the invention which comprises the amino acid sequence of SEQ ID NO:1 (CoV_S_T2_35), or an amino acid which has at least 97%, 98%, or 99% amino acid identity over its entire length with the amino acid sequence of SEQ ID NO:1, does not include residues KFDEDDSEPVLKGVKLHYT at positions corresponding to amino acid residue positions 1253-1271 of SEQ ID NO:8.
- the Applicant has appreciated that deletion of 19 amino acid residues from the C-terminus of the SARS-CoV-2 S protein at positions corresponding to residue positions 1253-1271 of SEQ ID NO:8 (endoplasmic reticulum (ER) signal sequence) improves the expression of the designed amino acid sequence.
- an isolated polypeptide which comprises CoV_S_T2_35 (deom) amino acid sequence (SEQ ID NO:1).
- an isolated polypeptide which comprises a coronavirus S protein with at least one, or all of the amino acid residues, at positions corresponding to the amino acid residue positions of SEQ ID NO:8, as shown in Table 3 below: Table 3 DeltaC (SEQ DeltaC (SEQ CoV_S_T2_35 ID NO:8) ID NO:8) (deom) SEQ ID residue reference NO:1) position residue 680 R G 681 R S 683 R S
- an isolated polypeptide which comprises a coronavirus S protein which comprises an amino acid sequence which has at least 70%, 75%, 80%, 85%, 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, or 99% amino acid identity over its entire length with the amino acid sequence of SEQ ID NO:8, and which comprises at least one, or all of the
- an isolated polypeptide which comprises a coronavirus S protein comprises the following amino acid residues at positions corresponding to residues 984, and 985, of SEQ ID NO:8: ⁇ 984: P; and ⁇ 985: P.
- an isolated polypeptide which comprises a coronavirus S protein comprises the following amino acid residues at positions corresponding to residues 680, 681, 683, 984, and 985, of SEQ ID NO:8: ⁇ 680: G; ⁇ 681: S; ⁇ 683: S; ⁇ 984: P; and ⁇ 985: P.
- an isolated polypeptide which comprises a coronavirus S protein comprising the amino acid residues of SEQ ID NO:1, at positions corresponding to the amino acid residue positions of SEQ ID NO:8, as shown in Table 2 below: Table 2 DeltaC (SEQ ID DeltaC (SEQ CoV_S_T2_35 (deom) NO:8) residue ID NO:8) SEQ ID NO:1) position reference residue 95 I T 416 K N 438 N K 444 G S 450 R L 475 S N 482 E A 491 Q R 494 G S 496 Q R 499 N Y 503 Y H 545 T K 675 Q H 832 I V 984 K P 985 V P
- an isolated polypeptide which comprises a coronavirus S protein comprising the amino acid residues of SEQ ID NO:1, at positions corresponding to the amino acid residue positions of SEQ ID NO:8, as shown in Table 1 below: Table 1 DeltaC (SEQ ID DeltaC (SEQ CoV_S_T2_35 (de
- CoV_S_T2_35 Scaffold Sequence We have also designed a scaffold S protein polypeptide sequence (SEQ ID NO:30), based on CoV_S_T2_35(deom) (SEQ ID NO:1), which includes constant regions of sequence, and variable amino acid residues.
- the variable amino acid residues can be changed to provide different antigens which induce a neutralising immune response against new SARS-CoV-2 variants as they arise (and/or against future SARS-CoV-2 variants).
- SEQ ID NO:30 shows a scaffold S protein sequence in which the amino acid sequence of the constant regions of the scaffold is provided, with each variable amino acid residue represented with an X (shown underlined in the sequence below): MFVFLVLLPL VSSQCVNLRT RTQLPPAYTN SFTRGVYYPD KVFRSSVLHS TQDLFLPFFS 60 NVTWFHAIHV SGTNGTKRFD NPVLPFNDGV YFASTEKSNI IRGWIFGTTL DSKTQSLLIV 120 NNATNVVIKV CEFQFCNDPF LDVYYHKNNK SWMESGVYSS ANNCTFEYVS QPFLMDLEGK 180 QGNFKNLREF VFKNIDGYFK IYSKHTPINL VRDLPQGFSA LEPLVDLPIG INITRFQTLL 240 ALHRSYLTPG DSSSGWTAGA AAYYVGYLQP RTFLLKYNEN GTITDAVDCA LDPLSETKCT 300 LKSFTVE
- CoV_S_T2_35 (deom) (SEQ ID NO:1) is an example of a polypeptide sequence covered by the scaffold sequence.
- Other examples of polypeptide sequences covered by the scaffold sequence are shown below: COV_S_T3_1(Deom_v2) (SEQ ID NO:31): MFVFLVLLPL VSSQCVNLRT RTQLPPAYTN SFTRGVYYPD KVFRSSVLHS TQDLFLPFFS 60 NVTWFHAIHV SGTNGTKRFD NPVLPFNDGV YFASTEKSNI IRGWIFGTTL DSKTQSLLIV 120 NNATNVVIKV CEFQFCNDPF LDVYYHKNNK SWMESGVYSS ANNCTFEYVS QPFLMDLEGK 180 QGNFKNLREF VFKNIDGYFK IYSKHTPINL VRDLPQGFSA LEPLVDLPIG INITRFQTLL 240 ALHRSYLTPG DSSSGWTAGA AAYY
- the RBD portion of SEQ ID NO:30 is from residues 317-530 (shown below as SEQ ID NO:33): RVQPTESIVR FPNITNLCPF XEVFNATXFA SVYAWNRKRI SNCVADYSVX YNSAXFXXFK 60 CYGVSPTKLN DLCFTNVYAD SFVIRGXEVX QIAPGQTGNI ADYNYKLPDD FTGCVIAWNS 120 NKLDSKXXGN YNYXYRLFRK SXLKPFERDI STEIYQAGNK PCNGVAGXNC YXPLXSYXFR 180 PTYGVGHQPY RVVVLSFELL HAPATVCGPK KSTN 214 According to the invention there is also provided an isolated polypeptide which comprises an amino acid sequence of SEQ ID NO:33 (RBD portion of CoV_S_T2_35 Scaffold Sequence (SEQ ID NO:30)), wherein X at amino acid residue positions corresponding to amino acid residue positions 337
- an isolated polypeptide of the invention which comprises an amino acid sequence of SEQ ID NO:30 or 33 comprises amino acid residue G, D, or H at the amino acid residue position corresponding to position 337 of SEQ ID NO:30.
- an isolated polypeptide of the invention which comprises an amino acid sequence of SEQ ID NO:30 or 33 comprises amino acid residue R or T at the amino acid residue position corresponding to position 344 of SEQ ID NO:30.
- an isolated polypeptide of the invention which comprises an amino acid sequence of SEQ ID NO:30 or 33 comprises amino acid residue L or I at the amino acid residue position corresponding to position 366 of SEQ ID NO:30.
- an isolated polypeptide of the invention which comprises an amino acid sequence of SEQ ID NO:30 or 33 comprises amino acid residue comprises amino acid residue S or P at the amino acid residue position corresponding to position 371 of SEQ ID NO:30.
- an isolated polypeptide of the invention which comprises an amino acid sequence of SEQ ID NO:30 or 33 comprises amino acid residue S or F at the amino acid residue position corresponding to position 373 of SEQ ID NO:30.
- an isolated polypeptide of the invention which comprises an amino acid sequence of SEQ ID NO:30 or 33 comprises amino acid residue T or A at the amino acid residue position corresponding to position 374 of SEQ ID NO:30.
- an isolated polypeptide of the invention which comprises an amino acid sequence of SEQ ID NO:30 or 33 comprises amino acid residue D or N at the amino acid residue position corresponding to position 403 of SEQ ID NO:30.
- an isolated polypeptide of the invention which comprises an amino acid sequence of SEQ ID NO:30 or 33 comprises amino acid residue R or S at the amino acid residue position corresponding to position 406 of SEQ ID NO:30.
- an isolated polypeptide of the invention which comprises an amino acid sequence of SEQ ID NO:30 or 33 comprises amino acid residue V or P at the amino acid residue position corresponding to position 443 of SEQ ID NO:30.
- an isolated polypeptide of the invention which comprises an amino acid sequence of SEQ ID NO:30 or 33 comprises amino acid residue S or G at the amino acid residue position corresponding to position 444 of SEQ ID NO:30.
- an isolated polypeptide of the invention which comprises an amino acid sequence of SEQ ID NO:30 or 33 comprises amino acid residue L or R at the amino acid residue position corresponding to position 450 of SEQ ID NO:30.
- an isolated polypeptide of the invention which comprises an amino acid sequence of SEQ ID NO:30 or 33 comprises amino acid residue N or K at the amino acid residue position corresponding to position 458 of SEQ ID NO:30.
- an isolated polypeptide of the invention which comprises an amino acid sequence of SEQ ID NO:30 or 33 comprises amino acid residue F or P at the amino acid residue position corresponding to position 484 of SEQ ID NO:30.
- an isolated polypeptide of the invention which comprises an amino acid sequence of SEQ ID NO:30 or 33 comprises amino acid residue F or S at the amino acid residue position corresponding to position 488 of SEQ ID NO:30.
- an isolated polypeptide of the invention which comprises an amino acid sequence of SEQ ID NO:30 or 33 comprises amino acid residue R or Q at the amino acid residue position corresponding to position 491 of SEQ ID NO:30.
- an isolated polypeptide of the invention which comprises an amino acid sequence of SEQ ID NO:30 or 33 comprises amino acid residue S or G at the amino acid residue position corresponding to position 494 of SEQ ID NO:30.
- an isolated polypeptide of the invention which comprises an amino acid sequence of SEQ ID NO:30 comprises an amino acid sequence of SEQ ID NO:31.
- an isolated polypeptide of the invention which comprises an amino acid sequence of SEQ ID NO:30 comprises an amino acid sequence of SEQ ID NO:32.
- SEQ ID NO:34 RVQPTESIVR FPNITNLCPF GEVFNATRFA SVYAWNRKRI SNCVADYSVL YNSASFSTFK 60 CYGVSPTKLN DLCFTNVYAD SFVIRGDEVR QIAPGQTGNI ADYNYKLPDD FTGCVIAWNS 120 NKLDSKVSGN YNYLYRLFRK SNLKPFERDI STEIYQAGNK PCNGVAGFNC YFPLRSYSFR 180 PTYGVGHQPY RVVVLSFELL HAPATVCGPK KSTN 214
- SEQ ID NO:31 COV_S_T3_1(Deom_v2) (SEQ ID NO:31)
- SEQ ID NO:35 RVQPTESIVR FPNITNLCPF DEVFNATRFA SVYAWNRKRI SNCVADYSV
- an isolated polypeptide of the invention which comprises an amino acid sequence of SEQ ID NO:33 comprises an amino acid sequence of SEQ ID NO:35.
- an isolated polypeptide of the invention which comprises an amino acid sequence of SEQ ID NO:33 comprises an amino acid sequence of SEQ ID NO:36.
- the RBD portion of SEQ ID NO:1, 30, 31, or 32 may be provided without additional SARS- CoV-2 S protein sequence, or as part of a longer polypeptide with SARS-CoV-2 S protein sequence, for example as part of a full-length SARS-CoV-2 S protein.
- the S protein sequence may be sequence from an S protein disclosed herein, or another S protein sequence.
- an S protein comprising an RBD of SEQ ID NO:33, 34, 35, or 36 may have an amino acid sequence that has at least 70%, 75%, 80%, 85%, 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, or 99% amino acid identity over its entire length with the amino acid sequence of DeltaC S protein (SEQ ID NO:8).
- an S protein comprising an RBD of SEQ ID NO:33, 34, 35, or 36 may have an amino acid sequence that has at least 70%, 75%, 80%, 85%, 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, or 99% amino acid identity over its entire length with the amino acid sequence of BA.1C S protein (SEQ ID NO:9).
- CoV_S_T2_36 (omide) (SEQ ID NO:2)
- isolated polypeptide which comprises the amino acid sequence of SEQ ID NO:2 (CoV_S_T2_36), or an amino acid which has at least 97%, 98%, or 99% amino acid identity over its entire length with the amino acid sequence of SEQ ID NO:2.
- CoV_S_T2_36 is the most phylogenetically similar to the Omicron BA.1 variant of coronavirus, and so BA.1 is shown as the comparative reference sequence. The figure shows alignment of the aforementioned sequences at positions where CoV_S_T2_36 comprises novel amino acid residues, as discusses below.
- SEQ ID NOs:5-13 are consensus sequences of wild-type (WT) strains of coronavirus.
- the novel amino acid residues of CoV_S_T2_36 are shown in bold and underline format.
- the deletion of amino acids corresponding to residues 1252-1270 of SEQ ID NO:8 are shown as “deletion”.
- the deletion of these residues promotes expression of the designed polypeptide sequence.
- the residue positions shown in the table correspond to the reside positions of both BA.1C and CoV_S_T2_36 sequences.
- a polypeptide of the invention which comprises the amino acid sequence of SEQ ID NO:2 (CoV_S_T2_36), or an amino acid which has at least 97%, 98%, or 99% amino acid identity over its entire length with the amino acid sequence of SEQ ID NO:2, comprises at least one, or all of the amino acid residues of SEQ ID NO:2, at positions corresponding to the amino acid residue positions of SEQ ID NO:9, as shown in Table 4.
- a polypeptide of the invention which comprises the amino acid sequence of SEQ ID NO:2 (CoV_S_T2_36), or an amino acid which has at least 97%, 98%, or 99% amino acid identity over its entire length with the amino acid sequence of SEQ ID NO:2, comprises at least five of the amino acid residues of SEQ ID NO:2, at positions corresponding to the amino acid residue positions of SEQ ID NO:9, as shown in Table 4.
- a polypeptide of the invention which comprises the amino acid sequence of SEQ ID NO:2 (CoV_S_T2_36), or an amino acid which has at least 97%, 98%, or 99% amino acid identity over its entire length with the amino acid sequence of SEQ ID NO:2, comprises at least ten of the amino acid residues of SEQ ID NO:2, at positions corresponding to the amino acid residue positions of SEQ ID NO:9, as shown in Table 4.
- a polypeptide of the invention which comprises the amino acid sequence of SEQ ID NO:2 (CoV_S_T2_36), or an amino acid which has at least 97%, 98%, or 99% amino acid identity over its entire length with the amino acid sequence of SEQ ID NO:2, comprises at least fifteen of the amino acid residues of SEQ ID NO:2, at positions corresponding to the amino acid residue positions of SEQ ID NO:9, as shown in Table 4.
- a polypeptide of the invention which comprises the amino acid sequence of SEQ ID NO:2 (CoV_S_T2_36), or an amino acid which has at least 97%, 98%, or 99% amino acid identity over its entire length with the amino acid sequence of SEQ ID NO:2, comprises at least twenty of the amino acid residues of SEQ ID NO:2, at positions corresponding to the amino acid residue positions of SEQ ID NO:9, as shown in Table 4.
- a polypeptide of the invention which comprises the amino acid sequence of SEQ ID NO:2 (CoV_S_T2_36), or an amino acid which has at least 97%, 98%, or 99% amino acid identity over its entire length with the amino acid sequence of SEQ ID NO:2, comprises at least twenty-five of the amino acid residues of SEQ ID NO:2, at positions corresponding to the amino acid residue positions of SEQ ID NO:9, as shown in Table 4.
- a polypeptide of the invention which comprises the amino acid sequence of SEQ ID NO:2 (CoV_S_T2_36), or an amino acid which has at least 97%, 98%, or 99% amino acid identity over its entire length with the amino acid sequence of SEQ ID NO:2, comprises the amino acid residues of SEQ ID NO:2, at positions corresponding to the amino acid residue positions of SEQ ID NO:9, as shown in Table 4.
- the amino acid differences of CoV_S_T2_36 (omide) (SEQ ID NO:2) from the Omicron BA.1C S protein reference sequence (SEQ ID NO:9), which are novel in CoV-S-T2_36 (omide) vaccine design, are shown in Table 6 below.
- a polypeptide of the invention which comprises the amino acid sequence of SEQ ID NO:2 (CoV_S_T2_36), or an amino acid which has at least 97%, 98%, or 99% amino acid identity over its entire length with the amino acid sequence of SEQ ID NO:2, comprises at least one of the amino acid residues of SEQ ID NO:2, at positions corresponding to the amino acid residue positions of SEQ ID NO:9, as shown in Table 6.
- a polypeptide of the invention which comprises the amino acid sequence of SEQ ID NO:2 (CoV_S_T2_36), or an amino acid which has at least 97%, 98%, or 99% amino acid identity over its entire length with the amino acid sequence of SEQ ID NO:2, comprises the amino acid residues of SEQ ID NO:2, at positions corresponding to the amino acid residue positions of SEQ ID NO:9, as shown in Table 6.
- polypeptides of the invention which comprise the above residue changes have better stability than polypeptides comprising the wild-type residues at these positions.
- a polypeptide of the invention which comprises the amino acid sequence of SEQ ID NO:2 (CoV_S_T2_36), or an amino acid which has at least 97%, 98%, or 99% amino acid identity over its entire length with the amino acid sequence of SEQ ID NO:2, comprises the amino acid residues of SEQ ID NO:2, at positions corresponding to the amino acid residue positions of SEQ ID NO:9, as shown in Table 5.
- the polypeptides also elicit broadly neutralising antibody responses against Omicron BA.2.75, BA.2.75.2, BA.2.3.20, BQ.1.1, XBB, and XBB.1.5 pseudoviruses.
- CoV_S_T2_25 elicits a broadly neutralising antibody response against Omicron BA.2.75, BA.2.75.2, BA.2.3.20, BQ.1.1, XBB, and XBB.1.5 pseudoviruses.
- CoV_S_T2_26 elicits a broadly neutralising antibody response against Omicron BA.2.75 and BA.2.3.20 pseudoviruses.
- a polypeptide of the invention which comprises the amino acid sequence of SEQ ID NO:2 (CoV_S_T2_36), or an amino acid which has at least 97%, 98%, or 99% amino acid identity over its entire length with the amino acid sequence of SEQ ID NO:2, comprises the following amino acid residues at positions corresponding to residues 983 and 984, of SEQ ID NO:9: ⁇ 983: P; and ⁇ 984: P.
- a proline residue at positions 983 and 984 increases the stability of the vaccine design.
- a polypeptide of the invention which comprises the amino acid sequence of SEQ ID NO:2 (CoV_S_T2_36), or an amino acid which has at least 97%, 98%, or 99% amino acid identity over its entire length with the amino acid sequence of SEQ ID NO:2, comprises the following amino acid residues at positions corresponding to residues 679, 680, 682, 983, and 984, of SEQ ID NO:9: ⁇ 679: G; ⁇ 680: S; ⁇ 682: S; ⁇ 983: P; and ⁇ 984: P.
- polypeptides of the invention which comprise the above residue changes have better stability than polypeptides comprising the wild-type residues at these positions.
- a polypeptide of the invention which comprises the amino acid sequence of SEQ ID NO:2 (CoV_S_T2_36), or an amino acid which has at least 97%, 98%, or 99% amino acid identity over its entire length with the amino acid sequence of SEQ ID NO:2, does not include residues KFDEDDSEPVLKGVKLHYT at positions corresponding to amino acid residue positions 1252-1270 of SEQ ID NO:9.
- the Applicant has appreciated that deletion of 19 amino acid residues from the C-terminus of the SARS-CoV-2 S protein at positions corresponding to residue positions 1252-1270 of SEQ ID NO:9 (ER signal sequence) improves the expression of the designed polypeptide sequence.
- an isolated polypeptide which comprises CoV_S_T2_36 (omide) amino acid sequence (SEQ ID NO:2).
- an isolated polypeptide which comprises a coronavirus S protein with at least one, or all of the amino acid residues or deletions, at positions corresponding to the amino acid residue positions of SEQ ID NO:9, as shown in Table 6 below.
- an isolated polypeptide which comprises a coronavirus S protein which comprises an amino acid sequence which has at least 70%, 75%, 80%, 85%, 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, or 99% amino acid identity over its entire length with the amino acid sequence of SEQ ID NO:9, and which comprises at least one, or all of the amino acid residues or deletions, at positions corresponding to the amino acid residue positions of SEQ ID NO:9, as shown in Table 6.
- an isolated polypeptide according to the invention which comprises a coronavirus S protein comprises the following amino acid residues at positions corresponding to residues 984, and 985, of SEQ ID NO:9: ⁇ 983: P; and ⁇ 984: P.
- an isolated polypeptide according to the invention which comprises a coronavirus S protein comprises the following amino acid residues at positions corresponding to residues 680, 681, 683, 984, and 985, of SEQ ID NO:9: ⁇ 679: G; ⁇ 680: S; ⁇ 682: S; ⁇ 983: P; and ⁇ 984: P.
- an isolated polypeptide which comprises a coronavirus S protein which comprises an amino acid sequence which has at least 70%, 75%, 80%, 85%, 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, or 99% amino acid identity over its entire length with the amino acid sequence of SEQ ID NO:9 and which comprises the amino acid residues of SEQ ID NO:2, at positions corresponding to the amino acid residue positions of SEQ ID NO:9, as shown in Table 5 below: Table 5 Omicron Omicron CoV_S_T2_36 BA.1C (SEQ BA.1C (omide) SEQ ID ID NO:9) (SEQ ID NO:2) residue NO:9) position reference residue 336 D G 368 L S 370 P S 372 F S 437 K N 443 S G 449 L R 474 N S 481 A E 490 R Q 493 S G 495 R Q 502 H Y 544 K T 983 K P 984 V P
- an isolated polypeptide which comprises a
- Omicron_vaccine SEQ ID NO:3
- an isolated polypeptide which comprises the amino acid sequence of SEQ ID NO:3 (Omicron_vaccine), or an amino acid which has at least 99% amino acid identity over its entire length with the amino acid sequence of SEQ ID NO:3.
- Omicron_vaccine differs from BA.1 by a double proline mutation at positions 983 and 984 of BA.1C, incorporated to assess the effect of such mutation on vaccine stability, and by deletion of the ER signal sequence, to assess the effect on protein expression.
- the amino acid differences of Omicron_vaccine (SEQ ID NO:3) from the Omicron BA.1C S protein reference sequence (SEQ ID NO:9) are shown in Table 7 below: Table 7 Omicron BA.1C Omicron Omicron_vaccine (SEQ ID NO:9) BA.1C (SEQ ID NO:3) residue position (SEQ ID NO:9) referenc e residue 983 K P 984 V P 1252-1270 KFDEDD - (deletion) SEPVLK GVKLHY T Total No of - - 21/1270 differences from reference Percentage - - 98.35% identity with the reference The amino acid residues involved in stabilising the polypeptide design are in bold format.
- deletion of amino acids corresponding to residues 1252-1270 of SEQ ID NO:9 are shown as “deletion”.
- the deletion of these residues promotes expression of the designed polypeptide sequence.
- the residue positions shown in the table correspond to the reside positions of both BA.1C and Omicron_vaccine sequences.
- a polypeptide of the invention which comprises the amino acid sequence of SEQ ID NO:3 (Omicron_vaccine), or an amino acid which has at least 99% amino acid identity over its entire length with the amino acid sequence of SEQ ID NO:3, comprises at least one, or both of the amino acid residues of SEQ ID NO:3, at positions corresponding to the amino acid residue positions of SEQ ID NO:9, as shown in Table 7 (replicated below without showing deletions): Table 7 Omicron BA.1C Omicron Omicron_vaccine (SEQ ID NO:9) BA.1C (SEQ ID NO:3) residue position (SEQ ID NO:9) referenc e residue 983 K P 984 V P The Applicant has appreciated that polypeptides of the invention which comprise the above residue changes have better stability than polypeptides comprising the wild-type residues at these positions.
- a polypeptide of the invention which comprises the amino acid sequence of SEQ ID NO:3 (Omicron_vaccine), or an amino acid which has at least 99% amino acid identity over its entire length with the amino acid sequence of SEQ ID NO:3, does not include residues KFDEDDSEPVLKGVKLHYT at positions corresponding to amino acid residue positions 1252- 1270 of SEQ ID NO:9.
- residues KFDEDDSEPVLKGVKLHYT residues KFDEDDSEPVLKGVKLHYT at positions corresponding to amino acid residue positions 1252- 1270 of SEQ ID NO:9.
- an isolated polypeptide which comprises Omicron_vaccine amino acid sequence (SEQ ID NO:3).
- SEQ ID NO:3 Omicron_vaccine amino acid sequence
- the Applicant has found that such polypeptides elicit broadly neutralising immune responses to a panel of SARS-CoV-2 pseudoviruses, including Delta and omicron sub-strains BA.1, BA.2, BA.2.12.1, and BA.4/5.
- BA.4 and BA.5 are the dominant (as of April 2023) SARS-CoV-2 strains currently circulating in many countries around the world.
- a polypeptide of the invention may include one or more conservative amino acid substitutions.
- Conservative amino acid substitutions are those substitutions that, when made, least interfere with the properties of the original polypeptide, that is, the structure and especially the function of the protein is conserved and not significantly changed by such substitutions.
- substitutions which in general are expected to produce the greatest changes in protein properties will be non-conservative, for instance changes in which (a) a hydrophilic residue, for example, serine or threonine, is substituted for (or by) a hydrophobic residue, for example, leucine, isoleucine, phenylalanine, valine or alanine; (b) a cysteine or proline is substituted for (or by) any other residue; (c) a residue having an electropositive side chain, for example, lysine, arginine, or histidine, is substituted for (or by) an electronegative residue, for example, glutamate or aspartate; or (d) a residue having a bulky side chain, for example, phenylalanine, is substituted for (or by) one not having a side chain, for example, glycine.
- a hydrophilic residue for example, serine or threonine
- a hydrophobic residue for example, leucine,
- narrowly neutralising immune response is used herein to mean an immune response elicited in a subject that is sufficient to inhibit (i.e. reduce), neutralise or prevent infection, and/or progress of infection, of more than one strain and/or variant of SARS-CoV-2.
- a broadly neutralising immune response is sufficient to inhibit, neutralise or prevent infection, and/or progress of infection of one or more variants of the Omicron strain of SARS- CoV-2.
- a broadly neutralising immune response is sufficient to inhibit, neutralise or prevent infection, and/or progress of infection of one or more variants of the Delta strain of SARS-CoV-2.
- a broadly neutralising immune response is sufficient to inhibit, neutralise or prevent infection, and/or progress of infection of one or more variants of the Alpha strain of SARS-CoV-2.
- a broadly neutralising immune response is sufficient to inhibit, neutralise or prevent infection, and/or progress of infection of one or more variants of the Beta strain of SARS-CoV-2.
- a broadly neutralising immune response is sufficient to inhibit, neutralise or prevent infection, and/or progress of infection of one or more variants of the Gamma strain of SARS-CoV-2.
- a broadly neutralising immune response is sufficient to inhibit, neutralise or prevent infection, and/or progress of infection of one or more variants of the Wuhan strain of SARS-CoV-2.
- a broadly neutralising immune response is sufficient to inhibit, neutralise or prevent infection, and/or progress of infection, of most or all different viral strains of the SARS-CoV-2 virus.
- a broadly neutralising immune response is sufficient to inhibit, neutralise or prevent infection, and/or progress of infection, of more than one type of ⁇ -coronavirus SARS-CoV-2 variant of concern (VOC), or variant of interest (VOI), for example more than one of an alpha, beta, gamma, delta, omicron SARS-CoV-2 virus.
- a broadly neutralising immune response is sufficient to inhibit, neutralise or prevent infection, and/or progress of infection of a virus within the coronavirus family.
- a broadly neutralising immune response is sufficient to inhibit, neutralise or prevent infection, and/or progress of infection, of more than one type of ⁇ -coronavirus (for example, SARS-CoV, and SARS-CoV-2).
- a broadly neutralising immune response is sufficient to inhibit, neutralise or prevent infection, and/or progress of infection, of more than one type of ⁇ - coronavirus within the same ⁇ -coronavirus lineage (for example, more than one type of ⁇ - coronavirus within the subgenus Sarbecovirus, such as SARS-CoV, SARS-CoV-2, and Bat SL-CoV-WIV1).
- a broadly neutralising immune response is sufficient to inhibit, neutralise or prevent infection, and/or progress of infection, of coronaviruses of different ⁇ - coronavirus lineages, such as lineage B (for example, SARS-CoV, and SARS-CoV-2) and lineage C (for example, MERS-CoV).
- lineage B for example, SARS-CoV, and SARS-CoV-2
- lineage C for example, MERS-CoV
- a broadly neutralising immune response is sufficient to inhibit, neutralise or prevent infection, and/or progress of infection, of most or all different ⁇ -coronaviruses.
- a broadly neutralising immune response is sufficient to inhibit, neutralise or prevent infection, and/or progress of infection, of most or all different viruses of the coronavirus family.
- the immune response may be humoral and/or a cellular immune response.
- a cellular immune response is a response of a cell of the immune system, such as a B-cell, T-cell, macrophage or polymorphonucleocyte, to a stimulus such as an antigen or vaccine.
- An immune response can include any cell of the body involved in a host defence response, including for example, an epithelial cell that secretes an interferon or a cytokine.
- An immune response includes, but is not limited to, an innate immune response or inflammation.
- a polypeptide of the invention induces a protective immune response.
- a protective immune response refers to an immune response that protects a subject from infection or disease (i.e. prevents infection or prevents the development of disease associated with infection).
- Methods of measuring immune responses include, for example, measuring proliferation and/or activity of lymphocytes (such as B or T cells), secretion of cytokines or chemokines, inflammation, or antibody production.
- a polypeptide of the invention is able to induce the production of antibodies and/or a T-cell response in a human or non-human animal to which the polypeptide has been administered (either as a polypeptide or, for example, expressed from an administered nucleic acid expression vector).
- a polypeptide of the invention is a glycosylated polypeptide.
- Nucleic acid molecules According to the invention there is provided an isolated nucleic acid molecule encoding a polypeptide according to the invention, or the complement thereof.
- nucleic acid molecule comprising a nucleotide sequence that is at least 70%, 71%, 72%, 73%, 74%, 75%, 76%, 77%, 78%, 79%, 80%, 81%, 82%, 83%, 84%, 85%, 86%, 87%, 88%, 89%, 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, or 99% identical over its entire length to a nucleic acid molecule of the invention encoding a polypeptide of the invention, or the complement thereof.
- an isolated nucleic acid molecule comprising a nucleotide sequence encoding an isolated polypeptide which comprises an amino acid sequence of SEQ ID NO:1 (CoV_S_T2_35), or an amino acid sequence which has at least 97%, 98%, or 99% amino acid identity over its entire length with the amino acid sequence of SEQ ID NO:1, or the complement thereof.
- an isolated nucleic acid molecule comprising a nucleotide sequence encoding an isolated polypeptide sequence comprising the amino acid sequence of SEQ ID NO:1, or the complement thereof.
- an isolated nucleic acid molecule comprising a nucleotide sequence encoding an isolated polypeptide which comprises an amino acid sequence of SEQ ID NO:2 (CoV_S_T2_36), or an amino acid sequence which has at least 97%, 98%, or 99% amino acid identity over its entire length with the amino acid sequence of SEQ ID NO:2, or the complement thereof.
- an isolated polynucleotide molecule comprising a nucleotide sequence encoding an isolated polypeptide which comprises the amino acid sequence of SEQ ID NO:2, or the complement thereof.
- an isolated nucleic acid molecule comprising a nucleotide sequence encoding an isolated polypeptide which comprises an amino acid sequence of SEQ ID NO:3 (Omicron_Vaccine), or an amino acid sequence which has at 99% amino acid identity over its entire length with the amino acid sequence of SEQ ID NO:3, or the complement thereof.
- an isolated polynucleotide molecule comprising a nucleotide sequence encoding the amino acid sequence of SEQ ID NO:3, or the complement thereof.
- an isolated mRNA encoding a polypeptide comprising an amino acid sequence of a coronavirus spike protein CoV_S_T2_35 (SEQ ID NO:1)
- an isolated mRNA encoding a polypeptide comprising an amino acid sequence of a coronavirus spike protein CoV_S_T2_36 (SEQ ID NO:2)
- an isolated mRNA encoding a polypeptide comprising an amino acid sequence of a coronavirus spike protein Omicron_Vaccine SEQ ID NO:3.
- an isolated mRNA molecule comprising an RNA sequence encoding a polypeptide according to the invention, or the complement thereof.
- an isolated mRNA molecule comprising an RNA sequence that is at least 70%, 71%, 72%, 73%, 74%, 75%, 76%, 77%, 78%, 79%, 80%, 81%, 82%, 83%, 84%, 85%, 86%, 87%, 88%, 89%, 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, or 99% identical over its entire length to an mRNA molecule of the invention encoding a polypeptide of the invention, or the complement thereof.
- an isolated mRNA molecule comprising an RNA sequence encoding an isolated polypeptide which comprises an amino acid sequence of SEQ ID NO:1 (CoV_S_T2_35), or an amino acid sequence which has at least 97%, 98%, or 99% amino acid identity over its entire length with the amino acid sequence of SEQ ID NO:1, or the complement thereof.
- an isolated mRNA molecule comprising an RNA sequence encoding an isolated polypeptide which comprises an amino acid sequence of SEQ ID NO:1 (CoV_S_T2_35), or an amino acid sequence which has at least 97%, 98%, or 99% amino acid identity over its entire length with the amino acid sequence of SEQ ID NO:1, which comprises the amino acid residues of SEQ ID NO:1, at positions corresponding to the amino acid residue positions of SEQ ID NO:8, as shown in Table 3 below: Table 3 DeltaC (SEQ ID DeltaC (SEQ CoV_S_T2_35 NO:8) residue ID NO:8) (deom) SEQ ID position reference NO:1) residue 680 R G 681 R S 683 R S
- an isolated mRNA molecule comprising an RNA sequence encoding an isolated polypeptide which comprises an amino acid sequence of SEQ ID NO:1 (CoV_S_T2_35), or an amino acid sequence which has at least 97%, 98%, or 99% amino acid identity over its entire
- an isolated mRNA molecule comprising an RNA sequence encoding an isolated polypeptide which comprises an amino acid sequence of SEQ ID NO:1 (CoV_S_T2_35), or an amino acid sequence which has at least 97%, 98%, or 99% amino acid identity over its entire length with the amino acid sequence of SEQ ID NO:1, which comprises the following amino acid residues at positions corresponding to residues 680, 681, 683, 984, and 985, of SEQ ID NO:8: ⁇ 680: G; ⁇ 681: S; ⁇ 683: S; ⁇ 984: P; and ⁇ 985: P.
- an isolated mRNA molecule comprising an RNA sequence encoding an isolated polypeptide which comprises an amino acid sequence of SEQ ID NO:1 (CoV_S_T2_35), or an amino acid sequence which has at least 97%, 98%, or 99% amino acid identity over its entire length with the amino acid sequence of SEQ ID NO:1, which does not include residues KFDEDDSEPVLKGVKLHYT at positions corresponding to amino acid residue positions 1253-1271 of SEQ ID NO:8.
- an isolated mRNA molecule comprising an RNA sequence encoding an isolated polypeptide which comprises a coronavirus S protein with at least one, or all of the amino acid residues, at positions corresponding to the amino acid residue positions of SEQ ID NO:8, as shown in Table 3 below: Table 3 DeltaC (SEQ DeltaC (SEQ CoV_S_T2_35 ID NO:8) ID NO:8) (deom) SEQ ID residue reference NO:1) position residue 680 R G 681 R S 683 R S
- an isolated mRNA molecule comprising an RNA sequence encoding an isolated polypeptide which comprises an amino acid sequence of SEQ ID NO:2 (CoV_S_T2_36), or an amino acid sequence which has at least 97%, 98%, or 99% amino acid identity over its entire length with the amino acid sequence of SEQ ID NO:2, or the complement thereof.
- an isolated mRNA molecule comprising an RNA sequence encoding an isolated polypeptide which comprises an amino acid sequence of SEQ ID NO:2 (CoV_S_T2_36), or an amino acid sequence which has at least 97%, 98%, or 99% amino acid identity over its entire length with the amino acid sequence of SEQ ID NO:2, which comprises the amino acid residues of SEQ ID NO:2, at positions corresponding to the amino acid residue positions of SEQ ID NO:9, as shown in Table 6 below: Table 6 Omicron Omicron CoV_S_T2_36 BA.1C (SEQ BA.1C (omide) SEQ ID ID NO:9) (SEQ ID NO:2) residue NO:9) position reference residue 679 R G 680 R S 682 R S Optionally there is provided an isolated mRNA molecule comprising an RNA sequence encoding an isolated polypeptide which comprises an amino acid sequence of SEQ ID NO:2 (CoV_S_T2_36), or an amino acid sequence which has at least 97%, 9
- an isolated mRNA molecule comprising an RNA sequence encoding an isolated polypeptide which comprises an amino acid sequence of SEQ ID NO:2 (CoV_S_T2_36), or an amino acid sequence which has at least 97%, 98%, or 99% amino acid identity over its entire length with the amino acid sequence of SEQ ID NO:2, which comprises the following amino acid residues at positions corresponding to residues 679, 680, 682, 983, and 984, of SEQ ID NO:9: ⁇ 679: G; ⁇ 680: S; ⁇ 682: S; ⁇ 983: P; and ⁇ 984: P.
- an isolated mRNA molecule comprising an RNA sequence encoding an isolated polypeptide which comprises an amino acid sequence of SEQ ID NO:2 (CoV_S_T2_36), or an amino acid sequence which has at least 97%, 98%, or 99% amino acid identity over its entire length with the amino acid sequence of SEQ ID NO:2, which does not include residues KFDEDDSEPVLKGVKLHYT at positions corresponding to amino acid residue positions 1252-1270 of SEQ ID NO:9.
- an isolated mRNA molecule comprising an RNA sequence encoding an isolated polypeptide which comprises a coronavirus S protein with at least one, or all of the amino acid residues, at positions corresponding to the amino acid residue positions of SEQ ID NO:9, as shown in Table 6 below: Table 6 Omicron Omicron CoV_S_T2_36 BA.1C (SEQ BA.1C (omide) SEQ ID ID NO:9) (SEQ ID NO:2) residue NO:9) position reference residue 679 R G 680 R S 682 R S According to the invention there is provided an isolated mRNA molecule comprising an RNA sequence encoding an isolated polypeptide which comprises an amino acid sequence of SEQ ID NO:3 (Omicron_Vaccine), or an amino acid sequence which has at 99% amino acid identity over its entire length with the amino acid sequence of SEQ ID NO:3, or the complement thereof.
- Table 6 Omicron Omicron CoV_S_T2_36 BA.1C (SEQ BA.1C (omide)
- an isolated mRNA molecule comprising an RNA sequence encoding an isolated polypeptide which comprises an amino acid sequence of SEQ ID NO:3 (Omicron_vaccine), or an amino acid sequence which has at least 99% amino acid identity over its entire length with the amino acid sequence of SEQ ID NO:2, which comprises the following amino acid residues at positions corresponding to residues 983, and 984, of SEQ ID NO:9: ⁇ 983: P; and ⁇ 984: P.
- mice with nucleic acid in particular, mRNA
- SARS2 S protein designs of the invention induces production of antibodies that are able to bind and neutralise coronavirus pseudoviruses expressing spike proteins (see Example 3/ Figure 6 and 7).
- immunisation of mice with a mRNA vaccine comprising nucleic acid encoding the CoV_S_T2_35 (Deom) mRNA vaccine design of the invention (SEQ ID NO:1) elicited broadly neutralising antibody response to Wuhan, Alpha, Beta, Gamma, Delta, and Omicron BA.1, BA.2, BA.2.12.1, and BA.4/5 SARS-CoV-2 ( Figure 6B and 6C, Figure 7).
- mice immunisation of mice with a mRNA vaccine comprising nucleic acid encoding the CoV_S_T2_36 (Omide) mRNA vaccine design of the invention (SEQ ID NO:2) elicited broadly neutralising antibody response to BA.1, BA.2, BA.2.12.1, and BA.4/5 sub-strains of the Omicron strain, as well as the Wuhan, Alpha, Beta, Gamma, and Delta, strains of SARS-CoV- 2 ( Figure 6B and 6C, Figure 7).
- SEQ ID NO:2 the invention elicited broadly neutralising antibody response to BA.1, BA.2, BA.2.12.1, and BA.4/5 sub-strains of the Omicron strain, as well as the Wuhan, Alpha, Beta, Gamma, and Delta, strains of SARS-CoV- 2 ( Figure 6B and 6C, Figure 7).
- mice with a mRNA vaccine comprising nucleic acid encoding the Omicron_vaccine (Deom) design of the invention (SEQ ID NO:3) elicited broadly neutralising antibody response to the Beta, Gamma, BA.1, BA.2, BA.4/5, and Delta strain of SARS-CoV-2.
- Sequence identity The similarity between amino acid or nucleic acid sequences is expressed in terms of the similarity between the sequences, otherwise referred to as sequence identity. Sequence identity is frequently measured in terms of percentage identity (or similarity or homology); the higher the percentage, the more similar the two sequences are. Homologs or variants of a given gene or protein will possess a relatively high degree of sequence identity when aligned using standard methods.
- NCBI Basic Local Alignment Search Tool (BLAST TM ) (Altschul et al., J. Mol. Biol.215:403-410, 1990) is available from several sources, including the National Center for Biotechnology Information (NCBI, Bethesda, MD) and on the Internet, for use in connection with the sequence analysis programs blastp, blastn, blastx, tblastn and tblastx. Sequence identity between nucleic acid sequences, or between amino acid sequences, can be determined by comparing an alignment of the sequences. When an equivalent position in the compared sequences is occupied by the same nucleotide, or amino acid, then the molecules are identical at that position.
- NCBI National Center for Biotechnology Information
- Scoring an alignment as a percentage of identity is a function of the number of identical nucleotides or amino acids at positions shared by the compared sequences.
- optimal alignments may require gaps to be introduced into one or more of the sequences to take into consideration possible insertions and deletions in the sequences.
- Sequence comparison methods may employ gap penalties so that, for the same number of identical molecules in sequences being compared, a sequence alignment with as few gaps as possible, reflecting higher relatedness between the two compared sequences, will achieve a higher score than one with many gaps. Calculation of maximum percent identity involves the production of an optimal alignment, taking into consideration gap penalties. Suitable computer programs for carrying out sequence comparisons are widely available in the commercial and public sector.
- Examples include MatGat (Campanella et al., 2003, BMC Bioinformatics 4: 29; program available from http://bitincka.com/ledion/matgat), Gap (Needleman & Wunsch, 1970, J. Mol. Biol.48: 443-453), FASTA (Altschul et al., 1990, J. Mol.
- sequence comparisons may be undertaken using the “needle” method of the EMBOSS Pairwise Alignment Algorithms, which determines an optimum alignment (including gaps) of two sequences when considered over their entire length and provides a percentage identity score.
- Default parameters for amino acid sequence comparisons (“Protein Molecule” option) may be Gap Extend penalty: 0.5, Gap Open penalty: 10.0, Matrix: Blosum 62.
- the sequence comparison may be performed over the full length of the reference sequence.
- Corresponding Positions Sequences described herein include reference to an amino acid sequence comprising an amino acid residue “at a position corresponding to an amino acid residue position” of another sequence.
- corresponding positions may be identified, for example, from an alignment of the sequences using a sequence alignment method described herein, or another sequence alignment method known to the person of ordinary skill in the art.
- Vectors and Vaccines There is also provided according to the invention a vector comprising a nucleic acid molecule encoding a polypeptide of the invention.
- a vector of the invention comprises a nucleic acid molecule encoding a polypeptide of the invention which comprises an amino acid sequence of SEQ ID NO: 1, or an amino acid sequence which has at least 97%, 98%, or 99% amino acid identity over its entire length with the amino acid sequence of SEQ ID NO:1.
- a vector of the invention comprises a polynucleotide molecule comprising a nucleotide sequence encoding the amino acid sequence of SEQ ID NO:1, or the complement thereof.
- a vector of the invention comprises a nucleic acid molecule encoding a polypeptide of the invention which comprises an amino acid sequence of SEQ ID NO: 2, or an amino acid sequence which has at least 97%, 98%, or 99% amino acid identity over its entire length with the amino acid sequence of SEQ ID NO:2.
- a vector of the invention comprises a polynucleotide molecule comprising a nucleotide sequence encoding the amino acid sequence of SEQ ID NO:2, or the complement thereof.
- a vector of the invention comprises a nucleic acid molecule encoding a polypeptide of the invention which comprises an amino acid sequence of SEQ ID NO: 1, or an amino acid sequence which has at least 99% amino acid identity over its entire length with the amino acid sequence of SEQ ID NO:3.
- a vector of the invention comprises a nucleic acid molecule encoding a polypeptide of the invention which comprises an amino acid sequence of SEQ ID NO: 3, or an amino acid sequence which has at least 99% amino acid identity over its entire length with the amino acid sequence of SEQ ID NO:3.
- a vector of the invention comprises a polynucleotide molecule comprising a nucleotide sequence encoding the amino acid sequence of SEQ ID NO:3, or the complement thereof.
- a vector of the invention comprises a nucleic acid molecule of the invention encoding a designed coronavirus S protein of the invention.
- a vector of the invention further comprises a promoter operably linked to the nucleic acid.
- the promoter is for expression of a polypeptide encoded by the nucleic acid in mammalian cells.
- the promoter is for expression of a polypeptide encoded by the nucleic acid in yeast or insect cells.
- the vector is a vaccine vector.
- the vector is a viral vaccine vector, a bacterial vaccine vector, an RNA vaccine vector, or a DNA vaccine vector.
- a nucleic acid molecule of the invention may comprise a DNA or an RNA molecule.
- nucleic acid comprises an RNA molecule
- nucleic acid sequence of the nucleic acid will be the same as that recited in the respective SEQ ID, or the complement thereof, but with each ‘T’ nucleotide replaced by ‘U’.
- the nucleic acid molecule comprises an RNA molecule
- the molecule may comprise an RNA sequence that is at least 70%, 71%, 72%, 73%, 74%, 75%, 76%, 77%, 78%, 79%, 80%, 81%, 82%, 83%, 84%, 85%, 86%, 87%, 88%, 89%, 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, or 99% identical with, or identical with, a polynucleotide sequence encoding a polypeptide sequence of any of SEQ ID NOs: 1, 2, or 3, in which each ‘T’ nucleotide is replaced by ‘U’, or the complement thereof.
- the nucleic acid sequence of the nucleic acid of the invention will be an RNA sequence, so may comprise for example an RNA nucleic acid sequence that is at least 70%, 71%, 72%, 73%, 74%, 75%, 76%, 77%, 78%, 79%, 80%, 81%, 82%, 83%, 84%, 85%, 86%, 87%, 88%, 89%, 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, or 99% identical with, or identical with, any of SEQ ID NOs: 1, 2, or 3 in which each ‘T’ nucleotide is replaced by ‘U’, or the complement thereof.
- Viral vaccine vectors use live viruses to deliver nucleic acid (for example, DNA or RNA) into human or non-human animal cells.
- the nucleic acid contained in the virus encodes one or more antigens that, once expressed in the infected human or non-human animal cells, elicit an immune response. Both humoral and cell-mediated immune responses can be induced by viral vaccine vectors.
- Viral vaccine vectors combine many of the positive qualities of nucleic acid vaccines with those of live attenuated vaccines.
- viral vaccine vectors carry nucleic acid into a host cell for production of antigenic proteins that can be tailored to stimulate a range of immune responses, including antibody, T helper cell (CD4+ T cell), and cytotoxic T lymphocyte (CTL, CD8+ T cell) mediated immunity.
- Viral vaccine vectors unlike nucleic acid vaccines, also have the potential to actively invade host cells and replicate, much like a live attenuated vaccine, further activating the immune system like an adjuvant.
- a viral vaccine vector therefore generally comprises a live attenuated virus that is genetically engineered to carry nucleic acid (for example, DNA or RNA) encoding protein antigens from an unrelated organism.
- viral vaccine vectors are generally able to produce stronger immune responses than nucleic acid vaccines, for some diseases viral vectors are used in combination with other vaccine technologies in a strategy called heterologous prime-boost.
- one vaccine is given as a priming step, followed by vaccination using an alternative vaccine as a booster.
- the heterologous prime-boost strategy aims to provide a stronger overall immune response.
- Viral vaccine vectors may be used as both prime and boost vaccines as part of this strategy. Viral vaccine vectors are reviewed by Ura et al., 2014 (Vaccines 2014, 2, 624-641) and Choi and Chang, 2013 (Clinical and Experimental Vaccine Research 2013;2:97-105).
- the viral vaccine vector is based on a viral delivery vector, such as a Poxvirus (for example, Modified Vaccinia Ankara (MVA), NYVAC, AVIPOX), herpesvirus (e.g. HSV, CMV, Adenovirus of any host species), Morbillivirus (e.g. measles), Alphavirus (e.g. SFV, Sendai), Flavivirus (e.g. Yellow Fever), or Rhabdovirus (e.g. VSV)-based viral delivery vector, a bacterial delivery vector (for example, Salmonella, E.coli), an RNA expression vector, or a DNA expression vector.
- a viral delivery vector such as a Poxvirus (for example, Modified Vaccinia Ankara (MVA), NYVAC, AVIPOX), herpesvirus (e.g. HSV, CMV, Adenovirus of any host species), Morbillivirus (e.g. measles), Alphavirus (e.g. SFV, Send
- Adenoviruses are by far the most utilised and advanced viral vectors developed for SARS2 vaccines. They are non-enveloped double-stranded DNA (dsDNA) viruses with a packaging capacity of up to 7.5 kb of foreign genes. Almost all SARS2 adenovirus based vaccines have been engineered for the expression of the SARS2 S protein or the RBD subunit. Recombinant Adenovirus vectors are widely used because of their high transduction efficiency, high level of transgene expression, and broad range of viral tropism. These vaccines are highly cell specific, highly efficient in gene transduction, and efficient at inducing an immune response.
- dsDNA non-enveloped double-stranded DNA
- Adenovirus vaccines are effective at triggering and priming T cells, leading to long term and high level of antigenic protein expression and therefore long lasting protection.
- AZD1222 manufactured by AstraZeneca
- vaccine construct comprises a recombinant adenoviral vector vaccine encoding the SARS2 S protein.
- the recombinant adenovirus genome comprises SARS2 S gene at the E1 locus.
- a vaccine of the invention is administered as part of a heterologous prime-boost regimen, for example using an heterologous DNA prime/MVA boost regimen.
- a method of inducing an immune response to a coronavirus in a subject, or a method of immunising a subject against a coronavirus comprises administering a nucleic acid of the invention, a vector of the invention, or a pharmaceutical composition of the invention, wherein the nucleic acid, vector, or pharmaceutical composition is administered as part of a heterologous prime boost regimen.
- the heterologous prime boost regimen comprises a prime with a DNA vector of the invention followed by a boost with an MVA vector of the invention.
- the DNA prime comprises administration of a DNA vaccine vector comprising a nucleic acid molecule of the invention
- the MVA boost comprises administration of an MVA vector comprising a nucleic acid molecule of the invention, optionally wherein the nucleic acid molecule of the invention of the DNA vaccine vector encodes the same amino acid sequence as the nucleic acid molecule of the invention of the MVA vector.
- the nucleic acid molecule of the invention of the DNA vaccine vector encodes a different amino acid sequence as the nucleic acid molecule of the invention of the MVA vector.
- a nucleic acid molecule (optionally a DNA molecule) encoding a designed S protein sequence T2_29 polypeptide of the invention (SEQ ID NO:29; COV_S_T2_29+Q498R+dER); (COV_S_T2_29 + Q498R – SEQ ID NO:28); or (COV_S_T2_29 – SEQ ID NO:27) may be administered as part of an heterologous prime- boost vaccination using an MVA boost.
- a prime with DNA vector comprising DNA encoding amino acid sequence of SEQ ID NO:27, 28, or 29, followed by a boost with an MVA vector comprising nucleic acid encoding amino acid sequence of SEQ ID NO:29, induced broad neutralising response against all the VOCs tested - at least two-fold better neutralising response against Beta, Gamma, Delta, and Omicron VOCs in comparison to WTdER after three doses of DNA vaccine.
- the prime with a DNA vector of the invention may comprise administration of the DNA vector once, twice, or three times, prior to the MVA boost.
- the MVA boost may be administered at least a day, at least a week, or at least two, three, four, five, six, or seven weeks, after the final administration of the DNA vector.
- a kit comprising a DNA vaccine vector which comprises a nucleic acid molecule of the invention, and an MVA vector which comprises a nucleic acid molecule of the invention, optionally wherein the nucleic acid molecule of the invention of the DNA vaccine vector encodes the same amino acid sequence as the nucleic acid molecule of the invention of the MVA vector.
- the nucleic acid molecule of the invention of the DNA vaccine vector encodes a designed S protein sequence T2_29 polypeptide of the invention (SEQ ID NO:29 - COV_S_T2_29+Q498R+dER; COV_S_T2_29 + Q498R – SEQ ID NO:28; or COV_S_T2_29 – SEQ ID NO:27), and the nucleic acid molecule of the invention of the MVA vector encodes an amino acid sequence of SEQ ID NO:29.
- the nucleic acid expression vector is a nucleic acid expression vector, and a viral pseudotype vector.
- the nucleic acid expression vector is a vaccine vector.
- the nucleic acid expression vector comprises, from a 5’ to 3’ direction: a promoter; a splice donor site (SD); a splice acceptor site (SA); and a terminator signal, wherein the multiple cloning site is located between the splice acceptor site and the terminator signal.
- the promoter comprises a CMV immediate early 1 enhancer/promoter (CMV-IE- E/P) and/or the terminator signal comprises a terminator signal of a bovine growth hormone gene (Tbgh) that lacks a KpnI restriction endonuclease site.
- the nucleic acid expression vector further comprises an origin of replication, and nucleic acid encoding resistance to an antibiotic.
- the origin of replication comprises a pUC-plasmid origin of replication and/or the nucleic acid encodes resistance to kanamycin.
- the vector is a pEVAC-based expression vector.
- the pEVAC vector has proven to be a highly versatile expression vector for generating viral pseudotypes as well as direct DNA vaccination of animals and humans.
- the vector is a pURVAC vector.
- polynucleotide and nucleic acid are used interchangeably herein.
- a polynucleotide (or nucleic acid) of the invention may comprise a DNA molecule.
- the or each polynucleotide (or nucleic acid) of a pharmaceutical composition or a vector, of the invention may comprise a DNA molecule.
- a vector of the invention may be a DNA vector.
- the or each vector of a pharmaceutical composition of the invention may be a DNA vector.
- a polynucleotide (or nucleic acid) of the invention, or a polynucleotide (or nucleic acid) of a pharmaceutical composition, or a vector, of the invention may be provided as part of a DNA vaccine.
- a DNA vaccine which comprises a polynucleotide (or nucleic acid) of the invention, a vector of the invention, or a pharmaceutical composition of the invention which comprises one or more polynucleotides (or nucleic acids), wherein the or each polynucleotide (or nucleic acid) is a DNA molecule.
- the, or each, vector is an RNA vaccine vector.
- a polynucleotide (or nucleic acid) of the invention may comprise an RNA molecule.
- the or each polynucleotide (or nucleic acid) of a pharmaceutical composition, or a vector, of the invention may comprise an RNA molecule.
- the or each vector of a pharmaceutical composition or a combined preparation of the invention may be an RNA vector.
- a polynucleotide (or nucleic acid) of the invention, or a polynucleotide (or nucleic acid) of a pharmaceutical composition, or a vector, of the invention may be provided as part of an RNA vaccine.
- RNA vaccine which comprises a polynucleotide (or nucleic acid) of the invention, a vector of the invention, or a pharmaceutical composition of the invention which comprises one or more polynucleotides (or nucleic acids), wherein the or each polynucleotide (or nucleic acid) is an RNA molecule.
- a polynucleotide (or nucleic acid) of the invention may comprise an mRNA molecule.
- the or each polynucleotide (or nucleic acid) of a pharmaceutical composition, or a vector, of the invention may comprise an mRNA molecule.
- a vector of the invention may be an mRNA vector.
- the, or each vaccine vector is an mRNA vaccine vector.
- the or each vector of a pharmaceutical composition of the invention may be an mRNA vector.
- a polynucleotide (or nucleic acid), or mRNA molecule, of the invention, or a polynucleotide (or nucleic acid) of a pharmaceutical composition, or a vector, of the invention may be provided as part of an mRNA vaccine.
- an mRNA vaccine which comprises an mRNA of the invention, or an mRNA vaccine vector of the invention, encapsulated in a lipid nanoparticle (LNP).
- LNP lipid nanoparticle
- mRNA vaccine which comprises a polynucleotide (or nucleic acid) of the invention, a vector of the invention, or a pharmaceutical composition of the invention which comprises one or more polynucleotides (or nucleic acids), wherein the or each polynucleotide (or nucleic acid) comprises an mRNA molecule.
- Messenger RNA (mRNA) vaccines are a new form of vaccine (recently reviewed in Pardi et al., Nature Reviews Drug Discovery Volume 17, pages 261–279(2018); Wang et al., Molecular Cancer (2021) 20:33: mRNA vaccine: a potential therapeutic strategy).
- the first mRNA vaccines to be approved for use were BNT162b2 (manufactured by Pfizer) and mRNA-1273 (manufactured by Moderna) during the COVID-19 pandemic.
- mRNA vaccines have a unique feature of temporarily promoting the expression of antigen (typically days). The expression of the exogenous antigen is controlled by the lifetime of encoding mRNA, which is regulated by cellular degradation pathways. While this transient nature of protein expression requires repeated administration for the treatment of genetic diseases and cancers, it is extremely beneficial for vaccines, where prime or prime-boost vaccination is sufficient to develop highly specific adaptive immunity without any exposure to the contagion.
- mRNA based vaccines trigger an immune response after the synthetic mRNA which encodes viral antigens transfects human cells.
- the cytosolic mRNA molecules are then translated by the host’s own cellular machinery into specific viral antigens. These antigens may then be presented on the cell surface where they can be recognised by immune cells, triggering an immune response.
- the structural elements of a vaccine vector mRNA molecule are similar to those of natural mRNA, comprising a 5’ cap, 5’ untranslated region (UTR), coding region (for example, comprising an open reading frame encoding a polypeptide of the invention), 3’ UTR, and a poly(A) tail.
- the 5′ UTR (also known as a leader sequence, transcript leader, or leader RNA) is the region of an mRNA that is directly upstream from the initiation codon. This region is important for the regulation of translation of a transcript. In many organisms, the 5′ UTR forms complex secondary structure to regulate translation.
- the 5′ UTR begins at the transcription start site and ends one nucleotide (nt) before the initiation sequence (usually AUG) of the coding region. In eukaryotes, the length of the 5′ UTR tends to be anywhere from 100 to several thousand nucleotides long. The differing sizes are likely due to the complexity of the eukaryotic regulation which the 5′ UTR holds as well as the larger pre-initiation complex that must form to begin translation.
- the eukaryotic 5′ UTR contains the Kozak consensus sequence (ACCAUG (initiation codon underlined), which contains the initiation codon AUG.
- An elongated Kozak sequence may be used: GCCACCAUG (initiation codon underlined).
- the 5′ and 3′ UTR elements flanking the coding sequence profoundly influence the stability and translation of mRNA, both of which are critical concerns for vaccines.
- These regulatory sequences can be derived from viral or eukaryotic genes and greatly increase the half-life and expression of therapeutic mRNAs.
- a 5’UTR of an mRNA of the invention may comprise, with an initiation codon of the mRNA, a Kozak consensus sequence, or an elongated Kozak sequence.
- a 5’UTR of an mRNA of the invention comprises the following sequence: GGAGACGCCACC immediately upstream of an initiation codon sequence.
- a 5′ cap structure is required for efficient protein production from mRNA.
- Various versions of 5′ caps can be added during or after the transcription reaction using a vaccinia virus capping enzyme, or by incorporating synthetic cap or anti-reverse cap analogues (see Pardi et al., supra).
- Anti-Reverse Cap Analog is a cap analog used during in vitro transcription for the generation of capped transcripts.
- ARCA is modified in a way that ensures incorporation in the forward orientation only.
- the poly(A) tail also plays an important regulatory role in mRNA translation and stability; thus, an optimal length of poly(A) must be added to mRNA either directly from the encoding DNA template or by using poly(A) polymerase (see Pardi et al., supra).
- An example of a suitable length of poly(A) tail is poly( ⁇ A120).
- the codon usage additionally has an impact on protein translation. Replacing rare codons with frequently used synonymous codons that have abundant cognate tRNA in the cytosol is a common practice to increase protein production from mRNA.
- RNA enrichment of G:C content constitutes another form of sequence optimization that has been shown to increase steady- state mRNA levels in vitro and protein expression in vivo (see Pardi et al., supra).
- Two major types of RNA are currently studied as vaccines: non-replicating mRNA and virally derived, self-amplifying RNA. While both types of vaccines share a common structure in mRNA constructs, self-amplifying RNA vaccines contain additional sequences in the coding region for RNA replication, including RNA-dependent RNA polymerases.
- BNT162b2 vaccine construct comprises a lipid nanoparticle (LNP) encapsulated mRNA molecule encoding trimerised full-length SARS2 S protein with a PP mutation (at residue positions 986-987).
- the mRNA is encapsulated in 80 nm ionizable cationic lipid nanoparticles.
- mRNA-1273 vaccine construct is also based on an LNP vector, but the synthetic mRNA encapsulated within the lipid construct encodes the full-length SARS2 S protein.
- US Patent No. 10,702,600 B1 (ModernaTX) describes betacoronavirus mRNA vaccines, including suitable LNPs for use in such vaccines.
- a nucleic acid vaccine (for example, a mRNA) of the invention may be formulated in a lipid nanoparticle.
- mRNA vaccines have several advantages in comparison with conventional vaccines containing inactivated (or live attenuated) disease-causing organisms. Firstly, mRNA-based vaccines can be rapidly developed due to design flexibility and the ability of the constructs to mimic antigen structure and expression as seen in the course of a natural infection. mRNA vaccines can be developed within days or months based on sequencing information from a target virus, while conventional vaccines often take years and require a deep understanding of the target virus to make the vaccine effective and safe. Secondly, these novel vaccines can be rapidly produced.
- mRNA production can be rapid, inexpensive and scalable. Thirdly, vaccine risks are low. mRNA does not contain infectious viral elements that pose risks for infection and insertional mutagenesis. Anti-vector immunity is also avoided as mRNA is the minimally immunogenic genetic vector, allowing repeated administration of the vaccine.
- the challenge for effective application of mRNA vaccines lies in cytosolic delivery. mRNA isolates are rapidly degraded by extracellular RNases and cannot penetrate cell membranes to be transcribed in the cytosol. However, efficient in vivo delivery can be achieved by formulating mRNA into carrier molecules, allowing rapid uptake and expression in the cytoplasm.
- LNP Decationic lipid nanoparticle
- Exogenous mRNA may be highly immunostimulatory.
- Single-stranded RNA (ssRNA) molecules are considered a pathogen associated molecular pattern (PAMP), and are recognised by various Toll-like receptors (TLR) which elicit a pro-inflammatory reaction.
- PAMP pathogen associated molecular pattern
- dsRNA double stranded RNA
- IVT in vitro transcription
- the mRNA may suppress antigen expression and thus reduce vaccine efficacy.
- Studies over the past decade have shown that the immunostimulatory effect of mRNA can be shaped by the purification of IVT mRNA, the introduction of modified nucleosides, complexing the mRNA with various carrier molecules (Pardi et al., supra), adding poly(A) tails or optimising mRNA with GC-rich sequence (Wang et al., supra).
- Chemical modification of uridine is a common approach to minimise the immunogenicity of foreign mRNA.
- nucleoside chemical modifications include, but are not limited to, 5-methylcytidine (m5C), 5-methyluridine (m5U), N1-methyladenosine (m1A), N6- methyladenosine (m6A), 2- thiouridine (s2U), and 5-methoxyuridine (5moU) (Wang et al., supra).
- the IVT mRNA molecules used in the mRNA-1273 and BNT162b2 COVID-19 vaccines were prepared by replacing uridine with m1 ⁇ , and their sequences were optimized to encode a stabilized pre- fusion spike protein with two pivotal proline substitutions (Hou et al., supra).
- CureVac s mRNA vaccine candidate, CVnCoV
- CVnCoV uses unmodified nucleosides and relies on a combination of mRNA sequence alterations to allow immune evasion without affecting the expressed protein.
- CVnCoV has a higher GC content (63%) than rival vaccines (BNT162b2 has 56%) and the original SARS-CoV-2 virus itself (37%).
- the vaccine comprises C-rich motifs which bind to poly(C)-binding protein, enhancing both the stability and expression of the mRNA.
- a further modification of CVnCoV is that it contains a histone stem-loop sequence as well as a poly(A) tail, to enhance the longevity and translation of the mRNA (Hubert, B., 2021.
- CureVac Vaccine and a brief tour through some of the wonders of nature. URL https://berthub.eu/articles/posts/curevac-vaccine-and-wonders-of- biology/.(accessed 15.09.21).
- the vaccine had disappointing results from phase III clinical trials, which experts assert are down to the decision not to incorporate chemically modified nucleosides into the mRNA sequence. Nonetheless, CureVac and Acuitas Therapeutics delivered erythropoietin (EPO)-encoding mRNA, which has rich GC codons, to pigs with lipid nanoparticles (LNPs).
- EPO erythropoietin
- RNA or mRNA of a polynucleotide (or nucleic acid) of the invention, or of a polynucleotide (or nucleic acid) of a pharmaceutical composition, a combined preparation, a vector, or a vaccine, of the invention may be produced by in vitro transcription (IVT).
- an IVT mRNA of the invention comprises a polyadenylation (poly(A)) tail downstream of an open reading frame (ORF) encoding the polypeptide.
- a polynucleotide (or nucleic acid) or mRNA molecule of the invention, or a polynucleotide (or nucleic acid) or mRNA molecule of a pharmaceutical composition, a vector, or a vaccine, of the invention may comprise one or more modified nucleosides.
- the one or more modified nucleosides may be present in DNA or RNA of a polynucleotide (or nucleic acid) of the invention, or of a polynucleotide (or nucleic acid) of a pharmaceutical composition, a vector, or a vaccine, of the invention.
- At least one chemical modification is selected from pseudouridine, N1- methylpseudouridine, N1-ethylpseudouridine, 2-thiouridine, 4′-thiouridine, 5-methylcytosine, 5-methyluridine, 2-thio-1-methyl-1-deaza-pseudouridine, 2-thio-1-methyl-pseudouridine, 2- thio-5-aza-uridine, 2-thio-dihydropseudouridine, 2-thio-dihydrouridine, 2-thio-pseudouridine, 4-methoxy-2-thio-pseudouridine, 4-methoxy-pseudouridine, 4-thio-1-methyl-pseudouridine, 4-thio-pseudouridine, 5-aza-uridine, dihydropseudouridine, 5-methoxyuridine and 2′-O-methyl uridine, 5-methylcytosine, N1-methyladenosine, N6-
- the chemical modification is in the 5-position of the uracil. In some embodiments, the chemical modification is a N1-methylpseudouridine. In some embodiments, the chemical modification is a N1-ethylpseudouridine.
- an RNA or an mRNA of a polynucleotide (or nucleic acid) of the invention, or of a polynucleotide (or nucleic acid) of a pharmaceutical composition, a vector, or a vaccine, of the invention may comprise one or more of the following modified nucleosides: pseudouridine ( ⁇ ); N1- methylpseudouridine (m1 ⁇ ) 5-methylcytidine (m5C) 5-methyluridine (m5U) N1-methyladenosine (m1A) N6- methyladenosine (m6A) 2-thiouridine (s2U) 5- methoxyuridine (5moU) In some embodiments, 100% of the uracil in the open reading frame have a chemical modification.
- a chemical modification is in the 5-position of the uracil. In some embodiments, a chemical modification is a N1-methyl pseudouridine. In some embodiments, 100% of the uracil in the open reading frame have a N1-methyl pseudouridine in the 5-position of the uracil.
- the polynucleotide may contain from about 1% to about 100% modified nucleotides (or nucleosides) (either in relation to overall nucleotide content, or in relation to one or more types of nucleotide (or nucleoside), i.e., any one or more of A, G, U or C) or any intervening percentage (e.g., from 1% to 20%, from 1% to 25%, from 1% to 50%, from 1% to 60%, from 1% to 70%, from 1% to 80%, from 1% to 90%, from 1% to 95%, from 10% to 20%, from 10% to 25%, from 10% to 50%, from 10% to 60%, from 10% to 70%, from 10% to 80%, from 10% to 90%, from 10% to 95%, from 10% to 100%, from 20% to 25%, from 20% to 50%, from 20% to 60%, from 20% to 70%, from 20% to 80%, from 20% to 90%, from 20% to 95%, from 20% to 100%, from 50% to 60%, from 20% to 70%, from 20% to 80%, from 20% to
- any remaining percentage is accounted for by the presence of unmodified A, G, U, or C.
- at least 50% of the uridines in the ORF have been modified.
- at least 50% of the uridines in the ORF have been modified to m1 ⁇ .
- a polynucleotide (or nucleic acid), or mRNA molecule, of the invention, or of a polynucleotide (or nucleic acid), or mRNA molecule, of a pharmaceutical composition, a vector, or a vaccine, of the invention comprises an RNA molecule in which the nucleic acid sequence of the polynucleotide (or nucleic acid) is the same as that recited in the respective SEQ ID, or the complement thereof, but with each ‘U’ replaced by m1 ⁇ .
- a polynucleotide (or nucleic acid), or mRNA molecule, of the invention, or of a polynucleotide (or nucleic acid), or mRNA molecule, of a pharmaceutical composition, a vector, or a vaccine, of the invention comprises an mRNA molecule in which the nucleic acid sequence of the polynucleotide is the same as that recited in the respective SEQ ID, or the complement thereof, but with each ‘U’ replaced by m1 ⁇ .
- a polynucleotide (or nucleic acid), or mRNA molecule, of the invention, or of a polynucleotide (or nucleic acid), or mRNA molecule, of a pharmaceutical composition, a vector, or a vaccine, of the invention comprises an RNA molecule in which the nucleic acid sequence of the polynucleotide (or nucleic acid) is the same as that recited in the respective SEQ ID, or the complement thereof, but with at least 50% of the ‘U’s replaced by m1 ⁇ . The remaining ‘U’s may all be unmodified, or may comprise unmodified and one or more other modified nucleosides.
- a polynucleotide (or nucleic acid), or mRNA molecule, of the invention, or of a polynucleotide (or nucleic acid), or mRNA molecule, of a pharmaceutical composition, a vector, or a vaccine, of the invention comprises an mRNA molecule in which the nucleic acid sequence of the polynucleotide (or nucleic acid) is the same as that recited in the respective SEQ ID, or the complement thereof, but with at least 50% of the ‘U’s replaced by m1 ⁇ .
- the remaining ‘U’s may all be unmodified, or may comprise unmodified and one or more other modified nucleosides.
- a polynucleotide (or nucleic acid), or mRNA molecule, of the invention, or of a polynucleotide (or nucleic acid), or mRNA molecule, of a pharmaceutical composition, a vector, or a vaccine, of the invention comprises an RNA molecule in which the nucleic acid sequence of the polynucleotide (or nucleic acid) is the same as that recited in the respective SEQ ID, or the complement thereof, but with at least 90% of the ‘U’s replaced by m1 ⁇ .
- the remaining ‘U’s may all be unmodified, or may comprise unmodified and one or more other modified nucleosides.
- a polynucleotide (or nucleic acid) of the invention or mRNA molecule, or of a polynucleotide (or nucleic acid), or mRNA molecule, of a pharmaceutical composition, a vector, or a vaccine, of the invention, comprises an mRNA molecule in which the nucleic acid sequence of the polynucleotide (or nucleic acid) is the same as that recited in the respective SEQ ID, or the complement thereof, but with at least 90% of the ‘U’s replaced by m1 ⁇ .
- the remaining ‘U’s may all be unmodified, or may comprise unmodified and one or more other modified nucleosides.
- mRNA vaccines of the invention may be co-administered with an immunological adjuvant, for example MF59 (Novartis), TriMix, RNActive (CureVac AG), RNAdjuvant (again reviewed in Wang et al., supra).
- an immunological adjuvant for example MF59 (Novartis), TriMix, RNActive (CureVac AG), RNAdjuvant (again reviewed in Wang et al., supra).
- an isolated cell comprising or transfected with a vector of the invention.
- a fusion protein comprising a polypeptide of the invention.
- a pharmaceutical composition comprising an mRNA of the invention, an mRNA vaccine vector of the invention, or an mRNA vaccine of the invention, and a pharmaceutically acceptable carrier, excipient, or diluent.
- an mRNA of the invention an mRNA vaccine vector of the invention, an mRNA vaccine of the invention, or a pharmaceutical composition of the invention, for use as a medicament.
- an mRNA of the invention an mRNA vaccine vector of the invention, an mRNA vaccine of the invention, or a pharmaceutical composition of the invention, for use in the prevention, treatment, or amelioration of a coronavirus infection.
- use of an mRNA of the invention, an mRNA vaccine vector of the invention, an mRNA vaccine of the invention, or a pharmaceutical composition of the invention in the manufacture of a medicament for the prevention, treatment, or amelioration of a coronavirus infection.
- a method of inducing an immune response to a coronavirus in a subject which comprises administering to the subject an effective amount of an mRNA of the invention, an mRNA vaccine vector of the invention, an mRNA vaccine of the invention, or a pharmaceutical composition of the invention.
- a method of immunising a subject against a coronavirus which comprises administering to the subject an effective amount of an mRNA of the invention, an mRNA vaccine vector of the invention, an mRNA vaccine of the invention, or a pharmaceutical composition of the invention.
- a method of the invention comprises administering to the subject an mRNA of the invention, an mRNA vaccine vector of the invention, an mRNA vaccine of the invention, or a pharmaceutical composition of the invention, as part of a prime boost regimen.
- the coronavirus is a beta-coronavirus.
- the beta-coronavirus is a lineage B or C beta-coronavirus.
- the beta-coronavirus is a lineage B beta-coronavirus.
- the lineage B beta-coronavirus is SARS-CoV or SARS-CoV-2.
- the lineage C beta-coronavirus is MERS-CoV.
- the beta-coronavirus is a variant of concern (VOC).
- the beta-coronavirus is a variant of interest (VOI).
- the beta-coronavirus is a SARS-CoV-2 VOC.
- the beta-coronavirus is a SARS-CoV-2 beta, gamma, delta, or omicron VOC.
- the beta-coronavirus is a SARS-CoV-2 omicron VOC.
- the beta-coronavirus is SARS-CoV-2 omicron BA.1.
- the beta-coronavirus is a SARS-CoV-2 omicron BA.2.
- the beta-coronavirus is a SARS-CoV-2 omicron BA.2.12
- the beta-coronavirus is a SARS-CoV-2 omicron BA.4.
- the beta-coronavirus is a SARS-CoV-2 omicron BA.5.
- the beta-coronavirus is a SARS-CoV-2 omicron XBB.
- the beta-coronavirus is a SARS-CoV-2 omicron XBB.1.5.
- the beta-coronavirus is a SARS-CoV-2 omicron BA.2.12.1.
- the beta-coronavirus is a SARS-CoV-2 omicron BA.2.75.2.
- the beta-coronavirus is a SARS-CoV-2 omicron BQ.1.1.
- the beta-coronavirus is a SARS-CoV-2 omicron BA.2.3.20.
- the beta-coronavirus is a SARS-CoV-2 omicron BA.2.75.
- the beta-coronavirus is a SARS-CoV-2 omicron BF.7.
- the beta-coronavirus is a SARS-CoV-2 omicron XBB.1.19.1.
- the beta-coronavirus is a SARS-CoV-2 omicron XBC.
- the beta-coronavirus is a SARS-CoV-2 omicron BQ.1.12.
- the beta-coronavirus is a SARS-CoV-2 omicron CH.1.1.1.
- the beta-coronavirus is a SARS-CoV-2 omicron XBB.1.9.1.
- the subject is a human subject.
- Pharmaceutical compositions comprising an isolated polypeptide of the invention, and a pharmaceutically acceptable carrier, excipient, or diluent.
- a pharmaceutical composition of the invention comprises more than one different isolated polypeptide of the invention.
- a pharmaceutical composition comprising a nucleic acid of the invention, and a pharmaceutically acceptable carrier, excipient, or diluent.
- a pharmaceutical composition of the invention comprises more than one nucleic acid molecule of the invention encoding a different polypeptide of the invention.
- a pharmaceutical composition comprising a mRNA molecule of the invention, and a pharmaceutically acceptable carrier, excipient, or diluent.
- a pharmaceutical composition of the invention comprises more than one mRNA molecule of the invention encoding a different polypeptide of the invention.
- a pharmaceutical composition comprising a vector of the invention, and a pharmaceutically acceptable carrier, excipient, or diluent.
- a pharmaceutical composition of the invention further comprises an adjuvant for enhancing an immune response in a subject to the polypeptide, or to a polypeptide encoded by the nucleic acid, of the composition.
- a pharmaceutical composition of the invention further comprises an adjuvant for enhancing an immune response in a subject to the polypeptides, or to polypeptides encoded by the nucleic acids, of the composition.
- a pseudotyped virus comprising a polypeptide of the invention.
- Methods of treatment and uses there is also provided according to the invention a method of inducing an immune response to a coronavirus in a subject, which comprises administering to the subject an effective amount of a polypeptide of the invention, a nucleic acid of the invention, an mRNA of the invention, a vector of the invention, a pharmaceutical composition, or a vaccine of the invention.
- a method of immunising a subject against a coronavirus which comprises administering to the subject an effective amount of a polypeptide of the invention, a nucleic acid of the invention, an mRNA of the invention, a vector of the invention, a vaccine of the invention, or a pharmaceutical composition of the invention.
- An effective amount is an amount to produce an antigen-specific immune response in a subject.
- a polypeptide of the invention a nucleic acid of the invention, an mRNA of the invention, a vector of the invention, a vaccine of the invention, or a pharmaceutical composition of the invention, for use as a medicament.
- a polypeptide of the invention a nucleic acid of the invention, an mRNA of the invention, a vector of the invention, a vaccine of the invention, or a pharmaceutical composition of the invention, for use in the prevention, treatment, or amelioration of a coronavirus infection.
- the coronavirus is a ⁇ -coronavirus.
- the ⁇ -coronavirus is a lineage B or C ⁇ -coronavirus.
- the ⁇ -coronavirus is a lineage B ⁇ -coronavirus.
- the lineage B ⁇ -coronavirus is SARS-CoV or SARS-CoV-2.
- the lineage C ⁇ -coronavirus is MERS-CoV.
- an immune response is induced against more than one lineage B beta- coronavirus.
- an immune response is induced against SARS-1 and SARS-2 beta-coronavirus.
- an immune response is induced against SARS-1 and MERS beta-coronavirus.
- an immune response is induced against SARS-2 and MERS beta-coronavirus.
- an immune response is induced against SARS-1, SARS-2, and MERS beta- coronavirus.
- the beta-coronavirus is a variant of concern (VOC).
- the beta-coronavirus is a SARS-CoV-2 VOC.
- the beta-coronavirus is a SARS-CoV-2 lineage B1.248 (Brazil P1 lineage) VOC.
- the beta-coronavirus is a SARS-CoV-2 lineage B1.351 (South Africa) VOC.
- the beta-coronavirus is a SARS-CoV-2 beta, gamma, or delta VOC.
- the beta-coronavirus is a SARS-CoV-2 beta VOC.
- the beta-coronavirus is a SARS-CoV-2 gamma VOC.
- the beta-coronavirus is a SARS-CoV-2 delta VOC.
- the beta-coronavirus is a SARS-CoV-2 alpha VOC.
- the beta-coronavirus is a SARS-CoV-2 omicron VOC.
- the beta-coronavirus is SARS-CoV-2 omicron BA.1.
- the beta-coronavirus is a SARS-CoV-2 omicron BA.2.
- the beta-coronavirus is a SARS-CoV-2 omicron BA.2.12.
- the beta- coronavirus is a SARS-CoV-2 omicron BA.4.
- the beta-coronavirus is a SARS-CoV-2 omicron BA.5.
- the beta-coronavirus is a SARS-CoV-2 omicron XBB.
- the beta-coronavirus is a SARS-CoV-2 omicron XBB.1.5.
- the beta-coronavirus is a SARS-CoV-2 omicron BA.2.12.1.
- the beta-coronavirus is a SARS-CoV-2 omicron BA.2.75.2.
- the beta-coronavirus is a SARS-CoV-2 omicron BQ.1.1.
- the beta-coronavirus is a SARS-CoV-2 omicron BA.2.3.20.
- the beta-coronavirus is a SARS-CoV-2 omicron BA.2.75.
- the beta-coronavirus is a SARS-CoV-2 omicron BF.7.
- the beta-coronavirus is a SARS-CoV-2 omicron XBB.1.19.1.
- the beta-coronavirus is a SARS-CoV-2 omicron XBC.
- the beta-coronavirus is a SARS-CoV-2 omicron BQ.1.12.
- the beta-coronavirus is a SARS-CoV-2 omicron CH.1.1.1.
- the beta-coronavirus is a SARS-CoV-2 omicron XBB.1.9.1. It can readily be determined whether an immune response has been induced to a beta- coronavirus using methods well-known to the skilled person.
- a pseudotype neutralisation assay as described in any of the examples below may be used.
- Administration Any suitable route of administration may be used. Methods of administration include, but are not limited to, intradermal, intramuscular, intraperitoneal, parenteral, intravenous, subcutaneous, vaginal, rectal, intranasal, inhalation or oral. Parenteral administration, such as subcutaneous, intravenous or intramuscular administration, is generally achieved by injection.
- Injectables can be prepared in conventional forms, either as liquid solutions or suspensions, solid forms suitable for solution or suspension in liquid prior to injection, or as emulsions. Injection solutions and suspensions can be prepared from sterile powders, granules, and tablets of the kind previously described. Administration can be systemic or local.
- Routes for systemic administration in general include, for example, transdermal, oral, parenteral routes, including subcutaneous, intravenous, intramuscular, intraarterial, intradermal and intraperitoneal injections and/or intranasal administration routes.
- Routes for local administration in general include, for example, topical administration routes but also intradermal, transdermal, subcutaneous, or intramuscular injections or intralesional, intracranial, intrapulmonal, intracardial, and sublingual injections.
- the administration route is often determined by the properties of the nanoparticles and therapeutic indications. After intravenous (i.v.) administration, many lipid nanoparticles can accumulate in the liver.
- lipid nanoparticle–mRNA formulations can be used to produce proteins that are missing in inherited metabolic and haematological disorders, or to produce antibodies to neutralize pathogens or target cancer cells. These applications require protein translation without stimulation of an immune response, which may limit the efficiency of repeated dosing.
- i.v. administration may also lead to accumulation of lipid nanoparticles in multiple lymph nodes throughout the body, which could increase immune responses to mRNA vaccines.
- i.v. administration of mRNA vaccines has been shown to induce stronger antigen-specific cytotoxic T cell responses compared with local injection.
- Topical administration routes have also been explored for mRNA therapeutics. Topical administration aims at achieving local therapeutic effects; for example, local injection of lipid nanoparticle–mRNA formulations enables supplementation of therapeutic proteins in specific tissues, such as heart, eyes and brain. Moreover, lipid nanoparticle–mRNA formulations can be administered into the lungs by inhalation.
- mRNA vaccines can also prime systemic responses; for example, intradermal (i.d.), intramuscular (i.m.) and subcutaneous (s.c.) injection are commonly used for vaccination, because resident and recruited antigen-presenting cells (APCs) are present in the skin and muscle, which can internalize and process mRNA-encoded antigens.
- APCs antigen-presenting cells
- the vascular and lymphatic vessels of these tissues help APCs and mRNA vaccines to centre the draining lymph nodes to stimulate T cell immunity.
- both i.m. and i.d. administration of lipid nanoparticle–mRNA vaccines produce robust immune responses at a well-tolerated dose in human trials.
- Vaccination can also be done by intranasal administration, because APCs in the peripheral lymph nodes can readily endocytose administered lipid nanoparticle–mRNA formulations.
- mRNA vaccines delivered by lipid nanoparticle may comprise cationic lipids and/or ionisable lipids, see review: Lipid Nanoparticles for mRNA Delivery, Nature Reviews Materials, 61078- 1094, 2021.
- lipid nanoparticle–mRNA formulations typically contain other lipid components, such as phospholipids (for example, phosphatidylcholine and phosphatidylethanolamine), cholesterol or polyethylene glycol (PEG)-functionalized lipids (PEG-lipids).
- compositions of the invention may be administered in any suitable manner, such as with pharmaceutically acceptable carriers.
- Pharmaceutically acceptable carriers are determined in part by the particular composition being administered, as well as by the particular method used to administer the composition.
- Preparations for parenteral administration include sterile aqueous or nonaqueous solutions, suspensions, and emulsions.
- non-aqueous solvents are propylene glycol, polyethylene glycol, vegetable oils such as olive oil, and injectable organic esters such as ethyl oleate.
- Aqueous carriers include water, alcoholic/aqueous solutions, emulsions or suspensions, including saline and buffered media.
- Parenteral vehicles include sodium chloride solution, Ringer’s dextrose, dextrose and sodium chloride, lactated Ringer’s, or fixed oils.
- Intravenous vehicles include fluid and nutrient replenishers, electrolyte replenishers (such as those based on Ringer’s dextrose), and the like. Preservatives and other additives may also be present such as, for example, antimicrobials, anti-oxidants, chelating agents, and inert gases and the like.
- compositions may potentially be administered as a pharmaceutically acceptable acid- or base-addition salt, formed by reaction with inorganic acids such as hydrochloric acid, hydrobromic acid, perchloric acid, nitric acid, thiocyanic acid, sulfuric acid, and phosphoric acid, and organic acids such as formic acid, acetic acid, propionic acid, glycolic acid, lactic acid, pyruvic acid, oxalic acid, malonic acid, succinic acid, maleic acid, and fumaric acid, or by reaction with an inorganic base such as sodium hydroxide, ammonium hydroxide, potassium hydroxide, and organic bases such as mono-, di-, trialkyl and aryl amines and substituted ethanolamines.
- inorganic acids such as hydrochloric acid, hydrobromic acid, perchloric acid, nitric acid, thiocyanic acid, sulfuric acid, and phosphoric acid
- organic acids such as formic acid, acetic acid, propionic acid
- Administration can be accomplished by single or multiple doses.
- the dose administered to a subject in the context of the present disclosure should be sufficient to induce a beneficial therapeutic response in a subject over time, or to inhibit or prevent infection.
- the dose required will vary from subject to subject depending on the species, age, weight and general condition of the subject, the severity of the infection being treated, the particular composition being used and its mode of administration. An appropriate dose can be determined by one of ordinary skill in the art using only routine experimentation.
- the present disclosure includes methods comprising administering an mRNA vaccine, or a DNA vaccine to a subject in need thereof. The exact amount required will vary from subject to subject, depending on the species, age, and general condition of the subject, the severity of the disease, the particular composition, its mode of administration, its mode of activity, and the like.
- the mRNA or DNA is typically formulated in dosage unit form for ease of administration and uniformity of dosage. It will be understood, however, that the total daily usage of the mRNA or DNA may be decided by the attending physician within the scope of sound medical judgment.
- the specific therapeutically effective, prophylactically effective, or appropriate imaging dose level for any particular patient will depend upon a variety of factors including the disorder being treated and the severity of the disorder; the activity of the specific compound employed; the specific composition employed; the age, body weight, general health, sex and diet of the patient; the time of administration, route of administration, and rate of excretion of the specific compound employed; the duration of the treatment; drugs used in combination or coincidental with the specific compound employed; and like factors well known in the medical arts.
- the effective amount of the mRNA or DNA, as provided herein, may be as low as 20 pg, administered for example as a single dose or as two 10 pg doses. In some embodiments, the effective amount is a total dose of 20 ⁇ g-300 ⁇ g or 25 ⁇ g-300 ⁇ g.
- the effective amount may be a total dose of 20 ⁇ g, 25 ⁇ g, 30 ⁇ g, 35 ⁇ g, 40 ⁇ g, 45 ⁇ g, 50 ⁇ g, 55 ⁇ g, 60 ⁇ g, 65 ⁇ g, 70 ⁇ g, 75 ⁇ g, 80 ⁇ g, 85 ⁇ g, 90 ⁇ g, 95 ⁇ g, 100 ⁇ g, 110 ⁇ g, 120 ⁇ g, 130 ⁇ g, 140 ⁇ g, 150 ⁇ g, 160 ⁇ g, 170 ⁇ g, 180 ⁇ g, 190 ⁇ g, 200 ⁇ g, 250 ⁇ g, or 300 ⁇ g.
- the effective amount is a total dose of 20 ⁇ g.
- the effective amount is a total dose of 25 pg. In some embodiments, the effective amount is a total dose of 50 ⁇ g. In some embodiments, the effective amount is a total dose of 75 ⁇ g. In some embodiments, the effective amount is a total dose of 100 ⁇ g. In some embodiments, the effective amount is a total dose of 150 ⁇ g. In some embodiments, the effective amount is a total dose of 200 ⁇ g. In some embodiments, the effective amount is a total dose of 250 pg. In some embodiments, the effective amount is a total dose of 300 ⁇ g.
- mRNA or DNA described herein can be formulated into a dosage form described herein, such as an intranasal, intratracheal, or injectable (e.g., intravenous, intraocular, intravitreal, intramuscular, intradermal, intracardiac, intraperitoneal, and subcutaneous).
- an mRNA or DNA vaccine is formulated in an effective amount to produce an antigen specific immune response in a subject.
- the effective amount is a total dose of 25 ⁇ g to 1000 ⁇ g, or 50 ⁇ g to 1000 ⁇ g.
- the effective amount is a total dose of 100 ⁇ g.
- the effective amount is a dose of 25 ⁇ g administered to the subject a total of two times.
- the effective amount is a dose of 100 ⁇ g administered to the subject a total of two times. In some embodiments, the effective amount is a dose of 400 ⁇ g administered to the subject a total of two times. In some embodiments, the effective amount is a dose of 500 ⁇ g administered to the subject a total of two times. Optionally a dosage of between 10 ⁇ g/kg and 400 ⁇ g/kg of the nucleic acid vaccine is administered to the subject.
- the dosage of the mRNA or DNA polynucleotide (or nucleic acid) is 1-5 ⁇ g, 5-10 ⁇ g, 10-15 ⁇ g, 15-20 ⁇ g, 10-25 ⁇ g, 20-25 ⁇ g, 20-50 ⁇ g, 30-50 ⁇ g, 40-50 ⁇ g, 40-60 ⁇ g, 60-80 ⁇ g, 60-100 ⁇ g, 50-100 ⁇ g, 80-120 ⁇ g, 40-120 ⁇ g, 40-150 ⁇ g, 50-150 ⁇ g, 50-200 ⁇ g, 80-200 ⁇ g, 100-200 ⁇ g, 120-250 ⁇ g, 150-250 ⁇ g, 180- 280 ⁇ g, 200-300 ⁇ g, 50-300 ⁇ g, 80-300 ⁇ g, 100-300 ⁇ g, 40-300 ⁇ g, 50-350 ⁇ g, 100-350 ⁇ g, 200-350 ⁇ g, 300-350 ⁇ g, 320-400 ⁇ g, 40-380 ⁇ g
- the nucleic acid vaccine is administered to the subject by intradermal or intramuscular injection. In some embodiments, the nucleic acid vaccine is administered to the subject on day zero. In some embodiments, a second dose of the nucleic acid vaccine is administered to the subject on day twenty one. In some embodiments, the mRNA vaccine is administered to the subject by intradermal or intramuscular injection. In some embodiments, the mRNA vaccine is administered to the subject on day zero. In some embodiments, a second dose of the mRNA vaccine is administered to the subject on day twenty one. In a strategy called “prime-boost”, a first dose of the mRNA vaccine is given as a priming step, followed by a second dose as a booster.
- the prime-boost strategy aims to provide a stronger overall immune response.
- the boost may be administered at least a day, at least a week, or at least two, three, four, five, six, or seven weeks, or at least two, three, four, five, or six months after the primer.
- the boost may be administered at least three weeks after the primer.
- Pharmaceutically acceptable carriers include, but are not limited to, saline, buffered saline, dextrose, water, glycerol, ethanol, and combinations thereof.
- the carrier and composition can be sterile, and the formulation suits the mode of administration.
- the composition can also contain minor amounts of wetting or emulsifying agents, or pH buffering agents.
- the composition can be a liquid solution, suspension, emulsion, tablet, pill, capsule, sustained release formulation, or powder.
- the composition can be formulated as a suppository, with traditional binders and carriers such as triglycerides.
- Oral formulations can include standard carriers such as pharmaceutical grades of mannitol, lactose, starch, magnesium stearate, sodium saccharine, cellulose, and magnesium carbonate. Any of the common pharmaceutical carriers, such as sterile saline solution or sesame oil, can be used.
- the medium can also contain conventional pharmaceutical adjunct materials such as, for example, pharmaceutically acceptable salts to adjust the osmotic pressure, buffers, preservatives and the like.
- compositions comprise a pharmaceutically acceptable carrier and/or an adjuvant.
- the adjuvant can be alum, Freund’s complete adjuvant, a biological adjuvant or immunostimulatory oligonucleotides (such as CpG oligonucleotides).
- the pharmaceutically acceptable carriers (vehicles) useful in this disclosure are conventional. Remington’s Pharmaceutical Sciences, by E. W. Martin, Mack Publishing Co., Easton, PA , 15th Edition (1975), describes compositions and formulations suitable for pharmaceutical delivery of one or more therapeutic compositions, and additional pharmaceutical agents.
- parenteral formulations usually comprise injectable fluids that include pharmaceutically and physiologically acceptable fluids such as water, physiological saline, balanced salt solutions, aqueous dextrose, glycerol or the like as a vehicle.
- pharmaceutically and physiologically acceptable fluids such as water, physiological saline, balanced salt solutions, aqueous dextrose, glycerol or the like as a vehicle.
- physiologically acceptable fluids such as water, physiological saline, balanced salt solutions, aqueous dextrose, glycerol or the like
- solid compositions for example, powder, pill, tablet, or capsule forms
- conventional non-toxic solid carriers can include, for example, pharmaceutical grades of mannitol, lactose, starch, or magnesium stearate.
- compositions to be administered can contain minor amounts of non-toxic auxiliary substances, such as wetting or emulsifying agents, preservatives, and pH buffering agents and the like, for example sodium acetate or sorbitan monolaurate.
- auxiliary substances such as wetting or emulsifying agents, preservatives, and pH buffering agents and the like, for example sodium acetate or sorbitan monolaurate.
- a polypeptide, nucleic acid, composition, or an mRNA vaccine of the invention is administered intramuscularly.
- a polypeptide, nucleic acid, composition, or an mRNA vaccine of the invention is administered by inhalation.
- a polypeptide, nucleic acid, composition, or an mRNA vaccine of the invention is administered intramuscularly, intradermally, subcutaneously by needle or by gene gun, or electroporation.
- Sequence identity The similarity between amino acid or nucleic acid sequences is expressed in terms of the similarity between the sequences, otherwise referred to as sequence identity. Sequence identity is frequently measured in terms of percentage identity (or similarity or homology); the higher the percentage, the more similar the two sequences are. Homologs or variants of a given gene or protein will possess a relatively high degree of sequence identity when aligned using standard methods. Methods of alignment of sequences for comparison are well known in the art. Various programs and alignment algorithms are described in: Smith and Waterman, Adv. Appl. Math.2:482, 1981; Needleman and Wunsch, J. Mol. Biol.48:443, 1970; Pearson and Lipman, Proc. Natl. Acad. Sci.
- Biol.215:403-410, 1990 is available from several sources, including the National Center for Biotechnology Information (NCBI, Bethesda, MD) and on the Internet, for use in connection with the sequence analysis programs blastp, blastn, blastx, tblastn and tblastx.
- Sequence identity between nucleic acid sequences, or between amino acid sequences can be determined by comparing an alignment of the sequences. When an equivalent position in the compared sequences is occupied by the same nucleotide, or amino acid, then the molecules are identical at that position. Scoring an alignment as a percentage of identity is a function of the number of identical nucleotides or amino acids at positions shared by the compared sequences.
- optimal alignments may require gaps to be introduced into one or more of the sequences to take into consideration possible insertions and deletions in the sequences.
- Sequence comparison methods may employ gap penalties so that, for the same number of identical molecules in sequences being compared, a sequence alignment with as few gaps as possible, reflecting higher relatedness between the two compared sequences, will achieve a higher score than one with many gaps. Calculation of maximum percent identity involves the production of an optimal alignment, taking into consideration gap penalties. Suitable computer programs for carrying out sequence comparisons are widely available in the commercial and public sector.
- Examples include MatGat (Campanella et al., 2003, BMC Bioinformatics 4: 29; program available from http://bitincka.com/ledion/matgat), Gap (Needleman & Wunsch, 1970, J. Mol. Biol.48: 443-453), FASTA (Altschul et al., 1990, J. Mol.
- sequence comparisons may be undertaken using the “needle” method of the EMBOSS Pairwise Alignment Algorithms, which determines an optimum alignment (including gaps) of two sequences when considered over their entire length and provides a percentage identity score.
- Default parameters for amino acid sequence comparisons (“Protein Molecule” option) may be Gap Extend penalty: 0.5, Gap Open penalty: 10.0, Matrix: Blosum 62. The sequence comparison may be performed over the full length of the reference sequence.
- Conservative Amino Acid Substitutions A polypeptide encoded by a mRNA of the invention may include one or more conservative amino acid substitutions.
- Conservative amino acid substitutions are those substitutions that, when made, least interfere with the properties of the original polypeptide, that is, the structure and especially the function of the protein is conserved and not significantly changed by such substitutions. Examples of conservative substitutions are shown below: Original Residue Conservative Substitutions Ala Ser Arg Lys Asn Gln, His Asp Glu Cys Ser Gln Asn Glu Asp His Asn; Gln Ile Leu, Val Leu Ile; Val Lys Arg; Gln; Met Leu; Ile Phe Met; Leu; Tyr Ser Thr Thr Ser Trp Tyr Tyr Trp; Phe Val Ile; Leu Conservative substitutions generally maintain (a) the structure of the polypeptide backbone in the area of the substitution, for example, as a sheet or helical conformation, (b) the charge or hydrophobicity of the molecule at the target site, or (c) the bulk of the side chain.
- substitutions which in general are expected to produce the greatest changes in protein properties will be non-conservative, for instance changes in which (a) a hydrophilic residue, for example, serine or threonine, is substituted for (or by) a hydrophobic residue, for example, leucine, isoleucine, phenylalanine, valine or alanine; (b) a cysteine or proline is substituted for (or by) any other residue; (c) a residue having an electropositive side chain, for example, lysine, arginine, or histidine, is substituted for (or by) an electronegative residue, for example, glutamate or aspartate; or (d) a residue having a bulky side chain, for example, phenylalanine, is substituted for (or by) one not having a side chain, for example, glycine.
- a hydrophilic residue for example, serine or threonine
- a hydrophobic residue for example, leucine,
- Broadly neutralising Immune Response is used herein to mean an immune response elicited in a subject that is sufficient to inhibit (i.e. reduce), neutralise or prevent infection, and/or progress of infection, of a virus within the coronavirus family.
- a broadly neutralising immune response is sufficient to inhibit, neutralise or prevent infection, and/or progress of infection, of more than one type of ⁇ -coronavirus (for example, SARS-CoV, and SARS-CoV-2).
- a broadly neutralising immune response is sufficient to inhibit, neutralise or prevent infection, and/or progress of infection, of more than one type of ⁇ - coronavirus within the same ⁇ -coronavirus lineage (for example, more than one type of ⁇ - coronavirus within the subgenus Sarbecovirus, such as SARS-CoV, SARS-CoV-2, and Bat SL-CoV-WIV1).
- a broadly neutralising immune response is sufficient to inhibit, neutralise or prevent infection, and/or progress of infection, of coronaviruses of different ⁇ - coronavirus lineages, such as lineage B (for example, SARS-CoV, and SARS-CoV-2) and lineage C (for example, MERS-CoV).
- a broadly neutralising immune response is sufficient to inhibit, neutralise or prevent infection, and/or progress of infection, of most or all different ⁇ -coronaviruses.
- a broadly neutralising immune response is sufficient to inhibit, neutralise or prevent infection, and/or progress of infection, of most or all different viruses of the coronavirus family.
- a broadly neutralising immune response is sufficient to inhibit, neutralise or prevent infection, and/or progress of infection, of most or all variants of concern (VOCs) of SARS-CoV-2, including Beta, Gamma, Delta, Omicron (BA.1).
- a broadly neutralising immune response is sufficient to inhibit, neutralise or prevent infection, and/or progress of infection, of SARS-CoV, WIV16, RaTG13, SARS-CoV-2, SARS- CoV-2 Beta, SARS-CoV-2 Gamma, SARS-CoV-2 Delta, SARS-CoV-2 Omicron (BA.1, BA.2, BA.2.12.1, BA.4, BA.5, XBB 1.5).
- a broadly neutralising immune response is sufficient to inhibit, neutralise or prevent infection, and/or progress of infection, of SARS-CoV- 2 Omicron BA.2.75, BA.2.75.2, BA.2.3.20, BQ.1.1, BA.2.12, BA.4/5, and XBB.
- a broadly neutralising immune response is sufficient to inhibit, neutralise or prevent infection, and/or progress of infection, of SARS-CoV-2 Omicron BA.2.75, and BA.2.3.20.
- the immune response may be a humoral and/or a cellular immune response.
- a cellular immune response is a response of a cell of the immune system, such as a B-cell, T-cell, macrophage or polymorphonucleocyte, to a stimulus such as an antigen or vaccine.
- An immune response can include any cell of the body involved in a host defence response, including for example, an epithelial cell that secretes an interferon or a cytokine.
- An immune response includes, but is not limited to, an innate immune response or inflammation.
- a polypeptide encoded by an mRNA of the invention induces a protective immune response.
- a protective immune response refers to an immune response that protects a subject from infection or disease (i.e. prevents infection or prevents the development of disease associated with infection). Methods of measuring immune responses are well known in the art and include, for example, measuring proliferation and/or activity of lymphocytes (such as B or T cells), secretion of cytokines or chemokines, inflammation, or antibody production.
- lymphocytes such as B or T cells
- secretion of cytokines or chemokines secretion of cytokines or chemokines, inflammation, or antibody production.
- a polypeptide of the invention induces a protective immune response.
- a protective immune response refers to an immune response that protects a subject from infection or disease (i.e. prevents infection or prevents the development of disease associated with infection).
- Methods of measuring immune responses include, for example, measuring proliferation and/or activity of lymphocytes (such as B or T cells), secretion of cytokines or chemokines, inflammation, or antibody production.
- a polypeptide of the invention is able to induce the production of antibodies and/or a T-cell response in a human or non-human animal to which the polypeptide has been administered (either as a polypeptide or, for example, expressed from an administered nucleic acid expression vector).
- a polypeptide of the invention is a glycosylated polypeptide.
- a polypeptide encoded by an mRNA of the invention is able to induce the production of antibodies and/or a T-cell response in a human or non-human animal to which the mRNA has been administered (for example, expressed from an administered mRNA vaccine).
- Figure 1 shows SARS S-protein architecture. The N-terminal sequence is responsible for relaying extracellular signals intracellularly.
- Y W152R, F157L, I210V, G257S, D339H, G446S, N460K, Q493 (reversion)
- Z XBB and sub-lineages, excluding XBB.1.5-like lineages.
- A Monitoring an umbrella of SARS-CoV-2 lineages that have similar Spike protein profiles and characterised by a specific set of mutations (S:Q183E, S:F486P and S:F490S).
- FIG. 3 shows alignment of the amino acid sequence of CoV_S_T2_35, CoV_S_T2_36, and Omicron_vaccine with reference sequences SEQ ID NOs:4-29.
- Figure 3a shows alignment of CoV_S_T2_35 at positions wherein the designed sequence comprises novel amino acid residues, as compared with DeltaC.
- Figure 3b shows alignment of CoV_S_T2_36 at positions wherein the residue comprises novel amino acid residues, as compared with BA.1C;
- Figure 4 shows surface representation of the extra-virion region of the spike protein of SARS- CoV-2.
- the three subunits are coloured in pale yellow (middle subunit), pale blue (left-hand subunit), and grey (right-hand subunit).
- the mutations reported in different variants are coloured as red (shown as shaded dots in the representations of the variants).
- FIG. 5 shows immunisation and bleed schedule (A), with neutralisation data for each bleed (B), and neutralisation data for guinea pigs primed with WTdER, and T2_29, T2_29+Q, and T2_29+Q+dER designed DNA sequences (C), and boosted with T2_29+Q+dER designed MVA sequence (D).
- the boxplots are colour coded according to primer vaccine, and are in the following order from left-right for each challenge PV: WTdER, and T2_29, T2_29+Q, and T2_29+Q+dER;
- Figure 6 shows neutralisation data for mice primed (B) and boosted (C) with WTdER, Ancestral, and T2_35 and T2_36 mRNA designed sequence.
- the boxplots are colour coded according to vaccine used, and are in the following order from left-right for each challenge PV: PBS, T2_35, T2_36, BA.1, Ancestral;
- Figure 7 shows terminal bleed neutralisation data in mice against coronavirus challenge.
- the boxplots are colour coded according to mRNA vaccine used, and are in the following order from left-right for each challenge PV: PBS, T2_35, T2_36, BA.1, Ancestral;
- Figure 8 shows a distance based phylogenetic tree for wild type coronavirus viruses and designed sequences, generated using observed distance;
- Figure 9 shows VOC RBD binding antibody levels of guinea pigs at bleed 4 of the schedule of Figure 5a, shown by ELISA;
- Figure 10 shows neutralisation titre of guinea pigs immunised with DNA T2_29 vaccine groups.
- FIG. 11 shows neutralisation data for guinea pigs immunised with designed T2_29 DNA constructs and then boosted with MVA T2_29+Q+dER;
- Figure 12 shows neutralisation data for mice immunised with T2_35 and T2_36 mRNA vaccines, showing statistical comparisons between COV-S-T2_36 vs BA.1;
- Figure 13 shows neutralisation data for mice immunised with T2_35 and T2_36 mRNA vaccines, showing statistical comparisons, all vaccine groups IC50 neutralisation values;
- Figure 14 shows neutralisation data for mice immunised with T2_35 and T2_36 mRNA vaccines, showing statistical comparisons, all vaccine groups IC50 neutralisation values;
- Figure 15 shows neutralisation data for mice immunised with T2_35 and T2_36 mRNA vaccines, and Wuhan and BA.1
- Figure 17 shows an amino acid sequence alignment of designed S proteins CoV_S_T2_35(deom) (SEQ ID NO:1) and CoV_S_T2_36 (omide) (SEQ ID NO:2) with previously designed S protein sequence, RBD sequence, and reference sequences, with DeltaC as the alignment reference sequence
- Figure 18 shows an amino acid sequence alignment of designed S proteins CoV_S_T2_35(deom) (SEQ ID NO:1) and CoV_S_T2_36 (omide) (SEQ ID NO:2) with previously designed S protein sequence, RBD sequence, and reference sequences, with BA.1 as the alignment reference sequence
- Figure 19 shows in-silico design of the vaccine antigens T2_32 (also called CoV_T2_29+Q+dER), T2_35, and T2_36.
- the x-axis represents the pseudoviruses tested for neutralisation, and the y-axis represents the log10(IC50) values.
- the boxplots are colour coded according to vaccines and are in the following order from left-right for each PV tested: WTdER, T2_32.
- the x-axis represents the pseudoviruses tested for neutralisation, and the y-axis represents the log10(IC50) values.
- the boxplots are colour coded according to vaccines and are in the following order from left- right for each PV tested: WTdER, T2_32.
- the boxplots are colour coded according to vaccines, and are in the following order from left to right for each PV tested: vehicle, T2_35, T2_36, BA.1, Wuhan . Mann-Whitney U test is used as statistical significance test in all the plots (p-value: * ⁇ 0.05, ** ⁇ 0.01, *** ⁇ 3020.001). The distributions that are not statistically significant are not labelled in the plot.
- Figure 22 shows an immunogenicity study of CoV_S_T2_35 (Deom; SEQ ID NO:1) in mice. Mice were immunised twice with mRNA at weeks 0 and 3, and bled at 3 week intervals beginning from day 0. Data shown uses sera from terminal bleed (6 weeks after boost).
- the x-axis represents the pseudoviruses tested for neutralisation, and the y-axis represents the log 10 (IC50) values;
- Figure 23 shows immunogenicity study of optimised coronavirus ‘SuperSpike’ mRNA constructs COV_S_T2_35 (Deom; SEQ ID NO:1), COV_S_T3_1 (Deom_v2; SEQ ID NO:31) and COV_S_T3_2 (Deom_v3; SEQ ID NO:32) in mice.
- Mice were immunised with two doses of 10 ⁇ g mRNA in 100 ⁇ l vehicle, with a 3-week interval between doses. Mice were bled at 3 weeks after first dose and 6 weeks after first dose.
- Terminal bleed was 9 weeks after first dose.
- Sera was challenged by SARS-CoV-2 lentiviral pseudoviruses expressing VOC spike protein.
- the x-axis represents the pseudoviruses tested for neutralisation, and the y-axis represents the log10(IC50) values.
- FIG. 3 shows the alignment of the sequences at positions wherein CoV_S_T2_35 comprises novel residues
- Figure 3b shows the same for CoV_S_T2_36
- Figures 17 and 18 show alignments of the sequences across the entire S protein sequence. Table 3 below summarises novel amino acid residue changes in coronavirus S protein amino acid sequence for the embodiment of the invention known as CoV_S_T2_35 (SEQ ID NO:1).
- CoV_S_T2_35 comprises RRAR680-684GSAS, and KV984-985PP mutation, to stabilise the vaccine design.
- the designed sequence also comprises a C-terminal truncation, wherein 19 amino acid residues comprising the ER signal sequence have been deleted at residue positions 1253-1271 of DeltaC. This truncation improves surface expression of the antigen.
- CoV_S_T2_36 SEQ ID NO: 2.
- the amino acid residues at residue positions 679, 680, 682, 983, and 984, of CoV_S_T2_36, corresponding to residue positions 679, 680, 682, 983, and 984, of Omicron BA.1 (SEQ ID NO:9), are novel.
- CoV_S_T2_36 comprises RRAR679-682GSAS, and KV983- 984PP mutation, to stabilise the vaccine design.
- the designed sequence also comprises a C- terminal truncation, wherein 19 amino acid residues comprising the ER signal sequence have been deleted at residue positions 1252-1270 of Omicron BA.1C. This truncation improves surface expression of the antigen.
- Omicron_vaccine comprises Omicron BA.1 wild-type sequence with KV983-984PP mutation, to stabilise the vaccine design.
- the designed sequence also comprises a C-terminal truncation, wherein 19 amino acid residues comprising the ER signal sequence have been deleted at residue positions 1252-1270 of Omicron BA.1C.
- the designed sequence is used as a head-to-head comparison against CoV_S_T2_35 and CoV_S_T2_36 vaccine designs.
- Example 3 Digitally Immune Optimised Spike vaccine induces broad neutralising responses against SARS-CoV-2 Variants of Concern Summary
- Successive waves of SARS-CoV-2 variants of concern have increased ability to escape existing immunity in vaccinated and infected populations.
- Current licensed SARS-CoV-2 vaccines have a reduced ability to elicit or boost neutralising antibodies against the most recent variants.
- New vaccine strategies are needed that can induce broad protective immunity across the VOCs.
- the evolution of SARS-CoV-2 variants can be re-capitulated from the detailed global surveillance efforts, and epidemiological sequence data on the VOCs. Using this data, we undertook a structure-based approach to computationally generate artificial Spike genes designed to induce neutralising antibody responses across a spectrum of VOCs.
- the first study was a VOC mutation informed spike termed T2_29, with multiple versions, such as a Q498R mutant, a mutation later to be acquired by the Omicron lineage VOCs and a C- terminal truncated and Q498R mutant.
- T2_29 VOC mutation informed spike
- multiple versions such as a Q498R mutant
- a mutation later to be acquired by the Omicron lineage VOCs and a C- terminal truncated and Q498R mutant.
- Three DNA immunisations in Guinea pigs between the C-terminal truncated ancestral spike and T2_29 Spike with or without the C-terminal truncation and Q498R mutation revealed superior immune response across the VOCs by T2_29 and modified T2_29 constructs in comparison to the C-terminal truncated ancestral construct.
- SARS-CoV-2 has acquired many spike mutations with different degree of effects on its interaction with the host, and its ability to escape pre-existing human immune responses acquired by vaccination and or infection .
- the virus has transmitted to other mammals such as mink, cat, dogs, and certain species of deer .
- Cross-species infections of SARS-CoV- 2 in which species-specific variants occur, provide an additional dimension to rate of evolution, their fitness, and immune escape features that may enable future SARS-CoV-2 variant epidemics.
- VOCs variants of concern
- Adapting the vaccine to a specific lineage can be beneficial to provide protection against a new emerging variant from the vaccine matched lineage but it may not provide desirable protection against emerging antigenically different lineages of SARS-CoV-2 or re-emergence of already reported antigenically distinct lineages of SARS-CoV-2.
- next generation single Spike-based vaccine antigens that express diverse epitopes covering majority of the known VOCs.
- T2_29, T2_35, and T2_36 demonstrated considerable neutralising breadth against SARS-CoV-2 pseudotypes expressing the ancestral Wuhan spike, Delta lineage as well as against the Omicron BA.1, BA.2, and BA.4/5 variants.
- Plasmids were transformed via heat-shock in chemically induced competent E. coli DH5 ⁇ cells (Invitrogen 18265-017). Plasmid DNA was extracted from transformed bacterial cultures via the Plasmid Mini Kit (Qiagen 12125). All plasmids were subsequently quantified using UV spectrophotometry (NanoDropTM -Thermo Scientific). Vaccination Experiments in Guinea pigs Four groups of four seven-week-old female Hartley guinea pigs were purchased from Envigo (Maastricht, Netherlands).
- Guinea pigs were immunised at two-week intervals with 200 ⁇ g DNA vaccines bearing the antigen gene in the pURVac vector, administered by intradermal route using the Pharmajet ⁇ device in a total volume of 200 ⁇ l over the hind legs. Animals were given three doses of DNA by the same route and then boosted with MVA by intramuscular route at a dose of 1e7 PFU/dose seven weeks after the first three doses. Bleeds were taken through the saphenous vein at two weeks intervals.
- Vaccination Experiments in Mice Five groups of six female 8–10-week-old BALB/c mice were purchased from Charles River Laboratories (Kent, United Kingdom). Mice were immunised twice at intervals of 3 weeks.
- the vaccine antigens - T2_35 and T2_36, modified Ancestral and modified Omicron BA.1 were delivered by mRNA in lipid nanoparticle formulation.
- a total volume of 100 ⁇ l of PBS containing 10 ⁇ g of lipid encapsulated mRNA was administered intramuscularly over the two hind legs.
- the na ⁇ ve mice group were administered 100 ⁇ l of PBS. Bleeds were taken at 3-weekly intervals.
- Production of lentiviral pseudotypes Lentiviral pseudotypes were produced by transient transfection of HEK293T/17 cells with packaging plasmids p8.91 and pCSFLW and different spike expression plasmids bearing the using the Fugene-HD transfection reagent .
- the first-generation Spike vaccine antigen – T2_29 ( Figure 4) was generated using available data on Alpha, Beta, and Gamma variants.
- the T2_29 modified Spike was further modified to three other antigens viz. T2_29+Q, and T2_29+Q+dER.
- the mutation Q498R was observed to be prominent in the circulating SARS-CoV-2 variants of interest prior to April 2021 and was included on the backbone of T2_29 to give T2_29+Q design as a pre-emptive antigen design for future variants. It is interesting to note that the Q498R mutation was later acquired by the Omicron variants in late 2021.
- T2_29+Q A C-terminal deletion version of the T2_29+Q was also generated for comparison. Deletion of 19 amino acid from C-terminal was reported to express the spike protein on the surface of cell better in comparison to full-length and hence higher antigen presentation. We also deleted this C-terminal region from the WT ancestral antigen as a control, henceforth referred as WTdER. All these vaccine antigens have the stabilising double Proline mutations, as reported in majority of the current vaccines. As our first-generation antigen - T2_29 - was designed before the global outbreak of Delta and Omicron, we further generated our second-generation spike antigens – T2_35 and T2_36 ( Figure 4) to include these VOCs.
- the neutralising antibodies peaked at bleed 4 following three immunisation and bleed 6 following MVA boost (Figure 5B).
- the neutralising titre against all the VOCs and the ancestral sequence were measured for these bleeds ( Figure 5C and 5D).
- the first-generation spike vaccine antigen – T2_29 and its modifications viz. T2_29+Q, T2_29+Q+dER were able to induce broad neutralising response against all the VOCs tested.
- the T2_29 based antigens generated at least two-fold better neutralising response against Alpha, Beta, Gamma, and Omicron in comparison to WTdER ( Figure 5C) after three doses of DNA vaccine.
- T2_29 doesn’t include many of the mutations reported in Delta and Omicron variants, as these were designed prior to the outbreak of Delta and Omicron. Despite of lacking many of the important mutations reported in Delta and Omicron neutralising, T2_29 induced high titres against Omicron and titres comparable to wild type for Delta. We further boosted all the groups of guinea pigs with MVA expressing T2_29+Q+dER. We chose this specific construct, as this was antigenically closer to the omicron BA.1. On boosting with MVA, the neutralisation titre of all the vaccine antigens significantly increased (Figure 5D).
- T2_35 and T2_36 generated a robust neutralising titre against all the VOCs, a difference in titre was observed.
- immunisation with T2_35 resulted in a large neutralising titre when challenged with Omicron variants, comparable to immunisation with BA.1 vaccine (Omicron_vaccine), however resulted in a much higher titre against other VOCs than BA.1 vaccine.
- T2_36 generated a slightly lower neutralising titre against Omicron variants compared to BA.1 vaccine, it resulted in a higher neutralising titre against other VOCs when compared with BA.1 vaccine.
- T2_36 showed higher neutralisation against the WIV16 and RaTG13 in comparison to T2_35, due to this closer similarity to Ancestral sequence.
- T2_29 generated a superior neutralising response to all the tested VOCs except Delta, where it was comparable to the Ancestral Wuhan-Hu-1 antigen.
- T2_29 elicitation of comparable and superior immune response to Delta and Omicron BA.1 by T2_29 is encouraging and validate our rationale that the novel spike antigens that include mutation information across the VOCs would be better vaccine antigens against emerging variants in comparison to a natural variant sequence.
- Figure 6 shows terminal bleed neutralisation data in mice against ancestral, Omicron, and Delta coronavirus challenge.
- Figure 6A shows bleed schedule of the mice.
- Figure 6B shows the distribution of the neutralisation titre of bleed 2 against Ancestral and VOCs – BA.1, BA.2, BA.4/5, and Delta.
- the x-axis represents the pseudoviruses test for neutralisation, and the y-axis represents the log10(IC50) values.
- the boxplots are colour coded according to vaccines.
- Figure 6C shows Distribution of the neutralisation titre of terminal bleed against Ancestral and VOCs – BA.1, BA.2, BA.4/5, and Delta.
- the x-axis represents the pseudoviruses test for neutralisation, and the y-axis represents the log10(IC50) values.
- the boxplots are colour coded according to vaccines. Mann-Whitney U test is used as statistical significance test in all the plots (p-value: * ⁇ 0.05, ** ⁇ 0.01, *** ⁇ 0.001). The distribution that are not statistically significant are not labelled in the plot.
- Figure 7 shows terminal bleed neutralisation data in mice against coronavirus challenge.
- Figure 7A shows the distribution of the neutralisation titre of terminal bleed against Ancestral and VOCs – Alpha, Beta, and Gamma.
- the x-axis represents the pseudoviruses test for neutralisation, and the y-axis represents the log10(IC50) values.
- the boxplots are colour coded according to vaccines.
- Figure 7B shows the distribution of the neutralisation titre of terminal bleed against SARS-1, WIV16, RaTG13, and Ancestral.
- the x-axis represents the pseudoviruses test for neutralisation, and the y-axis represents the log10(IC50) values.
- the boxplots are colour coded according to vaccines. Mann-Whitney U test is used as statistical significance test in all the plots (p-value: * ⁇ 0.05, ** ⁇ 0.01, *** ⁇ 0.001). The distribution that are not statistically significant are not labelled in the plot.
- Example 4 Supplementary Information Background: Current COVID-19 Vaccines are based on wild-type Spike SARS-CoV-2, from the original Wuhan sequence or the Omicron BA.1 Spike variant. Problem: As new variants continue to emerge, the use of “historical” Spike antigens from past waves of SARS-CoV-2 variants will have reduced benefit on prevention of the emergence of new variants. Thus repeated boosting of immune responses from past immunisations or infections (“Original Antigenic Sin”) may have a diminishing effect on facilitating de novo responses to new epitopes to prevent the emergence of new variants.
- Objective 1 To determine if a single engineered SARS-CoV-2 Spike design expressing diverse epitopes is capable of inducing neutralization across the SARS-CoV-2 Variants of Concern (VOCs), and to increase the breadth of protective immunity that can be achieved by novel immunogens to protect against future SARS-CoV-2 variants.
- Objective 2 To demonstrate that these effects can be mediated by different vaccine vector delivery systems (i.e. DNA, mRNA or MVA).
- the RBD of the T2_29 construct is identical to that of beta and almost identical to gamma with K417N instead of gamma’s K417T.
- T2_29 shares three AA mutations with omicron and T2_29+Q(+/- ⁇ ER ) additionally includes omicron’s Q498R, making them the genetically closest constructs to omicron in this study.
- the delta variant on the other hand, carries two RBD mutations not found in the other VOC’s (except T478K in BA.2) nor in any of the Super- spike designs. The delta RBD is therefore the most antigenically distant from the Super- spike constructs, especially those including Q498R.
- Figure 10 shows the distribution of the neutralisation titre of guinea pig serum (at bleed 4) against Ancestral and VOCs, after DNA immunisation using WT vaccine (WTdER) and T2_29 vaccine groups (2a, 2b, 2c; data combined).
- WTdER WT vaccine
- T2_29 vaccine groups (2a, 2b, 2c; data combined).
- the x-axis represents the pseudoviruses test for neutralisation
- the y-axis represents the IC50 values.
- the WT vaccine appears on the left for each coronavirus pseudovirus
- the combined T2_29 vaccine appears on the right for each coronavirus pseudotype.
- the T2_29 groups reveal a strong increase in neutralisation against beta, gamma, and omicron over the WT ⁇ ER immunised group.
- the T2_29 group ’s nAb levels against the WT and delta variant PVs are still similar to those of the WT ⁇ ER group.
- Study 1b Neutralising antibody titres in MVA boosted DNA immunised Guinea pigs with MVA T2_29+Q+dER.
- Study design Group 1.
- DNA delivered WT spike+dER, all boosted with MVA T2_29+Q+dER Group 2 DNA delivered group 2a, 2b, 2c, all boosted with MVA T2_29+Q+dER
- Figure 11G shows an overview of 3x DNA and MVA boost immunisation and bleed schedule for Groups 1 and 2.
- Guinea pigs were immunised with plasmid DNA (Guinea pig icons with PharmaJet device shown in green) on days 0, 14, and 70.
- the fourth immunisation with MVA (Guinea pig with syringe) followed on day 113.
- Bleeds blood drop icons) were taken before the start of the immunisations, 2 and 4 weeks after each immunisation, and at the point of sacrifice (Terminal bleed).
- Figure 11A-F shows neutralisation data at bleed 6 for guinea pigs immunised with WT or designed DNA constructs and then boosted with MVA T2_29+Q+dER.
- the Figure shows neutralisation data for each vaccine construct when challenged with a panel of VOCs.
- the x- axis represents the pseudoviruses test for neutralisation, and the y-axis represents the IC50 values.
- Figure 5 shows a summary of the data for this example; spike vaccine antigen T2_29 delivered by DNA and MVA in Guinea pigs:
- Figure 5A Bleed schedule of the Guinea pigs.
- Figure 5B Distribution of the neutralisation titre of the Guinea pigs against Ancestral virus pseudotype on immunisation with WTdER. The x-axis represents the bleed number, and the y-axis represents the log10(IC50) values.
- Figure 5C Distribution of the neutralisation titre of bleed 4 against Ancestral and VOCs – Beta, Gamma, Delta, and BA.1.
- the x-axis represents the pseudoviruses test for neutralisation, and the y-axis represents the log10(IC50) values.
- the boxplots are colour coded according to vaccines, and appear in the following order from left to right for each challenge variant: WT dER, T2_29, T2_29+Q, and T2_29+Q+dER.
- Figure 5D Distribution of the neutralisation titre of bleed 6 against Ancestral and VOCs – Beta, Gamma, Delta, and BA.1.
- the x-axis represents the pseudoviruses test for neutralisation, and the y-axis represents the log10(IC50) values.
- the boxplots are colour coded according to vaccines, and the vaccines appear in the same order as for Figure 5C.
- SARS-CoV-2 pseudotype neutralisation assays were performed against the original Wuhan, Delta and the Omicron BA.1, BA.2, BA.2.12.1 and BA.4/BA.5 variants ( Figures 12 – 14).
- sera from mice immunised with BA.1 neutralised BA.1, BA.2 and BA.2.12 well but showed reduced neutralisation against Wuhan, Delta as well as BA.4/BA.5 pseudoviruses.
- Example 5 Broadly neutralising immune response induced by T2_35 against SARS-CoV-2 variants of concern including Omicron sub variants SARS-CoV-2 and SARS-like pseudoviruses were used as challenge viruses against sera from mice immunized with T2_35, T2_36, Wuhan Spike, and BA.1 Spike ( Figure 15). Findings Vaccine candidate antigen T2_35 generates expanded breadth of coverage against SARS- CoV-2 variants of concern including Omicron sub variants. T2_35 outperforms T2_36 in neutralisation across Omicron variants and subvariants ( Figure 15).
- CoV_S_T2_35 Scaffold Sequence SEQ ID NO:30 below shows a scaffold S protein sequence in which the amino acid sequence of the constant regions of the scaffold is provided, with each variable amino acid residue (i.e.
- Figure 16 shows an amino acid sequence alignment of CoV_S_T2_35(deom) (SEQ ID NO:1) with COV_S_T3_1(Deom_v2) (SEQ ID NO:31), and COV_S_T3_2(Deom_v3) (SEQ ID NO:32). Differences between the sequences are shown as the boxed residues.
- T2_32 also called T2_29+Q+dER
- T2_35 and T2_36 post-Delta sequence data
- T2_35 and T2_36 elicited superior broad neutralising capacity in mice in comparison to Omicron BA.1 sequence when delivered by mRNA.
- T2_32 also called T2_29+Q_dER
- T2_35 and T2_36 two post-Delta
- the T2_32 antigen was compared with the Wu-Hu-1 based Spike antigen in guinea pigs and T2_35 and T2_36 was compared against the Omicron BA.1 Spike antigen in mice.
- All the three digitally immune optimised synthetic vaccine (DIOSynVax) Spike vaccine antigens demonstrated broader neutralisation profiles in comparison to wild-type antigens.
- NTD N-terminal domain
- RBD receptor binding domain
- S2 stalk region
- Clusters of non-matched amino acids from different structural domains and epitope regions were combined to generate the novel spike-based vaccine antigen.
- Further mutations - K986P 15,16 and V987P 15,16 and Q498R 17 were introduced to the final design -T2_32.
- two designs – T2_35 and T2_36 were generated using MSA including the consensus Delta and Omicron BA.1 (Dec.2021). In addition to a double proline mutation, these designs were further stabilised by replacing the Furin cleavage site with GSAS motif 15 .
- the structural integrity of the resultant vaccine antigens was checked for by generating homology models using Modeller software 18 .
- the endoplasmic retention (ER) signal was removed from all the designs, including wild type controls.
- Production and transformation of plasmids Sequences of vaccine designs (T2_32 and Wu-Hu-1) were RNA- and codon-optimized for high level expression in human cells via the GeneOptimizer algorithm 19 . These genes were cloned into pEVAC (GeneArt/Thermofisher, Germany) via restriction digestion. Plasmids were transformed via heat-shock in chemically competent E. coli DH5 ⁇ cells (Invitrogen 18265- 017).
- Plasmid DNA was extracted from transformed bacterial cultures via the Plasmid Mini Kit (Qiagen 12125). The DNA plasmids were purified using the EndoFree Plasmid Mega kit (Qiagen, Hilden, Germany) according to the manufacturer’s instructions. Plasmids were quality controlled by sequencing and quantified using UV spectrophotometry (NanoDropTM - Thermo Scientific) and assessed for absence of endotoxin. Production of MVA The MVA strain used in this study was MVA-CR19 20 . Recombinant MVA that expresses T2_32 was generated as described previously 21 .
- MVA-CR19 (rMVA) encoding T2_32 was plaque purified for additional three rounds.
- the resulting recombinant MVA-CR19 T2_32 (MVA T2_32) virus stock was produced in suspension AGE1.CR.pIX cells, purified sequential by ultra centrifugation and titrated on DF-1 cells. The absence of revertant or parental MVA and T2_32 insert identity was confirmed by PCR amplification and Sanger sequencing.
- T2_32 Correct expression of T2_32 was confirmed by Western blot analysis with monoclonal antibody CR3022 (Invivogen, Toulouse, France) with cell lysates from HEK293 cells harvested 24 hours after infection (MOI 2) with MVA T2_32.
- Vaccination Experiments in Guinea pigs Two groups of four seven-week-old female Hartley guinea pigs were purchased from Envigo (Maastricht, Netherlands). Guinea pigs were immunised at 14 days intervals with 200 ⁇ g DNA vaccines bearing the antigen gene in the pEVAC vector, administered by intradermal route using the Pharmajet ⁇ device in a total volume of 200 ⁇ l over the hind legs.
- a third dose of DNA was administered at day 70 post prime and at day 112 was boosted intramuscular.
- MVA encoding T2_32 with 2.0E 7 PFU/dose. Bleeds were taken through the saphenous vein at two weeks intervals.
- Synthesis and packaging of mRNA mRNA sequences encoding the sequences of the vaccine antigens (T2_35, T2_36, and Omicron BA.1) were synthesized by in vitro transcription (IVT) from linearized plasmid DNA templates using modified nucleotides to generate partial modified mRNAs. After IVT, mRNAs were dephosphorylated and enzymatically polyadenylated.
- mRNAs were stored at -80°C until LNP encapsulation. Each mRNA was LNP encapsulated via nanoprecipitation by microfluidic mixing of mRNA in citrate buffer (pH 4.5) with ionizable-, structural-, helper- and polyethylene glycol (PEG) lipids in ethanol, followed by buffer exchange and concentration via tangential flow filtration. mRNA LNPs were filtered through a 0.2 ⁇ m membrane and stored at -20°C until use. The drug product was analytically characterized, and the products were evaluated as acceptable for in vivo use.
- citrate buffer pH 4.5
- PEG polyethylene glycol
- mice Five groups of six female 8–10-week-old BALB/c mice were purchased from Charles River Laboratories (Kent, United Kingdom). Mice were immunised twice at an interval of 21 days. A total volume of 100 ⁇ l of PBS containing 10 ⁇ g of lipid encapsulated mRNA encoding the antigens was administered intramuscularly over the two hind legs. The na ⁇ ve mice group were administered 100 ⁇ l of PBS. Bleeds were taken 3 weeks after each immunisation, and a final bleed 6 weeks after the second immunisation.
- Lentiviral pseudotypes were produced by transient transfection of HEK293T/17 cells with packaging plasmids p8.91 22,23 and pCSFLW 24 and different SARS-CoV-2 VOC spike-bearing expression plasmids in the pEVAC backbone, using the Fugene-HD (Promega E2311) transfection reagent 25,26 . Supernatants were harvested after 48h, passed through a 0.45 ⁇ m cellulose acetate filter, and titrated on HEK293T/17 cells transiently expressing human ACE- and TMPRSS2.
- Target HEK293T/17 cells were transfected 24h prior with 2 ⁇ g pCAGGS153 huACE-2 and 150ng pCAGGS-TMPRSS2 in a T75 tissue culture flask 27,28 .
- Pseudotype-based micro-neutralisation assay Pseudotype-based micro-neutralisation assays (pMN) were performed as described Previously 29 . Briefly, serial dilutions of serum were incubated with lentiviral pseudotypes bearing SARS-CoV-2, and SARS-CoV-2 VOC spikes for 1 h at 37°C, 5% CO2 in 96-well white cell culture plates.
- NTD N-terminal domain
- RBD receptor binding domain
- S2 stalk
- the RBD possesses most of the experimentally characterised epitopes, followed by the NTD and the stalk.
- the frequent emergence of multiple mutations in the RBD and NTD of the SARS-CoV-2 VOCs suggest that these epitopes are important targets for protective immune mechanisms.
- Computational antigen designs involved mapping the observed mutations in the VOCs - Alpha, Beta, and Gamma, onto the spike protein, then mapping these mutations as epitope regions using the IEDB 14 database, and classified as immunodominant epitopes using the peptides reported in literature 32 . All the mutations in immunodominant regions were clustered based on both the VOC it has been observed in and the region it corresponds to in the spike protein. Beta and Gamma variants have the same mutations in the immunodominant region of the RBD (E484K, N501Y) except K417N/T.
- the Gamma variant also has mutations in the reported immunodominant region of NTD (L18F, T20N, P26S). As mutations in Gamma variant was reported in two immunodominant regions, set of mutations reported in NTD was considered for the design. Based on the clustering of mutations – set of mutations reported in NTD for Alpha (69H ⁇ , 70V ⁇ , 144Y ⁇ ) and Gamma (L18F, T20N, P26S) variants, set of mutations reported in RBD for Beta (K417N, E484K) variant, set of mutations reported in S2 for Alpha (P681H) variant and the common set of mutations – N501Y and D614G were considered for the design.
- T2_32 was designed before the global outbreak of Delta and Omicron variants. As the later was reported to escape previous immune responses, attributable to having accumulated the most number of reported mutations 5,34 , we designed another set of antigens as pre-emptive measure and tested these designs as mRNA antigens in mice.
- NTD and the S2 regions were enriched with the mutation observed in the Delta variant and RBD region was enriched with the mutations observed in Omicron BA.1 variant – T2_35 and, (b) NTD and the S2 regions were enriched with the mutation observed in the Omicron BA.1 variant and the RBD region was enriched with the mutations observed in Delta variant – T2_36 (Fig. 19). This was to ensure all the important immunodominant regions are represented for all the important VOCs.
- the Furin cleavage site was knocked-out (682RRAR to GSAS) 15 in these two antigens.
- Spike vaccine antigen (T2_32) delivered by DNA and MVA in Guinea pigs. Guinea pigs were immunised thrice with the antigens –T2_32, and the dER version of Wu-Hu- 1 spike in a pEVAC plasmid and boosted with MVA.CR19 expressing T2_32 once (Fig.20A). The neutralising titres were longitudinally analysed for WTdER against pseudoviruses (PVs) expressing VOC spikes.
- PVs pseudoviruses
- the neutralising antibodies peaked at bleed 4 following three immunisation and bleed 6 following MVA boost (Fig.20B).
- the neutralising titre against all the VOCs and the Wu-Hu-1 strain were measured for these bleeds (Fig.20C and 20D).
- Both the antigens induced neutralising titres against Beta, Gamma, and Delta variants, after three DNA immunisations (Fig. 20C).
- High neutralising titre against BA.1 and BA.2 were observed only in guinea pigs immunised with T2_32 (Fig.20C).
- T2_32 generated neutralising titre (Fig.20C). Except against Wu-Hu-1 and Delta strain, T2_32 generated at least a log higher titre than the WTdER antigen. For both Wu-Hu-1 and Delta strains, the titres were comparable for both the antigens. As higher titres were observed in the group immunised with T2_32, we boosted both the group of guinea pigs with heterologous vector – MVA expressing T2_32 MVA has been shown as a promising heterologous boost to DNA, resulting in increased neutralising titres 21 .
- T2_35 and T2_36 generated a robust neutralising titre against all the VOCs, but a distinct pattern was observed for T2_35 and T2_36 against pre- and post- Omicron VOCs.
- the former generated higher neutralising titres against VOCs from BA.1 forward into the omicron sub lineages, while T2_36 had higher neutralising titre neutralising antibodies to pre-omicron VOCs - Alpha through to Delta (Fig.21B and 21C).
- This difference in the neutralising titre can be rationalized by the sets of mutation represented in the designs.
- T2_35 is enriched with mutations observed in Omicron BA.1 variant in the RBD region while T2_36 is enriched with mutations observed in Delta variant.
- T2_35 candidate generated neutralising titres to all the Omicron variants comparable to or which developed after BA.1, but a significantly higher titre to Delta than BA.1.
- T2_36 generated lower neutralising titres against Omicron variants compared to BA.1, it significantly induced higher neutralising antibody titres compared to the BA.1 response against rest of the VOCs.
- the neutralising titres for all the Omicron VOCs were higher for T2_36 in comparison to the Wu-Hu-1 spike-based antigen.
- T2_35 and T2_36 were plotted the median log10 IC50 values (all median values below 1.5 values were scored as zero) for all the pseudoviruses tested in our panel (Fig. 21C).
- T2_35 induced the highest coverage with moderate potency across all VOCs.
- Neutralisation data for T2_35 against further, more recent VOCs is plotted in Figure 22. Discussion Advances in genomic tracking of viral epidemics and as witnessed during the COVID-19 pandemic have enabled the real-time assessment of vaccines to neutralise emerging viral variants.
- T2_32 generated a superior neutralising response to all the tested VOCs, including the currently circulating variants. Furthermore, boosting animals immunised with Wu-Hu-1 spike antigen, with the T2_32 vaccine antigen, significantly increased the titres against all the VOCs. This observation validated the utility of T2_32 as a booster antigen to expand the breadth of the immune response encompassing many of the future variants. The immunogenicity of T2_32 validates our rationale that the novel DIOSynVax spike antigens as booster vaccines will provide greater vaccine efficacy against future VOCs compared to the use of historical SARS-COV-2 variant spike antigens as vaccines.
- T2_29 studies were underway, Delta and Omicron lineages arose and became dominant in the human population.
- the Omicron lineage accrued multiple mutations in both the NTD and RBD regions of the spike protein and was reported to escape previous existing COVID-19 vaccine immunity 5,34 .
- T2_35 and T2_36 two additional antigens
- T2_35 and the NTD of T2_36 have a maximum identity with the Omicron BA.1 lineage while the NTD of T2_35 and RBD of T2_36 has maximum identity with VOCs prior to emergence of Omicron lineage.
- T2_36 In contrast, post-immunisation sera to T2_36 generated lower neutralising titres against Omicron lineage in comparison to BA.1 spike-antigen, but induced significantly higher neutralising titres in comparison to Wu- Hu-1 spike.
- the immunogenicity profile of T2_36 against the Omicron lineage in comparison to Wu-Hu-1 spike antigen supports the role of antibodies generated against the NTD/stalk region in broader immune responses against VOCs. From the comparison of the breadth and potency induced in mice across the VOCs tested for, T2_35 was found to have the best immunological profile, followed by T2_36 and BA.1.
- scaffold sequence SEQ ID NO:30 The next generation sequences are covered by the scaffold sequence SEQ ID NO:30.
- the amino acid residues of each of COV_S_T3_1 (Deom_v2), and COV_S_T3_2 (Deom_v3), and the first generation designed sequence COV_S_T2_35 (Deom), at the corresponding variable positions of scaffold sequence SEQ ID NO:30, are shown in Example 6.
- Figure 23 shows neutralisation data using mice antisera generated by immunisation with ‘SuperSpike’ vaccine constructs and controls using the mRNA platform against challenge by a panel of SARS-CoV-2 lentiviral pseudoviruses expressing VOC spike protein.
- mice were immunised with two doses of 10 ⁇ g mRNA in 100 ⁇ l vehicle, with a 3-week interval between doses. Mice were bled at 3 weeks after first dose and 6 weeks after first dose. Terminal bleed was 9 weeks after first dose.
- Next generation ‘SuperSpike’ constructs COV_S_T3_1 (Deom_v2; SEQ ID NO:31) and COV_S_T3_2 (Deom_v3; SEQ ID NO:32) elicit neutralising antibody responses across the whole diverse panel of omicron PVs and represent a clear improvement over first generation SuperSpike COV_S_T2_35 (Deom; SEQ ID NO:1) across this panel.
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