Title of Invention

" A PROCESS FOR PURIFICTION OF A BACTERIAL CYTOLYSIN"

Abstract The persent invantion rela to a method for purifying bacterial cylotysims such as precumococccal pneumatysim, A singil chromalography step ramduces excelleo purification of the cylolysin by bindiing soluble aggregated cylolysin to A hydrophubic interacilon chromatography materiall in the presence of detergent and high salt.
Full Text WO 2004/081515 PCT/EP2004/002641
A PROCESS FOR PURIFICATION OF A BACTERIAL CYTOLYSIN
PURIFICATION PRQCCOS-
Technical field
The present invention relates to the field of bacterial cytolysin purification and particularly
to a method of purification of pneumotysin. Pneumolysin is a protein from Streptoco_ccus
pneumoniae with good antigenic properties which is suitable a vaccine component against
S. pneumoniae infection or otitis media. The method of the invention describes an unusual
and advantageous step of purifying pneumolysin in a single chromatographic step by
binding it to a hydrophoblc interaction column In the presence of detergent and high salt.
.— -.. . ■
The process advantageously makes use of the property of bacterial cytolysins of having a
high affinity for aromatic compounds resembling cholesterol, particularly when in an
aggregated condition and hence will be generally applicable for the purification of
members of this family of toxins.
Thiol activated cytolysins form a prominent group of bacterial toxins of which steptolysin O
is the prototype (Billington et al FEMS Microbiol. Lett. (2000) ,1S2; 197-205). These
toxins are lytic for eukaryotic cells by the formation of pores in the cell membrane.
Oxidising agents adversely affect their cytolytic activity whereas reducing agents can
restore activity. Members of this group show 30-60% similarity in primary amino acid
sequence and contain an almost invariant undecapeptide sequence near the C-terminus.
Cholesterol is the major target cell receptor for these toxins. The ^cytolysins bind to
cholesterol containing membranes and oligomerise to form transmembrane pores up to
30nm in dFameter and composed of 40-80 monomer subunits. The binding of membrane
cholesterol induces a conformational change in the toxin monomer driving the subsequent
events of oligimerisation, membrane insertion and pore formation.
Streptococcus pneumoniae is the causative agent of several human diseases including
pneumonia, bacteremia, meningitis, otitis media and sinusitis. Sometimes these diseases
can lead to fatalities despite the availability of antibiotics. The emergence of antibiotic
resistant strains of S. pneumoniae has aggravated the problems caused by this pathogen.
In this context, it is important for effective vaccines against S. pneumoniae to be
developed.
Polyvalent pneumococcal vaccines containing purified capsular polysaccharides have
been available for several years. Their application is limited by poor immunogenicity
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particularly in high-risk groups including infants, the elderly and those with sickle-cell
anaemia, multiple myeloma, cirrhosis or alcoholism. They also provide serotype specific
protection and only 23 out of 90 known serotypes are covered by existing formulations.
This will give protection against 90% of serotypes found in the US population but against
only approximately 70% of serotypes found in Asian populations. Recently a conjugated
seven-valent vaccine has become available, which similarly has problems protecting
against all pneumococcal strains.
Pneumolysin (Ply) is a 53kDa thiol-activated cytolysin found in all strains of S.
pneumoniae, which is released on autolysis and contributes to the pathogenesis of S.
pneumonias. It is highly conserved with only a few amino add substitutions occurring
between the Ply proteins of different serotypes. Pneumolysin's high degree of
conservation and its immunogenicity make it a potential candidate as a vaccine
component. However, wild-type Ply is unsuitable for incorporation into vaccines for use in
humans because of its toxicity. Ply causes damage to cell membranes by interacting with
membrane-bound cholesterol and oligomerising to form pores in the membrane. A
conserved cysteine-containing motif found near the C-terminus has been implicated in the
lytic activity. Mutations of Ply have been suggested to lower this toxicity (WO90/06951,
WO99/03884).
A two step method for the purification of pneumolysin has been described by Lock et al
(Microbial Pathogenesis (1996) 21; 71-83). Recombinant pneumolysin is purified from an
E. coli culture using a combination of ion-exchange and gel filtration chromatography. The
method involves the steps of preparing an extract and passing it down a DEAE-
Sepharose column followed by a Sephacryl S200-HR column. This method could be used
to purify recombinant or native pneumolysin.
Kuo et al describe a method of purifying recombinant GST-pneumolysIn fusion protein
(Infection and Immunity (1995) 63; 2706-2713). The fusion protein is expressed in an E.
coli culture and a cell lysate is loaded onto a glutathione agarose gel. The fusion protein is
eluted with glutathione and thrombin can be used to cleave the fusion protein. The
proteins were passed over a glutathione-agarose column again to remove GST. The
affinity purified pneumolysin was further purified using a hydroxylapatite column.
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Mitchell et al (BBA (1989) 1007; 67-72) describe a method of purifying pneumolysin using
hydrophobic interaction chromatography. Under the conditions that they use (250mM
salt), the pneumolysin failed to bind tightly to the column although its progress was
retarded and the pneumolysin eluted as a broad peak. Additional steps of determining
which fractions contained pure pneumolysin, concentrating the positive fractions,
reloading onto the column and eluting with a small volume of water were needed to
overcome the problem of the pneumolysin not binding tightly to the column material.
There remains a continuing need for improved vaccines against S. pneumoniae. The
incorporation of a Ply component has promise although the toxicity of the protein remains
a problem. The development of a rapid and effective procedure for the bulk purification of
pneumolysin is also required. Methods described previously involve the use of multiple
purification steps with intervening assay and concentration steps. The present invention
provides a more efficient purification method which advantageously uses a single
chromatography step, which is capable of being used to purify large batches of
pneumolysin.
the accompanying
Description ofpiaures
Figure 1 - SDS-PAGE gels showing the purification of pneumolysin. The following
samples were run on SDS-PAGE gels:- lane 1 - molecular weight standards, lane 2 -
supernatant of cell extract, lane 3 * phenyl-sepharose flow through, lane 4 phenyl
sepharose first wash, lane 5 - phenyl-sepharose second wash, lane 6 phenyl-sepharose
wash with 0.5M NaCl, lane 7 Phenyl-sepharose elution with low salt buffer, lane 8
pneumolysin after denaturation/refolding steps, lane 9 - pneumolysin after sterilizing
filtration.
Panel A shows the gel after coomassie blue staining. Panel B shows the gel after a
Western blotting procedure using anti- E.coli antibodies to probe for contaminating
proteins.
Figure 2 - SDS-PAGE analysis of GMBS (N-(Y-maleimidobutyryloxy)succinimide ester)
modified pneumoiysin - coomassie blue stained.
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The following samples were run on an SDS-PAGE gel:- lane 1 - molecular weight
standards, lane 2 - unmodified pneumolysin, lane 3 - PLY treated with GMBS at a molar
ratio of GMBS/lysine of 4/1 , lane 4 - PLY treated with GMBS at a molar ratio of
GMBS/lysine of 4/1 and incubated for 7 days at 37 °C, lane 5 - PLY treated with GMBS at
a molar ratio of GMBS/lysine of 8/1, lane 6 - PLY treated with GMBS at a molar ratio of
GMBS/lysine of 8/1 after incubation for 7 days at 37 °C, lane 7 - PLY treated with Sulfo-
NHS acetate at a molar ratio of NHS/lysine of 10/1, lane 8 - PLY treated with NEM, lane 9
- PLY treated with NEM after 7 days incubation at 37 °C.
Figure 3 - Toxicity of GMBS treated pneumolysin given intranasally to mice. The line
marked with diamonds indicates survival rate for mice challenged with 2ug native
pneumolysin. The line marked with squares indicates the survival rate for mice challenged
with 10ug GMBS treated pneumolysin.
Figure 4 - Protection - Induced by GMBS treated pneumolysin in mice challenged
intranasally with native pneumolysin. The line marked with rectangles shows survival rate
in mice inoculated with adjuvant alone. The line marked with diamonds indicates the
survival rate for mice inoculated with native pneumolysin. The line marked with squares
indicates the survival rate for mice inoculated with GMBS treated pneumolysin.
Figure 5 - Protection induced by Inoculation with PhtD and GMBS treated pneumolysin in
mice challenged intranasally with type 2 D39 pneumococcal strain. The line marked with
rectangles represents survival rate for mice inoculated with adjuvant atone. The line
marked with diamonds represents the survival rate for mice inoculated with PhtD. The line
marked with squares represents the survival rate for mice inoculated with PhtD and
GMBS treated pneumolysin.
Detailed description
Processes
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The process of the invention is a method for purifying a bacterial cytolysin such as
pneumoiysin. A cytolysin, for instance pneumolysin, is purified using only a single column
chromatography step without requiring reloading onto the column. The protein is bound in
an aggregated form to a hydrophobic interaction column In the presence of detergent and
salt. Few proteins bind to the column under these conditions allowing purification of a
cytolysin in a single step.
For the purposes of the invention a soluble aggregate of a cytolysin, preferably
pneumolysin is an aggregated form of the cytolysin that remains in the supernatant after
centrifugation at 30,000g for 20 minutes. The soluble aggregate is retained on
hydrophobic interaction chromatography material, preferably phenyl-Sepharose, in the
presence of high salt, preferably 1M. Optionally, the soluble aggregate is colloidal.
The cytolysin, preferably pneumolysin is bound to the column as a soluble aggregate. It is
unusual to load aggregates onto a column for various reasons including filters or columns
clogging and loss of material. However, by using a detergent that reduces the size of the
aggregates to form a soluble aggregate, it is found that these aggregates bind tightly to
the column under detergent conditions but may be eluted at a purity of at least 50%, 60%,
70%, 80%, preferably 90%, 95%, more preferably 97%, 98% or 99% as assessed by
SDS-PAGE analysis without adversely affecting the column filters. The process preferably
gives a yield of at least 100, 200, 500, 7Q0, more preferably 1000, 1500, 1700 or 19Q0mg
of cytolysin, preferably pneumolysin per litre of fermentation. Preferably at least 1%, 2%,
5%, 7%, 9% or 10% of the protein from the fermentation culture is recovered as purified
cytolysin, preferably pneumolysin.
The process exploits the ability of cytolysins such as pneumolysin to bind to cholesterol
and other aromatic compounds. This binding is particularly tight when the cytolysin is
aggregated, allowing the cytolysin to bind in the presence of detergent. The process can
be extended to other members of the cytolysin family since all members share the ability
to bind to aromatic compounds and form pores. In fact the method could be used to purify
other families of protein that bind to cholesterol or other aromatic compounds and/or form
pores, preferably both.
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Accordingly, in a first embodiment, a process for bacterial cytolysin purification is provided
comprising the steps of:
a) growing a culture of celts expressing bacterial cytolysin;
b) preparing an extract from the culture containing bacterial cytolysin;
c) binding soluble aggregated bacterial cytolysin contained in the extract in the
presence of detergent (preferably aliphatic detergent) to a hydrophobtc interaction
chromatography material under high salt (preferably 0.5-2M salt) conditions;
d) eluting bacterial cytolysin in the presence of detergent (preferably aliphatic
detergent) under low salt (preferably 0-0.2M salt) conditions.
In a second embodiment a process for bacteria! cytolysin purification is provided
comprising the steps of:
a) growing a culture of cells expressing bacterial cytolysin;
b) preparing an extract from the culture containing bacterial cytolysin;

c) binding bacterial cytolysin contained in the extract to hydrophobic interaction
chromatography material in the presence of a solution containing 0.5-2M salt and 0.1%-
5% detergent;
d) eluting bacterial cytolysin using a low salt (preferably 0-0.2M salt) solution containing
0.1-5% detergent.
In either of the above embodiments, the process of the invention preferably comprises the
further steps of;
e) removing detergent from the bacterial cytolysin
f) solubilising the bacterial cytolysin by addition of a denaturant;
g) removing the denaturant from the bacterial cytolysin.
The process of the invention can be advantageously used to purify pneumococcal
pneumolysin. Other cytolysins that can be purified by the method of the invention include
pyolysin from A. pyogenes, cereolysin from S. cereus, thuringiolysin O from B.
thuringiensis, laterosporolysin from 8. latersporus, bifermentolysin from C. bifermentans,
botukinolysin from C. botulinum, chauveolysin from C. chauvoel, histolyticolysin from C.
histolyticum, oedematolysin from C. novyi type A, perfringolysin O from C. perfringens,
septicolysin O from C. septicum, sordellilysin from C. sordellii, tetanoiysin from C. tetani,
ivanolysin O from L ivanovi, listeriolysin O from L monocytogenes, seeligerilysin O from
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L seeligeri, alveolysin from P. alvei, streptolysin 0 from S. pyogenes, S. canis or S.
equisimilis, intermedilysin from S. intermedius, suilysln from S. suls or pneumolysin from
S. pneumoniae which may be of wild type or may be a genetically modified toxins with
lower levels of toxlcity such as PdA and PdB described above.
By pneumolysin or Ply it is meant: native pneumolysin from pneumococcus or
recombinant pneumolysin, wild-type pneumolysin or mutants of pneumolysin (e.g. those
described in WO90/06951 and WO99/03884). Optionally, pneumolysin can also mean any
fragment of pneumolysin or any variant of pneumolysin which shares at least 70, 80, 90 or
95% amino acid sequence identity with a wild-type pneumolysin sequence, which still
retains the ability to be purified by the methods of the invention, as easily determined by a
skilled person.
In preferred embodiments of the invention, the same detergent is present in steps b) and
c), b) and d), c) and d), more preferably in steps b), c) and d), preferably at a
concentration of 0.1%-5% (w/v). For the purposes of the invention, an aliphatic detergent
is defined as a substantially aliphatic detergent with insufficient aromatic character to
prevent binding of cytolysin to the column in step c). Preferably, the detergent will have
one or less aromatic rings, most preferably it has no aromatic rings. During step b), it is
advantageous for the detergent to break up larger aggregates of cytolysin into smaller
aggregates which make a soluble aggregate. During steps c) and d) , the detergent
advantageously retains the soluble aggregated state of the cytolysin, allowing it to bind to
the column in high salt conditions with high affinity.
The cytolysin, preferably pneumolysin is expressed in a culture of bacterial cells,
preferably S. pneumonias, E. coli or alternatively in yeast cells, insect cells, mammalian
cells or any other expression system suitable for its expression. In expression systems
that produce high yields of pneumolysin, the pneumolysin often becomes aggregated of
its own accord and the process of the invention is ideal for its purification. Preferably
pneumolysin is expressed at high yields so that it makes up more than 2, 3, 4, 5, 7 or 10%
of total protein in the expression system. Preferably the pneumolysin is in aggregated
form and hence mostly devoid of haemolytic activity. For example, expression in E.coli in
a fermentor under a phage X promoter or other promoters that allow high expression are
well known to the person skilled in the art.
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Preferably, the cytolysin is extracted from the expression system as an aggregate.
Alternatively, a lower yield expression system may provide soluble cytolysin. In this case,
the extract containing cytolysin, preferably pneumolysin is adjusted to a pH below 7.5
which allows the cytolysin to aggregate over a period of at least 8 hours, preferably at
least 24 hours.
The preparation of an extract in step b) preferably involves one or more steps of
mechanically breaking the cells and/or treating the cells with detergent. If made with a
high yield method, the pneumolysin remains in the form of aggregates but the aggregates
should be small enough so that they remain in the supernatant after centrifugation of the
sample under conditions necessary for pelleting insoluble cellular debris. Preferably the
detergent used in the invention is an aliphatic detergent which does not contain aromatic
rings, preferably an ionic detergent, more preferably a cationic or anionic detergent and
most preferably, the detergent is sodium lauroly sarcosinate. Preferred detergents are
able to solubilise pneumolysin whilst leaving it in the form of small aggregates that bind to
the hydrophoblc interaction column without causing blockage of filters attached to the
column. Preferred detergents are able to reduce the size of pneumolysin aggregates,
allowing the pneumolysin aggregates to be sufficiently small so that they remain in the
supernatant after centrifugation of the sample at 30,000g for 20 minutes. Such soluble
aggregates are puriflable as such on the hydrophobic interaction column. The detergent is
present at a concentration of between 0.1% and 5%, preferably 0.5% and 3% (w/v),
preferably between 0.75% and 2%, more preferably around 1%. Preferably, the detergent
is dialysable.
Following mechanical and/or detergent disruption of the culture in step b), the process of
the invention includes centrifugation of the cell material and collecting the supernatant as
the extract to be loaded onto the chromatography material during step c). Pneumolysin is
preferably present in the supernatant as a soluble aggregate.
The process of the invention uses hydrophobic interaction chromatography to purify
pneumolysin in a single step. The column material used in step c) preferably contains
aromatic groups, preferably phenyl groups and more preferably is phenyl-sepharose.
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The solution used in step c) and/or step d) during loading and elution of the column
comprises an ionic detergent preferably a cationic or anionic detergent, preferably a
detergent which Is soluble at salt concentrations above 0.5M, most preferably the
detergent is sodium lauroly sarcosinate. The detergent used is one which will reduce the
size of cytolysin, preferably pneumolysin, aggregates, allowing the cytolysin to be present
in the sample as a soluble aggregate so that it will bind to the hydrophobic interaction
column material without being irreversibly stuck on the column. The detergent is present
at a concentration of preferably between 0.1% and 5%, preferably 0.5% and 3% (w/v),
more preferably between 0.75% and 2%, most preferably around 1%.
The solution used in step c) and/or d) contains a salt, preferably a salt selected from the
group consisting of sodium chloride, magnesium chloride, ammonium chloride, sodium
sulphate, magnesium sulphate, ammonium sulphate, sodium phosphate, magnesium
phosphate, ammonium phosphate and is preferably buffered at pH 6-^, preferably around
pH 7. Any buffer capable of maintaining the pH between pH 5 and 9 may be used.
The solution used to bind pneumolysin to the column in the process of the invention
contains a high salt concentration, preferably 0.6 - 2M, more preferably around 1M. The
salt concentration is chosen such that pneumolysin is in a soluble aggregated form and is
capable of binding to the hydrophobic chromatography material.
Optionally, step c) can contain an extra step of washing the column in intermediate salt
conditions of around 0.5M salt or a salt concentration capable of removing any poorly
binding impurities.
The process of the invention uses a decreasing salt gradient to elute pneumolysin from
the column. Preferably the low salt solution used to make the salt gradient in step d)
contains between 0 - 0.1M salt, more preferably 0-40mM salt. Alternatively, step wise
elution may be used with the low salt buffer used in step d) containing between 0 - 0.2M
salt, more preferably 0-40mM salt.
Optional steps may be added to the process of the invention if it is preferred to denature
the pneumolysin and subsequently refold it by removal of the denaturant. These optional
steps ensure that pure cytoiysin, preferably pneumolysin, with a native structure is
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obtained. The first optional step e) involves the removal of detergent by diafiltration,
dialysis or dilution. This step preferably involves diafiltration/dialysis against a buffer of pH
8-10, preferably around 9, more preferably the buffer is one able to buffer at alkaline pH
values, most preferably the buffer is DEA. The solution is preferably of low ionic strength,
preferably 10-50mM, most preferably around 25 mM. Diafiltration or dialysis is preferably
carried out at 4°C but is alternatively carried out at room temperature.
In a second optional step, cytolysin, preferably pneumoiysin is denatured and solubilised
by addition of a denaturant. Preferably the denaturant used in step f) is guanidine
hydrochloride, more preferably 5-8M guanidine hydrochloride, most preferably around 6M
guanidine hydrochloride. The pneumoiysin is incubated with guanidine hydrochloride for at
least 10 minutes, preferably for at least 1 hour, more preferably for about one hour.
The cytolysin, preferably pneumoiysin is preferably then contacted with 5-9M urea,
preferably around 8M urea during step f). This is achieved by diafiltration or dialysis of the
cytolysin, preferably pneumoiysin against urea. Preferably, the same buffer and pH are
maintained during the exchange of denaturant. Preferably, a reducing agent (DTT, 2-
mercaptoethanol or glutathione is added during the exchange of denaturant.
Preferably step f) involves contacting cytolysin, preferably pneumoiysin with 5-8M
guanidine hydrochloride followed by exchanging the guanidine hydrochloride fot_5-9M
urea.
In order to prevent inappropriate disulphide bonds forming while the cytolysin, preferably
pneumoiysin is denatured, it is advantageous to ensure that a reducing agent is present
during at least part of steps f) and g). A preferred reducing agent is 0.1-10mM DTT,
preferably around 1mM DTT. Alternatively glutathione or 2-mercaptoethanol is used.
Preferred concentration of glutathione are 1-50 mM, more preferably 10-30mM.
Optional step g) involves removal of the denaturant in order to refold cytolysin, preferably
pneumoiysin, preferably by diafiltration or dialysis against a low salt buffer of'pH 6-11,
preferably around pH 9. Preferably cytolysin, preferably pneumoiysin concentration is
maintained at at least 1G0ug/ml, preferably between 100 ug/ml and 1000ug/ml, more
preferably at around 500ug/ml. Optionally, diafiltration or dialysis Is against a buffer
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containing propylene glycol at between 10 and 30%, preferably at around 15%. Preferably
a reducing agent as described above is maintained during step g). Diafiltration or dialysis
is preferably carried out at 4°C but is alternatively carried out at room temperature.
A further optional step h) involves the removal of the reducing agent after cytolysin,
preferably pneumolysin has refolded. This is preferably achieved by diafiltration or dialysis
against a low salt buffer of pH 6-11, preferably around pH 9. Optionally, diafiltration or
dialysis is against a buffer containing propylene glycol at between 10 and 30%, preferably
at around 15%. Diafiltration or dialysis is preferably carried out at 4°C but is alternatively
carried out at room temperature.
In preferred methods of the invention, the cytolysin, preferably pneumolysin is refolded so
that Its haemolytic activity is restored to above 25%, 50%, 75% most preferably to above
90% of that of the properly folded protein. For the purposes of the invention, 'folded'
protein is a protein having the tertiary structure of the protein made by a non-denaturing
process. In the case of wild type pneumolysin, the expected haemotytic activity of refolded
pneumolysin would be 500,000-1,000,000 haemolytic units/mg pneumolysin. In the case
of point mutated pneumolysin with a lower haemolytic activity, the haemolytic activity of
the refolded pneumolysin would be correspondingly lower.
Detoxification of a toxin
The cytolysin purified by the method of the invention, preferably pneumolysin may be
subjected to a further optional step of detoxification by chemical treatment. This additional
step is particularly advantageous if the cytolysin, preferably pneumolysin is to be
administered to an animal or a human. Wild type pneumolysin is highly toxic. Several
mutated pneumolysin proteins have been isolated that have reduced toxicity, yet these
still retain residual toxicity that may be problematic when the pneumolysin is administered
internally (WO99/03884, WO90/06951). Alternatively it can be detoxified by conjugation to
polysaccharides (WO96/05859).
The process of the invention may detoxify either wild type or mutated cytolysin, for
example pneumolysin by chemical treatment. Preferred embodiments use a crosslinking
agent, more preferably containing one or more chemicals selected from the group
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consisting of formaldehyde, glutaraldehyde and a cross-linking reagent containing an N-
hydroxysuccinomido ester and/or a maleimlde group (e.g. GMBS).
The detoxification processes themselves are an aspect of the invention and can be used
to detoxify bacterial toxins, preferably pneumolysin prepared by other methods.
In one embodiment, the detoxification method of the invention describes the detoxification
of a bacterial toxin comprising treating the toxin with a chemical compound, preferably a
crosstinking reagent that is reactive, preferably preferentially reactive, most preferably
specifically reactive with amine groups, more preferably primary amine groups.
For the purposes of this application, a cross linking reagent is defined as a compound with
at least two reactive groups, at least one of which is capable of reacting with at least one
group on the bacterial toxin. A further reactive group Is able to react with either a group on
the bacterial toxin or a separate compound (for instance an amino acid, peptide,
polypeptide, sugar or polysaccharide).
Preferably, the chemical compound or the crosslinking reagent is reactive, more
preferably preferentially reactive, most preferably specifically reactive with amine and
sulfhydryl groups. Preferably, the chemical compound reacts with a primary amine group
of lysine, more preferably, the crosslinking reagent reacts with a primary amine group of
lysine and the sulfhydryl group of cysteine. This method is particularly advantageous
where pneumolysin is detoxified since modification of both cysteine and lysine residues
leads to a synergistic decrease in the level of hemolysis compared to the residual
hemolysis activity where the cross-linking reagent reacts with only lysine or cysteine.
Thus an alternative embodiment provides a method of detoxifying bacterial toxins
comprising modifying a cysteine residue (optionally near the C-terminus of the toxin)
involved in the toxic activity of the toxin (preferably the lytic activity) comprising treating
the toxin with a cross-linking reagent (preferably a heterobifunctional cross-linking
reagent) that cross-links the sulfhydryi groups with another amino acid of the toxin,
preferably more than 2, 5,10, 15, 20, 30. 40 amino acids away from the cysteine in the
primary structure. Preferably the other amino acid contains a primary amine group and
more preferably the amino acid is lysine.
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In some embodiments, over 50%, 60%, 70%, 80%, 90% or 95% of the toxin retains a
molecular weight within 5%, 10%, 20%, 30%, 40%, 50%, 60%, 70%, 80% or 90%, more
preferably between 1-50%, most preferably between 5-10% of its original molecular
weight after the treatment as assessed by SDS-PAGE. Preferably the toxin acquires a
slightly higher molecular weight following the detoxification treatment due to several ami no
acid residues becoming modified by covalently binding to the chemical compound.
However the method of the invention preferably does not involve extensive conjugation of
the toxin, either by covalently binding it to other toxin molecules so that a toxin with a
multimeric quaternary structure is formed, or by covalently binding the toxin to other large
proteins, polysaccharides or lipopolysaccharides. Most preferably the methods, proteins
or products disclosed in WO96/05859 are not covered by this invention.
The methods of the invention may be used to detoxify bacterial toxins. Preferred toxins
include the thiol-activated cytolysins pyolysin from A. pyogenes, cereoiysin from B.
census, thuringiolysin O from B. thuringiensis, laterosporolysin from B. latersporus,
bifermentolysin from C. bifermentans, botukinolysin from C. botulinum, chauveoiysin from
C. chauvoet, histolyticolysin from C. histolyticum, oedematolysin from C. novyi type A,
perfringolysin O from C, perfringens, septicolysin O from C. septicum, sordellilysin from C.
sordellii, tetanolysin from C. tetani, ivanolysin O from L ivanovi, listeriolysin O from L
monocytogenes, seeligerilysin O from L seeligeht alveolysin from P. alvei, streptolysin O
from S. pyogenes, S. canis or S. equisimilis, intermedilysin from S. intermedius, suilysin
from S. suis or pneumolysin from S. pneumoniae which may be of wild type or may be a
genetically modified toxins with lower levels of toxicity such as PdA and PdB described
above (WO90/06951, WO99/03884).
The method may also be used to detoxify the Neisserial toxins FrpA, FrpC (WO92/01460),
FrpB (Microbiology 142; 3269-3274, (1996); J. Bacteriol. 181; 2895-2901 (1999)) NM-
ADPRT (13th International Pathogenic Neisseria Conference 2002 Masignani et al p135).
FrpA and FrpC contain a region which is conserved between these two proteins and a
preferred fragment of the toxins would be a polypeptide containing this conserved
fragment, preferably comprising amino acids 227-1004 of the sequence of FrpA/C.
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The method of the invention may also be used to detoxify Bordetella toxins including
adenylate cyclase (CyaA) (Glaser (1988) Mol. Microbiol. 2; 19-30), dermonecrotic toxin
(Livey (1984) J. Med, Microbiol. 17; 91-103) and pertussis toxin (PT) (Munoz et al (1981)
Infect Immun 33; 820-826). The method of the invention is also useful for detoxifying
tetanus toxin (TT) and diphtheria toxin (DT) and toxin from S. aureus and S. epidermidis
including autolysin and haemdysin (WO01/98499, WO02/59148).
Methods of the invention lead to a reduction of the amount of toxicity and/or haemolytic
activity of the toxin of at least 90%, preferably 95%, 96%, 98%, 99%, 99.5%, 99.9% or
99.99%. (Haemolytic activity is measured using the method of Example 3 and toxicity may
be measured by the method of Example 5.) Native pneumolysin has a haemolytic activity
of 500,000 - 1,000,000 units per mg of pneumoiysin. Some point-mutated variants of
pneumolysin have reduced toxicity and haemolytic activity. Detoxification of a variant
pneumolysin may not be able to achieve as large a percentage decrease in haemolytic
activity due to the lower starting point form which haemolytic activity is reduced, however
it is envisioned that the majority of the remaining haemolytic activity is removed by the.
methods of the invention.
The detoxification step of the method of the invention preferably provides a cross-linking
reaction which is substantially non-reversible. Reversibility is assessed by monitoring the
level of haemolytic activity of the detoxified toxin directly after detoxification and after
incubating at a temperature above 25 °C, preferably above 30 °C, more preferably above
35 °C, most preferably above 37 °C for at least 5, 6, 7, 8, 9 or 10 days. A substantially
non-reversible reaction results in substantially non-reversible detoxification and is defined
as a reaction where the level of haemolytic activity rises by less than 100%, 50%, 40%,
30%, 20% 10% after incubation at an elevated temperature as described above. Many
methods of detoxification, for instance by using formaldehyde treatment, result in
detoxification that is not stable but increases in toxicity over time.
In a preferred detoxification step of the method of the invention over 50%, 60%, 70%,
80%, 90%, 95%, or 98% of the toxin retains a monomeric quaternary structure after the
cross-linking reaction. Many cross-linking reagents form intermolecular crosslinks (for
example formaldehyde and glutaraldehyde). This can effect the immunological properties
of the toxin since some epitopes will be hidden within the aggregate. Methods of the
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WO 2004/081515 PCT7EP2004/002641
invention preferably involve simply modifying amino acid residues, preferably sulfhydryl
and/or primary amine groups of amino acids and/or the formation of mainly intramolecular
crosslinks. The resultant monomeric quaternary structure allows epitopes to remain
exposed on the surface of the toxin.
In a preferred embodiment of the detoxification step, the cross-linking reagent is
heterobifunctional. Preferred crosslinking reagents contain an N-hydroxysucdnlmide
ester group that reacts preferentially, more preferably specifically, with primary amine
groups. Preferably the cross-linking reagent contains a maleimide group that reacts
preferentially, more preferably specifically, with sulfhydryl groups. At a pH around 7, a
maleimide group reacts 1000 fold faster with sulfhydryl groups than it does with amines.
Preferably, the cross-linking reagent contains both an N-hydroxysuccinimide ester group
and a maleimide group. The crosslinking agent is preferably not cleavable using a
reducing agent since this leads to less effective detoxification.
The distance between the reactive groups of the cross-linking reagent is able to effect the
efficiency of detoxification. Preferably, the distance between the groups of the crosslinking
reagent that are reactive with amine and sulfhydryl groups is between 1.5 and 20
Angstroms, more preferably between 5 and 15 Angstroms and most preferably around 10
Angstroms in the method of the invention. Preferably, amino acid residues on the bacterial
toxin are modified by addition of a group that is over 5, 7,10, 12, 15,18, 20, 50,100, 500
Angstroms long. Preferably, the modifying group is between 5 and 100 Angstroms, more
preferably between 10 and 20 Angstroms In size.
The detoxification step of the method of the invention allows sufficient residues to be
modified so that steric interference and/or conformational changes inhibit the function of
the bacterial toxin. Preferably at least 5, 7,10,12,14,15, 20 or 25 amino acid residues of
the bacterial toxin are modified. Where unreacted maleimide groups are present on the
cross-linking reagent, an Ellman reaction can be used to estimate (indirectly) the number
of crossllnker molecules attached to each molecule of toxin (Ellman 1959 Arch. Biochem.
Biophys. 82; 70).
Preferred crossiinking reagents are SMPT, Surfo-LC-SMPT, Sulfo-KMUS, LC-SMCC,
KMUA, Sulfo-LC-SPDP, LC-SPDP, SMPB, Sulfo-SMPB, SMPH, Sulfo-SMCC, SMCC,
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WO 2004/081515 PCT/EP2004/002641
SIAB, Sulfo-SiAB, GMBS (N-(y-maleimidobutyrylo)cy)succinirnide ester), Sulfo-GMBS,
MBS, Sulfo-MBS, Sulfo-EMCS, EMCA, EMCS, BMPS, SPDP, SBAP, BMPA, AMAS,
SATP and SIA (Pierce).
In a preferred method of the invention the toxin is treated with the chemical compound or
crosslinking reagent under pH conditions of between 5.0 and 9.0, preferably 6.5 to 8.0,
most preferably 7.0 to 7.8. In treatments where the reaction of a maleimide group to a
sulfhydryl group is encouraged, the preferred pH of the reaction is 6.0 and 8.0, more
preferably 6.5 and 7.5. The preferred concentration of salts during the reaction is between
100mM and 1M, more preferably 150mM and 500mM, most preferably between 200mM
and 300mM. However, the inventors have found that it is sometimes preferable to perform
the reaction at low salt concentration where no sodium chloride or other salt is added.
Where the reaction is performed at a pH of between 7.6 and 7.8, the reaction can
optionally be carried out without the addition of salt. Similarly, the use of higher ratios of
GMBS to toxin can be performed without the addition of salt at pH values between 7.0 and
8.0.
Preferably a 50-500, more preferably 130-350 or 350- 900, most preferably around 250
fold molar excess of the chemical compound or crosslinking reagent to each toxin is used.
Pneumococcal pneumolysin contains 31 lysine residues. Therefore a 248 fold molar
excess of chemical compound or cross-linking reagent over pneumolysin is equivalent to
an 8 fold molar excess of chemical compound or cross-linking reagent to each lysine
residue. Preferably a 2-20, more preferably a 4-15 or 15-30, most preferably around 8 fold
molar ratio of chemical compound or cross-linking reagent to lysine residues is used in
methods of the Invention.
The treatment with crosslinking reagent proceeds for at least 15 minutes, preferably for at
least 30 minutes, most preferably for around one hour at between 4°C and 40 °C,
preferably between 15 °C and 25 °C, most preferably at room temperature. The method of
the invention may further comprise a quenching step using a compound containing a
sulfhydryl group, preferably the quenching compound has a molecular weight of over 50,
100 or 120, more preferably the quenching reagent is an amino add such as cysteine.
Alternatively the groups may be reacted with a peptide or polysaccharide moiety capable
of reacting with maleimide, for instance a peptide containing a cysteine residue. This is
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WO 2004/081515 PCTYEP2004/002641
particularly appropriate where unreacted maleimide group are present prior to the
quenching step.
The detoxification step is suitable for use on bacterial toxins as described above.
Preferably the bacterial toxin is from Streptococcus pneumonias, most preferably the toxin
is pneumolysin. The pneumolysln is a native or recombinant protein or a protein that has
been genetically engineered to reduce its toxicity (as described above). Fusion proteins of
toxins, preferably pneumolysin or fragments of toxins, preferably pneumolysin may be
detoxified using the method of the invention.
Thus in a preferred embodiment, a toxin (such as pneumolysin) is detoxified with a cross-
linking reagent which is preferably heterobifunctional having groups that are reactive with
lysine and cysteine residues and is of a certain size, most preferably having the reactive
groups spaced 10-20 Angstroms apart such that either or preferably both or the following
occurs:
a) between 5 and 30, preferably around 12-14 amino acid residues of the toxin are
modified by a cross-linker molecule covalently binding preferably to a tysine or
arginine residue (preferably, as measured indirectly by an Ellman reaction), the other
end having been quenched (preferably with cysteine) and/or,
b) a cysteine sidechain involved in the toxic activity of the toxin (preferably towards the
C~terminus of the toxin) is cross-linked to another sidechain of the toxin (preferably to
a lysine or arginine residue) which is preferably separated by more than 2, 5, 10, 20,
30 or 40 amino acids from the cysteine residue in the primary sequence of the toxin.
In a further preferred embodiment, a toxin (preferably pneumolysin) is detoxified with a
monofunctional chemical compound which preferably reacts with amino acids containing a
primary amine group, more preferably lysine, and is of a certain size, most preferably 10-
100 Angstroms such that the toxin is covered with between 5 and 30, more preferably
around 14 chemical compound bound to amino acid residues.
Polvsaccharide conjugates
A problem associated with the polysaccharide approach to vaccination, is the fact that
polysaccharides per se are poor immunogens. To overcome this, polysaccharides may
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WO 2004/081515 PCT/EP2004/002641
be conjugated to protein carriers, which provide bystander T-cell help. The process of the
invention may advantageously contain a further step of conjugating the cytolysin,
preferably pneumolysin to a bacterial polysaccharide, for instance a lipo-oligosaccharide
or preferably a capsular polysaccharide.
A preferred conjugate of the invention comprises cytolysin, preferably pneumolysin
obtained by the method of the invention conjugated to capsular polysaccharides derived
from Streptococcus pneumoniae. The pneumococcal capsular polysaccharide antigens
are preferably selected from serotypes 1, 2, 3, 4, 5, 6B, 7F, 8, 9N, 9V, 1QA 11A, 12F, 14,
15B, 17F, 18C, 19A, 19F, 20, 22F, 23F and 33F (most preferably from serotypes 1, 3, 4,
5, 6B, 7F, 9V, 14,18C, 19F and 23F), or mixtures of two or more of said conjugates (4, 7,
9,11,13or23).
Cytotysin, preferably pneumolysin, purified by the process of the invention is also
preferably conjugated to capsular polysaccharides from other strains of bacteria. Such
polysaccharides can be isolated from, for example, H. influenzae, H. influenzae type B
(Hib), N. meningitidis groups A, C, W, Y, Streptococci other than S. pneumoniae (e.g.,
Group B Streptococcus, S. pyogen&s, etc.), Staphylococcus (e.g., S. aureus, S.
epidermidis), E. coli, Enterococcus (e.g., E. faecalis and £. faecium) ,etc. Preferably the
polysaccharides are from H. influenzae type B (Hib), and/or N. meningitidis groups A, C,
W135, and/or Y.
The polysaccharide may be linked to cytolysin, preferably pneumolysin, by any known
method (for example, by Likhite, U.S. Patent 4,372,945 and by Armor etal., U.S. Patent
4,474,757). Preferably, CDAP conjugation is carried out (WO 95/08348). To enhance
immunogenicity, the polysaccharides may be adjuvanted and/or lyophilised. The
polysaccharides of the invention may be full size or sized post purification to smaller
polysaccharides or oligosaccharides.
The process of the invention preferably comprises a further step of formulating cytolysin,
preferably pneumolysin into a vaccine.
Proteins and immunogenic compositions
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WO 2004/081515 PCT/EP2004/002641
A further embodiment of the invention is cytoiysin, preferably pneumolysin, purified by the
method of the invention. This includes a pneumolysin-bacterial capsular poiysaccharide
conjugate made by the process of the invention.
A further embodiment of the invention is an immunogenic composition comprising
cytoiysin, preferably pneumolysin or pneumolysin- bacterial capsular poiysaccharide
obtained by the process of the invention (as described above).
The immunogenic composition of the invention preferably further comprises one or more
members of the pneumococcal choline binding protein family, preferably choline binding
protein A or an immunogenic fragment thereof and/or one or more members of the poly
histidine triad family (including fusion proteins thereof), preferably PhtA, PhtB, PhtD or
PhtE or an immunogenic fragment thereof.
Concerning the Choline Binding Protein family (CbpX), members of this family were
originally identified as pneumococcal proteins that could be purified by chollne-affinity
chromatography. All of the choline-binding proteins are non-covalently bound to
phosphorylcholine moieties of ceil wall teichoic acid and membrane-associated
lipoteichoic acid. Structurally, they have several regions in common over the entire family,
although the exact nature of the proteins (amino acid sequence, length, etc.) can vary. In
general, choline binding proteins comprise an N terminal region (IM), conserved repeat
regions (R1 and/or R2), a proiine rich region (P) and a conserved choline binding region
(C), made up of multiple repeats, that comprises approximately one half of the protein. As
used in this application, the term "Choline Binding Protein family (CbpX)" is selected from
the group consisting of Choline Binding Proteins as identified in WO97/41151, PbcA,
SpsA, PspC, CbpA, CbpD, and CbpG. CbpA is disclosed in WO97/41151. CbpD and
CbpG are disclosed in WO00/29434. PspC is disclosed in WO97/09994. PbcA is
disclosed In WO98/21337.SpsA is a Choiine binding protein disclosed in WO 98/39450.
Preferably the Choline Binding Proteins are selected from the group consisting of CbpA,
PbcA, SpsA and PspC.
Another preferred embodiment is CbpX truncates wherein "CbpX" is defined above and
"truncates" refers to CbpX proteins tacking 50% or more of the Choline binding region (C).
Preferably such proteins lack the entire choline binding region. More preferably, the such
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WO 2004/081515 PCT/EP2004/002641
protein truncates lack (i) the chollne binding region and (ii) a portion of the N-terminal half
of the protein as well, yet retain at least one repeat region (R1 or R2). More preferably
still, the truncate has 2 repeat regions (R1 and R2), more preferably the truncate retains
the praline rich region (P). Examples of such preferred embodiments are NR1XR2 and
R1xR2 as illustrated in WO99/51266 or WO99/51188 and NR1XR2P, however, other
choline binding proteins lacking a similar choline binding region are also contemplated
within the scope of this invention.
The LytX family is membrane associated proteins associated with cell lysis. The N-
terminal domain comprises choline binding domain(s), however the LytX family does not
have all the features found in the CbpA family noted above and thus the LytX family is
considered distinct from the CbpX family, in contrast with the CbpX family, the C-terminal
domain contains the catalytic domain of the LytX protein family. The family comprises
LytA, B and C. With regards to the LytX family, LytA is disclosed In Ronda et al., Eur J
Biochem, 164:621-624 (1987). LytB is disclosed in WO 98/18930, and is also referred to
as Sp46. LytC is also disclosed in WO 98/18930, and is also referred to as Sp91. A
preferred member of that family is LytC.
Another preferred embodiment are LytX truncates wherein TytX" is defined above and
"truncates" refers to LytX proteins lacking 50% or more of the Choline binding region.
Preferably such proteins lack the entire choline binding region. An example of such
truncates can be found in the Examples section of this invention.
Yet another preferred embodiment of this invention are CbpX truncate-LytX truncate
chimeric proteins (or fusions). Preferably this comprises NR1xR2 (or R1xR2, or
NR1XR2P) of CbpX and the C-terminal portion (Cterm, i.e., lacking the choline binding
domains) of LytX (e.g., LytCCterm or Sp91Cterm). More preferably CbpX is selected from
the group consisting of CbpA, PbcA, SpsA and PspC. More preferably still, it is CbpA.
Preferably, LytX is LytC (also referred to as Sp91).
Another embodiment of the present invention is a PspA or PsaA, or truncates lacking the
choline binding domain (C) optionally expressed as a fusion protein with LytX. Preferably,
LytX is LytC.
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WO 2004/081515 PCT/EP2004/002641
The Pht (Poly Histidine Triad) family comprises proteins PhtA, PhtB, PhtD, and PhtE. The
family is characterised by a lipidation sequence, two domains separated by a protine-rich
region and several histidine triads, possibly involved in metal or nucleoside binding or
enzymatic activity, (3-5) coiled-coil regions, a conserved N-terminus and a heterogeneous
C terminus. It is present in all strains of pneumococci tested. Homologous proteins have
also been found in other Streptococci and Meisseria. Preferred members of the family
comprise PhtA, PhtB and PhtD. More preferably, it comprises PhtA or PhtD. It is
understood, however, that the terms Pht A, B, D, and E refer to proteins having
sequences disclosed in the citations below as well as naturalfy-occurring (and man-made)
variants thereof that have a sequence homology that is at least 90% identical to the
referenced proteins. Preferably it Is at least 95% identical and most preferably it is 97%
identical.
The imunogeni composition of the invention may incorporate fusion proteins of histidine
triad proteins. Preferred fusion proteins contain i) PhtD or a fragment thereof linked to
PhtE or a fragment thereof or ii) PhtB or a fragment thereof linked to PhtE or a fragment
thereof.
With regards to the PhtX proteins, PhtA is disclosed in WO 98/18930, and is also referred
to Sp36. As noted above, it is a protein from the polyhistidine triad family and has the type
II signal motif of LXXC.
PhtD is disclosed in WO 00/37105, and is also referred to SpO36D. As noted above, it
also is a protein from the polyhistidine triad family and has the type II LXXC signal motif.
PhtB is disclosed in WO 00/37105, and is also referred to SpO36B. Another member of
the PhtB family is the C3-Degrading Polypeptide, as disclosed in WO 00/17370. This
protein also is from the polyhistidine triad family and has the type II LXXC signal motif. A
preferred immunologically functional equivalent is the protein Sp42 disclosed in WO
98/18930. A PhtB truncate (approximately 79kD) is disclosed in WO99/15675 which is
also considered a member of the PhtX family.
PhtE is disclosed in WOOO/30299 and is referred to as BVH-3.
In order to generate an immunogenic composition of the invention, capable of eliciting an
immune response against more than one pathogen involved in otitis media, it is
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WO 2004/081515 PCT/EP2D04/0O2641
advantageous for immunogenic compositions of the invention to further comprise an
antigen from one or more (2, 3, 4, 5, 6, ) of S. pneumoniae, non-typable Haemophilus
influenzae, Nloraxella catarrhalis, RSV, paralnfluenza virus and /or influenza virus.
The present invention also contemplates combination vaccines which provide protection
against a range of different pathogens. Many Paediatric vaccines are now given as a
combination vaccine so as to reduce the number of injections a child has to receive. Thus
for Paediatric vaccines other antigens from other pathogens may be formulated with the
vaccines of the invention. For example the vaccines of the invention can be formulated
with (or administered separately but at the same time) the well known 'trivalent'
combination vaccine comprising Diphtheria toxoid (DT), tetanus toxoid (TT), and pertussis
components [typically detoxified Pertussis toxoid (PT) and filamentous haemagglutinin
(FHA) with optional pertactin (PRN) and/or agglutinin 1+2], for example the marketed
vaccine INFANRIX-DTPa™ (SmithKlineBeecham Bioiogicals) which contains DT, TT, PT,
FHA and PRN antigens, or with a whole cell pertussis component for example as
marketed by SmithKlineBeecham Bioiogicals s.a., as Tritanrix™. The combined vaccine
may also comprise other antigen, such as Hepatitis B surface antigen (HBsAg), Polio virus
antigens (for instance inactivated trivalent polio virus - IPV), Moraxella catarrhalis outer
membrane proteins, non-typeable Haemophilus influenzae proteins, N.meningitidis B
outer membrane proteins.
Examples of preferred Moraxella catarrhalis protein antigens which can be included in a
combination vaccine (especially for the prevention of otitis media) are: OMP106 [WO
97/41731 (Antex) & WO 96/34960 (PMC)]; OMP21; LbpA &/or LbpB [WO 98/55606
(PMC)]; TbpA &/or TbpB [WO 97/13785 & WO 97/32980 (PMC)]; CopB [Heiminen ME, et
al. (1993) Infect. Immun. 61:2003-2010]; UspA1 and/or UspA2 [WO 93/03761 (University
of Texas)]; OmpCD; HasR (PCT/EP99/03824); PilQ (PCT/EP99/03823); OMP85
(PCT/EP00/01468); Iipo06 (GB 9917977.2); Iipo10 (GB 9918208.1); Iipo11 (GB
9918302.2); Ilpo18 (GB 9918038.2); P6 (PCT/EP99/03038); D15 (PCT/EP99/03822);
OmplAI (PCT/EP99/06781); Hly3 (PCT/EP99/03257); and OmpE. Examples of non-
typeable Haemophilus influenzae antigens which can be included in a combination
vaccine (especially for the prevention of otitis media) include: Fimbrin protein [(US
5766608 - Ohio State Research Foundation)] and fusions comprising peptides therefrom
[eg LB1(f) peptide fusions; US 5843464 (OSU) or WO 99/64067]; OMP26 [WO 97/01638
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WO 2004/081515 PCTYEP2004/002641
(Cortecs)]; P6 [EP 281673 (State University of New York)]; TbpA and/or TbpB; Hia; Hsf;
Hin47; Hif; Hmw1; Hmw2; Hmw3; Hmw4; Hap; D15 (WO 94/12641); protein D (EP
594610); P2; and P5 (WO 94/26304).
Other combinations contemplated are the cytolysin, preferably pneumolysin of the
invention in combination with viral antigens, for example, from influenza (attenuated, split,
or subunit [e.g., surface glycoproteins neuraminidase (NA) and haemagglutinin (HA). See,
e.g., Chaloupka I. et al, Eur. Journal Clin. Microbiol. Infect. Dis. 1996, 15:121-127], RSV
(e.g., F and G antigens or F/G fusions, see, eg, Schmidt A. C. et al, J Virol, May 2001,
p4594 - 4603), parainfluenxa virus 3 (PIV3) (e.g., HN and F proteins, see Schmidt et al.
supra). Varicella (e.g., attenuated, glycoproteins I-V, etc.), and any (or all) component(s)
of MMR (measles, mumps, rubella).
Vaccines
A further embodiment of the invention is a vaccine comprising cytolysin, preferably
pneumolysin or a pneumolysin-bacterial capsular polysaccharide conjugate, obtained by
the process of the invention and a pharmaceuticaily acceptable excipient and optionally
an adjuvant.
A vaccine of the invention may comprise the immunogenic compositions of the invention
described above and a pharmaceuticaily acceptable excipient.
Vaccines of the invention are capable of generating a protective immune response against
S. pneumoniae infection and/or otitis media.
A further embodiment of the invention includes a method of making a vaccine by taking a
cytolysin, preferably pneumolysin, made by the process of the invention and formulating it
as a vaccine with a pharmaceuticaily acceptable excipient and optionally with one or more
of the further antigens described above.
A further embodiment of the invention includes method of treatment or prevention of
bacterial infection, preferably Streptococcus pneumoniae infection or otitis media
comprising administration of the vaccine or immunogenic composition of the invention.
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WO 2004/081515 PCT/EP2004/002641
A further embodiment of the invention is the use of the cytolysin, preferably pneumolysin
and/or pneumolysin - bacterial capsular polysaccharide conjugate, either of which is
obtained by a process of the invention, in the preparation of a vaccine for the treatment or
prevention of bacterial infection, preferably Streptococcus pneumoniae infection or otitis
media.
The vaccines of the present invention are preferably adjuvanted. Suitable adjuvants
include an aluminium salt such as aluminium hydroxide gel (alum) or aluminium
phosphate, but may also be a salt of calcium, magnesium, iron or zinc, or may be an
insoluble suspension of acylated tyrosine, or acylated sugars, cationically or anionically
derivatised polysaccharides, or polyphosphazenes.
It is preferred that the adjuvant be selected to be a preferential inducer of a TH1 type of
response. Such high levels of Th1-type cytokines tend to favour the induction of cell
mediated immune responses to a given antigen, whilst high levels of Th2-type cytokines
tend to favour the induction of humoral immune responses to the antigen.
It is Important to remember that the distinction of Th1 and Th2-type immune response is
not absolute. In reality an individual will support an immune response which is described
as being predominantly Th1 or predominantly Th2. However, it is often convenient to
consider the families of cytokines in terms of that described in murine CD4 +ve T cell
clones by Mosmann and Coffman (Mosmann, T.R. and Coffman, R.L. (1989) TH1 and
TH2 cells: different patterns of lymphokine secretion lead to different functional properties.
Annual Review of Immunology, 7, p145-173). Traditionally, Th1-type responses are
associated with the production of the INF^y and IL-2 cytokines by T-iymphocytes. Other
cytokines often directly associated with the induction of Th1-type immune responses are
not produced by T-cells, such as 1L-12. In contrast, Th2-type responses are associated
with the secretion of II-4, IL-5, lL-6, IL-10. Suitable adjuvant systems which promote a
predominantly Th1 response include: Monophosphoryl lipid A or a derivative thereof,
particularly 3-de-O-acylated monophosphoryl lipid A (3D-MPL) (for its preparation see GB
2220211 A); and a combination of monophosphoryl lipid A, preferably 3-de-O-acylated
monophosphoryl lipid A, together with either an aluminium salt (for instance aluminium
phosphate or aluminium hydroxide) or an oil-in-water emulsion. In such combinations,
antigen and 3D-MPL are contained in the same particulate structures, allowing for more
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WO 2004/081515 PCT/EP2004/002641
efficient delivery of antigenic and immunostimulatory signals. Studies have shown that 3D-
MPL is able to further enhance the immunogenicity of an alum-adsorbed antigen [Thoelen
eta/.Vaccine(1998) 16:708-14; EP689454-B1].
An enhanced system involves the combination of a monophosphoryl lipid A and a saponin
derivative, particularly the combination of QS21 and 3D-MPL as disclosed in WO
94/00153, or a less reactogenic composition where the QS21 is quenched with cholesterol
as disclosed in WO 96/33739.
A particularly potent adjuvant formulation Involving QS21, 3D-MPL and tocopherol In an
oil in water emulsion Is described in WO 95/17210, and is a preferred formulation.
Preferably the vaccine additionally comprises a saponin, more preferably QS21. The
formulation may also comprise an oil in water emulsion and tocopherol (WO 95/17210).
The present invention also provides a method for producing a vaccine formulation
comprising mixing a cytolysin of the present invention together with a pharmaceutically
acceptable excipient, such as 3D-MPL
Unmethylated CpG containing oligonucleotides (WO 96/02555) are also preferential
inducers of a TH1 response and are suitable for use in the present invention.
In a further aspect of the present invention there is provided a vaccine as herein described
for use in medicine. In one embodiment there is a method of preventing or ameliorating
pneumonia In an elderly human (over 55 years old) comprising administering a safe and
effective amount of a vaccine of the invention, and optionally a Th1 adjuvant, to said
elderly patient.
In a further embodiment there is provided a method of preventing or ameliorating otitis
media in Infants (up to 24 months) or toddlers (typically 24 months to 5 years), comprising
administering a safe and effective amount of a vaccine comprising a cytolysin, preferably
pneumolysin of the invention, optionally with one or more of the further antigens described
above and optionally a Th1 adjuvant, to said Infant or toddler.
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WO 2004/081515 PCT/EP20O4/0O2641
The vaccine preparations of the present invention may be used to protect or treat a
mammal (preferably a human patient) susceptible to infection, by means of administering
said vaccine via systemic or mucosal route. These administrations may include injection
via the intramuscular, intraperitoneal, intradermal or subcutaneous routes; or via mucosal
administration to the oral/alimentary, respiratory, genitourinary tracts. Intranasal
administration of vaccines for the treatment of pneumonia or otitis media is preferred (as
nasopharyngeal carriage of pneumococci can be more effectively prevented, thus
attenuating infection at its earliest stage). Although the vaccine of the invention may be
administered as a single dose, components thereof may also be co-administered together
at the same time or at different times (for instance if polysaccharides are present in a
vaccine these could be administered separately at the same time or 1-2 weeks after the
administration of the bacterial protein combination for optimal coordination of the Immune
responses with respect to each other). In addition to a single route of administration, 2
different routes of administration may be used. For example, viral antigens may be
administered ID (intradermal), whilst bacterial proteins may be administered IM
(intramuscular) or IN (intranasal). If polysaccharides are present, they may be
administered IM (or ID) and bacterial proteins may be administered IN (or ID). In addition,
the vaccines of the invention may be administered IM for priming doses and IN for booster
doses.
The amount of conjugate antigen in each vaccine dose is selected as an amount which
induces an immunoprotective response without significant, adverse side effects in typical
vaccines. Such amount will vary depending upon which specific immunogen is employed
and how it is presented. The content of protein antigens in the vaccine will typically be in
the range 1-100|ig, preferably 5-50ng, most typically In the range 5 - 25ug. If
polysaccharides are included, generally it is expected that each dose will comprise
0.1-100 \ig of polysaccharide, preferably 0.1-50 \ig, more preferably 0.1-10 fig, of which 1
to 5 ^g is the most preferable range.
Optimal amounts of components for a particular vaccine can be ascertained by standard
studies involving observation of appropriate immune responses in subjects.. Following an
initial vaccination, subjects may receive one or several booster immunisations adequately
spaced. Typically a vaccine will comprise antigen (proteins), an adjuvant, and excipients
or a pharmaceutically acceptable earner.
26

WO 2004/081515 PCT/EP2004/002641
Vaccine preparation is generally described in Vaccine Design (The subunit and adjuvant
approach" (eds Powell M.F. & Newman M.J.) (1995) Plenum Press New York).
Encapsulation within liposomes is described by Fullerton, US Patent 4,235,877.
Although the vaccines of the present invention may be administered by any route,
administration of the described vaccines into the skin (ID) forms one embodiment of the
present invention. Human skin comprises an outer "homy" cuticle, called the stratum
comeum, which overlays the epidermis. Underneath this epidermis is a layer called the
dermis, which in turn overlays the subcutaneous tissue. Researchers have shown that
injection of a vaccine into the skin, and in particular the dermis, stimulates an immune
response, which may also be associated with a number of additional advantages.
intradermal vaccination with the vaccines described herein forms a preferred feature of
the present invention.
The conventional technique of intradermal injection, the "mantoux procedure", comprises
steps of cleaning the skin, and then stretching with one hand, and with the bevel of a
narrow gauge needle (26-31 gauge) facing upwards the needle is inserted at an angle of
between 10-15°. Once the bevel of the needle is inserted, the barrel of the needle is
lowered and further advanced whilst providing a slight pressure to elevate it under the
skin. The liquid is then injected very slowly thereby forming a bieb or bump on the skin
surface, followed by slow withdrawal of the needle.
More recently, devices that are specifically designed to administer liquid agents into or
across the skin have been described, for example the devices described in WO 99/34850
and EP 1092444, also the jet injection devices described for example in WO 01/13977;
US 5,480,381, US 5,599,302, US 5.334,144, US 5,993,412, US 5,649,912, US 5,569,189,
US 5,704,911, US 5,383,851, US 5,893,397, US 5,466,220, US 5,339,163, US 5,312,335,
US 5,503,627, US 5,064,413, US 5,520, 639, US 4,596,556, US 4,790,824, US
4,941,880, US 4,940,460, WO 97/37705 and WO 97/13537. Alternative methods of
intradermal administration of the vaccine preparations may include conventional syringes
and needles, or devices designed for ballistic delivery of solid vaccines (WO 99/27961), or
transdermal patches (WO 97/48440; WO 98/28037); or applied to the surface of the skin
(transdermal or transcutaneous delivery WO 98/20734; WO 98/28037).
27

WO 2004/081515 PCT7EP2004/002641
When the vaccines of the present invention are to be administered to the skin, or more
specifically into the dermis, the vaccine is in a low liquid volume, particularly a volume of
between about 0.05 ml and 0.2 ml.
The content of antigens in the skin or intradermal vaccines of the present invention may
be similar to conventional doses as found in intramuscular vaccines. Accordingly, the
protein antigens present in the intradermal vaccines may in the range 1-IOOp.g, preferably
5-50(ag, Likewise, if present, the amount of polysaccharide conjugate antigen in each
vaccine dose is generally expected to comprise 0.1-100 (ig of polysaccharide, preferably
0.1-50 pg, preferably 0.1-10 jjg, and may be between 1 and 5 ug. However, it is a feature
of skin or intradermal vaccines that the formulations may be "low dose". Accordingly the
protein antigens in "low dose" vaccines are preferably present in as little as 0.1 to 10|ig,
preferably 0.1 to 5 ng per dose; and if present the polysaccharide conjugate antigens may
be present in the range of 0.01-i^g, and preferably between 0.01 to 0.5 ng of
polysaccharide per dose.
As used herein, the term "intradermal delivery" means delivery of the vaccine to the region
of the dermis in the skin. However, the vaccine will not necessarily be located exclusively
in the dermis. The dermis is the layer in the skin located between about 1.0 and about 2.0
mm from the surface in human skin, but there is a certain amount of variation between
individuals and in different parts of the body. In general, it can be expected to reach the
dermis by going 1.5 mm below the surface of the skin. The dermis is located between the
stratum corneum and the epidermis at the surface and the subcutaneous layer below.
Depending on the mode of delivery, the vaccine may ultimately be located solely or
primarily within the dermis, or it may ultimately be distributed within the epidermis and the
dermis.
The immunogenic compositions and vaccines of the invention can be evaluated in various
animal models or with human sera. As an illustration, the following animal models can be
used to evaluate pneumococcal infection. C3H/HeJ Mice (6 to 3 week old) can be
immunised s.c. with 15 jxg protein adjuvanted with 50 jd CFA, followed 3-4 weeks later by
boosting with 15 ^ig protein with IFA. For demonstrating passive and active protection
from systemic infection, mice can be administered intraperitoneally with immune sera or
28

WO 2004/081515 PCT/EP20O4/002641
proteins prior to challenge by Intraperitoneal injection with 15 to 90 LD50 pneumococd on
week 8-10. Additionally, proteins can be tested in a mouse nasopharynx colonization
model by (Wu et al Microbiai Pathogenesis 1997; 23:127-137).
In addition to mice, infant rats are susceptible to colonisation and infection by S.
pneumoniae. In passive protective studies, administration of mouse immune sera (100 ul
i.p. or 10 ul i.n.) can be done prior to challenge with intranasal administration of'
S.pneumonia (10 ul) in 2-5 day old infant rat pups. Colonisation can be determined by
plating nasal washes (20-40 ul instilled, 10 ul withdrawn).
Favourable interactions between the protein (or protein and polysaccharide) components
of the combination vaccine may be demonstrated by administering a dose of each protein
(or protein and polysaccharide) in the vaccine which would be sub-protective in a
monovalent vaccine. Increased protective efficacy of the combination vaccine compared
to monovalent vaccines can be attributed to a favourable interaction between the
components.
The invention is illustrated in the accompanying examples. The examples are carried out
using standard techniques, which are well known and routine to those of skill in the art,
except where otherwise described in detail. The examples are meant to illustrate, but not
limit the invention.
Examples
Example 1 Purification of Dneumolvsin
After 18 hours induction of the E. coli culture by increasing the temperature to 39.5 °C, the
E.coli were pelletted by centrifugation at 17,000g for 1 hour. The pellet was resuspended
in 25mM diethanolamine pH9.0 and the E. cofi were mechanically broken using one pass
at 500 PSI in a Rannie apparatus. 1% Sodium lauroly sarcosinate (SLS) was added to the
broken E.coli and the mixture was incubated for 1 hour at room temperature before
centrifugation at 30,000g for 20 minutes so that cellular debris was pelleted. The
supernatant was diluted 2.5 fold to end up in 20mM phosphate pH 7.0 containing 1M NaCI
and 1% SLS and was then loaded onto a phenyt-sepharose HP column equilibrated in the
29

WO 2004/081515 PCT/EP2004/002641
same buffer (20mM phosphate pH 7.0 containing 1M NaC! and 1% SLS = equilibration
buffer). The column was washed with 4 column volumes of equilibration buffer followed by
2 column volumes of 20mM phosphate buffer pH7.0 containing 0.5M NaCI and 1% SLS.
Pneumolysin was eluted from the column by applying a low salt buffer containing 20mM
phosphate buffer pH 7.0 containing 1% SLS. Fractions containing pneumolysin were
identified using SDS-PAGE analysis, were pooled and the buffer was exchanged to 25mM
diethanolamine pH 9.0 using diafiltration.
The pneumolysin was solubilised by denaturation by adding solid guanidine hydrochloride
up to 6M final concentration and incubating for one hour. It was then diafiitered against
8M urea in 25mM diethanolamine pH9.0 containing 1mM DTT. Pneumolysin was refolded
by diafiltration against 20mM borate buffer pH9.0 containing 1mM DTT. After renaturation,
DTT was removed by diafiltration against 20mM borate buffer pH 9.0.
The purity of the pneumolysin achieved was analysed by running on an SDS-PAGE and
staining with Coomassie brilliant blue. A separate gel was analysed by Western blotting
using an antibody against E. coli to detect the level of E.coli proteins remaining in the
purified pneumolysin preparation. The biological activity of the purified pneumolysin was
assessed using an in vitro haemolysis assay.
Results
As shown in figure 1, the method described above was able to produce a highly efficient
purification of pneumolysin after a single chromatography step. The Coomassie blue
stained gel in panel A shows that elution of the column with a low salt buffer containing
no added sodium chloride was able to elute a 53kDa band corresponding to pneumolysin
from the column in a highly purified form. The much fainter band of approximately 45kDa
is also thought to be pneumolysin since this second band binds to anti-pneumolysin
antibodies (results not show) and also fails to bind to the anti E. coli antibodies as shown
in panel B. The Western blot of panel B is a highly sensitive method of detecting any
contaminating proteins that remain in the purified pneumolysin. This method was able to
detect very few contaminants and those present were at a low level that was below the
detection level of Coomassie staining. The pneumolysin is therefore purified to a level of
98-100% purity.
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WO 2004/081515 PCT/EP2004/002641
The yield of the purification method is also good with a typical run giving around 1900 mg
of pneumolysin per litre of fermentation. Approximately 10% of the protein from the
fermentation culture was recovered as purified pneumolysin.
The activity of the pneumolysin in a haemolysis assay was assessed after the
pneumolysin had been treated with guanidinium hydrochoride/urea and had been refolded
by removal of the denaturant. Haemolytic activity was detected in dilutions of the purified
pneumotysin down to concentrations of 1.3 ng/ml showing that haemolytic activity had
been re-established. This corresponds to between 500,000 and 1,000,000 Haemoiytic
units per mg of wild-type pneumolysin.
Example 2 - Detoxification of S. pneumoniae oneumolvsin using GMBS
Purified pneumolysin was detoxified by modification of sulfhydryl and primary amine
groups using the NHS ester-maleimide crosslinking reagent GMBS (N-(y-
maleimidobutyry!oxy)succinimide ester). Pneumolysin at a concentration of 0.5 mg/ml,
was dialysed against 50mM phosphate buffer pH 7.0. The GMBS was initially dissolved in
DMSO and was added to pneumolysin in at a 248-fold molar excess of GMBS. Treatment
continued for one hour at room temperature. Excess GMBS and by-products were
removed by dialysis against 100mM sodium phosphate pH 6.8. Further maleimide groups
were quenched by reacting with 0.6mg/m! cysteine for two hours at room temperature. In
order to remove excess cysteine, the sample was dialysed against 2mM sodium
phosphate pH7.15.
Example 3 - Characterization of detoxified pneumolvsin
Haeroolvtic activity
A hemolytic assay was used to assess the remaining toxicity of detoxified pneumolysin.
Serial 2-fold dilutions of-pneumolysin were incubated with sheep red blood cells. After
centrifugation, the supernatant was transferred to immunoplates and released
haemoglobin was measured using optical density reading at 405 nm. Results were
expressed as ng/ml pneumolysin corresponding to the mid-point of the OD curve. The
31

WO 2004/081515 PCT/EP2004/002641
assay was repeated after incubating the detoxified pneumolysin at 37 °C for 7 days to
monitor the reversibility of detoxification.
As shown in table 1, treatment with GMBS was able to substantially reduce the haemolytic
activity of PLY with up to a 3,000 fold reduction in haemolytic activity being achieved.
Higher molar ratios of GMBS/lysine were able to produce better removal of haemolytic
activity with ratios of 4/1 and 5/1 being optimal in this experiment. This treatment was
estimated to result In modification of about 14 lysine residues. Where fewer lysine
residues were modified, the reduction in haemolytic activity was less.
ELISA
The antigenicity of the detoxified pneumolysin was assessed by ELISA. The ELiSA plates
were coated with a guinea pig anti-pneumolysin antibody. Samples containing dilutions of
pneumolysin were incubated in the plates for 1 hour at room temperature. After washing,
the bound pneumolysin was detected using rabbit polyclonal antibodies against
pneumolysin, conjugated to horseradish peroxidase. After washing the plates, a substrate
reaction was used to assess the amount of pneumolysin bound to each well.
As shown in table 1, treatment with GMBS led to some loss of antigenicity as assessed by
ELISA. However ELISA readings of approximately 66% of that given by untreated PLY
could be achieved showing that many antibodies could still recognize the modified
pneumolysin.
SDS-PAGE-ana lysis
The detoxified pneumolysin proteins were run on an SDS-PAGE (Novex 4-20%
polyacrylamide gel Invitrogen) and Coomassie brilliant blue was used to visualize the
proteins. As shown on figure 2, treatment with GMBS led to a slight increase in the
molecular weight of PLY from 53kDa to approximately 56kDa. This increase is due to the
modification of multiple amino acid residues with GMBS. A small percentage of PLY is
converted to -multimeric forms as seen by the appearance of faint bands of molecular
weight of approximately 110kDa and 170kDa, however, most of the PLY remains in an
essentially monomeric form. Incubation of the PLY at 37°C for 7 days did not results in
any substantial change in the appearance of the PLY on an SDS-PAGE showing that the
32

WO 2004/081515

PCT/EP2004/002641

modified PLY is not subject to degradation or subsequent covalently-linked multimer
formation.
Table 1: Trials of PLY detoxification by GMBS

Trial 6MB3 excess Wlalelmid© Ratio Hemolytlc liter
(GMBS/Lyslne) functions ELISA/LOWRY ng/ml
4°C 7D3T°C 4°C 7D37°C
%
/ 1 95 56 1.7 4.2
1/1 8 63 87 186 111
1.5/1 8.5 69 / 48 /
1 2/1 9.4 76 / 309 /
3/1 11.8 56 / 530 /
4/1 13.5 66 / 6308 /
5/1 14.2 67 / 4284 /
2 4/1 13.8 26 2 24.8 NH NH
8/1 17.6 23 9 38.0 NH NH
3 4/1 11.3 89 46 1598 6309
Trials were realised on 1 mg of PLY (1 mg/mt) except for the last assay for which 3 mg
were treated (PLY at 0.68 mg/ml).
33

WO 2004/081515

PCT/EP2004/002641

Examole 4 Reactoaenicitv evaluation of detoxified pneumotvsin in rats
Groups of three OFA rats were immunised once by intramuscular (tibialis) inoculation with
saline, the adjuvant QS21 (US5.057.540), pneumolysin, adjuvanted pneumolysln,
formaldehyde detoxified pneumolysin, adjuvanted formaldehyde detoxified pneumolysin,
GMBS detoxified pneumolysin, adjuvanted GMBS detoxified pneumolysin, NHS-acetate
detoxified pneumolysin or adjuvanted NHS-acetate detoxified pneumolysin. Three days
after immunisation, all the rats were killed and the tibialis were prepared for histological
examination. The tibialis were fixed in formalin and cut into 2mm slices which were
dehydrated and paraffin embedded. 7um sections were cut and stained using the
Trichrome Masson method, before being examined microscopically.
Reactogenicity was evaluated using four criteria; degeneration/necrosis, endomyslal
inflammation, haemorrhage and aponeurosis inflammation. For each histological criterion,
a score was attributed to each muscle of each group and a mean lesion score was then
calculation for each group. A score of 0 = normal, 1 = minimal, 2 = slight, 3 = moderate, 4
= marked and 5 = severe.
The histology of sections was examined. The mean scores for degeneration/necrosis,
endomysial inflammation, haemorrhage and aponeurosis inflammation are shown in Table
2.
Table 2

Inoculation Degeneration
/Necrosis Endomysial
inflammation Haemorrhage Aponeurosis
inflammation

NaCI 0 0.5 0 0
Ply 3.6 3.8 3.0 1.4
GMBS-Ply 0.6 1.3 1.3 0.4
Adjuvant 2.9 3.9 2.8 2.8
Ply + adjuvant 4.2 3.9 4.6 1.8
GMBS-Ply+ adj 2.9 3.9 3.8 1.6
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WO 2004/081515 PCT/EP2004/002641
A comparison of histological scores for unadjuvanted native and detoxified pneumolysin
shows that GMBS is a particularly effective cross-linking reagent to use for the
detoxification of pneumolysin, producing a large decrease in degeneration/necrosis,
endomysial inflammation, haemorrhage and aponeurosis inflammation.
The addition of adjuvant (50ug aluminium phosphate and 5ug MPL) to the inoculations
increases the amount of reactogenicity as a side effect of stimulating the immune system.
Detoxification of pneumolysin with GMBS allowed the level of degeneration/necrosis to be
reduced to that produced by the adjuvant alone which was lower than the level produced
by inoculation with native pneumolysin. GMBS detoxified pneumolysin produced a level of
haemorrhage lower than that produced by native pneumolysin. Levels of endomysial
inflammation were elevated by the adjuvant and this level was still present in the presence
of adjuvanted native or GMBS detoxified pneumolysin. Aponeurosis inflammation was
however reduced from the level produced by adjuvant alone by native or GMBS detoxified
pneumolysin, with the level of aponeurosis being slightly lower where the pneumolysin
had been treated with GMBS.
Example 5 - Evaluation of toxicity of GMBS treated pneumolvsin in mice
Groups of 20 OF1 mice were challenged intranasally with either native pneumolysin or
GMBS-treated pneumolysin and the mice were monitored for the following 9 days.
As shown in Figure 3, challenge with 2ug of native pneumolysin led very quickly to the
death of all the mice in that group. The pneumolysin produced lesions throughout the
respiratory system which led to respiratory difficulties and death. In contrast, the GMBS
treated pneumolysin had substantially reduced toxicity with all of the mice inoculated with
2ug, 5ug or 10ug of the GMBS treated pneumolysin surviving the challenge.
Example 6 - protection studies using detoxified pneumolvsin
Groups of 20 OF1 mice were immunised 3 times intramuscularly, on days 0, 14 and 28
with 5ug of pneumolysin and 50ug aluminium phosphate and 5ug MPL as adjuvant.
Control mice were immunised with adjuvant alone. The pneumolysin was either untreated
or detoxified using the GMBS treatment described above.
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WO 2004/081515 PCT/EP2004/002641
On day 42, the mice were given an intranasal, lethal challenge with 2ug of native
pneumolysin. The survival of the mice over the following 9 days was monitored.
Results
The lethal challenge model led to 90% mortality in control mice (Figure 4). Immunisation
with GMBS detoxified pneumolysin produced very good protection with only 5% of mice
dying during the following 9 days. This was comparable to protection given after
inoculation with native pneumolysin, following which 10% of mice died.
Example 7 Evaluation of detoxified pneumotvsin in combination with PhtO in a mouse
lethal challenge model
Groups of 20 OF1 mice were immunised intramuscularly with a) adjuvant alone or b) 1ug
PhtD and adjuvant or c) tug PhtD and 5ug GMBS detoxified pneumolysin and adjuvant.
The adjuvant used was composed of 50ug aluminium phosphate and 5ug MPL and
immunisations took place on day 0 and day 14. The mice were challenged with an
intranasal lethal dose of 5.105 CFU of serotype 2 S. pneumoniae strain D39 and survival
was monitored over the next 10 days.
Results
As shown in Figure 5, challenge with strain D39 led to 75% lethality after 10 days in
control mice. Immunisation with PhtD alone did not provide significant protection with 70%
of mice in this group dying after 10 days (p=0.29). Immunisation with PhtD together with
GMBS detoxified pneumolysin gave significantly better protection with lethality being
reduced to 50% (p=0.04).
Example 8 Detoxification of pneimolvsin using formaldehyde
A stock of purified pneumolysin at a concentration of approximately 0.4mg/ml was in
25mM potassium phosphate buffer pH 7.0 wa treated with 50mM L-lysine and 0.1%
formaldehyde (w/v) for 21 days at 4p°C.
36

WE CLAIM:
1. A process for purification of a bacterial cytolysin comprising the steps of:
a) growing a culture of cells expressing bacterial cytolysin;
b) preparing an extract from the culture containing bacterial cytolysin;
c) binding soluble aggregated bacterial cytolysin contained in the extract in the
presence of detergent to a hydrophobic interaction chromatography material under
high salt (preferably 0.6-2M salt) conditions;
d) eluting bacterial cytolysin in the presence of detergent under low salt (preferably
0-0.2M salt) conditions.
and optionally steps e), f) and g) of:
e) removing detergent from the bacterial cytolysin
f) solubilising the bacterial cytolysin by addition of a denaturant;
g) removing the denaturant from the bacterial cytolysin.
2. The process as claimed in claim 1 wherein the bacterial cytolysin is pneumococcal
pneumolysin.
3. The process as claimed in claims lor 2 wherein step b) involves mechanically
breaking the cells.
4. The process as claimed in claims 1-3 wherein step b) involves treatment with
detergent.
5. The process as claimed in claims 1-4 wherein the same detergent is present in steps
c) and d).
6. The process as claimed in claim 4 wherein the same detergent is present in steps b),
c) and d).
37

7. The process as claimed in claims 1-6 wherein the detergent is present in a
concentration of between 0.1 and 5% (w/v).
8. The process as claimed in any preceding claim wherein step b) involves centrifugation
of disrupted cell material and collection of a supernatant as the extract of step c).
9. The process as claimed in any preceding claim wherein the hydrophobic interaction
chromatography material used in step c) contains aromatic groups.
10. The process as claimed in claim 9 wherein the hydrophobic chromatography material
is phenyl-sepharose.
11. The process as claimed in any preceding claim wherein the detergent present in the
solution used in step c) and/or step d) is an aliphatic detergent.
12. The process as claimed in any preceding claim wherein the detergent is sodium
lauroly sarcosinate.
13. The process as claimed in any preceding claim wherein the high salt conditions of
step c) contains 0.6-2M salt.
14. The process as claimed in any preceding claim wherein the solution used in step c)
and/or d) contains a salt selected from the group consisting of sodium chloride,
magnesium chloride, ammonium chloride, sodium sulphate, magnesium sulphate,
ammonium sulphate, sodium phosphate, magnesium phosphate, ammonium
phosphate.
15. The process as claimed in my preceding claim wherein the conditions used in step c)
and/or step d) are between pH 6-8, preferably around pH 7.
38

16. The process as claimed in any preceding claim wherein the conditions used in step d)
contain 0 - 0.1M salt.
17. The process as claimed in claim 16 wherein the conditions used in step d) contain 0-
40mM salt.
18. The process as claimed in any preceding claim wherein step e) involves the removal
of detergent by diafiltration or dialysis.
19. The process as claimed in claim 18 wherein the diafiltration/dialysis is against a low
salt buffer containing 0-0.2M salt and having a pH of pH 8-10, preferably around pH
9.
20. The process as claimed in claims 1-19 wherein step f) involves denaturing the
bacterial cytolysin by addition of a denaturant and step g) involves refolding the
bacterial cytolysin by gradually removing the denaturant
21. The process as claimed in claims 1-20 wherein the denaturant used in step f) is
guanidine hydrochloride.
22. The process as claimed in claim 21 wherein 5-8M guanidine hydrochloride is used.
23. The process as claimed in claims 20-22 wherein the bacterial cytolysin is contacted
with 5-9M urea during step f).
24. The process as claimed in claim 23 wherein step f) involves contacting bacterial
cytolysin with 5-8M guanidine hydrochloride followed by exchanging the guanidine
hydrochloride for 5-9M urea.
25. The process as claimed in claims 20-24 wherein a reducing agent is present during at
least part of steps f) and g).
39

26. The process as claimed in claim 25, wherein the reducing agent is 0.1-10mM DTT,
preferably around lmM DTT.
27. The process as claimed in claim 1-26 wherein step g) involves removal of the
denaturant by diafiltration or dialysis.
28. The process as claimed in claim 27 wherein diafiltration or dialysis is againsjf a
solution of pH 7-9.
29. The process as claimed in any preceding claim comprising an optional step of
detoxifying the bacterial cytolysin by chemical treatment.
30. The process as claimed in claim 29 wherein the chemical treatment involves use of a
crosslinking agent.
31. The process as claimed in claim 30 wherein the crosslinking reagent contains one or
more chemicals selected from the group consisting of: formaldehyde, glutaraldehyde,
N-hydroxysuccinomido esters and GMBS.
32. The process as claimed in any preceding claim comprising an optional step of
conjugating the bacterial cytolysin to a bacterial capsular polysaccharide.
33. The process as claimed in claim 32 wherein the bacterial capsular polysaccharide is
derived from Streptococcus pneumoniae.
34. The process as claimed in any preceding claim comprising an optional step of
formulating bacterial cytolysin into a vaccine composition with a pharmaceutically
acceptable excipient.
40

35. The process as claimed in claim 34 wherein the bacterial cytolysin is formulated with
choline binding protein A or an immunogenic fragment thereof.
36. The process as claimed in claim 34 or 35 wherein the bacterial cytolysin is formulated
with one or more of PhtA, PhtB, PhtD or PhtE or immunogenic fragment thereof.
37. The process as claimed in any one of claims 34-36 wherein the bacterial cytolysin is
formulated with an antigen from non-typable Haemophilis influenzae (HtHi).
38. The process as claimed in any one of claims 34-37 wherein the bacterial cytolysin is
formulated with an antigen from Moraxella catarrhalis.
39. The process as claimed in any one of claims 34-38 wherein the bacterial cytolysin is
formulated with an antigen from RSV.
40. The process as claimed in any one of claims 34-39 wherein the bacterial cytolysin is
formulated with an antigen from parainfluenzae virus.
41. The process as claimed in any one of claims 34-40 wherein the bacterial cytolysin is
formulated with an antigen from influenza virus.
41

The persent invantion rela to a method for purifying bacterial cylotysims such as precumococccal pneumatysim, A
singil chromalography step ramduces excelleo purification of the cylolysin by bindiing soluble aggregated cylolysin to A hydrophubic
interacilon chromatography materiall in the presence of detergent and high salt.

Documents:


Patent Number 214250
Indian Patent Application Number 01605/KOLNP/2005
PG Journal Number 06/2008
Publication Date 08-Feb-2008
Grant Date 07-Feb-2008
Date of Filing 10-Aug-2005
Name of Patentee GLAXOSMITHKLINE BIOLOGICALS S.A.
Applicant Address RUE DE L'INSTITUT 89, B-1330 RIXENSART, BELGIUM
Inventors:
# Inventor's Name Inventor's Address
1 BIEMANS RALPH GLAXOSMITHKLINE BIOLOGICALS S.A., RUE DE L'INSTITUT 89, B-1330 RIXENSART, BELGIUM
2 GORAJ CARINE GLAXOSMITHKLINE BIOLOGICALS S.A., RUE DE L'INSTITUT 89, B-1330 RIXENSART, BELGIUM
3 MERTENS EMMANUEL GLAXOSMITHKLINE BIOLOGICALS S.A., RUE DE L'INSTITUT 89, B-1330 RIXENSART, BELGIUM
4 VANDERCAMMEN ANNICK GLAXOSMITHKLINE BIOLOGICALS S.A., RUE DE L'INSTITUT 89, B-1330 RIXENSART, BELGIUM
PCT International Classification Number C07K 14/315
PCT International Application Number PCT/EP2004/002641
PCT International Filing date 2004-03-11
PCT Conventions:
# PCT Application Number Date of Convention Priority Country
1 0305791.6 2003-03-13 U.K.
2 0305792.4 2003-03-13 U.K.