RECOMBINANT ADENO-ASSOCIATED VIRUS VECTORS CARRYING THE MUTANT HPV- 16 E7 ANTIGEN GENE, CONSTRUCTION METHOD AND APPLICATION THEREOF
20170266273 · 2017-09-21
Inventors
- Yong LIU (Guangzhou, Guangdong, CN)
- Qiaolin CHEN (Guangzhou, Guangdong, CN)
- Zhaopeng ZENG (Guangzhou, Guangdong, CN)
- Wenjuan DONG (Guangzhou, Guangdong, CN)
- Hongji GAO (Guangzhou, Guangdong, CN)
- Yanhao GONG (Guangzhou, Guangdong, CN)
- Sha MENG (Guangzhou, Guangdong, CN)
- Yanwei XU (Guangzhou, Guangdong, CN)
- Hui ZHANG (Guangzhou, Guangdong, CN)
- Jing LU (Guangzhou, Guangdong, CN)
Cpc classification
C12N2750/14143
CHEMISTRY; METALLURGY
A61K48/005
HUMAN NECESSITIES
C12N2710/20022
CHEMISTRY; METALLURGY
A61K2039/5154
HUMAN NECESSITIES
C12N2710/20034
CHEMISTRY; METALLURGY
C12N15/86
CHEMISTRY; METALLURGY
C12N2800/24
CHEMISTRY; METALLURGY
International classification
C12N15/86
CHEMISTRY; METALLURGY
A61K39/00
HUMAN NECESSITIES
A61K48/00
HUMAN NECESSITIES
Abstract
Provided are a recombinant adeno-associated virus (AAV) vector carrying human papillomavirus type 16 (HPV-16) mutation E7 antigen gene and a construction method therefor. The construction method comprises mutating the carcinogenic HPV-16 E7 antigen gene to noncarcinogenic E7 antigen gene, and then inserting the mutated gene into an AAV vector of which the structural gene has been removed, thereby obtaining the recombinant AAV vector. The recombinant AAV vector or related product can be used for preparing medications against HPV-16 infection and other diseases such as tumors caused by HPV-16 infection.
Claims
1. Recombinant adeno-associated virus vector carrying mutant HPV-16 E7 antigen gene, obtained by inserting a mutant HPV-16 E7 antigen gene, named as HPV-16 E7.sub.m, into a original vector; wherein the original vector is an AAV vector from which the adeno-associated virus structural genes Rep and Cap in the adeno-associated virus (AAV) vector have been eliminated and by which any one of p5 promoter, cytomegalovirus promoter, SV40 virus promoter and β-actin promoter of AAV is carried; the recombinant adeno-associated virus vector is a new rAAV vector carrying HPV-16 E7.sub.m antigen gene and is named as AAV/HPV-16 E7.sub.m.
2. The recombinant adeno-associated virus vector according to claim 1, wherein, the said mutant HPV-16 E7.sub.m antigen gene is a coding gene obtained correspondingly by replacing one, two or three of the cysteine (C) at position 58, 91 and 94 of the HPV-16 E7 antigen protein with glycine (G).
3. The recombinant adeno-associated virus vector according to claim 2, wherein, the said mutant HPV-16 E7.sub.m antigen gene is obtained by replacing one, two or three of the thymine (T) at position nt175, nt271 and nt280 of the open reading frames of HPV-16 E7 antigen gene with guanine (G).
4. The recombinant adeno-associated virus vector according to claim 1, wherein, the said mutant HPV-16 E7.sub.m antigen gene is one of the follows: A mutant HPV-16 E7 gene with one mutation site of nt175 (58aa), named as HPV-16 E7.sub.m58, and the nucleotide sequence thereof is shown in SEQ ID NO: 2 in the Sequence Listing or
5. The recombinant adeno-associated virus vector according to claim 1, wherein, the said adeno-associated virus vector is an adeno-associated virus vector from which the adeno-associated virus (AAV) structural genes Rep and Cap have been eliminated, and the promoter carried by the adeno-associated virus vector is any one of p5 promoter, cytomegalovirus promoter, human β-actin promoter and SV40 virus early promoter has been carried.
6. A method for constructing the said recombinant adeno-associated virus vector according to claim 1, comprising the steps of: 1) replacing one, two or three of cysteine (C) at position 58, 91 and 94 of the HPV-16 E7 antigen with glycine (G), i.e., replacing one, two or three of thymine (T) at position nt175, nt271 and nt280 of the open reading frames of HPV-16 E7 gene with guanine (G), to obtain a mutant HPV-16 E7 antigen gene with one, two or three mutation sites, uniformly named as HPV-16 E7.sub.m; and 2) respectively inserting the mutant HPV-16 E7.sub.m antigen gene or wild-type HPV-16 E7 antigen gene to an adeno-associated virus vector from which the adeno-associated virus structural genes Rep and Cap have been eliminated to obtain a recombinant adeno-associated virus vector carrying the mutant HPV-16 E7.sub.m antigen gene, named as AAV/HPV-16 E7.sub.m; or a recombinant adeno-associated virus vector carrying HPV-16 E7 antigen gene, named as AAV/HPV-16 E7, respectively; the promoter carried by the adeno-associated virus vector is any one of AAV p5 promoter, cytomegalovirus promoter, human β-actin promoter or SV40 virus early promoter.
7. The method according to claim 6, wherein, the specific procedure of step 1) is as any one of the following: 1). Cysteine (C) at position 58 of HPV-16 E7 antigen protein is replaced with glycine (G), the detailed procedure is to replace the thymine (T) at position nt175 of the open reading frames of HPV-16 E7 antigen gene with guanine (G), i. e., to replace the “tgc” encoding cysteine, at position nt175-177, with “ggc” encoding glycine, to obtain a HPV-16 E7 antigen gene with one mutation site, and named as HPV-16 E7.sub.m58; the obtained recombinant adeno-associated virus vector carrying the mutant HPV-16 E7.sub.m58 antigen gene is named as AAV/HPV-16 E7.sub.m58; 2). Cysteine (C) at position 91 of HPV-16 E7 antigen protein is replaced with glycine (G); the detailed procedure is to replace the thymine (T) at position nt271 of the open reading frames of HPV-16 E7 antigen gene with guanine (G), i. e., to replace the “tgc” encoding cysteine at position nt271-273 with “ggc” encoding glycine, to obtain a HPV-16 E7 antigen gene with one mutation site, and named as HPV-16 E7.sub.m91; the obtained recombinant adeno-associated virus vector carrying the mutant HPV-16 E7.sub.m91 antigen gene is named as AAV/HPV-16 E7.sub.m91; 3). Cysteine (C) at position 94 of HPV-16 E7 antigen protein is replaced with glycine (G); the detailed procedure is to replace the thymine (T) at position nt280 of the open reading frames of HPV-16 E7 antigen gene with guanine (G), i. e., to replace the “tgt” encoding cysteine at position nt271-273 with “ggt” encoding glycine, to obtain a HPV-16 E7 antigen gene with one mutation site, named as HPV-16 E7.sub.m94; the obtained recombinant adeno-associated virus vector carrying the mutant HPV-16 E7.sub.m94 antigen gene is named as AAV/HPV-16 E7.sub.m94; 4). Cysteines (C) at position 58 and 91 of HPV-16 E7 antigen protein are replaced with glycines (G); the detailed procedure is to replace the thymines (T) at position nt175 and nt271 of the open reading frames of HPV-16 E7 antigen gene with guanines (G), i. e., to replace the “tgc” encoding cysteine at position nt175-177 and nt271-273 with “ggc” encoding glycine, to obtain a HPV-16 E7 antigen gene with two mutation sites, and named as HPV-16 E7.sub.mm21; the obtained recombinant adeno-associated virus vector carrying the double-site-mutant HPV-16 E7.sub.mm21 antigen gene is named as AAV/HPV-16 E7.sub.mm21; 5). Cysteines (C) at position 58 and 94 of HPV-16 E7 antigen protein are replaced with glycines (G); the detailed procedure is to replace the thymines (T) at position nt175 and nt280 of the open reading frames of HPV-16 E7 antigen gene with guanines (G), i. e., to replace the “tgc” and “tgt” encoding cysteine respectively at position nt175-177 and nt280-282 with “ggc” and “ggt” encoding glycine respectively, to obtain a HPV-16 E7 antigen gene with two mutation sites, and named as HPV-16 E7.sub.mm22; the obtained recombinant adeno-associated virus vector carrying the double-site-mutant HPV-16 E7.sub.mm22 antigen gene is named as AAV/HPV-16 E7.sub.mm22; 6). Cysteines (C) at position 91 and 94 of HPV-16 E7 antigen protein are replaced with glycines (G); the detailed procedure is to replace the thymines (T) at position nt271 and nt280 of the open reading frames of HPV-16 E7 antigen gene with guanines (G), i. e., to replace the “tgc” and “tgt” encoding cysteine respectively at position nt271-273 and nt280-282, with “ggc” and “ggt” encoding glycine respectively, to obtain a HPV-16 E7 antigen gene with two mutation sites, and named as HPV-16 E7.sub.mm23; the obtained recombinant adeno-associated virus vector carrying the double-site-mutant HPV-16 E7.sub.mm23 antigen gene is named as AAV/HPV-16 E7.sub.mm23; 7). Cysteines (C) at position 58, 91 and 94 of HPV-16 E7 antigen protein are replaced with Glycines (G); the detailed procedure is to replace the thymines (T) at position nt175, nt271 and nt280 of the open reading frames of HPV-16 E7 antigen gene with guanines (G), i. e., to replace the “tgc”, “tgc” and “tgt” encoding cysteine, respectively at position nt175-177, nt271-273 and nt280-282, with “ggc”, “ggc” and “ggt” encoding glycine respectively, to obtain a HPV-16 E7 antigen gene with three mutation sites, and named as HPV-16 E7.sub.mm3; the obtained recombinant adeno-associated virus vector carrying the triple-site-mutant HPV-16 E7.sub.mm3 antigen gene is named as AAV/HPV-16 E7.sub.mm3.
8. Products associated with the recombinant adeno-associated virus vector of claim 1, the products include recombinant adeno-associated virus plasmids, recombinant adeno-associated virus particles and cell lines infected or transfected by the recombinant adeno-associated virus vector; the cell lines include monocytes (Mo) and dendritic cells (DC).
9. Methods for preparing the products of claim 8, which are respectively as follows: Preparation of recombinant adeno-associated virus plasmids: DNA of the recombinant adeno-associated virus vector, AAV/HPV-16 E7 or AAV/HPV-16 E7.sub.m, are respectively introduced into genetically engineered Escherichia coli DH5a competent cells; and resistance screening is performed by LB agar plates with 100 g/mL ampicillin and the white colonies are picked, then the plasmids of the picked colonies are extracted and purified to obtain the AAV/HPV-16 E7 plasmids and AAV/HPV-16 E7.sub.m plasmids; Preparation of recombinant adeno-associated virus: the pHelper plasmid and the recombinant adeno-associated virus plasmids AAV/HPV-16 E7 plasmids or AAV/HPV-16 E7.sub.m plasmids are used to co-transfect the AAV-HEK293 cells to obtain the recombinant adeno-associated virus, named as AAV/HPV-16 E7 virus and AAV/HPV-16 E7.sub.m virus respectively; Preparation of the cell lines infected or transfected by the recombinant adeno-associated virus: the recombinant adeno-associated virus, AAV/HPV-16 E7 virus or AAV/HPV-16 E7.sub.m virus, are used to infect or transfect monocytes (Mo), dendritic cells (DC) or lymphocytes, respectively or in turn, to obtain the cell lines.
10. A cellular immunotherapy drug for anti-HPV-16 infection and a malignant tumor caused by HPV-16 infection, the active ingredient of the drug is the recombinant adeno-associated virus vector of claim 1.
11. The drug according to claim 10 wherein, the malignant tumor caused by HPV-16 infection is selected from HPV-16-E7-antigen-positive cervical papilloma lesions, cervical cancer, male genital Bowen's disease, giant condyloma accuminata, penile cancer, anal cancer, rectum cancer, oral cancer, tonsillar cancer, mammary cancer, etc.
12. A method for killing HPV-16-infected cells and HPV-16-E7-positive tumor cells, comprising 1) obtaining treated cells respectively by infecting or transfecting the monocytes isolated from a patient using the recombinant adeno-associated virus vector of claim 1 or treating the monocytes isolated from a patient; and 2) reinfusing the dendritic cells (DC) induced by the treated monocytes (Mo) of 1) into the patient to activate cytotoxic-T-lymphocytes (CTLs), which kill HPV-16-infected cells and HPV-16-E7-positive tumor cells; or mixedly culturing the non-treated T-lymphocytes and the treated Mo-DC to obtain HPV-16-E7-antigen-specific CTLs, which are then reinfused into the patient to kill the HPV-16-infected cells and HPV-16-E7-positive tumor cells; or reinfusing the treated T-lymphocytes and the treated Mo-DC into the patient to kill the HPV-16-infected cells and HPV-16-E7-positive tumor cells.
Description
DESCRIPTION OF THE DRAWINGS
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MODE OF CARRYING OUT THE INVENTION
[0081] Unless otherwise specified, the method used in the following examples are conventional, and the concrete steps are available in the ((Molecular Cloning: A Laboratory Manual)) (Sambrook, J., Russell, David W., Molecular Cloning: A Laboratory Manual, 3rd edition, 2001, NY, Cold Spring Harbor).
[0082] Unless otherwise specified, the “percent concentration” as used herein refers to percent concentration of weight/weight (W/W, with the unit of g/100 mg), percent concentration of weight/volume (W/V, with the unit of g/100 mL), or percent concentration of volume/volume (V/V, with the unit of mL/100 m).
[0083] The synthesis of primers and DNA sequencing are completed by Life Technology, USA).
[0084] The approach to the acquisition of the various biomaterials described in the examples is merely to provide an experimental approach for achieving specific publicity purposes and should not be limitation of sources of the biomaterials in the present invention. In fact, sources of the biomaterials in the present invention are widely available, and any biological material that does not violate the legal and moral ethic can be replaced in accordance with the prompts in the examples.
[0085] The following examples are carried out based on the technical solutions of the present invention. The examples will be helpful to understanding the present invention, while the protection range of the present invention is not limited to the following examples.
[0086] The constructure of recombinant adeno-associated virus vector, AAV/HPV-16 E7 and AAV/HPV-16 E7.sub.m, will be described in detail in the following examples.
Materials and sources thereof:
[0087] A. Four different adeno-associated virus (AAV) vector: the four different AAV vector are respectively named as: pAAV/p5 with AAV p5 promoter, pAAV/CMVp with cytomegalovirus (CMV) promoter, pAAV/SV40p with SV40 virus promoter and pAAV/β-actinp with β-actin promoter. The known adeno-associated virus vector has p5 promoter. To increase the transcription level of the target gene, the p5 promoter in the recombinant adeno-associated virus vector can be replaced with one of the cytomegalovirus (CMV) promoter, β-actin promoter and SV40 viral promoter. The above-mentioned four different adeno-associated virus vector have identical gene structure except for the promoter, i.e., having intact AAV 2-type repeat terminal fragment (TR) sequence at both ends, having an insertion of 9 ribonucleotides (CTGCGCTGG, aim to improve the stability of the recombinant adeno-associated virus (rAAV) and the replication efficiency of the virus) in the 75th nucleotide sequence of TR at both ends, and not having any AAV structural gene (Rep and Cap). The above-mentioned four different adeno-associated virus vectors, pAAV/p5, pAAV/CMVp, pAAV/SV40p and pAAV/β-actinp, were successfully constructed by the inventors of the present patent application (see PCT/CN2008/000835 publication WO2008/128440A1 for the construction method).
[0088] B. Human cervical cancer tissue: The human cervical cancer tissue used in experiment was from cervical cancer tissue surgically removed, and confirmed to be HPV-16 antigen positive through immunohistochemistry.
[0089] C. Nucleotide primers for gene amplification: designed based on the HPV-16 E7 gene sequence published in American Genbank (NCI gene pool: KC935953). The upstream primer is 5′-ATGCATGGAGATACA-3′, and downstream primer is 5′-TTATTGTTTCTGAGAA-3′.
Basic Example: Construction of Recombinant Adeno-Associated Virus Vector Carrying the Human Papillomavirus Type 16 (HPV-16) E7 Gene or the Mutant E7.SUB.m .Gene
[0090] The recombinant adeno-associated virus vector, carrying HPV-16 E7 gene or mutant HPV-16 E7.sub.m gene, was respectively constructed by the following method, and the structural schematic diagram thereof is shown in
[0091] A. Obtaining HPV-16 E7 DNA: The specific method is that the DNAzol reagent (Life Technology, USA) is used according to the instructions. After repeated grinding, the HPV-16-E7 antigen positive cervical cancer tissue was mixed together with 10 mL DNAzol, and centrifugated. After centrifugation, the supernatant was washed twice with 75% ethanol, then absolute ethanol was added, centrifugated, and the precipitate was dissolved in deionized water to adjust the DNA concentration to 100 ng/μL. HPV-16 E7 DNA was amplified by PCR using 2 μL DNA solution as a template under the guidance of the upstream primer 5′-ATGCATGGAGATACA-3′ and the downstream primer 5′-TTATTGTTTCTGAGAA-3′. PCR amplification conditions were as follows: first 94° C. for 4 minutes; then 94° C. for 30 seconds, 60° C. for 35 seconds, and 72° C. for 50 seconds, for 30 cycles; finally 72° C. for 8 minutes. After the reaction, PCR amplification products were analyzed by 1.2% agarose gel electrophoresis. The testing result was shown in
[0092] B. Obtaining the mutant HPV-16 E7.sub.m DNA: The specific procedure is described in detail in Examples 1-7;
[0093] C. Obtaining the recombinant adeno-associated virus vectors, AAV/HPV-16 E7 and AAV/HPV-16 E7.sub.m: The above-obtained HPV-16 E7 DNA fragment and HPV-16 E7.sub.m DNA fragment are respectively inserted into the above-mentioned four rAAV: pAAV/p5, pAAV/CMVp, pAAV/SV40p and pAAV/β-actinp by DNA ligation technique. In order to insert the gene fragment, an endonuclease reaction is carried out first, followed by a ligation reaction. The endonuclease reaction system contains 100 ng of plasmid and 50 ng of HPV-16 E7 DNA or HPV-16 E7.sub.m DNA fragment; 10 U of restriction endonuclease BamH I and Sal I (purchased from Promega Co. Ltd, USA), 2.5 μL of 10× buffer C and 19.5 μL deionized water; the reaction condition is in water bath at 37° C. for 4 hours. The ligation reaction system contains: 50 ng of digested plasmid, 50 ng of HPV-16 E7 or HPV-16 E7.sub.m DNA fragment, 10 IU of T4 DNA ligase (purchased from Promega Co. Ltd, USA), 1.5 μL of 10×T4 DNA ligation buffer and 11.5 μL deionized water; the reaction condition is at 4° C. for 8 hours. Finally, a recombinant adeno-associated virus vector, carrying one of p5 promoter, CMV promoter, SV40 early promoter or β-actin promoter and one of HPV-16 E7.sub.m gene or HPV-16 E7 gene, is obtained respectively. The recombinant adeno-associated virus vectors, respectively corresponding to one of the above-mentioned four promoters and respectively carrying one of the above-mentioned seven HPV-16 E7.sub.m genes, are collectively called AAV/HPV-16 E7.sub.m. And the recombinant adeno-associated virus vectors, respectively corresponding to one of the above-mentioned four promoters and carrying HPV-16 E7 gene, are collectively called AAV/HPV-16 E7;
[0094] D. Obtaining plasmids of the recombinant adeno-associated virus vectors, AAV/HPV-16 E7 and AAV/HPV-16 E7.sub.m: The ligated AAV/HPV-16 E7.sub.m and AAV/HPV-16 E7 are used to transform genetically engineered Escherichia coli DH5a competent cells (purchased from Invitrogen Co. Ltd, USA). Resistance screening is performed using LB agar plates with 100 μg/mL ampicillin and the white colonies are picked, the plasmids of the picked colonies are extracted and purified to obtain plasmids of AAV/HPV-16 E7.sub.m and AAV/HPV-16 E7, respectively;
[0095] F. Testing the plasmids: Enzyme digestion is made in the obtained AAV/HPV-16 E7.sub.m plasmids by use of restriction enzyme BamH I and Sal I (purchased from Promega Co. Ltd, USA) to identify whether the construction is successful. The conditions and methods of the restriction endonuclease reaction are as described above in (Step C of Basic Example).
[0096] The construction of the seven AAV/HPV-16 E7.sub.m vectors will be described in detail below.
Example 1: Construction of Recombinant Adeno-Associated Virus Vector AAV/HPV-16 E7.SUB.m58
[0097] The construction method is similar to that in the Basic Example, and the specific operations are:
[0098] B. Obtaining HPV-16 E7.sub.m58 DNA: Site-directed Mutagenesis kit (purchased from Strategeng Co. Ltd, USA) is used according to the instructions thereof. Mutant HPV-16 E7.sub.m58 gene without oncogenicity is obtained by replacing thymine (T) in nt175 of the open reading frames of HPV-16 E7 gene (American NCI gene pool: KC935953) with guanine (G), i. e., replacing the “tgc” encoding cysteine (nt175-177) with “ggc” encoding glycine. The obtained HPV-16 E7.sub.m58 gene is sequenced, and the sequence thereof is as shown in SEQ ID NO: 2 in the Sequence Listing. The sequences alignments result of HPV-16 E7.sub.m58 gene with HPV-16 E7 gene is as shown in
[0099] C. Obtaining the recombinant adeno-associated virus vectors, AAV/HPV-16 E7.sub.m58: The above-obtained HPV-16 E7.sub.m58 DNA fragment is inserted respectively into the pAAV/p5 vector, pAAV/CMVp vector, pAAV/SV40p vector and pAAV/β-actinp vector by DNA ligation technique. Recombinant adeno-associated virus vectors, carrying p5 promoter, CMV promoter, SV40 early promoter or β-actin promoter, are obtained respectively. Four recombinant adeno-associated virus vectors, respectively corresponding to one of the above-mentioned four promoters and carrying HPV-16 E7.sub.m58 gene are collectively called AAV/HPV-16 E7.sub.m58;
[0100] D. Obtaining the plasmids of recombinant adeno-associated virus AAV/HPV-16 E7.sub.m58: The ligated AAV/HPV-16 E7.sub.m58 is used to transform genetically engineered Escherichia coli DH5a competent cells (purchased from Invitrogen Co. Ltd, USA). Resistance screening is performed using LB agar plates with 100 μg/mL ampicillin and the white colonies are picked, the plasmids of the picked colonies are extracted and purified to obtain AAV/HPV-16 E7.sub.m58 plasmids;
[0101] F. Testing the plasmids: Enzyme digestion is made in the obtained AAV/HPV-16 E7.sub.m58 plasmids by use of restriction enzyme BamH I and Sal I (purchased from Promega Co. Ltd, USA) to identify whether the construction is successful. The conditions and methods of the restriction endonuclease reaction are as described above in step C of the Basic Example. The endonuclease analysis result of AAV/HPV-16 E7.sub.m58 vector is as shown in
Example 2: Construction of Recombinant Adeno-Associated Virus Vector AAV/HPV-16 E7.SUB.m91
[0102] The construction method is similar to that of the Basic Example, and the specific operations are:
[0103] B. Obtaining HPV-16 E7.sub.m91 DNA: Site-directed Mutagenesis kit (purchased from Strategeng Co. Ltd, USA) is used according to the instructions thereof. Mutant HPV-16 E7.sub.m91 gene without oncogenicity is obtained by replacing thymine (T) in nt271 of the open reading frames of HPV-16 E7gene (American NCI gene pool: KC935953) with guanine (G), i. e., replacing the “tgc” encoding cysteine (nt271-273) with “ggc” encoding glycine. The obtained HPV-16 E7.sub.m91 gene is sequenced, and the nucleotide sequence thereof is as shown in SEQ ID NO: 3 in the Sequence Listing. The sequences alignments result of HPV-16 E7.sub.m91 gene with HPV-16 E7 gene is as shown in
[0104] C. Obtaining the recombinant adeno-associated virus vectors, AAV/HPV-16 E7.sub.m91: The above-obtained HPV-16 E7.sub.m91 DNA fragment is inserted respectively into the pAAV/p5 vector, pAAV/CMVp vector, pAAV/SV40p vector and pAAV/β-actinp vector by DNA ligation technique. Recombinant adeno-associated virus vectors, carrying p5 promoter, CMV promoter, SV40 early promoter or β-actin promoter, are obtained respectively. Four recombinant adeno-associated virus vectors, respectively corresponding to one of the above-mentioned four promoters and carrying HPV-16 E7.sub.m91 gene are collectively called AAV/HPV-16 E7.sub.m91;
[0105] D. Obtaining the plasmids of recombinant adeno-associated virus AAV/HPV-16 E7.sub.m91: The ligated AAV/HPV-16 E7.sub.m91 is used to transform genetically engineered Escherichia coli DH5a competent cells (purchased from Invitrogen Co. Ltd, USA). Resistance screening is performed using LB agar plates with 100 μg/mL ampicillin, the white colonies are picked, the plasmids of the picked colonies are extracted and purified to obtain AAV/HPV-16 E7.sub.m91 plasmids;
[0106] F. Testing the plasmids: Enzyme digestion is made in the obtained AAV/HPV-16 E7.sub.m91 plasmids by use of restriction enzyme BamH I and Sal I (purchased from Promega Co. Ltd, USA) to identify whether the construction is successful. The conditions and method of the restriction endonuclease reaction are as described above in step C of the Basic Example. The endonuclease analysis result of AAV/HPV-16 E7.sub.m91 vector is as shown in
Example 3: Construction of Recombinant Adeno-Associated Virus Vector AAV/HPV-16 E7.SUB.m94
[0107] The construction method is similar to that in the Basic Example, and the specific operations are:
[0108] B. Obtaining HPV-16 E7.sub.m94 DNA: Site-directed Mutagenesis kit (purchased from Strategeng Co. Ltd, USA) is used according to the instructions thereof. Mutant HPV-16 E7.sub.m94 gene without oncogenicity is obtained by replacing thymine (T) in nt280 of the open reading frames of HPV-16 E7 gene (American NCI gene pool: KC935953) with guanine (G), i. e., replacing the “tgt” encoding cysteine (nt280-282) with “ggt” encoding glycine. The obtained HPV-16 E7.sub.m94 gene is sequenced, and the nucleotide sequence thereof is as shown in SEQ ID NO: 4 in the Sequence Listing and
[0109] C. Obtaining the recombinant adeno-associated virus vectors, AAV/HPV-16 E7.sub.m94: The above-obtained HPV-16 E7.sub.m94 DNA fragment is inserted respectively into the pAAV/p5 vector, pAAV/CMVp vector, pAAV/SV40p vector and pAAV/β-actinp vector by DNA ligation technique. Recombinant adeno-associated virus vectors, carrying p5 promoter, CMV promoter, SV40 early promoter or β-actin promoter, are obtained respectively. Four recombinant adeno-associated virus vectors, corresponding to one of the above-mentioned four promoters respectively and carrying HPV-16 E7.sub.m94 gene are collectively called AAV/HPV-16 E7.sub.m94;
[0110] D. Obtaining the plasmids of recombinant adeno-associated virus AAV/HPV-16 E7.sub.m94: The ligated AAV/HPV-16 E7.sub.m94 is used to transform genetically engineered Escherichia coli DH5a competent cells (purchased from Invitrogen Co. Ltd, USA). Resistance screening is performed using LB agar plates with 100 μg/mL ampicillin, the white colonies are picked, and the plasmids of the picked colonies are extracted and purified to obtain AAV/HPV-16 E7.sub.m94 plasmids;
[0111] F. Testing the plasmids: Enzyme digestion is made in the obtained AAV/HPV-16 E7.sub.m94 plasmids by use of restriction enzyme BamH I and Sal I (purchased from Promega Co. Ltd, USA) to identify whether the construction is successful. The conditions and method of the restriction endonuclease reaction are as described above in step C of the Basic Example. The endonuclease analysis result of AAV/HPV-16 E7.sub.m94 vector is as shown in
Example 4: Construction of Multiple-Site-Mutant Recombinant Adeno-Associated Virus Vector AAV/HPV-16 E7.SUB.mm
[0112] The construction method is similar to that in the Basic Example, and the specific operations are:
[0113] B. Obtaining HPV-16 E7.sub.m DNA with two or three mutation sites: the HPV-16 E7.sub.m genes with two or three mutation sites are collectively called HPV-16 E7.sub.mm in the present invention;
[0114] (1) HPV-16 E7.sub.mm21: the first HPV-16 E7 antigen gene with two mutation sites is obtained and named as HPV-16 E7.sub.mm21 after replacing thymine (T) in nt175 of the open reading frames of HPV-16 E7 gene (American NCI gene pool: KC935953) with guanine (G), i. e., replacing the “tgc” encoding cysteine (nt175-177) with “ggc” encoding glycine, and replacing thymine (T) in nt271 of the open reading frames of HPV-16 E7 gene with guanine (G), i. e., replacing the “tgc” encoding cysteine (nt271-273) with “ggc” encoding glycine. The obtained HPV-16 E7.sub.mm21 gene is sequenced, and the nucleotide sequence thereof is as shown in SEQ ID NO: 5 in the Sequence Listing. The sequences alignments result of HPV-16 E7.sub.mm21 gene with HPV-16 E7 gene is as shown in
[0115] (2) HPV-16 E7.sub.mm22: the second HPV-16 E7 antigen gene with two mutation sites is obtained and named as HPV-16 E7.sub.mm22 after replacing thymine (T) in nt175 of the open reading frames of HPV-16 E7 gene (American NCI gene pool: KC935953) with guanine (G), i. e., replacing the “tgc” encoding cysteine (nt175-177) with “ggc” encoding glycine; and replacing thymine (T) in nt280 of the open reading frames of HPV-16 E7 gene with guanine (G), i. e., replacing the “tgt” encoding cysteine (nt280-282) with “ggt” encoding glycine. The obtained HPV-16 E7.sub.mm22 gene is sequenced, and the nucleotide sequence thereof is as shown in SEQ ID NO: 6 in the Sequence Listing. The sequences alignments result of HPV-16 E7.sub.mm22 gene with HPV-16 E7 gene is as shown in
[0116] (3) HPV-16 E7.sub.mm23: the third HPV-16 E7 antigen gene with two mutation sites is obtained and named as HPV-16 E7.sub.mm23 after replacing thymine (T) in nt271 of the open reading frames of HPV-16 E7gene (American NCI gene pool: KC935953) with guanine (G), i. e., replacing the “tgc” encoding cysteine (nt271-273) with “ggc” encoding glycine, and replacing thymine (T) in nt280 of the open reading frames of HPV-16 E7 gene with guanine (G), i. e., replacing the “tgt” encoding cysteine (nt280-282) with “ggt” encoding glycine. The obtained HPV-16 E7.sub.mm23 gene is sequenced, and the nucleotide sequence thereof is as shown in SEQ ID NO: 7 in the Sequence Listing. The sequences alignments result of HPV-16 E7.sub.mm23 gene with HPV-16 E7 gene is as shown in
[0117] (4) HPV-16 E7.sub.mm3: the HPV-16 E7 antigen gene with three mutation sites is obtained and named as HPV-16 E7.sub.mm3 after using the above obtained HPV-16 E7.sub.mm21 DNA with two mutation sites as template, and the thymine (T) in nt280 of HPV-16 E7.sub.mm21 DNA is further replaced with guanine (G), i. e., “tgt” (nt280-282) is replaced with “ggt”. The obtained HPV-16 E7.sub.mm3 gene is sequenced, and the nucleotide sequence thereof is as shown in SEQ ID NO: 8 in the Sequence Listing. The sequences alignments result of HPV-16 E7.sub.mm3 gene with HPV-16 E7 gene is as shown in
[0118] C. Obtaining the multiple-site-mutant recombinant adeno-associated virus vectors, AAV/HPV-16 E7.sub.mm: One of the above-obtained HPV-16 E7.sub.mm DNA fragments (three with 2 mutation sites and one with 3 mutation sites) is inserted into one of the four rAAV vectors: pAAV/p5 vector, pAAV/CMVp vector, pAAV/SV40p vector and pAAV/β-actinp vector by DNA ligation technique. The recombinant adeno-associated virus vectors with HPV-16 E7.sub.mm gene, and respectively carrying p5 promoter, CMV promoter, SV40 early promoter or β-actin promoter are obtained. The recombinant adeno-associated virus vectors carrying HPV-16 E7.sub.mm gene (carrying one of HPV-16 E7.sub.m21, HPV-16 E7.sub.m22, HPV-16 E7.sub.m23 and HPV-16 E7.sub.m3), respectively corresponding to one of the above-mentioned four promoters, are collectively called AAV/HPV-16 E7.sub.mm;
[0119] D. Obtaining the plasmids of the recombinant adeno-associated virus vectors AAV/HPV-16 E7.sub.mm: The ligated AAV/HPV-16 E7.sub.mm are respectively used to transform genetically engineered Escherichia coli DH5a competent cells (purchased from Invitrogen Co. Ltd, USA), resistance screening is performed by using LB agar plates with 100 μg/mL, the white colonies are picked, the plasmids of the picked colonies are extracted and purified to obtain AAV/HPV-16 E7.sub.mm plasmids;
[0120] F. Testing the plasmids: enzyme digestion is made in the obtained AAV/HPV-16 E7.sub.mm plasmids and AAV/HPV-16 E7 plasmids by use of BamH I and Sal I (purchased from Promega Co. Ltd, USA) to identify whether the construction is successful. The conditions and method of the restriction endonuclease reaction are as described above in step C of the Basic Example. The endonuclease analysis results of AAV/HPV-16 E7.sub.mm vectors are as shown in
Example 5: Preparation of Recombinant Adeno-Associated Virus (rAAV) and Measurement of Virus Titer
[0121] Materials and sources thereof:
[0122] A. recombinant adeno-associated virus vectors carrying the HPV-16 E7.sub.m and HPV-16 E7 antigen genes constructed in Examples 1-4 (AAV/HPV-16 E7.sub.m and AAV/HPV-16 E7).
[0123] B. Helper plasmids containing Rep gene and Cap gene of AAV, pHelper: constructed by the inventors of the present invention, Liu Yong et al. (Liu, Y., Santin A D., Mane M., Chiriva-Internati, M., Parham G P., Ravaggi A., and Hermonat, P. L. Transduction and Utility of the Granulocyte-Macrophage Colony-Stimulating Factor Gene into Monocytes and Dendritic Cells by Adeno-Associated Virus. Journal of Interferon and Cytokine Research. 20:21-30.2000).
[0124] C. AAV-HEK293 cells containing adenovirus genes (E1, E2A, E4, VAI and VAII genes) integrated on the chromosomes of cells, AAV-HEK293 cells: constructed by the inventors of the present invention, Liu Yong et al. (Liu, Y., Santin A D., Mane M., Chiriva-Internati, M., Parham G P., Ravaggi A., and Hermonat, P. L. Transduction and Utility of the Granulocyte-Macrophage Colony-Stimulating Factor Gene into Monocytes and Dendritic Cells by Adeno-Associated Virus. Journal of Interferon and Cytokine Research. 20:21-30.2000).
[0125] D. Liposome transfection reagent, Lipofectin: purchased from Life Technology, USA.
[0126] E. DMEM medium and fetal bovine serum (or calf serum): purchased from Cellgro, USA.
[0127] F. PCR DIG labeling kit and DIG hybridization detection kit: purchased from Roche, Switzerland
[0128] G. DNA copy number standards: 10.sup.12 copies/μL to 10.sup.6 copies/μL, respectively, purchased from Promega, USA.
[0129] 1. Preparation of Recombinant Adeno-Associated Virus (rAAV)
[0130] The flow charts of preparation method for the recombinant adeno-associated virus (rAAV) carrying the HPV-16 E7.sub.m gene (AAV/HPV-16 E7.sub.m) and rAAV carrying the HPV-16 E7 gene (AAV/HPV-16 E7) are shown in
[0131] A. operate following the Lipofectin instructions: mix together 1.0 μg of rAAV, 1.0 μg of pHelper plasmids, 4.0 μL of Lipofectin and 50.0 μL of DMEM medium containing 5% fetal bovine serum (or calf serum), and take the mixture to stand at room temperature for 20 minutes;
[0132] B. add the mixture to a cell culture dish and incubate in a carbon dioxide incubator;
[0133] C. after 72 hours incubation, collect all the cells and culture medium in the culture dish;
[0134] D. after 1 minute of vigorous oscillation, the collected substance is centrifuged and collect the supernatant, i.e., the rAAV virus solution; and
[0135] E. sterilize the collected rAAV virus solution by filtration.
[0136] 2. Virus Titer Measurement of Recombinant Adeno-Associated Virus (rAAV)
[0137] The virus titer of the rAAV obtained in step 1 is measured by a conventional dot-blot hybridization method, and the specific method comprises the following steps:
[0138] A. extracting DNA of rAAV particles by conventional DNA phenol-chloroform extraction method;
[0139] B. placing nylon membrane in a dot blotter, adding the alkaline-denatured DNA of rAAV particles and the DNA copy number standards, followed by evacuation;
[0140] C. removing and drying the nylon membrane, then immobilizing by UV;
[0141] D. preparing the DIG-labeled specific probe by PCR DIG labeling kit (following the PCR DIG labeling kit instructions), the DNA probe is a specific probe for the HPV-16 E7 gene which is the HPV16-E7 DNA obtained in the Basic Example; after amplification of the PCR products, analyzing the PCR amplification products by 1.2% agarose gel electrophoresis, detecting the PCR amplification products under UV light, the positive band showing the probe is successfully labeled; and
[0142] E. hybridizing the DNA of each rAAV particles in hybridization oven by using DIG hybridization detection kit and with reference to the kit instructions.
[0143] The experiment results shows that the virus titers of all rAAV virus (seven AAV/HPV-16 E7.sub.m viruses and one AAV/HPV-16 E7 virus) varied from 10.sup.11 copies/mL to 10.sup.14 copies/mL, which indicates that the obtained rAAV viruses have high virus titer and can be used for research and clinical practice.
Example 6: Observation on the Oncogenicity of Primary Cervical Epithelial Cells Infected by Recombinant Adeno-Associated Virus, AAV/HPV-16 E7.SUB.m .and AAV/HPV-16 E7
[0144] Materials and sources:
[0145] A. rAAV viruses: AAV/HPV-16 E7.sub.m virus and AAV/HPV-16 E7 virus obtained in Basic Example and Example 1-4.
[0146] B. Keratinocyte-SCF cell culture medium: purchased from Life Technology, USA.
[0147] C. Primary cervical epithelial cells: obtained by conventional method from normal cervical epithelial tissue.
[0148] Observation on the Oncogenicity
[0149] Primary cervical epithelial cells are placed in 10.0 cm cell culture dishes and 10 mL of Keratinocyte-SCF cell culture medium is immediately added therein, and then cultured in a carbon dioxide incubator at 37° C. After the cells are completely adhered, the culture dishes are removed. 7 mL of culture medium is removed, the recombinant adeno-associated virus AAV/HPV-16 E7.sub.m or AAV/HPV-16 E7 is added according to the dose of 100 MOI, and the culture dishes are reseted in the carbon dioxide incubator. After 8 hours of incubation, the culture plates are taken out and the culture medium is replaced with 10 mL of fresh Keratinocyte-SCF cell culture medium. Then the culture dishes are reseted in the carbon dioxide incubator at 37° C. and the culture medium is changed every 2 days. The morphological changes of cells are regularly observed twice a day until the cells become neoplastic.
[0150]
Examples 7: Tumor-Killing Experiment of Monocytes-Derived Dendritic Cells by Tumor Antigen Introducing
[0151] Materials and sources:
[0152] A. rAAV viruses: AAV/HPV-16 E7.sub.m viruses obtained in Example 1-4 and AAV/HPV-16 E7 virus obtained in Basic Example.
[0153] B. AIM-V cell culture medium: purchased from Life Technology, USA.
[0154] C. Cytokines: granulocyte-macrophage colony stimulating factor (GM-CSF) and Interleukin 2, 4 and 7, all purchased from R&D, USA.
[0155] D. HPV-16-E7-positive Cells: isolated from tumor tissue or obtained from American Type Culture Collection (ATCC), including cervical cancer cells, breast cancer cells, penile cancer cells, anal cancer cells and oral cancer cells.
[0156] E. HPV-16-E7-negative Cells: isolated from normal human tissue or obtained from American Type Culture Collection (ATCC), including lung, breast, liver and kidney epithelial cells.
[0157] 1. Tumor-Killing Experiment
[0158]
[0159] A. according to the conventional method, the peripheral blood mononuclear cells (PBMC) are obtained by blood cell separator (or lymphocyte separation medium) from 50-150 mL peripheral blood of a tumor patient, after mixed with AIM-V medium, the cells are added to the cell culture flask, and placed in constant temperature carbon dioxide incubator at 37° C. for 2 hours;
[0160] B. the suspended cells are removed, and the adherent cells (i. e., monocytes) are reserved; the suspended cells (i. e., peripheral blood lymphocytes) are mixed with the IM-V medium and kept incubation;
[0161] C. about 100 MOI of rAAV virus and GM-CSF (600 IU/mL) are added, and incubation is continued for another 4 hours;
[0162] D. the old medium is removed and fresh AIM-V medium containing GM-CSF and IL-4 (600 IU/mL) is supplemented, incubation is continued;
[0163] E. after 5 days of incubation, the mature dendritic cells (DC) is collected and mixed with the cultured peripheral blood lymphocytes, IL-2 (10 IU/mL) is added and incubation is continued; and
[0164] F. after 7-9 days of incubation, the activated cytotoxic-T-lymphocytes (CTL) are collected and detected.
[0165] 2. Detection of Dendritic Cells (DC) and Cytotoxic-T-Lymphocytes (CTL)
[0166] A. Detection Experiment of Efficiency of rAAV in Infecting Peripheral Blood Monocytes (Mo)
[0167] By use of the conventional fluorescent antibody staining method, the mononuclear cells (Mo) infected by the rAAV in the present invention or the immature dendritic cells obtained in step 1 are labeled with the HPV-16-E7-specific fluorescent antibody (purchased from BD, USA). And the number of positive cells is detected by flow cytometer. The detection results of efficiency of rAAV in infecting peripheral blood monocytes (Mo) are shown in
[0168] B. Detection of CD Molecule Level in Dendritic Cells (DC)
[0169] The expression level of CD80 and CD86 in DC is positively correlated with the function of DC. The expression level of CD80 and CD86 in DC obtained in step 1 is detected by the same detection method as that in step A, i. e., fluoresce-labeled antibodies (purchased from BD, USA) against the two CD molecules to detect respectively are used. The detection results of CD80 and CD86 expression level in DC respectively infected by AAV/HPV-16 E7.sub.m viruses and rAAV/HPV-16 E7 virus are shown in
[0170] C. Detection of Expression Level of Interferonγ (IFN-γ) in Cytotoxic-T-Lymphocytes (CTL)
[0171] The function of CTL and its ability to kill tumor cells are positively correlated with the expression level of IFN-γ. The expression level of IFN-γ in CTL induced by DC which are infected by rAAV of the present invention is detected by the similar detection method as that in step A. DCs are mixedly cultured with peripheral blood lymphocytes, and the cells are harvested after incubation. The cells are fluorescently labeled by the traditional intracellular cytokine staining method, and the antibody used is fluorescent antibody for IFN-γ (purchased from BD, USA). The results are achieved by use of flow cytometry. The expression level of IFN-γ in CTL induced by DC which are respectively infected by AAV/HPV-16 E7.sub.m viruses and AAV/HPV-16 E7 virus is shown in
[0172] The results of the above experiments B and C also demonstrate that AAV/HPV-16 E7.sub.m is functionally equivalent to rAAV/HPV-16 E7 carrying the wild-type E7 antigen gene, and is capable of initiating an effective cellular immune response, i.e. not only can effectively stimulate function of DC, but also can lead to the production of CTL.
[0173] D. Tests of Cytotoxic-T-Lymphocytes (CTL) to Kill Tumor Cells
[0174] After mixedly culturing, the CTL induced by DC which are infected by AAV/HPV-16 E7.sub.m viruses or AAV/HPV-16 E7 virus in step 1 are respectively mixed with cervical cancer cells, breast cancer cells, penile cancer cells, anal cancer cells and oral cancer cells at the ratio of 20:1 (lymphocytes:tumor cells). The cytotoxicity of CTL on tumor cells is detected by the traditional .sup.51Cr release assay.
[0175] The .sup.51Cr assay results of cytotoxicity of cytotoxic-T-lymphocytes (CTL) induced by DC which are infected by rAAV on HPV-16 E7 positive cells in vitro are shown in
[0176] The HPV-16-E7 negative cells of lung, breast, liver and kidney are used as controls; the same methods as mentioned above are used to detect the cytotoxicity specificity of CTL induced by DC which are infected by AAV/HPV-16 E7.sub.m viruses or AAV/HPV-16 E7 virus. The results are also shown in
[0177] The tests prove that CTL induced by DC which are infected by AAV/HPV-16 E7.sub.m viruses or rAAV/HPV-16 E7 virus of the present invention have antigenic specificity, i. e., not having cytotoxicity on cells which are antigen-negative.
[0178] The above-mentioned detection results show that CTLs induced by DC which are infected by rAAVs carrying mutant HPV-16 E7.sub.m antigen gene (AAV/HPV-16 E7.sub.m viruses) have strong killing (lysing) effect on HPV-16-E7 antigen positive cells and high specificity (i.e., targeted killing activity), while have no cytotoxicity on cells which are HPV-16-E7 antigen negative. There is no significant difference in cytotoxicity between CTLs induced by wild-type HPV-16 E7 antigen and mutant HPV-16 E7.sub.m antigen. In addition, the CTLs of the present invention have no oncogenicity and can be used to produce antitumor drugs.
Example 8: Clinical Tests of Treatment for HPV-16-E7 Antigen Positive Tumor
[0179] 1. The rAAV-DC technology is used so that 5 cases of cervical cancer patients are reinfused with CTL induced by DC which are infected by AAV/HPV-16 E7.sub.m58 virus of the present invention. All patients have been confirmed to be HPV-16 E7 positive in their cervical cancer tissue. The infusion volume is 2×10.sup.8-5×10.sup.8. A treatment course is usually 3 months, 2 times per month, which can be reduced to 1-2 times per month, and further reduced to one treatment every 1-3 months with the medical improvements. The results of treatment are summarized in Table 1 (B: reduction or disappearance of serum tumor markers; Q: improvement in life quality of patients, such as relief or loss of pain, increased appetite, etc; C: significant reduction or disappearance of cancer lesions or metastatic lesions through CT or PET-CT). Adverse reactions: 1 case of mild flu-like response within a short time after treatment is observed, but it is tolerable to the subject, and the symptoms disappear in short time; no serious adverse reactions or toxic reactions are observed. The level changes of serum squamous cell carcinoma antigen (SCC) and serum keratin 19 antigen (CK19) of 5 patients with cervical cancer before and after treatment with CTL which are obtained by induction of the DC infected by rAAV/HPV-16 E7.sub.m58 virus are shown in
[0180] At the time of filing the present invention, 5 patients all survive. The results of clinical tests further demonstrate that the CTL induced by rAAV-infected DC of the present invention can exert certain therapeutic effect in the patient and can effectively inhibit the growth of HPV-16 E7 positive malignant tumor cells or kill tumor cells. The CTL induced by rAAV-infected DC of the present invention have high safety and can be used for the preparation of anti-tumor drugs.
TABLE-US-00001 TABLE 1 Statistic results of therapeutic effect of rAAV/HPV-16- E7.sub.m58-DC therapy in 5 patients with cervical cancer Clinical rAAV-DC reatment Survival time after Therapeutic No. Phases course (month) treatment (month) effect 1 III 9 17 B, Q, C 2 III 11 26 B, Q, C 3 III 8 13 Q 4 IV 8 12 B, Q 5 IV 6 14 Q, Sum III-IV 42 82
[0181] 2. The rAAV-DC technology is used so that 3 cases of advanced cervical cancer patients are reinfused with CTL induced by DC which are infected by AAV/HPV-16 E7.sub.m91 virus of the present invention. All patients have been confirmed to be HPV-16 E7 positive in their cervical cancer tissue. The infusion volume is 2×10.sup.8-5×10.sup.8. A treatment course is usually 3 months, 2 times per month. The results of treatment are summarized in Table 2 (B: reduction or disappearance of serum tumor markers; Q: improvement in life quality, such as relief or loss of pain, increased appetite, etc; C: significant reduction or disappearance of cancer lesions or metastatic lesions through CT or PET-CT). Adverse reactions: no serious adverse reactions or toxic reactions are observed.
[0182] The level changes of serum keratin 19 antigen (CK19) and serum squamous cell carcinoma antigen (SCC) of 3 advanced cervical cancer patients before and after treated by CTL which are obtained by the induction of the DC infected by AAV/HPV-16 E7.sub.m91 virus are shown in
TABLE-US-00002 TABLE 2 Statistic results of therapeutic effect of rAAV/HPV-16-E7.sub.m91-dendritic- cell (rAAV-DC) therapy in 3 patients with cervical cancer Clinical rAAV-DC reatment Survival time after Therapeutic No. phases course (month) treatment (month) effect 1 III 6 11 B, Q, C 2 III 4 10 B, Q 3 III 5 15 B, Q, C Sum III 15 36
[0183] 3. The rAAV-DC technology is used so that 5 cases of cervical cancer patients are reinfused with CTL induced by DC which are infected by AAV/HPV-16 E7.sub.m94 virus of the present invention in Example 4. All patients have been confirmed to be HPV-16 E7 positive in cervical cancer tissue. The infusion volume is 2×10.sup.8-5×10.sup.8. The treatment course is usually 3 months, 2 times per month. The results of treatment are summarized in Table 3 (B: reduction or disappearance of serum tumor markers; Q: improvement in life quality of patients, such as relief or loss of pain, increased appetite, etc; C: significant reduction or disappearance of cancer lesions or metastatic lesions through CT or PET-CT). Adverse reactions: 1 case of mild flu-like response within a short time after treatment is observed, but it is tolerable to the subject, and the symptoms disappear in short time; no serious adverse reactions or toxic reactions are observed.
[0184] The level changes of serum keratin 19 antigen (CK19) and serum squamous cell carcinoma antigen (SCC) of 5 cervical cancer patients before and after treated by CTL which are obtained by induction of the DC infected by AAV/HPV-16 E7.sub.m94 virus are shown in
TABLE-US-00003 TABLE 3 Statistic results of therapeutic effect of rAAV/HPV-16- E7.sub.m94-dendritic-cell therapy in 5 patients with cervical cancer Clinical rAAV-DC treatment Survival time after Therapeutic No. phases course (month) treatment (month) effect 1 II 3 12 B, Q, C 2 III 6 8 B, Q, C 3 III 6 9 B, Q 4 III 6 14 Q, C 5 IV 6 10 B, Q Sum III-IV 27 53
[0185] 4. The rAAV-DC technology is used so that 5 cases of cervical cancer patients, 2 cases of anal cancer patients and 4 cases of penile cancer patients are reinfused with CTL induced by DC which are infected by AAV/HPV-16 E7 virus or AAV/HPV-16 E7.sub.mm viruses of the present invention. All patients have been confirmed to be HPV-16 E7 positive in their cancer tissue. The infusion volume is 2×10.sup.8-5×10.sup.8. A treatment course is usually 6 months, 2 times per month which can be reduced to 1-2 times per month, and further reduced to one treatment every 1-3 months with the medical improvements.
[0186] The results of treatment are summarized in Table 4-6 (B: reduction or disappearance of serum tumor markers; Q: improvement in life quality of patients, such as relief or loss of pain, increased appetite, etc; C: significant reduction or disappearance of cancer lesions or metastatic lesions through CT or PET-CT). Adverse reactions: no serious adverse reactions or toxic reactions are observed.
[0187] The level changes of serum CK19 (cyfra21-1, normal value<3.3 ng/mL) and SCC (normal value<5.0 ng/mL) of 5 cervical cancer patients before and after treated by CTL which are obtained by the induction of the DC infected by AAV/HPV-16 E7.sub.mm3 virus are shown in
[0188] The level changes of serum CK19 (cyfra21-1, normal value<3.3 ng/mL) of 2 anal cancer patients before and after treated by CTL which are obtained by the induction of the DC infected by AAV/HPV-16 E7.sub.mm3 virus are shown in
[0189] The level changes of serum carcinoembryonic antigen (CEA, normal value<5.0 ng/mL) in 4 penile cancer patients before and after treated by CTL which are obtained by the induction of the DC infected by AAV/HPV-16 E7.sub.mm3 virus are shown in
[0190] The experiment results show that the serum tumor markers (tumor-associated antigen) all decrease significantly in patients, or even returned to normal. The results of clinical tests further demonstrate that the CTL induced by rAAV-infected DC (collectively called rAAV-DC) of the present invention can exert a certain therapeutic effect in the patient and can effectively inhibit the growth of HPV-16 E7 positive malignant tumor cells or kill tumor cells. The CTL induced by rAAV-DC of the present invention have high safety and can be used for the preparation of anti-HPV-16 infection and anti-tumor drugs for HPV-16-E7-positive tumors.
TABLE-US-00004 TABLE 4 Statistic results of therapeutic effect of rAAV/HPV-16-E7.sub.mm3-dendritic- cell (rAAV-DC) therapy in patients with cervical cancer Clinical rAAV-DC reatment Survival time after Therapeutic No. phases course (month) treatment (month) effect 1 III 7 10 B, Q, C 2 III 6 9 B, Q 3 III 9 9 B, Q 4 IV 9 12 Q, C 5 IV 12 15 B, Q Sum III-IV 43 55
TABLE-US-00005 TABLE 5 Statistic results of therapeutic effect of rAAV/HPV-16-E7.sub.mm3-dendritic- cell (rAAV-DC) therapy in patients with anal cancer Clinical rAAV-DC reatment Survival time after Therapeutic No. phases course (month) treatment (month) effect 1 III 6 12 B, Q, C 2 IV 8 10 B, Q Sum III-IV 14 22
TABLE-US-00006 TABLE 6 Statistic results of therapeutic effect of rAAV/HPV-16-E7.sub.mm3-dendritic- cell (rAAV-DC) therapy in patients with penile cancer Clinical rAAV-DC reatment Survival time after Therapeutic No. phases course (month) treatment (month) effect 1 II 9 12 B, Q, C 2 III 6 10 B, Q, C 3 IV 12 15 B, Q, C 4 IV 3 6 B, Q Sum III-IV 47 55
INDUSTRIAL APPLICABILITY
[0191] Experiments have shown that dendritic cells infected by rAAV carrying HPV-16 E7.sub.m of the present invention and the induced cytotoxic-T-lymphocytes can effectively inhibit the growth of HPV16-infected cells and related malignant tumor cells thereof or can kill the tumor cells. Thus, the rAAV carrying HPV-16 E7.sub.m of the present invention or the products associated with the rAAV carrying HPV-16 E7.sub.m of the present invention can be used to prepare anti-HPV-16 infection drugs and associated anti-tumor drugs. the rAAV carrying HPV-16 E7.sub.m of the present invention or the products associated with the rAAV carrying HPV-16 E7.sub.m of the present invention are of great importance for clinical treatment and application.