VACCINE COMPOSITION AGAINST CHLAMYDIACEAE INFECTIONS
20220160861 · 2022-05-26
Inventors
Cpc classification
A61K39/118
HUMAN NECESSITIES
International classification
Abstract
The invention relates to vaccine compositions for treating and/or preventing infections by a bacterium of the Chlamydiaceae family, said compositions comprising bacteria of the Chlamydiaceae family, which have been previously treated by at least one peptidoglycan inhibitor, or extracts of said treated bacteria.
Claims
1-16. (canceled)
17. A method of preventing infections caused by Chlamydia bacteria selected in the group consisting of Chlamydia muridarum, Chlamydia pneumoniae, Chlamydia psitacci, Chlamydia abortus, Chlamydia felis, Chlamydia caviae, Chlamydia pecorum, Chlamydia suis and Chlamydia trachomatis, comprising: administering to a subject a composition comprising an immunogenic dose of an inactivated BL form of Chlamydia bacteria selected from the group consisting of Chlamydia muridarum, Chlamydia bacteria selected in the group consisting of Chlamydia pneumoniae, Chlamydia psitacci, Chlamydia abortus, Chlamydia felis, Chlamydia caviae, Chlamydia pecorum, Chlamydia suis and Chlamydia trachomatis, wherein the inactivated BL form of Chlamydia bacteria has been previously inactivated by treating with a β-lactam or a D-cycloserine.
18. The method of claim 17, wherein the β-lactam is selected from the group consisting of amoxicillin, benzylpenicillin (penicillin G), phenoxymethylpenicillin (penicillin V), cloxacillin, cefadroxil, cefixime, imipenem, cefixime in combination with imipenem, mecillinam, clavulanic acid, tazobactam and sulbactam.
19. The method of claim 18, wherein said β-lactam is penicillin G.
20. The method of claim 17, wherein Chlamydia bacteria is Chlamydia trachomatis.
20. The method of claim 18, wherein Chlamydia bacteria is Chlamydia trachomatis.
21. The method of claim 19, wherein Chlamydia bacteria is Chlamydia trachomatis.
22. The method of claim 17, wherein the composition is administered in a repeated manner between 2 and 4 times over a period of 15 to 90 days.
23. The method of claim 22, wherein one or more booster administrations are carried out between 1 and 10 years after the first administration.
24. The method of claim 18, wherein the composition is administered in a repeated manner between 2 and 4 times over a period of 15 to 90 days.
25. The method of claim 24, wherein one or more booster administrations are carried out between 1 and 10 years after the first administration.
26. The method of claim 19, wherein the composition is administered in a repeated manner between 2 and 4 times over a period of 15 to 90 days.
27. The method of claim 26, wherein one or more booster administrations are carried out between 1 and 10 years after the first administration.
Description
FIGURE CAPTIONS
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EXAMPLES
Example 1: Immunization of C57BL/6J Mice
[0108] C57BL/6J mice were vaccinated with different compositions, then secondarily infected with bacteria of the family Chlamydiaceae.
[0109] In order to avoid a host immune reaction related to the recognition of alloantigens carried by eukaryotic cells, the various bacterial forms (infectious, BL) were produced in embryonic fibroblasts derived from C57BL/6J mice.
[0110] To that end, embryonic fibroblasts (MEF) derived from C57Bl/6 mice with Chlamydia muridarum (Cm) were infected in vitro. This strain is genetically very similar to Chlamydia trachomatis. It infects mice and guinea pigs but not humans, and causes the same physiopathological after-effects in the genital tract as in humans.
[0111] Several compositions were prepared [0112] C1—composition comprising an infectious form of Cm, also called virulent form (72-hour in vitro cell infection and sampling of the cell lysate) [0113] C2—composition comprising an infectious form inactivated 30 min at 56° C., also called heated form (idem 1 followed by a heat-inactivation step) [0114] C3—composition comprising an antibiotic-inactivated form: (3-hour in vitro cell infection, then continuous incubation of the infected cells with penicillin G (100 IU/mL), sampling of the cell lysate after 90 hours). This is a BL form and, in particular, a b-Lac form.
[0115] It was confirmed by titration that form 1 was infectious, and that forms 2 and 3 were not.
[0116] 4 groups of 8-week-old female C57BL/6J mice were used.
[0117] Three groups were injected via the intraperitoneal (IP) route one or more times with one of the compositions, then the 4 groups were infected via the vaginal route with the infectious form of Cm.
[0118] The amount of composition used for each injection corresponded to about 10 cm.sup.2 of cells (MEF) cultivated in vitro, 100% infected, in a 150 μL volume by IP injection. [0119] group 1 (4 animals): infection with Cm (1 million IFU). [0120] group 2 (3 mice): one IP injection (at time to) of form 1 of the bacterium. At t0+39 d, vaginal infection with 1 million IFU of Cm. [0121] group 3 (3 mice): three IP injections (to, to +10 d, to +21 d) of form 2 of the bacterium. At t0+39 d, vaginal infection with 1 million IFU of Cm. [0122] group 4 (4 mice): three IP injections (to, to +10 d, to+21 d) of form 3 of the bacterium. At t0+39 d, vaginal infection with 1 million IFU of Cm.
[0123] After infection, the mice were kept isolated for 82 days, with no antibiotic treatment, in order to allow the physiopathological after-effects to develop. The mice were then sacrificed and examined: macroscopic appearance of the genital tract, investigation of tissue lesions (hydrosalpinx, deformations, fluid cysts,), measurement of the weight of the spleen, sampling of various organs (including the para-aortic lymph nodes draining the uterus) for subsequent analyses.
[0124] Results obtained: [0125] Group 1: 3/4 of the mice had tissue lesions of the upper genital tract on at least one of the two uterine horns (spleen 106±3 g, normal para-aortic lymph nodes) [0126] Group 2: 1/3 of the mice had tissue lesions of the upper genital tract on at least one of the two uterine horns (spleen 114±9 g, normal para-aortic lymph nodes) [0127] Group 3: 2/3 of the mice had tissue lesions of the upper genital tract on at least one of the uterine horns (spleen 280±81 g, normal para-aortic lymph nodes). One mouse was sacrificed 60 d post-infection because it exhibited skin wounds and substantial weight loss, potentially unrelated to the experiment. [0128] Group 4: no mouse had tissue lesions of the upper genital tract (spleen 111±17 g, normal para-aortic lymph nodes)
[0129] This preliminary study shows that only the group of mice preinjected with the BL form of Cm was protected from developing tissue lesions of the upper genital tract, following infection with Cm.
Example 2: Vaccine Efficacy of the BL Forms
[0130] In order to confirm the vaccine efficacy of the BL forms, a new experiment was carried out under the same conditions as in example 1. [0131] Mice 1-10: immunization with MEFs at D0, D10 and D21 [0132] Mice 1-5: infection with 2.Math.10.sup.6 IFU at D39 [0133] 3/5 mice (60%) exhibit after-effects (tissue lesions of the upper genital tract) [0134] Mice 6-10: infection with 2.Math.10.sup.5 IFU at D39 [0135] 3/5 mice (60%) exhibit after-effects (tissue lesions of the upper genital tract) [0136] Mice 11-20: immunization with the infectious form first inactivated 10 min at 90° C. at D0, D10 and D21 [0137] Mice 11-15: infection with 2.Math.10.sup.6 IFU at D39 [0138] 3/5 mice (60%) exhibit after-effects (tissue lesions of the upper genital tract) [0139] Mice 16-20: infection with 2.Math.10.sup.5 IFU at D39 [0140] 3/5 mice (60%) exhibit after-effects (tissue lesions of the upper genital tract) [0141] Mice 21-30: immunization with the BL form at D0, D10 and D21 [0142] Mice 21-25: infection with 2.Math.10.sup.6 IFU at D39 [0143] 0/5 mice (0%) presents after-effects (tissue lesions of the upper genital tract) [0144] Mice 26-30: infection with 2.Math.10.sup.5 IFU at D39 [0145] 0/5 mice (0%) presents after-effects (tissue lesions of the upper genital tract) [0146] Mice 31-40: immunization with the infectious form Cm at D0, D10 and D21 [0147] Mice 31-35: infection with 2.Math.10.sup.6 IFU at D39 [0148] 2/5 mice died one-week post-infection [0149] 2/3 surviving mice exhibit after-effects (tissue lesions of the upper genital tract [0150] Mice 36-40: infection with 2.Math.10.sup.5 IFU at D39 [0151] 2/5 mice died one-week post-infection [0152] 2/3 surviving mice exhibit after-effects (tissue lesions of the upper genital tract)
[0153] The results show a significant decrease in the number of infected mice in the group first immunized with the BL form (
Example 3: Effect of Intraperitoneal Injection of Various Immunizing Doses of b-Lac Forms (BL Forms, Treated with a ß-Lactam) or Dc Forms (BL Forms Treated with D-Cycloserine) of Chlamydia muridarum on Protection Against Vaginal Infection with C. muridarum and the Development of Tubal Pathology
[0154] 4 groups of 10 female mice were immunized via intraperitoneal injection at D0, D0+10, D0+21 either with an extract of embryonic fibroblasts of C57/BL6 mice (Mefs), or with the b-Lac form (b-Lac), or with the Lac form diluted to one-third of the usual dose (b-Lac/3), or with the Dc form (Dc). These vaccine forms were produced in Mefs.
[0155] At D32, the animals were cycled by subcutaneous injection of 50 μL of Deprovera (50 mg/mL, Pfizer).
[0156] At D39 the animals were infected via the vaginal route with 10.sup.7 IFU of Chlamydia muridarum.
[0157] At D3, D6, D8, D10 and D13 post-infection, vaginal smears were carried out and the presence of Chlamydia muridarum was evaluated by titration of the infectious capacity of the Chlamydiae extracted from these smears (
[0158] At 8-weeks post-infection the remining animals (n=6) were sacrificed, the uterine horns dissected and macroscopic lesions (fluid cysts and translucent zones on the uterine horns or the oviduct) were investigated with the binocular magnifier. Only the mice of the b-Lac group have no macroscopic lesions. The uterine horns were fixed with paraformaldehyde, dehydrated and imbedded in paraffin. Longitudinal sections were stained with HPS (hematoxylin, phloxine, saffron) to show the various structures of the uterine horn (myometrium and endometrium comprising the epithelium and the lamina propria). We evaluated the severity of microscopic damage by the cell loss observed in the uterine lamina propria (
[0159] A larger number of animals with minor tubal lesions (grade 1) or no lesions (grade 0) is observed in the b-Lac and Dc groups, compared with the Mefs and b-Lac/3 groups.
[0160] The most severe damage visible in the Mefs group is absent in the b-Lac, b-Lac/3 and Dc groups.
[0161] These results thus confirm the protective effect of 3 intraperitoneal injections of b-Lac forms (with a confirmed dose-effect) and of Dc forms, with respect to vaginal infection with a virulent form of Chlamydia muridarum. This protection is expressed as a reduction in bacterial load from the beginning of the local infection, a specific antibody response which is detectable in the spleen of infected immunized mice, and a protection against inflammatory genital lesions post-infection in these same mice.
Example 4: Study of Lymphocyte Activation after Complete Immunization Followed or not Followed by Infection
[0162] 1. T Lymphocyte Activation Profile after Complete Immunization with the b-Lac and Dc Vaccine Forms In Vivo
[0163] One week after complete immunization (three immunizations one week apart), the splenocytes of individual mice were harvested as previously described and the CD4.sup.+ and CD8.sup.+ T lymphocyte activation profile was studied by flow cytometry with a focus on expression of the classical activation markers CD25, CD62L, CD44 and ICOS. The CD4.sup.+ T or CD8.sup.+ T lymphocyte population selection (gating) strategy employed was as follows: FSC/SSC (scattering of light emitted at small angles and at 90°), Singlets (elimination of cell doublets), CD19 negative (exclusion of B lymphocytes), CD3.sup.+ (selection of T lymphocytes bearing a TCR) then CD4.sup.+ (CD4.sup.+ T lymphocytes) or CD8.sup.+ (CD8.sup.+ T lymphocytes). The study of the number of CD4.sup.+ regulatory T lymphocytes (Treg) was carried out after permeabilization of the splenocytes and intracellular staining of the FoxP3 molecule. The CD4.sup.+ regulatory T lymphocyte (Treg) gating strategy employed was as follows: FSC/SSC, Singlets, CD19 negative (exclusion of B lymphocytes), Fixable Viability Dye′ (selection of viable cells), CD3.sup.+ (T lymphocytes), CD4.sup.+ (CD4.sup.+ T lymphocytes) then FoxP3.sup.+ (selection of Tregs, a high expression of FoxP3 being a specific marker of Tregs). Statistical analyses were carried out using the GraphPad PRISM software.
[0164] In the spleen, the numbers of total lymphocytes or of CD4+ or CD8+T lymphocytes are not significantly different between the various groups (
[0165] 2. T Lymphocyte Activation Profile after Complete Immunization with the b-Lac and Dc Vaccine Forms Followed by Intravaginal Infection with 10.sup.7 IFU of Chlamydia muridarum.
[0166] After complete immunization (three immunizations one week apart), the mice were cycled by injection of progesterone (Deprovera, 50 μL per mouse) and infected with 10.sup.7 IFU of Chlamydia muridarum via the intravaginal route. After one-week post-infection, the mice were sacrificed and tested individually. The splenocytes and lymph nodes draining the genital tract (inguinal/para-aortic/mesenteric) were harvested and isolated. The activation profile and the number of CD4.sup.+ and CD8.sup.+ T lymphocytes were studied by flow cytometry as indicated in the preceding paragraph (part 1) with a focus on expression of CD25, CD62L, CD44 and ICOS. The study of T lymphocyte proliferation and number of Tregs is carried out after permeabilization and intracellular staining of the molecule Ki67 (proliferation) and FoxP3 (Treg). Statistical analyses were carried out using the GraphPad PRISM software.
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[0168] In the spleen of these mice, one also observes, for the b-Lac group, a significant decrease in CD4+CD25+T lymphocytes (
[0169] A mirror image is observed in the draining lymph nodes, with a significant increase in the same CD4+ and CD4+CD25+T populations (
[0170] Consistent with the results above, if the numbers of proliferating (carrying the nuclear marker Ki67) CD4+ and CD8+T lymphocytes are examined, a clear trend toward a decrease in the spleen and an increase in the lymph nodes is observed, again only in the b-Lac group (
[0171] Analyses of the number of regulatory T lymphocytes (carrying markers CD4 and FoxP3) arrive at the same conclusions, again in the b-Lac group: trend toward a decrease in CD4+Ki67+ Treg in the spleen, and significant increases (p≤0.05) of CD4+ and CD4+Ki67+T reg in the draining lymph nodes (
[0172] All of these results suggest that the immunizing injections of b-Lac forms induce an activation and a T immune response specific for Chlamydia muridarum in the spleen, with production of specific antibodies. In response to intravaginal infection, the activated T lymphocytes leave the spleen for the lymph nodes draining the genital tract. Thus, an immune basis for the drop in local bacterial load (effector lymphocytes) and for the reduction in the local inflammatory reaction generating tissue lesions (regulatory T-lymphocytes) is provided.