MODIFIED FACTOR H BINDING PROTEIN
20220112249 · 2022-04-14
Inventors
Cpc classification
A61K39/00
HUMAN NECESSITIES
International classification
Abstract
The invention relates to a modified factor H binding protein (fHbp), comprising fHbp, or a variant thereof, modified with the addition of at least one exogenous peptide loop; and associated nucleic acid, compositions, and uses. The invention further relates to treatment or prevention of a pathogenic infection or colonisation of a subject using the modified factor H binding protein (fHbp).
Claims
1. A modified factor H binding protein (fHbp), comprising fHbp, or a variant thereof, modified with the addition of at least one exogenous peptide loop.
2. The modified factor H binding protein according to claim 1, wherein the fHbp is meningococcal or gonococcal fHbp, or a variant thereof.
3. The modified factor H binding protein according to claim 1 or claim 2, wherein the modified fHbp is modified such that it is not capable of binding factor H, or at least has reduced factor H binding activity.
4. The modified factor H binding protein according to any preceding claim, wherein the exogenous peptide loop(s) is immunogenic.
5. The modified factor H binding protein according to any preceding claim, wherein the exogenous peptide loop(s) is derived from an integral outer membrane protein.
6. The modified factor H binding protein according to any preceding claim, wherein the exogenous peptide loop(s) is prokaryotic in origin.
7. The modified factor H binding protein according to any preceding claim, wherein the exogenous peptide loop(s) is derived from a membrane protein.
8. The modified factor H binding protein according to any preceding claim, wherein the exogenous peptide loop(s) is derived from a meningococcal protein.
9. The modified factor H binding protein according to any preceding claim, wherein the exogenous peptide loop(s) is derived from a gonococcal protein.
10. The modified factor H binding protein according to any preceding claim, wherein the exogenous peptide loop(s) comprise a fragment of PorA, or a variant thereof.
11. The modified factor H binding protein according to any preceding claim, wherein the exogenous peptide loop(s) are between 8 and 20 amino acids in length.
12. The modified factor H binding protein according to any preceding claim, wherein the exogenous peptide loop(s) are about 16 amino acids in length.
13. The modified factor H binding protein according to any preceding claim, wherein the exogenous peptide loop(s) are selected from any one of the PorA loops 1 to 7, or fragments thereof; and/or variants thereof; and/or combinations thereof; or wherein the exogenous peptide loop(s) are selected from any one of the PorA loops provided in Table 1 herein (e.g. any of SEQ ID NOs: 45 to 79), or variant thereof.
14. The modified factor H binding protein according to any preceding claim, wherein the modified fHbp comprises two or more exogenous peptide loops.
15. The modified factor H binding protein according to any preceding claim, wherein the modified fHbp comprises between 1 and 7 exogenous peptide loops.
16. The modified factor H binding protein according to any preceding claim, wherein the modified fHbp, or variant thereof, is modified with an exogenous peptide loop in at least two positions.
17. The modified factor H binding protein according to any preceding claim, wherein the peptide loop is inserted into fHbp, or a variant thereof, at one or more of amino acid positions selected from 49-54, 83-88, 114-124, 199-206, 227-233, and 240-246.
18. The modified factor H binding protein according to any preceding claim, wherein the modified fHbp is immunogenic.
19. The modified factor H binding protein according to any preceding claim, wherein the modified fHbp is a fusion protein.
20. The modified factor H binding protein according to any preceding claim, wherein the modified fHbp comprises the sequence of any one of SEQ ID NOs: 1 to 13; or a variant thereof.
21. A nucleic acid encoding the modified fHbp according to any of claims 1 to 20.
22. The nucleic acid according to claim 21, wherein the nucleic acid is a vector, optionally a viral vector.
23. A composition comprising the modified fHbp according to any of claims 1 to 10 or the nucleic acid according to claim 21 or 22.
24. The composition according to claim 23, wherein the composition comprises two or more different modified fHbp molecules.
25. The composition according to claim 23 or claim 24, wherein the composition comprises a pharmaceutically acceptable carrier.
26. The composition according to any of claims 23 to 25, wherein the composition further comprises an adjuvant.
27. The composition according to any of claims 23 to 26, wherein the composition further comprises at least one other prophylactically or therapeutically active molecule; and optionally wherein the at least one other prophylactically or therapeutically active molecule comprises: a monovalent protein:capsule polysaccharide vaccine; or a conjugate vaccine, wherein antigen(s) comprising the fHbp scaffold bearing exogenous peptide loops is incorporated as the protein carrier molecule in the conjugate vaccine.
28. A modified fHbp according to any of claims 1 to 20, a nucleic acid according to claim 20 or 21, or a composition according to any of claims 23 to 27, for use as a medicament.
29. A modified fHbp according to any of claims 1 to 20, a nucleic acid according to claim 21 or 22, or a composition according to any of claims 23 to 27, for use in the treatment or prevention of a pathogenic infection or colonisation of a subject.
30. A method of treatment or prevention of a pathogenic infection or colonisation of a subject, comprising the administration of a modified fHbp according to any of claims 1 to 20, a nucleic acid according to claim 21 or 22, or a composition according to any of claims 23 to 27, to the subject.
31. A method of vaccination, comprising the administration of a modified fHbp according to any of claims 1 to 20, a nucleic acid according to claim 21 or 22, or a composition according to any of claims 23 to 27, to a subject.
32. A combination of the modified fHbp according to any of claims 1 to 20, a nucleic acid according to claim 21 or 22, or a composition according to any of claims 23 to 27 and at least one other prophylactically or therapeutically active molecule.
33. The combination according to claim 32, wherein at least one other prophylactically or therapeutically active molecule comprises a monovalent protein:capsule polysaccharide vaccine.
34. The combination according to claim 33 or composition according to claim 26, wherein the monovalent protein:capsule polysaccharide vaccine comprises any of serogroup C or A capsule with bacterial toxoids, bi-valent vaccines (with serogroup C and A capsular polysaccharide conjugated to bacterial toxoids), quadri- (serogroups A, C, Y, W) or penta- (A, C, Y, W, X) valent conjugate vaccines.
35. The combination according to claim 32 or composition according to claim 26, wherein the at least one other prophylactically or therapeutically active molecule comprises a conjugate vaccine, wherein antigen(s) comprising the fHbp scaffold bearing exogenous peptide loops is incorporated as the protein carrier molecule in the conjugate vaccine, optionally wherein the conjugate vaccine comprises any of serogroup capsular polysaccharides selected from A, C, Y, W, or X strains, or combinations thereof.
36. Use of factor H binding protein (fHbp) as an epitope display scaffold.
37. The modified fHbp, nucleic acid, composition, method or use essentially as described herein, optionally with reference to the accompanying figures.
Description
[0137] Embodiments of the invention will now be described in more detail, by way of example only, with reference to the accompanying drawings.
[0138]
[0141]
[0143]
[0146]
TABLE-US-00047 TABLE 2 Exact sequence matches for all N. meningitidis UK isolates between 2009-2015: Antigen Variant % MenB coverage fHbp 1.4 21.5 2.19 9.1 3.45 4.8 PorA P1.4 19.3 P1.9 19.1 P1.14 16.3 P1.16 7.0 P1.15 5.5 P1.1511 5.3 % coverage minus antigen overlap in ALL UK 70.6 strains (isolated between 2009-2015) % coverage minus antigen overlap in UK MenB 79.2 strains (isolated between 2009-2015) [0149] Exact sequence matches for: [0150] Pfizer vaccine, 3.02% [0151] Bexsero fHbp (V1.1) or PorA (P1.16), 15.86% [0152] Chimeric fHbp:PorAs, fHbp or PorA, 72% [0153] (23.5% with fHbp AND PorA)
[0154]
[0155]
[0158]
[0159]
EXAMPLE 1
[0160] It has been shown that immunogenic peptides can be introduced into factor H binding protein (fHbp), and the peptides are presented to the immune system and are able to elicit protective responses (
[0161] It has been shown that the likely reason for the exclusion of v2 fHbp from vaccines is the inherent instability of its N-terminal β-barrel: i) it was not possible to determine the atomic structure of this portion of v2 fHbp.sup.10, ii) v2 fHbp is sensitive to protease digestion (mass spectrometry demonstrates that the cleaved sites reside in the N-terminal β-barrel, not shown), and iii) differential scanning calorimetry confirms that the instability lies in this region of v2 fHbp.sup.10.
[0162] Stable v2 fHbps have been successfully generated. Mutagenesis affecting the N-terminal barrel has been undertaken, substituting amino acids (a.a.s) singly or in combination. Substitution of six amino acids in M6 fHbp stabilises v2 fHbp (i.e. 6 changes in c 130 a.a.s of this β-barrel, <0.5%) (see WO2014030003 for details of the mutations). This is evident from differential scanning calorimetry (DSC) and protease sensitivity (see WO2014030003 for details). The side chains of the altered residues promote interactions between the β-sheets of the N-terminal barrel, so are orientated towards the centre of the molecule; the changes do not affect the immunogenicity of the protein as expected (no difference in SBA, or α-fHbp IgG levels not shown).
[0163] Chimeric v1.1 fHbp has been generated incorporating the 13 amino acid VR2 from P1.16 PorA which elicits SBA in recipients of OMV vaccines.sup.16. While integral membrane proteins contain hydrophobic (thence insoluble) β-barrels, fHbp contains two barrels which can be expressed and purified to high levels. The VR2 sequence has been introduced into six different positions of fHbp (
[0164] fHbp as a Scaffold for Multi-Valent Vaccines
[0165] Non-functional fHbps as vaccines—The function of fHbp was not known when clinical trials of fHbp-containing vaccines began; fHbp displays high affinity interactions with fH (dissociation constant <5 nM) irrespective of variant group, with fH engaging a large area of fHbp.sup.5. This interaction could impair the use of fHbp as a vaccine by i) blocking immunogenic epitopes and preventing the generation of antibodies that could compete with fH, and ii) reducing complement activation (through fH recruitment) and thence B cell activation at the site of immune induction. The use of non-functional fHbps circumvents these problems. Key amino acids of v1, 2 and 3 fHbps have been identified that are necessary for fH interactions.sup.10, and modification of single a.a.s of v1, v2 and v3 fHbps which prevent fH binding have been shown to retain or even enhance immunogenicity of this important vaccine antigen.sup.10,23.
[0166] To Generate and Evaluate Single Protein, Multi-Valent Vaccine Candidates:
[0167] Protective PorA epitopes from prevalent serosubtypes (which are defined by their PorA sequence) of Nm′.sup.5 have been introduced into v1, stable v2 and v3 proteins; their stability and recognition by PorA and fHbp mAbs has been determined. PorA sequences have been selected to cover the diversity of isolates in the UK but data from any collection of meningococcal strains can be used.
[0168] Methods of Research
[0169] Generation and characterisation of vaccine candidates—Recombinant fHbps were constructed and expressed in E. coli using standard plasmid vectors; proteins were affinity purified using the polyHis tag in the protein, anion exchange and gel filtration.sup.10 of chimeric v1, V2 and V3 fHbps as these are either in existing vaccines (v1.1 and 3.45) or because of experience with the protein (v2), or because of their prevalence in Nm strains. PorA loops have been introduced into fHbp by standard methods, and we have demonstrated that the fusion proteins bind mAbs against common serosubtypes of PorA. This strategy has been used to compare native and designed sequences, and perform fine mapping of antigenic and fH-binding of the candidates. DSC has been carried out using a VP Capillary DSC (GEHealthcare) and SPR with a Biacore 3000 (GE Healthcare) or ProteOn XPR36 (BioRad) as previously.sup.10.
REFERENCES
[0170] 1. Rosenstein, N. E., B. A. Perkins, D. S. Stephens, T. Popovic, and J. M. Hughes. 2001. Meningococcal disease. N. Engl. J. Med. 344:1378-1388. [0171] 2. Tan, L. K., Carlone, G. M., and Borrow, R. 2010. Advances in the development of vaccines against Neisseria meningitidis. N Engl J Med 362: 1511-1520 [0172] 3. http://www.meningitis.org/research/genome [0173] 4. Finne, J., M. Leinonen, and P. H. Makela. 1983. Antigenic similarities between brain c omponents and bacteria causing meningitis. Implications for vaccine development and pathogenesis. Lancet 2:355-357. [0174] 5. Schneider, M. C., B. E. Prosser, J. J. Caesar, E. Kugelberg, S. et al. 2009. Neisseria meningitidis recruits factor H using protein mimicry of host carbohydrates. Nature 458:890-893. [0175] 6. Fletcher, L. D., L. Bernfield, V. Barniak, J. E. Farley, et al. 2004. Vaccine potential of the Neisseria meningitidis 2086 lipoprotein. Infect. Immun. 72:2088-2100 [0176] 7. Masignani, V., Comanducci, M., Giuliani, M., Bambini, S., et al. 2003. Vaccination against Neisseria meningitidis using three variants of the lipoprotein GNA1870. J. Exp. Med. 197:789-799. [0177] 8. Beernink, P. T., Shaughnessy, J., Pajon, R., Braga, E. M., et al. 2012. The Effect of Human Factor H on Immunogenicity of Meningococcal Native Outer Membrane Vesicle Vaccines with Over-Expressed Factor H Binding Protein. PLoS Pathogens 8: e1002688 [0178] 9. Granoff, D. M., Welsch, J. A., and Ram, S. 2009. Binding of complement factor H (fH) to Neisseria meningitidis is specific for human fH and inhibits complement activation by rat and rabbit sera. Infect. Immun. 77: 764-769. [0179] 10. Johnson, S., Tan, L., van der Veen, S., Caesar, J., et al. (2012) Design and evaluation of meningococcal vaccines through structure-based modification of host and pathogen molecules. PLoS pathogens 8: e1002981 [0180] 11. Zipfel, P. F., Skerka, C., Hellwage, J., Jokiranta, S. T., et al. 2002. Factor H family proteins: on complement, microbes and human diseases. Biochem. Soc. Trans. 30: 971-978. [0181] 12. Schneider, M. C., Exley, R. M., Ram, S., Sim, R. B., and Tang, C. M. 2007. Interactions between Neisseria meningitidis and the complement system. Trends Microbiol 15: 233-240 [0182] 13. Richmond, P. C., Marshall, H. S., Nissen, M D., Jiang, Q., et al. 2012. Safety, immunogenicity, and tolerability of meningococcal serogroup B bivalent recombinant lipoprotein 2086 vaccine in healthy adolescents: a randomised, single-blind, placebo-controlled, phase 2 trial. Lancet infect Dis. 12: 597-607. [0183] 14. Gorringe A R, Pajón R 2011. Bexsero: a multicomponent vaccine for prevention of meningococcal disease. Expert Opin Biol Ther. 11: 969-85. [0184] 15. Lucidarme, J., Comanducci, M., Findlow, J., Gray, S. J., et al. 2010. Characterization of fHbp, nhba (gna2132), nadA, porA, and sequence type in group B meningococcal case isolates collected in England and Wales during January 2008 and potential coverage of an investigational group B meningococcal vaccine. Clin Vaccine Immunol. 2010 17: 919-29 [0185] 16. Rosenqvist, E., Høiby, E. A., Wedege, E. Caugant, D. A., et al. 1993. A new variant of serosubtype P1.16 in Neisseria meningitidis from Norway, associated with increased resistance to bactericidal antibodies induced by a serogroup B outer membrane protein vaccine. Microb Pathog. 15: 197 [0186] 17. Martin, S. L., Borrow, R., van der Ley, P., Dawson, M., Fox, A. J., and Cartwright, K. A. 2000. Effect of sequence variation in meningococcal PorA outer membrane protein on the effectiveness of a hexavalent PorA outer membrane vesicle vaccine. Vaccine 18: 2476-81. [0187] 18. Martin, D. R., Ruijne, N., McCallum, L., O'Hallahan, J., and Oster, P. 2006. The VR2 epitope on the PorA P1.7-2,4 protein is the major target for the immune response elicited by the strain-specific group B meningococcal vaccine MeNZB. Clinical and Vaccine Immunology 13: 486-491. [0188] 19. McGuinness, B., Barlow, A. K., Clarke, I. N., Farley, J. E. et al. 1990 Deduced amino acid sequences of class 1 protein (PorA) from three strains of Neisseria meninintidis. Synthetic peptides define the epitopes responsible for serosubtype specificity. J Exp Med. June 171: 1871-82. [0189] 20. Christodoulides, M., McGuinness, B. T., Heckels, J. E. 1993. Immunization with synthetic peptides containing epitopes of the class 1 outer-membrane protein of Neisseria meningitidis: production of bactericidal antibodies on immunization with a cyclic peptide. J Gen Micro 139: 1729 [0190] 21. Gossger, N., Snape, M. D., Yu, L. M., Finn, A., et al. 2012. Immunogenicity and tolerability of recombinant serogroup B meningococcal vaccine administered with or without routine infant vaccinations according to different immunization schedules: a randomized controlled trial. JAMA. 307: 573-82. [0191] 22. van den Elsen, J. M. H., Herron, J. N., Hoogerhout, P., Poolman, J. T., et al. 1997. Bactericidal antibody recognition of a PorA epitope of Neisseria meningitidis: Crystal structure of a Fab fragment in complex with a fluorescein-conjugated peptide. Proteins: Structure, Function, and Bioinformatics 29: 113-125. [0192] 23. Beernink, P. T., Shaughnessy, J., Braga, E. M., Liu, Q., et al. 2011. A meningococcal factor H binding protein mutant that eliminates factor H binding enhances protective antibody responses to vaccination. J. Immunol. 186: 3606-3614. [0193] 24. Ufret-Vincenty, R. L., Aredo, B., Liu, X., McMahon, A., et al. 2010. Transgenic mice expressing variants of complement factor H develop AMD-like retinal findings. Invest Ophthalmol. Vis. Sci. 51: 5878-5887.
[0194] All references are herein incorporated by reference.
EXAMPLE 2
Chimeric Antigens Containing an Expanded Range of PorA VR2 Loops Generate Immune Responses
[0195] To test the adaptability of the fHbp:PorA Chimeric antigens, several Chimeric antigens composed from different combinations of fHbp and PorA VR2 were generated. The comprehensive meningococcal genome data available for strains isolated in the UK (Meningitis Research Foundation Meningococcus Genome Library developed by Public health England, the Wellcome Trust Sanger Institute and the University of Oxford as a collaboration.) enables construction of Chimeric antigens that have exact sequence matches to the most common antigens in a given region. In 2016, the most prevalent PorA VR2s in serogroup B N. meningitidis isolates were P1.4 (15.2%), P1.14 (15.2%), P1.9 (12.8%), P1.16 (11.1%) and P1.15 (5.8%,
[0196] To examine the ability of these fHbp:PorA Chimeric antigens to elicit immune responses, groups of CD1 mice were immunized with each Chimeric antigen/alum; antisera obtained post immunisation were pooled. To assess the resulting PorA immune responses, Western blot were conducted with pooled antisera and a panel of serogroup B N. meningitidis disease isolates.
TABLE-US-00048 TABLE 3 Stability of wild type fHbp and Chimeric Antigens Cp (kcal mole.sup.−1 ° C..sup.−1) N-terminal C-Terminal Protein T.sub.m T.sub.m fHbp V1.1 69.8 87.9 fHbp V1.4 64.0 89.0 fHbp V3.45 41.0 83.0 fHbp.sup.V1.4:PorA.sup.151/P1.1.10.sup.
TABLE-US-00049 TABLE 4 Serum bactericidal assay titres Serogroup B fHbp PorA SBA Pooled antisera isolate variant VR2 titre fHbp.sup.V3.45:PorA.sup.158/P1.4 M10240123 V1.92* P1.4 1/160 fHbp.sup.V3.45:PorA.sup.158/P1.9 M11240431 V2.19 P1.9 1/1280 fHbp.sup.V1.4:PorA.sup.151/P1.1.10.sup.