Immunogenic Composition Against Campylobacter Jejuni
20190336440 ยท 2019-11-07
Assignee
Inventors
Cpc classification
A61K9/0019
HUMAN NECESSITIES
A61K47/6415
HUMAN NECESSITIES
A61K31/715
HUMAN NECESSITIES
A61K39/105
HUMAN NECESSITIES
A61K2039/6037
HUMAN NECESSITIES
Y02A50/30
GENERAL TAGGING OF NEW TECHNOLOGICAL DEVELOPMENTS; GENERAL TAGGING OF CROSS-SECTIONAL TECHNOLOGIES SPANNING OVER SEVERAL SECTIONS OF THE IPC; TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
International classification
A61K9/00
HUMAN NECESSITIES
A61K47/64
HUMAN NECESSITIES
Abstract
The inventive subject matter relates to an immunogenic composition against Campylobacter jejuni comprising isolated capsule polysaccharide from selected pathogenic Campylobacter jejuni strains. The inventive subject matter also relates to methods of using the polysaccharide compositions in inducing an anti-C. jejuni immune response.
Claims
1. A polysaccharide antigen against Campylobacter jejuni, said polysaccharide antigen comprising an isolated Campylobacter jejuni capsule polysaccharide from a Campylobacter jejuni strain linked to form a repeating polysaccharide polymer comprising 2 or more of said capsule polysaccharides, wherein said Campylobacter jejuni strain is selected from the group consisting of: HS4, HS5, HS4/13/64, and HS50, wherein said polysaccharide antigens do not contain Campylobacter jejuni lipooligosaccharide structures associated with Guillain Barr Syndrome, wherein the structure of HS4 is .fwdarw.3)-L--D-ido-Hep-(1.fwdarw.4)--D -GlcNAc-(1.fwdarw., with non-stoichiometric MeOPN at C-4 of LD-ido-Hep, wherein the structure of HS4/13/64 is [.fwdarw.3)-6d--D-ido-Hep-(1-43 4)--D-GlcNAc-(1.fwdarw.].sub.n, with non-stoichiometric MeOPN at C-2 and/or C-7 of 6d-ido-Hep, wherein n is 1 to 100, and wherein the structure of HS5 is selected from the group consisting of ##STR00012##
2. The polysaccharide antigen of claim 1, wherein the structure of HS50 is selected from the group consisting of [.fwdarw.3)-L--D-ido-Hep-(1.fwdarw.4)--D-Glc-(1.fwdarw.].sub.n, with non-stoichiometric MeOPN at C-4 of LD-ido-Hep, and [.fwdarw.3-6d--D-ido-Hep-(1.fwdarw.4)--D-Glc-(1.fwdarw.].sub.n, with non-stoichiometric MeOPN at C-7 of 6d-ido-Hep; and wherein n is 1 to 100.
3. The polysaccharide antigen of claim 1, wherein said isolated Campylobacter jejuni capsule polysaccharide is conjugated to a protein carrier.
4. The polysaccharide antigen of claim 2, wherein said isolated Campylobacter jejuni capsule polysaccharide is conjugated to a protein carrier.
5. The polysaccharide antigen of claim 3 wherein said protein carrier is CRM.sub.197.
6. The polysaccharide antigen of claim 4 wherein said protein carrier is CRM.sub.197.
7. A method of immunizing against C. jejuni strains HS4, HS13, HS4/13/64 and HS50 by administering one or more antigens, wherein each of said one or more antigens comprises an isolated polysaccharide or polysaccharide polymers derived from a C. jejuni strain selected from the group consisting of HS4, HS13, HS4/13/64 and HS50; wherein the structure of HS4 is .fwdarw.)-L--D-ido-Hep-(1.fwdarw.4)--D-GlcNAc-(1.fwdarw., with non-stoichiometric MeOPN at C-4 of LD-ido-Hep; wherein the structure of HS4/13/64 is [.fwdarw.3)-6d--D-ido-Hep-(1.fwdarw.4)--D-GlcNAc -(1.fwdarw.].sub.n, with non-stoichiometric MeOPN at C-2 and/or C-7 of 6d-ido-Hep; and wherein n is 1 to 100.
8. The method of claim 7, wherein the structure of HS50 is selected from the group consisting of [.fwdarw.3)-L--D-ido-Hep-(1.fwdarw.4)--D-Glc-(1.fwdarw.].sub.n, with non-stoichiometric MeOPN at C-4 of LD-ido-Hep, and [.fwdarw.3-6d--D-ido-Hep-(1.fwdarw.4)--D-Glc-(1.fwdarw.].sub.n, with non-stoichiometric MeOPN at C-7 of 6d-ido-Hep; and wherein n is 1 to 100.
9. The method of claim 7 wherein said isolated polysaccharide or polysaccharide polymers derived from a C. jejuni strain is conjugated to a protein carrier.
10. The method of claim 8 wherein said isolated polysaccharide or polysaccharide polymers derived from a C. jejuni strain is conjugated to a protein carrier.
11. The method of claim 9 wherein said protein carrier is CRM.sub.197.
12. The method of claim 10 wherein said protein carrier is CRM.sub.197.
13. The method of claim 7 wherein said method further comprises administering one or more adjuvants.
14. The method of claim 8 wherein said method further comprises administering one or more adjuvants.
15. The method of claim 13 wherein said adjuvant is selected from the group consisting of LTR192G, aluminum hydroxide, RC529, QS21, oligodeoxynucleotides (ODN), and aluminum phosphate.
16. The method of claim 15, wherein said oligodeoxynucleotide (ODN) is a CpG-containing oligodeoxynucleotide.
17. The method of claim 14 wherein said adjuvant is selected from the group consisting of LTR192G, aluminum hydroxide, RCS29, QS21, oligodeoxynucleotides (ODN), and aluminum phosphate.
18. The method of claim 17, wherein said oligodeoxynucleotide (ODN) is a CpG-containing oligodeoxynucleotide.
Description
BRIEF DESCRIPTION OF THE DRAWINGS
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DETAILED DESCRIPTION OF PREFERRED EMBODIMENTS
[0032] The term polysaccharide antigen as used herein refers to a capsule polysaccharide derived from Campylobacter jejuni (C. jejuni or Campylobacter jejuni) capsule. As used, herein, each polysaccharide antigen comprises a polysaccharide or polysaccharide polymer derived from one C. jejuni strain. The inventive composition can be comprised of multiple polysaccharide antigens. As used herein, polysaccharide refers to two or more monosaccharide units composing a carbohydrate polymer molecule. A polysaccharide polymer refers to two or more polysaccharide molecules connected together. As used herein, n in the polysaccharide structure refers to the number of polysaccharide repeats in the polymer and is 1 or more and can be up to 100.
[0033] An embodiment of the current invention comprises polysaccharide antigens comprising a polysaccharide or polysaccharide polymer derived from the capsule of a C. jejuni strain. The strains from which the capsule polysaccharides are isolated are selected from the group consisting of HS1, HS1/HS44, HS44, HS2, HS3, HS4, HS5, HS13, HS4/13/64, and HS50. A capsule polysaccharide polymer comprises 1 to 100 copies of a polysaccharide structure, derived from an individual C. jejuni strain, connected together to form a polysaccharide polymer. The inventive immunogenic composition one or more polysaccharide antigens with each polysaccharide antigen comprising an isolated C. jejuni polysaccharide structure or polysaccharide polymer from a C. jejuni strain. The polysaccharides are isolated or purified away from lipooligosaccharide, or other structures associated with GBS or other autoimmune disorders.
[0034] A large number of the C. jejuni strains are identified. An embodiment of the current invention includes only capsule polysaccharides derived from C. jejuni strains, which have been shown to result in disease in humans.
EXAMPLE 1
HS1/HS44 and HS44 Polysaccharide Structure
[0035] Vaccine strategies against C. jejuni have been largely limited due to the molecular mimicry between lipooligosaccharide (LOS) cores of many strains of C. jejuni and human gangliosides (Moran, et al., J. Endotox. Res., 3: 521 (1996). This mimicry is thought to be a major factor in the strong association of C. jejuni infection with Guillain Barre Syndrome (GBS), a post-infectious polyneuropathy (Allos, J. Infect. Dis., 176(Suppl.): S125-128 (1997)). Thus, antibodies generated against LOS cores result in an autoimmune response to human neural issue. It has been estimated that as many as 1/3000 cases of Campylobacter enteritis results in GBS. Therefore, the possibility of developing GBS could be associated with any whole cell vaccine against C. jejuni that includes ganglioside mimicry.
[0036] Recent development of a molecular CPS typing system re-enforced the strong correlation between CPS and Penner types (Poly, et al., J. Clin. Microbiol. 49: 1750 (2011)). Both Penner serotyping and molecular CPS typing have revealed the predominance of a handful of CPS types worldwide. Among CPS types, the HS1 complex is one of the most common, accounting for 8.2% of C. jejuni induced diarrhea worldwide ((Poly, et al., J. Clin. Microbiol. 49: 1750 (2011); Pike, et al., plOs One 8: e67375 (2013)). This complex is composed of HS1 and HS44 types, and strains can serotype as HS1, HS44 or HS1/44. So far, only the CPS structure of the HS1 type strain has been described, which is composed of repealing units composed of 4-substituted -D-galactose (Gal) and glycerol (Gro) linked by phosphate (P) in a teichoic acid-like structure [-4)--D-Galp-(1-2)-Gro-(1-P-].sub.n (Aspinall, et al., Eur. J. Biochem. 216: 880 (1993)). The HS1 CPS backbone may be decorated by -D-fructofuranoses (Fru) branches, at C-2 and C-3 of the Gal unit, which in turn may be decorated at C-3 with MeOPN (
[0037] The HS1 type strain used was MSC57360 and the HS44 strain (ATCC 43463) was obtained from the American Type Culture Collection (ATCC) (Manassas, Va.). C. jejuni strain CG98-U-77 was isolated from a diarrhea case from Thailand and was obtained from the Armed Forces Research Institute of Medical Sciences (AFRIMS). C. jejuni strains were routinely cultured at 37 C. under microaerobic conditions (5% O.sub.2, 10% CO.sub.2, and 85% N.sub.2) on Mueller Hinton (MH) agar plates, supplemented with the appropriate antibiotic, if required. E. coli strains were grown in LB media supplemented with the appropriate antibiotics.
[0038] C. jejuni genomic DNA was extracted from 16 hour cultures. Sequencing of the CPS loci was performed as previously described (Karlyshev, et al., Mol. Microbiol. 55: 90 (2005); Poly, et al. J. Clin. Microbiol. 49: 1750 (2011); Karlyshev, et al., Gene 522: 37(2013)).
[0039] The CPS was extracted from cells by hot water-phenol extraction for 2 hours at 70 C. The aqueous layer was dialyzed (1000 Da) against water followed by ultracentrifugation to separate the CPS from the LOS. The supernatant material containing the CPS was subjected to size-exclusion chromatography (Sephadex G50) for further purification to yield the intact CPSs.
[0040] Determination of monosaccharide composition was performed using a procedure amenable to the alditol acetate method (Chin, et al., Carbohydr. Res. 343: 1034 (2008)) with the alditol acetates being analyzed in a ThermoFinnigan POLARIS-Q (Thermo Fisher Scientific, Inc, Waltham, Mass.) gas chromatograph/mass spectrometer (GC/MS) using a DB-17 capillary column. The sugar linkage types were characterized by characterization of the permethylated alditol acetates by GC/MS as previously described (Chen, et al., Carbohydr. Res. 343: 1034 (2008)). The NMR experiments were performed on a Bruker 400 MHz spectrometer (Bruker Corporation, Billeria, Mass.) equipped with a Bruker cryo platform at 295 K with deuterated trimethylsilyl propanoic acid and orthophosphoric acid as external standards.
[0041] The variable region containing the genes for synthesis of the polysaccharide are located between the conserved genes encoding the ABC transporter involved in capsule synthesis and assembly (
TABLE-US-00001 TABLE 1 Size Locus Identity with (amino Tag Putative function.sup.a Relationship HS1.sup.b acid) HS44.01 MeOPN biosynthesis HS1.01 164/170 (96%) 170 HS44.02 MeOPN biosynthesis HS1.02 252/253 (99%) 253 HS44.03 MeOPN biosynthesis HS1.03 197/200 (98%) 200 HS44.04 MeOPN biosynthesis HS1.04 775/779 (99%) 779 HS44.05 Methyl transferase HS1.05 253/253 (100%) 253 HS44.06 Methyl transferase HS1.06 255/257 (99%) 257 HS44.07 MeOPN transferase HS1.07 308/642 (47%) 609 HS44.08 sugar-phosphate 224 nucleotidyltransferase HS44.09 sedoheptulose 7-phosphate 201 isomerase HS44.10 D-glycero-D-manno-heptose 7- 360 phosphate kinase HS44.11 GDP-mannose 4,6- 343 dehydratase HS44.12 GDP-fucose synthetase (fcl) 381 HS44.13 GDP-fucose synthetase (fcl) 385 HS44.14 Cj1429 like 310 HS44.15 Nucleotide-sugar 181 epimerase/dehydratase HS44.16 Nucleotidyl-sugar pyranose 416 mutase HS44.17 Heptosyl transferase 1202 HS44.18 CDP glycerol HS1.09 1067/1095 (97%) 1100 glycerophosphotransferase HS44.19 Unknown HS1.10 390/396 (98%) 397 HS44.20 Glycerol-3-phosphate HS1.11 128/129 (99%) 129 cytidylyltransferase .sup.aFunction attributed based on Blastp performed on non-redundant protein sequences database. .sup.bNumbers in parenthesis are the percentage of identity between the HS1 and HS44 proteins.
[0042] The HS44 locus included an insertion of 10 additional genes between HS1.07 and HS1.09 encompassing 9,258 bp (Table 1,
[0043] Fine structural analysis revealed that the polysaccharide structure of HS1/44 is similar to that of the previously described teichoic acid capsule polysaccharide (CPS) of HS1 strain (Aspinall, McDonald et al. 1993, McNally, Jarrell et al. 2005): .fwdarw.4)-[MeOPN-.fwdarw.3)--D-Fru-(1.fwdarw.]--Gal-(1.fwdarw.2)-Gro-(1.fwdarw.P.fwdarw.(
[0044]
[0045] Analysis of HS44 CPS material identified two distinct polysaccharide capsule structures. One CPS was analogous to the aforementioned teichoic-acid CPS of HS1 and HS1/44 (
[0046] Accompanying NMR studies (
[0047] The product of the HS1.08 gene encodes a predicted protein of 849 amino acids, annotated as a putative sugar transferase (Karlysheev, et al., Mol. Microbiol. 55: 90 (2005)). Because the HS44 teichoic acid-like CPS lacked the non-stoichiometric fructose branch and the HS1.08 gene was missing from the capsule locus, we hypothesized that HS1.08 encoded a fructose transferase. A mutant in this gene expressed a lower MW capsule as on an Alcian blue stained gel and the MW was restored to that of wildtype in the complement as shown by gel; NMR analysis also confirmed complementation, but the lower intensity of the MeOPN resonance in the .sup.31P NMR (
[0048] Gene HS1.09 was annotated as a putative CDP glycerol transferase (Karlyshev et al., 2005). Mutation of this gene in HS1 resulted in the loss of CPS as detected by Alcian blue staining of an SDS-PAGE gel (
[0049] In one embodiment an immunogenic composition, useful for inclusion in a vaccine composition against HS1, HS1/KS44 and HS44 C. jejuni strains, comprises polysaccharide antigen, comprising the structure:
##STR00001##
or a polymer comprising a repeating of the polysaccharide structure, wherein n is 1 to 100. The polysaccharide structure of HS44 comprises the above structure without [MeOPN].fwdarw.3)-Fruf unit connected at the 2 or 3 position of Gal. Therefore, in another embodiment, an immunogenic composition would comprise a polysaccharide antigen with a repeating polysaccharide structure, derived from HS44 that comprises the structure:
[.fwdarw.4)-a-D-Galp-(1.fwdarw.2)-Gro-(1.fwdarw.P.fwdarw.].sub.n, wherein n is 1 to 100.
Campylobacter jejuni Strain PG 3588 (HS:1):
[0050] Upon treatment of Campylobacter jejuni strain PG 3588 (HS:1) capsule polysaccharide (CPS) with mild acetic acid (5%). the fructose (Fruf) side branches and their accompanying MeOPN units were removed. The .sup.1H NMR of the defructosylated CPS showed the anomeric resonance at 5.21 that corresponds to the -D-Gal residue (without the Fruf substitutions). H5 4.18 was assigned from the H6 3.75 proton resonance, Gro resonances were found to be at H1/1 4.05/4.12, H2 3.98, and H3/3 3.78/3.82.
[0051] All carbon resonances of Campylobacter jejuni strain PG 3588 (HS:1) capsule polysaccharide were assigned using a 2D .sup.1H-.sup.13C HSQC are summarized in Table 2. A 2D .sup.1H-.sup.P HMBC (
TABLE-US-00002 TABLE 2 .sup.1H, .sup.13C chemical shifts of C. jejuni CPS PG 3588 Sugar H1/1 H2 H3/3 H4 H5 H6/6 residue C1 C2 C3 C4 C5 C6 -D-Gal 5.21 3.88 3.90 4.54 4.18 3.75 100.84 71.05 71.10 77.31 73.45 63.42 Gro 4.05/4.12 3.98 3.78/3.82 67.23 79.81 63.95
##STR00002##
EXAMPLE 2
HS5 Derived Polysaccharide Structure
[0052] One embodiment is an immunogenic composition against C. jejuni that contains an isolated capsule polysaccharide structure or polymers of the structure derived from HS5. The polysaccharide structure comprises four variants, with the structures as follows:
##STR00003##
[0053] Results from monosaccharide composition analysis revealed that the capsule polysaccharide (CPS) of strain CG2995 (HS:5) contained 3,6-dideoxy-ribo-heptose, glucitol, and D-glycero-D-manno-heptose (FIG. 6). Multiple linkages of each residue were observed; terminal 3,6-dideoxy-ribo-heptose, 2,6-disubstituted Glucitol, 2,3,6-trisubstituted Glucitol, 2-monosubstituted D-glycero-D-manno-heptose, 2,6-disubstituted D-glycero-D-manno-heptose, 2,7-disubstituted D-glycero-D-manno-heptose, and 2,6,7-trisubstituted D-glycero-D-manno-heptose.
[0054] The 1D .sup.1H NMR of the CPS revealed six anomeric peaks, three of which are associated with D-glycero-D-manno-heptose residues at 5.20 ppm, 5.18 ppm, and 5.16 ppm (A,B,C respectively), and 3 of which are associated with 3,6-dideoxy-ribo-heptose residues at 5.21 ppm, 4.96 ppm, and 4.87 ppm (K,L,N respectively) (
[0055] With the aid of 2D .sup.1H-.sup.13C HSQC and HMBC the Glucitol residues (X, Y, Z) could are assigned, along with the ring region resonances from the six heptose residues. As expected carbons involved in the glycosidic linkages, C2 ( 78.1) of the n-glycero-D-manno-heptose A, B and C, C6 ( 76.8) of D-glycero-D-manno-heptose A, C2 ( 81.6) of Glucitol Y and Z, C2 ( 82.5) of Glucitol X, and C3 ( 78.8) of Glucitol Y and Z, were found to be down-field resonances (
[0056] The 1D .sup.31P and 2D .sup.1H-.sup.31P HMBC NMR revealed resonances at 0.96 and 1.30 ppm, indicating that the capsular polysaccharide repeats were linked with a phosphate bridge (
[0057] One main capsular polysaccharide was observed with a backbone of [-7)--D-glycero -D-manno-heptose-(1-3)-Glucitol-(6-)-P-] with 2,6-disubstitution of the D-glycero-D -manno-heptose, and 2-monosubstitution of the Glucitol with -3,6-dideoxy-ribo-heptose (
EXAMPLE 3
Conjugation of CPS Polysaccharide to Protein Carrier
[0058] One or more polysaccharides or polysaccharide polymers can be conjugated to a carrier molecule to improve immunity. The carrier, in one embodiment, is a protein carrier molecule. As an example protein carrier, CRM.sub.197 can be conjugated to the polysaccharide or polysaccharide polymer. The GC-MS profile of the alditol acetate derivatives of C. jejuni CG2995 CPS, following TEMPO oxidation is shown in
Conjugation of HS5 Polysaccharide
[0059] Isolated C. jejuni HS5 polysaccharide was conjugated to a protein structure and is described here as an illustration of conjugation of the polysaccharide or polysaccharide polymers. The overall scheme for conjugation is illustrated in
[0060] As an illustrative example, in
Conjugation of HS1 Polysaccharide
[0061] A glycoconjugate composed of HS1 teichoic acid CPS and the protein carrier CRM.sub.197 was created through a conjugation scheme, similar to that used for HS5, based on stoichiometric oxidation of 10% of the available primary hydroxyls in the CPS. After oxidation of primary hydroxyls, the activated HS1 CPS was then conjugated to CRM.sub.197 by carbodiimide-type coupling of the newly created carboxylic acid functionalities in the CPS and exposed CRM.sub.197 lysine units. Importantly, analysis of the HS1 CPS-CRM.sub.197 conjugate vaccine by NMR confirmed that the MeOPN and phosphate moieties remained intact during the conjugation manipulations. These results are shown in
EXAMPLE 4
Polysaccharides in HS Completes
[0062] Polysaccharide structures were identified in C. jejuni Penner serotype complexes. For example, anti-HS4 serum results in cross-reaction to other strains of the HS4 complex, including HS13, HS4/13/64 and HS50 capsules. Isolation and analysis of the polysaccharides from these strains resulted in identification of disaccharides containing a common ido-heptose unit. The strains and isolated polysaccharide derived from the strains are listed in Table 3.
TABLE-US-00003 TABLE 3 HS4 complex capsule polysaccharide structures Serotype/ Strain Structure HS4 type .fwdarw.3)-L--D-ido-Hep-(1.fwdarw.4)--D-GlcNAc-(1.fwdarw. strain (non-stoichiometric MeOPN at C-4 of LD-ido-Hep) HS13 .fwdarw.3)-6d--D-ido-Hep-(1.fwdarw.4)--D-Glc-(1.fwdarw. (50%) (non-stoichiometric MeOPN at C-2 and/or C-7 of 6d-ido- Hep); and/or .fwdarw.3)-L--D-ido-Hep-(1.fwdarw.4)--D-Glc-(1.fwdarw. (50%) HS4,13,64 .fwdarw.3)-6d--D-ido-Hep-(1.fwdarw.4)--D-GlcNAc-(1.fwdarw. (80%) (e.g., strain (non-stoichiometric MeOPN at C-2 and/or C-7 of 6d-ido- Hep); and/or CG8486) .fwdarw.3)-L--D-ido-Hep-(1.fwdarw.4)--D-GlcNAc-(1.fwdarw. (20%) (non-stoichiometric MeOPN at C-2 of LD-ido-Hep) HS50 .fwdarw.3)-L--D-ido-Hep-(1.fwdarw.4)--D-Glc-(1.fwdarw. (85%) (non-stoichiometric MeOPN at C-4 of LD-ido-Hep); and/or .fwdarw.3)-6d--D-ido-Hep-(1.fwdarw.4)--D-Glc-(1.fwdarw. (15%) (non-stoichiometric MeOPN at C-7 of 6d-ido-Hep)
[0063] Illustrated in Table 3, the common, surprising feature of these isolated capsule polysaccharides is the ido-heptose unit. As such, an embodiment is an immunogenic composition comprising one or more polysaccharide antigens, each comprising polysaccharide structures derived from these strains of C. jejuni.
[0064] The previously described CPS structure of C. jejuni strain CG8486 (HS: 4:13:64) consisted mainly of a disaccharide repeating unit [.fwdarw.3)-6d--D-ido-Hep-(1-43 4)--GlcNac -(1.fwdarw.], with non-stoichiometric O-methyl phosphoramidate substituent attached to C-2 and C-7 positions of ido-heptose. A minor component of L-glycero-D-ido-heptose (LD-ido-Hep) was detected by GLC-MS, using alditol acetate derivatives for compositional analysis and permethylated alditol acetate derivates for linkage analysis of, and was newly found in this strain. The sugar ring configuration of 6-deoxy-heptose and L-glycero-D-heptose were assigned as idose. The traces of 1,7-anhydro-L-glycero-D-ido-heptose (1,7-anhydro-LD-ido-Hep) and 1,6-anhydro-L-glycero-D-ido-heptose (1,6-anhydro-LD-ido-Hep) originated from LD-ido-Hep during acid hydrolysis.
[0065] In addition to previously reported linkage types in C. jejuni CG8486 CPS (3-substituted 6d-ido-heptose [.fwdarw.3)-6d-ido-Hep-(1.fwdarw.] and 2,3-di-substituted 6d-ido-heptose [.fwdarw.2,3)-6d-ido-Hep-(1.fwdarw.], 3,7-di-substituted 6d-ido-hepose [.fwdarw.3,7)-6d-ido-Hep-(1.fwdarw.], 4-substituted N-acetyl-glucosamine [.fwdarw.4)-GlcNAc-(1.fwdarw.]), the GLC profile of GLC-MS of permethylated alditol acetate derivatives of C. jejuni HS:4:13:64 CPS showed two additional linkage types from LD-ido-Hep which were not detected in previously reported structure, including 3-substituted L-glycero-D-ido-heptose [.fwdarw.3)-LD-ido-Hep-(1.fwdarw.] and 2,3-di-substituted L-glycero-D-ido-heptose [.fwdarw.2,3)-LD-ido-Hep-(1.fwdarw.].
[0066] The 1D .sup.1H NMR of C. jejuni CG8486 CPS showed two resonances of two -glycosides at 4.94 and 4.66 which were 6d-ido-Hep/LD-ido-Hep and GlcNAc, respectively. The presence of two anomeric proton resonances for three monosaccharide residues (6d-ido-Hep, LD-ido-Hep, and GlcNAc) suggested that both 6d-ido-Hep and LD-ido-Hep may contain the same chemical shifts through the sugar ring system except the H-6 position since the only difference between them was at the C-6 position with or without a hydroxyl group. The .sup.1H NMR spectrum also revealed one methyl singlet at 2.07 which was characteristic of the N-acetyl moiety from GlcNAc and methylene signals at 1.77 and 2.03 which were 6-deoxy-moiety from 6d-ido-Hep. In addition, 1D .sup.31P NMR detected a characteristic MeOPN signal at p 14.7. It was determined that the CPS of C. jejuni serotype HS4:13:64 (see Table 3) contained both 6-d-ido-Hep and LD-ido-Hep within its CPS:
[.fwdarw.3)-6d--ido-Hep-(1-43 4)--GlcNAc-(1.fwdarw.] (with non-stoichiometric MeOPN at C-2 and/or C-7 of 6d-ido-Hep) as a major repeat; and
[.fwdarw.3)-LD--ido-Hep-(1.fwdarw.4)--GlcNAc-(1.fwdarw.] (with non-stoichiometric MeOPN at C-2 of LD-ido-Hep) as a minor repeat.
CPS Determination of C. jejuni HS:4 Type Strain (Strain MK7)
[0067] The CPS isolated from C. jejuni strain MK7 (HS4) was composed of L-glycero-D-ido-heptose (LD-ido-Hep) and N-acetyl-glucosamine (GlcNAc) by GC-MS profile determination of alditol acetate derivatives. The above CPS composition of C. jejuni HS:4 type strain was similar to previously reported CPS of serotype HS:4 complex (HS:4,13,64; strain CG8486), which contains mostly 6-deoxy-ido-heptose (6d-ido-Hep) instead of LD-ido-Hep. GC-MS of permethylated alditol acetate derivatives showed the following linkage types of each monosaccharide: 3-substituted L-glycero-D-ido-heptose [.fwdarw.3)-LD-ido-Hep-(1.fwdarw.] and 4-substituted N-acetyl glucosamine [.fwdarw.4)-GlcNAc-(1.fwdarw.].
[0068] The .sup.1H NMR spectrum of the C. jejuni strain MK7 (type strain HS:4) CPS showed two -anomeric proton resonances at 4.70 and 4.94 for GlcNAc and LD-ido-Hep, respectively. The .sup.1H NMR spectrum also revealed one methyl singlet at 2.07 which was characteristic of the N-acetyl moiety from GlcNAc and a broad range of overlapping sugar ring proton resonances between 3.50 and 4.55. In addition, 1D .sup.31P NMR detected a weak trace of MeOPN signals at p 14.3. The substituted sites of MeOPN could not be detected due to the small amount of MeOPN substitution in this HS:4 type strain.
CPS Determination of C. jejuni C. jejuni Serotype HS:13 (Strain MK16)
[0069] C. jejuni HS4 type-strain (MK7) contains a CPS composed of the following disaccharide repeat: [.fwdarw.3)-L--D-ido-Hep-(1.fwdarw.4)--GlcNAc-(1.fwdarw.]. The monosaccharide composition analysis, using GC-MS of alditol acetate derivatives of C. jejuni strain MK16 (serotype HS:13) revealed the presence of glucose (Glc), 6-deoxy-ido-heptose (6d-ido-Hep), and L-glycero-D-ido-heptose (LD-ido-Hep) by GS-MS determination of alditol acetate derivative profiles. Linkage analysis of profiles of permethylated alditol acetate derivatives showed that these units were present as 4-substituted glucose [.fwdarw.4)-Glc-(1.fwdarw.], 3-substituted 6-deoxy-ido-heptose [.fwdarw.3)-6d-ido-Hep-(1.fwdarw.], 2,3-di-substituted 6-deoxy-ido-heptose [.fwdarw.2,3)-6d-oido-Hep-(1.fwdarw.], 3-substituted L-glycero-D-ido-heptose [.fwdarw.3)-LD-ido-Hep -(1.fwdarw.], and 3,7-di-substituted 6-deoxy-ido-heptose [.fwdarw.3,7)-6d-ido-Hep-(1.fwdarw.]. In addition, a small amount of terminal glucose [Glc-(1.fwdarw.] was detected as the non-reducing end of the CPS. C. jejuni serotype HS:13 contains 4-substituted Glc as backbone instead of 4-substituted GlcNAc (seen in serotypes HS:4:13:64 and HS:4).
[0070] The .sup.1H NMR spectrum of C. jejuni serotype HS:13 CPS showed two -anomeric proton resonances at 4.63 and 4.92 which assigned as Glc and 6d-ido-Hep/LD-ido-Hep, respectively (
[0071] It was determined that C. jejuni strain MK16 (serotype HS:13) CPS consists of the following disaccharide repeats in quasi equal concentrations (with MeOPN non-stoichiometrically attached to C-2 and C-7 of 6d--ido-Hep):
[.fwdarw.3)-6d--D-ido-Hep-(1.fwdarw.4)--Glc-(1.fwdarw.]; and
[.fwdarw.3)-L--D-ido-Hep-(1.fwdarw.4)--Glc-(1.fwdarw.].
C. jejuni Serotype HS3/13/50
[0072] HS: 3:13:50 complex has been identified predicated on a quantitatively low level immune-cross reactivity. C. jejuni strain BH-01-0142 (serotype HS: 3:13:50) was composed of galactose (Gal), 6-deoxy-ido-heptose (6d-ido-Hep), and L-glycero-D-ido-heptose (LD-ido-Hep) using GS-MS using alditol acetate derivative profile determination for compositional analysis of C. jejuni BH-01-0142 CPS (serotype HS:3:13:50).
[0073] The sugar linkage types: 4-substituted galactose [.fwdarw.4)-Gal-(1.fwdarw.], 3-substituted 6-deoxy-heptose [.fwdarw.3)-6d-Hep-(1.fwdarw.] and 3-substituted L-glycero-D-ido-heptose [.fwdarw.3)-LD-ido -Hep-(1.fwdarw.] were found to make up the CPS of serotype HS:3:13:50, using GC-MS profile analysis of permethylated alditol acetate derivatives of C. jejuni BH-01-0142 CPS (serotype (HS: 3:13:50)). In addition, minor components, 3,4-di-substituted galactose [.fwdarw.3,4)-Gal-(1.fwdarw.], 2,3-di-substituted 6-deoxy-heptose [.fwdarw.2,3)-6d-Hep-(1.fwdarw.], and 2,3-di-substituted L-glycero-D-ido-heptose [.fwdarw.2,3)-LD-ido-Hep-(1.fwdarw.] were also characterized. The above results suggested that the backbone units of C. jejuni serotype HS: 3,13,50 CPS were [.fwdarw.4)-Gal-(1.fwdarw.], [.fwdarw.3)-6d-Hep-(1.fwdarw.], and [43 3)-LD-ido-Hep-(1.fwdarw.], with three other non-sugar components were non-stoichiometrically attached to the C-3 of Gal, and C-2 of 6d-ido-Hep and LD-ido-Hep. Also, a terminal Gal [Gal-(1.fwdarw.] was also determined and was suggested as a non-reducing end.
[0074] The .sup.1H NMR spectrum of the C. jejuni serotype HS:3:13:50 CPS showed broad overlapping peaks between 5.00 ppm and 5.30 ppm representing the anomeric proton signals. These overlapping peaks suggested the presence of -anomeric sugars. In addition, the .sup.1H NMR spectrum also revealed a methylene signal at 1.80 and 2.02 which are characteristic of 6-deoxy moiety from 6d-ido-Hep. Another proton resonance at 2.72 was later confirmed as a methylene signal which also revealed in the .sup.1H NMR spectrum.
[0075] In order to obtain the information for the non-sugar component, .sup.31P NMR of the C. jejuni BH-01-0142 CPS was performed to determine any phosphorus substituents. The phosphorus resonances at p 15.3 revealed the presence of an O-methyl phosphoramidate groups (MeOPN) or CH.sub.3OP(O)NH.sub.2(OR), which was involved in the structural moiety in the serotype HS:3,13.50 of C. jejuni CPS. The appearance of one MeOPN signal suggested this unique component was partially attached to one of the monosaccharide residues in the CPS of C. jejuni strain BH-01-0142, since the results of sugar linkage type analysis revealed the presence of minor component of 1,3,4-linked Gal, 1,2,3-linked 6d-ido-Hep and 1,2,3-linked LD-ido-Hep.
[0076] 2D .sup.1H-.sup.31P HMBC NMR of C. jejuni BH-01-0142 CPS was carried out to elucidate the linkage site of the MeOPN group (
[0077] A 2D .sup.1H-.sup.13C HMBC NMR experiment (
[0078] We determined that C. jejuni serotype HS:3 has a CPS with the disaccharide repeat (with non-stoichiometric substitutions of O-methyl phosphoramidate at C-2 of 6d--ido-Hep/L--D-ido-Hep and 3-hydroxypropanoyl ester at C-3 of -Gal):
[.fwdarw.3)L--D-ido-Hep-(1-43 4)--Gal-(1-43 ]; and
[.fwdarw.3)-6d--ido-Hep-(1-43 4)--Gal-(1-43 ].
EXAMPLE 5
Immunogenic Composition
[0079] An immunogenic composition against C. jejuni is can comprise one or more isolated C. jejuni polysaccharides or polysaccharide polymers. The composition contains the polysaccharides or polysaccharide polymers tree of LOS, which is associated with Guillain-Barr Syndrome. An embodiment is a composition comprising one or more isolated C. jejuni derived polysaccharides or polysaccharide polymers, with the polysaccharide polymer comprising 1 to 100 polysaccharides linked together (i.e., n greater than or equal to 1). The structures of the isolated C. jejuni polysaccharide are derived from one or more of the strains HS5, HS1, HS2, HS3, HS4, HS4/13/64, HS50 and HS13.
[0080] In one embodiment, the composition comprises one or more polysaccharide structures selected from the group consisting of:
##STR00004##
[0081] [.fwdarw.4)--D-Galp-(1.fwdarw.2)-Gro-(1-43 P.fwdarw.].sub.n, derived from C. jejuni strain HS44; and
##STR00005##
derived from C. jejuni strain HS1 and/or HS1/44;
[0082] [.fwdarw.3)-L--D-ido-Hep-(1->4)--D-GlcNAc-(1.fwdarw.].sub.n, derived from C. jejuni strain HS4/HS13/HS64, with non-stoichiometric substitution of O-methyl-phosphoramidate at position 2 of L-D-ido-heptose;
[.fwdarw.3)-6d--D-ido-Hep-(1.fwdarw.4)--D-GlcNAc-(1.fwdarw.].sub.n, derived from C. jejuni strain HS4/13/64, with non-stoichiometric MeOPN at C-2 and/or C-7 of 6d-ido-Hep;
[.fwdarw.3)-L--D-ido-Hep-(1.fwdarw.4)--D-GlcNAc-(1.fwdarw.].sub.n, derived from C. jejuni strain HS4, with non-stoichiometric MeOPN at C-4 of LD-ido-Hep;
[.fwdarw.3)-6d--D-ido-Hep-(1.fwdarw.4)--D-Glc-(1.fwdarw.].sub.n, derived from C. jejuni strain HS13, without MeOPN or with non-stoichiometric MeOPN at C-2 and/or C-7 of 6d-ido-Hep;
##STR00006##
[.fwdarw.3)-L-alpha-D-ido-Hep-(1->4)-alpha -D-Galc-(1.fwdarw.].sub.n, derived from C. jejuni strain HS3, with non-stoichiometric substitution O-methyl-phosphoramidate at position 2 of 6-deoxy-alpha -D-ido-heptose with or without a 3-hydroxypropanoyl ester at C-3 of -Gal;
[.fwdarw.3)-L--D-ido-Hep-(1.fwdarw.4)--D-Glc-(1.fwdarw.].sub.n, derived from HS50, with non-stoichiometric MeOPN at C-4 of LD-ido-Hep;
and
[.fwdarw.3-6d--D-ido-Hep-(1.fwdarw.4)--D-Glc-(1.fwdarw.].sub.n, derived from C. jejuni strain HS50, with non-stoichiometric MeOPN at C-7 of 6d-ido-Hep;
wherein the same polysaccharide is linked to form a polysaccharide polymer comprising 1 to 100 polysaccharides linked together (i.e., n greater than or equal to 1).
[0083] The polysaccharides or polysaccharide polymers of the decomposition can be linked to a carrier, wherein said carrier can be a protein. In one embodiment, the protein carrier is CRM.sub.197.
EXAMPLE 6
Induction of Immune Response by CPS Conjugates
Induction of Immune Response Against HS1, HS1/HS44 and HS44
[0084] In one embodiment an immunogenic composition, useful for inclusion in a vaccine composition against HS1, HS1/HS44 and HS44 C. jejuni strains, comprises a polysaccharide, comprising the structure:
##STR00007##
or a polymer comprising a repeating of the polysaccharide structure, where n. In an alternative embodiment, the immunogenic composition can comprise the HS44 composition, as in Example 1, which docs rot contain the [MeOPN].fwdarw.3)-Fruf unit.
[0085] Surprisingly, the above structure found in HS1 and HS1/HS44 strains induces an immune response against HS44 strains. In the study, mice were immunized with escalating amounts of vaccine administered with Alhydrogel (Clifton, N.J.). Two weeks following the final immunization, all immunized animals exhibited significant levels of serum IgG antibodies specific against HS1 CPS (P<0.05) compared to pre-immune sera. Furthermore, this effect was dose dependent as mice immunized with 50 g of vaccine (by weight) per dose had a significantly higher endpoint liter (P<0.05) than mice receiving 10 g per dose. These results illustrate that HS1 is capable of generating high levels of anti-CPS antibodies in mice. The results of these studies is illustrated in
Induction of an Immune Response Using an HS-5 Poly Saccharide Composition
[0086] The ability of isolated HS5 polysaccharide to induce an immune response was evaluated. It is contemplated that isolated HS5 polysaccharide could be used conjugated to any of a number of protein carriers. However, as an illustration, CRM.sub.197-conjugated HS5 polysaccharide was evaluated.
[0087] In this study, HS5 was conjugated to CRM.sub.197 predicated on the method in Example 3. BALB/c mice were given three doses each of 10 g or 50 g of HS5 polysaccharide-conjugate at 4 week intervals, with 200 g of ALHYDROGEL (Brenntag AG, Germany). The mice received a total of three injections. Two weeks after the last dose, the mice were bled and the sera evaluated by ELISA. The results of this study are shown in
[0088] The immune response of HS3 conjugated to CRM.sub.197 was also examined. Female BALB/c mice were immunized via subcutaneous injection with conjugate vaccine (HS3 from BH0142 conjugated to CRM.sub.197) in aluminum hydroxide 3 times at 4-week intervals. Vaccine was given by weight. A dose of 5 g corresponded to approximately 0.5 g of conjugated polysaccharide and a dose of 25 g corresponded to approximately 2.5 g of conjugated polysaccharide. Serum was collected 2-weeks following each immunization. Capsule-specific IgG responses were determined by ELISA. The results are shown in
[0089] Additionally, the immune cross-reactions among members of the HS4 complex were evaluated. In these studies, whole cell proteinase K digested samples of various members of the HS4 complex were electrophoresed on 12.5% SDS-PAGE gels and immunoblotted with rabbit polyclonal antisera made against formalin killed whole cells of members of the HS4 complex. HS4 anti-serum was found to cross react to HS13 and HS4. Anti-HS4/13/64 serum was found to cross-react with HS64 and HS4 and to a small extent to HS50.
[0090] In similar studies, rabbit anti-HS13 serum was found to cross react with HS4 and HS13 and anti-HS64 serum was found to cross react with HS4, HS13, HS4/13/64 and HS50. Similarly, rabbit polyclonal antiserum made to conjugate vaccine composed of the capsule of HS4/13/64 strain conjugated to CRM.sub.197 was used in an immunoblot to determine the cross reactivity of the vaccine to proteinase K digested whole cell preparations of other members of the HS4 complex. Antibodies to the vaccine cross-reacted to HS4 and HS64, but not to HS13 or HS50.
EXAMPLE 7
Method for Inducing an Anti-C. jejuni Immune Response in Mammals
[0091] An embodiment of the invention is the induction of an immune response against capsule polysaccharide. The embodied method comprising administering an immunogenic composition comprising one or more polysaccharide antigens, wherein each polysaccharide antigen comprises a C. jejuni capsule polysaccharide polymer. The Campylobacter jejuni capsule polysaccharide polymers comprise of C. jejuni strains, as in Examples 1-4. As such, a capsule polysaccharide polymer comprises 1 to 100 copies of a polysaccharide structure, derived from an individual C. jejuni strain, connected together to form a polysaccharide polymer. Induction of immunity can be against one or more strains of C. jejuni.
[0092] The capsule polysaccharide are derived from one or more C. jejuni strains selected from the group consisting of HS1 and HS1 complex (HS1, HS1/HS44 or HS44), HS2, HS3, HS4, HS5, HS13, HS4/13/64, and HS50. The inventive immunogenic compositions would comprise isolated C. jejuni polysaccharide structures or polysaccharide polymers of the structures, without lipooligosaccharide, or other structures associated with GBS. The polysaccharide polymers can be conjugated or unconjugated to a carrier molecule and the composition administered at a dose range of 0.1 g to 10 mg per dose with or without an adjuvant.
[0093] Another embodiment is a method of to induce an immune response against C. jejuni by administering isolated C. jejuni capsule polysaccharide derived from HS1, HS1/HS44 or HS44. In the inventive method, the composition is used to induce an immune response against HS1, HS1/HS44 or HS44. As an example, a composition comprising isolated C. jejuni capsule polysaccharide, isolated away from or purified from LOS components and other components that can cause autoimmune responses such as Guillain-Barre syndrome, such as derived from HS1, are used to induce an immune response against HS1, HS1/HS44 and HS44 C. jejuni strains.
[0094] In another embodiment, a composition comprising one or more of the polysaccharide comprising one or more of polysaccharides derived from HS4, HS13, HS4/HS13/HS64 or HS50 can be used in a method to induce immunity against any of the C. jejuni strains of the HS4 complex, comprising HS4, HS13, HS4/HS13/H64 or HS50.
[0095] In the above described compositions, the polysaccharides or polysaccharide polymers can be linked to a carrier, wherein said carrier can be a protein. In one embodiment, the protein carrier is CRM.sub.197.
[0096] As an example, the embodiment method, comprises the steps:
[0097] a. administering an immunogenic composition comprising one or more C. jejuni isolated capsule polysaccharide polymers derived from capsules of C. jejuni strains selected from the group consisting of: HS1 and HS1 complex (HS1, HS1/HS44 or HS44), HS2, HS3, HS4, HS5, HS13, HS4/13/64, and HS50, wherein capsule polysaccharides of a strain can be linked to form a polysaccharide polymer comprises 1 to 100 copies of a polysaccharide structure, derived from an individual C. jejuni strain, connected together to form a polymer and wherein said composition would comprise isolated C. jejuni polysaccharide structures or polymers of the structures, without lipooligosaccharide, or other structures associated with GBS and wherein the polysaccharide or polysaccharide polymers can be conjugated or unconjugated to a carrier molecule and the composition administered at a dose range of 0.1 g to 10 mg per dose with or without an adjuvant, and wherein the polysaccharide structures include one or more of the following structures selected from the group consisting of:
##STR00008##
[0098] [.fwdarw.4)--D-Galp-(1-43 2)-Gro-(1.fwdarw.P.fwdarw.].sub.n, derived from the derived from the C. jejuni strain HS44;
##STR00009##
derived from the C. jejuni strain HS1 and/or HS1/44;
[0099] [.fwdarw.3)-L--D-ido-Hep-(1->4)--D-GlcNAc-(1.fwdarw.].sub.n, derived from HS4/HS13/HS64,
with non-stoichiometric substitution of O-methyl-phosphoramidate at position 2 of L-D-ido-heptose;
[0100] [.fwdarw.3)-6d--D-ido-Hep-(1.fwdarw.4)--D-GlcNAc-(1.fwdarw.].sub.n, derived from HS4/13/64, with non-stoichiometric MeOPN at C-2 and/or C-7 of 6d-ido-hep;
[0101] [.fwdarw.3)-L--D-ido-Hep-(1.fwdarw.4)--D-GlcNAc-(1.fwdarw.].sub.n, derived from HS4, with non-stoichiometric MeOPN at C-4 of LD-ido-Hep.
[0102] [.fwdarw.3-6d--D-ido-Hep-(1.fwdarw.4)--D-Glc-(1.fwdarw.].sub.n, derived from HS13, without MeOPN or with non-stoichiometric MeOPN at C-2 and/or C-7 of 6d-ido-Hep;
##STR00010##
derived from HS2, wherein NGro=aminoglycerol; Etn=ethanolamine;
[0103] [.fwdarw.3)-L-alpha -D-ido-Hep-(1->4)--D-Gal-(1.fwdarw.].sub.n, derived from HS3, with non-stoichiomoetric substitution O-methyl-phosphoramidate at position 2 of 6-deoxy -alpha-D-ido-heptose with or without a 3-hdroxypropanoyl ester at C-3 of -Gal;
[0104] [.fwdarw.3)-L--D-ido-Hep-(1.fwdarw.4)--D-Glc-(1.fwdarw.].sub.n, derived from HS50, with non-stoichiometric MeOPN at C-4 of LD-ido-Hep; and
[0105] [.fwdarw.3)-6d--D-ido-Hep-(1.fwdarw.4)--D-Glc-(1.fwdarw.].sub.n, derived from HS50, with non-stoichiometric MeOPN at C-7 of 6d-ido-Hep,
wherein the same polysaccharide is linked to form a polysaccharide polymer comprising 1 to 100 polysaccharides linked together (i.e., n greater than or equal to 1);
[0106] b. administering a boosting dose of the composition as described in step (a), with or without adjuvant at a dose range of 0.1 g to 10 mg per dose.
[0107] Another embodiment comprises a method of immunizing against Campylobacter jejuni strains HS1; HS1/HS44 and/or HS44 by the administration of a composition comprising one or more isolated C. jejuni capsule polysaccharides. The method comprises the steps:
[0108] a. administering an immunogenic composition comprising one or more C. jejuni capsule polysaccharide polymers. The C. jejuni capsule polysaccharide polymers comprise polysaccharide structures derived from capsules of C. jejuni strains selected from the group consisting of HS1, HS1/HS44, HS44, wherein a capsule polysaccharide polymer comprises 1 to 100 copies of a polysaccharide structure, derived from an individual C. jejuni strain, connected together to form a polymer, without lipooligosaccharide, or other structures associated with GBS administered at a dose range of 0.1 g to 10 mg per dose with or without an adjuvant. The polysaccharide structures include one or more of the following structures selected from the structures:
[.fwdarw.4)--D-Galp-(1.fwdarw.2)-Gro-(1.fwdarw.P.fwdarw.].sub.n, derived from the derived from the C. jejuni strain HS44; or
##STR00011##
derived from the C. jejuni strain HS1 and/or HS1/44;
wherein the same polysaccharide is linked to form a polysaccharide polymer comprising 1 to 100 polysaccharides linked together (i.e., n greater than or equal to 1);
[0109] b. administering a boosting dose of the composition as described in step (a), with or without adjuvant at a dose range of 0.1 g to 10 mg per dose.
[0110] Another embodiment comprises a method of immunizing against Campylobacter jejuni strains HS4, HS13, HS4/HS13/H64 or HS50 by the administration of a composition comprising one or more isolated C. jejuni capsule polysaccharides derived from HS4, HS13, HS4/HS13/H64 or HS50. The method comprises the steps:
[0111] a. administering an immunogenic composition comprising one or more C. jejuni capsule polysaccharides derived from HS4, HS13, HS4/HS13/H64 or HS50, wherein a capsule polysaccharide polymer comprising 1 to 100 copies of a polysaccharide structure, connected together to form a polymer, without lipooligosaccharide, or other structures associated with GBS, administered at a dose range of 0.1 g to 10 mg per dose with or without an adjuvant and wherein the polysaccharide structures include one or more of the following structures selected from the structures:
[0112] [.fwdarw.3)-L--D-ido-Hep(1->4)--D-GlcNAc-(1.fwdarw.].sub.n, derived from HS4/HS13/HS64, with non-stoichiometric substitution of O-methyl-phosphoramidate at position 2 of L-D-ido-heptose;
[0113] [.fwdarw.3)-6d--D-ido-Hep-(1.fwdarw.4)--D-GlcNAc-(1.fwdarw.].sub.n, derived from HS4/13/64, with non-stoichiometric MeOPN at C-2 and/or C-7 of 6d-ido-Hep;
[0114] [.fwdarw.3)-L--D-ido-Hep-(1.fwdarw.4)--D-GlcNAc-(1.fwdarw.].sub.n, derived from HS4, with non-stoichiometric MeOPN at C-4 of LD-ido-Hep;
[0115] [.fwdarw.3)-6d--D-ido-Hep-(1.fwdarw.4)--D-Glc-(1.fwdarw.].sub.n, derived from HS13, without MeOPN or with non-stoichiometric MeOPN at C-2 and/or C-7 of 6d-ido-Hep;
[0116] [.fwdarw.3)-L--D-ido-Hep-(1.fwdarw.4)--D-Glc-(1.fwdarw.].sub.n, derived from HS50, with non-stoichiometric MeOPN at C-4 of LD-ido-Hep;
[0117] [.fwdarw.3)-6d--D-ido-Hep-(1.fwdarw.4)--D-GlcNAc-(1.fwdarw.].sub.n, derived from HS50, with non-stoichiometric MeOPN at C-7 of 6d-ido-Hep;
wherein the same polysaccharide is linked to form a polysaccharide polymer comprising 1 to 100 polysaccharides linked together (i.e., n greater than or equal to 1);
[0118] b. administering a boosting dose of the composition as described in step (a), with or without adjuvant at a dose range of 0.1 ng to 10 mg per dose.
[0119] The polysaccharide polymers can be conjugated or unconjugated to a carrier molecule and the composition. In the above method, immunogenic composition can be administered orally, nasally, subcutaneously, intradermally, transdermally, transcutaneously, intramuscularly or rectally. Also, the carrier molecule can be a protein, for example CRM.sub.197, or a non-protein molecule. Adjuvants can be any of a number of adjuvants. Examples of adjuvants include: LTR 192G, Aluminum hydroxide, RC529, QS21, E294, oligodeoxynudeotides (ODN), CpG-containing oligodeoxynucleotides, and aluminum phosphate.
[0120] Obviously, many modifications and variations of the present invention are possible, in light of the above teachings. It is therefore to be understood that, within the scope of the appended claims, the invention may be practiced otherwise than as specifically described.