Methods and compositions for preventing influenza infection
11517617 · 2022-12-06
Assignee
Inventors
- Marios Koutsakos (Victoria, AU)
- Katarzyna Kedzierska (Victoria, AU)
- E. Bridie Clemens (Victoria, AU)
- Luca Hensen (Victoria, AU)
Cpc classification
C12N2760/16334
CHEMISTRY; METALLURGY
C12N2760/16134
CHEMISTRY; METALLURGY
C12N2760/16234
CHEMISTRY; METALLURGY
International classification
Abstract
The present invention provides novel methods and compositions for use in preventing infection with at least one type of influenza virus, including the use of peptides or compositions comprising a peptide comprising, consisting or consisting essentially of an amino acid sequence selected from the group of sequences as shown in SEQ ID Nos: 1 to 53, or functional derivatives or homologues thereof.
Claims
1. A composition comprising at least one peptide, wherein the at least one peptide consists of the amino acid sequence of SEQ ID No: 45.
2. The composition of claim 1, wherein the composition further comprises at least one additional peptide comprising, consisting of or consisting essentially of the amino acid sequence of any one or more of SEQ ID Nos: 14, 6, 9 or 33.
3. The composition of claim 1, wherein the composition further comprises at least one additional peptide comprising, consisting of or consisting essentially of the amino acid sequences of SEQ ID NOs: 25 or 26.
4. The composition of claim 1, wherein the composition further comprises at least one additional peptide comprising, consisting of or consisting essentially of the amino acid sequence of SEQ ID NO: 30.
5. The composition of claim 1, wherein the composition further comprises at least one additional peptide comprising, consisting of or consisting essentially of the amino acid sequence of any one of SEQ ID NOs: 6, 42, and 43.
6. The composition of claim 1, wherein the composition further comprises at least one additional peptide comprising, consisting of or consisting essentially of the amino acid sequence of any one of SEQ ID Nos: 8, 35, 40, 46, 48, 50, 52 and 53.
7. The composition of claim 1, wherein the composition further comprises one or more additional peptides comprising, consisting of or consisting essentially of the amino acid sequence of any one of SEQ ID NOs: 1 to 5, 7, 10 to 13, 15 to 24, 27 to 29, 31, 32, 34, 36 to 39, 41, 43 to 44, 47, 49, or 51.
8. The composition of claim 1, further comprising an adjuvant.
9. The composition of claim 2, further comprising an adjuvant.
10. The composition of claim 2, wherein the at least one additional peptide is at least 60 amino acids in length.
11. A vaccine or immune stimulating composition comprising the composition of claim 2.
12. A vaccine or immune stimulating composition comprising the composition of claim 1.
13. A method of eliciting an immune response in an individual to more than one subtype of influenza, the method comprising administering to the individual a composition of claim 1.
14. A method of immunising an individual in order to prevent an influenza infection or reduce the severity of symptoms of influenza infection in a subject, the method comprising administering to the subject a composition of claim 2.
15. A method of inducing a cytotoxic T cell response in an individual, the method comprising administering to the individual a composition of claim 2.
16. A method of inducing a cytotoxic T cell response in an individual, the method comprising administering to the individual a composition of claim 2.
17. A method of eliciting an immune response in an individual to more than one subtype of influenza, the method comprising administering to the individual a composition of claim 2.
18. A method of immunising an individual in order to prevent an influenza infection or reduce the severity of symptoms of influenza infection in a subject, the method comprising administering to the subject a composition of claim 1.
Description
BRIEF DESCRIPTION OF THE DRAWINGS
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DETAILED DESCRIPTION OF THE EMBODIMENTS
(12) It will be understood that the invention disclosed and defined in this specification extends to all alternative combinations of two or more of the individual features mentioned or evident from the text or drawings. All of these different combinations constitute various alternative aspects of the invention.
(13) Reference will now be made in detail to certain embodiments of the invention. While the invention will be described in conjunction with the embodiments, it will be understood that the intention is not to limit the invention to those embodiments. On the contrary, the invention is intended to cover all alternatives, modifications, and equivalents, which may be included within the scope of the present invention as defined by the claims.
(14) One skilled in the art will recognize many methods and materials similar or equivalent to those described herein, which could be used in the practice of the present invention. The present invention is in no way limited to the methods and materials described. It will be understood that the invention disclosed and defined in this specification extends to all alternative combinations of two or more of the individual features mentioned or evident from the text or drawings. All of these different combinations constitute various alternative aspects of the invention.
(15) All of the patents and publications referred to herein are incorporated by reference in their entirety.
(16) For purposes of interpreting this specification, terms used in the singular will also include the plural and vice versa.
(17) Influenza (commonly referred to as “the flu”) is an infectious disease caused by RNA viruses of the family Orthomyxoviridae (the influenza viruses) that affects birds and mammals. The most common symptoms of the disease are chills, fever, sore throat, muscle pains, severe headache, coughing, weakness/fatigue and general discomfort.
(18) The influenza viruses make up three of the five genera of the family Orthomyxoviridae. Influenza Type A and Type B viruses co-circulate during seasonal epidemics and can cause severe influenza infection. Influenza Type C virus infection is less common but can be severe and cause local epidemics.
(19) Influenza Type A virus can be subdivided into different serotypes or subtypes based on the antibody response to these viruses. Influenza A viruses are divided into subtypes based on two proteins on the surface of the virus: the hemagglutinin (H) and the neuraminidase (N). There are 18 different hemagglutinin subtypes and 11 different neuraminidase subtypes. (H1 through H18 and N1 through N11 respectively.) The sub types that have been confirmed in humans are H1N1, H1N2, H2N2, H3N2, H5N1, H7N2, H7N3, H7N7, H9N2 and H10N7.
(20) Influenza has an enormous impact on public health with severe economic implications in addition to the devastating health problems, including morbidity and even mortality. Accordingly, there is a need for therapeutic agents which can prevent infection, or reduce severity of infection in individuals.
(21) The present inventors have identified novel peptides derived from influenza proteins which are useful for inducing an immune response to at least one influenza type. In particular, the inventors have identified novel peptides derived from Influenza Type A and Influenza Type B, which are useful in inducing a cellular immune response, preferably T cell, to these influenza types. In particular, the inventors are the first to identify Influenza B peptides that are naturally presented on HLA molecules, and can be used to provide immunoprotection in individuals against this type of influenza.
(22) As such, the present invention provides for peptides, compositions comprising said peptides, including vaccines, which are useful for inducing a T cell response to either Influenza Type A or Influenza Type B.
(23) The present invention relates to peptides useful for inducing cell mediated immunity to influenza. In particular the present invention relates to peptides that are useful for provoking a cytotoxic T cell and/or memory T cell response, such as an enhanced CD8+ T-cell response. The peptides of the present invention can be used to induce T cell immunity to influenza and used in the treatment or prophylaxis of an influenza infection, especially in patients who are immunologically naive to an influenza virus.
(24) In certain aspects of the invention, the inventors have identified peptides which, when presented on specific HLA alleles, elicit robust, numerically prominent, and highly functional T cell responses. Thus, a further advantage of the peptides and compositions of the present invention, is the extensive coverage provided across ethnicities and the ability to be able to immunise a broad cross-section of the global population against different types of Influenza. In particular, because other studies use whole proteins or large peptide segments with limited knowledge of the antigenic peptides encompassed within those regions, the resulting compositions have likely limited population coverage, and in particular, are unlikely to be useful in Indigenous and Asian populations. In contrast, the peptides and compositions provided in the present invention provide for broader coverage across many ethnicities, including amongst Indigenous and Asian populations worldwide.
(25) Advantageously, in certain embodiments, certain peptides of the present invention have been found to provide cross-reactive T cell responses, meaning the peptides can generate a cellular immune response that will abrogate the consequences of infection with different influenza types, subtypes and strains. Certain peptides of the invention are therefore useful for inducing cell mediated immunity to more than one type of influenza, including several influenza strains or preferably substantially all influenza types and strains. In particular, the present inventors have shown that certain peptides disclosed herein, may be useful for providing immunity to at least Influenza Type A, preferably to Influenza Types A and B, more preferably to Influenza Types A, B and C.
(26) Peptides
(27) The present inventors have identified a number of peptides, as shown in the Table 1 below, which can be used in accordance with the methods and compositions described further herein:
(28) TABLE-US-00001 TABLE 1 Peptides of the present invention Source of peptide Amino acid (Influenza Exemplary HLA sequence Peptide name A/B/C) SEQ ID NO: presentation NLPFDRTTI NP.sub.417-425 A 1 A24 DVNPTLLFL PB1.sub.2-10 A 2 A24 SFSFGGFTF PB2.sub.322-330 A 3 A24 RYGPALSI PB2.sub.703-710 A 4 A24 SLNDDGLDNHTILL HA.sub.538-551 B 5 A2 GLDNHTILL HA.sub.543-551 B 6 A2 VLSQFGQEHRL NS1.sub.264-274 B 7 A3 SQFGQEHRL NS1.sub.266-274 B 8 A3 YEDLRVLSA NP.sub.394-401 B 9 B37 KLLGINMSKK PB1.sub.470-479 B 10 A3/A11/A31/A68 GPATAQTAI PB1.sub.539-547 B 11 B7 RDGFVSNF PB1.sub.497-504 B 12 A24 FYRDGFVSNF PB1.sub.495-504 B 13 A24 VADGGPNIY PB1.sub.591-599 B 14 A1 FEFTSMFY PB1.sub.490-497 B 15 B44 RRAIATAGI PB1.sub.238-246 B 16 B27 CENLEQSGL PB1.sub.263-271 B 17 B44 GMFEFTSMFY PB1.sub.487-496 B 18 A3 DTVIRTHEY PB1.sub.41-49 B 19 A26 KLIGINMSLE PB1.sub.472-481 C 20 A3 SPSTALMAL PB1.sub.541-549 C 21 B7 RRAIATPGM PB1.sub.240-248 C 22 B27 CEKLKESGL PB1.sub.265-273 C 23 B44 FEFTSMFF PB1.sub.490-497 C 24 B44 NMLSTVLGV PB1.sub.413-421 A/B/C 25 A2 FNMLSTVLGV PB1.sub.412-421 A/B/C 26 A2 YYLEKANKI PA.sub.130-138 A 27 A24 SYLIRALTL PB1.sub.216-224 A 28 A24 SYINRTGTFEF PB1.sub.482-492 A 29 A24 TYQWIIRNW PB2.sub.549-557 A 30 A24 TYQWIIRNWET PB2.sub.549-559 A 31 A24 KLVGINMSKK PB1.sub.471-480 A 32 A24 FEDLRVLSA NP.sub.338-345 A 33 B37 GPATAQMAL PB1.sub.540-549 A 34 B7 RYGFVANF PB1.sub.498-505 A 35 A24 RRAIATPGM PB1.sub.238-246 A 36 B27 CEKLEQSGL PB1.sub.263-271 A 37 B44 GTFEFTSFFY PB1.sub.488-497 A 38 A3 DTVNRTHQY PB1.sub.41-49 A 39 A26 VSDGGPNLY PB1.sub.591-599 A 40 A1 FEFTSFFY PB1.sub.490-497 A 41 B44 GILGFVFVL M1.sub.58-66 A 42 A2 YLNPGNYSM M1.sub.132-140 B 43 A2 IYHPGGNKL PB2.sub.245-253 B 44 A24 TYQWVLKNL PB2.sub.550_558 B 45 A24 KYVLFHTSL PA.sub.457-465 B 46 A24 IYFSPIRVTF NP.sub.164-173 B 47 A24 YFSPIRVTF NP.sub.165-173 B 48 A24 AAYEDLRVL NP.sub.392-400 B 49 A24 LYSDILLKF NA.sub.32-40 B 50 A24 TYHSYANNI NA.sub.213-221 B 51 A24 YYSTAASSL HA.sub.552-560 B 52 A24 NFAMELPSF PB1.sub.503-511 B 53 A24
(29) In Table 1 above, and throughout this specification, the amino acid residues are designated by the usual IUPAC single letter nomenclature. The single letter designations may be correlated with the classical three letter designations of amino acid residues. The full names of the amino acids are as follows: alanine (A or Ala), cysteine (C or Cys), aspartic acid (D or Asp), glutamic acid (E or Glu). phenylalanine (F or Phe), glycine (G or Gly), histidine (H or His), isoleucine (I or Ile), lysine (K or Lys), leucine (L or Leu), methionine (M or Met), asparagine (N or Asn), proline (P or Pro), glutamine (Q or Gin), arginine (R or Arg), serine (S or Ser), Threonine (T or Thr), tryptophan (W or Trp), tyrosine (Y or Tyr) and valine (V or Val).
(30) As used herein, the term “peptide” refers to a short sequence of amino acids and includes oligopeptides and polypeptides. These terms are therefore used interchangeably herein.
(31) It will be appreciated that where the present invention concerns the use of compositions, immune stimulating compositions, vaccines of various peptides, or methods of use involving the peptides, the peptides can be provided in various forms. For example, in certain embodiments, the compositions of the invention may include a plurality of peptide molecules consisting essentially of the sequences provided in Table 1. Alternatively, the compositions may contain longer peptide molecules, or polypeptides which comprise any one of the sequences listed in Table 1. Still further, the compositions may comprise a plurality of polypeptides, wherein each polypeptide comprises two or more of the peptides provided in Table 1.
(32) Accordingly, a peptide of the invention may have a length, in the range of from about 7 to 60 amino acids, typically from about 9 to 50, more typically from about 9 to 40 and more typically from about 9 to 30 amino acids, for example from about 10 to 20 amino acids, although these lengths are not intended to be limiting. In some embodiments the peptide may have a length of from 7, 8, 9 or 10 amino acids up to 11, 12, 13, 14, 15, 16, 17, 18, 19 or 20 consecutive amino acids.
(33) The present invention also contemplates the use of fusions or conjugates of any peptide of the invention, whereby a peptide of the invention is conjugated or fused to a carrier moiety to facilitate delivery or improve stability and/or solubility. As is known in the art, a carrier is a substance that may be conjugated to a peptide epitope thereby enhancing immunogenicity. Some carriers do this by binding to multiple peptides so as to provide an antigen of increased molecular weight to the host in which the immune response is to be developed. Preferred carriers include bacterial toxins or toxoids. Other suitable carriers include the N. meningitides outer membrane protein, albumin such as bovine serum albumin, synthetic peptides, heat shock proteins, KLH, Pertussis proteins, protein D from H. influenza and toxin A, B or C from C. difficile. When the carrier is a bacterial toxin or toxoid, diphtheria or tetanus toxoids are preferred. Preferably the carrier contains functional groups that can react with the peptide of the invention, or may be modified to be capable of reacting with the peptide.
(34) A peptide according to the present invention may be a synthetic peptide. Thus, the peptides may be obtained synthetically, for example by the production of synthetic DNA and expression there from. Methods for the production of synthetic peptides are well known in the art. Peptides can be designed using software, for example the Los Alamos National Library web-based software PeptGen
(35) (http://www.hiv.lanl,gov/content/sequence/PEPTGEN/peptgen.html), and synthesised using various commercially available platforms, for example using the proprietary PEPscreen technology from Sigma-Aldrich. Peptides can alternatively be produced recombinantly. Peptides for use in the invention are typically in a purified form. Using these techniques, the person skilled in the art would have no difficulty in providing peptides in accordance with the invention.
(36) The present invention also contemplates the use of homologs to any one or more of the peptides listed in Table 1. In a preferred embodiment, a homolog will have at least 80% or more sequence identity to a peptide listed in Table 1. As used herein the term “identity” is as known in the art and is the relationship between two or more polypeptide sequences or two or more polynucleotide sequences, as determined by comparing the sequences. In the art, identity also means the degree of sequence relatedness between polypeptide or polynucleotide sequences, as the case may be, as determined by the match between strings of such sequences. While there exist a number of methods to measure identity between two polypeptide or two polynucleotide sequences, methods commonly employed to determine identity are codified in computer programs. Preferred computer programs to determine identity between two sequences include, but are not limited to, GCG program package (Devereux, et al., Nucleic Acids Research, 12, 387 (1984), BLASTP, BLASTN, and FASTA (Atschul et al., J. Molec. Biol. 215, 403 (1990)).
(37) The skilled person will be familiar with the use of a program such as the CLUSTAL program to compare amino acid sequences. This program compares amino acid sequences and finds the optimal alignment by inserting spaces in either sequence as appropriate. It is possible to calculate amino acid identity or similarity (identity plus conservation of amino acid type) for an optimal alignment. A program like BLASTx will align the longest stretch of similar sequences and assign a value to the fit. It is thus possible to obtain a comparison where several regions of similarity are found, each having a different score. Both types of identity analysis are contemplated in the present invention.
(38) The percent identity of two amino acid sequences or of two nucleic acid sequences is determined by aligning the sequences for optimal comparison purposes (e.g., gaps can be introduced in the first sequence for best alignment with the sequence) and comparing the amino acid residues or nucleotides at corresponding positions. The “best alignment” is an alignment of two sequences which results in the highest percent identity. The percent identity is determined by the number of identical amino acid residues or nucleotides in the sequences being compared (i.e., % identity=number of identical positions/total number of positions×100),
(39) The determination of percent identity between two sequences can be accomplished using a mathematical algorithm known to those of skill in the art. An example of a mathematical algorithm for comparing two sequences is the algorithm of Karlin and Altschul (1990) Proc. Natl. Acad. Sci. USA 87:2264-2268, modified as in Karlin and Altschul (1993) Proc. Natl. Acad. Sci. USA 90:5873-5877. The NBLAST and XBLAST programs of Altschul et al. (1990) J. Mol. Biol. 215:403-410 have incorporated such an algorithm. BLAST nucleotide searches can be performed with the NBLAST program, score=100, wordlength=12 to obtain nucleotide sequences homologous to nucleic acid molecules of the invention. BLAST protein searches can be performed with the XBLAST program, score=50, wordlength=3 to obtain amino acid sequences homologous to protein molecules of the invention. To obtain gapped alignments for comparison purposes. Gapped BLAST can be utilised as described in Altschul et al. (1997) Nucleic Acids Res. 25:3389-3402. Alternatively, PSI-Blast can be used to perform an iterated search which detects distant relationships between molecules (Id.). When utilising BLAST, Gapped BLAST, and PSI-Blast programs, the default parameters of the respective programs (e.g., XBLAST and NBLAST) can be used. See
(40) http://www.ncbi.rihn.nm.gov. Another example of a mathematical algorithm utilised for the comparison of sequences is the algorithm of Myers and Miller, CABIOS (1989). The ALIGN program (version 2.0) which is part of the CGC sequence alignment software package has incorporated such an algorithm. Other algorithms for sequence analysis known in the art include ADVANCE and ADAM as described in Torellis and Robotti (1994) Comput. Appl. Biosci, 10:3-5: and. FASTA described in Pearson and Lipman (1988) Proc. Natl. Acad. Sci. 85:2444-8, Within FASTA, ktup is a control option that sets the sensitivity and speed of the search.
(41) Typically, the amino acid sequences of each peptide of the invention may have at least 85% identity, using the default parameters of the BLAST computer program (Atschul et al., J. Mol. Biol. 215, 403-410 (1990)) provided by HGMP (Human Genome Mapping Project), at the amino acid level, to the native amino acid sequences of influenza. More typically, the amino sequence may have at least 86%, 87%, 88%, 89%, 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98% or at least 99% identity, at the amino acid level to a sequence found in the viral protein.
(42) A peptide according to the invention may therefore be a variant of the respective sequence that is found in a viral protein. As used herein the term “variant” relates to peptides which have a similar amino acid sequence and/or which retain the same function. For instance, the term “variant” encompasses peptides that include one or more amino acid additions, deletions, substitutions or the like. The peptides of the invention retain the function of generating T cell responses.
(43) An example of a variant of the present invention is a peptide that is the same as the native peptide, apart from the substitution of one or more amino acids with one or more other amino acids. The skilled person is aware that various amino acids have similar properties. One or more such amino acids of a peptide or protein can often be substituted by one or more other such amino acids without eliminating a desired activity of that peptide or protein.
(44) As used herein, a functional variant or homolog of a peptide as recited in Table 1, is a peptide which retains the ability to bind to a relevant HLA molecule and activate a T cell, preferably a CD8 T cell. Preferably, the peptide is able to elicit a T cell immune response in an individual.
(45) In one embodiment, a functional homolog of any one of the peptides defined in SEQ ID NO: 1 to 4, 12, 13, 27 to 32, 35 and 44 to 53 may bind to HLA-A*24:02, a homolog of peptides defined in SEQ ID NOs 5, 6, 25, 26, 42 and 44 may bind to HLA-A*02:01, a homolog of peptides defined in SEQ ID NO: 7, 8, 10, 18, 20 and 38 may bind to any one of HLA-A*3, HLA-A*1 HLA-A*31, and HLA-A*68; a homolog of a peptide of SEQ ID NO: 9 or 33 may bind to HLA-B*37, a homolog of a peptide of SEQ ID Nos 11, 21 and 34 will bind to HLA-B*7, a homolog of a peptide of SEQ ID NOs 14 and 40 may bind to HLA-A*1, a homolog of a peptide of SEQ ID NOs 15, 17, 23, 24, 37 and 41 may bind to HLA-B*44, a homolog of a peptide of SEQ ID NOs 16, 22 and 36 may bind to HLA B*27, and a homolog of a peptide of SEQ ID NOs 19 and 39 may bind to HLA-A*26.
(46) The amino acids glycine, alanine, valine, leucine and isoleucine can often be substituted for one another (amino acids having aliphatic side chains). Of these possible substitutions it is preferred that glycine and alanine are used to substitute for one another (since they have relatively short side chains) and that valine, leucine and isoleucine are used to substitute for one another (since they have larger aliphatic side chains which are hydrophobic). Other amino acids which can often be substituted for one another include: phenylalanine, tyrosine and tryptophan (amino acids having aromatic side chains); lysine, arginine and histidine (amino acids having basic side chains); aspartate and glutamate (amino acids having acidic side chains); asparagine and glutamine (amino acids having amide side chains); and cysteine and methionine (amino acids having sulphur containing side chains).
(47) Substitutions of this nature are often referred to as “conservative” or “semi-conservative” amino acid substitutions.
(48) Amino acid deletions or insertions can also be made relative to the native sequence in the viral protein. Thus, for example, amino acids which do not have a substantial effect on the activity of the peptide, or at least which do not eliminate such activity, can be deleted. Such deletions can be advantageous, particularly with longer polypeptides since the overall length and the molecular weight of a polypeptide can be reduced whilst still retaining activity. This can enable the amount of polypeptide required for a particular purpose to be reduced—for example, dosage levels can be reduced.
(49) Amino acid insertions relative to the sequence of the native peptide can also be made. This can be done to alter the properties of a peptide for use in the present invention (e.g. to enhance antigenicity).
(50) Amino acid changes can be made using any suitable technique e.g. by using site-directed mutagenesis or solid state synthesis.
(51) It should be appreciated that amino acid substitutions or insertions within the scope of the present invention can be made using naturally occurring or non-naturally occurring amino acids. Whether or not natural or synthetic amino acids are used, it is preferred that only L-amino acids are present.
(52) It should also be appreciated that the peptides of the present invention may be conjugated to one or more moieties such as polyethylene glycol (PEG) (Veronese F. M. (2001) Biomaterials 22, pp 405-417).
(53) Compositions and Vaccines
(54) The invention further provides compositions comprising the peptides defined in Table 1, including functional derivatives and variants thereof, and the use of such peptides and vaccine compositions in the treatment or prevention of influenza.
(55) The term “vaccine composition” used herein is defined as composition used to elicit an immune response against an antigen (immunogen) within the composition in order to protect or treat an organism against disease.
(56) In any embodiment of the invention, a vaccine may comprise at least one peptide as shown in Table 1, or functional derivatives or variants thereof. In further embodiments, the vaccine may comprise at least 2, 3 or 4 or more of these peptides, or functional variants or derivatives thereof. The skilled person will appreciate that combining 2 or more peptides in a vaccine composition, may advantageously provide for an enhanced immune response following administration of the composition, or alternatively, provide for an immune response to epitopes from more than one type of influenza.
(57) The vaccine compositions of the invention may suitably include a pharmaceutically acceptable carrier, excipient, diluent, adjuvant, vehicle, buffer or stabiliser in addition to one or more peptides of the invention as the therapeutically or prophylactically active ingredient. Such carriers include, but are not limited to, saline, buffered saline, dextrose, liposomes, water, glycerol, polyethylene glycol, ethanol and combinations thereof.
(58) The vaccine compositions can be adapted for administration by any appropriate route, for example by the parenteral (including subcutaneous, intramuscular, intravenous or intradermal or by injection into the cerebrospinal fluid), oral (including buccal or sublingual), nasal, topical (including buccal, sublingual or transdermal), vaginal or rectal route. Such compositions can be prepared by any method known in the art of pharmacy, for example by admixing peptides with the carrier(s) or excipient(s) under sterile conditions. Typically, the vaccine composition is adapted for administration by the subcutaneous, intramuscular, intravenous or intradermal route, typically by injection. Alternatively, the vaccine composition may be adapted for oral or nasal administration.
(59) A pharmaceutical composition adapted for parenteral administration may be an aqueous and non-aqueous sterile injection solution which can contain anti-oxidants, buffers, bacteriostats and solutes which render the formulation substantially isotonic with the blood of the intended recipient; and aqueous and non-aqueous sterile suspensions which can include suspending agents and thickening agents. Excipients which can be used for injectable solutions include water, alcohols, polyols, glycerine and vegetable oils, for example. The composition can be presented in unit-dose or multi-dose containers, for example sealed ampoules and vials, and can be stored in a freeze-dried (lyophilized) condition requiring only the addition of the sterile liquid carried, for example water for injections, immediately prior to use. Extemporaneous injection solutions and suspensions can be prepared from sterile powders, granules and tablets.
(60) A pharmaceutical composition adapted for oral administration, can be presented as discrete units such as capsules or tablets; as powders or granules; as solutions, syrups or suspensions (in aqueous or non-aqueous liquids; or as edible foams or whips; or as emulsions)
(61) Suitable excipients for tablets or hard gelatine capsules include lactose, maize starch or derivatives thereof, stearic acid or salts thereof. Suitable excipients for use with soft gelatine capsules include for example vegetable oils, waxes, fats, semi-solid, or liquid polyols etc.
(62) For the preparation of solutions and syrups, excipients which can be used include for example water, polyols and sugars. For the preparation of suspensions, oils (e.g. vegetable oils) can be used to provide oil-in-water or water in oil suspensions.
(63) A pharmaceutical composition adapted for nasal administration wherein the carrier is a solid include a coarse powder having a particle size for example in the range 20 to 500 microns which is administered in the manner in which snuff is taken, i.e. by rapid inhalation through the nasal passage from a container of the powder held close up to the nose. A suitable composition wherein the carrier is a liquid, for administration as a nasal spray or as nasal drops, may comprise an aqueous or oil solution of the active ingredient.
(64) Pharmaceutical compositions adapted for administration by inhalation include fine particle dusts or mists that can be generated by means of various types of metered dose pressurised aerosols, nebulizers or insufflators.
(65) A pharmaceutical composition adapted for transdermal administration may be presented as a discrete patch intended to remain in intimate contact with the epidermis of the recipient for a prolonged period of time. For example, the active ingredient can be delivered from the patch by iontophoresis as generally described in Pharmaceutical Research. 3(6):318 (1986).
(66) A pharmaceutical composition adapted for topical administration may be formulated as an ointment, cream, suspension, lotion, powder, solution, paste, gel, spray, aerosol or oil. For infections of the eye or other external tissues, for example mouth and skin, the composition may be applied as a topical ointment or cream. When formulated in an ointment, the active ingredient can be employed with either a paraffinic or a water-miscible ointment base. Alternatively, the active ingredient can be formulated in a cream with an oil-in-water cream base or a water-in-oil base. A pharmaceutical composition adapted for topical administration to the eye may comprise eye drops wherein the active ingredient is dissolved or suspended in a suitable carrier, especially an aqueous solvent. A pharmaceutical composition adapted for topical administration in the mouth may comprise lozenges, pastilles or mouth washes.
(67) The pharmaceutical composition may contain preserving agents, solubilising agents, stabilising agents, wetting agents, emulsifiers, sweeteners, colourants, odourants, salts (substances of the present invention can themselves be provided in the form of a pharmaceutically acceptable salt), buffers, coating agents or antioxidants.
(68) The vaccine composition of the invention may also contain one or more other prophylactically or therapeutically active agents in addition to the at least one peptide as defined herein.
(69) A peptide for use in the vaccine compositions of the invention may or may not be lyophilised.
(70) The vaccine compositions of the invention may also include a pharmaceutically acceptable adjuvant in addition to the peptide(s) as defined herein. Adjuvants are added in order to enhance the immunogenicity of the vaccine composition.
(71) Suitable adjuvants for inclusion in a vaccine composition are known in the art and include incomplete Freund's adjuvant, complete Freund's adjuvant, Freund's adjuvant with MDP (muramyldipeptide), alum (aluminium hydroxide), alum plus Bordatella pertussis and immune stimulatory complexes (ISCOMs, typically a matrix of Quil A containing viral proteins), QS-21, Detox-PC, MPL-SE, MoGM-CSF, TiterMax-G, CRL-1005, GERBU, TERamide, PSC97B, Adjumer, PG-026, GSK-I, GcMAF, B-alethine, MPC-026, Adjuvax, CpG ODN, Betafectin, and MF59.
(72) The vaccine compositions of the invention may also include or be co-administered with one or more co-stimulatory molecules, such as B7, and/or cytokines, such as an interferon or an interleukin, that can promote T cell immune response such as 11-2, IL-15, IL-6, GM-CSF, IFNγ or other cytokines promoting T cell responses. This can be done in addition to conventional adjuvant, as described above.
(73) Dosages of the vaccine composition of the present invention can vary between wide limits, depending upon the age and condition of the individual to be treated, etc. and a physician will ultimately determine appropriate dosages to be used.
(74) This dosage can be repeated as often as appropriate. For example, an initial dose of the vaccine may be administered and then a booster administered at a later date.
(75) For administration to mammals, and particularly humans, it is expected that the daily dosage of the active agent will be from 1 μg/kg to 10 mg/kg body weight, typically around 10 μg/kg to 1 mg/kg body weight. The physician in any event will determine the actual dosage which will be most suitable for an individual which will be dependent on factors including the age, weight, sex and response of the individual. The above dosages are exemplary of the average case. There can, of course, be instances where higher or lower dosages are merited, and such are within the scope of this invention.
(76) The vaccine composition of the invention can be administered by any convenient route as described herein, such as via the intramuscular, intravenous, intraperitoneal or oral routes or by injection into the cerebrospinal fluid.
(77) The vaccine composition of the invention can be provided in unit dosage form, will generally be provided in a sealed container and may be provided as part of a kit. Such a kit would normally (although not necessarily) include instructions for use. It can include a plurality of said unit dosage forms.
(78) Accordingly, in yet another aspect, the present invention provides a kit of parts comprising a vaccine composition of the invention and one or more cytokines and/or adjuvants in sealed containers.
(79) In yet another aspect, the present invention provides a kit of parts comprising a vaccine composition of the invention and one or more cytokines and/or adjuvants for separate, subsequent or simultaneous administration to a subject.
(80) Methods of Immunising/Vaccinating
(81) The present invention provides methods and compositions for treating or preventing infection or minimising the likelihood of infection with an influenza virus, in an individual in need thereof.
(82) Cell mediated immunity is an immune response that does not involve antibodies, but instead involves the activation of macrophages, natural killer cells (NK), antigen-specific cytotoxic T-lymphocytes (T cells), and the release of various cytokines in response to an antigen. Activated antigen-specific cytotoxic T cells can induce apoptosis in body cells displaying epitopes of foreign antigen on their surface, such as virus-infected cells.
(83) Following a viral infection, memory T cells, a subset of infection fighting T cells, persist. At a subsequent encounter with the same virus, pre-existing memory T cells play a key role in the immune response to the virus. Memory T cells enable a faster and stronger immune response to be mounted, resulting in an infection which is of shorter duration and with less severe and/or with a reduced number of symptoms.
(84) The present invention also provides for methods and compositions for inducing a memory T cell immune response in an individual to an influenza virus. As such, the present invention includes methods and compositions for preventing infection with an influenza virus, minimising the likelihood of infection and/or reducing the severity and duration of influenza infection in an individual.
(85) As used herein, the terms “treatment” or “treating” of a subject includes the application or administration of a composition of the invention to a subject (or application or administration of a compound of the invention to a cell or tissue from a subject) with the purpose of delaying, slowing, stabilizing, curing, healing, alleviating, relieving, altering, remedying, less worsening, ameliorating, improving, or affecting the disease or condition, the symptom of the disease or condition, or the risk of (or susceptibility to) the disease or condition. The term “treating” refers to any indication of success in the treatment or amelioration of an injury, pathology or condition, including any objective or subjective parameter such as abatement; remission; lessening of the rate of worsening; lessening severity of the disease; stabilization, diminishing of symptoms or making the injury, pathology or condition more tolerable to the subject; slowing in the rate of degeneration or decline; making the final point of degeneration less debilitating; or improving a subject's physical or mental well-being.
(86) As used herein, “preventing” or “prevention” is intended to refer to at least the reduction of likelihood of the risk of (or susceptibility to) acquiring a disease or disorder (i.e., causing at least one of the clinical symptoms of the disease not to develop in a patient that may be exposed to or predisposed to the disease but does not yet experience or display symptoms of the disease). Biological and physiological parameters for identifying such patients are provided herein and are also well known by physicians.
(87) The vaccine composition of the invention can be administered to patients felt to be in greatest need thereof, for example to children or the elderly or individuals exposed to influenza virus. Timing of administration of the vaccine may be important; for example a vaccination strategy can be put in place once an outbreak of influenza has been identified, in order to prevent the spread of the virus in a community. The vaccine composition can be used in particular subsets of patients, for example those who have not already suffered from a particular type of influenza. Other individuals in need of vaccination according to the methods of the present invention, include certain indigenous populations who are identified as being of greater risk of susceptibility to influenza infection, or at risk of a greater severity of disease symptoms.
(88) The compositions and methods of the present invention extend equally to uses in both human and/or veterinary medicine. In particular, the vaccines of the invention are intended both for use in humans and in animals including livestock, poultry and domestic animals, for prevention or attenuation of influenza A or B disease, or preferably, for prevention or attenuation of influenza A, and B disease, more preferably for prevention or attenuation of influenza A, influenza B and influenza C disease.
(89) In any embodiment, the vaccines, compositions and methods of the present invention include the use of a peptide comprising, consisting or consisting essentially of the amino acid sequence: NLPFDRTTI (NP.sub.417-425 SEQ ID NO: 1).
(90) In any embodiment, the vaccines, compositions and methods of the present invention include the use of a peptide comprising, consisting or consisting essentially of the amino acid sequence: DVNPTLLFL (PB.sub.12-10 SEQ ID NO: 2).
(91) In any embodiment, the vaccines, compositions and methods of the present invention include the use of a peptide comprising, consisting or consisting essentially of the amino acid sequence: SFSFGGFTF (PB2.sub.322-330 SEQ ID NO: 3).
(92) In any embodiment, the vaccines, compositions and methods of the present invention include the use of a peptide comprising, consisting or consisting essentially of the amino acid sequence: RYGPALSI (PB2.sub.703-710 SEQ ID NO: 4).
(93) In any embodiment, the vaccines, compositions and methods of the present invention include the use of a peptide comprising, consisting or consisting essentially of the amino acid sequence: SLNDDGLDNHTILL (HA.sub.538-551 SEQ ID NO: 5).
(94) In any embodiment, the vaccines, compositions and methods of the present invention include the use of a peptide comprising, consisting or consisting essentially of the amino acid sequence: GLDNHTILL (HA.sub.543-551 SEQ ID NO: 6).
(95) In any embodiment, the vaccines, compositions and methods of the present invention include the use of a peptide comprising, consisting or consisting essentially of the amino acid sequence: VLSQFGQEHRL (NS1.sub.264-274 SEQ ID NO: 7).
(96) In any embodiment, the vaccines, compositions and methods of the present invention include the use of a peptide comprising, consisting or consisting essentially of the amino acid sequence: SQFGQEHRL (NS1.sub.266-274 SEQ ID NO: 8).
(97) In any embodiment, the vaccines, compositions and methods of the present invention include the use of a peptide comprising, consisting or consisting essentially of the amino acid sequence: YEDLRVLSA (NP.sub.394-401 SEQ ID NO: 9).
(98) In any embodiment, the vaccines, compositions and methods of the present invention include the use of a peptide comprising, consisting or consisting essentially of the amino acid sequence: KLLGINMSKK (PB1.sub.470-479 SEQ ID NO: 10).
(99) In any embodiment, the vaccines, compositions and methods of the present invention include the use of a peptide comprising, consisting or consisting essentially of the amino acid sequence: GPATAQTAI (PB1.sub.539-547 SEQ ID NO: 11).
(100) In any embodiment, the vaccines, compositions and methods of the present invention include the use of a peptide comprising, consisting or consisting essentially of the amino acid sequence: RDGFVSNF (PB1.sub.497-504 SEQ ID NO: 12).
(101) In any embodiment, the vaccines, compositions and methods of the present invention include the use of a peptide comprising, consisting or consisting essentially of the amino acid sequence: FYRDGFVSNF (PB1.sub.495-504 SEQ ID NO: 13).
(102) In any embodiment, the vaccines, compositions and methods of the present invention include the use of a peptide comprising, consisting or consisting essentially of the amino acid sequence: VADGGPNIY (PB1.sub.591-599 SEQ ID NO: 14).
(103) In any embodiment, the vaccines, compositions and methods of the present invention include the use of a peptide comprising, consisting or consisting essentially of the amino acid sequence: FEFTSMFY (PB1.sub.490-497 SEQ IDNO: 15).
(104) In any embodiment, the vaccines, compositions and methods of the present invention include the use of a peptide comprising, consisting or consisting essentially of the amino acid sequence: RRAIATAGI (PB1.sub.238-246 SEQ ID NO: 16).
(105) In any embodiment, the vaccines, compositions and methods of the present invention include the use of a peptide comprising, consisting or consisting essentially of the amino acid sequence: CENLEQSGL (PB1.sub.263-271 SEQ ID NO: 17).
(106) In any embodiment, the vaccines, compositions and methods of the present invention include the use of a peptide comprising, consisting or consisting essentially of the amino acid sequence: GMFEFTSMFY (PB1.sub.487-496 SEQ ID NO: 18).
(107) In any embodiment, the vaccines, compositions and methods of the present invention include the use of a peptide comprising, consisting or consisting essentially of the amino acid sequence: DTVIRTHEY (PB1.sub.41-49 SEQ ID NO: 19).
(108) In any embodiment, the vaccines, compositions and methods of the present invention include the use of a peptide comprising, consisting or consisting essentially of the amino acid sequence: KLIGINMSLE (PB1.sub.472-481 SEQ ID NO: 20).
(109) In any embodiment, the vaccines, compositions and methods of the present invention include the use of a peptide comprising, consisting or consisting essentially of the amino acid sequence: SPSTALMAL (PB1.sub.541-549 SEQ ID NO: 21).
(110) In any embodiment, the vaccines, compositions and methods of the present invention include the use of a peptide comprising, consisting or consisting essentially of the amino acid sequence: RRAIATPGM (PB1.sub.240-248 SEQ IDNO: 22).
(111) In any embodiment, the vaccines, compositions and methods of the present invention include the use of a peptide comprising, consisting or consisting essentially of the amino acid sequence: CEKLKESGL (PB1.sub.265-273 SEQ ID NO: 23).
(112) In any embodiment, the vaccines, compositions and methods of the present invention include the use of a peptide comprising, consisting or consisting essentially of the amino acid sequence: FEFTSMFF (PB1.sub.496-497 SEQ ID NO: 24).
(113) In any embodiment, the vaccines, compositions and methods of the present invention include the use of a peptide comprising, consisting or consisting essentially of the amino acid sequence: NMLSTVLGV (PB1.sub.413-421 SEQ IDNO: 25).
(114) In any embodiment, the vaccines, compositions and methods of the present invention include the use of a peptide comprising, consisting or consisting essentially of the amino acid sequence: FNMLSTVLGV (PB1.sub.412-421 SEQ ID NO:26).
(115) In any embodiment, the vaccines, compositions and methods of the present invention include the use of a peptide comprising, consisting or consisting essentially of the amino acid sequence: YYLEKANKI (PA.sub.136-138 SEQ ID NO: 27)
(116) In any embodiment, the vaccines, compositions and methods of the present invention include the use of a peptide comprising, consisting or consisting essentially of the amino acid sequence: SYLIRALTL (PB1.sub.216-224 SEQ ID NO: 28).
(117) In any embodiment, the vaccines, compositions and methods of the present invention include the use of a peptide comprising, consisting or consisting essentially of the amino acid sequence: SYINRTGTFEF (PB1.sub.482-492 SEQ ID NO: 29).
(118) In any embodiment, the vaccines, compositions and methods of the present invention include the use of a peptide comprising, consisting or consisting essentially of the amino acid sequence: TYQWIIRNW (PB2.sub.549-557 SEQ ID NO: 30).
(119) In any embodiment, the vaccines, compositions and methods of the present invention include the use of a peptide comprising, consisting or consisting essentially of the amino acid sequence: TYQWIIRNWET (PB2.sub.549-559 SEQ ID NO: 31).
(120) In any embodiment, the vaccines, compositions and methods of the present invention include the use of a peptide comprising, consisting or consisting essentially of the amino acid sequence: KLVGINMSKK (PB1.sub.471-480 SEQ ID NO: 32).
(121) In any embodiment, the vaccines, compositions and methods of the present invention include the use of a peptide comprising, consisting or consisting essentially of the amino acid sequence: FEDLRVLSA (NP.sub.338-345 SEQ ID NO: 33).
(122) In any embodiment, the vaccines, compositions and methods of the present invention include the use of a peptide comprising, consisting or consisting essentially of the amino acid sequence: GPATAQMAL (PB1.sub.540-549 SEQ ID NO: 34).
(123) In any embodiment, the vaccines, compositions and methods of the present invention include the use of a peptide comprising, consisting or consisting essentially of the amino acid sequence: RYGFVANF (PB1.sub.498-505 SEQ ID NO: 35).
(124) In any embodiment, the vaccines, compositions and methods of the present invention include the use of a peptide comprising, consisting or consisting essentially of the amino acid sequence: RRAIATPGM (PB1.sub.238-246 SEQ ID NO: 36).
(125) In any embodiment, the vaccines, compositions and methods of the present invention include the use of a peptide comprising, consisting or consisting essentially of the amino acid sequence: CEKLEQSGL (PB1.sub.263-271 SEQ ID NO: 37).
(126) In any embodiment, the vaccines, compositions and methods of the present invention include the use of a peptide comprising, consisting or consisting essentially of the amino acid sequence: GTFEFTSFFY (PB1.sub.488-497 SEQ ID NO: 38).
(127) In any embodiment, the vaccines, compositions and methods of the present invention include the use of a peptide comprising, consisting or consisting essentially of the amino acid sequence: DTVNRTHQY (PB1.sub.41-49 SEQ ID NO: 39).
(128) In any embodiment, the vaccines, compositions and methods of the present invention include the use of a peptide comprising, consisting or consisting essentially of the amino acid sequence: VSDGGPNLY (PB1.sub.591-599 SEQ ID NO: 40).
(129) In any embodiment, the vaccines, compositions and methods of the present invention include the use of a peptide comprising, consisting or consisting essentially of the amino acid sequence: FEFTSFFY (PB1.sub.490-497 SEQ ID NO: 41).
(130) In any embodiment, the vaccines, compositions and methods of the present invention include the use of a peptide comprising, consisting or consisting essentially of the amino acid sequence: GILGFVFVL (M1.sub.58-66 SEQ ID NO: 42).
(131) In any embodiment, the vaccines, compositions and methods of the present invention include the use of a peptide comprising, consisting or consisting essentially of the amino acid sequence: YLNPGNYSM (M1.sub.132-140 SEQ ID NO: 43).
(132) In any embodiment, the vaccines, compositions and methods of the present invention include the use of a peptide comprising, consisting or consisting essentially of the amino acid sequence: IYHPGGNKL (PB2.sub.245-253 SEQ ID NO: 44).
(133) In any embodiment, the vaccines, compositions and methods of the present invention include the use of a peptide comprising, consisting or consisting essentially of the amino acid sequence: TYQWVLKNL (PB2.sub.550-558 SEQ ID NO: 45).
(134) In any embodiment, the vaccines, compositions and methods of the present invention include the use of a peptide comprising, consisting or consisting essentially of the amino acid sequence: KYVLFHTSL (PA.sub.457-465 SEQ ID NO: 46).
(135) In any embodiment, the vaccines, compositions and methods of the present invention include the use of a peptide comprising, consisting or consisting essentially of the amino acid sequence: IYFSPIRVTF (NP.sub.164-173 SEQ ID NO: 47).
(136) In any embodiment, the vaccines, compositions and methods of the present invention include the use of a peptide comprising, consisting or consisting essentially of the amino acid sequence: YFSPIRVTF (NP.sub.165-173 SEQ ID NO: 48).
(137) In any embodiment, the vaccines, compositions and methods of the present invention include the use of a peptide comprising, consisting or consisting essentially of the amino acid sequence: AAYEDLRVL (NP.sub.392-400 SEQ ID NO: 49).
(138) In any embodiment, the vaccines, compositions and methods of the present invention include the use of a peptide comprising, consisting or consisting essentially of the amino acid sequence: LYSDILLKF (NA.sub.32-40 SEQ ID NO: 50).
(139) In any embodiment, the vaccines, compositions and methods of the present invention include the use of a peptide comprising, consisting or consisting essentially of the amino acid sequence: TYHSYANNI (NA.sub.213-221 SEQ ID NO: 51).
(140) In any embodiment, the vaccines, compositions and methods of the present invention include the use of a peptide comprising, consisting or consisting essentially of the amino acid sequence: YYSTAASSL (HA.sub.552-560 SEQ ID NO: 52).
(141) In any embodiment, the vaccines, compositions and methods of the present invention include the use of a peptide comprising, consisting or consisting essentially of the amino acid sequence: NFAMELPSF (PB1.sub.503-511 SEQ ID NO: 53).
(142) Certain peptides of the present invention, and as shown in Table 1, have been demonstrated to provide cross protection against different strains or serotypes or subtypes of influenza because they induce cross-reactive T cell responses.
(143) Consequently, these peptides and vaccines comprising such peptides can be used to induce cell mediated immunity against a broad spectrum of different influenza viral infections.
(144) In one embodiment of the present invention, a composition comprising at least one peptide as shown in Table 1 is useful for providing protection (i.e., immunising an individual) against infection with an influenza virus of Type A. Preferably, the peptide has an amino acid sequence as shown in any one of SEQ ID NOs: 1 to 4, or 9, 14 or 25 to 42.
(145) In a further embodiment, a composition comprising at least one peptide as shown in Table 1 is useful for providing protection (i.e., immunising an individual) against infection with an influenza virus of Type B. Preferably, the peptide will have an amino acid sequence as shown in any one of SEQ ID NOs: 5 to 19, 25, 26, 33, 40 or 43 to 53.
(146) In still a further embodiment, a composition comprising at least one peptide as shown in Table 1 is useful for providing protection (i.e., immunising an individual) against infection with an influenza virus of Type C. Preferably the peptide will have an amino acid sequence as shown in any one of SEQ ID NOs: 20 to 26.
(147) Yet further, a composition comprising at least one peptide as shown in Table 1 is useful for providing protection (i.e., immunising an individual) against infection with more than one Type of influenza virus. Preferably, the peptide will have an amino acid sequence as shown in SEQ ID NO: 9, 14, 25, 26, 33, or 40. Such a composition is useful for immunising an individual against at least influenza Types A and B. More preferably, the composition is useful for immunising an individual against infection with influenza Types A, B and C.
(148) The skilled person will also appreciate that it is possible to combine multiple peptides in a vaccine composition as described herein. For example, in order to provide a vaccine composition for immunising an individual against influenza Type A and B, the composition may comprise at least one peptide selected from the group consisting of SEQ ID NOs: 1 to 4, or 25 to 42 and at least one peptide selected from the group consisting of SEQ ID NOs: 5 to 19, 25, 26, or 43 to 53.
(149) The skilled person will be familiar with screening methods for determining when administration of peptides defined herein, induce a T cell response. A T cell response is indicative of inducing T cell immunity. Therefore a peptide which induces a T cell response may be useful for inclusion in a vaccine against the virus from which they are derived.
(150) T cells which respond to peptide antigens can be CD4+ and/or CD8+ T cells. After a viral infection a subset of the activated T cells will persist as memory T cells. Therefore the memory T cells can be CD4+ and/or CD8+ T cells.
(151) The skilled person will be familiar with methods for determining successful vaccination/immunisation with a peptide or composition as described herein. For example, the skilled person will be familiar with methods for quantifying the number of T cells specific for a given peptide following immunisation (and for determining whether there is a T cell response following subsequent challenge with influenza virus or peptides.).
(152) The following examples are presented in order to more fully illustrate some embodiments of the invention. They should, in no way be construed, however, as limiting the broad scope of the invention. One skilled in the art can readily devise many variations and modifications of the principles disclosed herein without departing from the scope of the invention.
EXAMPLES
Example 1: Cross-Reactivity Across Influenza A, B and C
(153) The conservation of known Influenza A (IAV) CD8+ T cell epitopes was determined across Influenza B (IBV) and Influenza C (ICV). This analysis enabled identification of a set of well conserved epitopes across the three types of influenza (
(154) The high conservation of the PB1.sub.413-421 peptide, along with the high prevalence of HLA-A2 in the human population prompted further characterization of responses to this epitope. PB1.sub.413-421 was determined to be conserved across IAV, IBV and ICV, as well as IDV although a substitution (L7F) present in IDV isolated (
(155) Conservation analysis of >67,000 influenza segment sequences identified 31 conserved epitopes (with >70% amino acid identity) across IAV and IBV as well as 8 epitopes across all IAV, IBV and ICV influenza types. Based on the prevalence of HLA-restricting molecules in the population and the nature of mutations within the peptide variants, 9 epitopes were selected across both HLA-A (HLA-A*01:01, HLA-A*02:01 and HLA-A*03:01/A*11:01/*31:01/A*68:02) and HLA-B (HLA-B*07:02, HLA-B*44:02 and HLA-B*37:01) alleles for further investigation (see also
(156) To determine CD8.sup.+ T cell immunogenicity towards these epitopes, memory CD8.sup.+ T cells within PBMCs obtained from healthy adults were probed using in vitro peptide expansion and measured IFN-γ production after peptide re-stimulation. The data indicate that three (A1/PB1.sub.591 n=3, A2/PB1.sub.413 n=5, B37/NP.sub.338 n=3) out of the nine conserved CD8.sup.+ T cell epitopes recalled robust memory CD8.sup.+ T cell responses across multiple donors (
(157) Strikingly, the PB1.sub.413-421 peptide (PB1.sub.414-422 in IBV and ICV; P.sub.B1413 hereafter) was universally (>98% of sequences) conserved (average identity >99.9%) across IAV, IBV and ICV, but not in influenza D viruses where a L7F mutation was found, or other genera of the Orthomyxoviridae family like Infectious Salmon Anemia virus, Wellfleet Bay virus or Thogoto virus (
(158) Analysis of the remaining two conserved and immunogenic peptides (PB1.sub.591-599 and NP.sub.338-345 in IAV, BPB1.sub.590-598 and BNP.sub.394-401 in IBV) revealed variations at one or two amino acids (S2A and L8I for PB1.sub.591 and F1Y within NP.sub.338) between IAV and IBV viruses, and a lack of conservation in ICV (
(159) Collectively, these data demonstrate that human CD8.sup.+ T cells can confer heterotypic cross-reactivity across IAV and IBV and ICV types. As the above findings are only based on the currently known IAV-derived epitopes and thus mainly limited to IAV peptides presented by well-characterized HLA class-I molecules, such universal cross-reactivity might be broader than defined here. Furthermore, the data suggest a need for identification of novel CD8.sup.+ T cell epitopes recognizing both IAV- and IBV-derived peptides restricted by a broad range of HLAs represented across different ethnicities.
Example 2: Identification of IAV- and IBV-Derived Epitopes by Immunopeptidomics
(160) Methods: Immunopeptidome Analysis.
(161) To identify peptides naturally presented by HLA-A*02:01 and HLA-A*A24:02 on the surface of infected cells, an immunopeptidomics approach was employed.
(162) Class-I reduced (C1R) lymphoblastoid cell lines expressing HLA*A2:01 or HLA-A*24:02 were used. 10.sup.9 cells were infected with influenza A (X31) or influenza B (B/Malaysia) at a multiplicity of infection (moi) of 4 and cells were incubated for 12 hours. At 12 hours, cells were harvested and snap-frozen in LN.sub.2.
(163) Cell pellets of 5-15×10.sup.8 cells were lysed using a combination of mechanical and detergent based lysis, the lysates cleared by ultracentrifugation, and MHC complexes isolated by immunoaffinity purification using solid-phase bound monoclonal antibodies for immunoaffinity purification as described previously (Dudek et al. 2012).
(164) Anti-MHC-I antibodies BB7.2 (anti-HLA-A2) and w632 (anti-pan class I) were employed sequentially for purification of the transfected HLA-A*02:01 and remaining endogenous MHC class I (marginal HLA-B*35:03, HLA-C*04:01) of the CIR cells.
(165) Anti-MHC-II antibodies LB3.1 (anti-HLA-DR), SPV-L3 (anti-HLA-DQ), and B721 (anti-HLA-DP) were subsequently used to isolate MHC class II complexes. Peptides were eluted from the MHC with 10% acetic acid, fractionated on a 4.6 mm internal diameter (i.d.)×100 mm monolithic reversed-phase C18 high-performance liquid chromatography (HPLC) column (Chromolith SpeedROD; Merck Millipore) using an ÄKTAmicro HPLC (GE Healthcare) system, vacuum concentrated, and reconstituted in 0.1% formic acid as described previously (Pymm et al. 2017).
(166) Reconstituted fractions were analysed by Liquid chromatography-tandem mass spectrometry (LC-MS/MS) using a data dependent acquisition strategy either using a Dionex UltiMate 3000 RSLCnano system (Thermo Fisher Scientific) coupled to a Q-Exactive Plus Hybrid Quadrupole Orbitrap (Thermo Fisher Scientific), or a NanoUltra cHiPLC system (Eksigent) coupled to an AB SCIEX 5600+ TripleTOF mass spectrometer as described previously (Pymm et al. 2017).
(167) Spectra were searched against a proteome database consisting of the human proteome (UniProt/Swiss-Prot v2016_04), the B/Malaysia proteome, and a 6 reading frame translation of the B/Malaysia genome, using ProteinPilot software (version 5.0, SCIEX).
(168) Results/Discussion:
(169) The EBV-transformed lymphoblastoid C1R cell line expressing high levels of the HLA-A*02:01 molecule (C1R-A2 cells). Cells were infected at a multiplicity of infection (moi) of 4 for 12 hours with B/Malaysia (
(170) Liquid chromatography-tandem mass spectrometry (LC-MS/MS) analysis of peptides isolated from HLA-A*02:01 molecules revealed predominantly 9-mer (n=1490), followed by 11-mer (n=695) and 10-mer (n=589), peptides after filtering for peptides detected in isolates from parental HLA molecules (
(171) Analyses from two independent experiments yielded a total of 73 potential HLA-A*02:01-presented IBV-derived peptides. The IBV-derived peptides mainly originated from hemagglutinin (BHA) (22.3%), followed by BNP (16.4%) and BM1 (11.9%), with all IBV proteins contributing to the HLA-A*02:01 immunopeptidome, except from BM2 and NB (
Example 3: Screening of Novel Influenza B CD8+ T Cell Epitopes in Transgenic HHD-A2 Mice
(172) To determine the in vivo immunogenicity of the novel IBV-derived peptides identified in Example 2, HLA-A2-expressing transgenic (HHD-A2) mice were used . . . . These mice are not confounded by exposure infection history nor co-expression of other MHC-I molecules and thus provide an important tool for screening peptide antigens in vivo.
(173) Methods and Results
(174) Synthetic peptides were purchased from GenScript and dissolved in Hanks Balanced Salt Solution (HBSS) with DMSO. Mice were infected intranasally with 30 μl of influenza viruses diluted in sterile PBS (200 pfu of A/X31 for A24 mice, 100 pfu of B/Malaysia for A2 mice).
(175) On day (d) 10 after intranasal infection (i.n.) with B/Malaysia (
(176) Cells were stained with anti-CD8, anti-IFNγ and anti-TNF antibodies using the BD cytofix/cytoperm kit according to the manufacturer's instructions (BD Biosciences).
(177) Of the 66 peptides tested, CD8+ T cell responses were targeted to 2 peptides (HA.sub.543-551 and NS1.sub.266-274). Responses could also be detected for a longer version of each of these peptides, namely HA.sub.538-551 and NS1.sub.264-274. These responses could also be detected in mice that had been primed with B/Malaysia and then 6-8 weeks later challenged with B/Phuket.
(178) Immunodominant CD8.sup.+ T cell responses were largely targeted towards A2/BHA.sub.543-551 (mean of 5% of CD8.sup.+ T cells) and A2/BNS1.sub.266-274 (mean of 1.8% of CD8.sup.+ T cells), with smaller subdominant responses observed for A2/HA.sub.538-551 and A2/BNS1.sub.264-274 (mean of <0.5% of CD8.sup.+ T cells), which overlap with A2/BHA.sub.543-551 and A2/BNS1.sub.266-274, respectively (
(179) The peptides were randomly assigned in 6 pools of 10-12 peptides, avoiding overlapping peptides in the same pool and CD8.sup.+ T cell responses to each pool at the site of infection was assessed, as represented by the bronchoalveolar lavage (BAL). CD8.sup.+ T cell responses were targeted to pools 2 and 3 containing the BHA.sub.543-551, BNS1.sub.266-274 and BNS1.sub.264-274 peptides, as confirmed separately.
(180) To further verify the immunogenicity of these epitopes in recall responses, HHD-A2 mice were primed i.n. with B/Malaysia, infected with the heterologous strain B/Phuket 6 weeks later and then assessed CD8.sup.+ T cells against the main epitopes A2/BHA.sub.543-551 and A2/BNS1.sub.266-274 in the spleen on d8 after challenge. The number of secondary IFNγ.sup.+TNF.sup.+ CD8.sup.+ T cells in the spleen was ˜27-fold higher than following a primary infection, although this did not reach statistical significance. Additionally, CD8.sup.+ T cells for both specificities showed increased polyfunctionality (IFNγ.sup.+TNF.sup.+IL-2.sup.+) following secondary infection (0.14% and 2.14% of CD8.sup.+ T cells for BHA.sub.543, n=4-5, p=0.013) Thus, the in vivo screening in HHD-A2 mice identified 4 immunogenic peptides, with immunodominant CD8.sup.+ T cells being heavily biased towards A2/BHA.sub.543-551 and A2/BNS1.sub.266-274 epitopes in both primary and secondary infections.
(181) As a next step, the IBV-specific CD8.sup.+ T cell responses towards the 67 LC/MS-identified IBV-peptides in HLA-A*02:01-expressing individuals were dissected. CD8.sup.+ T cell lines specific for each of the 6 peptide pools were established, and then re-stimulated cells with the cognate pool in an IFNγ/TNF ICS assay (
(182) To validate these responses independently of the peptide pools, CD8.sup.+ T cell lines were established towards individual immunogenic peptides (
(183) Having identified novel IBV CD8.sup.+ T cell epitopes, the conservation of two most immunodominant peptides, BHA.sub.543-551 and BNS1.sub.266-274, across IBV strains was determined. Both peptides were highly conserved (mean conservation of 99% and 98%, respectively) in >14,000 sequences per segment, spanning both lineages and 77 years of evolution (1940-2017). While some of the peptides identified by immunopeptidomics were highly conserved (>70%) in IAV (n=6 peptides) or in ICV (n=1) these were not immunogenic in humans or mice.
(184) Overall, the immunopeptidomics approach identified 73 previously uncharacterized IBV-derived HLA-A*02:01 peptide-ligands, 67 of which were tested for immunogenicity, with CD8.sup.+ T cell responses being targeted predominantly to BHA.sub.543-551, highly conserved across IBV, but not IAV or ICV.
Example 4: Protective Capacity of A2/BHA.SUB.543.- and A2/BNS1.SUB.266.-Specific CD8.SUP.+ T Cells During In Vivo IBV Infection
(185) To determine the protective capacity of the novel IBV CD8.sup.+ T cell epitopes, we vaccinated mice with the BHA.sub.543 and BNS1.sub.266 peptides using a prime/boost approach (
Example 5: Recruitment of Universal A2/PB1.SUB.413-421..SUP.+.CD8.SUP.+ T Cells Following Human IAV and IBV Infection
(186) To evaluate the recruitment and activation of universal A2/PB1.sub.413-421.sup.+CD8.sup.+ T cells in humans during influenza virus infection, PBMC samples from 3 different clinical cohorts of PCR-confirmed IAV- or IBV-infected individuals were analysed (
(187) Tetramer-positive A2/PB1.sub.413.sup.+CD8.sup.+, IBV-A2/BHA.sub.543.sup.+ and IAV-A2/M1.sub.58.sup.+CD8.sup.+ T cells detected in IAV- or IBV-infected patients displayed an increase in CD38.sup.+/Ki-67.sup.+ expression (
(188) These data show that A2/PB1.sub.413.sup.+CD8.sup.+ T cells are truly universal as they can be detected with an activated/effector phenotype in HLA-A*0201-expressing influenza-infected patients following either IAV or IBV infection. Additionally, activated/effector CD8.sup.+ T cells specific for A2/BHA.sub.543-551, identified by immunopeptidomics, can be detected during human IBV infection, illustrating the power of mass-spectrometry in identifying novel peptide ligands.
Example 6: Detection of Tissue-Resident Memory Universal A2/PB1.SUB.413..SUP.+ CD8.SUP.+ T Cells in Human Lungs
(189) As human memory CD8.sup.+ T cells also reside outside the circulation, a rare set of human lung samples from deceased organ donors (n=3) were used to assess the presence of universal A2/PB1.sub.413.sup.+CD8.sup.+ T cells at the site of infection. CD8.sup.+ T cells specific for A2/M1.sub.58 and A2/PB1.sub.413, but not A2/BHA.sub.543 were detected within human lung CD8.sup.+ T cells (2/3 donors for either specificity,
(190) Overall, circulating pools of effector and memory IAV-A2/M1.sub.58.sup.+, IBV-A2/BHA.sub.543.sup.+ and universal A2/PB1.sub.413.sup.+ CD8.sup.+ T cells can be detected directly ex vivo in peripheral blood of healthy individuals as well tissue-resident IAV-A2/M1.sub.58-specific and universal A2/PB1.sub.413-specific CD8.sup.+ T cells memory pools in the human lung.
Example 7: Immunodominance of Universal A2/PB1.SUB.413..SUP.+ Over IBV-Specific A2/BHA.SUB.543..SUP.+.CD8+ T Cells in IBV Infection
(191) These data so far identified three conserved HLA-A*02:01-restricted epitopes for IBV: the universal A2/PB1.sub.413 and two IBV-specific (A2/BHA.sub.543-551 and A2/NS1.sub.266-274 hereafter A2/BHA.sub.543 and A2/BNS1.sub.266) epitopes. To further understand the role of the universal A2/PB1.sub.413.sup.+CD8.sup.+ T cells in the immunodominance hierarchy following either IAV or IBV infection, IAV- or IBV-specific CD8.sup.+ T cell lines were established in vitro from PBMC of healthy adults (n=11) and assessed tetramer-specific CD8.sup.+ T cell responses against IAV epitopes (A2/M1.sub.58-66 (A2/M1.sub.58), A2/PA.sub.46-54 (A2/PA.sub.64), A2/PB1.sub.413) and IBV epitopes (A2/BHA.sub.543, A2/BNS1.sub.266, A2/PB1.sub.413). Consistent with the IFNγ staining (
Example 8: Different Conformations of the Universal PB1.SUB.413-421 .and IBV-Specific BHA.SUB.543-551 .Peptides Bound to HLA-A*02:01 Molecule
(192) To understand differential hierarchies observed for the A2-restricted influenza epitopes (PB1, BHA and M1), the ability of the epitopes to stabilize the HLA-A2 molecule was investigated including the structures of HLA-A2 presenting the PB1 and BHA peptides and compare them with previously solved HLA-A2-M1 structure. The pHLA-A*02:01 molecule in complex with M1.sub.58 exhibited a Tm (temperature required to unfold 50% of the protein) of 65° C. .sup.34, while both BHA.sub.543 and PB1.sub.413 were more stable, both exhibiting a Tm of ˜72° C. Therefore, the observed hierarchy (M1>PB1>BHA) cannot be linked to the pHLA complex stability.
(193) Subsequently, the HLA-A*02:01 structures in complex with the PB1.sub.413 and BHA.sub.543 peptides were determined at a resolution of 2.3 and 1.8 Å, respectively. The PB1.sub.413 and the BHA.sub.543 peptides adopted a canonical extended conformation with P2-Met/Leu and P9-Val/Leu acting as anchor residues buried in the HLA-A*02:01 antigen-binding cleft (
(194) The PB1.sub.413 peptide has four residues exposed to the solvent, thus available for TCR accessible recognition, namely P4-Ser, P5-Thr, P7-Leu and P8-Gly. Meanwhile, the BHA.sub.543 peptide has only three exposed residues (P4-Asn, P6-Thr and P8-Leu), as P7-Ile is partially buried. A structural overlay of HLA-A*02:01-presenting M1.sub.58, PB1.sub.413 and BHA.sub.543 peptides showed that the antigen clefts adopted similar conformations (root mean square deviation (r.m.s.d.) of 0.3 Å). However, the PB1.sub.413 peptide structure overlaid more closely with the M1.sub.58 peptide than BHA.sub.543, with a r.m.s.d. of the peptides of 0.5 and 0.7 Å for the Cα atoms, respectively. Indeed, the PB1.sub.413 structure revealed a flat surface, similar to the M1.sub.58 peptide, with residues at position 4, 5 and 7 either buried or containing small side chains, and a small hydrophobic P6-Val buried or partially buried, respectively. In contrast, the BHA peptide is presented by HLA-A2 in a conformation that fully exposed the P6-Thr, contains an exposed residue at P4, which has a larger side chain (P4-Asn), and even a mobile P5-His with two alternate conformations modeled.
(195) Overall, both the universal PB1.sub.413 and IBV-specific BHA.sub.543 peptides stabilized the HLA-A*02:01 molecule similarly yet formed different pMHC-I landscapes.
Example 9: High Quality CD8.SUP.+ T Cell Responses Directed at the Universal and Type-Specific CD8.SUP.+ T Cell Epitopes
(196) As the quality of CD8.sup.+ T cell responses can affect anti-viral protection, the functional avidity, pMHC-I/TCR avidity and cytokine polyfunctionality was determined across all three HLA-A*0201-restricted CD8.sup.+ T cell epitopes. Both universal A2/PB1.sub.413 and IBV-A2/BHA.sub.543CD8.sup.+ T cells displayed significantly higher functional avidity than the IAV-A2/M1.sub.58CD8.sup.+ T cell population (p<0.05, n=6-9), with EC50 values of 0.89, 0.78 and 8.1 nM, respectively (
Example 10: Single-Cell RNA Sequencing Analysis of Universal and IBV-Specific CD8.SUP.+ T Cells
(197) To further dissect universal and novel IBV-specific CD8.sup.+ T cells at the molecular level during human influenza infection, single-cell RNA sequencing (scRNAseq) was used to assess the transcriptome of ex-vivo isolated tetramer.sup.+CD8.sup.+ T cells from rare longitudinal PBMC samples obtained from an IBV-infected HLA-A*02:01-expressing individual. Infection with a BNictoria strain was confirmed by PCR and serological analysis. Blood samples were obtained at baseline (˜3 months prior to infection), d14, 3 months and 1.5 years after IBV infection (
(198) A total of 209 tetramer-positive CD8.sup.+ T cells were analyzed using scRNAseq, with an average of 1201 expressed genes identified per cell. Principal component analysis (PCA) revealed clear segregation of A2/PB1.sub.413.sup.+CD8.sup.+ T cells by time-point but no segregation between the two antigenic IBV-specificities on d14 (
(199) The specific expression of genes associated with T cell differentiation, activation, cytotoxicity and effector function was next analysed. Importantly, effector CD8.sup.+ T cells across both IBV-specificities isolated from d14 upregulated genes associated with activation (CD74, CD52), cytotoxic molecules (PRF1, GZMB, GZMA, GZMK, GNLY, CTSW), cytotoxic receptors (NKG7, KLRK1) and effector cytokines (CCL5, CCL4). The expression profiles for some genes associated with differentiation and activation were confirmed by flow-cytometry.
(200) Longitudinal TCRαβ sequences for A2/PB1.sub.413.sup.+CD8.sup.+ T cells were then extracted from scRNAseq data using VDZPuzzle. Strikingly, we detected one dominant CDR3αβ clone across all the time-points, accounting for 77.8-100% of the TCRαβ repertoire.
(201) Thus, our scRNAseq data clearly demonstrate dynamic transcriptional changes within the same human TCRαβ clone from baseline to acute and memory time-points. Overall, these data provide evidence on the recruitment of the universal and novel IBV-specific CD8.sup.+ T cell effectors during human IBV infection at the transcriptomic level.
Example 11: Restricted TCRαβ Repertoire within A2/PB1.SUB.413..SUP.+.CD8.SUP.+ T Cells Reflects a Recombination Process of Generating A2/PB1.SUB.413.-Specific TCRs
(202) The presence of a dominant TCRαβ clonotype in the IBV-infected donor was striking, and as the nature of the TCRαβ repertoire can affect the quality and protective efficacy of CD8.sup.+ T cell response, we further investigated TCRαβ repertoires within the universal and IBV-specific CD8.sup.+ T cells.
(203) Paired TCRαβ clonotypes within memory A2/PB1.sub.413-421.sup.+CD8.sup.+ and A2/BHA.sub.543-551.sup.+CD8.sup.+ T cells were dissected using a single-cell multiplex RT-PCR approach from tetramer.sup.+CD8.sup.+ T cells directly ex vivo. Additionally, paired TCRαβ sequences of A2/PB1.sub.413-421.sup.+CD8.sup.+ and A2/BHA.sub.543-551.sup.+CD8.sup.+ T cells were extracted and analyzed by scRNAseq. For A2/PB1.sub.413-421.sup.+CD8.sup.+ T cells, 89 cells from 5 healthy donors and 69 cells from the baseline, acute and memory time-points of the IBV-infected individual were analysed (
(204) Having defined TCRαβ repertoires, the probability of generating TCRαβ clones specific for the A2/PB1.sub.413 and A2/BHA.sub.543 epitopes, as well as for the previously described A2/M1.sub.58 (IAV), A2/BMLF1.sub.280 (EBV) and A2/pp65.sub.495 (CMV) epitopes was calculated using IGoR. The probability of generating an A2/PB1.sub.413-421-specific TCRαβ was significantly lower (p<0.05) than that for the other T cell specificities, with the exception of the A2/pp65 repertoire (
(205) Discussion
(206) Cytotoxic CD8.sup.+ T cells play a crucial role in protection from severe influenza disease in both human settings and animal models of influenza virus infection. CD8.sup.+ T cells limit viral replication and promote clearance of infected cells, the recognition of which is dependent on presentation of viral peptides on the cell surface by MHC-I molecules. The high conservation of these peptides allows cross-recognition of cells infected by distinct IAV strains, including pandemic and avian IAV viruses. This study proposes and examines two levels of cross-reactivity by influenza-specific CD8.sup.+ T cells: i) heterotypic cross-reactivity across IAV and IBV, and in some instances ICV, by CD8.sup.+ T cells recognizing peptides derived from the most conserved regions of influenza viruses, and ii) IBV-wide cross-reactivity by CD8.sup.+ T cells recognizing peptides derived from highly conserved regions of IBV (like BHA.sub.543 and BNS1.sub.266).
(207) Cross-reactivity across IAV and IBV is unprecedented for CD8.sup.+ T cells and atypical for influenza-specific CD4.sup.+ T cells and antibodies. Indeed, only one rare antibody (CR9114) that cross-recognizes a conserved region of the IAV and IBV HA stem regions has been identified and its contribution in the immune response during human infection is unknown. Similarly, a highly conserved CD4.sup.+ T cell epitope containing a peptide from the fusion peptide of the HA has been identified but remains poorly characterized. Universal memory A2/PB1.sub.413 CD8.sup.+ T cells, on the other hand, are prominent in human peripheral blood and lung tissues and emerge as activated effector cells during both human IAV and IBV infections. These T cells populations exhibit high polyfunctionality, TCR avidity and antigen sensitivity, at least in vitro, all of which are associated with superior viral control in human infections. Additionally, despite the greater difficulty of generating TCRs specific for the A2/PB1.sub.413 epitope, such CD8.sup.+ T cells were found in the majority (80%) of donors tested, suggesting that such T cell responses are abundant across HLA-A*0201.sup.+ donors. The heterotypic cross-reactivity demonstrated by this study is currently restricted to HLA-A*02:01, A*01:01 and B*37:01, which cover ˜54% of the world's population.
(208) The IBV-wide cross-reactivity resembles that of IAV-wide cross-reactivity provided by well-characterized CD8.sup.+ T cell specificities, exemplified by A2/M1.sub.58 .sup.3but also other epitopes. While, the ability of CD8.sup.+ T cells to cross-react across the two IBV lineages was previously reported, the antigenic specificity underpinning such cross-reactivity has been unknown. These studies demonstrate that CD8.sup.+ T cells target peptides from the BHA and BNS1 proteins and that these responses are protective, as they accelerate viral clearance and reduce inflammatory cytokines in mice. The observation that IBV-wide cross-reactivity can be conferred by peptides derived from the external HA protein is intriguing as it contests the belief that CD8.sup.+ T cell cross-reactivity is conferred by peptides from the internal proteins of influenza viruses and contrasts the known immunodominance of responses to M1/NP-derived epitopes from IAV. Whether this is unique to the context of HLA-A2 or common across many HLA alleles during IBV responses is currently unknown. Given the high prevalence of HLA-A*02:01 and the clinical significance of IBV, this work implies that CD8.sup.+ T cell-targeting vaccines need to be formulated with broader antigenic specificity not limited to NP and M1 antigens.
(209) The antigenic origin of such broadly cross-reactive epitopes is also of interest. PB1 is the most well-conserved protein across IAV and IBV, with ˜60% amino acid identity, as opposed to 30% or less for the other proteins. The PB1.sub.413 peptide is derived from one of the most well conserved areas of the protein, namely motif B (residues 406-422 of IAV PB1 protein), one of the four core motifs present in viral RNA-dependent polymerases (biswas.) Genome-wide mutational analysis, has shown that IAV cannot tolerate substitutions in these motifs. More interesting, however, is the IBV-wide cross-reactivity conferred by the BHA.sub.543 peptide. This peptide is derived from the stalk region of the BHA molecule, which shows considerably higher conservation than the HA head domain. Mutagenesis screens in vitro have also revealed limited tolerance to 15-nucleotide insertions of in the BHA molecule, particularly the stalk domain. Thus, these universally cross-reactive CD8.sup.+ T cells target epitopes with little sequence flexibility, making them ideal targets for a universal influenza vaccine. Such extensive cross-reactivity across virus genera is uncommon and only resembles that of CD8.sup.+ and CD4.sup.+ T cells across the subfamily of Alphaherpseviruses and to a lesser extend CD8.sup.+ T cell cross-reactivity across the Flavivirus genus.
(210) Overall, the ability of CD8.sup.+ T cells to confer heterotypic cross-reactivity across IAV and IBV and the knowledge of cross-reactive epitopes across IAV/IBV types as well as within IBV, have substantial implications for the design of universal influenza vaccines that do not require annual reformulation. Such vaccines, which likely require the concerted action of both broadly-reactive antibodies and T cells for maximal efficacy, could contribute to protection during annual seasonal epidemics as well as the next inevitable influenza pandemic, regardless of the origin of the infecting influenza virus. Thus, it is critical to consider universal CD8.sup.+ T cells, alongside with universal antibodies, for the design of universally cross-reactive influenza vaccines.
Example 11: Screening in PBMCs from Healthy Donors
(211) To further assess the IBV peptides identified in Example 2 and 3, screening for the presence of memory CD8+ T cells in healthy A*02:01+ individuals was performed.
(212) Methods:
(213) Peripheral blood mononuclear cells (PBMC) from healthy A2:01+ donors were cultured in the presence of antigens (10 μM peptide) for 10 days in the presence of IL-2 (10 U/ml). On day 10 PBMCs were stimulated with peptides (1 μM) for 5 hours in the presence of BFA. Cells were surface stained for CD3 and CD8 and intracellularly stained for IFNγ and TNF using the BD cytofix/cytoperm kit according to the manufacturer's instructions (BD Biosciences).
(214) Any pools with positive ICS responses were then dissected to their individual peptides. Consistent with the HHD mice, responses to HA.sub.543-551 and NS1.sub.266-274 were detected across multiple donors.
Example 12: Characterization of A24 Responses
(215) Methods:
(216) Peptides naturally presented during IAV infection were identified using immunopeptidomics at 2, 4, 8, 12 and 16 hours post infection (see Example 2).
(217) Class-I reduced (C1R) lymphoblastoid cell lines expressing HLA-A24:02 were used. 10.sup.9 cells were infected with influenza A (X31) at a multiplicity of infection (moi) of 4 and cells were incubated for 2, 4, 8, 12 and 16 hours. At the aforementioned timepoints, cells were harvested and snap-frozen in LN.sub.2.
(218) Cell pellets of 5-15×10.sup.8 cells were lysed using a combination of mechanical and detergent based lysis, the lysates cleared by ultracentrifugation, and MHC complexes isolated by immunoaffinity purification using solid-phase bound monoclonal antibodies for immunoaffinity purification as described previously (Dudek et al. 2012).
(219) Anti-MHC-I antibodies antibodies DT9 (anti-HLA-C) and w6/32 were used sequentially for depletion of the endogenous HLA-C*04:01 and purification of the transfected HLA-A*24:02 (and marginal endogenous HLA-B*35:03).
(220) Anti-MHC-II antibodies LB3.1 (anti-HLA-DR), SPV-L3 (anti-HLA-DQ), and B721 (anti-HLA-DP) were subsequently used to isolate MHC class II complexes. Peptides were eluted from the MHC with 10% acetic acid, fractionated on a 4.6 mm internal diameter (i.d.)×100 mm monolithic reversed-phase C18 high-performance liquid chromatography (HPLC) column (Chromolith SpeedROD; Merck Millipore) using an ÄKTAmicro HPLC (GE Healthcare) system, vacuum concentrated, and reconstituted in 0.1% formic acid as described previously (Pymm et al. 2017).
(221) Reconstituted fractions were analysed by Liquid chromatography-tandem mass spectrometry (LC-MS/MS) using a data dependent acquisition strategy either using a Dionex UltiMate 3000 RSLCnano system (Thermo Fisher Scientific) coupled to a Q-Exactive Plus Hybrid Quadrupole Orbitrap (Thermo Fisher Scientific), or a NanoUltra cHiPLC system (Eksigent) coupled to an AB SCIEX 5600+ TripleTOF mass spectrometer as described previously (Pymm et al. 2017).
(222) Spectra were searched against a proteome database consisting of the human proteome (UniProt/Swiss-Prot v2016_04), the B/Malaysia proteome, and a 6 reading frame translation of the B/Malaysia genome, using ProteinPilot software (version 5.0, SCIEX).
(223) Synthetic peptides were purchased from GenScript and dissolved in Hanks Balanced Salt Solution (HBSS) with DMSO. Mice were infected intranasally with 30 μl of influenza viruses diluted in sterile PBS (100 pfu of B/Malaysia for A2 mice).
(224) On day 10 mice were sacrificed and spleens were harvested and processed into single cell suspensions. Splenocytes were stimulated with individual peptides or pools of peptides at a final concentration of 10 μM for 5 hours in the presence of Brefeldin A (BFA). Cells were stained with anti-CD8, anti-IFNγ and anti-TNF antibodies using the BD cytofix/cytoperm kit according to the manufacturer's instructions (BD Biosciences).
(225) Peripheral blood mononuclear cells (PBMC) from healthy A24:02+ donors were cultured in the presence of antigens (10 μM peptide) for 10 days in the presence of IL-2 (10 U/ml). On day 10 PBMCs were stimulated with peptides (1 μM) for 5 hours in the presence of BFA and monenesin. Cells were surface stained for CD3 and CD8 and intracellularly stained for IFNγ and TNF using the BD cytofix/cytoperm kit according to the manufacturer's instructions (BD Biosciences).
(226) Results:
(227) 48 peptides were identified of which, only 3 have been previously reported by others. The previously published (
(228) The analysis included variants of epitopes identified from circulating IAV strains (noted as V1, V2 on the figures).
(229) In vivo responses were shown to be targeted to 7 peptides: PA.sub.130-138, PB1.sub.498-505 (and the longer version PB1.sub.496-505), NP.sub.39-47, PB1.sub.482-492, PB1.sub.216-224, PB2.sub.549-557, PB2.sub.322-330. Similar response patterns to the novel and previously published peptides were found in vitro using PBMCs from A24+ donors (
(230) Conclusions
(231) The present studies have identified immunogenic peptides from virus proteins that are not conventionally considered to be source epitopes for CD8+ T cells. For example, the present data indicate that immune responses to influenza B can be driven by recognition of peptides derived from the HA protein. Further, immune responses to influenza A are derived from recognition of peptides from PB1, PB2 and PA proteins.
Example 13: Identification of Immunogenic Peptides for Influenza B (IBV) in HLA-a*24:02+ Mice and/or Indigenous HLA-A*24:02+ Donors
(232) Materials and Methods:
(233) Mice=transgenic HLA-A24 mice that were knocked out for the murine class I HLA alleles but knocked in for a chimeric HLA molecule that contains the peptide binding and presentation on the human HLA-A*24:02 but still can bind to the murine T cell coreceptors.
(234) These mice were infected with 200 pfu of an influenza B virus of the Victoria linage and 7 weeks after the primary infection challenged with a heterologous influenza B virus of the Yamagata linage. 8 days after secondary infection the spleen is removed and splenocytes separated using a 40 μm cell strainer.
(235) Splenocytes were stimulated with 1 μM peptides for 5 hrs in presence of protein transport inhibitors. 5 hrs after stimulation, cells are for stained surface markers and internal cytokines. IFNγ and TNFα expression was assessed by Flow cytometry (n=4).
(236) Peripheral blood mononuclear cells (PBMCs) of Indigenous A*24:02+ donors were stimulated with pools of the identified IBV peptides and expanded for 15 days in the presence of IL-2. On day 15, PBMCs were re-stimulated with single peptide pulsed antigen presenting cells for 5 hrs in presence of protein transport inhibitors and cells stained for surface markers and intracellular cytokines. IFNγ and TNFα expression of CD8+ T Lymphocytes was detected by flow cytometry. (n=3)
(237) Results:
(238) 42 novel IBV peptides presented by the HLA-A*24:02 were identified. These peptides were screened in A24 mice to determine their immunogenicity (induction of IFNγ production in CD8+ T cells after peptide re-stimulation). These experiments determined 7 immunogenic targets namely: PB2.sub.245-253, PB2.sub.550-558, NP.sub.164-173, NP.sub.165-173, NP.sub.392-400, NA.sub.32-40, and NA.sub.213-221 (
(239) In A*24:02+ Indigenous donors, we identified CD8+ T cell responses directed towards an overlapping but not congruent peptide pool. From the peptides immunogenic in mice PB2.sub.550-558, NP.sub.164-173, NP.sub.165-173 and NA.sub.32-40 showed also an immunogenic potential in Indigenous donors. 3 additional peptides from peptides identified by mass spectrometry showed an immunogenic response, namely PA.sub.457-465, HA.sub.552-560 & PB1.sub.503-511 (
(240) This study identified the first IBV peptides presented by the HLA-A*24:02 and showed their potential in inducing an immune response in vivo in transgenic mice and in vitro in A*24:02+ Indigenous PBMCs. Given the severe outcome of influenza infections in Indigenous Australians and Indigenous populations in other regions these peptides are of high interest for producing a truly protective vaccine for this high risk group.
(241) The following peptides were identified to be immunogenic.
(242) TABLE-US-00002 Epitope Sequence Virus PB2.sub.245-253 IYHPGGNKL B PB2.sub.550-558 TYQWVLKNL B PA.sub.457-465 KYVLFHTSL B NP.sub.164-173 IYFSPIRVTF B NP.sub.165-473 YFSPIRVTF B NP.sub.392-400 AAYEDLRVL B NA.sub.32-40 LYSDILLKF B NA.sub.213-221 TYHSYANNI B HA.sub.552-560 YYSTAASSL B PB1.sub.503-511 NFAMELPSF B