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Vaccines
UNIVERSITY OF BALAMAND
FACULTY OF SCIENCES
DEPARTMENT OF BIOLOGY
BIOL 287
➢Today, millions of people are alive and well due to the more than 70 vaccines that are
now licensed for use against a wide range of pathogenic agents.
➢The causative agents of diphtheria, polio, rubella and others gave rise to more than 39
million infections in the 20th century in Canada and the United States.
➢Vaccines have since reduced considerably the frequencies of these diseases (typically
by 1000-fold or more).
Table 7.1
➢The Global Alliance for Vaccines and Immunization estimates that more than 1.5
million children die every year from vaccine-preventable diseases.
➢Effective vaccines are also not yet available for many leading diseases, including human
immunodeficiency virus (HIV)/AIDS, tuberculosis, and malaria, which produce more
than 5 million deaths globally each year
Table 7.2
Figure 7.1
•Not all infectious agents can be grown in culture, so no vaccines have been developed
for a number of diseases.
•Production of animal and human viruses requires animal cell culture, which is
expensive.
•Both the yield and rate of production of animal and human viruses in culture are often
quite low, making vaccine production costly.
•Extensive safety precautions are necessary to ensure that laboratory and production
personnel are not exposed to a pathogenic agent.
•Batches of vaccine may not be killed or may be insufficiently attenuated during the
production process, thereby introducing virulent organisms into the vaccine and by
mistake spreading the disease.
•Attenuated strains may revert, a possibility that requires continual testing to ensure that
the reacquisition of virulence has not occurred.
•Not all diseases are preventable through the use of traditional vaccines.
•Most current vaccines have a limited shelf life and often require refrigeration to
maintain potency. This requirement creates storage problems in countries with large
unelectrified rural areas.
Molecular Biotechnology: Principles and Applications Copyright © 2017 ASM Press
of Recombinant DNA, Fifth Edition American Society for Microbiology
Bernard R. Glick, Cheryl L. Patten 1752 N St. NW, Washington, DC 20036-2904
Chapter 7
Vaccines -Subunit Vaccines
➢For disease-causing viruses, purified outer surface viral proteins, either capsid or
envelope proteins, are often sufficient for eliciting neutralizing antibodies in the host
organism. Vaccines that use components of a pathogenic organism rather than the
whole organism are called "subunit" vaccines
Figure 7.2
➢On the positive side, using a purified protein(s) as an immunogen ensures that the
preparation is stable and safe, is precisely defined chemically, and is free of extraneous
proteins and nucleic acids that can initiate undesirable side effects in the host organism.
➢On the negative side, purification of a specific protein can be costly, and in certain
instances, an isolated protein may not have the same conformation as it does in situ
(within the viral capsid or envelope),with the result that its antigenicity is decreased.
Figure 7.2
➢The bacterium V.cholerae colonizes the small intestine and secretes large amounts of
the pathogenic hexameric enterotoxin.
➢This protein consists of one A subunit, that has ADP (adenosine diphosphate)
ribosylation activity and stimulates host adenylate cyclase, and five identical B
subunits that bind specifically to an intestinal mucosal cell receptor.
➢The A subunit has two functional domains: the A1 peptide, which contains the toxic
activity, and the A2 peptide, which (noncovalently) joins the A subunit to the B
subunits.
Figure 7.5
➢This newer vaccine is taken orally (two doses 1week apart), and an additional booster
immunization is not required for about 2 to 3 years.
Figure 7.5
Figure 7.6
➢The first new infectious disease of the 21st century was identified as Severe Acute
Respiratory Syndrome, or SARS
Figure 7.6
➢After the virus enters the body, it binds via the S1 subunit to the receptor, the
angiotensinconverting enzyme 2 (ACE2), including pneumocytes in the respiratory
system.
➢Following the binding of the virus, the viral and cell membranes fuse, facilitating the
entry of virus into the cell.
➢Thus, the extracellular domain of the S1 subunit is an attractive candidate for the
development of a subunit vaccine to elicit antibodies that block the interaction between
virus and host cell.
Molecular Biotechnology: Principles and Applications Copyright © 2017 ASM Press
of Recombinant DNA, Fifth Edition American Society for Microbiology
Bernard R. Glick, Cheryl L. Patten 1752 N St. NW, Washington, DC 20036-2904
Chapter 7
Vaccines - Human Papillomavirus
➢Human papillomavirus (HPV) is a non-enveloped virus that is sexually transmitted.
While most infections are benign and often asymptomatic, persistent infection with some
strains of human papillomavirus is associated with the development of cervical and
related cancers, as well as genital warts.
➢Over 100 different types of HPV exist, and 15 types have carcinogenic potential. Most
genital warts are caused by HPV-6 and HPV-11,while HPV-16 and HPV-18 account for
about 70% of invasive cervical cancers.
➢Thus, a vaccine that prevents HPV-16 and HPV-18 infection could significantly reduce
the incidence of cervical cancer.
➢It previously shown that the viral major capsid protein L1 can selfassembled into
virus-like particles that resemble papillomavirus virions, and these particles are highly
immunogenic, inducing neutralizing antibodies directed against the whole live virus.
➢The gene for the L1 protein from each of four virus types was cloned and expressed
in a recombinant Saccharomyces cerevisiae (yeast) strain. Following separate
fermentations of each of the four yeast strains, the viral capsid proteins assembled into
virus-like particles (the viral capsid without any other viral proteins or the viral nucleic
acid).
Molecular Biotechnology: Principles and Applications Copyright © 2017 ASM Press
of Recombinant DNA, Fifth Edition American Society for Microbiology
Bernard R. Glick, Cheryl L. Patten 1752 N St. NW, Washington, DC 20036-2904
Chapter 7
Vaccines - Human Papillomavirus
Figure 7.9
➢ These virus-like particles were then purified and combined to form the quadrivalent
vaccine
➢In June 2006,the US. FDA approved the vaccine, called Gardasil; is quadrivalent,
containing virus-like particles assembled from the L1 proteins of the above-mentioned four
types of human papillomavirus (Fig).In the combined data from the phase II and III studies,
efficacy against external genital lesions from all 4 HPV types was 95% to 99%.
➢In addition to Gardasil, a second HPV vaccine, Cervarix, was developed, and then
approved by the U.S.FDA in 2009. This vaccine is a combination of HPV-16, -18, and -20
L1 proteins that are produced in insect cells in culture.
➢ Moreover, many lactic acid bacterial strains have the ability to act
as adjuvants that enhance the immune response induced by the
antigen that they have been engineered to encode.
➢ Although lactic acid bacterial vaccines have been shown to be effective with
mice, none of these vaccines is currently in clinical trials.
Table 7.3
Figure 7.13
➢ One recent technique that is still being tested is based on a device called a
Nanopatch.
➢ Traditionally, and still in common use today; a needle and syringe is used to inject a
liquid vaccine into muscle (Fig.A).
➢ However, it has been hypothesized that vaccines might be much more effective if
they were delivered into the narrow layer (dermis) that is just beneath the surface of
the skin (Fig.B).This layer contains a high density of antigen-presenting cells that
are essential to generate a protective immune response.
Figure 7.13
➢ Preliminary result with the Nanopatch show that it is up to 10 times more effective
than any other vaccine delivery methods, and this increased efficiency comes
without the reliance on an added adjuvant, and with only a single vaccination
Molecular Biotechnology: Principles and Applications Copyright © 2017 ASM Press
of Recombinant DNA, Fifth Edition American Society for Microbiology
Bernard R. Glick, Cheryl L. Patten 1752 N St. NW, Washington, DC 20036-2904
Chapter 7
Vaccines - Peptide Vaccines
Figure 7.14
➢ The question arises as to whether a small discrete portion (domain) of a protein can act
as an effective subunit vaccine and induce the production of neutralizing antibodies.
➢ Intuitively, one might expect that only the portions, or domains, of a protein that are
accessible to antibody binding, that is, those on the exterior surface of the virus, would
be immunologically important and that those located in inaccessible regions inside the
virus particle could be ignored if they do not contribute to the conformation of the
immunogenic domain (Fig.7.14).
Molecular Biotechnology: Principles and Applications Copyright © 2017 ASM Press
of Recombinant DNA, Fifth Edition American Society for Microbiology
Bernard R. Glick, Cheryl L. Patten 1752 N St. NW, Washington, DC 20036-2904
Chapter 7
Vaccines - Peptide Vaccines
Figure 7.14
➢ If this argument has validity, it is possible that short peptides that mimic epitopes will
be immunogenic and may be used as peptide vaccines.
➢ This approach requires that an epitope consists of a short stretch of amino acids, which
does not always occur naturally, and the peptide must be able to assume the same
conformation as the epitope in the intact pathogen.
➢ Following a detailed study, it was determined that the protective antibodies targeted
merozoite surface protein 3. When this protein was examined in different strains of
Plasmodium, it was observed that while the N-terminal part of the protein varied
considerably from one strain to another, the C-terminal end of the protein was
highly conserved among the various isolates of the parasite.
Figure 7.16
➢ The peptides were tested against serum from individuals who were resistant to the
parasite and the antibodies were affinity purified based upon their interaction with
one or more of the peptides.
➢ The antibodies that bound to the peptides were then tested. Antibodies directed
against peptides B, C, and D had a major inhibitory effect on parasite growth
Figure 7.16
➢ In this regard, in November 2012, a malaria vaccine that targeted the sporozoite stage
was tested in phase III of clinical trials.
Figure 7.17
➢ The antigen is a hybrid of peptides derived from the repeat (R) and T-cell epitope (T)
regions of the immunodominant circumsporozoite protein, which covers the exterior
of the sporozoite and the hepatitis B virus surface antigen (S).
➢ The results of a small phase III clinical trial with children ages 5 to 17 months was
promising, finding 55.8% protection against malaria.
Figure 7.17
➢ While these data are still preliminary they indicate that the use
of nanoparticles is promising as both a vaccine delivery and
adjuvant strategy.
Figure 7.19
➢ In one early series of experiments, mice were injected in the quadriceps of both legs
with an E.coli plasmid carrying the cDNA for influenza A virus nucleoprotein under, the
transcriptional control of promoter.
➢ Although the expression of the nucleoprotein was too low to visualize on gels,
nucleoprotein-specific antibodies were observed in the blood of the test mice 2 weeks
after the initial injection.
Figure 7.21
➢ Notwithstanding the lack of immunogenicity of the plasmid vector, the presence of one
or more unmethylated CpG rich oligonucleotide fragments on the plasmid can stimulate
the immune system in inoculated mammalian and aquatic animals.
➢ Importantly, in some instances the inclusion of CpG oligonucleotide motifs may replace
the use of adjuvants (that can often irritate the animal or person being vaccinated) in the
delivery of DNA vaccines.
Figure 7.21
➢ In this experiment, when vectors with zero, two, or four regions of unmethylated CpG
rich oligonucleotide were compared in terms of the immune response against viral
hemorrhagic septicemia, the plasmid that contained four regions of unmethylated CpG
rich oligonucleotide was the most immunogenic.
Molecular Biotechnology: Principles and Applications Copyright © 2017 ASM Press
of Recombinant DNA, Fifth Edition American Society for Microbiology
Bernard R. Glick, Cheryl L. Patten 1752 N St. NW, Washington, DC 20036-2904
Chapter 7
Vaccines - Delivery: DNA Vaccines
Figure 7.22
➢ Shigella can enter animal epithelial cells, escaping the phagocytic vacuole, and the
bacterium can direct plasmid DNA to the nucleus of the host cell, where, if the
introduced gene(s) contains a eukaryotic promoter, it is transcribed.
➢ Shigella is normally a human pathogen and as such would not be an acceptable DNA
delivery system. Therefore, to use Shigella, it was first necessary to construct a non
pathogenic version of the wild type organism.
Molecular Biotechnology: Principles and Applications Copyright © 2017 ASM Press
of Recombinant DNA, Fifth Edition American Society for Microbiology
Bernard R. Glick, Cheryl L. Patten 1752 N St. NW, Washington, DC 20036-2904
Chapter 7
Vaccines - Delivery: DNA Vaccines
Figure 7.22
➢ This was done by engineering the bacterium to be toxin deficient (deleting the toxin
gene) and (ii) unable to proliferate in host cells.
➢ The latter was accomplished by making a deletion mutation in the Shigella asd gene,
which encodes the enzyme aspartate ß-semialdehyde dehydrogenase. This enzyme is
normally involved in the synthesis of the bacterial cell wall constituent diaminopimelic
acid; therefore, the mutant strain cannot grow unless diaminopimelic acid is added to
the growth medium.
➢ Shigella strains with the asd mutation can invade animal epithelial cells and deliver
their plasmid DNA; however, once present, the Shigella cells are unable to proliferate
in host cells
Molecular Biotechnology: Principles and Applications Copyright © 2017 ASM Press
of Recombinant DNA, Fifth Edition American Society for Microbiology
Bernard R. Glick, Cheryl L. Patten 1752 N St. NW, Washington, DC 20036-2904
Chapter 7
Vaccines - Delivery: DNA Vaccines
Figure 7.23
➢ To avoid the use of antibiotic resistance marker genes, researchers have developed a
series of minimalistic immunogenically defined gene expression (MIDGE) vectors
➢ Following insertion of the gene of interest into a MIDGE vector, the antibiotic
resistance gene is excised from the vector, and an oligonucleotide cap is added
specifically to both ends of the linearized DNA that contains only the gene of
interest with a promoter/intron and a polyadenylation signal.
➢ The portion of the plasmid containing the antibiotic resistance gene, which is not
protected by the oligonucleotide caps, is degraded by exonucleases.
➢ The capped ends are resistant to exonuclease digestion. The purified, capped linear
MIDGE vector is then used directly for transfection. These vectors have been used
successfully as a substitute for plasmid vectors.
Molecular Biotechnology: Principles and Applications Copyright © 2017 ASM Press
of Recombinant DNA, Fifth Edition American Society for Microbiology
Bernard R. Glick, Cheryl L. Patten 1752 N St. NW, Washington, DC 20036-2904
Chapter 7
Vaccines - Delivery: DNA Vaccines
Figure 7.24
➢At the present time, there is a commercial protein vaccine against hepatitis B virus
that is based on the small hepatitis B surface antigen.
➢Unfortunately, this vaccine does not induce a protective immune response in about
10% of the people who are vaccinated.
➢To remedy this problem, scientists developed DNA vaccines encoding the small or the
large hepatitis B surface antigen.
➢In both instances the antigen genes were spliced into MIDGE vectors (Fig.). The
immunogenicity of these vectors was then assessed in mice and pigs.
Figure 7.24
➢In both animal models, vectors encoding the small protein induced stronger responses
than vectors encoding the large protein
➢The small protein-specific antibody levels were higher than antibody levels that
would be considered to be protective in humans
➢Although the antibody titer in immunized animals declined by six months after the
final immunization, the decline was less pronounced when the DNA vaccine was used.
➢While these results are still preliminary and this DNA vaccine remains to be tested in
humans, the results are nevertheless encouraging.
Table 7.6
Figure 7.27
➢The mutant HSV-2 virus assembled the HSV-1glycoprotein D produced by the cell
into its envelope membrane so that when it was introduced into a mouse, the mutant
HSV-2 with HSV-1 glycoprotein D was able to enter the mouse’s cells.
➢However, upon replication of the mutant HSV-21 the progeny viruses were not able
to infect new cells because the gene encoding glycoprotein D was not present.
➢The HSV-2 surface proteins activated the mouse’s immune system to produce
antibodies against HSV-2.
Figure 7.27
➢In this case the mutant HSV-2 evoked the immune system's antibody-dependent cell-
mediated cytotoxicity (ADCC) response.
➢In the ADCC response, antibodies recognize HSV-2 infected cells that present the
viral antigens on their surface.
➢Natural killer (NK) cells bind to the Fc portion of the antibodies on the surface of the
infected cells and mediate the killing of the infected cells.
➢Subsequent infection by wild-type HSV-2 will activate this defense response. This
vaccine remains to be tested in humans.
Molecular Biotechnology: Principles and Applications Copyright © 2017 ASM Press
of Recombinant DNA, Fifth Edition American Society for Microbiology
Bernard R. Glick, Cheryl L. Patten 1752 N St. NW, Washington, DC 20036-2904
Chapter 7
Vaccines
The End !!