WO2005011730A1 - Microsome vaccine - Google Patents

Abstract

A vaccine composition is provided which comprises inverted microsomes or fragments thereof from an animal cell in association with an externally disposed peptide antigen and a protein of the MHC.

Description

MICROSOME VACCINE

The present invention relates to a novel peptide-based vaccines, uses of such vaccines in prophylactic and therapeutic treatment of human and animal diseases, such as viral infection and cancer.

Most of the successful vaccines depend on neutralising antibodies raised by classic attenuated or killed pathogens. However, for pathogens causing chronic infection- such as HIV, hepatitis C virus, mycobacteria and parasites - or in the case of cancer, a T-cell mediated immune response is crucial. Molecular understanding of MHC antigen presentation and the T-cell immune responses led to the use of defined antigenic peptide plus cytokines and/or co-stimulatory molecules in attempts to develop vaccines. One of the basic problems in all these attempts was the difficulty to reconstitute an antigen delivery system that is qualitatively and quantitatively similar to antigen presenting cells (APC) in vivo.

CD8+ cytotoxic T lymphocytes (CTL) recognise antigens as small antigenic peptides that assemble with major histocompatibility complex (MHC) class I molecules. The antigenic peptides are generated in the cytosol of APC and subsequently translocated into the lumen of the endoplasmic reticulum (ER) (Rock, K. L. & Goldberg, A. L. Annu Rev Immunol 17, 739-779 (1999)). The MHC class I heavy chain is synthesised and inserted into the lumen of the ER and where it forms a dimer with b2- microglobulin (b2M) (Natarajan et al Rev Immuno genet 1, 32-46 (1999); Pamer E, & Cresswell P, Annu Rev Immunol. 16 323-358 (1998)). The dimers are retained in the ER until they assemble with proper antigenic peptides. The process of

MHC class I dimer and assembly with peptides in the ER is catalysed by chaperones such as BIP, calnexin, calreticulin, and Erp57 (Paulsson K, & Wang P., Biochim Biophy Acta. 1641(1) 1-12 (2003)).

The assembled MHC class I are rapidly expressed on the cell surface of APC, such as infected or malignant cells. The recognition of peptide-MHC class I by T cell receptor leads the CTL to kill target cells expressing infectious or tumor antigens. Following the identification of CTL recognized epitopes from viral or cancer proteins, synthetic peptide-based vaccines designed to elicit T-cell immunity became an attractive approach to the prevention or treatment of infectious and malignant diseases (Furman MH, & Ploegh HL., J Clin Invest. 110 (7) 875-9 (2002); Berinstein N. Semin Oncol. 30 (3) (Suppl 8), 1-8 (2003); Falk et al Nature 348, 248-251. (1990); (Van

Bleek GM, & Nathenson SG., Nature 348: 213-216 (1990); Kast, W.M., & Melief, CJ. Immunol. Lett. 30:229-232 (1991)). There are a number of different forms of peptide vaccines based on these delivery systems. The simplest form is peptides dissolved in aqueous solutions. Direct injection of soluble antigenic peptides was shown to be unsuccessful at stimulating CTL responses, either because of their rapid biodegradation or induction of T cell anergy resulting from the antigenic stimulation by immature APC (Kyburz, D. et al. Eur. J. Immunol. 23:1956-1962 (1993); Toes, R.E et al Proc. Natl. Acad. Sci. USA. 93:7855-7860 (1996); Amoscato et al J. Immunol. 161, 4023-4032 (1998)). An additional complication reported from the use of synthetic peptide-derived vaccines is the induction of CTLs that, while they are capable of killing target cells that are exogenously pulsed with peptide, they are not able to recognise target cells that naturally process and present the peptide epitope, such as infected or malignant cells (Dutoit, V. et al. J. Clin. Invest. 110:1813-1822 (2002)).

It has been reported that MHC class I antigen presentation is qualitatively controlled in the ER for selecting correct peptides. Only the correctly assembled MHC class I could express on the surface of APC. The use of adjuvants did little to increase the presentation quality of synthetic peptides (Schijns, V.E. 2001. Crit. Rev. Immunol. 21:75-85 (2001). An improved version of the peptide-vaccine has been constructed as an artificial lipo-membrane (BenMohamed et al Lancet Infect Dis. 2(7), 425-31 (2002)) with peptide-loaded recombinant MHC class I. Although liposome strategy is able to incorporate peptide bound MHC class I molecules in the lipid membrane before injection into patients, the sophisticated loading system in the ER of APC could not be easily imitated by a simple mixture of recombinant MHC class I, synthetic peptide and liposomes. Only a few peptides would assemble with recombinant MHC class I in vitro (Ostergaard Pedersen L, et al Eur J Immunol. 31(10), 2986-96 (2001).

In addition, the incorrect orientation of inserted MHC class I and lack of co- stimulatory molecules made it difficult to induce effective immune responses. Since the professional APCs have the unique ability of presenting optimal antigen and for initiating a cellular immune response by naϊve T cells, strategies are being developed to generate autologous dendritic cells (DC), a key APC, as vaccine vehicles ex vivo (Banchereau, J. et al. Annu. Rev. Immunol. 18:767-811 (2000)). Initial studies showed that antigenic peptide-pulsed DC used as vaccines in vivo could induce a CTL response (Tsai, V. et al. J. Immunol. 158:1796-1802 (1997)). Despite the positive evidence reported from a number of human clinical trials, there is no biochemical evidence showing that the pulsed peptides are indeed loaded on the surface MHC class I, which questions the efficiency of peptide-pulsed APCs to induce effective immune responses.

There is therefore a need for a vaccine preparation that can overcome these. problems and present a therapeutically effective alternative to conventional vaccines. Such vaccines should achieve the quality of the endogenous presented antigen by APC cells while preserving high efficacy and avoiding side effects.

According to a first aspect of the invention, there is provided a vaccine composition comprising isolated inverted microsomes from an animal cell, or membrane fragments thereof, in association with an externally disposed peptide antigen and a protein of the Major Histocompatibility Complex (MHC).

The microsomes of the present invention are derived from an animal cell and may therefore arise from the following compartments present in a eukaryotic cell: endoplasmic reticulum, lysosome; endosome, or components of the endocytic pathway. The microsome may be isolated with a protein of the MHC already present in the membrane of the microsome or of the fragment. Alternatively, the MHC protein can be introduced into the microsome or fragment subsequently. The ER derived microsomes contain both MHC class I and class II molecules (Bryant et al Adv Immunol. 80, 71-114 (2002)).

The present invention is equally applicable with respect to the MHC class I restricted antigenic peptides as well as the MHC class II molecules. The protein of the MHC in the composition may be from a heterologous source with respect to the cell from which the microsomes are obtained.

The MHC family of proteins are encoded by the clustered genes of the major histocompatibility complex (MHC). MHC molecules are expressed on the cells of all higher vertebrates. They were first demonstrated in mice and called H-2 antigens (histocompatibility-2 antigens). In humans they are called HLA antigens (human- leucocyte-associated antigens) because they were first demonstrated on leucocytes (white blood cells). Class I and class II MHC molecules are the most polymorphic proteins known - that is, they show the greatest genetic variability from one individual to another - and they play a crucial role in presenting foreign protein antigens to cytotoxic and helper T cells, respectively. Whereas class I molecules are expressed on almost all vertebrate cells, class II molecules are restricted to a few cell types that interact with helper T cells, such as B lymphocytes and macrophages. Both classes of MHC molecules have immunoglobulin-like domains and a single peptide-binding groove, which binds small peptide fragments derived from foreign proteins. Each MHC molecule can bind a large and characteristic set of peptides, which are produced intracellularly by protein degradation. After they form inside the target cell, the peptide-MHC complexes are transported to the cell surface, where they are recognized by T cell receptors. In addition to their antigen-specific receptors that recognize peptide-MHC complexes on the surface of target cells, T cells express CD4 or CD8 co-receptors, which recognize non-polymorphic regions of MHC molecules on the target cell: helper cells express CD4, which recognizes class II MHC molecules, while cytotoxic T cells express CD8, which recognizes class I MHC molecules. (Alberts et al, "Molecular Biology of the Cell", 3rd edition, 1229-1235 (1994)).

The MHC class I consists of heavy chain and Beta-2-microglobulin. Human MHC class I heavy chains are encoded by three separate genetic loci called HLA A, B, C.

They are noncovalently associated with a small protein called beta-2-microglobulin. An example of a human MHC class I protein is HLA class I histocompatibility antigen, A-2 alpha chain precursor (MHC class I antigen A*2) is shown in Figure 13 (database accession no. P01892); or HLA class I histocompatibility antigen, B-7 alpha chain precursor (MHC class I antigen B*7) as shown in Figure 13 (database accession no. P01889).

MHC class II are composed of two noncovalently bonded chains an α-chain and an β- chain. Both chains are coded by genes in I-region associated (la) antigens. Examples of such proteins are HLA class II histocompatibility antigen, DRB3-1 beta chain precursor (MHC class I antigen DRB3*1) shown in Figure 14 (database accession no. P79483); and MHC class H histocompatibility antigen HLA-DQ alpha 1 (DQw4 specificity) precursor, also shown in Figure 14 (database accession A37044).

The sequences of the MHC class I and II cDNAs and genomic DNAs are published and available (www.ncbi.nlm.nih.gov/Genbank).

All eucaryotic cells have an endoplasmic reticulum (ER). Its membrane typically constitutes more than half of the total membrane of an average animal cell. It is organized into a netlike labyrinth of branching tubules and flattened sacs extending throughout the cytosol. The tubules and sacs are all thought to interconnect, so that the ER membrane forms a continuous sheet enclosing a single internal space. This highly convoluted space is called the ER lumen or the ER cisternal space, and it often occupies more than 10% of the total cell volume. The ΕR membrane separates the ΕR lumen from the cytosol, and it mediates the selective transfer of molecules between these two compartments. The ER plays a central part in lipid and protein biosynthesis. Its membrane is the site of production of all the transmembrane proteins and lipids for most of the cell's organelles, including the ER itself, the Golgi apparatus, lysosomes, endosomes, secretory vesicles, and the plasma membrane. The ER membrane also makes a major contribution to mitochondrial and peroxisomal membranes by producing most of their lipids. In addition, almost all of the proteins that will be secreted to the cell exterior - as well as those destined for the lumen of the ER, Golgi apparatus, or lysosomes - are initially delivered to the ER lumen (Alberts et al, "Molecular Biology of the Cell", 3rd edition, 577-595 (1994)).

The lysosome is a specialised organelle containing specialised enzymes for the degradation of internal cellular proteins that are required to be destroyed, or for the destruction of external foreign proteins or parasites that have been targeted for destruction by the immune system.

The endosome is a cell organelle that forms part of the endocytic pathway in the cell. There is a constant flow of endocytic vesicles that flow from the cell surface to the endosome or to the lysosome. The vesicles form by a process of "budding-off ' from the external plasma membrane, known as invagination, or the vesicles can form from the internal cell organelles to which they ultimately return. Endocytosis is the process by which a cell internalises external receptors with or without bound ligand and also one way by which the cell can sample its external environment.

Compositions in accordance with the present invention may be optionally formulated with an appropriate adjuvant, and/or cytokines that promote T-cell responses, such as an interferon or an interleukin, e.g. IL-2, IL-15, IL-6, GM-CSF, IFNγ, other cytokines promoting T-cell responses, and/or conventional adjuvant. These can be suitably mixed with the microsomes loaded with antigen prior to administration, or may be suitably prepared as membrane-bound constituents of the microsomes.

Microsomes in the context of the present invention are the cell free membrane vesicles of the endoplasmic reticulum (ER), lysosomal, or endosomal compartments of any animal cell able to present antigenic peptide by means of the Major Histocompatibility Complex (MHC). The definition of ER-derived microsomes is based on the presence of so-called "ER-markers" which are proteins normally resident in the ER, such as BIP, p58, calnexin, calreticulin, tapasin. The definition of a lysosomal-derived microsome is based on the presence of the specific markers

LAMP1 and/or LAMP2. Microsomes are recognised as such by their morphology as seen under the electron microscope following preparation from an animal cell.

The microsomes contained in a composition of the present invention can be isolated by any convenient means. Suitable methods include those of Saraste et al and/or

Knipe et al (Saraste et al Proc. Natl. Acad. Sci. U. S. A. 83, 6425-6429 (1986) and

Knipe et al J. Virol. 21, 1128-1139 (1977)). Such methods comprise homogenisation of cells or tissues, followed by separation of the cell nucleus by centrifugation at

7500rpm for 10 minutes, then recovering the "rough" microsomes by centrifugation at 15500 rpm for 54 minutes. "Rough" microsomes are microsomes that have ribosomes attached. The resuspended "rough" microsomes are then further purified by centrifugation through a sucrose cushion for differential centrifugation at 110,000g for 60 minutes. The rough microsomes were subfractionated by further centrifugation at 37,000rpm for 10 hours on a sucrose gradient (to reach isopyknic conditions), and the ER containing fractions determined by Western blotting with appropriate antibody, for example anti-p58 antibody.

Inverted microsomes are the result of further processing, e.g. repeated freeze-thaw process steps, carried out on isolated microsomes which causes the disruption and reformation of the external membrane of the microsome such that the "inside" face of the membrane is presented on the "outside" of the inverted microsome. The microsomes that result from such processing are therefore described as "inside-out" or "inverted" microsomes. The process of preparing the "inside-out" or inverted microsomes results in the absence of the lumen structure seen in ordinary microsome preparations. In compositions according to the present invention, the microsome may comprise a membrane fragment thereof. Suitably, such membrane fragments may be prepared by the method comprising the use of detergents or repeated freeze-thawing or sonication to break the microsome structure. Such fragments may also be similarly loaded with peptide antigen to form a composition of the present invention. Preferably, the membrane fragments are derived from intracellular membranes with markers specific to the ER or to the lysosomes.

In a vaccine composition of the present invention, there may also be a percentage of microsomes with a non-inverted structure, i.e. a membrane orientation that corresponds to the in situ arrangement after standard microsome preparation with an "inside" corresponding to the lumen of the ER, endosome or lysosome prior to microsome preparation. However, at least about 75% to about 95%, suitably at least about 90% of microsomes in the vaccine compositions of the invention have a reversed membrane orientation to in situ microsomes and are therefore described as being "inside-out" or inverted microsomes. The compositions may therefore additionally comprise a percentage of non-inverted microsomes.

In other embodiments of the invention, the composition may be more homogenous, and so may comprise at least about 95%), 96%, 97%, 98%, 99% or 100% of microsomes having an inverted or reversed (or "inside-out") membrane orientation compared to microsomes prepared from cells without further processing.

The microsomes may be loaded with antigen first and then subjected to further processing so as to provide inverted or "inside-out" microsomes thus exposing the inner surface of the ER membrane, or the microsomes can be prepared from a cell source where the preferred antigen peptide is already present in the microsomes, or the microsomes may be processed to provide inverted or "inside-out" microsomes first and then subsequently loaded with antigen.

Lysosomes and endosomes can be prepared by an equivalent procedure. Lysosomal microsomes which are purified from the endocytotic compartment of the animal cell include both lysosomes and endosomes. After fractionation of the total cellular membranes in the purification procedure for the preparation of ER-derived microsomes, the lysosomal membranes are defined by antibodies to its markers LAMPl and LAMP2.

The purified lysosomal microsomes are then processed to yield inverted or "inside- out" microsomes or membrane fragments as described above which, if necessary, can then be loaded with MHC restricted peptides under acid conditions, such as for example at a pH of less then pH3, preferably from pH 3 to pH 3, suitably at around pH 2.5.

The animal cell from which the isolated microsome population is to be prepared can be any generally convenient cell type that has MHC molecules expressed by the cell. For example, cells of the blood or of the immune system such as, B-cells and macrophages, the so-called antigen presenting cells (APCs). However, cell types could also be used from tissues such as liver, kidney, lung, brain, heart, skin, bone marrow, pancreas etc.

The cells may be of a human or of a non-human animal. Suitably, the animal is a mammal. The animal may be a rodent species, e.g. a mouse, a rat or a guinea pig, or another species such as rabbit, or a canine or feline, or an ungulate species such as ovine, porcine, equine, caprine, bovine, or a non-mammalian animal species, e.g. an avian (such as poultry, e.g. chicken or turkey).

The cells from which the microsomes are prepared may be a cell line in culture. The cell line may be an immortalised cell line. The cell line may be ultimately derived from a non-embryonic tissue source.

In certain embodiments of the invention, the source of cells may be a genetically modified source of animal cells, such as a cell line, or a transgenic non-human animal.

The cells or tissue from which the microsomes are prepared may be a humanised animal tissue or cell from a transgenic non-human animal whose genome has been modified by the insertion of one or more human genes.

In embodiments of the invention relating to microsomes prepared from a transgenic non-human animal or transgenic cell line, the transgenesis is the introduction of an additional gene or genes or protein-encoding nucleic acid sequence or sequences. The transgene may be a heterologous gene or an additional copy of a homologous gene, optionally under the control of a constitutive promoter or an inducible promoter. The transgenesis may be transient or stable transfection of a cell or a cell line, or an episomal expression system in a cell or a cell line.

However, it is in the field of human medicine, in which the compositions of this aspect of the invention are expected to find greatest application as vaccines. It is therefore preferred that the source of cells from which the microsomes are prepared has an MHC allotype that is compatible to the MHC of the recipient of the composition when used as a vaccine.

In one embodiment according to this aspect of the invention, the source of cells from which the microsomes are prepared may be the ultimate recipient of the composition when used as a vaccine.

Alternatively, a suitable source of human cells may be from a cell line, for example a non-embryo derived cell-line, suitably a B-cell line such as cell line 221. Such cell lines may also advantageously not express proteins of the Major Histocompatibility Complex (MHC) type class I and/or class H This embodiment of the invention may be a more preferred embodiment for the manufacture of vaccines on a commercial scale, where non-individual vaccines are produced from such cell lines which have been engineered with different MHC allotypes.

Cell line 221 is an example of such a MHC negative cell line. The absence of a native MHC class I expression in such cells permits the modification of the cell line to express MHC class I of any desired genotype. This may be particularly important in achieving the full immunising effects of the vaccine composition, since different human populations express different MHC proteins. In such compositions of the invention, the MHC protein may therefore be of a heterologous source with respect to the cell from which the microsomes are obtained.

Some of the MHC class I, like HLA A2, are expressed in more than 20% of the population. In circumstances where a MHC negative cell line is used, one or more than one compatible MHC gene is transfected into the cell line by means of conventional gene transfer methods and the transgene is constructed into a expression vector. The expression cassette of expression construct normally includes standard promoter, such as CMN promoter, or elongation factor I promoter or actin promoter, enhancer, inserted transgene and the poly-A signal to achieve optimal expression. Before transfection, the expression cassette will be isolated from the plasmid backbone to avoid the expression of bacterial plasmid genes in transfected cells. The sequences of the MHC class I and II cDΝAs and genomic DΝAs are published and available (www.ncbi.nlm.nih.gov/Genbank). A MHC class I transfectants Bank can be constructed by using MHC class I negative or selected MHC class positive cell lines to transfect most of the MHC class I genes, respectively. The selection of the expression cassette will be dependent on the optimal expression of the transgene.

Transfection of the antigen presenting cells may be achieved using standard recombinant techniques, e.g. using a suitable vector comprising a nucleic acid sequence encoding a MHC protein of interest. The term "vector" generally refers to any nucleic acid vector which may be RΝA, DΝA or cDΝA. The vector can be described alternatively as an "expression vector".

The terms "vector" or "expression vector" may include, among others, chromosomal, episomal, and virus-derived vectors, for example, vectors derived from bacterial plasmids, from bacteriophage, from transposons, from yeast episomes, from insertion elements, from yeast chromosomal elements, from viruses such as baculo viruses, papova viruses, such as SV40, vaccinia viruses, adenoviruses, fowl pox viruses, pseudorabies viruses and retroviruses, and vectors derived from combinations thereof, such as those derived from plasmid and bacteriophage genetic elements, such as cosmids and phagemids. Generally, any vector suitable to maintain, propagate or express nucleic acid to express a polypeptide in a host may be used for expression in this regard. The vector may be constructed from a bacterial plasmid, for example the bacterial plasmid pUC 18.

The vector may provide for specific expression. Such specific expression may be inducible expression or expression only in certain types of cells or both inducible and cell-specific. Preferred among inducible vectors are vectors that can be induced for expression by environmental factors that are easy to manipulate, such as temperature, nutrient additives, hypoxia and/or the presence of cytokines or other biologically active factors. Particularly preferred among inducible vectors are vectors that can be induced for expression by changes in the levels of chemicals, for example, chemical additives such as antibiotics. A variety of vectors suitable for use in the invention, including constitutive and inducible expression vectors for use in prokaryotic and eukaryotic hosts, are well known and employed routinely by those skilled in the art.

Recombinant expression vectors will include, for example, origins of repMcation, a promoter preferably derived from a highly expressed gene to direct transcription of a structural sequence, and a selectable marker to permit isolation of vector containing cells after exposure to the vector.

Mammalian expression vectors may comprise an origin of replication, a suitable promoter and enhancer, and also any necessary ribosome binding sites, polyadenylation regions, splice donor and acceptor sites, transcriptional termination sequences, and 5 '-flanking non-transcribed sequences that are necessary for expression. Preferred mammalian expression vectors according to the present invention may be devoid of enhancer elements.

The promoter sequence may be any suitable known promoter, for example the human cytomegalovirus (CMN) promoter, the CMN immediate early promoter, the HSV thymidine kinase promoter, the early and late SV40 promoters or the promoters of retroviral LTR's, such as those of the Rous sarcoma virus ("RSV"), and metallothionein promoters, such as the mouse metallothionein-I promoter. The promoter may comprise the minimum sequence required for promoter activity (such as a TATA box without enhancer elements), for example, the minimal sequence of the CMV promoter (mCMV). Preferably the promoter is a mammalian promoter that can function at a low basal level devoid of an enhancer element.

Preferably, the promoter is contiguous to the nucleic acid sequence encoding the MHC protein to be transfected into the antigen presenting cell. It is contemplated that variants, for example, homologues or orthologues, of the promoters described herein are part of the present invention.

The backbone of the expression vector of the first aspect of the invention may be derived from a vector devoid of its own promoter and enhancer elements, for example the plasmid vector pGL2. Enhancers are able to bind to promoter regions situated several thousands of bases' away through DNA folding (Rippe et al TIBS 1995; 20: 500-506 (1995)).

The expression vectors may also include selectable markers, such as antibiotic resistance, which enable the vectors to be propagated.

The nucleic acid sequences of the vector containing nucleic acid encoding the MHC protein to be transfected may encode a reporter protein as described above, such as a chloramphenicol acetyl transferase ("CAT") transcription unit, luciferase or green fluorescent protein (GFP). The application of reporter genes relates to the phenotype of these genes which can be assayed in a transformed cell and which is used, for example, to analyse the induction and/or repression of gene expression. Reporter genes for use in studies of gene regulation include other well known reporter genes including the lux gene encoding luciferase which can be assayed by a bioluminescence assay, the uidA gene encoding β-glucuronidase which can be assayed by a histochemical test, the lacZ gene encoding β-galactosidase which can be assayed by a histochemical test, the enhanced green fluorescent protein which can be detected by UV light, UV microscopy or by FACS.

The DNA comprising the nucleic acid sequence of the MHC protein may be single or double stranded. Single stranded DNA may be the coding or sense strand, or it may be the non-coding or anti-sense strand. For therapeutic use, the nucleic acid sequences are in a form capable of being expressed in the subject to be treated.

The termination sequences in the vector may be a sequence of adenylate nucleotides which encode a polyadenylation signal. Typically, the polyadenylation signal is recognisable in the subject to be treated, such as, for example, the corresponding sequences from viruses such as, for human treatment, the SV40 virus. Other termination signals are well known in the art and may be used.

Preferably, the polyadenylation signal is a bidirectional terminator of RNA transcription. The termination signal may be the polyadenylation signal of the simian 40 virus (SV40), for example the SV40 late poly(A). Alternatively, the termination sequence may be the polyadenylation signal of bovine growth hormone which results in maximal expression when combined with a CMV promoter (Yew et al. Human Gene Therapy, 8: 575-584 (1997)).

In addition the expression vector may comprise a further polyadenylation sequence, for example an SV40 early poly(A). Such a further poly (A) may be located upstream of the nucleic acid sequence encoding the MHC protein to reduce cryptic transcription which may have initiated within the vector thereby ensuring that basal gene expression from the vector is minimal.

Gene expression from integrated viral genomes may be susceptible to chromosomal positional effects. Such effects include transcriptional silencing and promoter activation by nearby heterologous enhancers. In addition, integrated sequences can activate expression of nearby genes and oncogenes. These effects are reduced through the use of elements which form boundaries to the inserted viral genome. Insulators are genetic elements such as the chicken β-globin 5' DNase I hypersensitive site (5ΗS4) which mark a boundary between an open chromatin domain and a region of constitutively condensed chromatin.

Other elements termed scaffold or matrix attachment regions (S/MAR) anchor chromatin to nuclear structures and form chromosomal loops which may have a physiological role in bringing distal regulatory elements into close proximity to a corresponding promoter. An example is located in the human interferon-γ locus and is termed the IFN-SAR. Both insulators and S/MAR can reduce position effects with greatest activity demonstrated when they were combined in a lenti viral vector (Ramezani et al, Blood 101: 4717-24, (2003)). Clearly such elements can be of benefit in regulated vectors such as those described herein after they are integrated into the host cell genome.

The compositions of the present invention comprise a microsome, or a fragment thereof, in association with an externally disposed peptide antigen that has been loaded into the microsome. The association may be such that the peptide antigen is inserted in the membrane of the microsome such at least one epitope of the peptide antigen is exposed with respect to the outer membrane of the microsome. The membrane of microsomes further contains a protein of the MHC that presents the peptide antigen to T-cells in order for the antigen to be recognised by the immune system. The MHC protein is either naturally present in the cell organelles of the cell from which the microsomes were produced, or it is a MHC protein that has been transfected into the cell through recombinant DNA techniques and expressed, prior to preparation of the microsomes. The inserted antigenic peptide and the MHC protein form an association in the membrane of the microsome which permits external disposition of the proteins for interaction with the cells of the immune system.

The antigenic peptides may be introduced or loaded into the microsome by means of incubating the microsome with the peptide antigen in the presence of a nucleoside triphosphate (NTP), for example adenosine triphosphate (ATP) and NTP re- generation system. It appears that an NTP, such as ATP, facilitates the incorporation of the peptide antigen into the microsome through protein transporters located in the membrane of the microsome. Without wishing to be bound unnecessarily by theory, it appears that once the microsome is incubated with the peptide antigen in the presence of an NTP that the antigen is able to associate with MHC class I proteins already present in the membrane of the microsome. Alternatively, the antigenic peptides may also loaded into the microsomes after inside-out processing and in this case, the NTP is not required.

The antigenic peptide present in association with the microsome suitably has one or more epitopes. An epitope is the smallest part of an antigen recognisable by the combining site of an immunoglobulin and may be linear or discontinuous. Therefore, any type of MHC binding peptides, natural or synthesized or artificially modified, is included.

The antigenic peptides may be from a source that is foreign, i.e. non-self, or self, i.e. an autoantigen. Foreign antigenic peptides may originate from virus, bacteria, yeast, fungi, protozoa, or other micro-organism (i.e. an infectious agent), or of higher life forms such as plants or animals. In some embodiments of the invention, the antigen may be an auto-antigen, for example an antigen expressed by a neoplastic cell or cell of a cancer tumour, a normal self-protein (in the case of an tolerising vaccine of the invention for an auto-immune disorder).

Where the antigen is from a neoplastic cell or cell of a cancer tumour, the cell may be from a melanoma, lung adenocarcinoma, colon cancer, breast cancer or leukemia cell.

Auto-immune disorders include, but are not limited to, Multiple Sclerosis (MS), Systemic Lupus Erythamatosus, Type-1 or Insulin-dependent Diabetes, Antiphospholipid Syndrome, Myasthenia Gravis, Myositis, Sjogren's Syndrome and Rheumatoid arthritis.

In some embodiments of the invention, it may be preferred to prepare the composition with an antigenic peptide of more than one type, or antigenic peptides having a sequence modified to increase immunogenicity. The cell may also be transfected prior to the preparation of the microsomes with more than one type of MHC molecules which may be useful in the case of recipients of the compositions when used as vaccines who have more than one type of MHC allotype.

In a preferred embodiment of this aspect of the invention, there is provided a composition as defined above in which the ratio of antigen to MHC molecule in the microsome is optimal for the induction of a specific immunoresponse, for example in the range of from 0.1 to 1.5, preferably of from 0.2 to 1.2 or 0.5 to 1.0, and most preferably from 0.2-0.5 to 1.0. The amount of loaded antigenic peptides may be different according to the level of immune response induced.

Defined antigenic peptides of major diseases can be readily selected from the scientific literature or identified by bioinformatic tools, (Renkvist et al Cancer Immunol Immunother 50, 3-15 (2001); Coulie et al Immunol Rev 188, 33-42 (2002);

De Groot et al Vaccine 19 (31), 4385-95 (2001)).

For example, the influenza virus derived peptides SIINFEKL and ASNENMETM, or the peptide YLQLVFGIEV from melanoma cells.

Table 1 shows details of Class I HLA-restricted cancer/testis antigens; Table 2 shows Class I HLA-restricted melanocyte differentiation antigens; Table 3 shows Class I HLA-restricted widely expressed antigens; Table 4 shows Class I HLA-restricted tumor specific antigens; Table 5 shows Class II HLA-restrcited antigens; Table 6 shows epitopes derived from fusion proteins; and Table 7 shows frequency of epitopes recognised by a given HLA allele.

Further examples are shown in Table 8 of Hepatitis C virus (HCV) peptides from Anthony et al Clinical Immunol, vol. 103, pages 264-276 (2002); in Table 9 of Human Immunodeficiency Virus- 1 (HIV-1) from Kaul et al J. Clinical Invest., vol.

107, pages 1303-1310 (2001; in Table 10 of Hepatitis C Virus (HCV) peptides from Koziel et al J. Virol, vol. 67, pages 7522-7532 (1993); and in Table 11 of Hepatitis C Virus (HCV) from He et al PNAS USA, vol. 96, pages 5692-5697 (1999).

The antigenic peptide epitopes may be present as a monomer or as repeated sequence of the epitope, such as dimer, trimer, tetramer, or higher multiple, such as a pentamer, hexamer, heptamer, octamer, nonamer or decamer. Fragments of the epitope sequences can be used, as well as overlapping sequences that include the epitope sequence.

The term "peptide" includes both polypeptide and protein, unless the context specifies otherwise.

Such peptides include analogues, homologues, orthologues, isoforms, derivatives, fusion proteins and proteins with a similar structure or are a related polypeptide as herein defined.

The term "analogue" as used herein refers to a peptide that possesses a similar or identical function as a protein sequence described herein but need not necessarily comprise an amino acid sequence that is similar or identical to such an amino acid sequence, or possess a structure that is similar or identical to that of a protein described herein. An amino acid sequence of a peptide is "similar" to that of a peptide described herein if it satisfies at least one of the following criteria: (a) the peptide has an amino acid sequence that is at least 30% (more preferably, at least 35%, at least 40%, at least 45%, at least 50%, at least 55%, at least 60%, at least 65%, at least 70%, at least 75%, at least 80%, at least 85%), at least 90%, at least 95%) or at least 99%) identical to the amino acid sequence of a peptide described herein; (b) the peptide is encoded by a nucleotide sequence that hybridizes under stringent conditions to a nucleotide sequence encoding at least 5 amino acid residues (more preferably, at least 10 amino acid residues, at least 15 amino acid residues, at least 20 amino acid residues, at least 25 amino acid residues, at least 40 amino acid residues, at least 50 amino acid residues, at least 60 amino residues, at least 70 amino acid residues, at least 80 amino acid residues, at least 90 amino acid residues, at least 100 amino acid residues, at least 125 amino acid residues, or at least 150 amino acid residues) of a peptide sequence described herein; or (c) the peptide is encoded by a nucleotide sequence that is at least 30% (more preferably, at least 35%, at least 40%, at least 45%, at least 50%, at least 55%, at least 60%), at least 65%), at least 10%, at least 75%, at least 80%), at least 85%, at least 90%, at least 95% or at least 99%) identical to the nucleotide sequence encoding a peptide described herein.

Stringent conditions of hybridisation may be characterised by low salt concentrations or high temperature conditions. For example, highly stringent conditions can be defined as being hybridisation to DNA bound to a solid support in 0.5M NaHPO , 7% sodium dodecyl sulfate (SDS), ImM EDTA at 65°C, and washing in O.lxSSC/ 0.1%SDS at 68°C (Ausubel et al eds. "Current Protocols in Molecular Biology" 1, page 2.10.3, published by Green Publishing Associates, Inc. and John Wiley & Sons, Inc., New York, (1989)). In some circumstances less stringent conditions may be required. As used in the present application, moderately stringent conditions can be defined as comprising washing in 0.2xSSC/0.1%SDS at 42°C (Ausubel et al (1989) supra). Hybridisation can also be made more stringent by the addition of increasing amounts of formamide to destabilise the hybrid nucleic acid duplex. Thus particular hybridisation conditions can readily be manipulated, and will generally be selected according to the desired results. In general, convenient hybridisation temperatures in the presence of 50% formamide are 42°C for a probe which is 95 to 100% homologous to the target DNA, 37°C for 90 to 95% homology, and 32°C^:for 70 to 90% homology.

A peptide with "similar structure" to that of a peptide described herein refers to a peptide that has a similar secondary, tertiary or quaternary structure as that of a peptide described herein. The structure of a peptide can determined by methods known to those skilled in the art, including but not limited to, X-ray crystallography, nuclear magnetic resonance, and crystallographic electron microscopy.

The term "fusion protein" as used herein refers to a peptide that comprises (i) an amino acid sequence of a peptide described herein, a fragment thereof, a related peptide or a fragment thereof and (ii) an amino acid sequence of a heterologous peptide (i.e., not a peptide sequence described herein).

The term "homologue" as used herein refers to a peptide that comprises an amino acid sequence similar to that of a peptide described herein but does not necessarily possess a similar or identical function.

The term "orthologue" as used herein refers to a non-human peptide that (i) comprises an amino acid sequence similar to that of a peptide described herein and (ii) possesses a similar or identical function.

The term "related peptide" as used herein refers to a homologue, an analogue, an isoform of , an orthologue, or any combination thereof of a peptide described herein.

The term "derivative" as used herein refers to a peptide that comprises an amino acid sequence of a peptide described herein which has been altered by the introduction of amino acid residue substitutions, deletions or additions. The derivative peptide possess a similar or identical function as peptides described herein.

The term "fragment" as used herein refers to a peptide comprising an amino acid sequence of at least 5 amino acid residues (preferably, at least 10 amino acid residues, at least 15 amino acid residues, at least 20 amino acid residues, at least 25 a ino acid residues, at least 40 amino acid residues, at least 50 amino acid residues, at least 60 amino residues, at least 70 amino acid residues, at least 80 amino acid residues, at least 90 amino acid residues, at least 100 amino acid residues) of the amino acid sequence of a peptide as described herein, mutatis mutandis. The fragment of may or may not possess a functional activity of such peptides.

The term "isoform" as used herein refers to variants of a peptide that are encoded by the same gene, but that differ in their isoelectric point (pi) or molecular weight (MW), or both. Such isoforms can differ in their amino acid composition (e.g. as a result of alternative splicing or limited proteolysis) and in addition, or in the alternative, may arise from differential post-translational modification (e.g., glycosylation, acylation, phosphorylation). As used herein, the term "isoform" also refers to a peptide that exists in only a single form, i.e., it is not expressed as several variants.

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 = # of identical positions/total # of positions x 100).

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 Proc. Nail. Acad. Set USA (1990) 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, J. Mol. Biol. (1990) 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 a nucleic acid molecules encoding a peptide sequence as described herein. BLAST protein searches can be performed with the XBLAST program, score = 50, wordlength = 3 to obtain amino acid sequences homologous to a peptide as described herein. To obtain gapped alignments for comparison purposes, Gapped

BLAST can be utilised as described in Altschul et al, Nucleic Acids Res. (1997) 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, for example, http://www.ncbi.nlm.nih.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 GCG 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 Comput.

Appl. Biosci. (1994) 10:3-5; and FASTA described in Pearson and Lipman Proc. Natl. Acad. Sci. USA (1988) 85:2444-8. Within FASTA, ktup is a control option that sets the sensitivity and speed of the search.

The skilled person is aware that various amino acids have similar properties. One or more such amino acids of a substance can often be substituted by one or more other such amino acids without ehminating a desired activity of that substance. Thus 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). Substitutions of this nature are often referred to as "conservative" or "semi- conservative" amino acid substitutions.

Amino acid deletions or insertions may also be made relative to the amino acid sequence of a peptide sequence as described herein. Thus, for example, amino acids which do not have a substantial effect on the activity of such peptides, or at least which do not eliminate such activity, may be deleted. Amino acid insertions relative to the sequence of peptides as described herein can also be made. This may be done to alter the properties of a protein of the present invention (e.g. to assist in identification, purification or expression, where the protein is obtained from a recombinant source, including a fusion protein. Such amino acid changes relative to the sequence of a peptide from a recombinant source can be made using any suitable technique e.g. by using site-directed mutagenesis. The molecule may, of course, be prepared by standard chemical synthetic techniques, e.g. solid phase peptide synthesis, or by available biochemical techniques.

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.

According to the present invention, purified microsomes representing the endoplasmic reticulum, lysosomes or endosomes in antigen-presenting cells (APC) can be used to load antigenic peptides on its MHC class I or II molecules. Results from in vitro and in vivo immunisation described herein show that peptide-loaded microsome elucidates much stronger responses than peptide-loaded APC measured by T cell proliferation and production of IL-2. By quantitating the amount of peptide-receptive MHC class I molecules, the receptive class I molecules on APC surface are below the radio- chemical detection limit. However, a significant amount of peptide bound MHC class I is detected in the microsome. In addition, a similar amount of co-stimulatory molecules, B7.1 and B7.2 is detected in microsomes in comparison to cell surface. Thus, the microsomes loaded with antigenic peptides represent an effective vaccine composition.

The present invention has found that more than 50% of the MHC class I molecules in the ER of APC are peptide receptive. By the process of "inside-out", the microsomes loaded with Kb specific OVA-peptide can induce T cell responses in vitro and in vivo. In contrast, the APCs pulsed with same peptide have much less ability to stimulate T cell responses. Given that the microsomes contain co-stimulatory molecules, the microsomes isolated from APCs represent promising vehicles for peptide vaccines in the future for a wide variety of diseases. In addition to transfecting selected MHC genes into the animal cell prior to microsome preparation, it may also be desirable to transfect or co-transfect the cells with genes encoding co-stimulatory molecules such as B7 and/or the genes encoding cytokines, for example an interleukin or an interferon, such as IL-2. In the case of cytokines, the transgene will be fused with trans-membrane domain of CD2 or CD4 for targeting the cytokines into the ER membrane. In addition, in order to enrich the level of MHC, co-stimulatory molecules and membrane-bound cytokines in the ER, KDEL or other ER retention signalling (Nilsson T, & Warren G., Curr Opin Cell Biol.6 (A), 517-21 (1994)) will be tagged at the C-terminus of the transgenes for the retention of transgene products in the ER. The expression cassettes for these transgenes are similar to MHC class I transgenes.

According to the present invention, therefore, the vaccine compositions may be co- administered with one or more 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, other cytokines promoting T cell responses, and/or conventional adjuvant. These can be suitably mixed with the microsomes loaded with antigen prior to administration, or may be suitably prepared as membrane-bound constituents of the microsomes. Such membrane-bound substituents may be introduced using recombinant DNA techniques, as discussed above, to engineer expression of the cytokine in the cell organelle that will ultimately be used to form the microsomes, or alternatively the cytokines may be loaded into the microsome membrane or bound to surface proteins.

A membrane bound cytokine expressed in a microsome preparation may be prepared by transfecting an antigen presenting cell with a construct comprising a cytokine molecule fused to a membrane anchor protein, optionally with an ER-retention signal.

For example, a microsome including membrane bound IL-2 molecules can be prepared by constructing a vector comprising nucleic acid encoding a fusion protein comprising the CD2 membrane domain fused to the C-terminus of IL-2 and an ER- retention signal, such as the 16 amino-acid sequence from E15-9K adenovirus protein, where the ER-retention signal is fused to the C-terminus of the CD2 protein.

Expression of the vector in the antigen presenting cell leads to accumulation of the cytokine in the organelles of the cell, i.e. the ER, which enables preparation of microsomes containing membrane-bound cytokine.

In addition, it may be convenient to include detection and monitoring of the specific immune responses towards the vaccine, for example by techniques such as ELISA for detection of serum cytokine, e.g. E -2 and/or IFNγ, or an in vitro T cell response assay with peptide loaded microsomes, or a proliferative cell assay.

In its simplest form, the present invention provides a composition comprising an isolated microsome of the endoplasmic reticulum of an animal cell, or a membrane fragment thereof, in association with an externally disposed peptide antigen and a protein of the Major Histocompatibility Complex (MHC). Suitably formulated for administration as a vaccine.

According to a second aspect of the invention, there is provided a composition according to the first or second aspects of the invention for use in medicine. This aspect of the invention therefore extends to a method of treatment or prophylaxis of a subject suffering from a disease or condition, comprising the step of administering to the subject a vaccine as defined above.

According to a third aspect of the invention, there is provided the use of a composition as defined above in the preparation of a vaccine for the prophylaxis or treatment of a disease condition. The disease may be an infection caused by a microorganism or virus, or it may be a cancer which is characterised by neoplastic cell growth and/or tumour formation. Alternatively, the disease may be an autoimmune condition, where a vaccine may have therapeutic use in inducing tolerance to self- antigens. Uses in accordance with this aspect of the invention also extend to methods of treatment of such disease conditions comprising administering said compositions to a subject in need thereof. Suitably, vaccine compositions of the present invention can be administered by any convenient route such as intramuscular, intravenous, intraperitoneal, oral or by injection in to the cerebrospinal fluid. Diseases or conditions that can be treated using a vaccine of the present invention include, but are not limited to melanoma, lung adenocarcinoma, colon cancer, breast cancer or leukemia. Auto-immune disorders include, but are not limited to, Multiple Sclerosis (MS), Systemic Lupus Erythamatosus, Type-1 or Insulin-dependent Diabetes, Antiphospholipid Syndrome, Myasthenia Gravis, Myositis, Sjogren's Syndrome and Rheumatoid arthritis. In addition, viral infection, such as HIV infection, herpes virus infection, hepatitis C virus infection, or parasite infections, such as protozoan parasite infection of Plasmodium, the causative agent responsible for malaria, for example Plasmodium falciparum, Plasmodium vivax, Plasmodium berghei, Plasmodium yoelii or Plasmodium knowlesi, or another parasite such as

Toxoplasma gondii, or Trypanosoma brucei, or Entamoeba histolytica, or Giardia lambia, or bacterial infection, such as E. coli 0157, Vibrio cholerae, etc.

It is also envisaged that the microsomes of the present invention when loaded with peptide antigen may be fused with antigen presenting cells (APC) prior to administration of the combined preparation to the patient. Suitably, the APC are taken from the patient prior to treatment, but may also be taken from an allogenic source. In such cases, where an allogenic source of cells is used, immunosuppresive drugs may also form part of the treatment protocol.

According to a fourth aspect of the invention, there is provided a process for the preparation of a vaccine composition as defined above, the process comprising incubating a population of microsomes and an antigenic peptide in the presence of a nucleoside triphosphate (NTP), followed by further processing to prepare inverted microsomes and formulating the resulting preparation in an physiological diluent and optionally an adjuvant. Reagents such as glucose have ability to preserve the conformation of prepared microsome vaccine and may be included. Suitably, the incubated microsomes will be washed and resuspended in a vaccine solution of an physiological diluent containing an amount of antigenic peptides for preventing the dissociation of the MHC-peptide complex present in the microsome membrane. The process of loading the microsomes with antigen is carried out in the presence of a nucleoside triphosphate (NTP), such as ATP, GTP, CTP, TTP, or UTP. The antigen loading process may also be carried out in the presence of more than one type of antigenic peptide. In this way a plurality of antigens can be loaded into the microsome.

Inverted microsomes may be prepared by further processing of the microsomes that disrupts the membranes of the microsomes under conditions which allow the membrane to reform and which encourage the formation of "inside-out" microsomes. The use of repeated freeze-thaw steps are therefore suitable in this regard. For example, the microsomes can be suspended in a suitable medium, or buffer, e.g. Phosphate buffered saline (PBS), and then briefly immersed into liquid nitrogen for a suitable period of time, suitably from one to five minutes, preferably for two minutes, and then moved to 37°C, such as in a water-bath, for a suitable period of time, suitably for two to six minutes, preferably for four minutes. The number of repeated steps of freeze-thaw may be from three to five, suitably four repeat steps.

In an alternative embodiment of this aspect of the invention, the process may comprise the loading of inverted microsomes, prepared as described above, with antigen. For loading antigenic peptides into inverted microsomes, the presence of an

NTP may not be necessary (although it may be desirable).

According to a fifth aspect of the invention, there is provided a kit of parts comprising a composition as defined above and one or more cytokine and/or adjuvant in sealed containers. Suitably, the kit will comprise instructions for use in a method or use of the invention as defined above.

According to a sixth aspect of the invention, there is provided a kit of parts comprising a composition as defined above and one or more cytokine and/or adjuvant molecules for separate, subsequent or simultaneous administration to a subject.

Preferred features for the second and subsequent aspects of the invention are as for the first aspect mutatis mutandis.

In a particularly preferred embodiment of the invention there is provided a vaccine composition for the prophylaxis or treatment of a disease that can be characterised by the expression of a defined antigen or a peptide sequence which is potentially immunogenic by an infectious agent or which is characterised by the expression of an antigen of a native cell, in which the composition is prepared by:

(1) obtaining a sample of antigen presenting cells which express MHC proteins; (2) homogenising the cells under conditions such that a preparation of microsomes is isolated; (3) preparation of antigenic peptides, for example by means of recombinant DNA technology, or from isolation from a natural tissue source, or source of infectious agent, or in most cases synthesised antigenic peptides. (4) incubation of antigenic peptides and microsomes in the presence of an NTP to load the microsomes with antigenic peptides; (5) further processing of microsomes loaded in step (4) to prepare a population of inverted microsomes (6) formulation of loaded inverted microsomes a vaccine in a physiological diluent and/or adjuvant as appropriate

As described above, the microsomes may also be prepared from an isolated population of cells or a cell line. The cells or cell line may be have been transfected with a nucleic acid construct to express a protein of choice prior to microsome preparation.

According to the above protocol, the microsomes are loaded with antigenic peptide and then subsequently processed to prepare inverted microsomes. However, in an alternative embodiment, the inverted microsomes may be prepared first and then loaded with antigen, in which case the presence on an NTP in step (4) may not be required.

As discussed above, the vaccine compositions of the invention preferably comprise inverted microsomes, more preferably a homogenous population of inverted microsomes. However, non-inverted microsomes may also be present in the population of inverted microsomes.

The cells may be MHC negative so as to permit transfection of the cell line with appropriate nucleic acid encoding the MHC class molecule of choice for the vaccine.

Preparation of antigen may also include synthesis of antigenic peptides by means of chemical means.

The loading of non-inverted microsomes with antigenic peptide takes place in the presence of an NTP. The loading of inverted microsomes does not appear to require the presence of an NTP, although it may be preferred.

The invention will now be further described by way of reference to the following Examples and Figures which are provided for the purposes of illustration only and are not to be construed as being limiting on the invention. Reference is made to a number of Figures in which:

FIGURE 1 shows crosslinking of H2-Kb molecules by crosslinker-modified OVA peptide in the microsomes of RAW309Cr.l cells. The ¹²⁵I-labeled ANB-NOS-OVA peptide was mixed with the microsomes of RAW309Cr.l cells in the presence or absence of ATP-regenerating system or of native OVA-peptide at a ten-fold molar excess. The crosslinked H-2Kb was indicated. FIGURE 2 shows concentration of OVA-peptide receptive H-2Kb in the microsomes of RAW309Cr.l cells. For semi-quantitation of OVA-peptide receptive H-2Kb, 10 nMs of labelled peptide was incubated with the microsomes orRAW309Cr.l cells, respectively, under the UV irradiation. The H-2 molecules were precipitated by R218 antiserum and crosslinked Kb molecules were quantitated by phospho-imaging.

FIGURE 3 shows detection of H-2 molecules in the microsomes or on the surface of RAW309Cr.l cells. 30 μg proteins from NP40 lysates of RAW309Cr.l microsomes or RAW309Cr.l cells were separated on 10%) SDS-PAGE. The lysates were diluted at the titration indicated and separated on the SDS-PAGE. Immunoblotting of H-2 molecules was detected by R218 anti-H-2 antiserum.

FIGURE 4 shows detection of B7.1, B7.2 and ICAM-1 in the microsomes of RAW309Cr.l cells. 30 μg proteins from NP40 lysates of RAW309Cr.l microsomes or RAW309Cr.l cells were separated on 10% SDS-PAGE. Immunoblotting of B7.1, B7.2 and ICAM-1 was detected by specific antibodies.

FIGURE 5 shows stimulation of B3Z T cells by OVA-peptide edited microsomes. Microsomes from 2 x 10⁵ RAW309Cr.l cells were used to load OVA or Ld-specific peptide as described in Material and Methods. 2 x 10⁵

RAW309Cr.l cells were pulsed with OVA peptide (see Material and Methods). After washing, peptide-pulsed 2 x 10⁵ RAW309Cr.l cells, OVA- loaded microsomes, Ld-peptide loaded microsomes, and the microsomes without peptide were co-cultured with 10⁵ B3Z cells for over night. A) After washing with PBS, LacZ activity in B3Z cells was assayed by total cellular lysates with the LacZ substrate ONPG. The absorbance (415 nM) was read after incubation for four hours at 37°C. B3Z cells cultured with 100 nM OVA peptide and normal medium were used as positive and negative control for the B3Z stimulation. B) The supematants of these cultures were submitted for measuring E -2 production by ELISA. The experiment was repeated four times with similar results. Error bars indicate the SEM of triplicate cultures. FIGURE 6 shows stimulation of B3Z T cells by the microsomes of 2 x 10⁵ RAW309Cr.l cells pre-loaded with different concentrations of OVA-peptides. Microsomes loaded with OVA-peptide at different concentration indicated were co-cultured with B3Z cells overnight before the assay of LacZ activity.

FIGURE 7 shows OVA-peptide edited microsomes stimulates specific T cell responses in vivo. C57BL/6 (H-2b) mice were primed i.s. by OVA-edited microsomes or Ld-peptide loaded microsomes or OVA peptide or OVA- pulsed RAW309Cr.l cells and challenged by same stimulus after seven days. Six days after the challenge, enriched T cells were isolated from spleens and cultured at 10⁵ cells/well with stimulus indicated. The RAW309Cr.l cells were irradiated before co-culture with T cells. After three days, supematants were harvested for cytokine ELISA (b) and cultures pulsed with [³H]thymidine (a). The results are representative of groups of at least three mice per treatment group and the experiment was repeated four times with similar results. Error bars indicate the SEM of triplicate cultures. Similar set of experiments performed in Balb/c (H-2d) mice served as negative control.

HGURE 8 shows activation of TCR induced MAK kinases. 10⁷ T cells from OVA-microsomes immunised C57BIJ6 were stimulated with OVA-pulsed

RAW309Cr.l, OVA-microsomes and anti-CD3/CD28, respectively. Activation of ERK and JNK was detected by anti-p-ERK and anti-p-JNK antibodies. Similar levels of ERK and JNK detected by anti-ERK and anti- JNK severed as loading control.

FIGURE 9 shows OVA-receptive H-2Kb detected in microsomes, but not on the surface of RAW309Cr.l cells. The ¹²⁵I-labeled ANB-NOS-OVA peptide 10 nM was mixed without or with native OVA peptide at concentrations indicated. The mixed peptides were incubated with microsomes equivalent to 10⁷ RAW309Cr.l cells or with 10⁷ RAW309Cr.l cells. The crosslinked 112-

Kb molecules were indicated. FIGURE 10 shows the results of a study in which influenza viral peptide edited Kb-microsomes induced T-cell responses in vivo (five mice in each group). FIGURE 11 shows electronmicrograph pictures of DC and prepared microsomes: (A) magnification xl2000 and (B) magnification x40000 are prepared microsomes from RAW cells; (C) magnification x40000 are microsomes inverted by repeated freeze-thaw and loaded with peptides, showing open or inverted microsomes. The loaded peptides can not be seen in the picture.

FIGURE 12 shows the results of a study carried out on MAGE-A2 specific T- cells from A2 melanoma patients. FIGURE 13 shows the amino acid sequences for the MHC class I antigens A2 alpha chain precursor and B7 alpha chain precursor (Accession nos. P01892 and P01889, respectively).

FIGURE 14 shows the amino acid sequences for the MHC class II antigens DRB3-1 beta-chain precursor and HLA-DQ alpha 1 (DQw4 specificity) precursor - human (Accession nos. P79483 and A37044, respectively).

Material and Methods Cell lines and animals B3Z is a CD8 T cell hybridoma that expresses LacZ in response to activation of T cell receptors specific for the SIINFEKL peptide presented by H-2Kb MHC class I molecules. RAW309Cr.l, a Kd Kb murine macrophage cell line, used as APCs, was obtained from ATCC (ATCC TIB-69). All cells were cultured in Dulbecco's modified Eagle's medium with 10% fetal calf serum. Female C57BL/6 mice H-2b and Balb/c mice H-2d were obtained at 6 weeks of age. All procedures with animals were carried out in accordance with approved protocols. Antibodies, peptides, and peptide modification

All peptides were synthesised in a peptide synthesiser (model 431 A, Applied Biosystems, Foster City, CA), using conventional F-moc chemistry, and were subsequently purified by HPLC. The purified peptides were dissolved in PBS.

Peptide OVA 257-264 (SIINFEKL) was modified by substitution of third residue isoleucine to tyrosine in order for iodination and by covalently coupling a phenylazide with a nitro group on the ε-amino group of lysine at position seven. This nitro group can be photoactivated. The crosslinker modification was performed by mixing 0.5 mg of ANB-NOS (N-5-azido-2-nitrobenzoyloxysuccinimide) in 200 μl DMSO with 100 μg peptide in 100 μl PBS and 50 μl CPAS (3-[cyclohexylamino]-l-propanesulfonic acid) (0.5 M, pH 10). The reaction was allowed to proceed for 30 min on ice. To remove the excess ANB-NOS and ions, the mixture was purified by gel filtration on Sephadex G-10 and subsequently by HPLC. An aliquot (lμg) of the peptide was labelled by chloramines-T-catalyzed iodination (^U5T). The modification and labelling experiments were performed in the dark.

Antisera, immunoprecipitation, and SDS-PAGE

Rabbit antiserum to H2 (R218) was kindly provided by Dr. Sune Kvist, Karolinska Institute. Monoclonal antibody specific to confirmed H2 (Y3) was kindly provided by Tim Elliot, Cambridge University. Antisera to JNK, ERK, p-ERK and p-JNK were obtained from (Santa Cruz Biotechnology). Immunoprecipitation, immunoblotting and SDS-PAGE were performed as described in Li et al (J Biol Chem. 274 (13), 8649-54 (1999)). Protein-A-Sepharose was obtained from Pharmacia (Uppsala, Sweden).

Example 1; Preparation of microsomes and peptide binding assay

Microsomes fromRAW309Cr.l, a Kd/Kb murine macrophage cell line were prepared and purified according to the procedure of Saraste et al (Proc. Natl. Acad. Sci. U. S. A. 83, 6425-6429 (1986)).The immunogenetics of class I is Kb in RAW cells and Balb/c mice. Preparation of microsomes from B cells based on a modification of Saraste et al (Proc. Natl. Acad. Sci. U S. A. 83, 6425-6429 (1986)) and Knipe et al (J. Virol. 21, 1128-1139 (1977)) for fractionation of microsomal membranes was used. All steps were performed at 0-4 °C).

3x 10⁹ cells are collected and washed once with cold PBS. Resuspend the cells in 20 ml STKMM-buffer with 10 μl of PMSF (lOOmM). Spin at 1500rpm for 5 min at 4°C. Resuspend in 10 ml H₂O (with 5μl PMSF). Homogenise in 40 ml Dounce, 20 strokes. Add 30 ml STKMM and mixing well. Pour over in JA-18 tubes. Centrifuge at 7500rρm for 10 min at 4°C. Carefully collect supernatant to the new tubes. Centrifuge at 15500rpm for 54 min at 4°C. Carefully wash the pellet with 10 ml STKMM buffer, then resuspend the pellet in 1 ml RM buffer with a pipette and homogenise in 15ml dαuncer. The rough microsomes will be diluted at a concentration of A_OD28O = 60. Total microsomes (described above) were layered on top of 5 ml of 0.33 M sucrose containing 5 mM benzamidine, layered in turn on top of a sucrose cushion consisting of 1 ml of 2 M sucrose/5 mM benzamidine. Centrifugation in an SW41 rotor for 60 min at 110,000 x g yielded a total microsome band on top of the cushion. The total microsome band was carefully collected. Then, 2 M sucrose/5 mM benzamidine was slowly added to the microsomes to give a final concentration of 45% (w/v) sucrose. Microsomes were subfractionated by flotation using a modification of the method described in Paulsson et al (J Biol Chem. 277 (21), 18266-71 (2002)). 100 μl of the total microsomes in 3 ml of 45% (w/v) sucrose was placed at the bottom of an SW41 ultracentrifuge tube and overlaid with the following sucrose solutions: 1 ml of 30% and 1.9 ml each of 27.5%, 25%, 22.5%, and 20.0% (all solutions contained 5 mM benzamidine). • After centrifugation at 4 °C for 10 h at 37,000 rpm (to reach isopyknic conditions), 25 fractions of 300 μl each were collected by upward displacement. • The ER fractions will be determined by western blotting with anti-p58 antibody. (p58 is a ER protein). • The poured ER fractions will be used in peptide-loading and immunisation experiments.

The cross-link mixture contained 50 or 100 nM (¹²⁵I)ANB-NOS-ρeptide and 10 μl of microsomes (60 A ₈o/ml) in a total volume of 100 μl RM buffer (250 mM sucrose, 50 mM TEA-HCl, 50 mM KOAc, 2 mM MgOAc₂, and ImM DTT). After mixing, the samples were immediately irradiated at 366 nm for 5 min at room temperature. The membranes were then recovered by centrifugation through a 0.5-M sucrose cushion in RM buffer. The membranes were washed once with cold RM buffer. The washing membranes were lysed for immunoprecipitation or for immune blotting. The crosslinking reaction with ATP contained an ATP regeneration system, described in Li et al (J Biol Chem. 274 (13), 8649-54 (1999)). The crosslinking of surface Kb molecules on RAW309Cr.l cells was performed as mixing 100 nM (¹²⁵I)ANB-NOS- peptide with 10⁷ cells, equivalent to amount of cells used for making 10 μl of microsomes in a total volume of 100 μl RM buffer. After mixing, the samples were immediately irradiated for 5 min at room temperature. The excess peptides were removed by washing with RM buffer. The cells were lysed for immunoprecipitation with Y3 antibody.

The detection of surface MHC class I was performed by incubating RAW309Cr.l cells with Y3 antibody at 4°C for 15 min. After washing, the cells were lysed in 1% NP40 lysis buffer and the cleared lysates were precipitated with protein-A beads. The precipitated MHC class I were detected by immunoblotting with R218 antiserum.

The peptide-editing for stimulation of T cells was performed by mixing microsomes with native peptides with ATP regeneration system for 10 min at room temperature. The excess of peptides was removed after centrifugation through sucrose cushion in RM buffer. The loaded microsomes were repeatedly freeze/thaw alternately in liquid nitrogen and then in a water bath at 37°C, for 10 times. The processed microsomes were resuspended in PBS at concentration of (6 A₂₈o/ml) and kept at -80oC until use. The peptide-pulsed RAW309Cr.l cells was prepared as mixing peptides 100 nM with

10⁷ cells in 1 ml medium over night or in 1 ml PBS for four hours at 37°C. The pulsed cells were either washed with PBS before mixing with B3Z T cells or add the mixture directly to the B3Z.

Example 2: Activation of B3Z T cell hvbridoma

The prepared stimuli including peptide-edited microsomes, peptide-pulsed RAW309Cr.l cells, OVA peptide, were added to culture of 10⁵ B3Z cells in a total of 200 μl. Addition of PBS and anti-CD3/CD28 coated beads served as negative or positive control, respectively. After over night incubation, the activation of B3Z was represented by LacZ activity using o-nitrophenyl b-D-galactopyranoside (Sigma) substrate. The linear range of OVA-response was determined by the addition of serial dilutions of SIESfFEE to the medium due to that the B3Z cells themselves express Kb and present SIINFEKL.

Example 3: Detection of peptide-receptive MHC class I molecules in the microsome, but not on the surface of APCs.

An in vitro peptide transport and loading assay by using crosslinker modified peptides and isolated microsomes of the ER from RAW309Cr.l has been reported (Li et al J Biol Chem. 274 (13), 8649-54 (1999)). The assay allows the examination of both the peptide translocation across the membrane of the ER in the presence of ATP and subsequently the peptide loading on MHC class I molecules (Wang et al J Immunol. 157 (1), 213-20 (1996)).

To detect the peptide-receptive MHC class I molecules in the microsomal membranes, a crosslinker (ANB-NOS) was conjugated to the ε-amino group of the lysine residue of an H2-Kb-binding ovalbumin (OVA) peptide (residues 257-264, SIIFEKL) and substituted the isoleucine at position 3 with tyrosine to allow for iodination. These modifications allowed photo-cross-linking of the OVA peptide to H2-Kb molecules during the assembly. For a quantitative comparison of peptide-receptive H2-Kb in microsomes and on cell surface of living RAW309Cr.l, the modified OVA peptide was labelled by ¹²⁵I and incubated with microsomes of RAW309Cr.l and living RAW309Cr.l cells under UV irradiation. Peptide-bound H2-Kb molecules were subsequently analysed by immunoprecipitation with an anti-H2 antibody Y3. In the absence of ATP, only a few Kb molecules were assembled with OVA peptides, while a significant amount of Kb molecules were cross-linked with OVA peptide in the presence of ATP (Fig. 1). This result confirms that a substantial amount of peptide receptive class I molecules exist in the ER.

A semi-quantitative analysis of OVA-crosslinked Kb in microsomes and on the surface of RAW309Cr.l showed that in contrast to the high levels of peptide receptive Kb molecules in the microsomes, the OVA-bound Kb molecules on the surface of APCs was under the radio-chemical detective level (Fig. 2), suggesting again that peptide-receptive MHC class I molecules are mainly in the ER, but not on the surface of APCs. In a competing experiment, it has been shown that the binding of this modified OVA peptide to Kb is specific. In order to examine the affinity of the modified OVA-peptide, the labelled OVA peptide was competed by its native form at different concentrations. The native OVA peptide competed 50% of the report peptide at the concentration of report peptides and completely abolished binding at concentration of ten times of the report peptides (Fig. 2). Moreover, a Ld specific peptide could not compete the OVA binding. This shows that the binding affinity of modified OVA-peptide is Kb specific and similar to its native form. To quantitate the amount of peptides bound to Kb molecules in microsomes derived from 10⁶

RAW309Cr.l, the labelled peptides were incubated with microsomes in the presence of ATP. After crosslinking, MHC class I were precipitated and dpm of peptide-bound Kb was measured and converted to the concentration of peptides. Results showed that about 500 to 1000 peptides were bound to Kb molecules in the microsomes of one cells. In addition, the amount of total MHC class I molecules in the ER are more than that on the surface of RAW309Cr.l cells (Fig. 3). Thus, microsomes from APCs could be able to deliver sufficient peptide-MHC class I complexes to T cells. Example 4: B7 and ICAM1 are presented in the microsomes of APCs.

A full T cell response requires signals from both antigen-MHC complex and co- stimulatory molecules such as B7 (Acuto et al, Immunol Rev. 192, 21-31 (2003)). Like all the membrane proteins, co-stimulatory molecules are synthesised in the ER and subsequently expressed on the surface of APCs. To quantitate the amount of co- stimulatory molecules of B7 and ICAM-1 in the isolated microsomes, the microsomes equivalent to 5 x 10⁶RAW309Cr.l were lysed and the clear lysates were analysed by western blotting with anti-sera specific to these molecules, respectively. In comparison, a total cell lysates of 5 x 10⁶ RAW309Cr.l were also blotted with same antibody. The intensity of B7.1, B7.2 and ICAM-1 bands was quantitated by density analysis. Both B7 and ICAM-1 were readily detected in the microsomal samples (Fig. 4). The amount detected in microsomes was about half of the total cellular lysates. The presence of sufficient amount of co-stimulatory molecules in peptide-edited microsomes could mimic the functional surface of APCs for providing both antigen-

MHC and co-stimulatory signals to T cells.

Example 5: Microsomes loaded with Kb-specifie OVA peptides stimulate T cells in vitro To investigate the ability for peptide-loaded microsomes to induce specific T cell response, the native OVA peptide-edited microsomes were processed for inside-out by repeated freeze-thaw method (materials and methods). The processed microsomes and OVA-peptide pulsed RAW309Cr.1 were used to stimulate B3Z T cell hybridoma which recognises Kb-SHNFEKL complex (Fremont et al Proc Natl Acad Sci U S A. 92 (7), 2479-83 (1995); Shastri N, & Gonzalez F., J Immunol. 150 (7), 2724-36

(1993)). After washing off the excessive peptide, OVA edited Microsome stimulated B3Z T cells by inducing IL-2 production and the expression of IL-2-promoter driven LacZ (Fig. 5). The specificity of OVA-Kb induced B3Z responses was supported by the unresponsiveness of B3Z cells to the microsomes without the peptide or loaded with Ld specific peptide (Fig. 5). Moreover, the levels of responses of B3Z to OVA- edited microsomes was correlated with the amount of OVA-peptides (Fig. 6). OVA- pulsed RAW309Cr.l could induce the B3Z response in the presence of excessive peptides (Schott et al Proc Natl Acad Sci US A. 99 (21), 13735-40 (2002)).

However, if excess peptides were removed by washing, the OVA-pulsed- RAW309Cr.l could no longer induce B3Z response. Given that OVA itself could induce IL-2 production by B3Z cells (Fig. 5), suggests that not RAW309Cr.l, but OVA itself is the stimuli for B3Z. The ability of SIINFEKL to induce Kb restricted T cell responses in vitro has been reported recently, suggesting that CTL could present peptides to each other (Schott et al Proc Natl Acad Sci U S A. 99 (21), 13735-40 (2002)).However, the induction CTL response in vitro by peptide-edited microsomes, but not by peptide-pulsed RAW309Cr.l is consistent with the peptide-binding results (Fig. 2) and indicate that peptide-edited microsomes could mimic APCs to efficiently present antigenic peptides to TCR and stimulate full responses of CTLs.

Example 6; Microsomes loaded with Kb-specific OVA peptides induces OVA- peptide responses in vivo

To further examine the ability of OVA-edited microsomes to induce immune responses in vivo, OVA-edited microsomes from RAW309Cr.l cells, microsomes loaded with Ld-specific peptide, soluble OVA peptides, RAW309Cr.l pulsed with OVA peptides and PBS were used to induce immune response in vivo. Five groups of

C57BIJ6 or Balb/c mice, each group consisting of five mice, were injected twice subcutaneously with above stimuli, respectively. The interval between injections was one week. Six days after second injection, T cells were isolated from spleens and cross-stimulated in vitro with the five original stimuli, respectively. In addition, anti- CD3/CD28 coated beads were used as positive control. PBS stimulated T cells did not respond to any stimulation, while anti-CD3/CD28 induced proliferative responses in all the groups. OVA-peptide pulsed RAW309Cr.l and microsomes loaded with Ld- specific peptide did not induce T cells responses (Fig. 7). In contrast, T cells from C57BIJ6 groups of OVA-edited microsomes and OVA peptide responded to OVA- edited microsomes in vitro, but not to the OVA-pulsed RAW309Cr.l or the microsomes loaded with Ld-peptides (Fig. 7). Compelling results from IL-2 production (Fig.7 ) again support that OVA-edited microsomes could induce specific T cells responses in vivo (Fig. 7). Balb/c has H-2d, therefore, there was not OVA response induced.

Example 7: TCR signalling pathways are activated by OV-microsomes In order to analyse the TCR signalling in response to OVA-microsome stimulation, T cells isolated from C57BIJ6 mice immunised by OVA-microsomes were used to induce TCR signalling in vitro. The activation of ERK and JNK was detected in the T cells stimulated with either anti-CD3/CD28 or with OVA-edited microsomes, but not with OVA-pulsed RAW309Cr.l (Fig. 8). Thus, the biochemical evidence indicates a specific TCR signalling in response to OVA-Kb on microsomes and further supports that microsomes edited with antigenic peptides could induce specific immune responses in vivo.

Example 8: Influenza viral peptide loaded microsomes The Kb specific peptide (ASNENMETM) form mouse influenza virus was loaded into microsomes from Kb specific RAW cells. The loaded microsomes were used to immunize C57BIJ6 mice. In separate groups, the PBS or peptide were used as controls. After two antigen administrations over a seven day period, T-cells were isolated from spleens and cross-cultured with PBS or peptide, peptide, Or peptide- loaded microsomes for three days. T-cell proliferation was measured on day 4 after immunization. Results are shown in Figure 10.

Example 9: Effect on melanoma cells

T-cells isolated from three A2 melanoma patients (PI, P2, P3), respectively, were stimulated with autologous tumor cells purified from surgical biopsies at one to one and with r-human IL-2 (10 U/mL) for four times with a 5 day interval between each administration. The specific anti-tumor responses were tested in comparison to the tumor cell line K259 by cytotoxic assay. The MAGE peptide was loaded to microsomes isolated from 221-A2 human B-cell line, in which the MHC locus is deleted, and subsequently transfected with HLA-A2. The T-cell lines from melanoma patients were cultured with peptide, microsomes, or peptide-loaded microsomes in normal medium for three days. The proliferation was measured at day 3. The results are shown in Figure 12.

Discussion

These results demonstrate that the microsomes derived from the ER can be used to process edited antigenic peptides on MHC class I molecules and that the processed microsomes can reconstitute the functional surface of APCs to induce CTL responses. Thus, the antigenic peptide delivered by microsomal MHC class I in association with co-stimulatory molecules is a novel form of peptide vaccine.

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146. Zom et al, Eur J Immunol 29: 592 (1999a) 147. Zom et al, Eur J Immunol 29: 602 (1999b) Table 1 Class I HLA-restricted cancer/testis antigens. All these antigens were found to be expressed by normal spermatocytes and/or spermatogonia of testis. Occasionally MAGE-3, MAGE-4 and the GAGE genes were found to be expressed also in placenta [26, 24]. The NY-ESO-1 antigen was found to be expressed in normal ovary cells [18]. Gene HLA aϊlele Peptide epitope Author [Ref] Tissue distribution among tumors" MAGE-A1 Al EADPTGHSY Traversari et al., 1992 [119] Melanoma, breast carcinoma, SCLC [27, 29, 125] - MAGE-A1 A3 SLFRAVITK Chaux et al, 1999a [16] sarcoma, NSCLC [27, 29] - thyroid medullary carcinoma MAGE-A1 A24 NYKHCFPEI Fujie βt ύJ, 1999 [37] [125] - colon carcinoma[27] - laryngeal tumors [29] MAGE-A1 A28 EVYDGREHSA Chaux et al, 1999a [16] MAGE-A1, -A2 B37 EPVTKAEML Tanzarella et al, 1999 [113] Melanoma, colon and breast carcinomas, SCLC [27, 29, -A3, -A6 125] - sarcoma, NSCLC [27, 29] - thyroid medullary carcinoma, H/N tumors, bronchial SCC [125] - laryngeal tumors [29] - leukemias [27] MAGE-A1 B53 DPARYEFLW Chaux etal, 1999a [16] Melanoma, breast carcinoma, SCLC [27, 29, 125] - MAGE-A1 Cw2 SAFPTTINF Chaux et al, 1999a [16] sarcoma, colon carcinoma, NSCLC [27, 29] - thyroid MAGE-A1 Cw3 SAYGEPRKL Chaux et al, 1999a [16] medullary carcinoma [125] MAGE-A1 Cwl6 SAYGEPRKL van der Bruggen et al, 1994b [127] MAGE-A2 A2 KMVELVHFL Visseren et α/., 1997 [128] Melanoma, colon and breast carcinomaa, SCLC [27, 29, MAGE-A2 A2 YLQLVFGIEV Visseren et α/., 1997 [128] 124] - sarcoma, NSCLC [27, 29] - thyroid medullary

MAGE-A2 A24 EYLQLVFGI Tahara et fl/., 1999 [110] carcinoma [125] - laryngeal tumors [77] - leukemias [27]

MAGE-A3 Al EVDPIGHLY Gaugler et /., 1994 [40] Melanoma, colon and breast carcinomas [27, 125] - H/N

MAGE-A3 A2 FLWGPRALV van der Bruggen et al, 1994a [126] tumors [18] - bronchial SCC, thyroid medullary and

MAGE-A3 A24 TFPDLESEF Oiso et al, 1999 [89] bladder carcinoma, sarcomas, SCLC, NSCLC [125] -

MAGE-A3 A24 IMPKAGLLI Tanaka et al, 1997 [111] leukemias [29]

MAGE-A3 B44 MEVDPIGHLY Herman et α/., 1996 [48], Fleischhauer et al, 1996 [35]

MAGE-A3 B52 WQYFFPVIF Russo et al. 2000 [103]

MAGE-A4 A2 GVYDGREHTV Duffour et al, 1999 [33] Melanoma, NSCLC, sarcomas, esophageal, colon and breast carcinomas [27]

MAGE-A6 A34 MVKISGGPR Zorn and Hercend, 1999b [147] Melanoma, NSCLC, colon carcinoma, leukemias [27]

MAGE-A10 A2 GLYDGMEHL Huang et al, 1999 [52] Not defined

MAGE-A12 Cw7 VRIGHLYE Panelli et α/., 2000 [91], Melanoma, myeloma, brain tumors, sarcoma, leukemias, Heidecker et al, 2000 [47] SCLC, NSCLC, H N tumors, bladder, lung, esophageal, breast, prostate and colorectal carcinoma [27]

BAGE Cwl6 AARAVFLAL Boel et α/., 1995 [6] Melanoma, bladder and mammary carcinomas, H N SCC, NSCLC, sarcoma

DAM-6, -10 A2 FLWGPRAYA Fleischhauer et al, 1998 [36] Melanoma,skin tumors,mammary and ovarian carcinomas

[77] - lung carcinoma [25, 77] - seminomas [25] GAGE-1, -2, -8 Cw6 YRPRPRRY Van den Eynde et al, 1995 [123] Melanoma, sarcoma, NSCLC, SCLC, mesothelioma, De Backer et al. 1999 [26] sarcoma, seminoma, leukemias, lymphomas, H/N tumors, bladder,esophageal, mammary,colon, prostate carcinomas GAGE-3, -4, -5, A29 YYWPRPRRY De Backer et al. 1999 [26] Melanomas, H/N tumors, leukemias, esophageal, lung and -6, -7B bladder carcinomas NA88-A B13 MTQGQHFLQKV Moreau-Aubry et al, 2000 [82] Melanoma NY-ESO-1 A2 SLLMWITQCFL Jager et al. , 1998 [54] Melanoma, sarcoma, B-lymphomas, hepatoma, H/N A2 SLLMWITQC Jager et al. , 1998 [54] tumors, bladder, lung, prostate, ovarian, thyroid and A2 QLSLLMWIT Jager et al. , 1998 [54] breast carcinoma [18] NY-ESO-1 a (CAG-3) A31 ASGPGGGAPR Wang et al, 1998b [134]

' Tissue distribution among tumors as described in the given references when different from the paper first reporting the sequence of the epitope.

Table 2 Class I HLA-restricted melanocyte differentiation antigens. These antigens can only be expressed in normal and neoplastic cells of the same lineage (namley melanocytes, skin, retina, peripheral ganglia) or in normal cells of the prostate gland Gene HLA allele Peptide epitope Authors [ref.]

MART-1/Melan-A^a Al AAGIGILTV Coulie et al. 1994 [22] Kawakami et al, 1994a [58] A2 EAAGIGILTV Schneider et al, 1998 [106] A2 ILTVILGVL Castelli et at. , 1995 [14] B45 AEEAAGIGIL Schneider et al, 1998 [106] B45 AEEAAGIGILT Schneider et al, 1998 [106]

MC1R A2 TILLGIFFL Salazar-Onfray et a/., 1997 [104] A2 FLALIICNA Salazar-Onfray et α/., 1997 [104]

~

GplOO A2 KTWGQYWQV Bakker et /., 1995 [3] A2 AMLGTHTMEV Tsai et α/., 1997 [120] A2 MLGTHTMEV Tsai et al, 1997 [120] A2 SLADTNSLAV Tsai et α/., 1997 [120] A2 ITDQVPFSV Kawakami etal, 1995 [61] A2 LLDGTATLRL Kawakami et al, 1994b [59] A2 YLEPGPVTA Cox et al, 1994 [24] A2 VLYRYGSFSV Kawakami et al, 1995. [61] A2 RLMKQDFSV Kawakami et al, 1998 [62] A2 RLPRIFCSC Kawakami et al, 1998 [62] A3 LIYRRRLMK Kawakami et al, 1998 [62] A3 ALNFPGSQK Kawashima et al, 1998 [65] A3 SLIYRRRLMK Kawashima et al, 1998 [65] A3 ALLAVGATK Skipper et /., 1996 [108] A24 VYFFLPDHL Robbins et al, 1997 [99] Cw8 SNDGPTLI Castelli et al, 1999 [15]

SA Al VSHSFPHPLY Corman et al, 1998 [20] A2 FLTPKKLQCV Correale et al, 1997 [21] A2 VISNDVCAQV Correale et al, 1997 [21]

SM Al HSTOGVTRIY Corman et al, 1998 [20]

Tyrosinase Al KCDICTDEY Kittlesen etα/., 1998 [68] Al SSDYVIPIGTY Kawakami et al, 1998 [62] A2 YMDGTMSQV Wolfel et al, 1994 [137] A2 MLLAVLYCL Wolfel et al, 1994 [137] A24 AFLPWHRLF Kang et α/., 1995 [57] B44 SEIWRDIDF Brichard et α/., 1996 [10]

TRP-1 (or gp75) A31 MSLQRQFLR Wang et al, 1996b [132]

TRP-2 A2 SVYDFFVWL Parkhurst et fl/., 1998 [92] A2 TLDSQVMSL Noppen et al., 2000 [86] A31 LLGPGRPYR Wang et al, 1996a [131] A33 LLGPGRPYR Wang et α/, 1998a [133] Cw8 ANDPIFWL Castelli etal, 1999 [15] ^a Two different groups simultaneously discovered this gene and gave it two different names, MART-1 and Melan-A respectively. Table 3 Class I HLA-restricted widely expressed antigens Gene HLA Peptide epitope Tissue distribution Reference allele Tumors Normal tissues

ART-4 A24 AFLRHAAL SCC, SCLC, H/N tumors, leukemia, lung, Testis, placenta, fetal liver Kawano et al, 2000 [64] DYPSLSATDI esophageal, gastric, cervical, endometrial, ovarian and breast carcinomas

CAMEL A2 MLMAQEALAFL Melanoma Testis, placenta, heart, skeletal muscle, Aarnoudse et al, 1999 [1] pancreas

CEA A2 YLSGANLNL Melanoma Testis, placenta, heart, skeletal muscle, Tsang et al, 1995 [121] (CAP-l)^a pancreas

CEA A3 HLFGYSWYK Colon, rectum, pancreas, gastric, breast Gastrointestinal embryonic tissue Kawashima et al, 1999 [66 and lung carcinomas

Cyp-B A24 KFHRVKDF Lung adenocarcinoma, T cell leukemia, Ubiquitously expressed in normal Gomi et aL, 1999 [42] DFMIQGGDF lymphosarcoma - bladder, ovarian, uterine tissues, and esophageal SCC

HER2/neu Al KIFGSLAFL Melanoma - ovarian and breast carcinomas Epithelial cells Fisk et α/., 1995 [34]

HER2/neu A2 IISAWGIL Melanoma, ovarian, pancreatic [96] ^b and Epithelial cells Peoples et al, 1995 [95] breast carcinomas

HER2/neu A2 RLLQETELV Melanoma, ovarian, gastric, pancreatic [96] Epithelial cells Kono et α/., 1998 [71] and breast carcinomas

HER2/neu A2 LGVVFGI Melanoma, ovarian, gastric, pancreatic [96] Epithelial cells Rongcun et al., 1999 [101] ILHNGAYSL and breast carcinomas YMIMVKCWMI

HER2/neu A3 VLRENTSPK Melanoma, ovarian, gastric, pancreatic [96] Epithelial cells Kawashima et al, 1999 [66 and breast carcinomas hTERT Al ILAKFLHWL Lung and ovarian carcinomas - multiple Hematopoietic stem cells and Vonderheide et al, 1999 myeloma, melanoma, sarcoma, acute progenitors; germinal center cells; basal [131] leukemias, non-Hodgkin's lymphomas keratinocytes; gonadal cells; certain proliferating epithelial cells hTRT A2 ILAKFLHWL Lung, prostate and ovarian carcinomas, Circulating B cells; germinal center B Minev et /., 2000 [81] RLVDDFLLV multiple myeloma, melanoma, sarcoma, cells; thymocytes; CD34+ progenitor acute leukemias, non-Hodgkin's lymphomas hemopoietic cells iCE B7 SPRWWPTCL RCC Kidney, colon, small intestine, liver, Ronsin et al, 1999 [102] heart, pituitary gland, adrenal gland, prostate, stomach

MUC1 All STAPPAHGV Breast and ovarian carcinomas, multiple None^d Domenech et α/. 1995 [31] myeloma, B-cell lymphoma

MUC1 Al STAPPVHNV Breast and ovarian carcinoma, multiple None Brossart et α/., 1999 [11] myeloma, B-cell lymphoma

MUC2 Al LLNQLQVNL Ovary, pancreas and breast mucinous Colon, small intestine, bronchus, cervix Bδhm et /., 1998 [7] MLWGWREHV tumors, colon carcinoma of non-mucinous and gall bladder type

PRAME A24 LYVDSLFFL Melanoma, H/N and lung SCC, NSCLC Testis, endometrium, ovary, adrenals, Ikeda et al, 1997 [53] [122], RCC, adenocarcinoma, sarcoma, kidney, brain, skin leukemias [122]

P15 A24 AYGLDFYD Melanoma Testis, spleen, thymus, liver, kidney, Robbins et al, 1995 [97] adrenal tissue, lung tissue, retinal tissue

RU1 B51 VPYGSFKHV Melanoma, renal and bladder carcinomas Testis, kidney, heart, skin, brain, ovary, Morel et al., 2000 [83] liver, lung, lymphocytes, thymus, fibroblasts

RU2 B7 LPRWPPPQL Melanoma, sarcomas, leukemia - brain, Testis, kidney, liver, urinary bladder Van den Eynde et al. 1999 esophageal and H/N tumors - renal, colon, [124] thyroid, mammary, bladder, prostatic and lung carcinomas

SART-1 A24 EYRGFTQDF Esophageal, H/N and lung SCC - Testis, fetal liver Kikuchi et /., 1999 [67] adenocarcinoma, uterine cancer

SART-1 A*2601 KGSGKMKTE Esophageal, H N and lung SCC, Testis, fetal liver Shichijo et al, 1998 [107] adenocarcinoma, uterine cancer

SART-3 A24 VYDYNCHVDL H/N, esophageal and lung SCC, Lymphoid cells, fibroblasts, testis, fetal Yang et al, 1999 [139] AYIDFEMKI adenocarcinoma, leukemia, melanoma liver

WT1 Al RMFPNAPYL Gastric, colon, lung, breast, ovary, uterine, Kidney, ovary, testis, spleen Oka et al, 2000 [90] thyroid and hepatocellular carcinomas - leukemia (including AML, ALL and CML) CAP-1 is an alternative name of this peptide. ^b Tissue distribution among tumors as described in the given references when different from the paper first reporting the sequence of the epitope. ^c Telomerase is expressed in most human tumors: those listed were shown to be susceptible to lysis by cytotoxic T lymphocytes. ^d All epithelial tissues express mucin like hyperglycosylated molecules.

Table 4 Class I HLA-restricted tumor specific antigens, including both unique (CDK-4, MUM-1, MUM-2, β-catenin, HLA-A2-R170I, ELF2m, myosin-m, caspas 8, KIAA0205, HSP70-2m) and shared (CAMEL, TRP-2/INT2, GnT-V, G 250) antigens Gene HLA Peptide epitope Tissue expression Reft erence allele Tumors Normal tissues

AFP Al GVALQTMKQ Hepatocellular carcinoma Fetal liver Butterfield et al, 1999 [12] β-catenin/m A24 SYLDSGIHF Melanoma None Robbins et al. 1996 [98]

Caspase-8/m B35 FPSDSWCYF H/N tumors None Mandruzzato et al, 1997 [78

CDK-4/m A2 ACDPHSGHFV Melanoma None Wolfel et α/., 1995 [138]

ELF2M A68 ETVSEQSNV Lung SCC None Hogan et al, 1998 [50]

GnT-V A2 VLPDVFIRC(V) ^a Melanoma, brain tumors, sarcoma Breast and brain Guillouxet /., 1996 [45] (low expression)

G250 hi HLSTAFARV RCC, colon, ovarian and cervical None Vissers etal, 1999 [129] carcinomas

HA-A*0201-R170I Al CVEWLRIYLENGK RCC None Brandle et al, 1996 [9]

HSP70-2M Al SLFEGIDIY RCC, melanoma, neuroblastoma None Gaudin et /., 1999 [39]

HST-2 A31 YSWMDISCWI Gastric signet cell carcinoma None Suzuki et al, 1999 [109]

KIAA0205 B44*03 AEPINIQTV Bladder cancer None Gueguen et al, 1998 [44]

MUM-1 B44 EEKLIWLF Melanoma None Coulie et α/., 1995 [23]

MUM-2 B44 SELFRSGLDY Melanoma None Chiari et al, 1999 [19]

MUM-2 Cw6 FRSGLDSYV Melanoma None Chiari et α/., 1999 [19]

MUM-3 A28 EAFIQPITR Melanoma None Baurain et al, 2000 [4]

Myosin/m A3 KINKNPKYK Melanoma None Zorn and Hercend, 1999a [146]

RAGE B7 SPSSNRIRNT Melanoma, sarcomas, mesofheliomas, Retina only Gaugler et al, 1996 [41] H/N tumors, bladder, renal, colon and mammary carcinomas

SART-2 A24 DYSARWNEI H N and lung SCC, lung None Nakao et α/., 2000 [85] AYDFLYNYL adenocarcinoma, RCC, melanoma, SYTRLFLIL brain tumors, esophageal and uterine cancers

TRP-2/INT2 A68 EVISCKLIKR Melanoma None Lupetti et al, 1998 [76]

707-AP A2 RVAALARDA Melanoma None^b Morioka et al., 1995 [84] ^a VLPDVFIRC(V) = nonamer and decamer peptides are both recognized by CTLs. ^b This antigen is not expressed in normal cells but, as the tissue of the testis wase not tested, it will not become clear to which category the antigen may belong until more information is available.

Table 5 Class II HLA-restricted antigens Gene HLA- Peptide epitope Tissue expression Reference allele Tumors Normal tissues

Epitopes from normal protein antigens

Annexin ll DRB*0401 DVPKWISIMTERSVPH Melanoma Not done Li et α/., 1998 [73]

GplOO DRB1*0401 WNRQLYPEWTEAQRLD Melanoma Melanocytes Li et α/., 1998 [73]

MAGE-1, -2, -3, -6 DRB*1301, LLKYRAREPVTKAE Melanoma, lung and breast Testis, placenta Chaux et al., 1999a [16] DRB*1302 carcinomas, H/N SCC

MAGE-3 DR*1101 TSYVKVLHHMVKISG Melanoma, lung and breast Testis, placenta Manici et al, 1999 [79] carcinomas, H/N SCC

MAGE-3 DRB*1301, AELVHFLLLKYRAR Melanoma, lung and breast Testis, placenta Chaux et al, 1999b [17] DRB*1302 carcinomas, H/N SCC

MART-1/Melan-A DRB1*0401 RNGYRALMDKSLHVGTQCALTRR Melanoma Melanocytes Zarour et al , 2000 [144]

MUC1 DR3 PGSTAPPAHGVT Breast and ovarian cancers, None^a Hiltbold et α/., 1998 [49] multiple myeloma, B-cell lymphoma

NY-ESO-1 DRB4*0101 VLLKEFTNSG Melanoma, B-lymphoma, Testis Zeng et αE 2000 [145] hepatoma [18] , sarcoma, H Ν tumors, - bladder, lung, prostate, ovarian, thyroid and breast carcinomas

NY-ESO-1 DRB4*0101-0103 PLPVPGVLLKEFTVSGNI B-lymphoma, melanoma, Testis Jager et al. 2000 [55] VLLKEFTVSGNILTIRLT sarcoma, H/N tumors, AADHRQLQLSISSCLQQL hepatoma [18] - bladder, lung, prostate, ovarian, thyroid and breast carcinomas

PSA DR4 πXGRMSLFMPEDTG Prostate carcinoma Prostate gland Corman et al, 1998 [20] SLFHPEDTGQVFQ QVFQVSHSFPHPLYD NDLMLLRLSEPAELT KKLQCVQLHVISM GVLQGITSMGSEPCA

Tyrosinase DRB1*0401 QNILLSNAPLGPQFP Melanoma Melanocytes Topalian et al, 1994 [117] DYSYLQDSDPDSFQD Topalian et al, 1996 [118] SYLQDSDPDSFQD

Tyrosinase DRB1*1501 RHRPLQEVYPEANAPIGHNRE Melanoma Melanocytes Kobayashi et al, 1998a [69

Tyrosinase DRB1*0405 EIWRDJDFAHE Melanoma Melanocytes Kobayashi et al, 1998b [70

Epitopes from mutated protein antigens

HPV-E7 DR*0401, LFMDTLSFVCPLC Cervical carcinoma None Hohn t α/., 1999 [51] DR*0407 LFMDSLNFVCPWC

CDC27/m DRB 0401 FSWAMDLDPKGA Melanoma None Wang et al, 1999a [135]

TPI/m DRB1*0101 GELIGE NAAKVPAD Melanoma None Pieper et /., 1999 [96] ^a All epithelial tissues express highly glycosilated mucins whereas tumor cells often show hypoglycosilated mucins with a normal protein sequence. ^b Tissue distribution among tumors as described in the given references when different from the paper first reporting the sequence of the epitope.

Table 6 Epitopes derived from fusion proteins (fusion proteins are never found in normal tissues) Gene HLA allele Peptide epitope Tissue distribution Reference among tumors

HLA class I restricted epitopes

bcr-abl" Al FMVELVEGA CML Buzyn et /., 1997 [13] KLSEQESLL MLTNSCVKL bcr-ablp210(b3a2) Al SSKALQRPV CML Yotnda et al, 1998a [141] bcr-abl (b3a2) A3 ATGFKQSSK CML Greco et al, 1996 [43] KQSSKALQR bcr-ablp210 3a2) A3, All HSATGFKQSSK CML Bocchia etα/., 1996 [5] bcr-abl p210(b3a2) A3 KQSSKALQR CML Norbury et al, 2000 [87] bcr-abl p210(b3a2) B8 GFKQSSKAL CML Norbury et al, 2000 [87]

ETV6/AML A2 RIAECILGM ALL Yotnda et al, 1998b [142]

HLA class II restricted epitopes bcr-abl pl90 (ela2) DRB1*1501 EGAFHGDAEALQRPVAS ALL Tanaka et /., 2000 [112] bcr-abl p210 (b2a2) DRB5*0101 IPLT--NKEEALQRPVAS CML ten Bosch et al, 1999 [116]

bcr-abl p210 φ3a2) DRB 1*0401 ATGFKQSSKALQRPVAS CML ten Bosch et al, 1996 [115] bcr-abl p210 φ3a2) DRB1*1501 ATGFKQSSKALQRPVAS CML ten Bosch et α/., 1995 [114] bcr-abl φ3a2) DRB 1*0901 ATGFKQSSKALQRPVAS CML Yasukawa et al, 1998 [140] bcr-abl φ3a2) DRB1*1101 LIWIVHSATGFKQSSKALQRPVA CML Pawelec et al, 1996 [93] bcr-abl φ3a2) DR11 ΓVΉSATGFKQSSKALQRPVASDFEP CML Bocchia et α/., 1996 [5]

Dek-cain DRB4*0103 TMKQICKKEIRRLHQY AML Ol-minami et al, 1999 [88]

LDLR7FUT DRB1*0101 GGAPPVTWRRAPAPG Melanoma Wang et al, 1999b [132] WRRAPAPGAKAMAPG

Pml/RARcc DR11 NSNHVASGAGEAAIETQSSSSEEIV [28] APL Gambacorti-Passerini et al, 1993 [38] pl90 minor bcr-abl (ela2) DRB1*1501 EGAFHGDAEALQRPVAS AML Tanaka et al, 2000 [112]

TEL/AML1 DP5, DP 17 IGRIAECILGMNPSR AML Yun et al., 1999 [143] ¹ These bcr-abl epitopes are not true fiision proteins generated-epitopes, because they derive from outside the bcr-abl junction.

Table 7 Frequency of epitopes recognized by a given HLA allele Antigen No. of HLA-A HLA-B HLA-C epitopes

MAGE-1, -2, -3, -4, -6, -10, -12 24 13 (54%) 7 (29% 4 (17%)

GAGE-1, -2, -3, -4, -5, -6, -7B, -8 8 5 (62.5%) 0 3 (37.5%)

MART-1 6 4 (67%) 2 (33%) 0

GplOO 12 11 (92%) 0 1 (8%)

Tyrosinase 6 5 (83%) 1 (17%) 0

TABLE 8 HCV Peptides Previously Determined to Be Recognized in HCV-Exposed Patients HCV HLA pep-i e Sequence restriction Core 1-9 STMPKPQK All 1-9" MST PKPQR All 27-36 CQWGGVYLL B60 35-44 YLLPRRGPRL A2 41-49 GPRLGVRAT B7 43-51 RLGVRATRK A3 51-59 KTSERSQPR A3 88-96 NEGLGWGAW B44 88-96" NEGCGWGAW B44 132-140 DLMGYIP V A2 169-177 LPGCSFSIF B7 178-187 LLALLSCLTV A2 El 234-242 NASRCWVAM B35 257-266 QLRRHIDLLV A2 290-298 QLFTFSPRR A3 E2401-411 SLLAPGAKQNV A2 453-465 PERLSCRPLTDFD A2 453-465" PERLASCRPLTDF A2 460-469 RPLTDFDQGW B53 489-496 YPPKPCGI B51 569-578 CVIGGAGNNT B50 621-628 TINYΠFK All 632-641 RMYVGGVEHR A3 721-729 LF ADA A2 723-731 F IXADARV A2 NS2826-838 LMALTLSPYYKRY A29 827-834 MALTLSPY A29 838-846 YISWCLWWL A23 NS3 1073-1081 CINGVCWTV A2 1131-1139 YLVTRHADV A2 1169-1177 IXCPAGHAV A2 1261-1270 TLGFGAY SK All 1262-1270 LGFGAYMSK A3 1265-1274 GAYMSKAHGV A3 1287-1296 TGAPVTYSTY A2 1287-1296" TGSPΠΎSTY A2 1391-1399 LIFCHSKKK. A3 1395-1403 HSKKKCDE B8 1406-1415 K VALGINAV A2 NS4 1585-1593 YLVAYQATV A2 1611-1618 LIRLKPTL B8 1636-1643 TLTHPVTK All 1661-1669 VLVGGVLAA A2 1764-17.72 HMWNFISGI A2 1789-1797 SLMAFTAAV A2 1807-1816 LLFNILGGWV A2 1851-1859 ILAGYGAGV A2 1858-1867 GVAGALVAFK A3 1859-1867 VAGALVAFK A3 1915-1923 WMNRLIAFA A2 NS5 2218-2226 NHDSPDAEL B38 2252-2260 ILDSFDPLV A2 2267-2276 REISVPAEIL B60 2510-2518 SLTPPHSAK A3 2578-2587 RLΓVFPDLGV A2 2588-2596 RVCEKMALY A3 2629-2637 KSKKTP GF B57 2727-2735 GLQDtfTMLV A2 2794-2802 HDGAGKRVY B38 2794-2804 HDGAGKRVYYL B38 3003-3011 VGIYLLPNR A31

from Anthony et al Clinical Immunol, vol. 103, pages 264-276 (2002). Table 9 HIN-CTL peptide epitopes

Peptide Gene Position Clade HLA sequence product specificity restriction GSEELRSLY p17 71-79 6 A1 (SERILSTY Rev 55-63 B A1 ILKD/EPVHGV Pol 476-484 A/B A2 SLF/YΝTVATL _P17 77-85 A/B A2 TLΝAWVKVI/V p24 150-159 A/B A2 ALKHRAYEl/ AFHHVAREL Νef 190-198 A/B A2 IRLRPGGK _P17 18-26 A,B,D A3 RLRDLLUVTR gp₄1 775-785 B A3 S/AIFQSSMTK Pol 325-333 A/B A3,A11, A33 DLSHFLKEK Νef 86-94 B A3 QVPLRPMTYK Νef 73-82 B All AVDLSHFLK Νef 84-92 B A11 IYQEPFKΝLK Pol 508-516 B A11 TLYCVHQRI _P17 84-92 B A11 (R)YLR KDQQLL gp41 591-S98 A/B A24 LFCASDAKAY gp120 53-62 B A24 DSRLAFHHM . Νef 186-194 B A24 RDYVDRFFKTL p24 296-306 A A24 VSFEPIPIHY gp120 263-272 B A29 DTVLEDIΝL Pol 85-93 A A*6802 ETAYFYILKL Pol 744-752 A,B,D A*6802 ITLWQRPLV Pol 58-67 A,B,D A74 1PRRIRQGL gp41 848-856 A,B,D B7 TPGPGV/IRYPL Νef 128-137 B B7 FPVTPQVPLR Νef 68-77 B B7 SPRTLΝAWV p24 148-1S6 B B7 GP VKQWPL Pol 171-180 A,B,C,D B8 YLKDQQU. g 41 586-593 B B8 GGK L _P17 24-31 A B8 DRFF WKTLRA p2₄ 298-306 A/B B14 DLΝMMLΝIV/ DLΝTMLΝW p2 183-191 A/B 814 ERYLROQQL gp 1 589-597 A B14 RAEQASQEV p2 305-313 B B14 YPLTFGWCY/F Νef 135-143 B/D B18. B49 FRDYVDRFY/FK p24 293-302 B,D/A,C B18 KRWIIL/ GLΝK p24 263-272 B B27 TAVPWΝASW gp41 606-614 B B35 VPLRPMTY Νef 75-82 B B35 H/ΝPDIVIYQY Pol 342-350 A/B B35 PPIPVGDIY p2₄ 260-268 B B35 IPLTEEAEL Pol 447-455 B B51 DPΝPQE L gp120 77-8S B B51 LPCRIKQII gp120 378-385 B BS1 AT/SQEVKΝWM p24 177-185 A/B B53 DTIΝEEAAEW p24 203-212 A BS3 QATQEVKΝW p₂₄ 308-316 A B53 EVKΝWMTETL p2₄ 313-322 A B53 TSTLQEQIGW p2 .- 235-243 A,B B57/58 l/ISPRTLΝAW p₂4 147-155 A/B B57/58 KAFSPEVIPMF p24 153-164 B B57/58 QAISPRTL p24 1 5-1S2 B Cw3 SFΝCGGEFF gp120 376-383 B Cw4 KYRLKHLVW _P17 728-736 A Cw4 QASGEVKΝW p24 176-184 B Cw4

fromKaul et α/J. Clinical Invest , vol. 107, pages 1303-1310 (2001) Table 10 HCN viral peptide antigens

fro Koziel et alJ. Virol, vol. 67, pages 7522-7532 (1993)

Table 11 HCN viral peptide antigens

from He et alPNAS USA, vol. 96, pages 5692-5697 (1999)

Claims

1. A vaccine composition comprising isolated inverted microsomes from an animal cell, or membrane fragments thereof, in association with an externally disposed peptide antigen and a protein of the Major Histocompatibility Complex (MHC).

2. A composition as claimed in claim 1, in which the microsome is from the endoplasmic reticulum of the cell.

3. A composition as claimed in claim 1 or claim 2, in which the protein of the MHC is from a heterologous source with respect to the cell from which the microsomes are obtained.

4. A composition as claimed in any preceding claim, in which the composition additionally comprises one or more co-stimulatory molecules.

5. A composition as claimed in claim 4, in which the co-stimulatory molecules are selected from the group consisting of B7 and IL-2

6. A composition as claimed in any preceding claim, in which the antigen is from a viral, bacterial, yeast, fungal, or protozoan origin.

7. A composition as claimed in any preceding claim, in which the antigen is an auto-antigen

8. A composition as claimed in claim 6, in which the antigen is of neoplastic cell or cell of a cancer tumour, or a normal self-protein.

9 A composition as claimed in claim 8, in which the neoplastic cell or cancer cell tumour is from a melanoma, lung adenocarcinoma, colon cancer, breast cancer or leukemia cell.

10. A composition as defined in any one of claims 1 to 9 for use in medicine.

11. A method of treatment or prophylaxis of a subject suffering from a disease or condition, comprising the step of administering to the subject a vaccine as defined in any one of claims 1 to 9 to treat said disease or condition.

12. The use of a composition as defined in any one of claims 1 to 9 in the preparation of a vaccine for the prophylaxis or treatment of a disease condition.

13. A use as claimed in claim 12, in which the disease is an infection caused by a virus, bacterium, yeast, fungus or protozoan.

14. A use as claimed in claim 12, in which the disease is cancer.

15 A use as claimed in claim 14, in which the cancer is melanoma, lung adenocarcinoma, colon cancer, breast cancer, or leukemia.

16. A use as claimed in claim 12, in which the disease is an autoimmune condition.

17 A use as claimed in claim 16, in which the autoimmune condition is Multiple Sclerosis, Rheumatoid arthritis or Systemic Lupus Eryhamatosus.

18. A process for the preparation of a vaccine composition as defined in any one of claims 1 to 9, the process comprising incubating a population of microsomes and an antigen in the presence of a nucleoside triphosphate, followed by processing to prepare inverted microsomes and formulating the resulting preparation in an physiological diluent and optionally an adjuvant.

19. A process as claimed in claim 18, in which the microsome is from the endoplasmic reticulum of the cell.

20. A process as claimed in claim 18, in which the protein of the MHC is from a heterologous source with respect to the cell from which the microsomes are obtained.

21. A process as claimed in claim 18, in which the protein of the MHC is from an autologous source with respect to the cell from which the microsomes are obtained.

22. A process as claimed in any one of claims 18 to 21, in which the composition additionally comprises one or more co-stimulatory molecules.

23. A process as claimed in claim 22, in which the co-stimulatory molecules are selected from the group consisting of B7 and IL-2

24. A process as claimed in any one of claims 18 to 23, in which the antigen is from a viral, bacterial, yeast, fungal, or protozoan antigen.

25. A process as claimed in any one of claims 18 to 23, in which the antigen is an auto-antigen

26. A process as claimed in any one of claims 18 to 23, in which the antigen is of neoplastic cell or cell of a cancer tumour, or a normal self-protein.

27. A process as claimed in claim 26, in which the neoplastic cell or cancer cell tumour is from a melanoma, lung adenocarcinoma, colon cancer, breast cancer or leukemia cell.

28. A kit of parts comprising a composition as defined in any one of claims 1 to 9 and one or more cytokines and/or adjuvants in sealed containers.

29. A kit of parts as claimed in claim 28, in which the cytokine is 11-2 or IFNγ

30. A kit of parts comprising a composition as defined in any one of claims 1 to 9 and one or more cytokines and/or adjuvants for separate, subsequent or simultaneous administration to a subject.

31. A kit of parts as claimed in claim 30, in which the cytokine is H-2 or IFNγ