Evaluation of Measles Vaccine Virus as a Vector to Deliver Respiratory Syncytial Virus Fusion Protein or Epstein-Barr Virus Glycoprotein gp350.

Live attenuated recombinant measles vaccine virus (MV) Edmonston-Zagreb (EZ) strain was evaluated as a viral vector to express the ectodomains of fusion protein of respiratory syncytial virus (RSV F) or glycoprotein 350 of Epstein-Barr virus (EBV gp350) as candidate vaccines for prophylaxis of RSV and EBV. The glycoprotein gene was inserted at the 1(st) or the 3(rd) position of the measles virus genome and the recombinant viruses were generated. Insertion of the foreign gene at the 3(rd) position had a minimal impact on viral replication in vitro. RSV F or EBV gp350 protein was secreted from infected cells. In cotton rats, EZ-RSV F and EZ-EBV gp350 induced MV- and insert-specific antibody responses. In addition, both vaccines also induced insert specific interferon gamma (IFN-γ) secreting T cell response. EZ-RSV F protected cotton rats from pulmonary replication of RSV A2 challenge infection. In rhesus macaques, although both EZ-RSV F and EZ-EBV gp350 induced MV specific neutralizing antibody responses, only RSV F specific antibody response was detected. Thus, the immunogenicity of the foreign antigens delivered by measles vaccine virus is dependent on the nature of the insert and the animal models used for vaccine evaluation.

INTRODUCTION

Live attenuated viruses have been developed and used to help protect humans from various infectious diseases. Live attenuated vaccine viruses simulate natural infection and are highly immunogenic and effective in inducing both humoral and cellular immune responses. Because of their demonstrated safety and effectiveness against infectious diseases, different live attenuated vaccine viruses have been explored as vectors to express heterologous antigens [1]. Measles vaccine (MV) strain has a long history of demonstrated safety in humans. It induces long lasting immunity including antibody and T cell responses [2-4]. Aerosol administration of measles vaccine is also being developed and has been shown to induce similar or better immunogenicity compared to conventional subcutaneous or intramuscular vaccination [5, 6]. This aerosol administration route may offer advantages in helping to protect individuals from mucosal pathogens.

The development of reverse genetics for negative stranded RNA viruses including measles virus has made it possible to explore the utility of the negative stranded RNA viruses to deliver foreign antigens. Measles vaccine virus has been explored by several laboratories to express foreign antigens such as the spike and nucleocapsid proteins of SARS coronavirus, HIV gp160, HPV L1 and hepatitis B surface antigens [7-10]. The vectored MV induces robust antibody and T cell responses against both insert antigens and MV [7-18], making it an attractive option for vaccination against measles as well as other infectious agents. Although some studies showed that MV could boost measles virus immune response in school aged children who had previously received measles vaccine [19, 20], the pre-existing immunity to measles virus may reduce the immunogenicity of the vectored measles vaccine [21, 22]. Thus, the utility of MV vector in measles seropositive population remains to be determined. Several studies performed in the early 1980s in developing countries revealed that high seroconversion rates were achieved with EZ measles vaccine despite the presence of high titer of maternal measles virus antibody [23]. Therefore, the EZ strain might be immunogenic in populations with histories of measles vaccination or preexisting MV immunity.

In this study, we explored the use of the EZ vaccine strain to deliver viral antigens for prevention of RSV and EBV associated diseases. RSV causes severe lower respiratory tract illness in infants and the elderly. Bronchiolitis from RSV infection in infants is associated with recurrent wheezing and asthma in childhood [24]. No vaccine is available to prevent morbidity and mortality from RSV infection. The surface fusion (F) protein of RSV is a major antigenic protein that induces neutralizing antibodies, CD8+ cytotoxic T lymphocytes, and protection against subsequent RSV challenge in mice or cotton rats [25]. High levels of F neutralizing antibodies are sufficient to protect the lower respiratory tract infection [26] and have been used for prophylactic purpose in infants.

EBV is a gamma herpes virus that causes infectious mononucleosis in adolescents [27]. In addition, EBV has been associated with certain malignancies including Burkitt’s lymphoma, post-transplantation lymphoproliferative disease, lymphoma and nasopharyngeal carcinoma [28]. There is no prophylactic EBV vaccine available. The surface glycoprotein gp350, which binds to human CD21 receptor on B cells to mediate viral entry, has been identified as a protective antigen. The adjuvanted EBV gp350 protein has been shown to be efficacious in a randomized phase II study in preventing infectious mononucleosis [29]. Here, we report the construction of an infectious measles virus by reverse genetics system and the insertion of the F protein of respiratory syncytial virus or gp350 of EBV into MV virus as a separate transcriptional unit. The vectored viruses were then evaluated in cotton rats and rhesus macaques for their immunogenicity.

MATERIALS AND METHODS

Viruses and cells.

RSV A2 strain was obtained from ATCC (Manassas, MA). EZ vaccine strain was from Serum Institute of India (Pune, India). Vero and HEp-2 cells were maintained in Dulbecco’s modified Eagles’s medium (Invitrogen, Carlsbad, CA) supplemented with 2% fetal bovine serum (FBS), 2mM L-glutamine, and 1% penicillin/streptomycin at 37°C with 5% CO2.

Construction of Measles vaccine virus rescue system.

Antigenomic cDNA was synthesized by DNA2.0 (Menlo Park, CA) based on the sequence of live attenuated measles virus Edmonston-Zagreb strain (NCBI DNA accession number F266290). The T7 RNA polymerase promoter sequence was added to the 5’ end of the antigenomic cDNA and the hepatitis delta virus ribozyme and a T7 RNA polymerase terminator sequences were added to the 3’ end of the antigenomic cDNA. Sequence at nucleotides 5502 (Sca I) and 9343 (Mlu I) was modified to facilitate cDNA cloning. The three amino acid residues at positions 3682, 3862 and 10555 (3682K→R, 3862S→N, 10555K→R) that were different from the EZ vaccine strains were corrected by site-directed mutagenesis. The MV antigenomic cDNA was cloned into pUC18 vector and denoted as pEZ (Fig. ). Supporting plasmids encoding measles N, P and L genes were cloned into pCITE plasmids under the control of T7 promoter as previously described and were designed pN, pP and pL respectively [30].

Construction of measles virus vectored antigenomic cDNA.

The ectodomain of RSV F and EBV gp350 ectodomains were inserted into the non-coding region 3' proximal of the N gene or in the junction between the P and M genes of pEZ (Fig. ). Each inserted gene contained measles virus transcriptional unit consisting of the sequences of N gene stop (GE-N) and P gene start (GS-P). To insert the RSV F gene into the promoter proximal location, a pUC-SnaBI/SacII (pUC-S/S) subclone that contained the T7 promoter and MV sequence of 1 to 2044 with a silent mutation at nt 821 to knockout EcoRV enzyme site was generated. A gene cassette containing the ectodomain of RSV-F (aa 1-524) followed by GE-N and GS-P sequence were inserted into EcoRV site at nt 99. The genomic DNA was in multiples of 6 nucleotides (the rule of six). The SnaB I-Sac II fragment was swiped back to pEZ antigenomic cDNA (Fig. ) and the resulting cDNA was denoted as pEZ-RSVsF1.

To insert the RSV F gene and EBV gp350 gene into pEZ between the P and M genes, a pUC-SacII/NarI (pUC-S/N) subclone that contained the MV sequence of 2045 nt to 4924 nt was constructed. A gene cassette containing gene end (GE) of N, gene start (GS) of P and ectodomain of RSV-F (aa 1-524), full length (aa 1 -861) or truncated (aa 1-470) ectodomain of gp350 at SpeI site (nt 3372). The Sac II to Nar I fragment was swiped back to pEZ antigenomic cDNA (Fig. ) and the resulting cDNA was denoted as pEZ-RSVsF3, pEZ-EBVgp350 and pEZ-EBVgp350tr respectively.

Generation of recombinant measles virus and vectored measles viruses.

Rescue of the recombinant viruses from MV antigenomic cDNA was performed as previously described [16, 30, 31]. Briefly, HEp-2 cells were infected with MVA-T7 at a multiplicity of infectivity (moi) of 5 for an hour prior to transfection. A DNA mixture of pEZ (0.8 μg), pN (0.4 μg), pP (0.4 μg) and pL (0.2 μg) were co-transfected into MVA-T7 infected HEp-2 cells using Lipofectamine 2000 (Invitrogen, Carlsbad, CA). The culture medium was replaced with DMEM containing 2% FBS after overnight incubation at 37oC. The transfected cells were incubated for an additional 3 to 4 days and the culture supernatant was used to infect fresh Vero cells to amplify the rescued virus. The rescued viruses were then plaque purified twice in Vero cells. The viruses rescued from pEZ, pEZ-RSVsF1, pEZ-RSVsF3, pEZ-EBVgp350 and pEZ-EBVgp350tr were designated as rEZ, sF1, sF3, gp350 and gp350tr, respectively.

Evaluation of recombinant measles viruses for their replication in cell cultures.

Replication kinetics of rEZ, gp350, gp350tr, sF1 or sF3 viruses was compared in Vero cells. Vero cells in six-well plates were infected with each virus at a MOI of 0.01 in triplicates. After a 1 hour adsorption at room temperature, the cells were washed three times with phosphate-buffered saline (PBS) and incubated with 2 mL of complete DMEM at 35oC with 5% CO2. Aliquots of culture supernatant were collected daily from each well for 7 days and stored at -80oC until virus titration. Viral titers were determined by plaque assay in Vero cells as previously described [32]. Replication kinetic was performed twice in triplicate and each supernatant sample was titered in duplicate.

Western blot.

Vero cells were infected at a MOI of 3.0 with rEZ, gp350, gp350tr, sF1 or sF3 for 18 hours at 37°C. Culture supernatant and cells were harvested separately. The cells were scraped and pelleted for 10 sec at 6,000 rpm in microfuge tubes and lysed in lysis buffer (50mM Tris-HCl, 150 mM NaCl, 1% Triton X-100, 0.5% [vol/vol] protease inhibitor cocktail, pH 8.0) (Sigma, St. Louis, MO) for 10 min on ice. The resulting cell lysates were cleared by centrifugation at 13,000 rpm for 5 min.

Proteins from culture supernatant or cell lysates were separated by electrophoresis and transferred onto a PVDF membrane. Viral proteins were detected with anti-measles nucleoprotein (clone 2D7, Santa Cruz Biotechnology), polyclonal rabbit EBV gp350 [33] or monoclonal antibody against RSV F proteins (palivizumab, MedImmune, Gaithersburg, MD) antibodies. Intensities of the bands were quantified by ImageQuant software (GE Healthcare, Piscataway, NJ). Relative intensity was determined by comparing pixel intensity of the band relative to the rEZ control.

Cotton rat studies.

Specific-pathogen-free 6- to 8-week-old cotton rats were purchased from Harlan (Indianapolis, IN). The animal study protocol was approved by MedImmune’s Institutional Animal Care and Use Committee. Animals were anesthetized with isoflurane by inhalation and vaccinated intramuscularly (i.m.) with 105 PFU of rEZ, gp350tr, gp350, sF1 or sF3 in a 200 μl inoculum volume. The control groups were inoculated intramuscularly (i.m) with PBS, 105 PFU of UV-inactivated sF3, or intransally (i.n) with 106 PFU of RSV A2 strain. The animals were boosted with the same dose of viruses 4 weeks later.

The animals were observed for clinical signs daily and bled at 14-day intervals to measure antibody responses. Twenty-eight days after the second immunization, the cotton rats from measles virus vectored RSV vaccine groups were challenged with 106 PFU of RSV A2 strain i.n. The lungs were harvested on day 4 post-challenge and viral titers were determined by plaque assay.

Rhesus macaque study.

Adult rhesus macaques aged 3-9 year-old were used for the immunogenicity study at Valley Biosystems (West Sacramento, CA). All experimental procedures were approved by the Institutional Animal Use and Care Committee at MedImmune and Valley Biosystems. Measles vaccine immunization history of the rhesus macaques was confirmed by neutralization assay prior to the study. A total of 16 rhesus macaques (8 measles virus seropositive, 8 naïve) were used in the study. Half of the animals (4 measles virus sero-positive, 4 naïve) received two doses of gp350 intramuscularly using 105 PFU/inoculation and the other half received two doses of sF3 at the same dose intramuscularly. The inoculations were performed at 4 week intervals. Blood was drawn from each animal every 14 days to assess immune responses. Animals were anesthetized with ketamine intramuscularly at each procedure. Clinical symptoms were monitored by veterinarians for the duration of the study.

EBV gp350 and RSV F protein-specific ELISA assay.

EBV gp350- or RSV F-specific enzyme-linked immunosorbent assay (ELISA) were performed to determine the levels of gp350 or F protein-specific antibodies. Briefly, 100 ng of purified recombinant soluble EBV gp350 or RSV F protein expressed from mammalian cells was adsorbed onto Immulon 2B plates overnight in PBS at 4°C. The plate was blocked with 5% BSA in PBS. Serial dilutions of animal sera in PBS/1%BSA were added to the plate and incubated for an hour at room temperature. After washing, HRP-conjugated anti-cotton rat IgG (Immunology Consultants Laboratory, Newberg, OR) or anti-rhesus macaques IgG (Rockland Immunochemicals, Boyertown, PA) were added and incubated for 1 hour. Finally, the plate was developed with tetramethylbenzidine peroxidase substrate (KPL, Rockford, IL) and stopped with HCl. Absorbances of the samples were read at 450 nm and the titer for each sample was calculated by determining the dilution at which the absorbance reached 2 times over the reading of no serum control. The lower limits of detection were 3.3 log2 and 6.6 log2 for EBV gp350 ELISA and RSV F ELISA, respectively.

Neutralization assays.

Measles virus specific neutralizing antibodies were determined as described previously [34] in 96-well plates using Vero cells. Neutralizing antibody titer is defined as the highest dilution that inhibits 50% CPE. RSV specific neutralizing antibody was determined by the plaque reduction neutralization assay as described previously [35]. The lower limit of detection was 4.3 log2 and 3.0 log2 for MV microneutralization and RSV plaque reduction assays, respectively. EBV specific neutralizing antibody titer was determined by the method described by Sashihara et al.,[36].

ELISPOT assay.

ELISpot assays were performed with spleens from vaccinated and control cotton rats 14 days after the second dose and peripheral blood mononucleocyte cells (PBMC) of rhesus monkeys 28 days after the second dose. Splenocytes were isolated as previously described [37]. Splenocytes were counted using Vi-Cell (Beckman Coulter, Brea, CA). Gamma interferon (IFN-γ) and Interleukin 4-secreting T cells were quantified in an enzyme-linked immunospot (ELISpot) assay using R&D DuoSet ELISA System for cotton rat IFN-γ and IL-4 antibodies (R&D Systems, Minneapolis, MN) as previously described using 10 μg/mL of EBV gp350 or RSV F proteins for stimulation [38]. Spots were scanned and counted by ImmunoSpot spot Analyzer (Cellular Technology, Cleveland, OH). The numbers of IFN-γ or IL-4 secreting cells were expressed as the number cells per 106 cells.

Statistics.

GraphPad Prism software was used to analyze the data (GraphPad Software Inc., San Diego, CA). All data were expressed as the mean and standard error. The data were also analyzed by Mann-Whitney rank sum test to compare data distribution between any two experimental groups. Titer comparison between viruses in replication kinetic experiment was performed using the Kruskal-Wallis test, assuming non-parametric distribution.

RESULTS

Cloning and Expression of RSV and EBV Antigens from Measles Virus

The reverse genetics system for measles Edmonston-Zagreb (EZ) vaccine virus was established by transfecting

MV antigenomic plasmid pEZ together with pP, pN and pL into MVA-T7 infected HEp-2 cells to recover infectious EZ virus. To generate rEZ expressing RSV F or EBV gp350, the F ectodomain of RSV and EBV gp350 were cloned into the MV antigenomic cDNA (Fig. ). The F was cloned at the two positions of the viral genome: one proximal to the N gene (1st position) and the other between the P and M genes (3rd position). EBV gp350 ectodomain and its N-terminal half of the gp350 (amino acid 1-470, gp350tr) that encoded the receptor binding site to CD21 [39] were also cloned into the EZ genome at the 1st and 3rd positions. Recombinant EZ with RSV F, EBV gp350 and EBV gp350tr inserted at the 1st or 3rd position were generated. However, viruses with gp350 and gp350tr inserted at the 1st position replicated poorly in vitro and were not evaluated further. The rescued recombinant viruses expressing RSV F or EBV gp350 or gp350tr were designed as sF1 (F at the 1st position), sF3 (F at the 3rd position), gp350 and gp350tr (both at the 3rd position), respectively.

To confirm that these recombinant measles viruses expressed the desired antigens, the expression of the inserts in infected Vero cells was examined by Western blotting analysis. In addition to MV N protein that was detected in infected cell lysate (Fig. ), RSV F and EBV gp350 were detected in the culture supernatant of the infected cells (Fig. ), indicating the production of secreted form of RSV F and EBVgp350 proteins from virus infected cells. The observation of lower MV N expression in Vero cells infected with sF1 compared to other viruses may be attributed to the insertion of RSV F proximal to the MV N gene, which moved the MV N gene to the 2nd position of the genome and reduced its mRNA transcript level. The relative expression of RSV F to MV N, however, was shown to be higher for sF1 compared to sF3. This is consistent with the observation that genes proximal to 3’ end of the genome are transcribed more abundantly than those downstream and more RSV F was produced from sF1 than sF3 per virion.

Viral replication efficiency of these recombinant viruses was assessed by growth kinetics in Vero cells. Both recombinant EZ (rEZ) and EZ vaccine viruses grew to a peak titer of 7.9 log10 PFU/mL on day 5 (Fig. ). rEZ with either RSVF (Fig. ) or EBVgp350 (Fig. ) inserts had comparable growth kinetics but slightly lower (between 0.1-0.7 log10 lower) than rEZ. The peak titers between the viruses were not statistically different. sF3 had a faster growth kinetics and reached peak titer on day 3 instead of day 5. Therefore, insertion of RSV F or EBV gp350 into the genome of EZ did not significantly reduce viral growth in vitro.

Evaluation of Antibody Response in Cotton Rats

Cotton rats had previously been demonstrated to be semi-permissive to measles virus infection [40] and are the best available small animal model for MV infection. In addition, cotton rats are susceptible to RSV infection and have been used in the evaluation of RSV vaccines [41, 42] and anti-RSV antibody investigated for prophylactic application [43]. The ability of rEZ vectored vaccines to induce humoral responses to measles virus and RSV F or EBV gp350 protein were assessed in cotton rats. Cotton rats were immunized

with two doses of rEZ viruses intramuscularly at 4 weeks interval. Sera were collected 4 weeks post dose 1 and 2 weeks post dose 2. Measles virus neutralizing antibodies (MV Ab) were induced rapidly after one dose administration, reaching titers of 6.3-8.7 log2. No significant differences in MV Ab titers were observed among the animals receiving sF1, sF3, gp350 or gp350tr compared to rEZ. The 2nd dose increased MV Ab titers by 2-4 folds (Table ). The control animals vaccinated with UV-inactivated sF3 or RSV A2 virus did not have detectable MV Ab titer (data not shown).

RSV-specific antibody responses were measured by RSV F-specific ELISA and microneutralization assay. sF1 or sF3 induced RSV F-specific IgG antibody in the vaccinated cotton rats (about 15.5-15.9 log2 post dose 1 and 22.1-23.7 log2 post dose 2). The RSV F-specific IgG antibody titers were similar between the sF1 and sF3 vaccinated groups. RSV neutralizing antibody titers were also measured against RSV A2 strain. After the first dose, sF1 and sF3 induced RSV neutralizing Ab and titers were boosted to 7.5-log2 and 8.9-log2 after the second dose (Table ). There was no statistical difference in antibody response between sF1 and sF3 vaccinated animals and those intranasally infected with 2 doses of RSV A2 strain (9.4 log2 ± 1.5, data not shown). Animals vaccinated with UV-inactivated sF3 did not have detectable RSV antibody (data not shown), indicating that virus immunogenicity was dependent on live virus infection.

EBV-specific antibody response was measured by EBV gp350-specific ELISA assay. EBV specific ELISA Ab response was detected after one dose administrations of gp350 or gp350tr; after the 2nd dose the titers reached 7.3 and 4.3 log2 for gp350 and gp350tr vaccinated animals, respectively (Table ). Gp350 induced a significantly higher EBV gp350-specific IgG titer than gp350tr. EBV specific neutralizing antibody could not be detected by the EBV neutralization assay.

Evaluation of Cell Mediated Immune Response in Vaccinated Cotton Rats

Cell mediated immune response is important for viral clearance and may play an important role in vaccine mediated protective immune response [44]. RSV F-specific and EBV gp350-specific T cell responses in splenocytes were examined by IFN-γ and IL-4 ELISpot on day 7 post the 2nd dose. The frequencies of RSV F-specific IFN-γ secreting cells were statistically higher in sF3 vaccinated group (average 130 spots/106 splenocytes) compared to sF1 vaccinated (average 9 spots/106 splenocytes) or RSV A2-infected animals (average 45 spots/106 splenocytes) (Fig. ). The RSV F-specific IL-4 secreting cells were low, averaged about 20 spots/106 splenocytes for both sF1 and sF3 groups. Surprisingly, no RSV-specific IL-4 secreting cells detected in RSV A2-infected animals (Fig. ). Thus, sF3 and RSV induced a Th1-biased response based on the higher IFN-γ to IL-4 secreting cell ratio.

The frequencies of EBV gp350-specific IFN-γ and IL-4 secreting cells for gp350 (average 23 spots and 15 spots/106 splenocytes for IFN-γ and IL-4 respectively) and gp350tr vaccinated groups (average 49 spots and 41 spots/106 splenocytes for IFN-γ and IL-4 respectively) were not statistically different, but were statistically higher than the PBS control group for the gp350tr group (Fig. , ).

Protection Against RSV A2 Challenge in sF1 and sF3 Vaccinated Cotton Rats

Animal model is not available for assessing EBV vaccine induced protective immune response. Cotton rat is the best available small animal model to evaluate RSV vaccine induced protection against wt RSV challenge infection. To assess if the immune responses induced from sF1 and sF3 could provide protection against RSV A2 challenge, vaccinated cotton rats were challenged with RSV A2 intranasally and virus titers in the lungs were measured. Similar to RSV infected animals, sF1 or sF3 offered complete protection against RSV A2 challenge with viral titers in the lungs that was at least 4.5 log10 lower than the control animals. In contrast, cotton rats vaccinated with 105 PFU of UV-inactivated sF3 had viral titer similar to the PBS control group, indicating that viral replication is necessary for induction of protective immune response (Fig. ).

Immunogenicity of EZ Vectored Vaccines in Rhesus Macaques

Rhesus macaques are fully permissive to measles virus infection and have been used for evaluation of measles vaccine and measles virus pathogenesis studies [45-47]. The ability of rEZ vectored RSV F and EBV gp350 to induce measles virus specific or F or gp350 specific immune responses was examined in this more permissive animal model. Since sF3 demonstrated better immunogenicity than sF1 in cotton rats, only sF3 was evaluated in measles virus seropositive (MV+) rhesus macaques that had prior measles vaccination and measles virus seronegative (MV-) rhesus macaques. No abnormal clinical signs were observed and serum chemistries were within the normal range in all monkeys throughout the study (data not shown). sF3 or gp350 vaccinated monkeys induced a similar level of MV neutralizing antibody in both MV- and MV+ monkeys. A second dose of vaccination with sF3 or gp350 increased MV neutralizing Ab titers by about 4-fold in all groups (Table ). The Ab titer differences between the groups were not statistically significant.

Antibody responses to the inserted genes, however, were relatively low. sF3 inoculated animals had RSV F-specific IgG titer higher than the pre-vaccination level (titers were under the detection limit). F specific IgG Ab titers were 9.3 log2 and 8.8 log2 in MV+ and MV- groups after dose 1, respectively. After a second dose, three out of 4 animals in MV+ group had more than 4-fold increase in RSV F-specific IgG Ab titer but none of the animals in MV- group had 4-fold increase in Ab response (Fig. ). After two doses of vaccination, RSV neutralizing Ab titers in all groups were very low in both MV+ and MV- groups. Seven out of 8 animals had a detectable level of RSV neutralizing Ab. The RSV Nt Ab titers were not statistically different between the two groups (5.0 log2 for MV+ versus 4.5 log2 for MV- groups) (Table ). Ab responses to EBV gp350 in the gp350 vaccinated monkeys were not detected at all time points. Similar to antibody responses, IFN-γ secreting cells in PBMC to measles viral antigens were significantly higher (~10-fold) than the responses to either RSV F or EBV gp350 (Fig. ) while PBMC, when stimulated with measles viral antigens, RSV F or EBV gp350, did not secrete any IL-4. Thus, compared to the cotton rat studies, rEZ vectored viruses were poorly immunogenic in the primate model.

DISCUSSION

Reverse genetics has been developed for generating recombinant measles virus vectored vaccines encoding foreign antigens based on the Edmonston-Schwarz and AIK-C vaccine strain [15, 48]. The reverse genetic system described in this study was based on the EZ vaccine strain, which is used predominantly outside the US. The EZ strain might be immunogenic in population that has prior measles vaccine immunization [23]. The ectodomains of the RSV F and EBV gp350 glycoproteins instead of full length proteins were engineered to be expressed by EZ to avoid the incorporation of the foreign surface glycoproteins onto the measles virus envelope. The expression of heterologous membrane proteins on measles virus surface may alter the binding of measles to its natural receptors and thus change the tissue tropism of measles virus. We showed that both RSV F and EBV gp350 was expressed efficiently in vitro. However, rEZ vectored vaccines induced insert specific responses in cotton rats but poor responses in rhesus macaques although both cotton rats and rhesus macaques have previously been shown to be permissive to measles virus infection to various degrees [47, 49-51].

One of the important determinants for inducing a robust immune response in vivo is the amount of the expressed antigen level and antigen presentation. We have evaluated the effect of the gene insertion location and antigen expression level because transcription of nonsegmented negative strand RNA viruses is obligatorily sequential [52]. The genes located at proximal to the 3’ promoter are produced more abundantly than the ones distal to the promoter [53]. Indeed, when RSV F was introduced 3’ proximally to the N gene, it produced 10 times more secreted RSV F protein than when inserted between the P and M junction (data not shown). In comparison, insertion of the gp350 of EBV at the 1st position of EZ significantly affected virus replication. Insertion of the EBV gp350 gene between the P and M genes had less effect on virus growth, similar to that shown for Hepatitis B surface antigen (HBsAg) (14). The gene insertion position affected immunogenicity of EZ vectored vaccines in cotton rats. rEZ encoding RSV F ectodomain induced antibody response against measles and RSV F. rEZ-sF3 induced MV specific antibody response comparable to rEZ and RSV specific Ab response comparable to those induced by intranasal RSV infection in cotton rats; it also induced cell mediated response as measured by IFN-γ ELISpot assay. Surprisingly, sF1 was inferior to sF3 in its ability to induce both RSV neutralizing antibody and RSV F-specific IFN-γ secreting T cell responses, suggesting that sF1 may be more attenuated than sF3 in vivo. Immune response is dependent on viral infectivity and the nature of the inserts. rEZ vectored EBV gp350 and gp350tr induced lower gp350 specific IgG Ab response and undetectable neutralizing antibody response in cotton rats.

The cotton rats immunized with MV expressing RSV F were also challenged with wt RSV. After challenge, the number of IFN-γ secreting cells was higher than IL-4 secreting cells, which was consistent with a Th1-biased response (data not shown). RSV enhanced disease has been associated with FI-RSV vaccine [54, 55]. A chimeric parainfluenza virus vectored RSV F [35] did not cause enhanced disease in hamsters and has been proven to be safe in phase I clinical trial in seronegative children [56]. Recently, a report from another group has shown that measles virus vectored RSV F did not cause unusual pathology in cotton rats after RSV challenge, thus, the likelihood of the MV vector F to cause enhanced disease is very low [15].

Since cotton rats are partially permissive to MV, MV vectored vaccine was further evaluated in rhesus macaques. Rhesus macaque is fully permissive to measles virus infection and the infected monkeys develop symptoms similar to those experienced by humans, such as skin rash, fever and conjunctivitis [47]. This monkey model was used in the neurovirulence testing of MV vaccine [57]. In addition, since rhesus macaques could be infected with human measles virus, the breeding colony is commonly vaccinated with MV. This allowed us to examine the effect of prior vaccination on vectored measles and mimic our target populations that either have maternal antibodies or have measles vaccination history. rEZ and rEZ expressing gp350 and sF3 induced a good level of antibody response to measles virus irrespective of their sero-status to MV. The antibody response was slightly lower in magnitude than what were observed in the cotton rats as the dose per kg used in the rhesus was ~ 90 times lower than in cotton rats. The antibody response to the F and gp350 inserts was much lower in rhesus macaques. A previous report showed that two doses of MV-HIV gp140 at 5x106 TCID50 (25 times higher dose than our study) induced a robust Ab response towards HIV gp140 in monkeys [10]. However, three doses of 104 TCID50 (1/15 our dose) of MV vectored HBV surface antigen induced a very low response in monkeys [14]. Thus, the low humoral responses to the vectored inserts in rhesus macaques may be due to a lower dose used in this study.

Measles vaccine virus has been shown to bind signaling lymphocyte activation molecule (SLAM; also known as CD150) on activated immune cells and CD46 [58], which is ubiquitously expressed on human cells. It is thought that virus infects the respiratory tract through SLAM on dendritic cells. In cotton rats, although human CD46 and CD150 homologs have not been reported [59], measles virus could replicate in the lungs of these animals after intranasal infection [40]. We have evaluated different routes of administration (both intranasal and intramuscular) of MV vectored RSV F in cotton rats and found that both inoculation routes offered protection against RSV challenge after immunization (data not shown). Rhesus macaques possess both CD46 and CD150 receptor homologs [60] and are susceptible to measles virus infection and develop diseases similar to humans. The difference in receptors between the two animal species may be able to explain why insertion of the insert into EZ strain have further attenuated viruses and reduced immunogenicity of the virus in rhesus macaques but not in cotton rats.

We also examined replication of EZ vectored RSV F and EBV gp350 in vivo by using real time qRT-PCR since differential in growth kinetics of recombinant measles virus may explain the difference in antibody responses. However, we were not able to detect measles genomes in PBMC isolated from whole blood 24 hours post vaccination. This may be attributed to the low copies of measles virus circulating in the blood or the time point used to measure measles kinetics in vivo was not optimal. In conjunction, we have examined replication of EZ vectors in PBMC of rhesus macaques ex vivo to determine if insertion of the foreign gene affected replication of these viruses in PBMC. PHA-activated PBMC cells were infected with rMV at MOI of 1.0 and growth kinetics were determined for 7 days. The peak titer of the recombinant viruses containing RSV F or EBV gp350 were only 0.5 log10 lower than rEZ (data not shown), indicating the vectored vaccine could infect rhesus cells. We also investigated genetic stability of the insert by serially passaging the recombinant viruses in Vero cells 10 times and did not find the loss of the inserted gene expression as reported previously [61, 62].

Other negative stranded RNA viruses including Newcastle disease virus (NDV), vesicular stomatitis virus, Sendai virus and parainfluenza viruses [35, 63-65] had been evaluated as vectors to deliver foreign antigens and were shown to elicit both humoral and cellular responses in non-human primates and to confer protection to virus challenge in some cases [63, 66-69]. The vectored vaccines were normally delivered to non-human primates by either intranasal or intratracheal inoculation route. We found intranasal and intramuscular vaccination of EZ induced similar antibody response in cotton rats. It is possible that intranasal immunization might be more immunogenic than intramuscular vaccination in monkeys.

Based on our study, MV vector is probably not suitable for delivery of the EBV gp350 antigen. Immunogenicity of adjuvanted gp350 protein vaccine has been demonstrated in young adults [29], adjvanted gp350 might be the right approach for EBV vaccine development. The amount of gp350 delivered by MV is likely not sufficient to induce gp350 specific immune response. The F protein of RSV delivered by MV is more immunogenic than EBV gp350, however, additional evaluation of immunogenicity of MV-RSV F must be conduced before proceeding to testing this vaccine in humans.

Table 1.

Antibody response of cotton rats to rEZ vectored gp350 and RSV F

	MV Neutralizing Ab (Mean log2 ± SD Titer) b , e		EBV-gp350 or RSV-F ELISA Ab (Mean log2 ± SD Titers) c , e		RSV or EBV Neutralizing Ab (Mean log2 ± SD Titer) d , e
Inoculation	Dose 1 a	Dose 2 a	Dose 1	Dose 2	Dose 1	Dose 2
rEZ	8.4 + 0.4	10.1 + 0.9	< 3.3	< 3.3	< 3.3	< 3.3
gp350	8.7 + 0.6	11.0+ 0.7	3.3 + 0.1	7.3 + 0.3	< 3.3	< 3.3
gp350tr	8.2 + 0.2	10.2 + 0.8	3.3 + 0.1	4.3 + 0.1	< 3.3	< 3.3
rEZ	7.1 + 0.4	8.7 + 0.6	< 6.6	< 6.6	< 3.0	< 3.0
sF1	6.7 + 0.5	8.7 + 0.9	15.9 + 2.7	23.7 + 1.2	5.4 + 0.7	7.5 + 1.0
sF3	6.3 + 0.0	8.7 + 1.1	15.5 + 0.9	22.1 + 0.8	4.2 + 1.0	8.9 + 1.1

Serum samples were measured 4 weeks post dose 1 and 2 weeks post dose 2.

Titer is defined as log2 reciprocal dilution of serum that inhibited cytopathic effects in 50% of the wells containing measles infected Vero cells.

Titer is defined as log2 of the highest dilution of serum that gave OD450 reading 2x of the background.

RSV titer is defined as log2 reciprocal dilution of serum that reduced plaques on HEp-2 cells by 50%.

Titer on day 0 for all assays were under the limit of detection.

Table 2.

Antibody Response of Rhesus Macaques to rEZ Vectored gp350 or F

Inoculation	Prior MV Vaccination a	MV Neutralizing Ab (mean log2 ± SD Titer)			RSV or EBV ELISA Ab (Mean log2 ± SD Titer)		RSV or EBV Neutralizing Ab (Mean log2 ± SD Titer) c
		Day 0	Dose 1 b	Dose 2 b	Dose 1	Dose 2	Dose 1	Dose 2
gp350	+	4.3 ± 1.2	5.7 ± 0.5	7.3 ± 0.6	< 3.3	< 3.3	< 3.3	< 3.3
gp350	-	< 3.3	5.4 ± 1.1	7.3 ± 0.1	< 3.3	< 3.3	< 3.3	< 3.3
sF3	+	4.2 ± 0.7	5.2 ± 1.5	7.5 ± 1.2	9.3 ± 1.9	11.8 ± 1.0	3.3 ± 0.5	5.0 ± 0.8
sF3	-	< 3.3	5.9 ± 1.1	7.9 ± 1.1	8.8 ± 1.8	9.5 ± 2.1	3.3 ± 0.5	4.5 ± 1.7

Previously vaccinated with Measles vaccine.

Serum samples were measured 4 weeks post dose 1 and 2 weeks post dose 2.

RSV antibody titer is defined as log2 reciprocal dilution of serum that reduced plaques on HEp-2 cells by 50%; neutralization assay was performed with 10% guinea pig complement.

Titers of prevaccinated animals were under the limit of detection in all the assays.