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Course Contents •An introduction to Vaccinology •Vaccine history and types •Epidemiologic basis of Vaccinology •Role of combination vs. single vaccines •The immune responses to the pathogen & vaccine development •Immunology of Vaccines •Antigen and Vaccine Delivery Strategies •Determinants of Vaccine Availability •Vaccine development strategies: New approaches •Live versus attenuated vaccines •Role of multinational companies in vaccines production •DNA as vaccine •Peptide & Subunits vaccine •Adjuvants in vaccines •Population Genetic analysis: immunity to vaccine •Recombinant vaccine •Animal models of vaccine testing •Vaccine Delivery Systems •Practical issues in relation to trials •Ethical issues related to clinical evaluation of vaccines •Vaccine safety •Review of vaccines in current use •Vaccine-economics •Future of Vaccines/Vaccination Course Contents PART 1 : INTRODUCTION • Definition • History • Types • Combination vs single vaccine Part 2: Principles of Vaccine Design Immunologic Memory: T and B Cells memory • Antigen Processing and Presentation by MHC Class I, II, and Nonclassical Molecules • Understanding the Mucosal Immune System for Better Mucosal Vaccine Design Part 3: ANIMAL MODELS FOR VACCNE TESTING • Utility of Mouse Models in Vaccine Design and Development, • Utility of Nonhuman Primate Models for Vaccines, Part 4: Delivery Systems •Transcutaneous Immunization via Vaccine Patch Delivery System •Needle-free Jet Injection for Vaccine Administration •Oral Vaccines: An Old Need and Some New Possibilities Adjuvants: Part 6: Regulatory Considerations •Regulatory Issues •Role of international companies •Vaccine economics PART 7: Population genetics and vaccines • Ethical issues • Vaccine safety Part 5: Evaluating Vaccine Efficacy • Trials in human and practical issues VACCINE DELIVERY SYSTEMS VACCINE DELIVERY SYSTEMS 1. VIRAL VECTORS BASED 2. NON VIRAL VACCINE DELIVERY SYSTEMS • • • • • • • • MUCOSAL DELIVERY OF VACCINES LIPOSOMAL DELIVERY SYSTEMS VIROSOMES DELIVERY SYSTEMS POLIMERIC NANOPARTICLE DELIVERY SYSTEMS DENDRIMER-BASED DELIVERY SYSTEMS NEEDLE-FREE DELIVERY EDIBLE VACCINES DNA VACCINES: Nanopatch A stamp-size patch similar to an adhesive bandage contains about 20,000 microscopic projections per square inch. When worn on the skin, it will deliver vaccine directly to the skin, which has a higher concentration of immune cells than the muscle tissue does, which is one of the tissues where injections commonly deliver vaccines. 1. Dermal administration by nanopatches thus increases the effectiveness of vaccination, 2. requiring less vaccine than injection. LIPOSOMAL DELIVERY SYSTEMS • Liposomes and their derivatives “lipoplexes” (liposome/DNA complexes) are hollow spherical constructs of phospholipid bilayers capable of entrapping hydrophilic moieties in the aqueous compartment and hydrophobic moieties in the lipid bilayers with cholesterol imparting rigidity to the bilayer. •Viruses, proteins, glycoproteins, nucleic acids, carbohydrates, and lipids can be entrapped and targeted at cellular and subcellular level for evoking immune responses •Diphtheria liposomal vaccine shows good immunogenicity and tolerance in humans VIROSOMES DELIVERY SYSTEMS Virosomes represent vesicular systems into which antigens can be loaded into virosomes or adsorbed onto the virosomal surface through hydrophobic interactions VIROSOMES DELIVERY SYSTEMS • Virosomes are small spherical unilamellar lipid membranes of nucleocapsid including vesicles (150 nm) embedded with viral membrane proteins such as hemagglutin and neuraminidase of influenza virus but devoid the genetic material of the source virus. • Once they have delivered the antigens, the virosomes are completely degraded within the cells DENDRIMER-BASED DELIVERYSYSTEMS •Dendrimers are branched, synthetic polymers with layered Architectures. to bind the DNA and get it into the cell. DENDRIMER-BASED DELIVERYSYSTEMS •Dendrimers, available under the trademark name of “Starburst” serve as nonviral gene transfer agents, enhancing the transfection of DNA by endocytosis and, ultimately, into the cell nucleus. •A novel approach for the treatment of renal cell carcinomas uses a chimeric molecule comprising a granulocyte macrophage colony stimulating factor (GM-CSF) attached to a G250 kidney cancer specific antigen which is transfected in to the cancerous cell by the use of dendrimer POLIMERIC NANOPARTICLE DELIVERY SYSTEMS Polymeric nanoparticles because of their size are preferentially taken up by the mucosa associated lymphoid tissue. They are extensively reviewed for nasal and oral delivery of vaccines EDIBLE VACCINES CONCLUSION • Vaccine drug delivery systems are gaining popularity these days due to the benefits they offer. • As they avoid the need to administer booster doses and provide a long term therapy in small dose. • Needle free technologies, Edible vaccines on the other hand open an attractive avenue for the oral delivery of vaccines. VECTORS IN VACCINE DELIVERY • To transfer the desired gene into a target cell, a carrier is required. Such vehicles of gene delivery are known as vectors. • 2 main classes – Viral vectors – Non viral vectors Cancer Vaccines CD4 T Cell Activated Dendritic Cell TCR Class II MHC Cytokines = HELP TCR Tumor Antigen Class I MHC CD8 T Cell Activated CD8 T Cells Traffic to Tumor and Lysis Cells Burch et al, 2000; Small et al 2000; Fong et al, 1997. Viral Vaccines – Same Idea: But Starting At A Different Step Co-Stimulatory Molecules PSA ProstVac VF LFA-3 ICAM-1 B7-1 Target Antigen Vaccinia Virus Fowlpox Virus Plasmid DNA Packaging Cell Line rV-PSA-TRICOM rF-PSA-TRICOM PSA= prostate-specific antigen. Madan et al, 2009; Sonpavde et al, 2011; Drake, 2010. Vaccine ProstVac VF CD4 T Cell TCR Class II MHC TCR Class I MHC Epithelial Cells CD8 T Cell ACTIVATED CD8 T Cell Madan et al, 2009; Sonpavde et al, 2011. 1. he antigen prostatic acid phosphatase (PAP), which is present in 95% of prostate cancer cells, and 2. an immune signaling factor granulocytemacrophage colony stimulating factor (GM-CSF) that helps the APCs to mature. The only cell-based therapy currently approved for the treatment of prostate cancer. APPLICATIONS Basic research Gene therapy vaccines MOST COMMON VIRAL VECTORS Retroviruses can create double-stranded DNA copies of their RNA genomes. Can integrate into genome. HIV, MuLV, Rous sarcoma virus Adenoviruses dsDNA viruses that cause respiratory, intestinal, and eye infections in humans. Virus for common cold Adeno-associated viruses ssDNA viruses that can insert their genetic material at a specific site on chromosome 19 Herpes simplex viruses dsDNA viruses that infect a neurons. Cold sores virus ADENOVIRUSES As opposed to Lentiviruses, adenoviral DNA does not integrate into the genome and is not replicated during cell division. with adenoviruses, which cause respiratory, gastrointestinal and eye infections, they trigger a rapid immune response with potentially dangerous consequences. To overcome this problem scientists are currently investigating adenovirusesto which humans do not have immunity. 1. their basic biology has been studied extensively 2. the viral genome can accommodate large heterologous transgene insertions, 3. they readily infect quiescent and dividing cells, 4. they can be amplified to high titers and 5. they have previously been shown to be relatively safe for use in humans. ADENO-ASSOCIATED VIRUSES AAV is not currently known to cause disease and consequently the virus causes a very mild immune response. AAV can infect both dividing and non-dividing cells and may incorporate its genome into that of the host cell. These features make AAV a very attractive candidate for creating viral vectors for gene therapy HERPEX SIMPLEX VIRUS VECTOR VIRAL VECTORS 1) RETROVIRUS VECTOR SYSTEM • The recombinant retroviruses have the ability to integrate into the host genome in a stable fashion. • Can carry a DNA of size – less than 3.4kb • Target cell - dividing Retroviruses number of FDA-approved clinical trials such as the SCID-X1 trial. either be replication-competent or replication-defective.. involves the requirement for cells to be actively dividing for transduction. cells such as neurons are very resistant to infection and transduction by retroviruses. There is concern that insertional mutagenesis due to integration into the host genome might lead to cancer or leukemia Retro virus A PRACTICAL EXAMPLE OF RETROVIRAL VECTOR LNGFR AG GP2-293 VIRAL VECTOR xlox(NGFR)TERT GP2xTERT11 PRODUCER CELL LINE Staining with anti-NGFR ab beads N ENVELOPE CONSTRUCT PACKAGED TERT RECOMBINANT VECTOR S PRIMARY T CELLS