LEAPS therapeutic vaccines as antigen specific suppressors of inflammation in infectious and autoimmune diseases.

Daniel H Zimmerman, Harold Steiner, Roy Carmabula, Eyal Talor, Ken S Rosenthal
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Abstract

The L.E.A.P.S.(™) (Ligand Epitope Antigen Presentation System) technology platform has been used to develop immunoprotective and immunomodulating small peptide vaccines for infectious and autoimmune diseases. Several products are currently in various stages of development, at the pre-clinical stage (in animal challenge efficacy studies). Vaccine peptides can elicit protection of animals from lethal viral (herpes simplex virus [HSV-1] and influenza A) infection or can block the progression of autoimmune diseases (e.g. rheumatoid arthritis as in the collagen induced arthritis (CIA] or experimental autoimmune myocarditis (EAM) models). L.E.A.P.S. technology is a novel T-cell immunization technology that enables the design and synthesis of non-recombinant, proprietary peptide immunogens. Combination of a small peptide that activates the immune system with another small peptide from a disease-related protein, thus a conjugate containing both an Immune Cell Binding Ligand (ICBL) and a disease specific epitope, which allows the L.E.A.P.S. vaccines to activate precursors to differentiate and become more mature cells that can initiate and direct appropriate T cell responses. As such, readily synthesized, defined immunogens can be prepared to different diseases and are likely to elicit protection or therapy as applicable in humans as they are in mice. L.E.A.P.S. vaccines have promise for the treatment of rheumatoid arthritis and other inflammatory diseases and for infections, such as influenza and HSV1. The protective responses are characterized as Th1 immune and immunomodulatory responses with increased IL-12p70 and IFN-γ (Th1 cytokines) but reduced inflammatory cytokines TNF-α, IL-1 and IL-17 (Th2 and Th17 cytokines) and concomitant changes in antibody subtypes. LEAPS immunogens have been used directly in vivo or as ex vivo activators of DC which are then administered to the host.

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LEAPS 治疗疫苗作为抗原特异性炎症抑制剂,可用于治疗传染病和自身免疫性疾病。
L.E.A.P.S.(™)(配体表位抗原呈递系统)技术平台已被用于开发针对传染性和自身免疫性疾病的免疫保护和免疫调节小肽疫苗。目前有几种产品正处于不同的开发阶段,处于临床前阶段(动物挑战疗效研究)。疫苗肽可保护动物免受致命病毒(单纯疱疹病毒 [HSV-1] 和甲型流感)感染,或阻断自身免疫性疾病(如类风湿性关节炎,如胶原诱导性关节炎 (CIA) 或实验性自身免疫性心肌炎 (EAM) 模型)的发展。L.E.A.P.S.技术是一种新型T细胞免疫技术,能够设计和合成非重组的专有多肽免疫原。L.E.A.P.S. 疫苗将能激活免疫系统的小肽与来自疾病相关蛋白质的另一小肽结合在一起,从而形成一种同时含有免疫细胞结合配体(ICBL)和疾病特异性表位的共轭物,使 L.E.A.P.S. 疫苗能激活前体分化,成为更成熟的细胞,从而启动并引导适当的 T 细胞反应。因此,可以针对不同的疾病制备易于合成和定义的免疫原,并有可能像在小鼠身上一样在人类身上产生保护或治疗作用。L.E.A.P.S.疫苗有望用于治疗类风湿性关节炎和其他炎症性疾病以及流感和 HSV1 等感染。保护性反应的特点是 Th1 免疫和免疫调节反应,IL-12p70 和 IFN-γ(Th1 细胞因子)增加,而炎症细胞因子 TNF-α、IL-1 和 IL-17(Th2 和 Th17 细胞因子)减少,同时抗体亚型发生变化。LEAPS 免疫原已被直接用于体内或作为体内外直流电激活剂,然后再施用到宿主体内。
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