Towards designing an improved hCG vaccine


 

Principal Investigator :    Om Singh

Co-investigators
Rahul Pal
Lalit C Garg

Project Associates/Assistants
Vidita Choudhry (till Sep 2001)
Sarita Ahlawat
Nidhi Dogra
Saifuddin
Nimisha Suman (since Aug 2001)

Potentiation of the immune response by synthetic carriers and adjuvants is the theme of research.

Immunization with a vaccine eliciting antibodies against human chorionic gonadotropin (hCG) can prevent pregnancy in women without any notable side-effects. HCG is considered essential for the establishment of early pregnancy, and is also a potential target for tumor immunotherapy. While all immunized women respond by making anti-hCG antibodies, protective levels were however, not attained in some individuals. Ongoing research efforts are focussed on the new strategies such as use of Th-cell peptides as alternate carriers and inclusion of additional adjuvant with an aim to design a vaccine formulation that can elicit and maintain effective levels of antibody response in most recipients.

The adjuvanticity of the compound SBAS2 was previously evaluated in mice of different haplotypes. Subsequently, it was found that the batch of Balb/c mice used was contaminated. The experiment was therefore repeated in this strain. Groups of 10 mice each were given three injections at an interval of four weeks. Conjugate vaccine, bhCG linked chemically with promiscuous helper T-cell peptides, was adsorbed on alum or mixed with a novel adjuvant SBAS2. Animals were bled at intervals and individual sera analyzed for hCG binding capacity and for determination of IgG subclass distribution of anti-hCG antibodies. Results of the present experiment confirmed our earlier observation that inclusion of SBAS2 enhances the anti-hCG response significantly compared to that obtained with alum adsorbed immunogen. Anti-hCG antibody response in the group immunized with alum based formulation was predominantly of IgG1 subclass, with a peak titer of 522±85 (mean±SE) antibody units (AU). The IgG2 subclass showed considerably lower mean levels (IgG2a, < 2; IgG2b, 12±2 AU). Immunization with SBAS2 significantly enhanced the antibody response; hCG-specific IgG1 levels were 2087±178 AU, IgG2a 1082±196 AU and IgG2b 258±55 AU. Antibodies were of high affinity for hCG (Ka»10 M-1) and neutralized the hormonal bioactivity as function of the antibody titers.

Having demonstrated consistently higher adjuvanticity of SBAS2 in inbred mice, potential of the compound was evaluated in an out-bred strain. Groups of 10 female CD4 mice each received the peptide-conjugates adsorbed on alum or mixed with SBAS2. All the animals in the group immunized with SBAS2 responded with elevated anti-hCG antibody responses; mean titers were significantly higher than responses observed in the alum group. The results indicate that SBSA2 potentiate the antibody response not only in inbred animals but outbred population as well.

We have earlier demonstrated the enhanced immunogenicity of Th peptide based formulation in only inbred strains of mice. The study was extended in out bred rats in order to confirm the beneficial effects of the peptide based formulation. Wistar rats in a group of 8 animals each were immunized by giving three injections of alum adsorbed bhCG, bhCG conjugates with diverse Th peptides or bhCG-DT conjugate. Animals were bled at regular intervals and anti-hCG antibody titers determined in individual sera. bhCG being ‘foreign’, rats do respond by producing anti-hCG antibodies, albeit of low order, when it is injected after adsorption on alum. If, however, the molecule is linked to Th peptides, anti-hCG response increases several-fold, clearly demonstrating the potential of Th peptide as carrier for bhCG, employing only alum as an adjuvant. Anti-hCG antibody titers generated in animals immunized with Th peptide were significantly higher at all time points than those achieved in the group immunized with protein carrier. Antibodies have high affinity (Ka »1010 M-1) for binding with hCG, and have better hCG neutralization index (neutralization capacity/binding capacity) than that observed with antibodies generated in DT conjugated group. No anti-peptide antibodies were detected in animals immunised with the peptide-based formulations, confirming the non-B status of the peptides under the protocol employed.

Our studies demonstrate that anti-hCG antibody response is of low order even in mice and rats, where bhCG is a ‘foreign’ molecule. The responses increase several-fold by carrier conjugation and inclusion of permissible adjuvants. Our well-documented data obtained from series of clinical studies have clearly established that improvement observed in animals is valid for humans as well.

Follow up of immunized women was continued to establish the long-term safety of the hCG vaccine. Seventy women have completed more than nine years after immunization. There is no indication of any residual effects of vaccination. All biochemical and hematological parameters are within normal ranges. Menstrual and bleeding pattern is comparable to age matched controls, indicating the lack of any long-term harmful consequences attributable to LH cross-reactive antibodies.

Publications

Original peer-reviewed articles

1.   *Gupta A, Pal R, Ahlawat S, Bhatia P and Om Singh (2001) Enhanced immunogenicity of a contraceptive vaccine using diverse synthetic carriers. Vaccine 19:3384-3389 (*in press last year, since published).

2.   *Pal R and Om Singh (2001) Absence of corpus luteum rescue by chorionic gonadotropin in women immunized with a contraceptive vaccine. Fertil Steril 76:332-336 (*in press last year, since published).

3.   *Gupta A, Chandrasekhar S, Pal R, Ahlawat S and Om Singh (2001) High expression of human chorionic gonadotropin b-subunit using a synthetic vaccinia virus promoter. J Mol Endocrinol 26:281-287 (*in press last year, since published).

4.   *Raghuvanshi RS, Om Singh and Panda AK (2001) Formulation and characterization of immunoreactive TT biodegradable polymer particles. Drug Delivery 8:99-106 (*in press last year, since published).

Patent

1.     Panda AK, Pal, R, Venkatesan N and Om Singh (2001) A process for improving the immunogenicity of a weak antigen. Indian patent application No.794/Del/2001, filed in Jul 2001.