ItCMWNCLASSIFICATION Or~f FHSAGE- Form Approved REPORT DOCUMENTATION PAGE OMfBNo.0704-0188 q I&. REPORT SECURITY CLASSIFICATION lb. RESTRICTIVE MARKINGS Ia. SECURITY CLASSIFICATICIN Al 1TU(.DITV OF rnA crnr ýn2been cpp':o wed D A 28 62 2 I for public release a~nd mlI.-; its *4II.l 5. MONITORING ORGANIZATION REPORT NUMBER(S) L.NAME OF PERFORMING ORGANIZATION 6b. OFFICE SYMBOL 7a. NAME OF MONITOR G ORGAtZFJ LTIt (if applicable) DIVISICII OF BIO(IIEMMMTR r iG)1 _____r__T kADDRESS 7CWy 'State,a nd ZIP Code) 7b. ADDRESS (City, Stat 2 WALTER RM AMtY iDETrftl OF RESEARCH O 94 WASMIGMNtI DC 20307-5100 j 8&. NAME OF UFTUi~~NDf)iIIkNAG~ f/LSPO NISAOIR(1IN G 8ab. (Of FaFpICpEl icSaYbMleB)OL 9. PROCUREMENT INSTRIMENT IDE NTIFIffIO-N NUMBER - S.ADDRESS Ofty State, and ZIP Code) 10. SOURCE OF FUNDING NUMBERS R)WI EIRIO. F~RIMU(, PI) 21701 PROGRAM IPROJECT I TASK I WORK UNIT NUE M Awff n rrnnm oF Resmam ELEMENT NO. NO. NO. CCSSION NO. I1I ITLE"xm Secuity alassflcation) MYOTO=I T LYMPHOCYTIES INDUCED BY LIPOSOMAL ANTIGENS: ?AECHANISMS OF IMMUNOLOGICAL PRESENTATION 12. PERSONAL AUIThOR(S) CAR P ALVING =W NABILA M. WASSEF 1O3. TRYEE ORTi13b. TIME COVERED 114. DATE OF REPORT (Year~,A onth, Day) 1S . PAGE COUNT I YEEOOT FROM __ _TO It. SUPPLEMENTARY NOTATION DTI,~ QUA~jm U,0ECTED 8 17.- COSATI CODES 18. SUSJECT TERMS (Continue on reverse INn ecesstary and Identify by block numnber) I FIELD GROUP SUBI-R OUP U~LPOSOMES, ANTIGEN PRESENTATION, CYTOTOWi T LYMPHOCYTE 19 ABSTRACT """I known that llposornes: can deliver encapsulated substances, including drugs and antigens, to lyaosomnes in macriophagms Bemause of this it has been amourned that although Ilposomnes might be useful for Induction of he- moral (class 11) Immunitky, they would not be capable of cytoplasmic deivery of antigen for introduction into the class I pathway laing4111 to Induction of cytotozic T lymphocye (CTA). However, experiments conducted by mnuerous laboratories, Including our own, have demnonstrated the ability to Induce CFts either in vitro with cultured Oall Incubated with Uposomn11e-assodated anfgen,1 or lin vle after Immunhzation of mice or anon- keys with Ilposomes contaiining associated antigen. Using a mnonodlonal antibody that recognizes repeating se- queuIeI. of totrapeptide epitopes derived from the circurnsporozolte protein of Plasawdiwn falciparumI, it has been shown by hw=1unogold14 electron microcopy thait lipsomal antigenic epitopes can actually spin fromn en- dosomes Into the cytloplasm of cultured macrophages On the basis of this observateion, a theoreticial intiracell.- far Pathway Is proposed whereby Oposoma antigen is processed by niacrophages through a cytoplasraic procI'm -that results In delivery of antigenic epitopes to the Golgi apparatus and the endoplasmic reticulum. The IPOsomal antigenric epitopes Would then havre the opportunity to associate with class I MEIC molecules and' underg vesicular transport to the surface Of the cells for presentation and Induction of CTIs.A 20. DISTRIBUTION IAVAILABILITY OF ABSTRACT 21. ABSTRACT SECURITY CLASSIFICATION WUNCLASSIFIEDAJNUIMITED 03 SAME AS RPT. 01 DTIC USERS T 22a. UAME OF RESPONSIBLE INDIVIDUAL E22:b. T!ELEPHO0NE (Include Area Code) I22c. OFFICE SYMBOL DD Formi 1473, JUN 86 Previouse ditionsa re obsolete. SECURITY CLASSIFICATION OF THIS PAGE C AIS RESEARCH AND HUMAN RETROVIRUSES Vobme 10, Supplement 2, 194 Mary Am Usbew laný Puirtsen Novel Vaccines and Adjuvants: Mechanisms of Action MW Cytotoxic T Lymphocytes Induced by Liposomal Antigens: Mechanisms of Immunological Presentation CARL R. ALVING and NABILA M. WASSEF ABSTRACT It Is known that Ilposomes can deliver encapsulated substances, including drugs and antigens, to lysosomes in nmacrophaps. Because of this it has been assumed that although liposomes might be useful for induction of hu- moral (class H) immunity, they would not be capable of cytoplasmic delivery of antigen for introduction into the dlas I pathway boding to induction of cytotonc T lymphocytes (CTLs). However, experiments conducted by numerous laboratories, Including our own, have demonstrated the ability to Induce CTLs either ws viro with cultured cells Incubated with liposome-associated antigen, or i vivo after Immunization of mice or mon- keys with liposomes containing associated antigen. Using a monoclonal antibody that recognizes repeating se- quences of tetrapeptide epitopes derived from the circumsporozolte protein of Pksmod&umfbalcarwn; it has been shown by Immunogold electron microscopy that liposomal antigenic epitopes can actually spill from en- dosomes Into the cytoplasm of cultured macrophages. On the basis of this observation, a theoretical Intracellu- Jar pathway Is proposed whereby lposomal antigen is processed by macrophages through a cytoplasmic proces that results in delivery of antigenk epitopes to the Golgi apparatus and the endoplasmic reticulum. The lposomai antigenic epitopes would then have the opportunity to associate with class I MHC molecules and under vesicular transport to the surface of the cells for presentation and Induction of CTLs. INTRODUCTION promote effective humoral and cellular immune responses in many vaccines. Liposomes have been proposed as vehicles for Ndent tShatCh for useful mimodaedrnjusv ants it has become sv vaccines against parasitic and viral illnesses. Experimental vac- and that rtihme munosmulating mechanisms of ten cines against malaria, HIV, hepatitis A, and influenza virus and adjuvant formulations frequently are compleX and are otn have been shown to be safe and highly immunogenic in several poorly understood. Among many mechanisms that have been human trialshi-3u identified for different immunostimulating substances are the following: depot effect for slow release of antigen, binding or adsorption of antigen, targeting of antigen to antigen-presenting INDUCTION OF CYTOTOXIC T cells (APCs), reconstitution of antigen and presentation of T LYMPHOCYTES and B epitopes, recruitment of immune cells, activation of com- plement, induction of cytokine production, and modulation of Humoral and cellular pathways are both major elements in MHC class I or class II expression.'- 3 the generation of immune responses. Induction of cytotoxic T Liposome research has been a major beneficiary of a resur- lymphocytes (CTLs) has been proposed as a useful strategy for gence of interest in vaccine adjuvants (reviewed in Refs. I and developing vaccines against intracellular antigens, such as vi- 4-7). Although liposones were originally developed as models ril, parasitic, or tumor antigens.'4 Exogenous antigens, such as of efferent mechanbism exhibited by the immune response, it synthetic soluble peptides or proteins, or for that matter any ex- lhs now become evident that antigens that are presented or re- tracellular antigen, usually must enter the cytoplasm of an APC constituted in liposomes can provide desirable properties that in order to participate in the processing pathway leading to pre- Depuonent of Membuime Biodhemieay, Walter Reed Army Institute of Research, Washington, D.C. 20307-5100. 33 23 50 V4j1 $91 S92 ALVING AND WASSEF sentation with MHC class I molecules to induce CD8+ CTLs. cluded both in vitro studies.20-26 and in vivo studieS27-36 with This principle was illustrated by a well-known study in which many different antigens (Table 1). purified antigen was directly introduced into the cytoplasm of Cytoplasmic delivery of antigen can be facilitated in cultured cells by osmotic lysis of pinosomes.15 Studies have also indi- cells by so-called "pH-sensitive" or "acid-sensitive" lipo- cate that macrophages can serve as APCs for generation of somes.25.26.37 Although "acid-insensitive" liposomes were ini- CTrs.1 Regardless of the cell type involved, the likely intracel- tially thought to be excluded from the cytoplasm of lular pathway by which cytoplasmic antigen normally gains ac- macrophages,25.26.37 subsequent research demonstrated that cy- cess to class I MHC molecules for presentation involves partial toplasmic delivery and class I presentation also occurred with degradation of antigen by "proteasomes,"17 delivery of im- "acid-insensitive" liposomes.24 Numerous in vivo studies have munogenic peptides to the endoplasmic reticulum via a "pep- shown that "acid-insensitive" liposomes can readily induce tide transporter" mechanism, complexing of the peptide with CTLs.27-36 Cytotoxic T lymphocyte induction was also facili- MHC class I molecules, transport of the complex to the Golgi, tated by utilizing liposomes containing a fusion protein in order and subsequent vesicular transport to the surface of the cell for to introduce liposomal antigen directly into cells.35 In an in vivo presentation to T cells. 1819 murine model. CTLs were even generated by encapsulation of an extremely small (I15-amino acid) unconjugated peptide in Ii- MECHANISMS OF CYTOTOXIC T posomes containing lipid A.38 LYMPHOCYTE INDUCTION BY LMPOSOMIES The ability of liposomes to deliver antigens to macrophages as antigen-presenting cells has been presumed to be the under- Numerous reports have now described class I presentation lying mechanism that results in potent humoral immune re- and induction of CTLs by liposomal antigens. These have in- sponses to the liposomes.4*6 The immune response can also be TABLE 1. INmicnoN oiF Cyororoxic T LymnslocYiw~ By LIPOSmE-ENcAPmuLATED ANTIEN Antigen Liposome composition Ref In vitro studies MHC antigens (H-2 in mice) Egg PCICHOL (70:30, wlw) Hale2O MHC antigens (H-2 in mice) Egg PCICHOL (70:30, w/w) Hale and McGee21 Human colon tumor antigens PCICHOLJPA (7:2: 1) Raphael and Tom22,23 (LS 174T colon tumor cells) Ovalbumin DOPC/DOPS (4: 1) and DOPE-PHC (4: 1) Harding et al.24 Murine hemoglobin Bovine ribonuclease Hen egg lysozyme Ovalbumin DOPEIDOSO (1: 1) and DOPC/PSICHOL (5:2:3) Reddy et al.25 Ovalbumin DOPFADOSG (1: 1) and DOPCIPS/CHOL (5:2:3) Zhou et al.26 In vivo studies Hemagglutinin, neuraminidase MDP, and MDPICHOL 01:1, w/w) Nerome et al.27 Ovalbumin, Jý-galactosidase DOPEIDOSG (1: 1) and DOPC/PS/CHOL (5:2:3) Reddy et al.28 Ovalbumnin DOPE/DOSG,DOPE/DPSG, Collins et al.29 DOPE#CHEMS, DOPC/DOPS, (all 4: 1). ± 50 ttg of lipid A DPPC/DPPG/CHOL (9:1:8) ± 50 g±g of lipid A Ovalbumin PC/lysoPC/CHOL (6.9:0.1:3, neutral), Lopes and Chain30 PCI1ysoPC/SA/CHOL (6.9:0.1:1:2, positive), PC/lysoPCIDCPICHOL (6.9:0.1:1:2, negative) Multiple antigen peptide system (MAPS) Egg PCACHOLJSA (7.5:1:0.25, w/w) Defoort et al.3' fromi SpI 20 of HIV- I (B2M-P3C) Glycopxutein B from HSV Cationic lipids (diolcoyloxypropyl-trimethyl- Walker et al.32 ammonium methyl sulfate, DOTAP) Ovalbumfin Commercially available DOTAP Chen et al.33 Rogeales P-kasmodiumfalciparonC S DMPC/DMPCIICHOLAlipid A White et al.34 (0.9:0.1:0.75:0.026) SIV Gag pratein-derived peptide (p1 IC) PS/CHOL (9: 1) envelope glycoproteins and Miller et al.35 lipids of Sendi virus SlY Gag pritein-derived peptide DMPCIDMPG/CHOL~lipid A Yasutomi et al.36 (M90-07A) (0.9:0.1:0.75:0.1) CHEMS, Cholesterol hemisuccinate; CHOI, cholesterol; CS, circumspomozoite; DCP, dicetyl phosphate; DMPC, dimyristoyl phophfidlcolne; DMPG. dimyrnstoyl phosphatidylglycerol; DOPC. dioleoyl pbosphatidylcholine; DOPE, dioleoyl phos- pbauldylethanobamine; DOPS, diolcoyl pliosphatidylserine; DOSO, 1,2-dioleoyl-sn-3-succinylglycerol; DPPC, dipalmitoyl phos- phaldylcholine; DPPG, dipalmitoyl phosphatidylglycerol; DPSG, dipalmitoyl succinylglycerol; IysoPC. lysophosphatidyicholine; MNW, muranyl dipepfide; MHC, major histocompatibility antigen gene complex; PA, phosphatidic acid; PC, phosphatidyicholine; PHIC, puimiuoyl homocysteine; PS, phosphazidylserine; SA, stearylanune. 4 INDUCTION OF CTLa BY LIPOSOMES S93 enhanced by the presence of lipid A, the endotoxic moiety of bacterial lipopolysaccharide, as a simultaneous constituent that serves as an adjuvant in the liposomes.39 In accordance with this, we have demonstrated that liposomal lipid A can serve as a stimulant for increased specific presentation of phagocytosed ,ROTM I o " liposomal antigen by macrophages.40 Proposedi ntracellularp rocessingp athwayf or ( induction of cytotoxic T lymphocyte by liposomes UI R0 The same liposomes that were used for presentation studies =&A-. PeW' R in macrophages have also been employed for induction of lp:eC*Oes POPP4 CrLs with an encapsulated antigen containing a CTL epitope.34 "rr w The ability of antigen contained within liposomes to enter the MOP .. (cid:127) ,.e, l cytoplasmic class I pathway for induction of CTLs was antici- 0 O pated by an immunogold electron microscopy study that ANFIG NIIGCELL C ItFb9 demonstrated that liposomal antigen was disgorged in large amounts into the cytoplasm of macrophages (Fig. 1).41 On the FIG. 2. Schematic representation of proposed presentation of basis of this we propose that liposomes, or lipid-peptide com- liposomal antigen in MHC class I pathway. plexes, that escape into the cytoplasm of macrophages can gain access to class I MHC molecules in the Golgi apparatus (Fig. 2). Investigations performed in the laboratories of Pagano42-- and Ohnishi45 have suggested that liposomes in the cytoplasm can gain direct access to the Golgi apparatus through an ATP- Fig. 2, is amenable to experimental testing. In pursuing this, ex- dependent fusion phenomenon that is mediated by a Golgi-as- periments are currently underway, using fluorescent-labeled li- sociated protein that recognizes the liposomal lipids. We pro- posomes and antigen, to determine whether liposomal antigenic pose that the liposomes containing antigen, or partially epitopes that escape from low-pH vacuoles into the cytoplasm degraded lipid peptide complexes, enter the cytoplasm of of macrophages are actually directly delivered to the Golgi ap- macrophages (Fig. 2). The complexes are then either taken up paratus or to the endoplasmic reticulum. If this mechanism directly by the Golgi via the ATP-dependent fusion phenome- proves to be widely applicable to different antigens it could non described by Pagano and Ohnishi, or alternatively liposo- provide a broad theoretical basis for utilization of liposomes as mal peptide in the cytoplasm is transported to the endoplasmic carriers of antigens for induction of CTLs. reticulum by the cytoplasmic peptide transporter (Fig. 2). The liposomal peptide would thereby gain access to the classic in- tracellular pathway for class I presentation of cytoplasmic REFERENE antigen. The cell biology mechanism that we propose, as shown in 1. Alving CR: Immunologic aspects of liposomes: Presentation and processing of liposomal protein and phospholipid antigens. Biochim Biophys Acta 1992;1 113:307-322. 2. Alving CR, Glass M, and Detrick B: Summary: Adjuvants/clinical working group. AIDS Res Hum Retroviruses 1992;8:1427-1430. 3. Alving CR, Detrick B. 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Findlay K. and Harding CV: Processing of exogenous Depatmelnt ofMmrn Bohmsr i~uotmtgpnvsw in vivo generates class I MHC-re- Wafter ReedArmty Instftute of Research swkctd T cell responses. J Immunol 1992;148:3336-3341. Washington, D.C. 20307-5100)