J Virol, February 1998, p. 1497-1503, Vol. 72, No. 2
0022-538X/98/$04.00+0
Copyright © 1998, American Society for Microbiology. All rights reserved.
Increased Immune Response Elicited by DNA
Vaccination with a Synthetic gp120 Sequence with Optimized Codon
Usage
Stefanie
André,1
Brian
Seed,2
Josef
Eberle,1
Winfried
Schraut,3
Andreas
Bültmann,1 and
Jürgen
Haas1,*
Max-von-Pettenkofer Institut, Genzentrum,
Universität München, 81377 Munich,1
and
Institut für Immunologie, Universität
München, 80336 Munich,3 Germany, and
Department of Molecular Biology, Massachusetts General
Hospital, Harvard Medical School, Boston, Massachusetts
021142
Received 22 July 1997/Accepted 30 October 1997
 |
ABSTRACT |
DNA vaccination elicits humoral and cellular immune responses and
has been shown to confer protection against several viral, bacterial,
and parasitic pathogens. Here we report that optimized codon usage of
an injected DNA sequence considerably increases both humoral and
cellular immune responses. We recently generated a synthetic human
immunodeficiency virus type 1 gp120 sequence in which most wild-type
codons were replaced with codons from highly expressed human genes
(syngp120). In vitro expression of syngp120 is considerably increased
in comparison to that of the respective wild-type sequence. In BALB/c
mice, DNA immunization with syngp120 resulted in significantly
increased antibody titers and cytotoxic T-lymphocyte reactivity,
suggesting a direct correlation between expression levels and the
immune response. Moreover, syngp120 is characterized by
rev-independent expression and a low risk of recombination
with viral sequences. Thus, synthetic genes with optimized codon usage
represent a novel strategy to increase the efficacy and safety of DNA
vaccination.
 |
INTRODUCTION |
It has been shown that "naked"
DNA administered to animals is taken up by cells and expressed
(21, 30, 66). Inoculated plasmid DNAs expressing foreign
genes induce humoral and cellular immune responses and thus can be used
for vaccination (46, 58, 67). In animal models, DNA
vaccination has been shown to induce protective immunity against a
variety of viral, bacterial, and parasitic pathogens. Inoculation of
plasmid DNAs conferred protection against challenges with influenza
virus (46, 61), rabies virus (68), herpes simplex
virus (37), papillomavirus (16), lymphocytic choriomeningitis virus (72), and flavivirus (44)
but also against tuberculosis (28, 59), leishmaniasis
(69), and malaria (17, 54). Plasmid DNAs
expressing genes derived from simian immunodeficiency virus or human
immunodeficiency virus (HIV) were recently shown to induce humoral and
cellular immune responses in rodents (64, 65), in nonhuman
primates (6, 12, 34, 42, 71), and in phase I and II studies
with humans (unpublished data). Although these constructs were able to
induce an immune response, both circulating antibody titers and HIV
type 1 (HIV-1)-specific cytotoxic T-lymphocyte (CTL) levels were
transient and low. As there are several lines of evidence for a
correlation among protection, clinical course, and immune responses
from previous studies on mother-to-infant transmission of HIV (24,
48, 49), repeatedly HIV-exposed but uninfected individuals from
high-risk groups (50), human long-term survivors (8,
43), and vaccination trials with nonhuman primates (7,
26), we sought to increase the efficacy of DNA vaccines
expressing HIV genes. We generated a synthetic gp120 sequence in which
codon usage was optimized for expression in human cells (syngp120)
(25). In this study, the syngp120 sequence induced a
considerably higher immune response than did the respective wild-type
sequence, suggesting that the efficacy of DNA vaccines can be
significantly improved by optimization of translational signals.
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MATERIALS AND METHODS |
Plasmid constructs.
The syngp120 sequence was previously
generated by use of eight long synthetic oligonucleotides, which were
amplified by a PCR with overlapping primers with unique restriction
sites; the oligonucleotides were subsequently subcloned into a
pCdm7-derived plasmid with a suitable polylinker 3' to the CD5 signal
peptide sequence (25). A wild-type gp120 sequence from
either HIV-1 LAI (gp120LAI) or HIV-1 MN (gp120MN) were similarly
expressed in pCdm7 under control of the human cytomegalovirus
immediate-early promoter (55). In some experiments,
wild-type gp120 sequences in which the endogenous signal sequence was
replaced with the CD5 signal sequence were used (see Fig. 4 and
5) (25). There was no difference in antibody induction
between constructs with the endogenous signal sequence and the CD5
signal sequence. syngp120v3LAI, used for immunization of mice tested in
CTL assays, was generated by subcloning of a 111-mer oligonucleotide
adapter into the MluI and XbaI restriction sites
of syngp120. gp120MNrre, gp120LAIrre, syngp120rre, and syngp120v3LAIrre
were generated by inserting a 0.24-kb fragment containing the HIV-1
rev-responsive element (RRE) into the NotI
restriction site of the respective plasmids. pCMV-rev was
kindly provided by the National Institutes of Health AIDS repository.
Cell lines.
293T (adenovirus-transformed human kidney
cells), HeLa (human cervical carcinoma cells), NIH 3T3 (murine
fibroblasts), and COS-7 (African green monkey kidney cells) were
maintained in Dulbecco's modified Eagle medium (Life Technologies,
Paisley, Scotland) supplemented with 10% heat-inactivated fetal calf
serum (FCS), 100 IU of penicillin per ml, 100 µg of streptomycin per
ml, and 2 mM L-glutamine. P815 (murine mastocytoma cells)
and B7, a P815-derived cell line expressing the costimulatory molecule
B7, were maintained in RPMI medium supplemented with 5% FCS, 100 IU of
penicillin per ml, 100 µg of streptomycin per ml, and 0.05 mM
2-mercaptoethanol.
Immunoprecipitation.
Cells were transfected by calcium
phosphate coprecipitation with 10 µg of plasmid DNA per 6-cm tissue
culture dish according to standard protocols (51). In brief,
precipitated DNA was incubated with cells at approximately 70%
confluence for 8 to 12 h. After 100 µM chloroquine was added for
an additional 4 h, the culture medium was exchanged. At 3 days
posttransfection, cells were metabolically labelled with 200 µCi of
[35S]Cys/Met per dish. Supernatants were
immunoprecipitated with human antiserum 95-1 from an HIV-infected
patient and analyzed by reducing sodium dodecyl sulfate (SDS)-7%
polyacrylamide gel electrophoresis (PAGE).
Nucleic acid immunization.
BALB/c mice (Jackson
Laboratories) were immunized with 50 µg of plasmid DNA (in 50 µl of
phosphate-buffered saline [PBS]) in both anterior tibial muscles that
had been pretreated with cardiotoxin (50 µl of a 10 µM cardiotoxin
solution) from Naja nigricollis (Latoxan, Rosans, France) as
reported previously (52). Sera were drawn from the tail vein
after various intervals.
Cytotoxicity assay.
CTLs were prepared from spleen cells of
sacrified mice by culturing in alpha minimal essential medium (Life
Technologies) supplemented with 10 mM HEPES buffer, 0.05 mM
2-mercaptoethanol, 100 IU of penicillin per ml, 100 µg of
streptomycin per ml, and 10% heat-inactivated FCS. After 5 days,
interleukin 2 was added at a concentration of 100 U/ml; after an
additional 2 days, peptide-loaded B7 cells irradiated with 80,000 rads
were added at a ratio of 1:2. Cytotoxic effector cells were
restimulated every 2 weeks and harvested after various intervals.
Cytolytic activity was measured with a standard 51Cr
release assay. In brief, 103 51Cr-labelled P815
target cells per well were incubated for 1 h at 37°C with
titrated amounts (10
7 to 10
13 M) of the
nonamer peptide GPGRAFVTI, constituting the crown of the HIV-1 LAI v3
loop. Subsequently, 104 effector cells were added to each
well and incubated for 4 h at 37°C. Finally, 100 µl of
supernatant was harvested from each well and analyzed in a Canberra
Packard microplate scintillation counter. Specific release was
calculated with the formula [(experimental release
spontaneous
release)/(total release
spontaneous release)] × 100. All data
are means of results for triplicate cultures.
ELISA.
Sera from immunized mice were tested for antibodies
directed against HIV-1 gp120 by either an enzyme-linked immunosorbent assay (ELISA) or Western blotting. ELISA microtiter plates were coated
with 1 µg of a CD4-immunoglobulin G (IgG) fusion protein (kindly
provided by Behring, Marburg, Germany) per well overnight and washed
four times; subsequently, blocking was done with PBS-0.2% Tween for
2 h. After removal of the blocking solution, 100 µl of
supernatant from 293T cells transfected with syngp120 was added and
incubated for 90 min. The supernatant was discarded, and 100 µl of
prediluted mouse serum was added and incubated for 1 h. Microtiter
plates were washed four times and incubated with a secondary,
peroxidase-coupled anti-mouse IgG antibody (Jackson Laboratories).
Finally, ELISA plates were washed, 200 µl of
2,2'-azinobis(3-ethylbenzthiazoline-6-sulfonic acid) (ABTS) substrate
(Boehringer GmbH, Mannheim, Germany) was added per well, and the
optical density at 405 nm was measured after 15 min. The optical
density of control wells without mouse serum was between 0 and 0.2 (in
most cases, below 0.1).
Western blotting.
Virus stocks were isolated from
supernatants of H9 cells infected with HIV-1 MvP899, purified by
sucrose density gradient centrifugation, and subjected to denaturing
SDS-12% PAGE. The gel was blotted onto a polyvinylidene difluoride
membrane (Millipore, Bedford, Mass.), blocking was done with 1% nonfat
dry milk powder, and the gel was cut into strips. Mouse sera were
diluted 1:100 in PBS and reacted with individual strips for 1 h.
Subsequently, strips were washed four times with Tris-buffered
saline-0.2% Tween, reacted with a peroxidase-coupled antiserum
against mouse IgG (Jackson Laboratories), and incubated with
diaminobenzidine substrate (Sigma, St. Louis, Mo.).
Statistical analysis.
Statistical analysis was done with the
Kruskal-Wallis test and SAS release 6.08 TS407 software (SAS Inc.,
Cary, N.C.).
 |
RESULTS |
The expression of cloned HIV-1 env sequences in
eukaryotic expression plasmids is inefficient due to poorly
characterized negative sequence elements, which can be found throughout
the HIV-1 genome (11, 18, 40, 47, 53). Inhibition appears to
be partly caused by elements mediating nuclear mRNA retention, which
can be reversed by Rev, a regulatory HIV-1 protein promoting the export
of unspliced viral RNA into the cytoplasm (18-20, 36). However, even HIV-1 transcripts located in the cytoplasm are
insufficiently expressed due to low translational efficiency caused by
a highly distinct codon bias for adenine and thymine at the third codon position. Codon usage in env is very similar in all primary
and laboratory HIV-1 isolates, is independent of subtype and phenotype, and is strikingly divergent from that of highly expressed human genes,
in which predominantly codons with cytosine and guanine at the third
codon position are found (Fig. 1). To
test the effect of codon preference in env, we generated
syngp120, which has an amino acid sequence 100% identical to that of
the HIV-1 MN isolate (subtype B) and in which all wild-type codons are
replaced by codons used in highly expressed human genes
(25). Levels of expression of the syngp120 sequence are
considerably increased in comparison to that of the wild-type gp120
sequence and, moreover, are independent of the Rev regulatory protein.
In various mammalian cell lines, significantly more glycoprotein could
be immunoprecipitated from supernatants of cells transiently
transfected with the syngp120 sequence than with the wild-type gp120
sequence (Fig. 2). The difference in
expression levels between the synthetic and the wild-type constructs
depends on the expression system and the tissue transfected. In 293T
cells transiently transfected with the eukaryotic expression vector
pCdm7, there is usually a 10- to 50-fold increase in expression levels
with the synthetic gene.

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FIG. 1.
Codon bias in the HIV-1 envelope gene. Codon frequencies
in the HIV-1 envelope gene (black boxes) and in highly expressed human
genes (shaded boxes) were calculated by use of standard software from
the University of Wisconsin Genetics Computer Group and sequences
derived from the Los Alamos National Library database. Codon
frequencies were tabulated with 24 different HIV-1 envelope sequences
from the following isolates: Ada, Ant70, Br0141, Br0259, JFL, JRCSF,
JY1, LAI, M12199, MaI, MN, MVP5180, RF, Rw0914, SF2, SF162, SF33,
T8659, Th1412, Ug0205, Ug0317, Ug0378, ZAM20, and Z6649. Codon
frequencies from highly expressed cellular genes are listed according
to the work of Cherry (10). The most frequently used codon
for every amino acid is underlined.
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FIG. 2.
Increased expression of syngp120 in various mammalian
cell lines in vitro. 293T (adenovirus-transformed human kidney cells),
HeLa (human cervix carcinoma cells), NIH 3T3 (mouse fibroblasts), and
COS-7 (African green monkey kidney cells) were transiently transfected
by calcium phosphate coprecipitation with plasmids carrying genes
coding for either wild-type gp120MN (wt) or syngp120 (syn). Culture
supernatants of radioactively labelled cells were immunoprecipitated
with a human antiserum derived from an HIV-1-infected individual and
analyzed on a reducing SDS-7% PAGE.
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In DNA inoculation, the expression of injected genes is influenced by
the promoter used (9, 38). The immune response was shown to
be modulated in some but not in all cases by the promoter (4, 62,
73). We thus speculated that codon usage modulates the immune
response and compared results with plasmids carrying genes expressing
the syngp120 sequence and the respective wild-type gp120 sequence.
Plasmid DNA encoding either gene subcloned in an identical vector
backbone was inoculated into the anterior tibial muscles of BALB/c mice
and tested for antibody and CTL induction. A total of 75 BALB/c mice
(17 controls, 29 receiving wild-type gp120, and 29 receiving syngp120)
were immunized in six separate experiments. Mice immunized with the
syngp120 gene developed considerably higher antibody titers than mice
injected with the wild-type gp120 gene (Kruskal-Wallis test,
P < 0.00479). One prototypic experiment is shown in
Fig. 3. In this experiment, injection of
plasmid DNA containing syngp120 resulted in high concentrations of
anti-gp120 antibodies in three of four mice, whereas one mouse
developed no measurable antibody response. In contrast, all mice
inoculated with a plasmid containing wild-type gp120 developed no or
only barely detectable antibodies with this immunization schedule.
Similar results were achieved with gp120LAI, indicating that the low
production of antibodies was due to neither the particular virus strain
nor the plasmid construct used (data not shown). Since in vitro in
transiently transfected cells the expression of wild-type gp120 but not
of syngp120 can be increased when the posttranslational transactivator
Rev is supplied in trans and the RRE is supplied in
cis, we coinjected plasmid pCMV-rev expressing
HIV-1 Rev with plasmids containing an RRE 3' to the gp120 coding region
and tested for antibody induction (Fig.
4). We were able to detect antibodies
directed against gp120/gp160 in four of six mice immunized with the
syngp120 sequence but in none injected with the wild-type gp120
sequence, indicating that even in the presence of Rev and the RRE the
induction of antibodies was increased with the synthetic sequence.

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FIG. 3.
Increased humoral immune responses of BALB/c mice
immunized with syngp120. ELISA analysis of sera from mice immunized
with plasmid DNA encoding either syngp120 (filled symbols) or wild-type
gp120 MN (open symbols). IgG antibody reactivity against gp120 in sera
from DNA-inoculated mice was measured by an ELISA. Mice were either
immunized once (wt 1, wt 2, syn 1, and syn 2) or immunized and boosted
three times after 2, 4, and 6 weeks (wt 3, wt 4, syn 3, and syn 4).
Sera were drawn from the tail vein 3 (wt 1, wt 2, syn 1, and syn 2) or
10 (wt 3, wt 4, syn 3, and syn 4) weeks after the initial immunization.
OD405, optical density at 405 nm; wt, wild type; syn,
syngp120.
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FIG. 4.
Increased humoral immune responses of BALB/c mice
immunized with syngp120 independently of the regulatory protein Rev.
Western blot analysis of sera from mice immunized with pCdm7 (lanes 1 to 3), gp120MNrre and pCMV-rev (lanes 4 to 9), or
syngp120v3LAIrre and pCMV-rev (lanes 10 to 15) is shown.
Western blot strips prepared with the HIV-1 MvP899 isolate were reacted
with sera derived from either DNA-injected mice (lanes 1 to 15) or an
HIV-1-infected individual (lane 16). Mice were immunized twice, and
serum was collected 12 weeks after the initial immunization. wt, wild
type.
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The induction of CTLs was tested with spleen cells isolated from
DNA-immunized mice as effector cells and peptide-loaded P815 mouse
mastocytoma cells as target cells. The GPGRAFVTI nonamer peptide used
in this assay is known to constitute a
Dd-restricted CTL epitope in mice. For
evaluation of the cellular immune response, a total of 16 mice (four
controls, 6 receiving wild-type gp120, and 6 receiving syngp120) were
tested in two experiments. Like antibody production, CTL responses in
mice immunized with syngp120 were significantly higher than those in
mice injected with wild-type gp120 (Kruskal-Wallis test with
10
7 M peptide concentration, P < 0.01;
with 10
7 to 10
9 M peptide concentration,
P < 0.001). In the experiment shown in Fig.
5, the cellular immune response was
increased in mice immunized with the syngp120 sequence and again was
barely detectable in mice immunized with the wild-type gp120 sequence.
Differences in the immune responses of mice treated with wild-type
gp120 and syngp120 constructs were not caused by a delayed time course
in mice inoculated with the wild-type sequence (Fig.
6). Even multiple boosts with the
wild-type sequence over a period of 5 months did not significantly
increase antibody production.
In this study, we showed that DNA immunization with a synthetic
sequence with optimized codon usage resulted in considerably increased
humoral and cellular immune responses. Protection against HIV or simian
immunodeficiency virus has been achieved in some animal models, with
different vaccines. In primate models in which a rather avirulent virus
challenge was used, vaccines inducing a limited immune response (like
that induced by subunit vaccines, recombinant vectors, and peptides)
were protective (3, 5, 56); however, in more pathogenic
animal models, only live attenuated virus was successful (1,
13). These results suggest that a potential vaccine meeting
safety requirements for humans can only be successful if strategies to
increase immunogenicity are developed.
Our in vitro data with transfected cells lines suggest that the
difference between the syngp120 and wild-type gp120 sequences is caused
by different expression levels in muscle cells. In a previous study, we
showed that there is no difference in cytoplasmic RNA levels in cells
transfected with either wild-type gp120 or syngp120, indicating that
the difference in protein levels is most likely a purely translational
effect (25). However, an alternative explanation for the
enhanced immune response might be the increase in CpG motifs in the
synthetic gene administered. Recently, several groups were able to show
that DNA containing unmethylated CpG motifs, such as bacterial DNA, is
able to trigger B-cell activation (33, 45, 70). Moreover,
Klinman and colleagues suggested that unmethylated CpG motifs might
also contribute to the immunogenicity of gene vaccines (32).
As a considerable number of CpG motifs, 92, have been introduced into
the gp120 sequence by codon exchange, it is possible that they
contribute to the increased immunogenicity of the syngp120 sequence.
With the wild-type gp120 sequence, we obtained low or undetectable
antibody and CTL activities, in contrast to results in some of the
earlier reports on DNA immunization with HIV-1-derived genes (12,
22, 35, 64, 65, 71). In in vitro transfection experiments, we are
able to detect gp120 expressed from wild-type sequences when gels were
exposed longer (25). However, in Fig. 2, a rather short
exposure is shown because otherwise the autoradiography would have been
overexposed due to the strong signal of syngp120. Moreover, as can be
seen in Fig. 3 and 5, at least in some animals there was low but
specific antibody (wt 3; Fig. 3) and CTL (wt2; Fig. 5) induction by the
wild-type constructs that we used, indicating that gp120 is expressed
from these constructs. Thus, low or undetectable immune responses with
wild-type gp120 sequences can be explained not by cloning artifacts
(e.g., by PCR cloning) but rather by the fact that we tried to improve
neither our inoculation protocols nor the assays measuring antibody and
CTL responses and consequently used both inefficient delivery
conditions and detection assays. For example, the number of
nonresponders, which might be reflective of the vector or the
immunization technique used, could probably be decreased with gene-gun
DNA delivery (23). Further improvement might be achieved
with cytokine or cytokine-plasmid adjuvants, as has been shown
previously (27, 29, 31, 73). The use of vectors coexpressing
both gp120/gp160 and Rev or vectors with rev-independent
gp120 expression might be helpful as well, although there are no hints
in the literature suggesting that they induce a higher immune response
than do coinjected env- and rev-expressing plasmids (6, 22, 34, 42, 64, 65). Moreover, in view of the
potential interference with other cellular genes and potential use in
humans, the introduction of genes coding for regulatory proteins is
disadvantageous, and expression systems which are rev
independent are preferable. Another major advantage of syngp120 is the
low homology to viral sequences on the nucleic acid level, which
considerably reduces the risk of homologous recombination with latent
or defective viral genomes. Although relatively little is known about
sequence requirements for homologous recombination in mammalian cells,
it appears that DNA sequence mismatching presents a considerable
barrier to homologous recombination in a wide variety of systems
(14, 41, 57, 60, 63). As almost every third nucleotide has
been exchanged in the syngp120 sequence and the longest stretch of
identical nucleotides has a length of only 14 bp, it is conceivable
that the risk of recombination is considerably decreased. Thus, in
terms of safety issues, there are at least two aspects which argue in
favor of the approach presented here.
The antibody response was tested by means of either an ELISA or Western
blotting. The Western blot strips were prepared with HIV-1 isolates
MvP899 (Fig. 4) and LAI (data not shown). Interestingly, sera from mice
immunized with the syngp120 gene with the HIV-1 isolate MN amino acid
sequence cross-reacted with both MvP899 and LAI strips. In the
influenza virus system, there is evidence that DNA vaccines induce a
broader immunity than subunit or inactivated-virus vaccines (15,
39). The induction of cross-reactive immunity might be further
increased with a multigene DNA immunization strategy, as has been shown
previously with malaria (17) and mycoplasma (2).
The synthetic sequence presented here appears to be suitable for a
similar multigene approach, since unique restriction sites have been
introduced into the synthetic env sequence over an
approximately 100-bp distance, allowing the generation of chimeric
molecules with exchanged domains from other virus isolates.
Alternatively, it might be useful to increase the number of potential
epitopes by coinjection of DNA plasmids carrying other HIV genes, as
was shown in a previous report, in which two vectors expressing
env and gag/pol conferred protection against a
heterologous HIV-1 challenge in chimpanzees (5).
We acknowledge the expert technical assistance of A. Weiss and
the help of I. Crnkovic and J. Reimann with the immunization of mice
and of H. Hengel and M. Eggers with the cytotoxicity assay. Plasmid
pCMV-rev was kindly provided by M.-L. Hammarskjöld
through the AIDS Research and Reference Reagent Program. Recombinant
CD4:IgG1 fusion protein was kindly provided by Behring (Marburg,
Germany).
This work was supported by the AIDS scholar program of the BMBF, grant
PMG94/17 of EU programme EVA, and grant HA1754/2-1 of the Deutsche
Forschungsgemeinschaft.
| 1.
|
Almond, N.,
K. Kent,
M. Cranage,
E. Rud,
B. Clarke, and E. J. Stott.
1995.
Protection by attenuated simian immunodeficiency virus in macaques against challenge with virus-infected cells.
Lancet
345:1342-1344[Medline].
|
| 2.
|
Barry, M. A.,
W. C. Lai, and S. A. Johnston.
1995.
Protection against mycoplasma infection using expression-library immunization.
Nature
377:632-635[Medline].
|
| 3.
|
Berman, P. W.,
T. J. Gregory,
L. Riddle,
G. R. Nakamura,
M. A. Champe,
J. P. Porter,
F. M. Wurm,
R. D. Hershberg,
E. K. Cobb, and J. W. Eichberg.
1990.
Protection of chimpanzees from infection by HIV-1 after vaccination with recombinant glycoprotein gp120 but not gp160.
Nature
345:622-625[Medline].
|
| 4.
|
Boehm, W.,
A. Kuhroeber,
T. Paier,
T. Mertens,
J. Reimann, and R. Schirmbeck.
1996.
DNA vector constructs that prime hepatitis B surface antigen-specific cytotoxic T lymphocyte and antibody responses in mice after intramuscular injection.
J. Immunol. Methods
193:29-40[Medline].
|
| 5.
|
Boyer, J. D.,
K. E. Ugen,
B. Wang,
M. Agadjanyan,
L. Gilbert,
M. L. Bagarazzi,
M. Chattergoon,
P. Frost,
A. Javadian,
W. V. Williams,
Y. Refaeli,
R. B. Ciccarelli,
D. McCallus,
L. Coney, and D. Weiner.
1997.
Protection of chimpanzees from high-dose heterologous HIV-1 challenge by DNA vaccination.
Nat. Med.
3:526-532[Medline].
|
| 6.
|
Boyer, J. D.,
B. Wang,
K. E. Ugen,
M. Agadjanyan,
A. Javadian,
P. Frost,
K. Dang,
R. A. Carrano,
R. Ciccarelli,
L. Coney,
W. V. Williams, and D. B. Weiner.
1996.
In vivo protective anti-HIV immune responses in non-human primates through DNA immunization.
J. Med. Primatol.
25:242-250[Medline].
|
| 7.
|
Bruck, C.,
C. Thiriart,
L. Fabry,
M. Francotte,
P. Pala,
O. Van Opstal,
J. Culp,
M. Rosenberg,
M. DeWilde,
P. Heidt, and J. Heeney.
1994.
HIV-1 envelope-elicited neutralizing antibody titres correlate with protection and virus load in chimpanzees.
Vaccine
12:1141-1148[Medline].
|
| 8.
|
Cao, Y.,
L. Qin,
L. Zhang,
J. Safrit, and D. D. Ho.
1995.
Virologic and immunologic characterization of long-term survivors of human immunodeficiency virus type 1 infection.
N. Engl. J. Med.
332:201-208[Abstract/Free Full Text].
|
| 9.
|
Cheng, L.,
P. R. Zieglhoffer, and N.-S. Yang.
1993.
In vivo promoter activity and transgene expression in mammalian somatic tissues evaluated by using particle bombardment.
Proc. Natl. Acad. Sci. USA
90:4455-4459[Abstract/Free Full Text].
|
| 10.
|
Cherry, M.
1992.
Codon usage and frequency of codon occurrence, p. A1.8-A1.9. In
F. M. Ausubel, R. Brent, R. E. Kingston, D. D. Moore, J. G. Seidman, J. A. Smith, and K. Struhl (ed.), Current protocols in molecular biology.
John Wiley & Sons, Inc., New York, N.Y.
|
| 11.
|
Cochrane, A. W.,
K. S. Jones,
S. Beidas,
P. J. Dillon,
A. M. Skalka, and C. A. Rosen.
1991.
Identification and characterization of intragenic sequences which repress human immunodeficiency virus structural gene expression.
J. Virol.
65:5305-5313[Abstract/Free Full Text].
|
| 12.
|
Coney, L.,
B. Wang,
K. E. Ugen,
J. Boyer,
D. McCallus,
V. Srikantan,
M. Agadjanyan,
C. J. Pachuk,
K. Herold,
M. Merva, et al.
1994.
Facilitated DNA inoculation induces anti-HIV-1 immunity in vivo.
Vaccine
12:1545-1550[Medline].
|
| 13.
|
Daniel, M. C.,
F. Kirchhoff,
S. C. Czajak,
P. K. Sehgal, and R. C. Desrosiers.
1992.
Protective effects of a live attenuated SIV vaccine with a deletion in the nef gene.
Science
258:1938-1941[Abstract/Free Full Text].
|
| 14.
| Deng, C., and M. R. Capecchi. 1992. Reexamination of gene targeting frequency as a function of the extent
of homology between the targeting vector and the target locus. Mol.
Cell. Biol. 3365-3371.
|
| 15.
|
Donnelly, J. J.,
A. Friedman,
D. Martinez,
D. L. Montgomery,
J. W. Shiver,
S. L. Motzel,
J. B. Ulmer, and M. A. Liu.
1995.
Preclinical efficacy of a prototype DNA vaccine: enhanced protection against antigenic drift in influenza virus.
Nat. Med.
1:583-587[Medline].
|
| 16.
|
Donnelly, J. J.,
D. Martinez,
K. U. Jansen,
R. W. Ellis,
D. K. Montgomery, and M. A. Liu.
1996.
Protection against papillomavirus with a polynucleotide vaccine.
J. Infect. Dis.
713:314-320.
|
| 17.
|
Doolan, D. L.,
M. Sedehah,
R. C. Hedstrom,
P. Hobart,
Y. Charoenvit, and S. L. Hoffman.
1996.
Circumventing genetic restriction of protection against malaria with multigene DNA immunization: CD8+ T cell-, interferon gamma-, and nitric oxide-dependent immunity.
J. Exp. Med.
183:1739-1746[Abstract/Free Full Text].
|
| 18.
|
Emerman, M.,
R. Vazeux, and K. Peden.
1989.
The rev gene product of the human immunodeficiency virus affects envelope-specific RNA localization.
Cell
57:1155-1165[Medline].
|
| 19.
|
Felber, B.,
M. Hadzopoulou-Cladaras,
C. Cladaras,
T. Copeland, and G. N. Pavlakis.
1989.
Rev protein of human immunodeficiency virus type 1 affects the stability and transport of the viral mRNA.
Proc. Natl. Acad. Sci. USA
86:1495-1499[Abstract/Free Full Text].
|
| 20.
|
Fischer, U.,
S. Meyer,
C. Teufel,
R. Lührmann, and G. Rautmann.
1994.
Evidence that HIV-1 rev directly promotes the nuclear export of unspliced RNA.
EMBO J.
13:4105-4112[Medline].
|
| 21.
|
Fleckenstein, B.,
M. D. Daniel,
R. D. Hunt,
R. D. Werner,
L. A. Falk, and C. Mulder.
1978.
Tumour induction with DNA of oncogenic primate herpesviruses.
Nature
274:57-59[Medline].
|
| 22.
|
Fuller, D. H., and J. R. Haynes.
1994.
A qualitative progression in HIV type 1 glycoprotein 120-specific cytotoxic cellular and humoral immune responses in mice receiving a DNA-based glycoprotein vaccine.
AIDS Res. Hum. Retroviruses
10:1433-1441[Medline].
|
| 23.
|
Fynan, E. F.,
R. G. Webster,
D. H. Fuller,
J. R. Haynes,
J. C. Santoro, and H. L. Robinson.
1993.
DNA vaccines: protective immunizations by parenteral, mucosal and gene-gun inoculations.
Proc. Natl. Acad. Sci. USA
90:11478-11482[Abstract/Free Full Text].
|
| 24.
|
Goeddert, J. J.,
H. Mendez,
J. E. Drummond,
M. Robert-Guroff,
H. L. Minkoff,
S. Holman,
R. Stevens,
A. Rubinstein,
W. A. Blattner,
A. Willoughby, et al.
1989.
Mother-to-infant transmission of human immunodeficiency virus type 1: association with prematurity or low anti-gp120.
Lancet
ii:1351-1354.
|
| 25.
|
Haas, J.,
E.-C. Park, and B. Seed.
1996.
Codon usage limitation in the expression of HIV-1 envelope.
Curr. Biol.
6:315-324[Medline].
|
| 26.
|
Haynes, B. F.,
G. Pantaleo, and A. S. Fauci.
1996.
Toward an understanding of the correlates of protective immunity to HIV infection.
Science
271:324-328[Abstract].
|
| 27.
|
Hengge, U.,
E. F. Chan,
R. A. Foster,
P. S. Walker, and J. C. Vogel.
1995.
Cytokine gene expression in epidermis with biological effects following injection of naked DNA.
Nat. Genet.
10:161-166[Medline].
|
| 28.
|
Huygen, K.,
J. Content,
O. Denis,
D. L. Montgomery,
A. M. Yawman,
R. R. Deck,
C. M. DeWitt,
I. M. Orme,
S. Baldwin,
C. D'Souza,
A. Drowart,
E. Lozes,
P. Vandenbussche,
J. P. Van Vooren,
M. A. Liu, and J. B. Ulmer.
1996.
Immunogenicity and protective efficacy of a tuberculosis DNA vaccine.
Nat. Med.
2:893-898[Medline].
|
| 29.
|
Irvine, K. R.,
J. B. Rao,
S. A. Rosenberg, and N. P. Restifo.
1996.
Cytokine enhancement of DNA immunization leads to effective treatment of established pulmonary metastases.
J. Immunol.
156:238-245[Abstract].
|
| 30.
|
Israel, M. A.,
H. W. Chan,
S. L. Hourihan,
W. P. Rowe, and M. A. Martin.
1979.
Biological activity of polyomavirus DNA in mice and hamsters.
J. Virol.
29:990-996[Abstract/Free Full Text].
|
| 31.
|
Kim, J. J.,
V. Ayyavoo,
M. L. Bagarazzi,
M. A. Chattergoon,
K. Dang,
B. Wang,
J. D. Boyer, and D. B. Weiner.
1997.
In vivo engineering of a cellular immune response by coadministration of IL-12 expression vector with a DNA immunogen.
J. Immunol.
158:816-826[Abstract].
|
| 32.
|
Klinman, D. M.,
G. Yamshchikov, and Y. Ishigatsubo.
1997.
Contribution of CpG motifs to the immunogenicity of DNA vaccines.
J. Immunol.
158:3635-3639[Abstract].
|
| 33.
|
Krieg, A.,
A.-K. Yi,
S. Matson,
T. J. Waldschmidt,
G. A. Bishop,
R. Teasdale,
G. A. Koretzky, and D. M. Klinman.
1995.
CpG motifs in bacterial DNA trigger direct B-cell activation.
Nature
374:546-549[Medline].
|
| 34.
|
Lu, S.,
J. Arthos,
D. C. Montefiori,
Y. Yasutomi,
K. Manson,
F. Mustafa,
E. Johnson,
J. C. Santoro,
J. Wissink,
J. I. Mullins,
J. R. Haynes,
N. L. Letvin,
M. Wyand, and H. L. Robinson.
1996.
Simian immunodeficiency virus DNA vaccine trial in macaques.
J. Virol.
70:3978-3991[Abstract].
|
| 35.
|
Lu, S.,
J. C. Santoro,
D. H. Fuller,
J. R. Haynes, and H. L. Robinson.
1995.
Use of DNAs expressing HIV-1 env and noninfectious HIV-1 particles to raise antibody responses in mice.
Virology
209:147-154[Medline].
|
| 36.
|
Malim, M. H.,
J. Hauber,
S.-Y. Le,
J. V. Maizel, and B. R. Cullen.
1989.
The HIV-1 rev trans-activator acts through a structural target sequence to activate nuclear export of unspliced viral mRNA.
Nature
338:254-257[Medline].
|
| 37.
|
Manickan, E.,
R. J. D. Rouse,
Z. Yu,
W. S. Wire, and B. T. Rouse.
1995.
Genetic immunization against herpes simplex virus.
J. Immunol.
155:259-265[Abstract].
|
| 38.
|
Manthorpe, M.,
F. Cornefert-Jensen,
J. Hartikka,
J. Felgner,
A. Rundell,
M. Margalith, and V. Dwarki.
1993.
Gene therapy by intramuscular injection of plasmid DNA: studies on firefly luciferase gene expression in mice.
Hum. Gene Ther.
4:419-431[Medline].
|
| 39.
|
Montgomery, D. L.,
J. W. Shiver,
K. R. Leander,
H. C. Perry,
A. Friedman,
D. Martinez,
J. B. Ulmer,
J. J. Donnelly, and M. A. Liu.
1993.
Heterologous and homologous protection against influenza A by DNA vaccination: optimization of DNA vectors.
DNA Cell Biol.
12:785-789[Medline].
|
| 40.
|
Nasioulas, G.,
A. S. Zolotukhin,
C. Tabernero,
L. Solomin,
C. P. Cunningham,
G. N. Pavlakis, and B. K. Felber.
1994.
Elements distinct from human immunodeficiency virus type 1 splice sites are responsible for the rev dependence of env mRNA.
J. Virol.
68:2986-2993[Abstract/Free Full Text].
|
| 41.
|
Negritto, M. T.,
X. Wu,
T. Kuo,
S. Chu, and A. M. Bailis.
1997.
Influence of DNA sequence identity on efficiency of targeted gene replacement.
Mol. Cell. Biol.
17:278-286[Abstract].
|
| 42.
|
Okuda, K.,
H. Bukawa,
K. Hamajima,
S. Kawamoto,
K. Sekigawa,
Y. Yamada,
S. Tanaka,
N. Ishi,
I. Aoki, and M. Nakamura.
1995.
Induction of potent humoral and cell-mediated immune responses following direct injection of DNA encoding the HIV type 1 env and rev gene products.
AIDS Res. Hum. Retroviruses
11:933-943[Medline].
|
| 43.
|
Pantaleo, G.,
S. Menzo,
M. Vaccarezza,
C. Graziosi,
O. J. Cohen,
J. F. Demarest,
D. Montefiori,
J. M. Orenstein,
C. Fox,
L. Schrager,
J. B. Margolick,
S. Buchbinder,
J. V. Biorgi, and A. S. Fauci.
1995.
Studies in subjects with long-term nonprogressive human immunodeficiency virus infection.
N. Engl. J. Med.
332:209-216[Abstract/Free Full Text].
|
| 44.
|
Phillpotts, R. J.,
K. Venugopal, and T. Brooks.
1996.
Immunisation with DNA polynucleotides protects mice against lethal challenge with St. Louis encephalitis virus.
Arch. Virol.
141:743-749[Medline].
|
| 45.
|
Pisetsky, D. S.,
C. Reich,
S. D. Crowley, and M. D. Halpern.
1997.
Immunological properties of bacterial DNA.
Ann. N. Y. Acad. Sci.
772:152-163[Medline].
|
| 46.
|
Robinson, H. L.,
L. A. Hunt, and R. G. Webster.
1993.
Protection against a lethal influenza virus challenge by immunization with a haemagglutinin-expressing plasmid DNA.
Vaccine
11:957-960[Medline].
|
| 47.
|
Rosen, C. A.,
E. Terwilliger,
A. Dayton,
J. G. Sodrowski, and W. A. Haseltine.
1988.
Intragenic cis-acting art gene-responsive sequences of the human immunodeficiency virus.
Proc. Natl. Acad. Sci. USA
85:2071-2075[Abstract/Free Full Text].
|
| 48.
|
Rossi, P.,
V. Moschese,
P. A. Broliden,
C. Fundaro,
I. Quinti,
A. Plebani,
C. Giaquinto,
P. A. Tovo,
K. Ljunggren,
J. Rosen, et al.
1989.
Presence of maternal antibodies to human immunodeficiency virus 1 envelope glycoprotein gp120 epitopes correlates with the uninfected status of children born to seropositive mothers.
Proc. Natl. Acad. Sci. USA
86:8055-8058[Abstract/Free Full Text].
|
| 49.
|
Rowland-Jones, S.,
D. Nixon, and M. Aldhous.
1993.
HIV-specific cytotoxic T-cell activity in an HIV-exposed but uninfected infant.
Lancet
341:860-861[Medline].
|
| 50.
|
Rowland-Jones, S.,
J. Sutton,
K. Ariyoshi,
K. Dong,
T. Dong,
F. Gotch,
S. McAdam,
D. Whitby,
S. Sabally,
A. Gallimore,
T. Corrah,
M. Takiguchi,
T. Schultz,
A. McMichael, and H. Whittle.
1995.
HIV-specific cytotoxic T-cells in HIV-exposed but uninfected Gambian women.
Nat. Med.
1:59-64[Medline].
|
| 51.
|
Sambrook, J.,
E. F. Fritsch, and T. Maniatis.
1989.
.
Molecular cloning: a laboratory manual, 2nd ed.
Cold Spring Harbor Laboratory Press, Cold Spring Harbor, N.Y.
|
| 52.
|
Schirmbeck, R.,
W. Böhm,
K. Ando,
F. V. Chisari, and J. Reimann.
1995.
Nucleic acid vaccination primes hepatitis B virus surface antigen-specific cytotoxic T lymphocytes in nonresponder mice.
J. Virol.
69:5929-5934[Abstract].
|
| 53.
|
Schwartz, S.,
B. K. Felber, and G. N. Pavlakis.
1992.
Distinct RNA sequences in the gag region of human immunodeficiency virus type 1 decrease RNA stability and inhibit expression in the absence of Rev protein.
J. Virol.
66:150-159[Abstract/Free Full Text].
|
| 54.
|
Sedegah, M.,
R. Hedstrom,
P. Hobart, and S. L. Hoffman.
1994.
Protection against malaria by immunization with circumsporozoite protein plasmid DNA.
Proc. Natl. Acad. Sci. USA
91:9866-9870[Abstract/Free Full Text].
|
| 55.
|
Seed, B., and A. Aruffo.
1987.
Molecular cloning of the CD2 antigen, the T-cell erythrocyte receptor, by a rapid immunoselection procedure.
Proc. Natl. Acad. Sci. USA
84:3365-3369[Abstract/Free Full Text].
|
| 56.
|
Shafferman, A.,
P. B. Jahrling,
R. E. Benveniste,
M. G. Lewis,
T. J. Phipps,
F. Eden-McCutchan,
J. Sadoff,
G. A. Eddy, and D. S. Burke.
1991.
Protection of macaques with a simian immunodeficiency virus envelope peptide vaccine based on conserved human immunodeficiency virus type 1 sequences.
Proc. Natl. Acad. Sci. USA
88:7126-7130[Abstract/Free Full Text].
|
| 57.
|
Smolik-Utlaut, S., and T. D. Petes.
1983.
Recombination of plasmids into the Saccharomyces cerevisiae chromosomes is reduced by small amounts of sequence heterogeneity.
Mol. Cell. Biol.
3:1204-1211[Abstract/Free Full Text].
|
| 58.
|
Tang, D.-C.,
M. DeVit, and S. A. Johnston.
1992.
Genetic immunization is a simple method for eliciting an immune response.
Nature
356:152-154[Medline].
|
| 59.
|
Tascon, R. E.,
M. J. Colston,
S. Ragno,
E. Stavropoulos,
D. Gregory, and D. B. Lowrie.
1996.
Vaccination against tuberculosis by DNA injection.
Nat. Med.
2:888-892[Medline].
|
| 60.
|
te Riele, H.,
R. Maandag, and A. Berns.
1992.
Highly efficient gene targeting in embryonic stem cells through homologous recombination with isogenic DNA constructs.
Proc. Natl. Acad. Sci. USA
89:5128-5132[Abstract/Free Full Text].
|
| 61.
|
Ulmer, J. B.,
J. J. Donnelly,
E. P. Suezanne,
G. H. Rhodes,
P. L. Felgner,
V. J. Dwarki,
S. H. Gromkowski,
R. R. Deck,
C. M. DeWitt,
A. Friedman,
L. A. Hawe,
K. R. Leander,
D. Martinez,
H. C. Perry,
J. W. Shiver,
D. L. Montgomery, and M. A. Liu.
1993.
Heterologous protection against influenza by injection of DNA encoding a viral protein.
Science
259:1745-1749[Abstract/Free Full Text].
|
| 62.
|
Wagener, S.,
S. Norley,
J. zur Megede,
R. Kurth, and K. Cichutek.
1996.
Induction of antibodies against SIV antigens after intramuscular nucleic acid inoculation using complex expression constructs.
J. Biotechnol.
44:59-65[Medline].
|
| 63.
|
Waldman, A. S., and R. M. Liskay.
1988.
Dependence of intrachromosomal recombination in mammalian cells on uninterrupted homology.
Mol. Cell. Biol.
8:5350-5357[Abstract/Free Full Text].
|
| 64.
|
Wang, B.,
J. Boyer,
V. Srikantan,
K. Ugen,
L. Gilbert,
C. Phan,
K. Dang,
M. Merva,
M. G. Agadjanyan,
M. Newman, et al.
1995.
Induction of humoral and cellular immune responses to the human immunodeficiency type 1 virus in nonhuman primates by in vivo DNA inoculation.
Virology
211:102-112[Medline].
|
| 65.
|
Wang, B.,
K. E. Ugen,
V. Srikantan,
M. G. Agadjanyan,
K. Dang,
Y. Refaeli,
A. I. Sato,
J. Boyer,
W. V. Williams, and D. B. Weiner.
1993.
Gene inoculation generates immune responses against human immunodeficiency virus type 1.
Proc. Natl. Acad. Sci. USA
90:4156-4160[Abstract/Free Full Text].
|
| 66.
|
Will, H.,
R. Cattaneo,
H.-G. Koch,
G. Darai,
H. Schaller,
H. Schellekens,
P. M. C. A. vanEerd, and F. Deinhardt.
1982.
Cloned HBV DNA causes hepatitis in chimpanzees.
Nature
299:740-742[Medline].
|
| 67.
|
Wolff, J. A.,
R. W. Malone,
P. Williams,
W. Chong,
G. Acsadi,
A. Jani, and P. L. Felgner.
1990.
Direct gene transfer into mouse muscle in vivo.
Science
247:1465-1468[Abstract/Free Full Text].
|
| 68.
|
Xiang, Z. Q.,
S. Spitalnik,
M. Tran,
W. Wunner,
J. Cheng, and H. C. J. Ertl.
1994.
Vaccination with a plasmid vector carrying the rabies virus glycoprotein gene induces protective immunity against rabies virus.
Virology
199:132-140[Medline].
|
| 69.
|
Xu, D., and F. Y. Liew.
1995.
Protection against leishmaniasis by injection of DNA encoding a major surface glycoprotein, gp63, of L. major.
Immunology
84:173-176[Medline].
|
| 70.
|
Yamamoto, S.,
T. Yamamoto,
S. Shimada,
W. Kuramoto,
O. Yano,
T. Kataoka, and T. Tokunaga.
1992.
DNA from bacteria, but not vertebrates, induces interferons, activates NK cells and inhibits tumor growth.
Microbiol. Immunol.
36:983[Medline].
|
| 71.
|
Yasutomi, Y.,
H. L. Robinson,
S. Lu,
F. Mustafa,
C. Lekutis,
J. Arthos,
J. I. Mullins,
G. Voss,
K. Manson,
M. Wyand, and N. L. Letvin.
1996.
Simian immunodeficiency virus-specific cytotoxic T-lymphocyte induction through DNA vaccination of rhesus monkeys.
J. Virol.
70:678-681[Abstract].
|
| 72.
|
Yokoyama, M.,
J. Zhang, and J. L. Whitton.
1995.
DNA immunization confers protection against lethal lymphocytic choriomenigitis virus infection.
J. Virol.
69:2684-2688[Abstract].
|
| 73.
|
Ziang, Z., and H. C. Ertl.
1995.
Manipulation of the immune response to a plasmid-encoded viral antigen by coinoculation with plasmids expressing cytokines.
Immunity
2:129-135[Medline].
|