临床可行载体蛋白治疗阿片类药物使用障碍候选疫苗的临床前疗效和特征。

Preclinical Efficacy and Characterization of Candidate Vaccines for Treatment of Opioid Use Disorders Using Clinically Viable Carrier Proteins.

机构信息

Hennepin Healthcare Research Institute (HHRI, formerly Minneapolis Medical Research Foundation or MMRF) , 701 Park Avenue , Minneapolis , Minnesota 55415 , United States.

Dipartimento di Chimica e Tecnologie Farmaceutiche, Socrates Program , Universitá degli Studi di Milano , Milan 20122 , Italy.

出版信息

Mol Pharm. 2018 Nov 5;15(11):4947-4962. doi: 10.1021/acs.molpharmaceut.8b00592. Epub 2018 Oct 10.

Abstract

Vaccines may offer a new treatment strategy for opioid use disorders and opioid-related overdoses. To speed translation, this study evaluates opioid conjugate vaccines containing components suitable for pharmaceutical manufacturing and compares analytical assays for conjugate characterization. Three oxycodone-based haptens (OXY) containing either PEGylated or tetraglycine [(Gly)] linkers were conjugated to a keyhole limpet hemocyanin (KLH) carrier protein via carbodiimide (EDAC) or maleimide chemistry. The EDAC-conjugated OXY(Gly)-KLH was most effective in reducing oxycodone distribution to the brain in mice. Vaccine efficacy was T cell-dependent. The lead OXY hapten was conjugated to the KLH, tetanus toxoid, diphtheria cross-reactive material (CRM), as well as the E. coli-expressed CRM (EcoCRM) and nontoxic tetanus toxin heavy chain fragment C (rTTHc) carrier proteins. All vaccines induced early hapten-specific B cell expansion and showed equivalent efficacy against oxycodone in mice. However, some hapten-protein conjugates were easier to characterize for molecular weight and size. Finally, heroin vaccines formulated with either EcoCRM or KLH were equally effective in reducing heroin-induced antinociception and distribution to the brain of heroin and its metabolites in mice. This study identifies vaccine candidates and vaccine components for further development.

摘要

疫苗可能为阿片类药物使用障碍和阿片类药物相关的过量提供新的治疗策略。为了加快翻译速度,本研究评估了含有适合药物制造的成分的阿片类药物结合疫苗,并比较了用于结合物特征分析的分析方法。通过碳二亚胺 (EDAC) 或马来酰亚胺化学,将三种含有聚乙二醇化或四肽基 [(Gly)] 接头的羟考酮半抗原 (OXY) 与钥孔血蓝蛋白 (KLH) 载体蛋白连接。在减少羟考酮在小鼠大脑中的分布方面,EDAC 偶联的 OXY(Gly)-KLH 最为有效。疫苗效力依赖于 T 细胞。将先导 OXY 半抗原与 KLH、破伤风类毒素、白喉交叉反应物质 (CRM) 以及大肠杆菌表达的 CRM (EcoCRM) 和无毒破伤风毒素重链片段 C (rTTHc) 载体蛋白偶联。所有疫苗均诱导早期半抗原特异性 B 细胞扩增,并在小鼠中对羟考酮表现出同等的疗效。然而,一些半抗原-蛋白结合物在分子量和大小方面更容易进行特征分析。最后,用 EcoCRM 或 KLH 配制的海洛因疫苗在减少海洛因诱导的镇痛作用和海洛因及其代谢物在小鼠大脑中的分布方面同样有效。本研究确定了候选疫苗和疫苗成分,以进一步开发。

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