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V      a c c i n e s section one


DNA Vaccine Technology
Biotechnology’s Brave New World

by Magda Marquet




P
         icture rows and rows of                         for a production run down to weeks.
         chicken eggs incubating not to                  Last year, the industry managed to
         hatch chickens, but to produce                  produce H1N1 flu vaccines in about
         vaccines. With the exception of                 30–40 weeks, but that wasn’t good
a few products on the market now,                        enough. DNA vaccines take four to six
most vaccines are still made using this                  weeks to go from gene sequence to vial.
50-year-old technology. Using chicken                    The production process is safer, as are
eggs to produce vaccines takes about                     the products themselves. We’ve closely      research started. A 1993 paper
half a year to complete and requires                     examined the potential issue of DNA         reported on a collaboration between
on average one to two eggs to make a                     integration into the chromosomes of         Merck and Vical showing that the
single vaccine dose. It is inefficient,                  recipients. In many safety studies, we’ve   technology worked quite efficiently in
labor intensive, time consuming, and                     never found that to happen. The             an influenza model (2). In 1994,
subject to contamination. The latter                     product doesn’t integrate, and it gets      David Weiner at University of
may be the most important problem. In                    removed from a person’s body over time.     Pennsylvania filed the first IND for a
addition to the vaccine you want,                            DNA vaccine technology is also          DNA vaccine. And then my group at
contaminants (including other viruses)                   less expensive than that for traditional    Vical developed the first processes to
can get into the product stream.                         vaccines. It uses bacterial fermentors      make pharmaceutical-grade DNA (3).
    But there may be a way to                            that can be used for other processes,            When I entered the field, all the
modernize our vaccine technology.                        and DNA vaccines can be made using          methods used for DNA production
Rather than producing a virus or a                       very simple techniques — even more          were based on the use of ethidium-
protein to inject into an organism, we                   straightforward than the recombinant        bromide double-cesium purification,
can produce a sequence of DNA that                       DNA technologies used to express            resulting in DNA that could not be
has been genetically engineered to                       protein subunits.                           injected into humans. So we needed a
express proteins from a specific                             However, all the market successes       process that could be scaled up for
pathogen when introduced into an                         we’ve had so far have been in animals:      clinical (and eventually commercial)
organism. The idea is that once the                      horses, salmon, pigs, and dogs (Table       vaccine manufacturing. Although now
organism’s cells have made the proteins                  1). The dog melanoma vaccine, in            it’s pretty obvious to purify kilogram
from that DNA sequence, the immune                       particular, has made a big difference in    quantities of DNA, fifteen years ago it
system will recognize them as foreign                    curing a problem that was previously        required a change of mind set for
and launch a response against them.                      very difficult to treat. This validates     biochemists who were used to purifying
    I’ve been working in DNA vaccines                    the DNA vaccine technology, and it          protein and getting rid of DNA.
for two decades. At first, as strong                     also shows that we’re almost ready for           The early 1990s generated a lot of
believers in a powerful technology, we                   human vaccines. It demonstrates that        excitement about DNA vaccines,
thought we would have approval in                        this technology is very cost efficient      followed by some clinical
humans in less than five years — but                     because costs in veterinary applications    disappointments — except in animals,
that didn’t happen. Yet this is still a                  are necessarily lower than in human         where the technology has worked very
field that I believe will revolutionize the              medicine.                                   well. Since then, we’ve seen
world of vaccines. We still have many                                                                refinement and optimization of DNA
challenges to overcome, but it’s clear                   hisTorical oVerView                         vaccine expression, potency, and
that we have made significant progress.                  In 1990, by pure serendipity Wolf and       immunogenicity. Novel formulations
                                                         Felgner discovered in a controlled          and adjuvants are providing much
Technological success                                    experiment that injecting DNA in            better protection. There’s been
Why use DNA vaccines? First, they are                    mice produced an immune response            optimization at the genetic level: e.g.,
fast: decreasing the traditional months                  (1). That got the field of DNA vaccine      codon optimization to increase T-cell

2   BioProcess International   9(8)s   S eptember 2011                                                                              Supplement
Table 1: Four veterinary vaccines have been licensed, which validates the technology.
response. And heterologous prime-
                                              Target                                                 Company/Sponsor                                   Year Approved           Species
boost vaccination is making
                                              West Nile virus                                        Centers for Disease Control and                        2005                Horse
significant inroads (4). Harriet                                                                     Fort Dodge Laboratories
Robinson’s group at Emory University          Infectious heamatopoietic                              Novartis                                              2005                Salmon
in Atlanta, GA, has achieved good             necrosis virus
results in primates using DNA for             Growth-hormone–releasing                               VGX Animal Health                                     2007                Swine
priming and recombinant modified              hormone
vaccinia Ankara (MVA) virus.                  Melanoma                                               Merial/MSK                                            2007                 Dog


ManufacTuring Progress                       Figure 1: Fermentation optimization (plasmid yield improvement)
Meanwhile, diligent work in
                                                                   1,200
manufacturing technologies has
addressed yield and stability issues.                                                                                                                                      1,067.00
These methods are scaling up
                                                                   1,000
successfully to at least 1,000 L or more.
And a 1,000-L process can yield                                                                                                                                       866.40
                                              Plasmid DNA (mg/L)
millions of vaccine doses, which allows                             800
for commercial production in a relatively
small plant. Disposable bioreactors do                                                                                                                       652.00

not work for DNA vaccine production                                 600
because of oxygen-transfer limitations.                                     Original Batch Process
But single-use technologies do play a
                                                                                                                                                        381.23
significant role in downstream                                      400
                                                                                                                                           374.92
processing to reduce cleaning validation
work, improve manufacturing                                                                186.15
efficiencies, and lower overall costs.                              200
                                                                                                    119.72
   Major progress in formulation and                                               75.79
                                                                                                             54.00 62.56
                                                                                                                           85.50
                                                                                                                                   61.90
                                                                                                                                           82.33

lyophilization technologies is making                                      13.54
                                                                      0
DNA vaccines more shelf stable. The                                                                          Fed-Batch Development Experiments
cold chain is a major issue for all
vaccines, especially those sent to
                                                                                                                                2 Ulmer, et al. Heterologous Protection
developing countries. Not everyone          a BraVe new world                                                               Against Influenza By Injection of DNA
has the necessary refrigeration or          Are DNA vaccines ready for prime                                                Encoding a Viral Protein. Science 259, 1993.
freezing equipment to store sensitive       time (5)? It’s taken nearly 20 years,                                               3 Horn, Marquet, et al. Cancer Gene
liquid formulations.                        and development is ongoing. Things                                              Therapy Using Plasmid DNA: Purification of
   Case Study: Figure 1 shows the           didn’t work the way we initially                                                DNA for Human Clinical Trials. Hum. Gene
kinds of product yields we’ve had over      imagined they would, but that’s                                                 Ther. 6, 1995.
the years at Althea. It begins with         similar to the story of monoclonal                                                  4 Robinson HL. Prime Boost Vaccines
                                                                                                                            Power Up in People. Nat. Med. 9, 2003: 642–643.
something we thought was pretty             antibodies (MAbs). After 20 years, by
                                                                                                                                5 Kutzler MA, Weiner DB. DNA
good at the time! Now we regularly          the time many investors didn’t believe                                          Vaccines: Ready for Prime Time? Nat. Rev.
                                                                                                                            Genetics 9, 2008: 776–788. c
see g/L product titers. Human-vaccine       in MAbs anymore, the technology
lots we’ve produced range mainly from       finally worked — and that changed
preclinical to phase 2 scale. We’ve         the pharmaceutical industry. I see this
                                                                                                                            Magda Marquet, PhD, is cofounder and
worked with clients from Europe, the        coming for DNA vaccines as well.                                                cochair of the board of directors for Althea
United States, and the Asia–Pacific         Major progress has been made not                                                technologies, inc., 11040 Roselle street, san
region, to produce preclinical, phase 1,    only in basic science and product                                               Diego, cA 92121; 1-858-882-0123, fax 1-858-
and phase 2 products.                       development, but also in delivery and                                           882-0133; mmarquet@altheatech.com.
   Our process development team has         manufacturing. Collaboration among
progressively been able to increase         industry, academic laboratories, and                                            this article is adapted from a presentation
manufacturing yields through a range        governments has facilitated much of                                             given at Interphex in new York, nY, March
of fermentors from the 30-L scale to        that progress. Clinical trials are                                              2011 in a lunchtime session moderated by
the 100-L scale and now at the 1,000-       ongoing to assess expression, potency,                                          BPi’s editor in chief, s. Anne Montgomery.
L level. We’re still working in the         and immunogenicity. Once we get one
clinic to make sure that we have the        success, then many others will follow,
                                                                                                                              To order reprints of this article, contact
right human-vaccine product before          and it will be a revolution.                                                      Rhonda Brown (rhondab@fosterprinting.com)
we can go to market. But in terms of                                                                                          1-800-382-0808. Download a low-resolution
manufacturing, we’re ready. That’s not      references                                                                        PDF online at www.bioprocessintl.com.
the limiting step.                               1 Wolf, Felgner, et al. Direct Gene Transfer
                                            into Mouse Muscle In Vivo. Science 247, 1990.

Supplement                                                                                                             S eptember 2011         9(8)s    BioProcess International         3

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DNA Vaccine Technology by Magda Marquet

  • 1. V a c c i n e s section one DNA Vaccine Technology Biotechnology’s Brave New World by Magda Marquet P icture rows and rows of for a production run down to weeks. chicken eggs incubating not to Last year, the industry managed to hatch chickens, but to produce produce H1N1 flu vaccines in about vaccines. With the exception of 30–40 weeks, but that wasn’t good a few products on the market now, enough. DNA vaccines take four to six most vaccines are still made using this weeks to go from gene sequence to vial. 50-year-old technology. Using chicken The production process is safer, as are eggs to produce vaccines takes about the products themselves. We’ve closely research started. A 1993 paper half a year to complete and requires examined the potential issue of DNA reported on a collaboration between on average one to two eggs to make a integration into the chromosomes of Merck and Vical showing that the single vaccine dose. It is inefficient, recipients. In many safety studies, we’ve technology worked quite efficiently in labor intensive, time consuming, and never found that to happen. The an influenza model (2). In 1994, subject to contamination. The latter product doesn’t integrate, and it gets David Weiner at University of may be the most important problem. In removed from a person’s body over time. Pennsylvania filed the first IND for a addition to the vaccine you want, DNA vaccine technology is also DNA vaccine. And then my group at contaminants (including other viruses) less expensive than that for traditional Vical developed the first processes to can get into the product stream. vaccines. It uses bacterial fermentors make pharmaceutical-grade DNA (3). But there may be a way to that can be used for other processes, When I entered the field, all the modernize our vaccine technology. and DNA vaccines can be made using methods used for DNA production Rather than producing a virus or a very simple techniques — even more were based on the use of ethidium- protein to inject into an organism, we straightforward than the recombinant bromide double-cesium purification, can produce a sequence of DNA that DNA technologies used to express resulting in DNA that could not be has been genetically engineered to protein subunits. injected into humans. So we needed a express proteins from a specific However, all the market successes process that could be scaled up for pathogen when introduced into an we’ve had so far have been in animals: clinical (and eventually commercial) organism. The idea is that once the horses, salmon, pigs, and dogs (Table vaccine manufacturing. Although now organism’s cells have made the proteins 1). The dog melanoma vaccine, in it’s pretty obvious to purify kilogram from that DNA sequence, the immune particular, has made a big difference in quantities of DNA, fifteen years ago it system will recognize them as foreign curing a problem that was previously required a change of mind set for and launch a response against them. very difficult to treat. This validates biochemists who were used to purifying I’ve been working in DNA vaccines the DNA vaccine technology, and it protein and getting rid of DNA. for two decades. At first, as strong also shows that we’re almost ready for The early 1990s generated a lot of believers in a powerful technology, we human vaccines. It demonstrates that excitement about DNA vaccines, thought we would have approval in this technology is very cost efficient followed by some clinical humans in less than five years — but because costs in veterinary applications disappointments — except in animals, that didn’t happen. Yet this is still a are necessarily lower than in human where the technology has worked very field that I believe will revolutionize the medicine. well. Since then, we’ve seen world of vaccines. We still have many refinement and optimization of DNA challenges to overcome, but it’s clear hisTorical oVerView vaccine expression, potency, and that we have made significant progress. In 1990, by pure serendipity Wolf and immunogenicity. Novel formulations Felgner discovered in a controlled and adjuvants are providing much Technological success experiment that injecting DNA in better protection. There’s been Why use DNA vaccines? First, they are mice produced an immune response optimization at the genetic level: e.g., fast: decreasing the traditional months (1). That got the field of DNA vaccine codon optimization to increase T-cell 2 BioProcess International 9(8)s S eptember 2011 Supplement
  • 2. Table 1: Four veterinary vaccines have been licensed, which validates the technology. response. And heterologous prime- Target Company/Sponsor Year Approved Species boost vaccination is making West Nile virus Centers for Disease Control and 2005 Horse significant inroads (4). Harriet Fort Dodge Laboratories Robinson’s group at Emory University Infectious heamatopoietic Novartis 2005 Salmon in Atlanta, GA, has achieved good necrosis virus results in primates using DNA for Growth-hormone–releasing VGX Animal Health 2007 Swine priming and recombinant modified hormone vaccinia Ankara (MVA) virus. Melanoma Merial/MSK 2007 Dog ManufacTuring Progress Figure 1: Fermentation optimization (plasmid yield improvement) Meanwhile, diligent work in 1,200 manufacturing technologies has addressed yield and stability issues. 1,067.00 These methods are scaling up 1,000 successfully to at least 1,000 L or more. And a 1,000-L process can yield 866.40 Plasmid DNA (mg/L) millions of vaccine doses, which allows 800 for commercial production in a relatively small plant. Disposable bioreactors do 652.00 not work for DNA vaccine production 600 because of oxygen-transfer limitations. Original Batch Process But single-use technologies do play a 381.23 significant role in downstream 400 374.92 processing to reduce cleaning validation work, improve manufacturing 186.15 efficiencies, and lower overall costs. 200 119.72 Major progress in formulation and 75.79 54.00 62.56 85.50 61.90 82.33 lyophilization technologies is making 13.54 0 DNA vaccines more shelf stable. The Fed-Batch Development Experiments cold chain is a major issue for all vaccines, especially those sent to 2 Ulmer, et al. Heterologous Protection developing countries. Not everyone a BraVe new world Against Influenza By Injection of DNA has the necessary refrigeration or Are DNA vaccines ready for prime Encoding a Viral Protein. Science 259, 1993. freezing equipment to store sensitive time (5)? It’s taken nearly 20 years, 3 Horn, Marquet, et al. Cancer Gene liquid formulations. and development is ongoing. Things Therapy Using Plasmid DNA: Purification of Case Study: Figure 1 shows the didn’t work the way we initially DNA for Human Clinical Trials. Hum. Gene kinds of product yields we’ve had over imagined they would, but that’s Ther. 6, 1995. the years at Althea. It begins with similar to the story of monoclonal 4 Robinson HL. Prime Boost Vaccines Power Up in People. Nat. Med. 9, 2003: 642–643. something we thought was pretty antibodies (MAbs). After 20 years, by 5 Kutzler MA, Weiner DB. DNA good at the time! Now we regularly the time many investors didn’t believe Vaccines: Ready for Prime Time? Nat. Rev. Genetics 9, 2008: 776–788. c see g/L product titers. Human-vaccine in MAbs anymore, the technology lots we’ve produced range mainly from finally worked — and that changed preclinical to phase 2 scale. We’ve the pharmaceutical industry. I see this Magda Marquet, PhD, is cofounder and worked with clients from Europe, the coming for DNA vaccines as well. cochair of the board of directors for Althea United States, and the Asia–Pacific Major progress has been made not technologies, inc., 11040 Roselle street, san region, to produce preclinical, phase 1, only in basic science and product Diego, cA 92121; 1-858-882-0123, fax 1-858- and phase 2 products. development, but also in delivery and 882-0133; mmarquet@altheatech.com. Our process development team has manufacturing. Collaboration among progressively been able to increase industry, academic laboratories, and this article is adapted from a presentation manufacturing yields through a range governments has facilitated much of given at Interphex in new York, nY, March of fermentors from the 30-L scale to that progress. Clinical trials are 2011 in a lunchtime session moderated by the 100-L scale and now at the 1,000- ongoing to assess expression, potency, BPi’s editor in chief, s. Anne Montgomery. L level. We’re still working in the and immunogenicity. Once we get one clinic to make sure that we have the success, then many others will follow, To order reprints of this article, contact right human-vaccine product before and it will be a revolution. Rhonda Brown (rhondab@fosterprinting.com) we can go to market. But in terms of 1-800-382-0808. Download a low-resolution manufacturing, we’re ready. That’s not references PDF online at www.bioprocessintl.com. the limiting step. 1 Wolf, Felgner, et al. Direct Gene Transfer into Mouse Muscle In Vivo. Science 247, 1990. Supplement S eptember 2011 9(8)s BioProcess International 3