Otitis media vaccine

Drug – bio-affecting and body treating compositions – Antigen – epitope – or other immunospecific immunoeffector – Recombinant or stably-transformed bacterium encoding one or...

Reexamination Certificate

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C424S093100, C424S093200, C424S184100, C424S185100, C424S190100, C424S203100, C424S234100, C424S242100, C424S256100, C424S258100, C435S007300

Reexamination Certificate

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06562349

ABSTRACT:

BACKGROUND OF THE INVENTION
Otitis media is an infection of the middle ear that occurs primarily in children. Left untreated, the disease can result in hearing loss, and developmental delays. It is estimated that otitis media accounted for 31 million of the 130 million office visits for respiratory diseases in the period from 1987-87. Recent data indicate that suppurative and unspecified otitis media rank first in the list of the 30 most common diagnoses requiring a physician's office visit for patients up to age 24. Over one billion dollars per year is spent on treatment of this disease and the related loss of income for working parents is estimated to be between $300 and $600 million. Approximately 83% of all children by three years of age will have had at least one episode of acute otitis media. Non-typable strains of
Haemophilus influenzae
account for 25-30% of all cases of otitis media, 53% of recurrent otitis media, and are the primary pathogens isolated from 62% of cases of chronic otitis media with effusion. Although non-typable
Haemophilus influenzae
(NTHi) are primary pathogens in otitis media, neither the pathogenic mechanisms nor the host immunological response has been fully defined for this disease.
It would be desirable to have a vaccine to confer immunity to non-typable
Haemophilus influenzae
or to reduce the severity of otitis media caused by
Haemophilus influenzae.
SUMMARY OF THE INVENTION
It has been discovered that a vaccine comprised of fimbrin, a filamentous protein derived from the bacterial surface appendages of non-typable
Haemophilus influenzae
is useful in studying, preventing or reducing the severity of, otitis media. The gene sequence of the DNA coding of fimbrin and the amino acid sequence of fimbrin have also been determined. Vectors containing DNA coding for Fimbrin have also been developed, and transformants have been prepared which contain such vectors and which express such DNA and provide a source of pure fimbrin.


REFERENCES:
patent: 4888170 (1989-12-01), Curtiss, III
patent: 5110908 (1992-05-01), Deich et al.
patent: 94/26304 (1994-11-01), None
Brinton et al. 1989. Pediatr. Infect. Dis. J. 8(1): S54-S61.*
Kar et al. 1990.*
Bakaletz et al. 1992. Fifteenth Midwinter Research Meeting, Association for Research in Otolaryngology.*
Karasic et al. 1989. Pediatr. Infect. Dis. J. 8:(1): S62-S65.*
Hoepf et al. 1991. Abstracts of the 5th Intern'l. Symposium: Recent Advances in Otitis Media.*
van Ham et al. 1989. EMBO J. 8(11): 3535-3540.*
Janeway et al. 1997. Immunobiology: The Immune System in Health and Disease. pp. 13:26-13:29.*
“Protection Against Histopathological Changes of Tympanic Membrane (TM) and Middle Ear Mucosa (MM) in a Chinchilla Model of Otitis Media by Immunization with Fimbrial Protein Isolated from NontypableHaemophilus influenzae(NTHi) Strain #1128” by L. Bakaletz, et al., American Society for Microbiology, 93rd General Meeting, May 16-20, 1993, Atlanta, Georgia.
“The Effect of Immunization with Fimbrial Protein in a Chinchilla Model of NontypableHaemophilus influenzae-Induced Experimental Otitis Media” by L. Bakaletz, et al., Second Extraordinary International Symposium on Recent Advances in Otitis Media, Mar. 31-Apr. 3, 1993, Oita, Japan.
“An Investigation of the Molecular Basis of the Adhearence of NontypableHaemophilus influenzaeto Mucosal Epithelium” by L. Bakaletz, et al., Molecular Biology of Hearing and Deafness Conf., LaJolla, CA, May 1-4, 1992.
“Passive Immunization of Chinchillas with Anti-NTHi Fimbrial Serum and Protection Against Experimental Otitis Media” by L. Bakaletz, et al., Fifth International Symposium, Recent Advances in Otitis Media, May 20-24, 1991, Columbus, Ohio.
“Serological Relatedness of Fimbriae Expressed by NTHi Isolates Recovered from Children with Chronic Otitis Media” by L. Bakaletz, et al., Fifth International Symposium, Recent Advances on Otitis Media, May 20-24, 1991, Columbus, Ohio.
“Isotype Specific Antibody Response Against OMPs and Fimbriae of NontypableHaemophilus influenzaeIsolated from Patients with Chronic Otitis Media” by L. Bakaletz, et al., Fifth International Symposium, Recent Advances in Otitis Media, May 20-24, 1991, Columbus, Ohio.
“Immunological Responsiveness of Chinchillas to Isolated Fimbrial Proteins of NontypableHaemophilus influenzaeDuring Experimental Otitis Media” by L. Bakaletz, et al., Eleventh Midwinter Research Meeting, Association for Research in Otolaryngology, Jan. 31—Feb. 4, 1988, Clearwater Beach, Florida.
“Inhibition of Adherence of NontypableHaemophilus influenzaeto Human Oropharyngeal Cells”, by L. Bakaletz, et al., Twelfth Midwinter Research Meeting, Association for Research in Otolaryngology, Feb. 5-9, 1989, St. Petersburg Beach, Florida.
“Role of Degree of Fimbriation on Ability of NontypableHaemophilus influenzaeto Colonize the Nasophrynx and Middle Ears of the Chinchilla” by L. Bakaletz, et al., Thirteenth Midwinter Research Meeting, Association for Research in Otolaryngology, Feb. 4-8, 1990, St. Petersburg Beach, Florida.
“Chinchilla Immunological Responsiveness to Isolated Outer Membrane and Fimbrial Proteins of NontypableHaemophilus influenzae” by L. Bakaletz, et al., Thirteenth Midwinter Research Meeting, Association for Research in Otolaryngology, Feb. 4-8, 1990, St. Petersburg Beach, Florida.
“Colonization of the Chinchilla Middle Ear and Nasopharynx by Fimbriated Isolates of NontypableHaemophilus influenzae” by L. Bakaletz, et al., 90th Annual Meeting of the American Society for Microbiology, May 13-17, 1990, Anaheim, California.
“Presumptive Identification of the NTHi Adhesin for Human Oropharyngeal and Chinchilla Middle Ear Epithelial Cells” by L. Bakaletz, et al., Fifth International Symposium, Recent Advances in Otitis Media, May 20-24, 1991, Columbus, Ohio.
“Inhibition of Adherence to NTHi to Human Oropharyngeal Cells—An Elisa Assay” by L. Bakaletz, et al., Fifth International Symposium, Recent Advances in Otitis Media, May 20-24, 1991, Columbus, Ohio.
“Cloning and Sequencing of a Pilin Gene from NTHi Strain #1128” by L. Bakaletz, et al., Fifth International Symposium, Recent Advances in Otitis Media, May 20-24, 1991, Columbus, Ohio.
“Protection of Chinchillas Against Experimental Otitis Media via Active Immunization with NTHi Strain #1128 Fimbrin” by L. Bakaletz, et al., Fifteenth Midwinter Research Meeting, Association for Research in Otolaryngology, Feb. 2-6, 1992, St. Petersburg, Florida.
“Frequency of Fimbriate Isolates of NontypableHoemophilus influenzaefrom the Middle Ears and Nasopharynges of Patients with Chronic Media” by L. Bakaletz, et al., Proceedings of the Fourth International Symposium, Recent Advances in Otitis Media, Jun. 1987, Columbus, Ohio, pp. 331-335.
“Evaluation of pilus vaccines for prevention of experimental otitis media caused by notypableHaemophilus influenzae” by R. Karasic, et al.,Pediatr Infect Dis J., vol. 8, No. 1, Jan. 1989, pp. S62-S65.
“Cloning and Expression inEscherichia coliof LKP Pilus Genes from a NontypeableHoemophilus influenzaeStrain” by S. Kar, et al.,Infection and Immunity, vol. 58, No. 4, Apr. 1990, pp. 903-908.
“Design and development of pilus vaccines forHaemophilus influenzaediseases” by C. Brinton, et al.,Pediatr Infect Dis J., vol. 8, No. 1, Jan. 1989, pp. S54-S61.
“Passive immunization of chinchillas against experimental otitis media with anti-NTHi fimbrial subunit (fimbrin) sera” by L. Bakaletz, et al., 91st General Meeting of the American Society for Microbiology, May 5-9, 1991, Dallas, Texas.
“Somatic antigens ofHaemophilu influenzaeas vaccine components” by T. Murphy, et al.,Pediatr Infect Dis J, vol. 8, No. 1, Jan. 1989, pp. S66-S68.
“Loss of Capsule Expression byHaemophilu influenzaeType b Results in Enhanced Adherence to and Invasion of Human Cells” by J. St. Geme, et al.,Infection and Immunity, vol. 59, N. 4, Apr. 1991, pp. 1325-1333.
“Haemophilus influenzaeAdheres to and Enters Cultured Human Epithelial Cells” by J. St. Geme, et al.,Infection and Immunity, vol. 58, No. 12, Dec. 1990, pp. 4036-4044.
“Comparison of Hemagglutinating Pili ofHaemophilus

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