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(19) European Patent Office
(57) The invention relates to the field of immunology mutant infections germs such as viruses,
and, more specifically, to a method of transforming the streptococcus, staphylococcus and bacteria are
hapigens of a sick organism into complete antigens. Ac converted into com plete antigens which the treated
cording to the invention, a blood sample is taken and sick organism can neu tralise. An autovaccine is
broken down as much as possible without being dena administered to a human pa tient in arder to relieve
tured, i.e. all of the properties thereof are retained as a the symptoms of autoimmune diseases and allergic
living organism. The blood sample is subsequently di ailments, such that complete im munity to the ailment
luted in an isotonic liquid and, consequently, evasive is achieved.
,...
c.
w
Printed by Jouve, 75001 PARIS (FR)
EP 1 543 835 A1 3
Description
able, from 6 months in the case of the plague to 1O
years for yellow fever.
Field of the invention [0007] There are 2 different vaccination strategies for
immunising a population: selective vaccination only of
[0001] The present invention relates to the field of im 5 those individuals with the greater probability of suffering
munology and, more specificallyto incomplete immunity
the disease, or the principie of immunity as a whole,
reactions such as allergies and diseases which, until
which is usually adopted: if the probability that an indi
now, have been called autoimmune diseases; by the
vidual with a certain infectious disease will come into
ad ministration of minimal doses of desensitising
contact with a susceptible individual (without immunity
extracts, broken down as muchas possible, of the very 10 to this microorganism) is very low in a population, trans
substanc es that cause the disorder.
mission of the disease tends to disappear. lt is not nec
essary to vaccinate all of the population, but levels of
Background to the invention protection of at least 90% of its members must be
reached in the case of many diseases. This strategy, or
lmmunisation 15 mixedforms, is the mostwidely used in developed coun
tries. In the case of rubella, for example, the health au
[0002] A technique in preventative medicine, of which thorities supervise the vaccination of all school children
the aim is to confer immune resistance to an infectious and of women of a fertile age.
organism. [0008] Work is still being carried outto improve or
[0003] For this purpose, an individual is inoculated cre-
with a form of the pathogenic organism which is 20 ate new vaccines: hepatitis B, hepatitis C, more effec-
capable not of producing the disease but of inducing tive, painless rabies vaccines, or vaccines against the
the forma- tion of antibodies. This process is also main causes of pneumonia. Vaccines against cholera,
known as vacci nation since the first immunisation or against parasitic infections such as malaria or Tri
technique involved panosomiasis are being investigated in the developing
the administration of the cowpox virus to achieve immu- 25 [0006] The immunising preparation is introduced into
nity to smallpox. Vaccines are the most effective form of 55 the organism through the skin (inoculation), except
protection against viruses and other organisms against for sorne exceptions such as the Sabin type oral polio
which antibiotics are ineffective. In Western countries, vac
specific vaccines are administered in accordance with cine. The duration of the protective effect is highly vari-
an official vaccination calendar. Diphtheria, tetanus and 30
whooping cough vaccines are administered simultane ously
at the age of 3, 5 and 7 months, coinciding with
the poliomyelitis vaccine; the mumps, measles and ru
bella (triple virus vaccine) vaccines are administered at
15 months. The haemophilus B vaccine is also being 35
given more and more routinely.
[0004] The vaccines are prepared using microorgan
isms (Dr Salk) which are killed by exposure to heat or
to chemical agents (such as the first polio vaccine or
the
typhoid fever vaccine); with a toxoid, which is an inacti-
40
vated form of the toxin produced by the microorganism
(tetanus and diphtheria vaccines) or with an attenuated
live virus, in other words a virus which has been weak
ened in the laboratory so that it does not produce the
disease (such as the polio vaccine developed by Albert
45
Sabin or the meas les and yellow fever vaccines).
[0005] The British doctor, Edward Jenner, performed
the first modem immunisation in 1796, by inoculating
the cowpox virus to obtain an immune response to
small-
pox. In 1885, the French scientist Louis Pasteurwas the
50
first to use an attenuated virus, the rabies virus, to
achieve immunisation against the natural infection. In
1897, a vaccine against typhoid fever was developed in
England.
3
EP 1 543 835 A1 4
countries. In addition to active immunisation, which forms [0010] B lymphocytes (a type of leukocyte) produce
the basis of the large majority of vaccines (induc tion of the antibodies. Genetically, a human being possesses ap
production of antibodies by inoculating a form of the proximately 100,000 different classes of antibody which
infectious organism), another method of confer ring are capable of reacting to an equivalent number of pro
resistance to infection is through passive immuni sation tein substances. During development of the embryo,
(administration of a serum which already contains these lymphocytes capable of reacting against the proteins of
antibodies because it has been obtained from a person the organism itself are inactivated so that innate
who has previously suffered from the disease). Passive proteins can be distinguished from foreign proteins,
immunisation is only used on rare occasions, such as in and the de struction thereof by the immunological
sorne cases of hepatitis. system is avoid ed. Auto-reactive lymphocytes
(hapigens: foreign bod ies which are only partially
So-called autoimmune diseases antigenically active) are found in sorne adults, and
this suggests that they are partially repressed in their
[0009] Diseases in which the immunological system active form and are not elim inated. Another possible
reacts to components of the organism (proteins) as if mechanism for protecting in nate proteins is based
they were foreign substances, either by producing anti on sequestration (separation) during early
bodies or by another type of reaction development. For example, spermatozoids do not
appear until the immunological system has ma-
4
5 EP 1 543 835 A1 4
tured; they are separated from the bloodstream at any blood of formerly healthy people: there is no known ex
moment and, therefore, from the reach of the immuno planation for this phenomenon.
logical system. After a vasectomy, these cells come into [0017] The treatment of so-called autoimmune dis
contact with the blood, where they can cause the forma eases involves immunosuppression, generally by
tion of anti-spermatozoidal antibodies. 5 means of steroids, although other pharmaceuticals
[0011] A hypothesis explaining the phenomenon of such as methotrexate are also used. Nowadays,
autoimmunity propases that the suppression of the re plasmapher- esis, a technique in which the patient's
action against innate proteins is impaired when specific blood is passed through an extemal system that
viruses infectthe antibody-generating cells. In infectious eliminates gammaglob ulins, which is the antibody-
mononucleosis, the lymphocytes are invaded by the cy containing fraction of the
tomegalovirus and appear in the bloodstream as anti 10 blood proteins, is also being tested.
bodies against various organic proteins. The cardiopa-
thy of rheumatic fever is the consequence of infection
Acquired immunity
of the pharynx or tonsil by bacteria of the Streptococcus
genus; at their surface, these bacteria have a protein
[0018] The capacity to respond specifically to foreign
which is very similar to another protein of the muscle
15 matter is acquired by interaction with the antigens (for
and the cardiac valves; and the antibodies developed
eign substances which are potentially dangerous to the
against Streptococcus are also capable of attacking
organism) present in such organisms. lnvertebrate ani
and damaging cardiac tissue.
mals have little or no capacity to respond in a genuinely
specific manner; acquired immunity reaches its maxi
[0012] At present, the reason for the formation of au- 20 mum development in birds and mammals. Amphibians
toantibodies is not known for the majority of so-called and fish have some acquired immune capacity and pri-
autoimmune diseases. Patients with myasthenia gravis mary vertebrates, such as the lamprey, are capable of
have antibodies which block neuromuscular transmis responding to specific antigens, although the response
sion; this causes muscular weakness and respiratory is usually weak and relatively simple.
problems. In autoimmune haemolytic anaemia, the an 25 [0019] Acquired immunity is based on the activity of
tibodies destroy red blood cells (red corpuscles). Pa two systems: the humoral system and the cell-mediated
tients with lupus erythematosus produce antibodies system. Humoral immunity is mediated by soluble pro
against various innate cell components, including ge teins known as immunoglobulins or antibodies. Mam
netic material; antibody-protein compounds aggregate, mals produce five different classes of immunoglobulin
forming large bodies which may damage the kidneys 30 molecule known as G, M, A, D andE. Parts ofthe struc-
when they are excreted. In 80% of patients with rheu tu re of these relatively large globular protein
matoid arthritis, the blood contains an antibody known molecules consist of short sequences located very
as the rheumatoid factor; it is not known whether this is close to the sur tace of the molecule, which interact
what causes the destruction of the articular cartilage specifically with the antigen. Other parts of the
which characterises the disease. antibody molecules act as
[0013] The most important group of so-called autoim 35 intermediarias in immunological functions such as the
mune diseases are diseases of the collagen: lupus ery interaction of activation of the complement with macro
thematosus, rheumatoid arthritis, scleroderma and der phages and other cells.
matomyositis. In these diseases, the autoantibodies [0020] All classes of immunoglobulin are present in
predominantly affect the connective tissue, the main the blood, but immunoglobulin G (lgG) is the dominant
protein ofwhich is collagen. The lesion is very 40 class and is also an important serum protein (the serum
significant in the collagen of the blood vessel walls. of normal human beings contains between 8 and 16
[0014] Type 1 diabetes (which especially affects chil mg/ mi of lgG). The lgM antibodies are induced in the
dren and young people) is produced by an antibody blood in the first phases of the immune response and
which destroys the beta cells of the Langerhans' islets lgA are secretad in the gastric and pulmonary fluids, in
of the pancreas (which produce insulin). Autoimmune the per-
chronic thyroiditis is caused by antibodies against the 45 spiration and in the saliva. The lgE mediates the ana
thyroid tissue. Any cases of Addison's disease are pro phylactic (histamine-liberating) and allergic responses
duced by immune destruction of the suprarenal cap and may be important in providing protection against
sules. parasites. The function of circulating lgD is not well
[0015] Multiple or systemic sclerosis is one of the known. The immunoglobulins produce them and se-
most widely studied so-called autoimmune diseases. A 50 crete the B lymphocytes.
type of pathological lymphocyte destroys the myelin [0021] The antibodies are specifically linked- to for-
sheath covering the axons of the neurons of the central eign organisms and substances. This frequently causes
deactivation of undesirable properties. The antigen-an
tibody complexes are eliminated from the body by vari
nervous system. lt is not mediated by antibodies. The 55 ous processes, and the microorganisms covered with
progressive deterioration produces multiple neurologi- antibodies are particularly sensitive to phagocytosis on
cal signs, including blindness or paralysis. the part of the macrophages and other cells. After inter
[0016] Autoantibodies are frequently found in the acting with an antigen, the antibodies activate a range
5 EP 1 543 835 A1 6
of immunobiological mechanisms which provide protec pendent on the interaction of antigens with lgM or lgD
tion against infections and other undesirable effects. molecules present at the surfaces of the B cells. This
[0022] Cell-mediated immunity is channelled through initiates activation of the B cells which, if they have suf
the T lymphocytes. Antigen-specific T cells are pro ficient help from the T cells or other systems, causes
duced and interact with the antigens to mediate a series 5 maturation of the response and the secretion of appro
of immunobiological functions. An example of this de priate antibodies. This idea was proposed by the Ger
vice is the production of cytotoxic celis which man immunologist Paul Ehrlich, several decades befare
specifically destroy undesirable microorganisms or itwas demonstrated by experiments. The Tcells interact
cells. A class of T lymphocytes known as killer with antigens via T cell receptors which have structural
lymphocytes or assassin or suppressor celis also 10 morphological similarities to immunoglobulins.
destroy foreign celis and micro organisms. The
acquired immune response comple ments the innate Paper in the investigation
immune response and therefore con figures a very
effective specific system.
[0027] Biologists have concentrated on the molecular
15 study of viruses and their interaction with the host cell.
Control of acquired immunity development
lnvestigation of the replication of bacteriophages in bac
teria revealed the existence of messenger RNA bearing
[0023] The acquired immune system is subject to rig the genetic code of the DNA required for the synthesis
orous control. The B lymphocytes which secrete anti of proteins. Studies of these viruses have also been in-
bodies are greatly influenced by the T cells which can 20 strumental in defining the biochemical factors which in-
assist or suppress the response. These T cells secrete itiate and terminate the use of genetic information.
cytokines and other potent, biologically active mole Knowledge of the mechanisms controlling viral replica
cules which cause or inhibit activation, maturation and tion is fundamental to understanding biochemical
capacity to secrete appropriate immunoglobulins from events in superior organisms.
the B cells. These B cells (and cells of other types)
also
secrete immunity-modulating cytokines. In particular, 25 [0028] Viruses are useful as model systems for stud
the interleukins 1, 2, 4, 6, 1O, 12, 13, 14, 15 and 16, ying the mechanisms controlling genetic information
interferon g and the transforming growth factor influ since, in essence, they are small pieces of this informa
ence the development and modulation of the acquired tion. This enables scientists to study replication
immune response. IL-12 is a potent stimulator of the systems which are more simple and manageable but
which func-
suppressor cells. 30 tion by the same principies as those of the host cell. The
investigation into viruses aims predominantly to discov
lmmunological diversity er their replication mechanism, in order to find a
method of controlling their growth and eliminating viral
[0024] The acquired immune system is capable of diseases. Studies of viral diseases have contributed
producing antibodies and T cells which identify a very enormously
large number of different molecules with notable specif 35 to an understanding of the immune response of the or
icity. lt has been estimated that mammals can produce ganism to infectious agents. Studies of this response
about 1 miIlion different antibodies, and the mechanism disclose in depth the serum antibodies and the secre
capable of generating this diversity has been the main tions of the mucous membranes which help the organ
object of immunological investigation. lt is also known ism to eliminate foreign elements such as viruses. Sci-
that antibodies can be produced against synthetic sub 40 entific interest is now focusing on attempts to isolate
stances which are not found in nature. "Early theories specific viral genes. These may be cloned to produce
which attempted to explain this diversity considered that large quantities of specific proteins, which would be
the basis of specificity was a "teaching" process which used as vaccines for diseases such as herpes.
included "induced adjustment" of antibodies with anti [0029] Herpes (from the Greek "herpein", to creep) is
gens". 45 the generic name of various types of cutaneous eruption
[0025] This theory has been largely abandonad since caused by the most significant pathogenic human
no convincing biological basis to support it has been virus es. Their main representativas are herpes simplex
conceived or discovered. lt is currently known that im virus type 1 or type 2 and varicella-zosta. Other
munoglobulins are produced by reorganisation and un significant herpes viruses are the Epstein-Barrvirus,
ion of various genes and that somatic mutation of ge which causes
netic materials occurs during the development of ac 50 infectious mononucleosis, and the cytomegalovirus,
quired immunity. This predominantly affects the very which can produce congenital abnormalities if women
variable portions of the immunoglobulin protein which are infected during pregnancy.
shapes the point of identification of the antigen.
[0026] These processes perform an important func Herpes Simplex virus
tion in creating diversity and specificity in the immune 55
system. The development of humoral immunity is de- [0030] Herpes simplex vesicules in the mouth. A type
of herpes simplex virus is manifested in painful oropha
5 EP 1 543 835 A1 6
ryngeal infections inside and around the mouth, lips,
7 EP 1 543 835 A1 8
pharynx, nose, face and ears. The virus remains latent pes zoster or zona. The skin that is enervated through
in the facial nerve cells, causing the repeated appear the nerve containing the virus suffers an eruption of ve
ance of vesicules. sicules, accompanied by intense pain and increased
[0031] Two types are known. The herpes virus type 1 sensitivity. lnitially, the vesicules are full of a clear
causes feverish blisters associated with various liquid,
feverish infectious diseases (colds, influenza, 5 which then becomes cloudy, and they finally burst and
pneumonia). The blisters appear around the lips and form scabs that dry after 5 to 1O days. The pain pro
in the mouth (also known as labial herpes); on the duced by the herpes zoster virus may be intense and
nose, face and ears, and in the buccal and last several weeks. After recovery, neuralgia may per
pharyngeal mucous membrane. lt has been possible to sist in the affected area. High-dose treatment may re-
isolate the virus from the neuro nal bodies of the facial 10 duce the symptoms, andan analgesic treatment is also
nerve during the period between eruptions: this is its applied. Serious cases are treated with corticoids (cor
reservoir. There is no curative treat ment; topical
tisone). Persistent neuralgia is treated by blocking the
pharmacological preparations may be ap plied to
nerve trunk or by surgery.
alleviate the pain, the irritation and/or the inflam mation. [0036] In patients undergoing chemotherapy for neo-
[0032] The herpes simplex virus type 2 causes genital 15 plastic diseases, the development of herpes zoster may
herpes. This is an increasingly widespread, sexually be fatal. Vaccines for children being treated for leukae
transmitted disease. Sometimes it is accompanied by mia are being tested in Japan; early results are promis
severe headaches and fever. lt begins with moderate ing.
[0037] Herpes infection of the eye, known as
dendritic
local pruritus, followed by the progressive eruption of keratitis, can cause irreversible lesions of the cornea.
20
Types of virus
vesicules. These burst, form scabs and eventually dry.
This entire process can last from 1 to 3 weeks. New [0038] Picornaviruses are a group of viruses forming
ve sicular eruptions often appear while the previous the Picomaviridae family, ofwhich the genome is formed
erup- tion is drying. Another transmission pathway is by single-stranded (RNA) acid. They are very small,
the ne icosahedral viruses (bodies having regular surfaces in
onatal route: the neonate of a sick mother is infected as their topological presentation), which is why they have
25 it passes through the birth canal, contracting the sys
the name of picornavirus from 'pico' meaning small
temic disease, which is usually fatal. These children
have to be born by Caesarean section on account of th is
serious risk. Genital herpes has been treated topically
since 1982 and by a systemic treatment since 1984. 30 amount. They cause many gastrointestinal, respiratory
[0033] The herpes virus type 2 causes cancer of the and cutaneous diseases, as well as diseases of the
cervix (neck of the uterus): the viruses lodge in the nervous system and the mucous membranes. They in
cells of the mucous membrane and eventually, years elude four genera, Enterovirus, Rhinovirus.
later, cause transformation of these cells, which is
sometimes
cancerous. The viruses can also infect the central nerv- Rhabdovirus
35
ous system, particularly in patients who are debilitated [0039] Group of viruses forming the Rhabdoviridae
or have compromised immunity, such as those suffering family, of which the genome is formed by linear single
from cancer, and this causes serious encephalitis. Early stranded (RNA) acid. They infect vertebrates, inverte-
treatment can prevent death or serious cerebral conse-
quences. nerve ganglia; the virus is reactivated in situations of im
munodeficiency and causes the infection known as her-
Herpes zoster virus
quate quantities to allow the isolation of surface anti [0045] Historically, the use of polyclonal antibodies
gens of significant cells. The arrival of molecular cloning had little success in the treatment of human cancers.
has reversed sorne of these limitations by providing a Lymphomas and leukaemias have been treated with
medium where the genetic products of pathogenic hu- man plasma, but the response has been poor. In
agents may be expressed in virtually unlimited quanti addi
ties in a non-pathogenic form. The surface antigens of 5 tion, reproduction was low and did not give additional
viruses such as the influenza virus, foot and mouth in
benefits in comparison with chemotherapy. Solid can
fections, hepatitis, papularstomatitus virus, rabies virus
cerous tumours, melanomas and carcinomas of renal
and herpes simplex virus have been expressed in E.
cells have also been treated with human blood, chim
coli and in S. cerevisae, and they promise to provide
panzee serum, human plasma or horse serum, with a
subsets of improved vaccines in the future. However, it 10 corresponding unpredictable result and ineffective re
is obvi ous that the expression of surface antigens in sults. Numerous clinical trials have been carried out
inferior organisms is not entirely satisfactory and that with monoclonal antibodies, antibodies against targets
potentially determining significant antigens may be lost of glycoproteins and glycolipids, and all have had at
through an incomplete process, in other words most a 30% to 50% success rate in the cases treated.
proteolysis, glyco sylation or by denaturation during 15 [0046] US Patent 6,348,309, granted on 19 February
purification of the ge netic product.
2002 to Mohr et al., discloses and protects a process
[0043] This is true in the case of protein membranes
for inactivating viruses in blood and blood products in
which, owing to their nature as a hydrophobic trans which a phenothiazine dye is added and then
irradiated by light. The use of a very small
concentration of phenothi
membrane, tend to aggregate and make themselves in- azine dye avoids any adverse effects on the blood or
20 blood product, and, after irradiation, the dye may be
soluble when they are expressed in cloned E. coli sep- arated from the blood or blood products by a
genes, which encode protein membranes that may be dye ab sorbing agent. The dye concentration is
expressed in mammalian cells when the host cell pro approximately
vides the factors required for the innate process, dou bling 0.5 mu.M to 2 mu.M, and the blood is irradiated with
ofthe polypeptide, and incorporation within the cell 25 light
membrane. While these studies demonstrate that the having a wavelength in the range of the absorption
membrane proteins may be expressed at the surface of peak of said phenothiazine dye for a period of
a recombinant host cell and, for example, that a truncat- approximately 30 minutes.
ed membrane protein which lacks the carboxyhydro [0047] US Patent 6,254,873, granted on 3 July 2001,
discloses and protects a vaccine for the dengue virus,
phobic terminal can slowly secrete from the host cell 30 which protects humans from dengue disease, the vac-
while combining therewith, it is not obvious that any of cine containing a dengue virus which has been purified
the expressed binding membrane proteins orthe secret- and inactivated by the method involving the following
ed truncated protein will be capable of acting by releas- steps: propagating the virus in a cell culture, harvesting
ing antibodies which are effective against the pathogen said virus from said cells, concentrating said virus, pu-
from which the protein is derived. 35 rifying said virus such that it is free from cell culture pro
[0044] US Patent 6,180,357, granted on 30 June teins and DNA, inactivating said virus and adding a
2001, protects and discloses a method of producing pa suit able adjuvant in a pharmaceutically acceptable
tient-specific anti-cancer antibodies, in otherwords cus amount. [0048] US Patent 6,239,099, granted
tomised antibodies which may be used for therapeutic on 29 May 2001, discloses and protects a method of
treating viral
and diagnostic purposes. The antibodies are produced 40 non-cancerous cells of said individual's tissue
from tissue celis from a tumour from a particular sample, so said subset of antibodies defines a
patient, and are selected on the basis of his cancer cell group of custom- ised anti-cancer antibodies.
cytotox- icity and simultaneous lack of toxicity of non-
cancerous cells. The antibodies may be used to
detect and diag
nose the cancer and may be used to treat tumour me- 45
tastases. Anti-cancer antibodies may be conjugated to
red blood cells obtained from the patient and may be
reinjected to treat the metastases based upon the rec
ognition that metastatic cancers are usually well vascu
larised and the delivery of anti-cancer antibodies by red
50
blood cells can have the effect of concentrating the an
tibodies at the site of the tumour. The antibodies are
de signed to identify a subset of antibodies which
express an enhanced degree of cytotoxicity directed
toward can
cerous cells while simultaneously being non-toxic to 55
9 EP 1 543 835 A1 10
infections, the invention providing a method and com modified CRP to the blood prior to the transfusion. The
positions fortreating these infections in mammals, com- CRPs bind to the viruses, contributing to phagocytosis
prising the administration of an effective amount of mod of the virus or, in otherwords, are capable of
ified e-reactive proteins (CRP), r.sub.m CRP or mutant neutralising the virus.
CRP. The viral infections treated are caused by viruses [0049] US Patent 6,204,058, granted on 20 March
such as Herpes, papilloma, Epstein Barr and Retroviri dae 2001, discloses and protects a treatment for so-called
viruses. In particular, it has been found that they are autoimmune diseases by the administration of a
effective in treating retroviral infections. The invention vaccine to human patients. The vaccine comprises an
also provides a method of neutralising a virus in the aliquot of the patient's blood containing, nter ala,
blood wh ich is to be used for transfusions by adding the leukocytes hav-
11 EP 1 543 835 A1 12
ing upregulated expression of various cell surface viding a red light so urce emitting red light only in 1O
mark ers and lymphocytes containing reduced nm in either direction of the wavelength determined in
amounts of certain stress proteins. lt is produced by (iii); and then (v) subjecting said red blood cell-
subjecting the blood aliquot, extracorporeally, to containing composition to said virucidally effective
specific stressors, namely oxidising agents, ultraviolet amount of said
light radiation and elevated temperature (37 to 55C). 5 phthalocyanine and said provided light so urce. The sec
The method in volves extracting an aliquot of blood ond process involves transfusing red blood cells toa
from the patient, modifying said aliquot pa tient in need thereof by withdrawing red blood cells
extracorporeally by subjecting it in an immune system from a donor in whom the red blood cells have been
to an atmosphere of ozone gas and ultraviolet subject ed to the first process.
radiation simultaneously so as to in crease the 10 [0052] US Patent 6,090,387, granted on 18 July 2000,
leukocytes exhibiting morphology similar to apoptosis discloses and protects methods of vaccination against
in said aliquot. The aliquot size is 0.01 to 400 mi. The diseases resulting from pathogenic responses. This in
immune response to the antigen is excessive owing to vention provides vaccines and means of vaccinating a
the interaction of an antigen with receptors of vertebrate and for preventing and controlling specific T-
predetermined specificity to specific lymphocytes. lt is 15 cell mediated pathologies, including so-called autoim
believed that, in an early stage of immune system de mune diseases and the unregulated replication of T
velopment, those lymphocytes with receptors which cells. The vaccine is composed of a T-cell receptor
recognise autoantigens are recognised and eliminated (TCR) or a fragment thereof corresponding to a TCR
from the body's system by a process of suppression. present on the surface of the T-cells mediating the pa-
Alternatively, these autoreactive lymphocytes may be 20 thology. The vaccine fragment may be a peptide corre
controlled by suppression of their activity. The immune sponding to TCR sequences characteristic of the T-
system of a normal individual is capable of identifying cells mediating said pathology. This peptide may bind to
and reacting against a family of proteins which are con ventional antigens completed to MHC cells
large ly preserved in nature and have a similar structure presenting antigens orto super-antigens. Means of
in all living organisms. lt is known that so-called determining ap-
autoimmune diseases, or at least sorne of them, are 25 propriate ami no acid sequences for these vaccines are
probably asso ciated with inappropriate control of the also provided. The vaccine is administered to a verte
autoimmune re sponse. lt will be possible to control brate in a mannerthat induces an immune response di
an inappropriate autoimmune response by stimulating rected against the TCR of pathology-mediating T-cells.
the body's natural immune control mechanism by a This immune response down-regulates or deletes the
particular, specific method of vaccination. 30 pathogenic T-cells. The invention additionally provides
[0050] US Patent 6, 153,200, granted on 28 Novem
specific -chain variable regions of the T receptors,
ber 2000, discloses and protects a vaccine composition which are associated with the pathogenesis of so-called
which is useful in inducing immune protection in a host autoimmune diseases, such as rheumatoid arthritis and
against arthritogenic peptides involved in the pathogen multiple sclerosis.
esis of rheumatoid arthritis. Each vaccine composition 35 [0053] US Patent 6,066,489, granted on 23 May
provides an antigenic dnaJp1 peptide and optionally a 2000, discloses and protects a method of treating
further peptide fragment of the microbial dnaJ protein blood borne viral pathogens, such as HIV. A method
and/or human homologues thereof. Methods of identi andan apparatus for destroying blood-borne pathogens
fying a person who is predisposed to develop rheuma is dis closed, which uses a low intensity direct current
toid arthritis and methods for using the vaccines are to gen-
dis closed. 40 erate positive particles from various metals which de
[0051] US Patent 6,090,599, granted on 18 July stroy viral pathogens. A first electrode composed of sil
2000, discloses and protects a treatment for viral ver is inserted, via a catheter, into the patient's venous
inactivation of the red blood cells using system. A second electrode is placed on the exterior of
phthalocyanines and red light. The first process the patient in the vicinity of the first electrode. A low in-
involves treating the red blood cell-containing 45 tensity direct current is applied to the first electrode,
composition to inactivate an intracellular or extracellular which releases silver cations to be bonded to the virus,
virus, which may be present in said red blood cell- resulting in the denaturing of the virus.
containing composition, by subjecting said red blood [0054] US Patent 5,882,591, granted on 16 March
cell-containing composition toa virucidally ef fective 1999, discloses and protects a method and an appara-
amount of a phthalocyanine and red light, where in the 50 tus for disinfecting biological fluids through the interac
process involves (i) determining the action spec trum tion with ozone gas, electric fields and superimposed
of said phthalocyanine for causing inactivation of said magnets. Biological fluids, such as plasma, serum, se
virus; (ii) determining the action spectrum of said men, milk or blood, may be treated efficiently with
phthalocyanine for causing the red blood cell damage; ozone to inactivate certain viruses, bacteria, fungi, etc.
(iii) comparing (i) and (ii), and, if (i) and (ii) are not iden
To ef-
tical, determining the wavelength at which the largest 55 fect or enhance the contact between such fluids and
favourable difference exists between (i) and (ii); (iv) pro-
ozone, other disinfectant or deactivating gas, the fluids
are thoroughly nebulised or atomised, in other words
dispersed into minute droplets. A fine rain is created
13 EP 1 543 835 A1 14
and does not prevent its vital functions in the case of er their efficacy and innocuousness, not only for their
bacteria or viruses. The hyperpathic plaque of the hapi recipients but also fortheir handlers. Patients represent
gen is thus covered with its respective hypogamma and ative of each disease or disorder (Malta fever, typhoid,
transformed into an antigen. paratyphoid, typhus, gonococcal and streptococcal ar
[0078] The name of "antibody" should be reserved ex 5 thritis, herpes type 2) were taken and were
clusively for those elements that are produced by com administered the specific vaccine corresponding to
plete antigens or genuine antigens, such as the small- their disease; each group was compared with another
pox virus or the meas les virus, whose attack on the similar group of ten patients having the same disorder,
or ganism actually leads to the formation of complete who received on ly physiological serum as a placebo
an tibodies with which the invaded organism can cure in the same doses
itself and also reach a state of genuine immunity that 10 and at the same time intervals as administration of the
protects it against new attacks by the same antigen. vaccines to the other group.
[0079] lgnorance of the existence of hypogammas [0085] The result was a complete success, as all pa
gave rise to the belief that sorne of the organism's de tients who received the vaccines were cured: in a
fences could be harmful to it; itwas erroneously period of between 4 and 7 months in the case of
believed that they were complete antibodies and only brucellosis,
hypogam mas neutralise only the active portian of the 15 typhoid, paratyphoid, typhus andina period of between
hapigen, and they only served the hapigen by retaining 12 and 18 months in the case of those suffering from
it and ag glutinating it in the cells of different tissues, sexual herpes.
in which it [0086] Those who received a placebo remained ill, but
were then given the vaccine and cured.
caused a wide variety of disorders. Although more hy- 20 [0087] Each patient has a unique disorder according
pogamma-producing reactions take place in the sick or to his human individuality. Common therapy treats all
ganism, a greater quantity of pathogenic elements (ha patients with the same type of disorder at the same
pigens) will agglutinate and the effects or lesions will be stage in the same way.
greater in the celis or tissues with which they make [0088] With the advent of monoclonal antibodies, the
con
tact. possibility of developing customised methods of therapy
25
[0080] Once the hapigen had been discovered and became more realistic, since each antibody can be di
defined, it was possible to convert it into an antigen and rected to a single epitope. lt is thus possible to produce
to develop a method for preparing curative vaccines for a combination of antibodies that are directed to the
a large number of diseases which were difficult or even con- stellation of epitopes that uniquely define a
particular in
impossible to cure by conventional therapeutic meth- dividual's tumour. Having recognised that the significant
difference between cancerous cells and normal cells is
30 ods, including the most potent modem antibiotics which that cancerous cells contain antigens that have specifi
involved genetic engineering. The list of diseases which city (haptenoid: non-reactive part of a hapigen) to trans-
can be cured include: Malta fever (caused by any type form cells, the scientific community is hopeful that mon
of brucella in any period of evolution), gonococcal and oclonal antibodies (hypogammas: antibodies which
streptococcal arthritis; chronic salmonellosis which 35 neutralise the active part of the hapigen) can be de-
does not respond to conventional antibiotics and vac signed to specifically target transformed celis by
cines; rheumatic fever; thrombocytopenic purpura; scle binding specifically to these cancer antigens; thus
roderma; sexual herpes; AIDS; etc. They are all diseas- giving rise to the belief that monoclonal antibodies
es caused by hapigens that are transformed into anti have this magic property of acting as "magic bullets" to
gens, so the organism produces complete antibodies eliminate cancer cells or cells infected with sorne other
disorder. At present, cancer patients have few options
40 that neutralise the hapigen, wherever it is located (intra for treatment and those which they do have will not
cellular or extracellular). necessarily im prove their personal situation.
[0081] 1 n the case of brucellosis caused by Brucella [0089] Think of an experimental doctor, a solitary
melitensis, and AIDS, the sick person's defence system gen
returns to normal function after having eliminated the vi- 45 tleman, who feels that he has reached the bottom of
ruses and microbes. things and with whom one can get deeper and deeper.
[0082] This method take the complete antigen and This manis a leaderwho has a monopoly on time in the
considers the vital, metabolic, reproductive or growth field of scientific adventure, with clever suggestions.
aspect as a whole, not just a topological aspect of the
form, membrane, protoplasm or nucleus. a specific form.
[0083] Different types of vaccine are not described [0084] 1 nvestigations have been carried out to discov-
here, but merely a single method of preparing curative
vaccines, in which the agent that caused the disorder
(brucella in Malta fever, Eberth bacilli in typhoid, para
typhi A and B in paratyphoid fever, HIV viruses in AIDS,
type 2 viruses in sexual herpes, etc.) is always used in
10
17 EP 1 543 835 A1 18
50 This gentleman opens up a new field and is unfamiliar field. In addition, the
capable of 55 most important point is the large number of possible
moving in it and leading us through and along it, technical applications in this field.
in other words is taking us inside. As a result, he [0090] We are dealing with the problem of establish
can tell us about many very interesting things that ing, manipulating and controlling phenomena which oc-
happen within strange phenomena from the
10
19 EP 1 543 835 A1 20
cur in this small field and in which life and its transfor er, we cannot say that such an immune reaction has led
mations are present. We are talking about a biological to a state of complete immunity, because immune
system. means that it is completely protected and, in this case,
[0091] A biological system deals with things on a some of the fractions of the foreign body remain unneu
very
5 tralised and can damage the organism; in other words
small scale and makes one think that it should be pos
it is not protected against the entire foreign body.
sible to manipulate it in order to produce something on
[0097] The stimulation of the endothelial reticulum by
this excessively small scale. The majority of cells are
only a fraction of the foreign body results in the produc
very small and insignificant, but extremely active. They
tion of a specific type of antibody which, although it is
can produce various substances and supply informa
10 sometimes capable of precipitating (partial neutralisa
tion. Just consider the possibility that, on this small
tion) in vitro with the complete molecule of the foreign
scale, we could order whatever we want and that we
could produce an object ora mode of operation at this body, can only neutralise in vivo the fraction of the for
eign body which caused its formation. For this reason,
level. This is the case with hapigens and hypo gammas,
the antibody formed is an incomplete antibody relative
which complement one another to transform a hapten
15 to the entire foreign body; therefore, it should be
oid into a complete antigen, where the haptenoid is
deemed complete for the fraction of the foreign body
com posed of the active part (hyperpathic plaque)
which led to its formation and which it neutralised com
and the non-reactive part.
pletely.
[0092] Up until now, the fight against allergies has
[0098] The inability of the host organism to neutralise
been an uneven fight, as when fighting an unknown en
20 the entire foreign body enables the foreign body to re
emy whose harmful, sometimes dreadful, effects only
main in contact with the cells of the host tissue for a pe
can be perceived. This has led an infinite number of in
riod, which may be prolonged, and this leads to
vestigators to expend huge efforts in an attempt to neu
irritation of the organism by the entire foreign body if it
tralise the effects, or at least mitigate the power, of such
is not neu tralised, isolated or eliminated. The organism
a powerful adversary. The power does not reside in
fights use-
their energy or in the speed of their effects, but in the
25 lessly, by means of its incomplete antibodies, against
fact that they are unknown.
the foreign body, some of whose unneutralised
[0093] Many patients, particularly those who have
not morpho logical fractions adhere to those of the
been able to obtain a cure, will not have failed to notice incomplete anti bodies or release substances of the
that their doctor is impotent against an enemy which is histamine family, and this causes cellular traumatism or
allergic phenom
invincible because it is unknown. lf these patients con- 30 ena.
vince themselves that their illness can be reliably cured, [0099] This is why allergic manifestations are dueto
they will display a favourable change in security and the formation of the complex formed by the foreign
tranquillity, in the knowledge that the symptoms will di body and the incomplete antibody, when this
minish considerably and, for some, the discomfort will complex ad heres to the organic tissue cells by means
of its antigen-
frequently disappear. 35 ically active fraction and the other part remains com
[0094] lt is acknowledged here that the cause of the pletely free and uncovered, this latter part irritating and
allergy lies in an antigen-antibody reaction, but it is not traumatising the tissue cells in contact therewith, this
possible to find a theory to solve all the problems cellular traumatism leading to the production or release
arising from allergic phenomena or the method of of histamine, acetylcholine, etc. The symptoms are
effectively combating them. 40 manifested in contractile fibres, secretory celis, neurons
[0095] lt is also considered here that all allergic phe and nerve fibres.
nomena are simply manifestations of reactions of in [0100] lt is certain that, if a complete antibody (C,
complete immunity. They are not incomplete reactions Fig.
of immunity, but complete reactions which, neverthe 9) were present at the traumatised sites (Fig. 8), rather
than an incomplete antibody, a foreign body bound to
less, do not confer complete immunity. This type of in- 45 the cell by the complete antibody would be considered
complete immunity is caused in the organism by the as a part of the innate nature of the organism once it
presence of a foreign body which has or can have an had been completely neutralised.
antigenic capacity only in some of the fractions of its [0101] From the foregoing, an allergy is merely a phe
morphology; in other words; not all of the foreign body nomenon of immunity very similarto beneficia! immunity
is immunologically active. This foreign body can be en- 50 in which the response is disproportionate in the number
dowed with life, like viruses or microbes, or can be of antibodies against any pathogenic or antigenic agent.
inert, like dust. In both cases, it is common to find antibodies circulating
[0096] lt cannot be stated that the reaction, which this in the organic liquids, and vaccines can be used to give
class of foreign bodies causes in the invaded organism, the organism beneficia! immunity in that the antigen
can
is an incomplete reaction of immunity, because the re stimulate it and which it completely neutralises. Howev-
sponse of the endothelial reticulum thereof is complete
againstthe fraction orfractions ofthe foreign body which
18
19 EP 1 543 835 A1 20
55 be completely neutralised. The antibodies said antigen (Fig.
neutralise each and every fraction or segment of 9) as well as the metabolic products thereof. For this
reason, when the antigen comes into contact with an
19
21 EP 1 543 835 A1 22
already immune organism, the latter neutralises it be sometimes fights against enemies which attack it direct
fare it can cause any harm. ly and leads to the generation of antibodies. At other
[0102] The reason for this is that the immune organ times, however, it has to fight against microbes and or-
ism's defence system has been taught to perform this ganic substances which distract or divert the defensive
category of defence, since its first contact with the cor 5 offensive effort of the organism, with only one part of
responding antigen. The organism can learn to produce
their morphology or their metabolic products and, on
complete antibodies against the given antigen, and it is
the other hand, with the remaining part, they are quite
not because its defence system is more or less strong
free to injure or irritate; they are nourished, grow and
or because it is randomly capable of doing so, but be
repro duce calmly, without encountering any really
cause the antigen stimulates, with its entire being and
effective
its being morphology, the defence mechanisms of the 10 obstacle in the organism to impede them, as they do not
organism; in other words, because the endothelial retic stimulate the endothelial reticulum of the organism with
ulum is stimulated by a foreign body which is immuno all of their being or morphology, and do not give it the
genically active in its entirety. The foreign body can opportunity to develop a state of genuine immunity
dam age the organism's immunological system as it against them. They make a victim of the organism by
present ed to it only a stimulating part of its being, while 15 deceiving it, so a state of chronicity is developed therein.
the oth ers remained completely freely active (Fig. 8).
[0108] In order to learn how to combata live micro be,
[0103] Therefore, the state of the organism that is the organism has to direct its effort not only against the
known as the allergic state is, in reality, a state of microbe or virus body but also against the substances
incom plete defence (Figs. 6 and 8) caused by which it produces, against its morphology and against
incomplete stim ulation by a foreign body which only 20 its mutations, by means of which it may be combated
possesses antigen ic properties in some of the or at least have its defensive capacity reduced. These
fractions of its morphology and metabolic products. mi crobes and viruses are endowed with movement
[0104] There exists a substance which, owing to the and growth and are able to reproduce.
simplicity of its constitution, is incapable by itself of [0109] This group of dangerous germs includes those
stim ulating the organism's defence system, but 25 of the common cold and influenza, these germs having
stimulates it when it is bound to another substance. been difficult to understand and having led to errors, in
This substance is known as hapten. The paradox or terms of immunity, such as the belief that a vaccine pre
Richet's dogs will be described hereinafter, to explain pared with dead viruses is more effective and durable
the above-men tioned state of incomplete immunity or than a vaccine prepared with live viruses (Dr. Salk).
incomplete neu tralisation. lt also demonstrates that 30 [011O] Therefore, once the enemy was known, efforts
the organism can be taught to defend itself.
were directed toward finding the method of destroying
it. The method of combating such skilful enemies is to
Paradox of Richet's dogs:
transform the hapigens into complete antigens and in
troduce them into the organism so that it can learn to
[0105] A number of dogs were injected with a small 35 neutralise them in their entirety.
dose of actinocongestin; after being injected for 2 or 3 [0111] In otherwords, to transform all germs and sub
weeks, they were given a relatively high dose of the stances which, in their natural state, only partially stim
same substance. This second dose did not poison ulate the organism's defence system, into immunologi
them, despite being high, but did cause in them an cally completely active entities so that they stimulate
intense an aphylactic shock, from which they the
recovered and con tinued to live. On the other hand, 40 immunological system with all their morphology and
when normal dogs were injected with the second metabolic products.
dose of the substance, without having received the
[0112] This is a novel method of preparing vaccines,
first preparatory dose, they
which are completely effective in all cases and are free
from secondary reactions in the subjects to whom they
all died; this was due not toan anaphylactic shock, but 45 are administered. Their action is to generate a large
to poisoning caused by the toxicity of the actinoconges- quantity of complete antibodies against the type of an-
tin. tigen used to prepare them which, befare being modi
[0106] There are some diseases which, after having fied, was hapigen, composed of an active fraction and
presented in the organism, never recur, for example an inactive fraction. This class of vaccines is effective
measles, whooping cough, yellow fever, and parotiditis. 50 in both curing and preventing diseases and gives the
There are others that recur once or often, without the organism a state of genuine immunity against the type
time arriving when the organism is considered to be of antigen carried in the vaccine. This method is effec
safe from the risk of contracting the disease. Influenza, tive against infectious diseases, allergies, so-called au
colds, brucellosis, tuberculosis; syphilis, gonorrhoea, toimmune diseases, sexually transmitted diseases, etc.
etc. stand out, with the organism seeming to acquire a 55 [0113] The antigens and their corresponding antibod
cer tain tendency to contract the disease. ies have strong specific affinity, in other words they are
[0107] 1 n view of the different responses of the organ strongly attracted to one another according to their spe
ism's endothelial reticulum, it will be appreciated that it cificity.
23 EP 1 543 835 A1 24
[0114] Let us assume that the pathogenic element is other elements of the same class as the antigen in
a substance formed by the fractions ABe, of which only terms of charge, form, orientation and chemical
fraction e is antigenically active. The organism's im composition, even though they are not antigenically
mune reaction leads to the production of the anti-e an active.
tibody, which is known as O and with which it covers or [0118] The general pattern of the above-described
neutralises the fraction e that induced its formation. 5 method corresponds to inert hapigens and live hapi
Even in this form, however, the foreign element contin- gens, such as brucellae, Koch-Weeks bacillus,
ues to cause discomfort in the organism because it is Treponema pallidum, etc. lf the body ABe is reproduc
not neutralised in its entirety (Fig. 8). lt will be readily ing in the organism, the organism is obliged to produce
appreciated that it can never be completely neutralised the incomplete antibody O which neutralises the stimu-
by means of an antibody that only corresponds to one 10 lating fraction e in such a way that it forms the complex
of its fractions. In fact, the defence is organised and ABeO which will be neutralised bythecomplete anti-
takes place with the full capacity of the organism, which AB eo antibody, since the organism has already
produces large amounts of antibodies O. However, the been taught to produce it by means of the vaccine.
more vigorous production is, the worse the results are [0119] lt has been stated in this application, based
since a large quantity of cells with high numbers of in on
complete antibodies (hypogammas), will also retain 15 scientific experiments, that hypogammas are capable of
greater quantities of corresponding hapigens; for this agglutinating their hapigens by acting on the hyperpath
reason, the discomforts and lesions caused by the ha ic plaque thereof (Fig. 11). However, they do not neu
pigens will be more intense. tralise the pathogenic power of the hapigen. The injec
[0115] Once the stimulating fraction e has been tion of an isotonic solution of the agglutinated material
cov 20 without denaturing it into sensitive animals, causes the
ered, by means of the incomplete antibody (hypogam- disease to develop as if the agglutinated hapigen had
ma) O, the new element ABeO is taken from the san been in a culture medium. This occurs because, al
guineous fluid and, without being denatured, is treated though the hypogamma can agglutinate the hapigen, it
is incapable of removing the pathogenic power of the
in order to modify it into a complete antigen and is again hereinbefore, involve electric charges, morphology,
25 55 chemical composition and topological 3-
administered to the organism so that, when the dimensional orientation. When an organism possesses
organ- ism encounters it, it will perceive it in its entire complete an tibodies against a given antigen, it is able
morphol- ogy as a genuine antigen. Since the to neutralise
stimulating fraction e is covered, the organism's
defence system will cease
to be distracted in fighting solely against the fraction e
30
and will begin to combat the entire foreign body,
produc- ing produce complete antibodies that are able
to neu tralise the foreign body ABeO in its entirety in
this situ ation.
[0116] Healthy organisms which receive a vaccine 35
prepared with this type of antigen react by producing
an ti-ABeO antibodies, as all of the incomplete
antibody hapigen (ABe+O) complex has been
converted into an antigenically active organism. Ata
later stage, when it
comes into contact with the natural hapigen ABe, since 40
the fraction e is antigenically active, it will generate
the incomplete antibody O which binds with the
hapigen AB- eo which, in turn, will immediately be
completely neu tralised by the anti-ABeO antibody
which the vaccine
has taught the organism to produce. Logically, the de- 45
fence system of the sick organisms receiving the vac-
cine also begins to produce the corresponding
complete antibodies, which neutralise both the antigen
which is administered to them and by which the
stimulating frac-
tion is already covered, and the pathogenic agent which
50
is in its organism, giving rise to the formation of complete
antibodies. This gives the organism a biological memory
which will defend it from foreign bodies ABe and ABe O.
[0117] lmmune reactions, such as those described
23 EP 1 543 835 A1 24
hapigen because it is not an antibody for the entire ha then take place in the hapigen. These changes lead to
pigen, so the hapigen will continue causing the disease a hapigen which is already transformed into an antigen
(Fig. 8). and which, in its entirety, stimulates the immu nological
[0120] In view of the foregoing, it is necessary to system of the organism receiving it, leading to the
transform the hapigen into a complete antigen so that the generation of complete antibodies which destroy the
immunological system of the organism identifies it as an cause of the disease, so the disorder is thus cured (Fig.
antigen and is able to produce the corresponding 12).
defences. The immunological system will be stimulated by [0122] The method essentially consists in:
the transformed hapigen, and the corresponding an
tibodies destroy it and it is eliminated to achieve the obtaining the hapigens and their corresponding hy
cure. pogammas from previously inoculated animals, cul
[0121] As the first step, it is necessary to cover the tures and the patients themselves;
hyperpathic plaque with the corresponding hypogam ma,
and this action is carried out by the organism itself when combining the hyperpathic plaque of the hapigen
it is stimulated by the active part of the foreign body. with the corresponding hypogammas;
The physical, chemical, electrical and biological changes
which are necessary, without denaturing the hapigen, modifying the hapigen to make it antigenically ac-
25 EP 1 543 835 A1 26
2. The first dilution is made in 1 to 1 o mi of for the second dose, taking a sample from the
isotonic liquid and the mixture is agitated. previously prepared dose and subjecting it to
greater dilution, in the same proportion of 1O
3. For the second dilution, the mixture is agitated 25 times its volume, to prepare the second dose
anda volume of 1 to 50 tenths mi is taken, and di luted for the following 6 weeks, and so on;
in an isotonic solution of 1Oto 100 mi.
injecting the patient suffering from the disease
with adose of 1 o units of the prepared
4. The flask ofthe first dilution is taken and the same sample,
the dose being increased by 2 units in each
process is continued. 30
pe riod of administration.
10
15
20
25
30
35
40
45
50
55
EP 1 543 835 A1
Flg.1 F.ig.:2:
Fig.3
-w
29
EP 1 543 835 A1
Fig.4
-W
Flg.G
-w
-w
30
EP 1 543 835
A1
Fig. 7
Flg. TA
HP HP.
/
Flg.8
w-
-W
Fig.9
Flg.10
Flg.11
Flg.. 12
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