Title of Invention

A HAPTEN-CARRIER CONJUGATE COMPRISING VIRUS LIKE PARTICLES

Abstract The present invention relates to a hapten~carrier conjugate comprising a core particle comprising at least one first attachment site, wherein said core particle is a virus-like particle of an RNA-phage; and at least one hapten with at least one second attachment site, wherein said hapten is a drug of abuse; wherein said second attachment site is capable of association through at least one covalent non-peptide bond to said first attachment site so as to form an ordered and repetitive hapten-carrier conjugate.
Full Text

BACKGROUND OF THE IN\^NTION
Field of the Invention
The present invention is in the fields of medicine, public health, immunology, molecular biology and virology.
Related Art
Addictive drug abuse disorders carry with them a number of specific, well recognized sequelae that liave both societal and economic consequences. These include death, disease, violence, crime, loss of employment, reduced productivity, relationship and familial breakdov/n, and the spread of HIV and other sexually transmitted diseases. The economic cost to United States society from drug abuse (excluding tobacco) was an estunated $9S billion in 1992, the last year for which reliable data are available ("The economic costs of alcohol and drug abuse in the United States-1992", National Institute on Drug Abuse). These costs include crime ($59.1 billion), premature death ($14.6 billion), impaired productivity/workplace accidents ($14.2 billion), welfare ($10.4 billion), health care ($5.5 billion), and motor vehicle accidents. These costs are borne primarily by government (46%), drug abusers and their families (44%). It is well recognized that drug abuse remains a serious problem in society. Three years after the 1992 study, in 1995, NIDA estimated drug abuse costs to the society was $110 billion.
The per se use of dmgs of abuse can have deleterious effects on the user. However, it is recognized that the addictive nature of these drugs are both central to the problems associated with such drug use, and underlie the inability to treat both addicted individuals and reduce the prevalence of drug addiction in the society.
The most widely used addictive drug in tlie world is tobacco. Nicotine, an alkaloid derived from tobacco leaves, is the principal addictive component of tobacco. In 1999, 46,5 million adults in the United States were cun'ent smokers. Cigarette smoking is the single leading cause of preventable deatli in the United

States. According to tlie Ceuters for Disease Control and Prevention (CDC) 430,000 annual deaths are attributable to cigarette smoking in the United States, Luiig cancer, coronary heart disease, chronic lung disease, and stroke are the main causes of death. Smoking is not only dangerous to individuals. It also results in staggering societal costs. The estimated smoking-attributable cost for medical care in 1993 was more than $50 billion and the cost of lost productivity and forfeited earnings due to smoking-related disability was estimated at $47 billion per year. Thus, the total economic cost associated witli nicotine addiction is greater than the combined costs for all other types of addictive drugs.
Despite recent advances in behavioral and pharmacologic treatments, the vast majority of cigarette smokers who try to quit will fail (for overview see Fiore et al. (2000) Treating tobacco use and dependence, clinical practice guideline, US Department of Health and Human Services, Public Health Service), Nicotine replacement therapy is one currently used medication, either in the form of nicotine gum, inhaler, nasal spray or transdermal patches. The efficacy of transdermal nicotine patches alone has been questioned in a placebo-controlled, double-blinded clinical trial (Joseph et al., A^. Engl. J. Med (1999). 340:1157-1158; Jorenby et al., N. Engl. J. Med. (1999) 340:685-691). Furthermore, adverse effects of nicotine gum such as mouth irritation, sore jaw muscles, dyspepsia, nausea, hiccups and pai"esthesia and itching, erythema, sleep disturbances, gastrointestinal problems, somnolence, nervousness, dizziness and sweatmg for the nicotine patch were observed. A treatment with the antidepressant bupropion can increase the abstinence rates at 12 months to about 30% (Jorenby et al., supra).
Novel approaches to the treatment and prevention of addiction, to nicotine and to other drugs, are clearly needed. Immunization strategies to modify the behavioral effects of drugs have been the subject of investigation since 1974. Both active immunization with morphine-6-hemisuccinate-BSA and passive immunization with the resultant antibodies reduced heroin self administration in rhesus raonlceys (Bonese, ei at. Nature 252:708-710 (1974); Killian, et al PhaiTnacol Biochem. Behm'. 9:347-352 (197S).) Immunization has also proven effective against cocaine addiction. Active immunization reduced the effect of subsequent cocaine administration in rats (Carrera etalNature 379:727-730 (1995), and both active and passive immunization was demonstrated to abolish self administration (Fox et al. Nature Med 2:1129-1132 (1996)). More recently.

immunization witli GNC-KLH conjugate aboiished self administration in cocaine-addicted rats (Carrera ei alProc. Nat. AcadSci USA 97:6202-62061992 (2000)) and both immunization with GND-KLH conjugate or transfer of anti-cocaine monoclonal antibodies blocked cocaine effects (Carrera et al Proc. Nat. Acad Sci (75^98:1988-1992(2001),
Antibodies have been raised against phenoyclidine (PCP) and show effectiveness in reducing PCP levels in the brain, reducing behavioral effects, and show similar abilities to block the physiologic effects of PCP analogs (Hardin et al. J Pharmacol Exp Ther 285:1113-1122 (1998); Proksch et al J. Pharmacol Exp Ther. 292:831-837 (2000)), Antibodies have also been successfully raised against methamphetamine in rats (Byrnes-Blake et al Int Immvnopharmacol 1:329-338 (2001)), U.S, Patent No, 5,256,409 discloses a vaccine comprising a carrier protein bound to one hapten frora the desipramine/lmipramine class of drugs and another hapten from the nortriptyline/amitriptyllne class of drugs.
Therefore, immune responses can be raised agmnst drugs, the antibodies can block drug action, and animal models have demonstrated that vaccination is effective as a general approach to the treatment of drug abuse and addiction. It is believed that generating an immune response should block the actions of the drug by preventing it fi'om entering the central nervous system (Carrera et al Nature 379:727-730 (1995). By reducing the rewards associated with drug use, the addicted individual is no longer motivated to consume the drug.
As the addictive effect of the drugs is caused by thek action in the brain, antibodies in serum should be able to reduce drug delivery to brain. Ceray (WO 92/03163) described a vaccine and immunoserum for use against drugs of abuse. The vaccine consisted of a hapten bound to a carrier protein. Also disclosed therein was tlie production of antibodies against drugs, and the use of these antibodies in the detoxification of one who has taken the drug.
Nicotine, cocaine, heroin and most drugs of abuse are haptens, which are not immunogenic. Coupling of haptens to protem carriers typically enhances their immunogenicity.
Several different nicotine haptens, carriers and methods of coupling have been described, Matsushita et al. (Biochem. Biophys, Res, Comm. (1974) 57, 1006-1010) and Castro et al. (Eur. J. Biochem. (1980) 104, 331-340) prepared nicotine haptens conjugated to bovine serum albumin (BSA) via a linker at the 6-

position of the nicotine. Elsewhere, Castro eC al. (Biochem. Biophys. Res. Coramun. (1975) 67, 5S3-589) disclosed two mcotine albumin conjugates: N-succinyl-6-amino-(+/-)-nicotine-BSA and 6-(sigma-aminocapramido)-(+/-)-nicotiiie-BSA. Noguchi et al, (Biochem, Biophys. Res. Comm. (1975) 83, 83-86) prepared a nicotine-BSA conjugate with nicotine conjugated at the 1-position of the nicotine. Langone et al. (Biochemistry (1973) 12, 5025-5030 and Meth. En^ymol. (1982) 84, 628-635) prepared the hapten derivative 0-succinyl-3'-hydroxymethyl-nicotine and conjugated it to bovine serum albumin and keyhole limpet hemocyanin. According to the procedures of Langone et al.(supra), Abad et al. (Anal. Chem. (1993) 65, 3227-3231) synthesized the nicotme hapten 3'-(hydroxymethyl)-nicotine hemisuccinate and coupled it to bovine serum albumin for immunization of mice to produce monoclonal antibodies to nicotine. Isomura et al. (J. Org. Chem. (2001) 66, 4115-4121) provided methods to synthesize nicotine conjugates linked to the I'-position of nicotine, which were coupled to keyhole limpet hemocyanin (KLH) and BSA The conjugate to KLH was used to immunize mice and to produce monoclonal antibodies against nicotine. Svensson et al. (WO 99/61054) disclosed nicotine-haptens conjugated via the pyridine ring and fUrtlier disclosed a nicotine-hapten conjugated to BCLH and the induction of nicotine-specific IgG antibodies using such conjugates. When administered in the presence of complete Freund's adjuvant, nicotine-specific ELISA titres of 1: 3000 to 1: 15500 were measured, while in the absence of Freund's adjuvant titres of 1:500 to 1:3000 were detected. Ennifar ei'ci/, (US, Patent No. 6,232,082) disclosed nicotine haptens coupled via the pyrrolidine ring and disclosed a nicotine-hapten conjugated to recombinant Psuedomonas aeruginosa exotoxin A (rEPA) and the induction of nicotine-specific IgG antibodies when the conjugates were administered in the presence of complete Freund's adjuvant. Swain et al. (U.S. Patent No. 5,876,727) disclosed the coupling of a nicotine hapten to BSA and the induction of nicotine-specific IgG antibodies in mice when the conjugates were given in a mixture with complete Freund's adjuvant.
The feasability of a vaccination against nicotine has been shown in principle (Hieda et al, J. Phami. Exp. Ther. (1997) 288, 1076-1081; Hieda et al. Psychopharm. (1999), 143, 150-157 ; Hieda e/a/., Int. J. Immvnophann. (2000) 22, 809-819; Pentel et al, Pharm. Biochem. Behav. (2000), 65, 191-198, Malin et al, Phann. Biochem. Behav. (2001), 68, 87-92). Covalent conjugates of nicotine with

KLH or rEPA were produced and injected into mice or rats in the presence of complete Freund's adjuvant, and induced nicotine-specific IgG antibodies. Vaccine efficacy was demonstrated by several different ways. After challenge with nicotine, more nicotine remained bound in serum and nicotine concentrations were lower in tlie brain in the nicotine-KLH or nicotine-rEPA immunized groups of rats compared to the control group immunized with carrier alone. Immunization also reduced the psychopharmacological activity associated with nicotine, as immunized animals were also less susceptible to the effect of nicotine on locomoter activity, dopamine release (Svensson etal. WO 99/61054) and relief Qf nicotine withdrawal symptoms.
The above art demonstrates the efficacy of vaccine compositions containing complete Freund's adjuvant to induce immune responses against nicotine. Complete Freund's adjuvant is one of the most potents adjuvants available, however because of its side effects its use is not approved for humans. Therefore, there exists a need for vaccine compositions able to induce strong immune responses against nicotine without the use of complete Freund's adjuvant. Further, while BSA has been used successiully as a carrier in animal models it may not be appropriate for use in human vaccine compositions because of the risk of adverse reactions such as the risk of transmitting prion disease (variant Creutzfeldt-Jakob disease). A further challenge to the development of an effective vaccine against nicotine is the need for an immune response able to rapidly decrease nicotine available for absorption by the brain. Nicotine from cigarettes is taken up by mucosal surfaces especially in the mouth and lungs and transported via the blood to the brain. If nicotine-specific antibodies are to be successful in reducing nicotine delivery to brain, they will have to overcome the very high arterial nicotine concentration that is presented to brain witliiii seconds of inhalation (Hieda et al, 1999, supra), Therefore, high concentrations of nicotine-specific antibodies in the blood, which are mainly of the IgG subtype are needed. In mucosal surfaces IgA antibodies ai'e the primary subtype. Accordingly, in addition to the antibodies in blood, nicotine-specific antibodies of the IgA subtype in the lung would be beneficial for neutralizing nicotine inhaled during smoking before it begins circulating in the blood.
Cholera toxin, a known carrier protein in the art, can induce IgA antibodies, in particular after intranasal administration. Cholera toxin can also act as an adjuvant, eliminating the need for complete Freund's adjuvant in a vaccine composition. However, when cholera toxin is administered as a mucosal adjuvant it

stimulates a predominantly TH2-type immune response with increased interleukin-4 levels and associated increments in total and specific IgE antibody levels (Yamamoto et al., (1997) Proc. Natl. Acad. Sci USA 94, 5267-5272). After nasal immunization in the presence of cholera toxin, IgE-associated inflammatory reactions developed within the lungs of mice (Siraecka et al., (2000) Infect. Immunol, 68, 672-679, Hodge et ai„ (2001) Infect. Immunol, 69, 2328-2338). Despite the promise of intranasal immunization in the presence of cholera toxin, there is also the potential to develop adverse immunopathological reactions characterized by pulmonary airway inflammation (Hodge et al,, (2Q01) Infect. Immunol., 69, 2328-2338).
Therefore, there exists a need for carrier systems able to stimulate immune responses against hapten wifJiout the use of toxic adjuvants, without the use of poorly tolerated carrier proteins and, in certain situations, without stimulation of potentially pathologic TH2 immune responses. Novel carrier systems meeting these specifications can be used towards the formation of novel conjugates and compositions suitable for the treatment of addiction, among otlier conditions, for which there is currently an urgent need.
BRIEF SUMMARY OF THE INVENTION
We have found that haptens attached to core particles leaduig to highly ordered and repetitive hapten arrays are surprisingly effective in inducing immune respo^ises, particularly antibodies, against haptens. Core particles, containing a first attachment site, and haptens, containing a second attachment site, are linked through said first and second attachment sites to form said ordered and repetitive hapten arrays. The interaction between first and second sites may be direct, or may involve at least one other molecule, e.g. a linker.
In one embodiment, the first attachment site naturally occurs in the core particle. Alternatively, the first attachment site is added by chemical coupling or by recombinant techniques. Preferred first attachment sites comprise amino groups, carboxyl groups or sulfhydryl groups. Preferred amino acids comprising a first attachment site are selected fi-om lysine, arginine, cysteine, aspartate, glutamate tyrosine and liistidine. Particularly preferred are lysine residues.

Suitable second attachment sites on haptens are amine, amide, carboxyl and sulfliydryl groups. There is a wide range of compounds that have been developed to enable crosslitiking of peptides/proteins or conjugation of protein to derivatized molecules, by forming a covalent bond with a reactive group of a protein molecule ofthecorepaiticle.
Core particles with a fu-st attachment site of tlie invention include any particle suitable for the formation of ordered repetitive arrays. In some embodiments such core particles include virus-like particles (VLPs), bacteriophage, bacteriophage virus like particles, pili, and the like. In certain embodiments thest are HbcAg VLPs, bacteriophage VLP and type I pili. The invention also provide; variant forms of the core particles that remain able to form ordered repetitive staicture. Variant forms include recombinant and natural forms, and mutant forms of core particles. In certain embodiments, the mutant forms of the core partich include those where the type of first attachment site, or number of said sites, diffei , from the parent. Alteration of the number of lysine residues on the core particle art particularly preferred.
In certain embodimejits, conjugates of the invention comprise haptens suitable for inducing immune responses against a variety of molecules, including but not limited to toxins, hormones and drugs. More preferred are drugs, and yel more preferred are drugs of abuse or addictive drugs. Haptens of the inventior contain a second attachment site for linkage to the first attachment site of the con particle, either directly or via at least one linking molecule. In one embodiment, the liapten is suitable for inducing immune responses gainst cocaine, for exampU succinylated norcocaine. ■
Preferred embodiments of the invention are nicotine-hapten conjugates, Nicotine haptens suitable for the conjugates of the present invention can have al least one, preferably one, side chain bonded to any position on either the pyridine oi the pyrrolidine ring of tJie nicotine. Those skilled in tite art know how to product suitable derivatives of nicotine haptens. For example, nicotine may be chemically derivatized at the 3' position to provide an hydroxyl residue that is suitable foi reaction with reagents such as succinic anhydride to form O-succinyl-3'-hydroxymethyl-nicotine. This nicotine derivative may be coupled to amino acids ol the core particle, such as lysine, using the activation reagent EDC, In a furthei prefen'cd embodiment the O-succinyl-3'-hydroxymethyl-nicotine can be activated

with EDC and the resulting activated carboxytic group is stabilized by N-hydi-Qxysuccinimide, In other embodiments, haptens are produced by acylation of nomicotine with succinic anhydride in methylene chloride in the presence of two equivalents of diisopropyletliylamine. Such a nicotine hapten is then coupled to core particles of present invention with an activating reagent e.g. HATU. Other metliods and processes for synthesizing haptens suitable for conjugates and compositions or the invention are provided.
The present invention provides compositions comprising a core particle and a hapten, suitable for use in inducing immune responses. Compositions of the invention include vaccine compositions, with or without additional pharmaceutically acceptible excipients or adjuvants. Methods for immunization are provided. More preferred is intranasal immunization.
Compositions of the invention induce immune responses, including the production of antibodies. Tlierefore, in another embodiment, the invention provides methods of producing said antibodies against such haptens. Such antibodies of the invention are useful in treatment or prevention of diseases and for the detection of haptens, for example in the methods of diagnosing diseases or diseases associated with the presence of one or more haptens in the tissues or circulation of an animal.
In a related embodiment, the invention is usefiil for the prevention or treatment of diseases, disorders or conditions which include, but are not limited to, poisoning by toxins, disregulation of hormone levels, drug intoxication, or drug addiction and the like. Immunization with the hapten-carrier conjugates of the invention results in an immune response against the hapten, such that immune molecules, particularly antibodies, bind the hapten. Passive transfer of antibodies is also useful for the treatment and prevention of diseases. Treatment of addiction is also useful in tlie treatment of other diseases and conditions associated with addiction.
We have found that nicotine-hapten conjugates attached to vims-like particles induce high nicotine-specific IgG antibodies. The present invention therefore provides a therapeutic for nicotine addiction, which is based on an ordered and repetitive VLP-nicotine conjugate. This therapeutic is able to induce high titers of anti-nicotine antibodies in a vaccinated animal. High antibody titers are induced even in the absence of adjuvants and encompass not only IgG but also IgA subtypes. Furthermore, this therapeutic is, surprisingly, not associated with

induction of potentially pathologic immune responses such as inflai^imation. Therapeutic compositions of the invention comprise at least one nicotine hapten molecule and a VLP, or at least one nicotine hapten and an alternative core particle such as HbcAg or pili.
Thus, the invention embodies methods of treatment and prevention comprising tlie use of the conjugates and compositions of the invention. Such methods are useful in the therapy and prophylaxis of diseases, disorders and conditions associated with drugs, hormones and toxins.
In a further embodiment of the invention, a pharraaceutica) composition is provided for treating nicotine addiction, palliating nicotine withdrawal symptoms, facilitating smoking cessation or preventing relapse comprising a therapeutically effective combination of the vaccine composition of the invention and an additional agent. In one embodiment, the additional agent is selected fi-om the group consisting of: anti-depressant; nicotine receptor modulator; cannabinoid receptor antagonist; opioid receptor antagonist; monoamine oxidase inhibitor; anxiolytic or any combination of these agents.
Other embodiments of the invention are kits suitable for diagnosis and screening that utilize the conjugates, compositions and methods of the present invention. Other embodiments of the present invention will be apparent to one of ordinary skill in light of what is known in the art, the following drawings and description of the invention, and the claims.

STATEMENT OF THE INVENTION
An embodiment of the present invention relates to a hapten-carrier conjugate comprising:
a. a core particle comprising at least one first attachment site, wherein said core
particle is a virus-like particle of an RNA-phage; and
b. at least one hapten with at least one second attachment site, wherein said hapten
is a drug of abuse;
wherein said second attachment site is capable of association through at least one covalent non-peptide bond to said first attachment site so as to form an ordered and repetitive hapten-carrier conjugate.
BRIEF DESCRIPTION OF THE ACCOMPANYING DRAWINGS
Figure 1 depicts SDS-PAGE and Westembolt analysis of Nic-QP conjugates. The nicotime derivate Suc-Nic was coupled to QP at different concentrations (Ix, 5x, 50x, lOOx, and 500x molar excess). Aliquots of the reaction solutions were loaded on a 16% SDS-PAGE gel and stained with Coomassie Blue (A). From a gel run in parallel, proteins were transferred onto nitrocellulose and detected with an antiserum raised against nicotine-chlorea toxin followed by a HRPO-conjugated goat anti-mouse IgG and ECL detection (B). Molecular weight

markers are given on the left margin.
Figure 2 depicts Nicotine-specific IgG antibodies and IgG titer. Sera from vaccinated mice were tested for reactivity against nicotine coupled to BSA by ELISA. Optica! densities at 450 nm obtained for each serum dilution are shown (A). Titers were calculated ft"om the dilution that gives half-maximal optical density (B). Averf?ge of three mice in each group are shown.
Figure 3 depicts Nicotine-specific IgG subtypes. Sera (com vaccinated mice were tested for reactivity against nicotine coupled to BSA by ELISA and detected with secondary antibodies specific for IgG subtypes IgGl (A), IgG2a (B), IgG2b (C) and IgG3 (D). Optical densities at 450 nm obtained for each serum dilution are shown. Average of three mice in each group are shown,
Figure 4 depicts Nicotine-specific IgE antibodies. Sera fi'om vaccinated mice were tested for reactivity against nicotine coupled to BSA by ELISA and detected with secondary antibodies specific for the IgE subtype. Optical densities at 450 nm obtained for each semm dilution are shown. Average of three mice in each group are shown.
Figure 5 depicts Nicotine-specific IgA antibodies. Sera from vaccinated mice were tested for reactivity against nicotine coupled to BSA by ELISA and detected with secondary antibodies specific for the IgA subtype. Optical densities at 450 nm obtained for each serum dilution are shown. Average of three mice in each group are shown,
Figure 6 depicts the efficacy of the Nicotine-VLP vaccination. Mice were immunized with Nicotine-VLP and concentrations of nicotine in serum and brain were measured after injection of 3H-nicotine. Averages of four or five mice per group are shown.
DETAILED DESCRIPTION OF THE INVENTION
It is to be understood that both the foregoing general description and the following detailed description are exemplary and explanatory only and are intended to provide further explanation of the invention as claimed.
Definitions

The following definitions are summaries of concepts commonly understood by one of ordinary skill in the relevant art and are provided for the puiposes of comprehension of the following invention but are not meant to be a limitation of the invention.
Adjuvant: The term "adjuvant" as used herein refers to non-specific stimulators of the immune response or substances that allow generation of a depot in the host which when combined with tlie vaccine and pharmaceutical composition, respectively, of the present invention may provide for an even more enhanced immune response. A variety of adjuvants can be used. Examples include complete and incomplete Freund's adjuvant, alummum hydroxide and modified muramyldipeptide. Further adjuvants are mineral gels such as aluminum hydroxide, surface active substances such as lysolecithin, pluronic polyols, polyanions, peptides, oil emulsions, keyhole limpet hemocyanins, dinitrophenol, and potentially useful human adjuvants such as BCG (bacille Calmette-Guerin) and Coiytiebacterium pantim. Such adjuvants are also well known in the art. Further adjuvants that can be administered with tlie compositions of the invention include, but are not limited to, Monophosphoryl lipid immunomodulator, AdjuVax 100a, QS-21, QS-I8, CRL1005, Aluminum salts (Alum), MF-59, OM-174, OM-197, OM-294, and Virosomal adjuvant technology. The adjuvants can also comprise a mixture of these substances.
Immunologically active saponin fractions having adjuvant activity derived from the bark of the South American tree QuiUaja Saponaria Molina are known in the art. For example QS21, also known as QA21, is an Hpic purified fraction from the QuiUaja Saponaria Molina tree and it's method ofits production is disclosed (as QA21) in U.S. Pat. No. 5,057,540, QuiUaja saponin has also been disclosed as an adjuvant by Scott et al, Int. Archs. Allergy Appl. Immun., 1985, 77, 409. Monosphoryl lipid A and derivatives thereof are known in the art. A preferred derivative is 3 de-o-acylated monophosphoryl lipid A. Further preferred adjuvants are described in WOOO/00462, the disclosure of which is herein incorporated by reference.
However, an advantageous feature of the present invention is the high immunogenicty of the inventive compositions. As already outlined herein or will become apparent as this specification proceeds, vaccines and pharmaceutical compositions devoid of adjuvants are provided, in furtlier alternative or preferred

embodiments, leading to vaccines and pharmaceutical compositions for treating drug addiction, preferably nicotine addiction, being devoid of adjuvants and, tlius, having a superior safety profiJe since adjuvants may cause side-effects. The term "devoid" as used herein in the context of vaccines and pharmaceutical compositions for treating drug addiction, preferably nicotine addiction, refers to vaccines and pharmaceutical compositions that are used without adjuvants.
Animal; As used herein, the term "animal" is meant to include, for example, humans, sheep, elks, deer, mule deer, minks, mammals, monlceys, horses, cattle, pigs, goats, dogs, cats, rats, mice, birds, chicken, reptiles, fish, insects and arachnids.
Antibody: As used herein, the term "antibody" refers to molecules which are capable of binding an epitope or antigenic determinant. The term is meant to include whole antibodies and antigen-binding fragments thereof including single-chain antibodies, Most preferably the antibodies are human antigen bindmg antibody fragments and include, but are not limited to. Fab, Fab' and F(ab')2, Fd, single-chain Fvs (scFv), single-chain antibodies, disulfide-linked Fvs (sdFv) and fragments comprising either a VL or VH domain. The antibodies can be from any animal origin including birds and mammals. Preferably, the antibodies are mammalian e.g. human, murine, rabbit, goat, guinea pig, camel, horse and the like, or other suitable animals e.g. chicken. As used herein, "human" antibodies include antibodies having the amino acid sequence of a human immunoglobulin and include antibodies isolated from human immunoglobulin libraries or from animals transgenic for one or more human immunoglobulins and that do not express endogenous immunoglobulins, as described, for example, in U.S. Patent No. 5,939,598, the disclosure of which is incorporated herein by reference in its entirety.
Active immunization: As used herein, the term "active immunization" refers to the induction of an immune response in an individual, typically an animal, elicited by the administration of an immunogen, vaccine, antigen or hapten-carrier conjugate. By contrast, passive immunization refers to the conferral of immunity in an individual by the transfer of immune molecules or cells into said individual,
Alphavirus: As used herein, the term "alphavinis" refers to any of tlie RNA viruses included within the genus Alphmnriis. Descriptions of the members of tliis genus are contained in Strauss and Strauss, Microbiol. Rev.. 55:491-562 (1994).

Examples of alphaviruses include Aura virus, Bebaru virus, Cabassou virus, Chikungunya virus, Eastei' equine encephalomyelitis virus, Fort morgan vims, Getah virus, Kyzylagach virus, Mayoaro virus, Middleburg virus, Mucambo virus, Ndumu virus, Pixuna virus, Tonate virus, Triniti virus, Una vims. Western equine encephalomyelitis vims, Whataroa vims, Sindbis virus (SIN), Semliki forest vims (SFV), Venezuelan ecpjine encephalomyelitis vims (YEE), and Ross River vims.
Antigen: As used herein, tlie term "antigen" refers to a molecule capable of being bound by an antibody or a T cell receptor (TCR) if presented by MHC molecules. An antigen is additionally capable of being recognized by the immune system and/or being capable of inducing a humoral immune response and/or cellular immune response leading to the activation of B- and/or T-lymphocytes. This may, however, require that, at least in certain cases, the antigen contains or is linked to a Th cell epitope and is given in adjuvant. An antigen can have one or more epitopes (B- and/or T-cell epitopes). The specific reaction referred to above is meant to indicate that the antigen wi!! preferably react, typically in a highly selective manner, with -its corresponding antibody or TCR and not with the multitude of other antibodies or TCRs which may be evoked by other antigens. Antigens as used herein may also be mixtures of several individual antigens.
Antigenic determinant: As used herein, the term "antigenic determinant" is meant to refer to that portion of an antigen that is specifically recogiuzed by either B- or T-lyinphocjrtes. B-lymphocytes responding to antigenic determinants produce antibodies, whereas T-lymphocytes respond to antigenic determinants by proliferation and establishment of effector functions critical for the mediation of cellular and/or humoral immunity.
Association: As used herein, the term "association" as it applies to the first and second attachment sites, refei's to the binding of the first and second attachment sites that is preferably by way of at least one non-peptide bond. The nature of the association may be covalent, ionic, hydrophobic, polar or any combination thereof, preferably the nature of the association is covalent.
Attachment Site, First: As used herein, the phrase "first attachment site" refers to an element of the core particle to which the second attachment site located on the antigen or antigenic determinant may associate. The first attachment site may be a protein, a polypeptide, an amino acid, a peptide, a sugar, a polynucleotide, a natural or synthetic polymer, a secondary metabolite or compound (biotin.

fluorescein, retinol, digoxigenin, metal ions,- phenylmethylsulfonylfluoride), or a combination thereof, or a chemically reactive group thereof. Multiple first attaclmient sites are present on the surface of the non-natural molecular scaffold in a repetitive configuration.
(a) Attachment Site, Second; As used herein, the phrase "second attachment site" refers to an element associated witli the hapten to v/hich the first attachment site on tlie surface of tlie non-natural molecular scaffold may associate. The second attachment site of the hapten comprises any chemical moiety, preferably a amine, an amide, a carboxyl, a sulfhydryl, hydroxyl, aldehyde, acylhalogenide, hydrazine, diazonium, or hydrazide, or further chemical moieties able to specifically react with the fii'st attachment site. Moreover, the second attachment site may comprise a polypeptide, a peptide, a sugar, a polynucleotide, a natural or synthetic polymer, a secondary metabolite or compound (biotin, fluorescein, retinol, digoxigenin, metal ions, phenylmethylsulfonylfluoride), a combination thereof, or a chemically reactive group thereof At least one second attachment site is present on the hapten. The term "hapten" with at least one second attachment site" refers, tlierefore, to a hapten construct comprising at least the hapten and the second attachment site. However, in particular for a second attachment site, which is not naturally occurring within the hapten, these haptens comprise a linker which associates the hapten with the second attachment site, or more preferably, aheady comprises or contains the second attachment site.
Bound: As used herein, the term "bound" refers to binding or attachment that may be covalent, e.g., by chemically coupling, or non-covalent, e.g., ionic interactions, hydrophobic interactions, hydrogen bonds, etc. Covalent bonds can be, for example, ester, ether, phosphoester, amide, peptide, imide, carbon-sulfur bonds, carbon-phosphorus bonds, and the like. The term "bound" is broader than and includes terms such as "coupled," "fused" and "attached".
Core particle; As used herein, the term "core particle" refers to a rigid structure with an inherent repetitive organization that provides a foundation for attachment of tlie first attachment site. A core particle as used herein may be the product of a synthetic process or the product of a biological process.
Coat protein(s): As used herein, the term "coat protein(s)" refers to the protein(s) of a bacteriophage or a RNA-phage capable of being incorporated within the capsid assembly of the bacteriophage or the RNA-phage. However, when

refeiTing to the specific gene product of the coat protein gene of RNA-phages the term "CP" is used. For example, tlie specific gene product of tlie coat protein gene of RNA-phage QP is referred to as "Qp CP", whereas the "coat proteins" of bacteriophage Qb comprise the "QP CP" as well as the accessory Al protein. The capsid of Bacteriophage Qp is composed mainly of the Qp CP, with a minor content of the AI protein. Lilcewise, the VLP QP coat protein contains mainly Qp CP, with a minor content of Al protein.
Conjugate: As used lierein, the noun "conjugate" refers to the product of conjugation between one or more of (a) a core particle such as VLP , and one or more of (b) an organic molecule, hapten, antigen or antigenic determinant as described elsewhere herein, wherein tlie elements (a) and (b) are bound to each other.
Composition; As used herein, the term "composition" refers to a product of mixing or combining various elements or ingredients.
Disease, disorder, condition: As used herein, the terms "disease" or "disorder" refer to any adverse condition of an individual including tumors, cancer, allergies, addiction, autoimmunity, poisoning or impairment of optimal mental or bodily function. "Conditions" as used herein includes diseases and disorders but also refers to physiologic states. For example, fertility is a physiologic state but not a disease or disorder. Compositions of the invention suitable for preventing pregnancy by decreasing fertility would therefore be described as a treatment of a condition (fertility), but not a treatment of a disorder or disease. Other conditions aj-e understood by those of ordinary skill in the art.
Effective Amount; As used herein, the term "effective amount" refers to an amount necessary or sufficient to realize a desired biologic effect. An effective amount of the composition would be the amount that achieves this selected result, and such an amount could be determined as a matter of routine by a person skilled in the art. For example, an effective amount for treating an immune system deficiency could be that amount necessary to cause activation of the immune system, resulting in the development of an antigen specific immune response upon exposure to antigen. The term is also synonymous with "sufficient amount,"
The effective amount for any particular application can vary depending on such factors as tlie disease or condition being treated, the particular composition

being administered, the size of the subject, and/or the severity of the disease or condition. One of ordinary skill In the art can empirically determine the effective amount of a particular composition of the present invention without necessitating undue experimentation.
Epitope: As used herein, the term "epitope" refers to basic element or smallest unit of recognition by an individual antibody or T-celi receptor, and thus the particular domain, region or molecular structure to which said antibody or T-cell receptor binds. An antigen may consist of numerous epitopes while a hapten, typically, may possess few epitopes.
Fusion: As used herein, the term "fusion" refers to tlie combination of amino acid sequences of different origin in one polypeptide chain by in-frame combination of their coding nucleotide sequences. The term "fusion" explicitly encompasses internal fusions, i.e., insertion of sequences of different origin within a polypeptide chain, in addition to fusion to one of its termini.
Hapten: As used herein, the tenn "hapten" refers to a low-moleculai" weight organic compound that is not capable of ehciting an immune response by itself but will elicit an immune response once attached to a carrier molecule. Exemplary liaptens used in conjugates, compositions and methods of the invention include drugs, hormones and toxins, but are not limited to these specific haptens.
Heterologous sequence: As used herein, the term "heterologous sequence" refers to a second sequence of nucleic acid or protein that is not normally found with said nucleic acid or protein and is, usually, artificially added to the sequence in order to confer particular properties. In one example, heterologous amino acids may be added to recombinant capsid proteins for the purposes of purification of the protein, or to serve as a first attachment site.
Isolated: As used herein, when the term "isolated" is used in reference to a molecule, the term means tiiat the molecule has been removed fi-om its native environment. For example, a polynucleotide or a polypeptide naturally present in a living animal Is not "isolated," but tiie same polynucleotide or polypeptide separated fl-om the coexisting materials of its natural state is "isolated." Further, recombinant DNA molecules contained in a vector are considered isolated for the purposes of the present invention. Isolated RNA molecules include in vivo or in vitro RNA replication products of DNA and RNA molecules. Isolated nucleic acid molecules further include synthetically produced molecules. Additionally, vector

molecules contained in recombinant host cells are also isolated. Thus, not all "isolated" molecules need be "purified."
Immune response: As used herein, the term "immune response" refers to a humoral immune response and/or cellular immune response leading to the activation or proliferation of B- and/or T-lymphocytes and/or and antigen presenting cells. In some instances, however, the immune responses may be of low intensity and become detectable only v/hen using at least one substance in accordance with the invention, "Immunogenic" refers to an agent used to stimulate the immune system of a living organism, so that one or more functions of the immune system are increased and directed towards the immunogenic agerit. An "immunogenic polypeptide" is a polypeptide tliat elicits a cellular and/or humoral immune response, whether alone or linked to a cairier in the presence or absence of an adjuvant. Preferably, antigen presenting cell may be activated.
A substance which "enhances" an immune response refers to a substance in which an immune response is observed that is greater or intensified or deviated in any way with the addition of the substance when compared to the same immune response measured without the addition of the substance. For example, the lytic activity of cytotoxic T cells can be measured, e.g. using a "Cr release assay, in samples obtained with and without the use of the substance during immunization. The amount of die substance at which the CTL lytic activity is enhanced as compared to the CTL lytic activity without the substance is said to be an amount sufficient to enhance the immune response of the animal to the antigen. In a preferred embodiment, the immune response in enhanced by a factor of at least about 2, more preferably by a factor of about 3 or more. The amount or type of cytokines secreted may also be altered. Alternatively, the amount of antibodies induced or their subclasses may be altered.
Immunization: As used herein, the terms "immunize" or "immunization" or related terms refer to conferring the ability to mount a substantial immune response (comprising antibodies and/or cellular immunity such as effector CTL) against a target antigen or epitope. These terms do not require tliat complete immunity be created, but ratlier that an immune response be produced which is substantially greater than baseline. For example, a mammal may be considered to be immunized against a target antigen if the cellular and/or humoral immune response to the target antigen occurs following the application of methods of the invention.

Immunotherapeutic; As used herein, the term "immunotlierapeutic" refers to a composition for the treatment of diseases, disorders or conditions. More specifically, the term is used to refer to a method of treatment wherein a beneficial immune response is generated by vaccination or by transfer of immune molecules.
Immunologically effective amount: As used herein, the term "immunologically effective amount" refers to an amount of a composition sufficient to induce an immune response in an individual when introduced into that individual. In the context of active immunization, the term is synonymous with "imniunogenically effective amount." The amount of a composition necessary to be immunologically effective varies according many factors including to the composition, the presence of other components in the composition {e.g. adjuvants), the antigen, tlie route of immunization, the individual, the prior immune or physiologic state etc.
Individual; As used herein, the term "individual" refers to multicellular organisms and includes both plants and animals. Preferred multicellular organisms are animals, more preferred are vertebrates, even more preferred are mammals, and most preferred are humans.
Low or undetectable; As used herein, the phrase "low or undetectable," when used in reference to gene expression level, refers to a level of expression which is either significantly lower than that seen when the gene is maximally induced (e.g., at least five fold lower) or is not readily detectable by the methods used in the following examples section.
Lectin; As used herein, proteins obtained particularly from tlie seeds of leguminous plants, but also from many other plant and animal sources, that have binding sites for specific mono- or oligosaccharides. Examples include concanavalin A and wheat-germ agglutinin, which are widely used as analytical and preparative agents in the study of glycoprotein.
Natural origin: As used herein, the term "natural origin" means that the whole or parts thereof are not synthetic and exist or are produced in nature.
Non-natural; As used herein, the term generally means not from nature, more specifically, the tenn means from the hand of man.
Non-natural origin: As used herein, the term "non-natural origin" generally means synthetic or not from nature; more specifically, the terai means from the hand of man.

Non-natural molecular scaffold; As used herein, tlie phrase "non-natural molecular scaffold" refers to any product made by the hand of man that serves to provide a rigid and repetitive array of first attachment sites. Ideally but not necessarily, these first attachment sites are in a geometric order. The non-natural molecular scaffbid may be organic or non-oiiganic and may be synthesized chemically or through a biological process, in part or in whole. The non-natural molecular scaffold is comprised of (a) a core particle, either of natural or non-natura! origin; and (b) at least one first attachment site that is connected to a core particle by at least one covalent bond. In a particular embodiment, the non-natural molecular scaffold may be a virus, virus-like particle, a bacterial pilus, a virus capsid particle, a phage, a recombinant form thereof, or syntlietic particle.
Nicotine hapten: The term "nicotine hapten" as used in the present invention refers to nicotine, either in its enantiomerically pure (S)- or (R)-form or a mixture thereof, which could be derivatized in such manner as to contwn at least one second attachment site which, then, is capable of associating with the first attachment site of the carrier either directly, or via a cross-lJnker. Prefesably, the nicotine iwpten is derivatized in such manner as to contain only one second attachment site. This derivatization further increases the order and repetitiveness of the nicotine hapten-carrier conjugate and ensures a directed and controlled coupling of the nicotine hapten to the carrier.
Ordered and repetitive antigen or antigenic determinant array: As used herein, the term "ordered and repetitive antigen or antigenic determinant array" generally refers to a repeating pattern of antigen or antigenic determinant, characterized by a uniform spacial arrangement of tlie antigens or antigenic determinants with respect to the non-natural molecular scaffold. In one embodiment of the invention, the repeating pattern may be a geometric pattern. Typical and preferred examples of suitable ordered and repetitive antigen or antigenic determinant arrays are those which possess strictly repetitive paracrystalline orders of antigens or antigenic determinants, preferably with spacings of 0.5 to 30 nanonieters, more preferably with spacings of 5 to 15 nanometers.
Passive immunization: as used herein, the term "passive immunization" refers to conferral of immunity by the administration, fay any route, of exogenously produced immune molecules (e.g. antibodies) or cells (e.g. T-cells) into an aiiimal.

Passive immunization differs from "active" immunization, where immunity is obtained by introduction of an immunogen, vaccine, antigen or hapten-carrier conjugate into an individual to elicit an immune response.
Pili; As used herein, the term "pill" (singular being "pilus") refers to extracellular structures of bacterial cells composed of protein monomers {e.g., pilin monomers) which are organized into ordered and repetitive patterns. Further, pili are structures which are involved in processes such as the attachment of bacterial cells to host ceU surface receptors, inter-cellular genetic exchanges, and cell-cell recognition. Examples of pili include Type-1 pili, P-pili, FlC pili, S-pili, and 987P-pi!i. Additional examples of pili are set out elsewhere herein.
Pilus-like structure; As used herein, the phrase "pilus-like structure" refers to structures having characteristics similar to tliat of pili and composed of protein monomers. One example of a "pilus-like structure" is a structure formed by a bacterial cell which expresses modified pilin proteins that do not form ordered and repetitive arrays that are essentially identical to those of natural pili.
Polypeptide: As used herein, the term "polypeptide" refers to a molecule composed of monomers (amino acids) linearly linked by amide bonds (also known as peptide bonds). It indicates a molecular chain of amino acids and does not refer to a specific length of the product. Thus, peptides, dipeptides, tripeptides, oligopeptides and proteins are included within the definition of polypeptide, Tliis term is also intended to refer to post-expression modifications of the polypeptide, for example, glycosolations, acetylations, phosphorylations, and the like. A recombinant or derived polypeptide is not necessarily translated from a designated nucleic acid sequence. It may also be generated in any manner, including chemical synthesis.
Protein: As used herein, the term protein refers to a polypeptide generally of a size of above about 5 or more, 10 or more 20 or more, 25 or more, 50 or more, 75 or more, 100 or more, 200 or more, 500 or more, 1000 or more, 2000 or more amino acids. Proteins generally have a defined three dimensional structure although they do not necessarily need to, and are often referred to as folded, as opposed to peptides and polypeptides which often do not possess a defined three-dimensional staicture, but rather can adopt a large number of different conformations, and are referred to as unfolded. Peptides may, however, adopt tliree dimensional structures. The defined tliree-dimensional structures of proteins is especially important for the

association between the core particle and the antigen, mediated by the second attachment site, and in particular by way of chemical cross-linking between the first and second attaclmient site using a chemical cross-linker, The amino acid linker is also intimately related to the structural properties of proteins in some aspects of the invention.
Purified: As used hei-ein, when the term "purified" is used in reference to a molecule, it means that the concentration of the molecule being purified has been increased relative to molecules associated with it in its natural environment, or environment in which it was produced, found or synthesized. Naturally associated molecules include proteins, nucleic acids, lipids and sugars but generally do not include water, buffers, and reagents added to maintain the integrity or facilitate the purification of the molecule being purified. For example, even if mRNA is diluted witli an aqueous solvent during oligo dT column chromatography, mRNA molecules are purified by this chromatography if naturally associated nucleic acids and other biological molecules do not bind to the column and are separated fiom the subject mRNA molecules. According to this definition, a substance may be 5% or more, 10% or more, 20% or more, 30% or more, 40% or more, 50% or more, 60% or more, 70% or more, 80% or more, 90% or more, 95% or more, 98% or more, 99% or more, or 100% pure when considered relative to its contaminants.
Receptor: As used herein, the term "receptor" refers to proteins or glycoproteins or fragments thereof capable of interacting with anotlier molecule, called the ligand. The ligand may belong to any class of biochemical or chemical compounds. The receptor need not necessarily be a membrane-bound protein. Soluble protein, like e.g., maltose binding protein or retinol binding protein are receptors as well.
Residue: As used herein, the term "residue" is meant to mean a specific amino acid in a polypeptide backbone or side chain.
Recombinant host cell; As used herein, the term "recombinant host cell" refers to a host cell into wliich one ore more nucleic acid molecules of the invention have been introduced.
Recombinant virus: As used herein, the phrase "recombinant virus" refers to a vii'us that is genetically modified by the hand of man. The plirase covers any virus known in the art. More specifically, tlie phrase refers to a an alphavii'us genetically modified by the hand of man, and most specifically, the phrase refers to

a Sinbis virus genetically modified by the hand of man,
RNA-phage, RNA-bacteriophage: As used herein, the term "RNA-faacteriopJiage," or its abbreviated form "RNA-phage" refers to RNA viruses infecting bacteria, preferably to single-stranded positive-sense RNA viruses infecting bacteria.
Self antigen: As used herein, tlie tern "self antigen" refers to proteins encoded by the host's DNA and products generated by proteins or RNA encoded by die host's DNA are defined as self In addition, proteins that result from a combination of two or several self-molecules or that represent a fraction of a self-molecule and proteins that have a high homology two self-molecules as defined above (>95%, preferably >97%, more preferably >99%) may also be considered self.
Vaccine: As used herein, the term "vaccine" refers to a formulation wMch contains the composition of the present invention and which is in a form that .is capable of being administered to an animal. Typically, the vaccine comprises a conventional saline or buffered aqueous solution medium in which the composition of the present invention is suspended or dissolved. In this form, the composition of the present invention can be used conveniently to prevent, ameliorate, or otherwise treat a condition. Upon introduction into a host, the vaccine is able to provoke an immune response including, but not limited to, the production of antibodies and/or cytokines and/or the activation of cytotoxic T cells, antigen presenting cells, helper T cells, dendritic cells and/or other cellular responses. Optionally, the vaccine of the present invention additionally includes an adjuvant which can be present in either a minor or major proportion relative to the compound of tlie present invention.
Vector: As used herein, the term "vector" refers to an agent (e.g., a plasmid or virus) used to transmit genetic material to a host cell. A vector may be composed of either DNA or RNA.
Virus-like particle: As used herein, the term "viius-Iifce particle" refers to a structure resembling a virus particle. Moreover, a virus-like particle in accordance with the invention is non replicative and noninfectious since it lacks all or part of the viral genome, in particular the replicative and infectious components of the viral genome. A vims-like paiticle in accordance with the invention may contain nucleic acid distinct from their genome.
Viais-Uke particle of a bacteriophage: As used herein, the term "virus-like

particle of a bacteriophage" refers to a virus-like particle resembling the stmcture of a bacteriophage, being non replicative and noninfectious, and lacking at least the gene or genes encoding for the replication machinery of the bacteriophage, and typically also lacking the gene or genes encoding the protein or proteins responsible for viral attachment to or entry into the host, A virus-like particle in accodance with the invention lacks all or part of the viral genome, in particular the replicative and infectious components of the viral genome. A virus-like particle in accordance with the invention may contain nucleic acid distinct from their genome. A typical and preferred embodiment of a virus-like particle in accordance with the present invention is a viral capsid such as the viral capaid of the corresponding virus,, bacteriophage, or RNA-p!mge. Tlie terms "viral capsid" or "papsid", as interchangeably used herein, refer to a macromolecular assembly composed of viral protein subunits. Typically and preferably, the viral protein subunits assemble into a virai capsid and capsid, respectively, having a staicture with an inherent repetitive organization, wherein said structure is, typically, spherical or tubular. For example, the capsids of RNA-phages or HBcAg's have a spherical form of icosahedral symmetry. The term "capsid-like structure" as used herein, refers to a macromolecular assembly composed of viral protein subunits ressembling the capsid morphology in the above defined sense but deviating from the typical symmetiical assembly while maintaining a sufficient degree of order and repetitiveness.
Virus-like particle of a bacteriophage: As used herein, tlie terra "virus-like particle of a bacteriophage" refers to a virus-like particle resembling the structure of a bacteriophage, being non replicative and noninfectious, and lacking at least the gene or genes encoding for the replication machinery of the bacteriophage, and typically also lacking the gene or genes encoding the protein or proteins responsible for viral attachment to or entry into the host. This definition should, however, also encompass virus-like particles of bacteriophages, in which the aforementioned gene or genes are still present but inactive, and, therefore, also leading to non-replicative and noninfectious virus-like particles of a bacteriophage.
VLP of RNA phage coat protein: The capsid staicture formed from thfc self-assembly of 180 subunits of RNA phage coat protein and optionally containing host RNA is referred to as a "VLP of RNA phage coat protein". A specific example is the VLP of QP coat protein. In this particular case, the VLP of Qp coat protein may

either be assembled exclusively from QP CP subunits (generated by expression of a QP CP gene containing, for example, a TAA stop codon precluding any expression of the longer AI protein tlu'ough suppression, see Kozlovska, T,M., et al. Inlet-virology 39: 9-15 (1996)), or additionaily contain Al protein subunits in the capsid assembly,
Virus particle: The term "virus particle" as used herein refers to the morphological form of a virus. In some virus types it comprises a genome surrounded by a protem capsid; others have additional structures {e.g., envelopes, tails, etc.).
One, A, or An: When the terms "one," "a" or "an" are used in this disclosure, they mean "at least one" or "one or more" unless otherwise indicated.
As used lierein when referr'mg to any numerical value, the term "about" means a value of ±10% of the stated value (e.g., "about SCC" encompasses a range of temperatures from 45°C to 55°C, inclusive; similarly, "about 100 mM" encompasses a range of concentrations from 90 mM to 110 mM inclusive).
Overview
In one aspect, the invention provides conjugates of one or more haptens with a carrier in an ordered and repetitive hapten-carrier conjugate, and methods of making such conjugates. The invention also provides compositions comprising-at least one such conjugate of the invention and at least one other component, suitably at least one excipient or carrier and particularly at least one pharmaceutically acceptable excipient or carrier. Haptens suitably used in the conjugates and compositions of the invention include but are not limited to hormones, toxins and drugs, especially drugs of addiction, such as nicotine. The conjugates and compositions of the invention are useful for inducing immune responses against haptens. Such an immune response can be utilized to generate antibodies, useful for therapeutic, prophylactic and diagnostic purposes. Immune response can be usefial to prevent or treat addiction to drugs of abuse and the resultant diseases associated with drug addiction.
The conjugates of tl7e present invention comprise hjghJy ordered and repetitive arrays of haptens. Conjugate arrays according to this aspect of the invention comprise (a) a core particle, comprising a first attachment site and (b) a

hapten comprising a second attachment site, wherein the elements (a) and (b) are linked through the first and second attachment sites to form said ordered and repetitive hapten arrays.
Core particles suitably used in the conjugates and compositions of the invention may be natural or non-natural. Natui"al core particles of the present invention include virus parficles, virus-lJIce paiticJes, and piii, The proteins of tliese natural core particles may be natural or recombinant. The first attachment sites on the core particle may occur naturally or may be introduced via chemical or recombinant means, Haptens of the present invention are those suitable for inducing immune responses against a variety of molecules, including but not limited to toxins, hormones and drugs, particularly drugs of abuse and or addiction. The second attachment site on the hapten may naturally occur or be mtroduced. The interaction between first and second sites may be direct, or may involve at least one other molecule, e.g. a linker. Linkers include cross-linking molecules.
The conjugates and compositions of tiie invention are suprisingly effective in inducing immune responses, particularly antibodies, against haptens. Thus, they are useful in compositions suitable for mimunization of animals for tlierapeutic or prophylaxis against diseases, disorders or conditions associated whh various drugs, hormones or toxins. Antibodies produced by immunization with the conjugates and compositions of the invention are also useful for therapeutic and prophylactic purposes.
In other embodiments, the invention provides methods of treatment and prevention of a disease utilizing the conjugates and compositions of the invention. In another embodiment, the invention provides kits suitable for diagnosis and screening.
Compositions of Ordered and Repetitive Antigen or Antigenic Determinant Arrays and Metliods to Make the Same
The present invention provides conjugates, and compositions of conjugates, comprising an ordered and repetitive hapten array. Furthermore, the invention conveniently enables the practitioner to construct ordered and repetitive hapten airays for various purposes, and preferably the induction of an immune response against organic molecules.

Conjugates of the invention essentially comprise, or alternatively consist of, two elements: (1) a non-natural molecular scaffold; and (2) a hapten with at least one second attachment site capable of association through at least one bond to said first attachment site.
The non-natural molecular scaffold comprises, or alternatively consists of: (a) a core particle selected from the group consisting of (1) a core particle of non-natural origin and (2) a core particle of natural origin; and (b) at least one fu^ attachment site connected to said core particle by at least one covalent bond. Core particles used in the conjugates, compositions and methods of the invention include inoi^aaic molecules, virus particles, virus-like particles, and bacterial pili. The haptens used in the conjugates, compositions and methods of the invention has at least one second attachment site which is selected from the group consisting of (a) an attachment site not naturally occurring with said hapten; and (b) an attachment site naturally occurring with said antigen or antigenic determinant.
The invention provides for an ordered and repetitive hapten array through an association of the second attachment site to the first attachment site by way of at least one bond. Thus, the hapten and the non-natural molecular scaffold are brought together through this association of the first and the second attachment site to form an ordered and repetitive antigen array.
Tlie practioner may specifically design the hapten and the second attachment site such that the arrangement of all the haptens bound to the non-natural molecular scaffold or, in certain embodiments, the core particle will be uniform. For example, one may place a smgle second attachment site on the hapten, thereby ensuring through design that all haptens that are attached to the non-natural molecular scaffold are positioned in a uniform way. Thus, the invention provides a convenient means of placii^ any hapten onto a non-natural molecular scaffold in a defined order and in a manner which forms a repetitive pattern.
As will be clear to those of ordinary skill in the art, certain embodiments of the invention involve the use of recombinant nucleic acid technologies such as cloning, polymerase chaui reaction, the purification of DNA and UNA, the expression of recombinant proteins in prokaryotic and eukaryotic cells, etc. Such methodologies are well known to those skilled in the art and may be convenientiy found in published laboratory methods manuals (e.g., Sambrook, J. et al, eds.,

MOLECULAR CLONING, A LABORATORY MANUAL, 2nd. edition. Cold Spring Harbor Laboratory Press, Cold Spring Harbor. N.Y. (1989); Ausubel, F. et al., eds.. CURRENT PROTOCOLS IN MOLECULAR BIOLOGY, John H. Wiley & Sons, Inc. (1997)). Fundamental laboratory techniques for \vorking with tissue culture cell lines (Cells, J., ed., CELL BIOLOGY, Academic Press, 2'"' edition, (1998)) and antibody-based technologies (Harlow, E. and Lane, D., "Antibodies: A Laboratory Manual," Cold Spring Harbor Laboratory, Cold Spring Harbor, N.Y. (1988); Deutscher, M.P., "Guide to Protein Purification," Meth. Enzymol 128, Academic Press San Diego (1990); Scopes, R.K., "Protein Purification Principles and Practice," 3"^ ed., Springer-Verlag, New York (1994)) are also adequately described in the literature, all of which are incorporated herein by reference.
Furthermore, technologies for coupling organic molecules to amino acids and means for making derivatives of haptens containing appropriate second attachment sites such as are neccessary for the practice of the invention are well known to those of skill in the art. Such methodologies raay be found in chemical text books and publications, examples of which are included below and are incoiportated by reference; US Patent No. 5,876,727; WO 99/61054; Isomura, S. et al. J. Org. Chem. 66:4115-4121 (2001); Matsushita, H. el al. Biochem. Biophys. Res. Comm. 57:1006-1010. (1974); Langone, J.L. and Van Vunakis, H., Methods Enzymol. 84:628-640 (1982); Wong, Chemistry of Protein Conjugation and Cross-Linking. CRC Press, Inc., Boca Raton, Fla (1991.)
Core Particles and Non-Natural Molecular Scaffolds
In one embodiment, the present invention provides methods for the formation of an ordered and repetitive array of h^tens. By the invention, this occurs by the association of a core particle to which is attached one or more haptens via first and second attachment sites.
Thus, one element in certain conjugates and compositions of the invention is a non-natural molecular scaffold comprising, or alternatively consisting of, a core particle and a first attachment site. More specifically, the non-natural molecular scaffold comprises, or alternatively consists of, (a) a core particle of natural or non-natural origin and (b) at least one first attachment site connected to the core particle by at least one covalent bond.
Core particles. In one embodiment of the present invention, a core particle

is a synthetic polymer, a lipid micelle or a metal. Such core particles are known in the art, providing a basis from which to build the non-natural molecular scaffold of the invention. By way of example, synthetic polymer or metal core particles are disclosed in U.S. Patent No. 5,770,380, and U.S. Patent No. 5,334,394, which are incorporated by reference herein in their entirities. Suitable metals include, but are not limited to, chromium, rubidium, mm, zmc, selenium, nickel, gold, silver, platinum. Suitable ceramic materials include, but are not limited to, silicon dioxide, titanium dioxide, aluminum oxide, ruthenium oxide and tin oxide. The core particles of this embodiment may be made from organic materials mcluding, but not Iknited to, carbon and suitable polymers, including polystyrene, nylon and nitrocellulose. For nanocrystalline particleSj particles made from, tin oxide, titanium dioxide or carbon (diamond) are useful. Lipid micelles for use in the present invention are prepared by any means known in the art, for example, Baiselle and Millar {Biophys. Chem. 4-35S-3,6\ (1975)) or Corti et al. {Chem. Phys. Lipids 55:197-214 (1981)) or Lopez et al {FEBS Lett. ^2(J:314-318 (1998)) or Topchieva and Karezin {J. Colloid Interface Sci. 2I3:29~35 (1999)) or Morein et al, (Nature 308:457- 460 (1984)), which are incoiporated herein by reference in their entirities.
In one embodiment of the invention the core particle is produced throng a biological process, which may be natural or non-natural. For example, viruses and bacterial pili or pilus-like structures are formed from proteins which are organized into ordered and repetitive structures. Therefore, the present invention comprises conjugates, compositions and methods comprising useful core particles which include, but are not limited to a virus, virus-like particle, a bacterial pilus, a phage, a vkal capsid particle or fragments thereof In certain such embodiments, the protems may be recombinant
In certain embodiments, the core particle of the non-natural molecular scaffold comprises a virus, a bacterial pilus, a structure formed from bacterial pilin, a bacteriophage, a virus-like particle, a viral capsid particle or a recombinant form thereof. Any virus known in the art having an ordered and repetitive coat and/or core protein structure may be selected for use as in the methods, conjugates and compositions of the invention as a non-natural molecular scaffold. Examples of suitable viruses include, but are not limited to, sindbis and otiier alphaviruses, rhabdoviruses (e.g. vesicular stomatitis virus), picomavinises (e.g., human rhino virus, Aichi virus), togaviruses (e.g., rubella vims), orthomyxoviruses (e.g..

Ihogoto vims, Batken vims, fowl plague vims), polyomaviruses (e.g., polyomavirus BK, polyomavirus JC, avian polyomavims BFDV), parvoviruses, rotaviruses, bacteriophage QP, bacteriophage R17, bacteriophage Mil, bacteriophage MXl, bacteriophage NL95, bacterioph^e fr, bacteriophage GA, bacteriophage SP, bacteriophage MS2, bacteriophage f2, bacteriophage PP7, bacteriophage AP205, Norwalk vims, foot and mouth disease virus, a retrovirus. Hepatitis B virus. Tobacco mosaic virus. Flock House Virus, and hiunan Papilomavims (for example, see Table 1 in Bachman, M.F. and Zinkemagel, R.M., Immunol. Today I7:553-558 (1996)). In more specific exemplary embodiments of the present invention the core particle may con^se, or altematively consist of, recombinant proteins of Rotavirus, recombinant proteins of Norwalk virus, recombinant proteins of Alphavims, recombinant proteins which form bacterial pili or pilus-like structures, recombinant proteins of Foot and Mouth Disease virus, recombinant proteins of Retrovirus, recombinant proteins of Hepatitis B virus (e.g., a HBcAg), recombinant proteins of Tobacco mosaic virus, recombinant proteins of Flock House Virus, and recombinant proteins of human Papillomavirus.
The core particle xised in conjugates, compositions and methods of the invention may further comprise, or alternatively consist of, one or more fragments of such proteins, as well as variants of such proteins which retain the ability to associate with each other to form ordered and repetitive antigen or antigenic determinant arrays. For example, as explained in WO 02/056905 core particles may be formed from variant forms of the human HBcAg which differ marlcedly from the wild-type particle in amino acid sequence identity and sunilarity, and in sequence length. For example, amino acid sequence of tiie HBcAg of Hepatitis B viruses wiiioh infect snow geese and ducks differs sufficiently from that of HBcAg of viruses infected mammals that alignment of the proteins is difficult. However, both viruses retain the ability to form core structures suitable for the formation of ordered repetitive h^ten arrays. Similarly, HBcAg may retain tiie ability to form multimeric particles, typical of a virus, after removal of N-terminal leader sequences, fiirther deletions, substitutions, or additions to the sequence. Methods which can be used to determine whether proteins form such stmctures comprise gel filtration, agarose gel electrophoresis, sucrose gradient centrifugation and electron microscopy (e.g.. Koschel, M. e( al, J. Virol 73: 2153-2160 (1999)).

First Attachment Sites. Whether natural or non-natural, the core particle used in the conjugates, compositions and methods of the present invention will generally possess a component comprising a first attachment site that is attached to the natural or non-natural core particle by at least one covalent bond. TTie element comprising the first attachment site is bound to a core particle in a non-random fashion that provides a nucleation site for creating an ordered and repetitive antigen anay. Ideally, but not necessarily, this element is associated wifli the core particle in a geometric order. The first attachment site may be a natural part of the core particle, such as a surface exposed amino acid residue suitable for coupling to the second attachment site. For example, lysine and cysteine may form non-peptide bonds via reactive groups on the amino acid. Alternatively, an element containing the first attachment site may be introduced into the core particle via chemical coupling or through the design of recombinant molecules. The first attachment site may be, or be found on, any element comprising bound to a core particle by at least one covalent bond.
Elements comprising, or alternatively consisting of, the first attachment site may be proteins, a polypeptide, a peptide, an amino acid (i. e., a residue of a protein, a polypeptide or peptide), a sugar, a polynucleotide, a natural or synthetic polymer, a secondary metabolite or compound (biotin, fluorescein, retinol, digoxigenin, metal ions, phenylmethylsulfonylfluoride), or a combination thereof, or a chemically reactive group thereof. In a more specific embodiment, the first attachment site comprising an antigen, an antibody or antibody Augment, biotin, avidin, strepavidin, a receptor, a receptor Ugand, a Ugand, a ligand-binding protein, an interacting leucine zipper polypeptide, an amino group, a chemical group reactive to an amino group; a carboxyl group, chemical group reactive to a carboxyl group, a sulfhydryl group, a chemical group reactive to a sulfhydryl group, or a combination thereof
In one embodiment, the invention utilizes genetic engineering of a virus to create a fusion between an ordered and repetitive viral envelope protein the element comprising the first attachment site which comprising a heterologous protein, peptide, antigenic determinant or a reactive amino acid residue of choice. Other genetic manipulations known to those in the art may be included in the construction of the non-natural molecular scaffold; for example, it may be desirable to resttict the replication ability of the recombinant virus through genetic mutation. The viral

protein selected for fusion to the protein containing the first attachment site protem should have an organized and repetitive structure. Such an organized and repetitive structure include paracrystaUine organizations with a spacing of 0.5-30, preferably 5-15 nm, on the smface of the virus. The creation of this type of fusion protein will result in multiple, ordered and repetitive first attachment sites on the surfece of the virus. Thus, the ordered and repetitive organization of the first attachment sites resulting therefiom will reflect the normal organization of the native viral protein.
As will be understood by those of ordinary skill in the art, the first attachment site may be or be a part of any suitable protein, polypeptide, sugar, polynucleotide, peptide (amino acid), natural or synthetic polymer, a secondary metabolite or combination thereof tiiat may serve to specifically attach the antigen or antigenic determinant of choice to the non-natural molecular scaffold. In one embodiment, the attachment site is a protein or peptide that may be selected fi:om those known in the art. For example, the first attachment site may be a ligand, a receptor, a lectin, avidin, streptavidin, biotin, an epitope such as an HA or T? tag, Myc, Max, immunoglobulin domains and any other amino acid sequence known in the art that would be useful as a first attachment site.
It will be further imderstood by those of ordinary skill in the art that with another embodiment of the invention, the first attachment site may be created secondarily to tiie creation of an element carrying the first attachment site (i.e., protein or polypeptide) utilized in constiucting the in-fi-ame fiision to the capsid protein. For example, a protein may be utilized for fusion to the envelope protein with an amino acid sequence known to be glycosylated in a specific fashion, and the sugar moiety added as a result may flien serve at the first attachment site of the viral scaffold by way of binding to a lectin serving as the secondary attachment site of an antigen. Alternatively, a sequence may be biotmylated in vivo and the biotin moiety may serve as the first attachment site of the invention, or the sequence may be subjected to chemical modification of distinct amino acid residues in vitro, the modification serving as the first attachmait site.
In one specific embodiment of the invention, the first attachment site is the JUN-FOS leucine zipper protein domain that is fused in fi:ame to the Hepatitis B capsid (core) protein (HBcAg). However, it will be clear to those of ordinary skill in the art that other viral capsid proteins may be utilized in the fusion ptotein construct for locating the fu^t attachment site in the non-natural molecular scaffold

of the invention. For example, in other embodiments of the invention, the first attachment site is selected to be a lysine or cysteine residue that is fused in frame to the HBcAg. However, it will be clear to all individuals in the art that other viral c^sid or virus-like particles may be utilized in the fusion protein construct for locating the first attachment in the non-natural molecular scaffold of the invention.
Viral particles. In one embodiment of the invention, the core particle is a recombinant alphavirus, and more specifically, a recombinant Sindbis virus. Several members ofthealphavirus family, Sindbis (Xioi^, C. etal.. Science 243:U%S'U9\ (1989); Schlesinger, S., Trends Biotechnol 11:18-22 (1993)), Semliki Forest Virus (SFV) (LiljestrOm, P. & Garoff, H., Bio/Technology 9:1356-1361 (1991)) and others (Davis, N.L. et at, Virology 777:189-204 (1989)), have received considerable attention for use as virus-based expression vectors for a variety of different proteins (Lundstrom, K., Ctirr. Opin. Biotechnol 5:578-582 (1997); Liljestrem, P., Curr. Opin. Biotechnol. 5:495-500 (1994)) and as candidates for vaccine development. The use of alphaviruses for the expression of heterologous proteins and the development of vaccines has been disclosed (see U.S. Patent Nos. 5,766,602; 5,792,462; 5,739,026; 5,789,245; and 5,814,482) the disclosures all of which are incorporated by reference in their entirities. The construction of the alphaviral scaffold of the invention may be done by means generally known in the art of recombinant DNA technology, as described by the aforementioned articles, which are incorporated herein by reference. A variety of different recombinant host cells can be utilized to produce a viral-based core particle for antigen or antigenic determinant attachment.
Packaged RNA sequences can also be used to infect host cells. These packaged RNA sequences can be introduced to host cells by adding them to the culture medium. For example, the preparation of non-infective alpahviral particles is described in a number of sources, including "Sindbis Expression System", Version C (Invitrogen Corporation, Carlsbad CA; Catalog No. K750-1).
When mammalian cells are used as recombinant host cells for the production of viral-based core particles, these cells will generally be grown in tissue culture. Methods for growing ceUs in culture are well known in the art (see, e.g.. Cells, J., ed.. CELL BIOLOGY, Academic Press, 2"' edition, (1998); Sambrook, J. et al, eds.. MOLECULAR CLONINO, A LABORATORY MANUAL, 2nd. edition. Cold Spring Harbor Laboratory Press, Cold Spring Harbor, N.Y. (1989); Ausubel, F. et

al., eds.. CURRENT PROTOCOLS IN MOLECULAR BIOLOGY, John H. Wiley & Sons, hic. (1997); Freshney, R., CULTURE OF ANIMAL CELLS, Alan R. Liss, Inc. (1983)).
The invention thus includes viral-based core particles which comprise, or alternatively consist of, a virus, virus-like particle, a phage, a viral capsid particle or a recombinant form thereof. Skilled artisans have the knowledge to produce such core pardcles and attach firet attachment sites thereto. The production of Hepatitis B virus-like particles, m particular those assembled or self-assembled from HBcAg, and measles viral capsid particles as core particles is disclosed m Examples 17 to 22 of WO 00/32227, which is explicitly mcoiporated herein by reference, hi such embodiments, the JUN leucine zipper protein domain or FOS leucine zipper protein domiiin may be used as a first attachment site for the non-natural molecular scaffold of the mvention. One of skill in the art would known methods for constructing Hepatitis B core particles carrying an in-frame fused peptide with a reactive lysine residue and antigens carrying a genetically fused cysteine residue, as first and second attachment site, respectively.
In other embodiments, the core particles used in compositions of the invention are composed of a Hepatitis B capsid (core) protein (HBcAg), a fragment of a HBcAg, or other protein or peptide which can form virus-like particles, which are ordered arrays, which have been modified to either eliminate or reduce the number of free cysteine residues. Zhou et al. (J. Virol. (5(5:5393-5398 (1992)) demonstrated that HBcAgs which have been modified to remove the naturally resident cysteine residues retain the ability to associate and form multimeric structures. Thus, core particles suitable for use in compositions of the invention include those comprising modified HBcAgs, or fragments thereof, in which one or more of tiie naturally resident cysteine residues have been either deleted or substituted with another amino acid residue (e.g., a serine residue). In a preferred embodiment, the HBcAg has ihe amino acid sequence as set forth in SEQ ID NO: 1, or a sequence that is at least about 80%, at least about 85%, at least about 90%, at least about 95%, more preferably at least about 99% or 100% identical to the sequence of SEQ ED NO: 1. In one embodiment of the invention, a modified HBcAg comprising the amino acid sequence shown in SEQ ID NO:l, or subportion thereof, is used to prepare non-natural molecular scaffolds. In particular, modified HBcAgs suitable for use in the practice of tiie invention include proteins in which one or more of the cysteine residues at positions corresponding to positions 48, 61,

107 and 185 of a protein having the amino acid sequence shown in SEQ ID N0;1 have been either deleted or substituted with other amino acid residues (e.g., a serine residue). As one skilled in the art would recognize, cysteine residues at similar locations in HBcAg variants having amino acids sequences which diifer fi^m that shown in SEQ ID N0:1 could also be deleted or substituted with other amino acid residues. The modified HBcAg variants can then be used to prepare vaccine compositions of the invention.
Under certain circumstances (e.g., when a beterobifunctional cross-linking reagent is used to attach antigens or antigenic determinants to the non-natura! moleciilar scaffold), the presence of free cysteine residues m the HBcAg is believed to lead to covalent coupling of toxic components to core particles, as well as the cross-lmking of monomers to form undefined species.
Further, in many instances, these toxic components may not be detectable with assays performed on compositions of the invention. This is so because covalent coupling of toxic components to the non-natural molecular scaffold would result in the formation of a population of diverse species in which toxic components are linked to different cysteine residues, or in some cases no cysteine residues, of the HBcAgs. In other words, each &ee cysteine residue of each HBcAg will not be covalently linked to toxic components. Further, in many instances, none of the cysteine residues of particular HBcAgs vnH be linked to toxic components. Thus, the presence of these toxic components may be difEcult to detect because they would be present in a toixed population of molecules. The administration to an individual of HBcAg species containing toxic components, however, could lead to a potentially serious adverse reaction.
It is well known in the art that free cysteme residues can be involved in a number of chemical side reactions. These side reactions include disulfide exchanges, reaction with chemical substances or metabolites that are, for example, injected or formed in a combination therapy with other substances, or direct oxidation and reaction with nucleotides upon exposure to UV light. Toxic adducts could thus be generated, especially considering the fact that HBcAgs have a strong tendency to bind nucleic acids. Detection of such toxic products in antigen-capsid conjugates would be difficult using capsids prepared using HBcAgs containii^ free cysteines and heterobifimctional cross-linkers, since a distribution of products with a broad range of molecular weight would be generated. The toxic adducts would

thus be distributed between a multiphcity of species, which individually may each be present at low concentration, but reach toxic levels wiien together.
In view of flie above, one advantage to the use of HBcAgs in vaccine compositions which have been modified to remove naturally resident cysteine residues is that sites to which toxic species can bind when antigens or antigenic determinants are attached to the non-natural molecular scaffold would be reduced in number or eliminated altogether. Further, a hi^ concentration of cross-linker can be used to produce highly decorated particles without the drawback of generating a plurality of undefined cross-linked species of HBcAg monomers (i.e., a diverse mixture of cross-linked monomeric HbcAgs).
A number of naturally occurring HBcAg variants suitable for use in the practice of the present invention have been identified. Yuan et al, (J. Virol. 75:10122-10128 (1999)), for example, describe variants in which the isoleucine residue at position correspondii^ to position 97 in SEQ ID N0:1 is replaced with either a leucine residue or a phenylalanine residue. The amino acid sequences of a number of HBcAg variants, as well as several Hepatitis B core antigen precursor variants, are disclosed in GenBank reports AAF121240. AF121239, X85297, X02496, X85305, X85303, AF151735, X85259 , X85286, X85260, X85317, X85298, AF043593, M20706, X85295, X80925, X85284, X85275, X72702. JC8529I, X65258, X85302, M32138, X85293. X85315, U95551, X85256, X85316, X85296, AB033559 , X59795, X8529, X85307, X65257, X85311, X85301. X853I4, X85287, X85272, X85319, AB010289, X85285, AB010289, AF121242, M90520, P03153, AF110999, and M95589, the disclosures of each of which are incorporated herein by reference. These HBcAg varianlB differ in amino acid jequence at a number of positions, including amino acid residues which x)rresponds to the amino acid residues located at positions 12, 13, 21, 22, 24, 29, J2, 33, 35, 38, 40, 42, 44, 45, 49, 51, 57. 58, 59, 64, 66, 67, 69, 74, 77, 80, 81. 87. 32, 93, 97, 98,100,103,105,106,109,113,116,121,126, 130,133,135,141, 147, E49,157,176,178,182 and 183 in SEQ IDNOa.
Furiher HBcAg variants suitable for use in the compositions of the nvention, and which may be ftirther modified according to the disclosure of this ipecification are described in WO 00/198333, WO 00/177158 and WO 00/214478, lerein included by reference in their entirety.
HBoAgs suitable for use in the present invention may be derived firom any

organism so long as they are able to associate to form an ordered and repetitive antigen array. Generally processed HBcAgs (i.e., those which lack leader sequences) will he used in the vaccme compositions of the invention. The present invention includes vaccine compositions, as well as methods for using these compositions, which employ the above described variant HBcAgs for the preparation of non-natural molecular scaffolds. Further included within the scope of the invention are additional HBcAg variants which are capable of associatii^ to form dimeric or multimeric stnictuies. Thus, the invention fiirtijer uicludes vaccine compositions comprisir^ HBcAg polypeptides comprising, or alternatively consisting of, amnio acid sequences which are at least about 80%, about 85%, about 90%, about 95%, about 97%, or about 99% identical to any of the amino acid sequences shown in the above sequences, including SEQ ID No: 1, and forms of these proteins which have been processed, where appropriate, to remove the N-terminal leader sequence.
Whether the amino acid sequence of a polypeptide has an amino acid sequence that is at least about 80%, about 85%, about 90%, about 95%, about 97%, or about 99% identical to one of the amino acid sequences shown above, or a subportion thereof, can be determined conventionally using known computer programs such the Bestfit program. When using Bestfit or any other sequence alignment program to determine whether a particular sequence is, for instance, about 95% identical to a reference amino acid sequence according to the present invention, the parameters are set such that the percentage of identity is calculated over the fiill lengdi of the reference amino acid sequence and that gaps in homology of up to 5% of the total number of amino acid residues in the reference sequence are allowed. In such a manner, comparisons may be made between the amino acid sequence of HBcAg of SEQ ID N0:1 and other HBcAg. When comparing protems that are relatively similar, reference to an amino acid residue of a HBcAg variant located at a position which corresponds to a particular position in SEQ ID NOil, refers to the amino acid residue wdiich is present at that position in the amino acid sequence shown in SEQ ID NO: 1. The homology between these HBcAg variants is for the most part high enough among Hepatitis B viruses that infect mammals so fliat one skilled in the art would have littie difficulty reviewing both the amino acid sequence shown in SEQ ID N0:1 and that of a particular HBcAg variant and identifying "corresponding" amino acid residues. For example, comparisons

between the SEQ ID N0:1 and the amino acid sequence of the an HBcAg derived fiom a virus which infect woodchucks, it is readily apparent that a three amino acid residue insert is present in that sequence between amino acid residues 155 and 156 ofSEQIDNO:l.
However, where alignment is difficult, one skilled in the art would recognize the importance of particular amino acids or motifs in a sequence. For example, the amino acid sequence of HBcAg from human viruses differs from duck viruses such that alignment is difBcult, yet one skilled in the art would lecognize consKved cysteine residues could be either substituted with another amino acid residue or deleted prior to their inclusion in vaccine compositions of the invention.
hi one embodiment, the cysteine residues at positions 48 and 107 of a protein having the amino acid sequence shown in SEQ ID N0:1 are deleted or substituted with another amino acid residue but the cysteine at position 61 is left in place. Further, the modified polypeptide is then used to prepare vaccine compositions of the invention.
The preparation of preferred Hepatitis B virus-like particles, which can be used for the present invention, is disclosed, for example, m WO 00/32227, and hereby in particular in Examples 17 to 19 and 21 to 24, as well as m WO 01/85208, and hereby in particular in Examples 17 to 19, 21 to 24, 31 and 41, and in WO 02/056905. For the latter application, it is in particiilar referred to Example 23, 24, 31 and 51. All three documents are explicitly incorporated herein by reference.
As set out below in Example 31 of WO 02/056905, the cysteine residues at positions 48 and 107, which are accessible to solvent, may be removed, for example, by site-directed mutagenesis. Further, the inventors have found that the Cys-48-Ser, Cys-107-Ser HBcAg double mutant constructed as described in WO 02/056905, (which is incorporated herein by reference in its entirety) can be expressed in J?, coli.
As discussed above, the elimination of free cysteine residues reduces the number of sites where toxic components can bind to the HBcAg, and also eliminates sites where cross-linking of lysine and cysteine residues of the same or of neighboring HBcAg molecules can occur. The cysteine at position 61, which is involved in dimer formation and forms a disulfide bridge with the cysteine at position 61 of another HBcAg, will normally be left intact for stabilization of

HBcAg dimers and multimers of the invention. Cross-linking experiments performed with (1) HBcAgs containing free cysteine residues and (2) HBcAgs whose free cysteine residues have been made unreactive with iodacetamide, indicate that free cysteine residues of the HBcAg are responsible for cross-linking between HBcAgs through reactions between heterobifunctional cross-linker derivatized lysine side chains, and free cysteine residues. It was also found that That cross-linking of HBcAg subunits leads to the formation of high molecular weight species of undefined size which can not be resolved by SDS-polyacrylamide gel electrophoresis.
When an antigen or antigenic determinant is linked to the non-natural molecular scaffold through a lysine residue, it may be advantageous to either substitute or delete one or both of the naturally resident lysine residues located at positions corresponding to positions 7 and 96 in SEQ ID N0:1, as well as other lysine residues present in HBcAg variants. The elimination of these lysine residues results in the removal of bmding sites for antigens or antigenic determinants which could disnipt the ordered array and should improve the quality and uniformjty of the final vaccine composition.
In many instances, vrfien both of the naturally resident lysine residues at positions corresponding to positions 7 and 96 in SEQ ID N0:1 are eliminated, another lysine will be introduced into the HBcA^ as an attachment site for an antigen or antigenic determinant. Methods for inserting such a lysine residue are set out, for example, in Example 23 of WO 02/056905, wiiich is incorporated hereby by reference in its entirety. It will often be advantageous to introduce a lysine residue into the HBcAg when, for example, both of the naturally resident lysine residues at positions corresponding to positions 7 and 96 in SEQ ID NO: 1 are altered and one seeks to attach the antigen or antigenic determinant to the non-natural molecular scaffold using a heterobifimctional cross-Imking agent.
The C-terminus of the HBcAg has been shown to direct nuclear localization of this protem (Eckhardt et al, J. Virol (J5:575-582 (1991).) Further, this region of the protein is also believed to confer upon the HBcAg the ability to bind nucleic acids.
In some embodiments, vaccine compositions of the invention will contain HBcAgs which have nucleic acid binding activity (e.g., vrfiich contain a naturally resident HBcAg nucleic acid binding domain). HBcAgs containing one or more

nucleic acid binding domains are useful for preparing vaccine compositions which exhibit enhanced T-cell stimulatory activity. Thus, the vaccine compositions of the invention include compositions which contain HBcAgs having nucleic acid binding activity. Further included are vaccine compositions, as well as the use of such compositions in vaccination protocols, where HBoAgs are bound to nucleic acids. These HBcAgs may bind to the nucleic acids prior to administration to an individual or may bind the nucleic acids after administration.
Further HBcAgs suitable for use in the practice of the present invention include N- and C-tenninal timication mutants, and muteins whose amino acid sequences comprises or alternatively consists of, amino acid sequences which are at least about 80%, about 85%, about 90%, about 95%, about 97%, or about 99% identical to the above described truncation mutants.
As discussed above, in certain embodiments of the invention, a lysine residue is introduced as a first attachment site into a polypeptide which forms the non-natural molecular scaffold. In preferred embodiments, vaccine compositions of the invention are prepared using a HBcAg comprising, or alternatively consisting of, amino acids 1-144 or amino acids 1-149 or amino acids 1-185 of SEQIDN0:1 which is modified so that the amino acids corresponding to positions 79 and 80 are replaced with a peptide having the amino acid sequence of Gly-GIy-Lys-Gly-Gly (SEQ ID NO: 11) and the cysteine residues at positions 48 and 107 are either deleted or substituted with another amino acid residue, wbUe the cysteine at position 61 is left in place.
The invention further includes vaccine compositions comprising fragments of a HBcAg comprising, or alternatively consisting o£ an amino acid sequence other than that shown in SEQ ID NO: 1 from which a cysteine residue not present at corresponding location in SEQ ID NO: 1 has been deleted.
Vaccine compositions of the invention may comprise mixtures of different HBcAgs. Thus, these vaccine compositions may be composed of HBcAgs vdiich differ in amino acid sequence. For example, vaccine compositions could be prepared comprising a "wild-^pe" HBcAg and a modified HBcAg in which one or more amino acid residues have been altered (e.g., deleted, inserted or substituted). The invention further includes vaccine compositions where the non-natural molecular scaffold is prepared using a HBcAg fused to another protein. As discussed above, one example of such a fusion protein is a HBcAg/FOS fusion.

Other examples of HBcAg fiision proteins suitable for use in vaccine compositions of the invention include iusion proteins where an amino acid sequence has been added which aids in the formation and/or stabilization of HBcAg tUmers and multiniers. This additional amino acid sequence may be fused to the or C-terrainus of the HBcAg. One example, of such a fusion protein is a fiasion of a HBcAg with the GCN4 helix region Qt Saccharomyces cerevisiae, which forms homodimers via non-covalent interactions which can be used to prepare and stabilize HBcAg dimers and multhners.
In one embodiment, the invention provides vaccine compositions prepared
using HBcAg fusions proteins comprising a HBcAg, or fragment thereof, with a
GCN4 polypeptide (PAALKRARNEAARRSRARKLQ-
RMKQLEDKVEELLSKNYHLENEVARLKK (SEQ ID NO: 12)) fused to the C-tenninus. This GCN4 polypeptide may also be fused to the N-terminus of the HbcAg.
HBcAg/jrc homology 3 (SH3) domain fiision proteins could also be used to prepare vaccine compositions of the invention. SH3 domtuns are relatively small domains found in a number of proteins which confer the ability to interact with specific proline-rich sequences in protein binding partners {see McPherson, Cell Signal 11:229-238 (1999). HBcAg/SH3 fiision proteins could be used in several ways. First, the SH3 domain could form a first attachment site which mteracts with a second attachment site of the antigen or antigenic determinant. Similarly, a proline rich amino acid sequence could be added to the HBcAg and used as a first attachment site for an SH3 domain second attachment site of an antigen or antigenic determinant. Second, the SH3 domam could associate with prolme rich regions introduced into HBcAgs. Thus, SH3 domains and proline rich SH3 interaction sites could be inserted into either the same or different HBcAgs and used to form and stabili2Bd dimers and multimers of the invention.
As evidenced by the aforementioned example, one of skill in the art would know how to form a molecular scaffold compriang core particles and a first attachment site from HBcAg and HBcAg-derived mufeins. By application of art-known techniques and routine experimentation, it would be understood by one of ordinary skill how other viruses could be similarly used to construct a molecular scaffold.
As presented elsewhere herein, viral capsids may be used for (l)the

presentation or haptens and (2) the preparation of vaccme compositions of the invention. Particularly, useful in the practice of the inveaition are viral c^sid proteins, also referred to herein as "coat proteins," which upon expression form capsids or capsid-like structures. Thus, these capsid proteins can form core particles and non-natural molecular scaffolds. Generally, these capsids or capsid-like structures form ordered and repetitive arrays which can be used for the presentation of haptens determinants and the preparation of vaccine compositions of Ihe invention.
One or more (e.g., one, two, three, four, five, etc.) haptens may be attached by any number of means to one or more (e.g., one, two, three, four, five, etc.) proteins which form viral capsids or capsid-like structures (e.g., bacteriophage coat proteins), as well as other proteins. For exanqile, h^tens may be attached to core particles using first and second attachment sites. Further, one or more (e.g., one, two, three, four, five, etc.) heterobifimctional crosslinkers can be used to attach haptens determinants to one or more proteins which form viral capsids or capsid-like structures.
Viral capsid proteins, or fi'agments thereof may be used, for example, to prepare core particles and vaccine compositions of the invention. Bacteriophage QP coat proteins, for example, can be expressed recombinantly in E. coli. Further, upon such expression these proteins spontaneously form capsids, which are virus¬like particles. Additionally, these capsids form ordered and repetitive antigen arrays which can be used for hapten presentation and the preparation of vaccine compositions. As described below in Example 1, bacteriophage QP coat proteins can be used to prepare vaccine compositions which elicit immunological responses to haptens.
In a preferred embodiment, the virus-like particle comprises, consists essentially of, or alternatively consists of recombinant proteins, or fragments thereof, of a RNA-phage. Preferably, the RNA-phage is selected from the groiq) consisting of a) bacteriophage QP; b) bacteriophage R17; c) bacteriophage fr; d) bacteriophage GA; e) bacteriophage SP; f) bacteriophage MS2; g) bacteriophage Mil; h) bacteriophage MXl; i) bacteriophage NL95; k) bacteriophage f2; 1) bacteriophage PP7, and m) bacteriophage AP205.

In another preferred embodiment of the present invention, the virus-like particle comprises, or alternatively consists essentially of, or alternatively consists of recombinant protems, or fragments thereof, of the RNA-bacteriophage Qp or of the RNA-bacteriophage ft or of the RNA-bacteriophage AP205.
In a further preferred embodiment of the present invention, the recombinant proteins comprise, or alternatively consist essentially of; or alternatively consist of coat proteins of RNA phages.
Specific examples of bacteriophage coat proteins wiiich can be used to prepare compositions of the invention include die coat proteins of RNA bacteriophages such as bacteriophage Qp (SEQ ID N0:3, PIR Database, Accession No. VCBPQp referring to Qp CP; and SEQ ID NO: 4, Accession No. AAA16663 referring to Qp Al protein), bacteriophage R17 (SEQ ID NO: 24; PIR Accession No. VCBPR7), bacteriophage fr (SEQ ID NO: 25; PIR Accession No. VCBPFR), bacteriophage GA (SEQ ID NO: 26; GenBank Accession No. NP-040754), bacteriophage SP (SEQ ID NO: 27; GenBank Accession No. CAA30374 referring to SP CP and SEQ ID NO: 28, Accession No. NP 695026 referring to SP Al protein), bacteriophage MS2 (SEQ ID NO: 29; PIR Accession No. VCBPM2), bacteriophage Mil (SEQ ID NO: 30; GenBank Accession No. AAC06250), bacteriophage MXl (SEQ ID NO: 31; GenBank Accession No. AAC14699), bacteriophage NL95 (SEQ ID NO: 32; GenBank Accession No. AACI4704), bacteriophage f2 (SEQ ID NO: 33; GenBank Accession No. P03611), bacteriophage PP7 (SEQ ID NO: 13), bacteriophage AP205 (SEQ ID N0:14). As one skilled in the art would recognize, any protein which forms ci^sids or capsid-like structures can be used for the preparation of vaccine compositions of the invention. Furthermore, the Al protein of bacteriophage Qp (Genbank accession No. AAA16663 (SEQ ID NO: 4)) or C-terminal truncated forms missing as much as about 100, about 150 or about 180 amino acids from its C-terminus may be incorporated in a capsid assembly of Qp coat proteins. The Al protein may also be fused an element containing a first attachment site, for attachment of haptens containing a second attachment site. Generally, the percentage of Al protein relative to QP CP in the capsid assembly will be limited, in order to msure capsid formation.
Qp coat protein has also been found to self-assemble into capsids when

expressed in E. coU (Kozlovska TM. et al, GENE 137: 133-137 (1993)). The obtained capsids or virus-like particles showed an icosahedral phage-Uke capsid structure with a diameter of 25 nm and T=3 quasi symmetry. Further, the crystal structure of phage Qp has been solved. The capsid contains 180 copies of the coat protein, which are linked in covalent pentamers and hexamers by disulfide bridges (Golmohammadi, R. et al, Structure 4: 543-5554 (1996)). Other RNA phage coat proteins have also been shown to self-assemble upon expression in a bacterial host (Kastelein, RA. et al, Gene 23: 245-254 (1983), Kozlovskaya, TM. et al, DoM. Akad Nauk SSSR 287: 452-455 (1986), Adhm, MR. et al. Virology 170: 238-242 (1989), Ni, CZ., et al. Protein Sci. 5: 2485-2493 (1996), Priano, C. et al., J. Mol. Biol. 249: 283-297 (1995)). The QP phage capsid contams, m addition to the coat protein, the so called read-through protein Al and the maturation protein A2. Al is generated by si^pression at the UGA stop codon and has a length of 329 aa. The capsid of phage Qp recombinant coat protein used in the invention is devoid of the A2 lysis protein, and contains RNA &om the host. The coat protein of RNA phages is an RNA binding protein, and interacts with the stem loop of the ribosomal binding site of the replicase gene acting as a translational repressor during the life cycle of the virus. The sequence and structural elements of the interaction are known (Witherell, GW. & Uhlenbeck, OC. Biochemistry 28: 71-76 (1989); Lim F. et al., J. Biol Chem. 271: 31839-31845 (1996)). The stem loop and RNA m general are known to be involved iu the virus assembly (Golmohammadi, R. et al. Structure 4: 543-5554 (1996).)
Upon expression in E. coli, the N-terminal methionine of QP coat protein is usually remove4 as we observed by N-tenniual Edman sequencing as described m StoU, E. et al. J. Biol. Chem. 252:990-993 (1977). VLP composed from Qp coat proteins where the N-terminal methionine has not been removed, or VLPs comprising a mixtm:e of QP coat proteins where the N-terminal methionine is either cleaved or present are also wifliin flie scope of ttie present invention.
Further preferred vhus-like particles of RNA-phages, in particular of Qp, in accordance of this invention are disclosed in WO 02/056905, the disclosure of which is herewith incorporated by reference in its entirety.
Further RNA phage coat proteins have also been shown to self-assemble upon expression in a bacterial host (Kastelein, RA. et al. Gene 23: 245-254 (1983),

Kozlovskaya, TM. etal. Dokl. Akad. NaukSSSR 287: 452-455 (1986), Adhin, MR. et al. Virology 170: 238-242 (1989), Ni, CZ., et al, Protein Sci. 5: 2485-2493 (1996), Priano, C. et al., J. Mol. Biol. 249: 283-297 (1995)). The Qp phage capsid contains, in addition to the coat protein, the so called read-through protem Al and the maturation protein A2. Al is generated by suppression at the UGA stop codon and has a length of 329 aa. The capsid of phage Qp recombinant coat protein used in the invention is devoid of the A2 lysis protem, and contains RNA fiom the host. The coat protein of RNA phages is an RNA bindii^ protein, and interacts with the stem loop of the ribosomal binding site of the repUcase gene acting as a Ixanslational repressor during the life cycle of the virus. The sequence and structural elements of the interaction are known (Witherell, GW. & Uhlenbeck, OC. Biochemistry 28: 71-76 (1989); Lim F. et al.. J. Bid. Chem. 271: 31839-31845 (1996)). The stem loop and RNA in general are known to be involved in the virus assembly (Golmohammadi, R. et al, Structure 4:543-5554 (1996)).
In a further preferred embodiment of the present invention, the virus-like particle comprises, or alternatively consists essentially of or alternatively consists of recombinant protems, or fragments thereof of a RNA-phage, wiierein the recombinant proteins comprise, consist essentially of or alternatively consist of mutant coat proteins of RNA phages. In another preferred embodiment, the mutant coat proteins have been modified by removal of at least one lysine residue, more preferably of at least two lysine residues, by way of substitution, or by addition of at least one lysine residue by way of substitution. Alternatively, the mutant coat proteins have been modified by deletion of at least one lysine residue, more preferably of at least two lysine residues, or by addition of at least one lysine residue, more preferably of at least two lysine residues, by way of insertion.
In another preferred embodiment, the virus-like particle comprises, consists essentially of, or altenmdvely consists of recombinant proteins, or fragments thereof, of the RNA-bacteriophage Qp, wherein the recombinant proteins comprise, consist essentially of, or alternatively consist of coat proteins having an amino acid sequence of SEQ ID N0:3, or a mixture of coat proteins having ammo acid sequences of SEQ ID N0:3 and of SEQ ID NO: 4 or mutants of SEQ ID NO: 4 and wherein the N-tenninal methionine is preferably cleaved.

in a further preferred embodiment of the present mvention, the virus-Uke particle comprises, consists essentially of or alternatively consists of recombinant proteins of Qp, or ftagments thereof, wherein the recombuiant proteins comprise, consist essentially of or alternatively consist of mutant Qp coat proteins. In another preferred embodiment, these mutant coat proteins have been modified by removal of at least one lysine residue by way of substitution, or by addition of at least one lysine residue by way of substitution. Alternatively, these mutant coat proteins have been modified by deletion of at least one lysine residue, or by addition of at least one lysine residue by way of insertion.
Four lysine residues are exposed on the surface of the capsid of Qp coat protein. Qp mutants, for which exposed lysuie residues are replaced by arginines can also be used for the present invention. The following QP coat protein mutants and mutant QP VLP's can, thus, be used in the practice of the invention: "Qp-240" (Lysl3-Arg; SEQ ID N0:6), "QP-243" (Asn 10-Lys; SEQ ID N0:7), "Qp-250" (Lys 2-Arg, Lysl3-Arg; SEQ ID N0;8), "Qp-251" (SEQ ID N0:9) and "Qp-259" (Lys 2-Arg, Lysl6-Arg; SEQ ID NO:10). Thus, in fiirther preferred embodiment of the present invention, the virus-like particle comprises, consists essentially of or alternatively consists of recombinant proteins of mutant Qp coat proteins, which comprise proteins having an amino acid sequence selected from the group of a) the amino acid sequence of SEQ ID N0;6; b) the amino acid sequence of SEQ ID NO:?; c) ihe ammo acid sequence of SEQ ID N0:8; d) the amino acid sequence of SEQ IDN0:9; and e) the amino acid sequence of SEQ ID NO;10. The construction, expression and purification of the above mdicated Qp coat proteins, mutant QP coat protein VLP's and capsids, respectively, are described in WO 02/056905. In particular is hereby referred to Example 18 of above mentioned application.
In a further fffefeired embodiment of the preasnt invention, the vin^-like particle comprises, consists essentially of or alternatively consists of recombinant proteins of QP, or fragments thereof, wherem the recombinant proteins comprise, consist essentially of or alternatively consist of a mixture of either one of the foregoing Qp mutants and the corresponding Al protein.
In a further preferred embodiment of the present invention, the virus-like particle comprises, or alternatively essentially consists of, or alternatively consists of recombinant proteins, or fragments thereof, of RNA-phage AP20S.

The AP205 genome consists of a maturation protein, a coat protein, a
rephcase and two open reading frames not present in related phages; a lysis gene
and an open reading frame playing a role in the translation of the matuiatioQ gene
(Klovins,;., et al., J. Gen. Virol. 83: 1523-33 (2002)). AP205 coat protein can be
expressed frDm plasmid pAP283-58 (SEQ ID NO: 15), which is a derivative of
pQblO (Kazlovska, T. M.. et al.. Gene 137:133-37 (1993)), and which contains an
AP205 ribosomal binding site. Alternatively, AP205 coat protein may be cloned
into pQbl85, downstream of the ribosomal binding site present in the vector. Both
approaches lead to expression of the protein and formation of capsids as described
in Example 10. Vectors pQblO and pQbl85 are vectors derived from pGEM vector,
and expression of the cloned genes in these vectors is controlled by the trp promoter
(Kozlovska, T. M. et al.> Gene 137:133-37 (1993)). Plasmid pAP283-58 (SEQ ID
N0:15) comprises a putative AP205 ribosomal binding site in the following
sequence, which is downstream of the Xbal site, and immediately upstream of the
ATG start codon of the AP205 coat protem:
rc/ogaATTTTCTGCGCACCCATCCCGGGTGGCGCCCAAAGTGAGG AAAATCACflfg (SEQ ID NO; 16). The vector pQbl85 comprises a Shine Delagamo sequence downstream from the Xbal site and upstream of the start codon (/ctogaTTAACCCAACGCGTAeSAG_TCAGGCCa/g (SEQ ID NO: 17), Shine Delagamo sequence underlined).
In a further preferred embodiment of the present invention, the virus-like particle comprises, or alternatively essentially consists of, or alternatively consists of recombinant coat proteins, or ftagments thereof, of the RNA-phage AP205.
This preferred embodiment of the present invention, thus, comprises AP205 coat proteins that form capsids. Such proteins are recombinantly expressed, or prepared from natural sources. AP205 coat proteins produced in bacteria spontaneously form capsids, as evidenced by Electron Microscopy (EM) and immunodiffusion. The structural properties of the capsid formed by the AP205 coat protein (SEQ ID NO: 14) and those formed by the coat protein of the AP205 RNA phage are nearly mdistinguishable when seen in EM. AP205 VLPs are highly immunogenic, and can be linked with antigens and/or antigenic determinants to generate vaccine constructs displaying the antigens and/or antigemo determinants oriented in a repetitive manner. High titers are elicited against the so displayed

antigens showing that bound antigens and/or antigenic deterraitiants are accessible for interactii^ with antibody molecules and are immunogenic.
In a further preferred embodiment of the present invention, the virus-like particle comprises, or alternatively essentially consists of, or alternatively consists of recombinant mutant coat proteins, or fragments thereof, of the RNA-phage AP205.
Assembly-competent mutant forms of AP205 VLPs, including AP205 coat protein with the subsitution of proline at amino acid 5 to threonine (SEQ ID NO: 18), may also be used in the practice of the mvention and leads to a further preferred embodiment of the invention. These VLPs, AP205 VLPs derived from natural sources, or AP205 viral particles, may be bound to antigens to produce ordered repetitive arrays of the antigens In accordance with the present mvention.
AP205 P5-T mutant coat protein can be expressed from plasmid pAP281-32 (SEQ ID No. 19), which is derived direcdy from pQbl85, and which contains the mutant AP205 coat protein gene instead of the Qp coat protein gene. Vectors for expression of the AP205 coat protein are transfected into E. coli for expression of the AP205 coat protein.
Methods for expression of the coat protein and the mutant coat protein, respectively, leading to self-assembly into VLPs are described in Examples 9 and 10. Suitable E. coli strains include, but are not limited to, E, coli K802, JM 109, RRl. Suitable vectors and strains and combinations thereof can be identified by testing expression of the coat protem and mutant coat protem, respectively, by SDS-PAGE and capsid fonnation and assembly by optionally first purifying the capsids by gel filtration and subsequently testing them in an immunodiffusion assay (Ouchterlony test) or Electron Microscopy (Koziovska, T. M..etal., Gene J37:\33-37(1993)).
AP205 coat proteins expressed from the vectors pAP283-58 and pAP281-32 may be devoid of the initial Methionine amino-acid, due to processing in the cytoplasm ofE. coli. Cleaved, uncleaved forms of AP205 VLP, or mixtures thereof are further preferred embodiments of the invention.
In a further preferred embodiment of the present invention, the virus-like particle comprises, or alternatively essentially consists of, or alternatively consists of a mixture of recombinant coat proteins, or fragments thereof, of the RNA-phage

AP205 and of recombinant mutant coat proteins, or fragments thereof, of the RNA-phage AP205.
In a fiirther preferred embodiment of the present invention, the virus-like particle comprises, or alternatively essentially consists of, or alternatively consists of fragments of recombinant coat proteins or recombinant mutant coat proteins of the RNA-phage AP205.
Recombinant AP205 coat protein fragments capable of assembling into a VLP and a capsid, respectively are also useful in the practice of the invention. These fragments may be g^erated by deletion, either interr^ly or at the termini of the coat protein and mutant coat protein, respectively. Insertions in the coat protein and mutant coat protein sequence or fosions of antigen sequences to the coat protein and mutant coat protein sequence, and compatible with assembly into a VLP, are fiirther embodiments of the invention and lead to chimeric AP205 coat proteins, and particles, respectively. The outcome of insertions, deletions and fusions to the coat protein sequence and whether it is compatible with assembly into a VLP can be determined by electron microscopy.
The particles formed by the AP205 coat protein, coat protein fragments and chimeric coat proteins described above, can be isolated in pure form by a combmation of fractionation steps by precipitation and of purification steps by gel filtration using e.g. Sepharose CL-4B, Sepharose CL-2B, Sepharose CL-6B columns and combmations thereof.Other methods of isolating virus-Uke particles are known in the art, and may be used to isolate the virus-like particles (VLPs) of bacteriophage AP205. For example, the use of xilteacentrifiigation to isolate VLPs of the yeast retrotransposon Ty is described in U.S. Patent No. 4,918,166, which is incorporated by reference herein in its entirety.
According to the present invention, one or more haptens may be attached to one subunit of the capsid of RNA phages coat proteins. The ability to couple several haptens per subunit of the capsid of the coat protein of RNA phages and in particular of Qp capsid allows for the generation of a dense hapten array. Other viral capsids may be used for covalent attachment of haptens by way of chemical cross-linking, such for example a HBcAg modified with a lysine residue in its major immunodominant region (MIRi WO 00/32227). Tlie distance between the

spikes (coiresponding to the MIR) of HBcAg is 50 AngstrSms (Wynne, SA. et al, Mol. Cell 3: 771-780 (1999)), and therefore an hapten array with distances shorter than 50 A cannot be generated
Capsids of Qp coat protein display a defined number of lysine residues on their surface, with a defined topology with three lysme residues pointii^ towards the interior of the capsid and interacting with the RNA, and four other lysine residues exposed to the exterior of the capsid. These defined properties fevor the attachment of haptens to the exterior of the particle, and not to the interior where the lysine residues interact with RNA. Capsids of other RNA phage coat proteins also have a defined number of lysine residues on their surface and a defined topology of these lysine residues. Another advant^e of the capsids derived from RNA phages is their high expression yield in bacteria, that allows the production of lai^e quantities of material at affordable cost.
Another feature of the capsid of Qp coat protein is its stability. QP subunits are bound via disulfide bridges to each other, covalently linking the subunits. QP capsid protein also shows unusual resistance to organic solvents and denaturing agents. Surprismgly, we have observed that DMSO and acetonitrile concentrations as high as about 30%, and Guanidinium concentrations as high as about 1 M could be used without affecting the stability or the ability to form hapten arrays of the capsid. Thus, theses organic solvents may be used to couple hydrophobic molecules, such as hormones, drugs and toxins. The high stability of the capsid of QP coat protein is an important feature pertaining to its use for immunization and vaccination of mammals and humans in particular. The resistance of the capsid to organic solvent allows the coi^ling of haptens not soluble in aqueous buffers.
Insertion of a cysteine residue into the N-terminal p-hairpin of the coat protein of the RNA phage MS-2 has been described in the U.S Patent No. 5,698,424, the reference of which is incorporated herem in its entirety. We note however, that the presence of an exposed free cysteine residue in the capsid may lead to oligomerization of capsids by way of disulfide bridge formation. Other attachments contemplated in the above U.S. patent involve the formation of disulfide bridges between the antigen and the QP particle. Such attachments are labile to sulfhydryl-moiety containing molecules.
The reaction between an initial disulfide bridge formed with a cysteine-

residue on QP, and the antigen containing a firee sulfhydryl residue releases sulfhydryl containing species other than the hapten. These newly formes sulfhydryl containing species can react again with other disulfide bridges present on the particle, thus establishing an equilibrium. Upon reaction with the disulfide tiridge formed on the partick, ttie hapten may either form a disulfide bridge vn'ih the cysteiJie-residue fi:om the particle, or with the cysteine -residue of the leaving group molecule which was forming the initial disulfide bridge on the particle. Moreover, the other method of attachment descrihe4 using a hetero-bifimctional cross-linker reacting with a cysteine on the QP particle on one side, and with a lysme residue on the antigen on the other side, may lead to a random orientation of the antigens on the particle.
We further note that, in contrast to the capsid of the Qp and Fr coat proteins, recombinant MS-2 described in U.S Patent No. 5,698,424 is essentially fi:ee of nucleic acids, while RNA is packaged inside the two c^sids mentioned above.
We describe new and inventive compositions allowing the formation of robust hapten arrays with variable hapten density. We show that very high epitope density can be achieved by attaching haptens to VLFs. Futher, the density and spacing of haptens can be modified by alterations in the number and type of residues with suitable first attachment sites. For example WO 02/056905 discloses a Qp mutant coat protein with additional lysine residues, suitable for obtaining higher density arrays than observed with wild type QP coat protein. Further, the aforesaid application also discloses compositions suitable for simultaneous display of several hapten with appropriate spacing, and compositions wherein the addition of accessory molecules, enhancing solubility or modifiymg the capsid in a suitable and desired way. Other Qp coat protein mutants, forming capsids, which are virus-like particles, are disclosed in WO 02/056905 and are suitable for generating compositions of the invention. In particular, in occurrences where solubility of the hapten, and of the QP-hapten antigen array imposes a limit on the number of hapten residues that can be attached on the QP virus-like particle, mutants where lysine residues have been substituted for arginines, which do not have the same reactivity as lysine residues, can be used. When preparing these compositions, a high concentration of hapten, or hapten modified to comprise a second attachment site, can be used to achieve complete reaction at the lysine residues on the mutant Qp

virus-like particles, without generating potentially insoluble particles with a higher number of attached haptens, as would be the case when using the wt Qp vinis-like particle.
TTie crystal structure of several RNA bacteriophages has been determined (Golmohammadj, R. et al, Structure ■#:543-554 (1996)). Using such information, one slcilled in the art could readily identify surface exposed residues and modify bacteriophage coat proteins such that one or more reactive amino acid residues can be inserted. Thus, one skilled in the art could readily generate and identify modified forms of bacteriophage coat proteins which can be used in the practice of the invention. Thus, variants of proteins which form capsids or capsid-like structures {e.g., coat proteins of bacteriophage QP, bacteriophage R17, bacteriophage &, bacteriophage GA, bacteriophage SP, and bacteriophage MS2) can also be used to prepare vaccine compositions of the invention.
Although the sequence of the variants proteins discussed above will differ from their wild-type counterparts, these variant proteins will generally retain the ability to form capsids or capsid-like structures. Thus, the invention ftirther includes vaccine compositions which contain variants of proteins which form capsids or capsid-like structures, as well as methods for preparing such vaccine compositions, individual protem subunits used to prepare such vaccine compositions. Thus, mcluded within the scope of the invention are variant forms of wild-type proteins which form ordered and repetitive hapten arrays {e.g., variants of proteins which form capsids or capsid-like structures) and retain the ability to associate and form capsids or capsid-like structures. Normally, C- an N-terminal trunction variants retain the ability to form virus like particles. As a result, variant forms including deletion, addition, or subsitution, chimeric forms, and naflirally ocouring variants are suitable components of the invention.
Bacterial Pili and pilin proteins. In another embodiment, the core particle of the iuvention comprises, preferably consists of, a bacterial pilus or pilus-like particle. The pilus particle comprises proteins, mutant proteins or fragments of pilin proteins produced by organisms including Escherichia coli; Haemophilus influenzae; Neisseria meningitidis; Neisseria gonorrhoeae; Caulobacter crescentus; Pseudomortas stutzeri; Pseudomonas aeruginosa; Salmonella spp; and Vibrio cholera. In a preferred embodiment, the pilin proteins or fragments thereof are

selected from the group consisting of: a) Type 1 pilin proteins; and b) P-pilin proteins. In another embodiment, the pilin proteins are recombinant proteins, or the pUus or pilus-like particle comprises a mixture of recombinant and non-recombinant proteins. In yet an other embodiment, the pilus or pilus-like particle comprises type I pilin proteins or fragments thereof In a further embodiment, the pilin proteins are mutant proteins, preferably proteins which have been modified by removal of at least one lysine residue by way of substitution, by addition of at least one lysine residue by way of substitution, by deletion of at least one lysine residue, or by addition of at least one lysine residue by way of insertion. In a preferred embodiment, the type I pilin proteins have an amino acid sequence as set forth in SEQ ID No: 2. In yet a ftirther aspect, the invention provides a composition comprising the conjugate of the invention wlierein the core particle comprises, preferably consists of, a bacterial pilus or pilus-like particle, and a pharmaceutically acceptible carrier.
In other embodiments, a bacterial pilin, a subportion of a bacterial pilin, or a fusion protein which contains either a bacterial pilin or subportion thereof is used to prepare vaccine compositions of the invention. Examples of pilin proteins mclude pilins produced by Escherichia coli, Haemophilus influenzae. Neisseria meningitidis. Neisseria gonorrhoeae, Caulobacler crescentus, Pseudomonas stutzeri, and Pseudomonas aeruginosa. The amino acid sequences of pilin proteins suitable for use with the present invention include those set out in GenBank reports AJ000636, AJ132364, AF229646, AF051814, AF05I815, and X00981, the entire disclosures of which are incorporated herein by reference.
Bacterial pilin proteins are generally processed to remove N-terminal leader sequences prior to export of the proteins into the bacterial periplasm. Further, as one skilled in the art would recognize, bacterial pilin proteins used to prepare vaccuie compositions of the invention will generally not have the naturally present leader sequence.
One specific example of a pilin protem suitable for use in the present invention is the P-pilin of E. coli (GenBank report AF237482). An example of a Type-1 E. coli pilin suitable for use with the mvention is a piUn having the amino acid sequence set out in GenBank report P04128 (SEQ ID N0:2), which is encoded by nucleic acid having the nucleotide sequence set out in GenBank report M27603. The entire disclosures of these GenBank reports are incorporated herein by

reference. Again, the mature form of the above referenced protein would generally be used to prepare vaccine compositions of the invention.
Bacterial pilins or pilin subportions suitable for use in the practice of the present invention will generally be able to associate to form non-natural molecular scaffolds. Methods for preparing pili and pilus-Iike structures in vitro are known m the art. Bullitt et al, Proc. Natl. Acad. Sci. USA Pi:12890-12895 (1996), for example, describe the in vitro reconstitution of E. coli P-pili subunits. Further, Eshdat et al (J. Bacterial. /-^SiSOS-SH (1981)) describe methods suitable for dissociating Type-] pili of K coU and the reconstitution of pili. In brief, these methods are as follows: pili are dissociated by incubation at 37°C in saturated guanidine hydrochloride. Pilin proteins are then puriiied by chromatography, after which pilin duners are formed by dialysis against 5 mM tris(hydroxymethyl) aminomethane hydrochloride (pH 8.0). Eshdat et al also found that pilin dimers reassemble to form pili upon dialysis agamst the 5 mM tris(hydroxymethyl) aminomethane (pH 8.0) containing 5 mM MgCl2.
Further, using, for example, conventional genetic engineering and protein modification methods, pilin proteins may be modified to contain a first attachment site to which a hapten is linlced through a second attacliment site. Alternatively, haptens can be directly linlced through a second attachment site to amino acid residues which are naturally resident in these proteins. These modified pilin proteins may then be used in immunizing compositions of the invention.
Bacterial pilin proteins used to prepare compositions of the invention may be modified in a manner similar to that described herein for HBcAg. For example, cysteine and lysine residues may be either deleted or substituted with other amino acid residues and first attachment sites may be added to these proteins. Further, pilin proteins may either be expressed in modified form or may be chemically modified after expression. Sunilarly, intact pili may be harvested firom bacteria and then modified chemically.
In another embodiment, pili or pilus-like structures are harvested fix)m bacteria {e.g., E. coli) and used to form vaccine compositions of the invention. One example of pili suitable for preparing vaccine compositions is the Type-1 pilus of £. coli, which is formed from pilin monomers having the amino acid sequence set out mSEQIDN0:2.
A number of methods for harvesting bacterial pili are known in the art.

Bullitt and Makowski {Biophys. J. 74:623-632 (1998)), for example, describe a pilus purification method for harvesting P-piti from E. coli. According to this method, pili are sheared from hyperpiliated E. coli containing a P-pilus plasmid and purified by cycles of solubilization and MgCb (1.0 M) precipitation. WO 02/056905 discloses harvesting and purification of Type I pili from bacteria that naturally produce pili, or into which a vector has been introduced encoding the^m operon responsible for pilus production.
Once harvested, pill or pilus-like structures may be modified in a variety of ways. For example, a first attachment site can be added to the pili to which haptens may be attached through a second attachment site. In other words, bacterial pili or pilus-like structures can be harvested and modified to form non-natural molecular scaifolds.
Pili or pilus-like structures may also be modified by the attachment of haptens in the absence of a non-natural first attachment site. For example, antigens or antigenic determinants could be linked to naturally occurring cysteine resides or lysine residues. In such instances, the high order and repetitiveness of a naturally occurring amino acid residue would guide the coupling of the antigens or antigenic determinants to the pili or pilus-Uke structures. For example, the pili or pilus-like structures could be linked to the second attachment sites of the h^tens using a heterobifunctional cross-linking agent.
When structures which are naturally synthesized by organisms (e.g., pili) are used to prepare vaccine compositions of the invention, it will often be advantageous to genetically engineer these organisms so that they produce structures having desirable characteristics. For example, when Type-1 pili ofE. coli are used, the E. coli from which these pili are harvested may be modified so as to produce structures with specific characteristics. Examples of possible modifications of pilin proteins include the insertion of one or more lysine residues, the deletion or substitution of one or more of the naturally resident lysine residues, and the deletion or substitution of one or more naturally resident cysteine residues {e.g., the cysteine residues at positions 44 and 84 m SEQ ID N0:2).
Further, additional modifications can be made to pilin genes which result in the expression products containing a first attachment site other than a lysine residue (e.g., a FOS or JUN domain). Of course, suitable first attachment sites vnM generally be limited to those which do not prevent pilin proteins from forming pili

or pilus-Iike structures suitable for use in vaccine compositions of the invention. The ability of recombinant pilin proteins to form pili may be determined by a number of methods including electron microscopy.
Pilin genes which naturally reside in bacterial cells can be modified in vivo {e.g., by homologous recombination) or pilin genes with particular characteristics can be inserted into these cells. For examples, pilin genes could be introduced into bacterial cells as a component of either a replicable cloning vector or a vector which inserts into the bacterial chromosome. The inserted pilin genes may also be linked to expression regulatory control sequences (e.g., a lac operator).
In most instances, the pili or pilus-like structures used in vaccine compositions of the invention will be composed of single type of a pilin subunit. However, the compositions of the invention also include vaccines comprisii^ pili or pilus-Iike structures formed from heterogenous pilm subunits. Pill or pilus-like structures composed of identical subunits will generally be used because they are expected to form structures which present highly ordered and repetitive antigen arrays.
Second attachment site. The preparation of molecular scaffolds with ordered and repetitive arrays is provided by the present including compositions of c^sids of RNA phage coat proteins with a high epitope density. The nature of the hapten, and nature and location of the second attachment site on the hapten are important factors that may influence the means available to construct conjugates of the invention, and the effectiveness of those conjugates in inducing an immune response, as is understood by those of ordinary skill in the art.
A prerequisite for desigrung a second attachment site is the choice of the position at which it should be fused, inserted or generally engineered and attached. A skilled artisan would know how to find guidance In selecting the position of the second attachment site, and many factors may be considered relevant to this decision. The chemical and/or crystal structure of the hapten may provide information on the availability of domains or moieties on the molecule suitable for couplmg. A reactive moiety or domain's accessibili^ to solvent may be a limiting factor in the kinetics of chemical coupling to a first attachment site. Groups suitable for coupling must be available, such as sulfhydryl residues. In general, in the case where immimization with a hapten is aimed at mhibiting the interaction of said hapten, which may also be a self-antigen, with its natural ligands, such as a

receptor, the second attachment site will be added such that it allows generation of antibodies agaii^ the site of interactioa with the natural ligands. Thus, the location of the second attachment site will selected such, that steric hindrance from the second attachment site or any linker or amino acid linker containii^ it, is avoided. In fiirther embodiments, an antibody response directed at a site distinct from the interaction site of the hapten, which can also be a self-antigen with its natural ligand is desired. In such embodiments, the second attachment site may be selected such that it prevents generation of antibodies against the interaction site of said hapten with its natural ligands. Otha factors of consideration include the natuie of the hapten, its biochemical properties, such as pi, charge distribution, further modification. In general, flexible linkers are favored.
Other criteria in selecting the position of the second attachment site include the oUgomerization state of the hapten, the site of oligomerization, the presence of a cofector, the chemical reactivity of the hapten, and the availability of experimental evidence disclosing sites in the hapten structure and sequence where modification of the hapten is compatible mth the function of the hapten, or wth the generation of antibodies recognizing said hapten and preferably, blocking h^ten ftmction.
One method of attachment of haptens comprisii^ a polypeptide linker to VLPs, and in particular to capsids of RNA phage coat proteins is the linking of a lysine residue on the surfece of the capsid of RNA phage coat proteins with a sulfhydryl group residue on the polypeptide linker, such as is found in cysteine residues. Similarly, free sulfhydryl groups on haptens may also be effective attachment sites. Where an oxidized sulfhydryl groups must be in a reduced state in order to function as a second attachment site, reduction of may be achieved with e.g. DTT, TCEP or p-mercaptoethanol.
In one preferred embodiment of the invention, the hapten is synthesized in such a manner that it comprises a second attachment site which can react with tiie lysine residtie on the surface of the capsid of RNA phage coat proteins.
According to the present invention, the epitope density on the capsid of RNA phage coat proteins can be modulated by the choice of cross-linker and other reaction conditions. For example, the cross-linkers Sulfo-GMBS and SMPH allow reaching high epitope density. Derivatization is positively influenced by high concentration of reactants, and manipulation of the reaction conditions can be used

to control the number of antigens coupled to RNA phages capsid proteins, and in particular to Qp capsid protein. In addition, the number of first attachment sites on the core particle is another factor affecting the density of the hapten array. In one embodiment of the present invention, we provide a Qp mutant coat protein with additional lysine residues, suitable for obtaining higher density arrays,
Cross linking. Methods for linking the hapten to the core particle are well within the working knowledge of the practitioner of ordinary skill m the art, and numerous references exist to aid such a practitioner (e.g., Sambrook, J. et al, eds.. MOLECULAR CLONING, A LABORATORY MANUAL, 2nd. edition. Cold Spring Harbor Laboratory Press, Cold Spring Harbor, N.Y. (1989); Ausubel, F. et ah, eds.. CURRENT PROTOCOLS IN MOLECULAR BIOLOGY, John H. Wiley & Sons, Inc. (1997); CeHs, J., ed., CELL BIOLGY, Academic Press, 2"' edition, (1998); Hflrlow, E. and Lane, D., "Antibodies: A Laboratory Manual," Cold Sprii^ Harbor Laboratory, Cold Spring Harbor, N.Y. (1988), all of which are incorporated herein by reference in their entirities.
Differing methods of achieving an association betvreen the core particle and hapten are described herem and are further described in WO 02/056905. Methods include the JUN and FOS leucine zipper protein domains are utilized for the first and second attachment sites of the invention, respectively.
Preferred embodiments of the invention comprise the coupling of the non-natural molecular scaffold to the hapten by chemical cross-linking. There is a wide range of compounds which have been developed to facilitate cross-linking of protems/peptides or conjugation of proteins to derivatized molecules, e.g., haptens. These include, but are not lunited, to carboxylic acid derived active esters (activated compounds), mixed anhydrides, acyl halides, acyl azides, alkyl halides, N-maleimides, imino esters, isocyanates and isothiocyanates, which are known to those skilled in the art. These are capable of forming a covalent bond wdth a reactive group of a protein molecule. Depending upon the activating group, the reactive group is the amino group of a lysine residue on a protein molecule or a thiol group in a carrier protem or a modified carrier protein molecule which, when reacted, result in amide, amine, thioether, amidine urea or thiourea bond formation. One skilled in the art may identify further suitable activating groups, for example, in general reference texts such as Chemistry of Protein Conjugation and Cross-

Linking (Wong (1991) CRC Press, Inc., Boca Raton, Fla.). Most reagents react preferentially with lysine side chain groups.
In some embodiments, the antigen is attached to the core particle by way of chemical cross-linking, using a heterobifUnctional cross-linker. Several hetero-bifimctional cross-linkers are known in the art. In one embodiment, tiie hetero¬bifUnctional cross-linker contains a functional group which can react wifli the side-cham amino group of lysine residues of the core particle, and a functional group which can react with a cysteine residue or sulfhydryl group present on the hapten, made available for reaction by reduction, or engineered or attached on the hapten and optionally also made available for reaction by reduction. The first step of the procedure, called the derivatization, is the reaction of the core particle with the cross-linker. The product of this reaction is an activated core particle, also called activated carrier. In the second step, unreacted cross-linker is removed using usual methods such as gel filtration or dialysis. In the third step, the antigen is reacted with the activated core particle, and this step is called the coupling step. Unreacted antigen may be optionally removed in a fourth step.
In an alternative embodiment, the h^ten is derivatized with an active moiety suitable for cross linking to the first attachment site, generating an activated hapten. Such derivatization may occur on an isolated hapten or via a chemical synthesis. The activated hapten is then reacted with the core particle such that couphng occurs.
Several hetero-bifunctional cross-linkers are known in the art. These include the cross-linkers SMPH (Pierce), Sulfo-MBS, Sulfo-EMCS, Sulfo-GMBS, Sulfo-SIAB, Sulfo-SMPB, Sulfo-SMCC, SVSB, SIA and other cross-linkers available, for example from the Pierce Chemical Company (Rockford, IL, USA), and having one fimctional group reactive towards amino groups and one fimctional group reactive towards SH residues. The above mentioned cross-linkers all lead to formation of a thioether linkage. Another class of cross-linkers suitable in the practice of the invention is characterized by the mtroduction of a disulfide linkage between the hapten and the core particle upon coupling. Cross-linkers belonging to this class include for example SPDP and Sulfo-LC-SPDP (Pierce). The extent of derivatization of the core particle with cross-linker can be influenced by varying experimental conditions such as the concentration of each of the reaction partners, the excess of one reagent over the other, the pH, the temperature and the ionic

strength, as is vt^ell known from reaction theory in the field of oi^anic chemistry. The degree of coupling, i.e. the amount of hapten per carrier can be adjusted by varying the experimental conditions described above to match the requirements of the vaccine. Solubilily of the h^ten may impose a limitation on the amount of antigen that can be coupled on each subunit, and in those cases where the obtained vaccine is insoluble, reducing the amount of antigens per subunit is beneficial.
In one specific embodiment the chemical agent is the heterobifiinctional cross-lmking agent E-maleimidocaproic acid N-hydroxysuccinimide ester (Tanimori et al, J. Pharm. Dyn 4-M2 (1981); Fujiwara et al, J. Immunol. Meth. 45:195 (1981)), which contains (1) a succinimide groiqj reactive with amino groups and (2) a maleimide group reactive with SH groiq)S. A heterologous protein or polypeptide of the first attachment site may be engineered to contain one or more lysine residues that will serve as a reactive moiety for the succinimide portion of the heterobifimctional cross-linking agent. Once chemically coupled to the lysine residues of the heterologous protein, the maleimide group of the heterobifiinctional cross-linking agent will be available to react with the SH group of a cysteine residue on the antigen or antigenic determmant Antigen or antigenic determinant preparation in this instance may require the engineering of a sulfhydryl residue as the second attachment site so that it may be reacted to the fiee maleimide ftmction on the cross-linking agent bound to the non-natural molecular scaffold first attachment sites. Thus, in such an instance, the heterobifiinctional cross-linking agent binds to a first attachment site of the non-natural molecular scaffold and connects the scaffold to a second bindii^ site of the antigen or antigenic determmant.
Other methods of coupling the hapten to the core particle mclude methods wherein the hapten is cross-linked to the core particle usmg carbodiimide compounds. These include the carbodiimide EDC ( l-(3-dimethylaminopropyl)-3-ethylcarbodiimide hydrochloride), which can optionally also be used with N-hydroxy-succinimide NHS m the reaction. In one method, EDC is mixed vrfth a hapten containing a free carboxylic acid, then added to the protein carrier. In other methods, the hapten is attached to the core particle using a homo-bifunctional cross-linker such as glutaraldehyde, DSG, BM[PE0]4, BS^, (Pierce Chemical Company, Rockford, IL, USA) or other known homo-bifiinctional cross-linkers with

ftmctio&al groups reactive towards amine groups or carboxyl groups of the core particle.
Additional cross-linking methods and cross-linkers, suitable for attaching a hapten to a core particle and a virus-like particle, respectively, as well as guidance on perfbnnmg the coupling leactions and on the use of chemical cross-linkers and chemical cross-linking procedures can be found in Hennanson, G.T. in Bioconjugate Techniques, Academic Press Inc., San Diego, CA, USA.
Further methods of binding the core particle to a hapten include methods where the core particle is biotinylated, and the hapten linked to streptavidin, or methods wherein both the hapten and the core particle are biotinylated. In this case, the hapten may be first bound to streptavidin or avidin by adjusting the ratio of antigen to streptavidin such that fi-ee binding sites are still available for binding of the core particle, which is added in the next step. Alternatively, all components may be mixfcd in a "one pot" reaction. Other ligand-receptor pairs, where a soluble form of the receptor and of the ligand is avdlable, and are capable of being cross-linked to the Core particle or the hapten, may be used as binding agents for binding the hapten to the core particle.
Haptens. In one aspect, the invention provides ordered, repetitive hapten arrays suitable for immunization against haptens. Preferred haptens are hormones, drugs and toxic compounds. More preferred are drugs, especially addictive dnigs. hrnnune responses against said drugs, hormones and toxic compounds may be used to protect an individual at risk of exposure to said compounds, as therapy in an individual so exposed, or so as to prevent or treat addictions.
Representative hormones include, but are not limited to, progesterone, testosterone, estrogen, melanin stimulating hormone, cortisone, follicle stimulating hormone, adrenalin, and noradrenalin. Immune responses against said hormones may be used in therapies against melanoma; cancers of the reproductive organs, such as breast, ovarian, uterine, testicular, and cervical cancers; and m conditions where alteration of hormone levels is desired such as for contraception.
Representative toxic compounds include, but are not limited to, the natural products of toxic plants, animals, and microorganisms; these include but are not Umited to aflatoxin, ciguautera toxin, and tetrodotoxiiL Representative toxic compounds produced artificially, or as a result of metabolism include antibiotics (e.g vancomycin and the like), anticancer compounds (eg vinblastine and the like)

and chemical warfare agents {eg. botulinus toxin, sarin, tabun, soman, VX and the like). An aspect of the iaventioa includes the production of antibodies against toxic metaboUtes of commonly used pharmaceutical agents, such that an individual may continue to receive the beneficial effects of a pharmaceutical agents without side effects associated with toxic metabolites.
The selection of antigens or antigenic determinants for compositions and methods of treatment for drag addiction, in particular recreational drag addiction, would be known to those skilled in the medical arts treating such disorders. Representative examples of such antigens or antigenic detexminants include, for example, opioids and morphine derivatives such as codeine, fentanyl, heroin, morphium and opium; relaxants such as diazepam; stimulants such as amphetamine, cocaine, MDMA (methylenedioxymethamphetamine), methamphetamine, methylphenidate and nicotine; hallucinogens such as PCP, LSD, mescaline and psilocybm; cannabinoids such as hashish and marijuana; as well as the desipramine/imipramine class of drags and the nortriptyline/amitriptyline class of drags. Ther^y for nicotine addiction may also target nicotine metabolites including nomicotine and cotinine, both of which have longer half lives than nicotine, have pharmacologic and neuropharmacolo^c affects similar to nicotine and may be addictive.
In the above embodiments, it is not necessary that the immunizing hapten comprising the entire molecule of hormone, drag, or toxin. Suitable immune responses against the drug, hormone or toxin of interest may be generated by the use of fragments of the drag, honnone or toxin, or related chemical structures.
The invention embodies different sites of linkage and means of Imkage of the hapten to the earner, and have been illustrated both earlier in the invention, and by reference to the examples. Preferred sites and means of linkage may be determmed on the basis of prior experience, theory and by routine experimentation.
Nicotine and nicotine metabolites. Immune responses suitable for nicotine may be generated by haptens coupled to the core particle either via the pyridine or pyrrolidine ring. In one embodiment, 6-(carboxymethylureido)-(±)-nicotme (CMUNic) conjugate is synthesized from 6-anuno-(±)-nicofine, which is reacted with ethyl isocyanoacetate to form 6-(carboxyethylureido)-(±)-nicotine, and hydrolysis by lithium hydroxide to form CMUNic as described (Hieda et al Int J Pharmacol 22:809-819 (2000)), the refarence to which is incorporated herein in its

entirety. The hapten is conjugated to the core particle via the terminal carboxyl group, vMch may be activated using e.g. l-ethyl-3-(3-diniethylaminopropyl) carbodiimide HCl. In another embodiment, 6-amino-(±)-nicotine is coupled to carrier proteins as described by WO 99/61054, incorporated herein by reference in its entirety.
In another embodiment of the present invention, trans-3'-aminomethyhiicotine conjugate is prepared by trans-3'-hydroxymethylnicotine alcohol via the the tosylate as described by Cushman and Castignoli (J Org Chem 37-.1268-1271 (1972)) the reference to which is incorporated herein in its entirety. The hapten is conjugated to the core particle through a succinic acid linker using 1-ethyl-3-(3-dimethylaniinopropyl) carbodiimide HCl (EDAC) to activate the linker's carboxylic acid group.
In a related embodiment, 3'-linkages to nicotine haptens are performed by first generating trans-3'-hydroxymethykiicotine which is reacted with succinic anhydride to yield the succinylated hydroxymethylnicotine (O-succinyl-3'-hydroxymethyl-nicotine). This product is then mixed with EDAC and the core particle for carbodiimide-activated coupling, as described by Lai^ne and Van Vunakis {Methods Enzymol 84:629-641 (1982)) the reference to which is incorporated herein in its entirety. In another embodiment, trans-4'-carboxycotinine is similarly activated with EDAC for coupling to a protem carrier.
In one embodiment, a nicotine h^en is coupled via the 1-position Nitrogen by conversion to the aminoethylpyridinium derivative, S-I-(b-aminoethyl) nicotinium chloride dihydrochloride, which is then coupled to a core particle in the presence of l-cyclohexyl-3-(2-morpholuioethyl)-carbodiimide metho-p-toluenesulfonate as described Noguchi et al. (Biochem Biophys Res Comm. 83:83-86 (1978)) the reference to which is incorporated herein in its entirety. In a related embodiment, Cotlnine is conjugated to core particles using the same general approach, via formation of S-l-(b-aminoethyl) cotmium chloride hydrochloride.
In one embodiment, a nicotine hapten is coupled via the 1'- position as described by Isomura et al. (■/. Org Chem 66:4115-4121 (2001), the reference to which is incorporated herein in its entirety, via formation of N-[l-oxo-6-[(2S)-2-(3-pyridyl)-l-pyr^olidinyl]hexyl]-p-alanine. This activated hapten is then coupled to a protein carrier. In three other embodiments, conjugates are formed between the first

attachment site on a protein core particle and the cotinine hapten 4-oxo-4-[[6'[(5S)-2-oxo-5-(3-pyridinyl)-l-pyrrolidinyI]]hexyl]ainino]-butanaic acid, or the nomicotine haptens (2S)-2-(3-pyiidinyl)-l-pyrrolidinebutanoic acid phenyhnethyl ester or (2R)-2-(3-pyridinyl)-l-pyiTolidinebutanoic acid phenyhnethyl ester.
In one embodiment, cotioine 4'-caiboxylic acid is covalentiy bound to carriers at lysine as described by Bjerke et al. (J. Immunol. Methods, 96, 239-246 (1987)) the reference to which is incorporated herein m its entirety.
Nicotine haptens may be conjugated to carrier protein via a linker at the 6-position of nicotine. Along these Imes, the following haptens are used in embodiments of the present invention N-succinyl-6-amino-(.+-.)-mcotine; 6-(.sigma.-aminocapramido)-C.+-.)-nicotine and 6-(.sigma.-aminocapramido)-(.+-.)-nicotine, as described (Castro et al. Eur. J. Biochem., 104, 331-340 (1980); Castro et al. in Biochem. Biophys. Res. Commun. 67, 583-589 (1975); Castro et al. Res. Coramun Chem. Path. Phami. 51, 393-404 (1986)), which is incorporated by reference herein in its entirety.
hi other embodiments of the invention, nicotine haptens are conjugated via the 3',4', or 5' position via succuiylation of aminomethylnicotine, activation with EDC and subsequent mixture with the carrier, as described by U.S. Patent No. 6,232,082, the reference to which is incoiporated herein in its entirety. In other embodiments, aminomethyl nicotine Is conjugated via polyglutamlc acid-APH to the core particle. In other embodiments, conjugates are formed &om acetyl nicotine and aldehydo nicotine derivatized 3t the 3',4', or 5' positions.
In other embodunents, hapten carrier conjugates comprise 5- and 6- linkages of nicotine, includmg 5-(l-methyl-2-pyrroIidinyl)-2- or 3- pyridinyl-conjugates and 5-(N-methyl-2-pyrrolidinyl)-2- or 3-pyridinyl-conjugates. The construction of the haptens for these conjugates is described m WO 99/61054, the reference to which is incorporated herein in its entirety. In other embodiments, 5- and 6- amino nicotme are utihzed as startmg materials that are further derivatized at the amino group to add, typically, carbon chains that terminate in a suitably reactive group including amines and carboxylic acids. These haptens are then suitable for conjugation to core particles of the present invention. In other embodiments, 5- or 6- bromonicotine is used as a suitable starting material for reaction with alkynes leading to the addition of unsaturated carbon groups with a chain which terminate vwth moeities suitable for coupling, including amines and carboxylic acids, that allow conjugation to the

core particle.
Other embodiments of the present invention comprise conjugates comprising nicotine haptens conjugated at the 1, 2, 4, 5, 6, or 1' positions of the nicotine, as described by Svrain et al. (WO 98/14216), herein incorporated by reference in its entirety.
Other embodiments of tiie present invention comprise conjugates comprising nicotine haptens as described by Janda et al. (WO 02/058635).
Further embodiments comprise conformationally constrained nicotine haptens as described m Meijler et al. (J. Am. Chem. Soc, 2003,125,7164-7165).
Cocaine and related drugs. The present invention provides conjugates, compositions and methods comprising cocame conjugated to a core particle. In one group of embodiments, the diazoniura salts of benzoyl cocaine and benzoyl ecognine are coupled to carrier proteins. In other embodiements the para-imino ester derivatives of cocaine and norcocaine are conjugated to core particles. Haptens suitable for these embodiments are described in U.S. Patents Nos: 3,88,866, 4,123,431 and 4,197,237 the references to which are mcorporated herein in their entireties. Conjugates of cocaine using the the para-position of the the phenyl ring of various cocaine derivatives show increased stability to hydrolysis by the introduction of an amide bond.
Other embodiments of the present invention comprise cocaine haptens described by US Patent No: 5,876,727, the reference to which is mcorporated herein in its entirety.
In one embodunent, precursors of the conjugates of the instant mvention are synthesized by acylating ecgonine methyl ester with bromoacetyl bromide in DMF in the presence of two equivalents of diisopropylethylamine. The product is then coupled to the thiol group of a thiolated carrier protein to obtam a conjugate.
In another embodiment, precursors of the conjugates of the instant invention are synthesized by succinylating ecgonine methyl ester with succinic anhydride in DMF in the presence of one equivalent of triefliylamine. The product is then coupled to the amino group of a lysine residue of a carrier protein to obtain a conjugate. In one embodiment, precursors of the conjugates of the instant invention are synthesized by reacting norcocaine with succinic anhydride in methylene chloride in the presence of two equivalents of triethylamine. In other emobidments prectursors of the conjugates of the instant invention are sjTithesized by reacting a

solution of norcocaine raonoactivated succinic acid and triethylamine to form succinylated norcocaine. In either case, the resulting succinyl norocaine consists of a mixture of at least two isomers, namely the exo and endo forms of the succinyl gioup. In these embodiments succinyl norocaine is then be coupled to the .epsilon.-amino group of a lysine residue of a carrier protein using EDC to obtain a conjugate. In an alternative embodiment, the coupling reaction is carried out using a pre-activated succinylated norcocaine derivative. That is, the intermediate can be isolated and characterized. The pre-activated succinylated norcocaine derivative is synthesized by reacting 4-hydroxy-3-nitiobenzen6 sulfoiuc acid sodium salt with succinylated norcocaine in the presence of dicyclohexylcarbodiimide (DCC) and DMF. The product is conjugated to the amino group of a lysine residue of a carrier protein to obtain a conjugate.
hi one alternative embodiment, compounds of the present invention are synthesized by reacting succinylated norcocaine with N-hydroxysuccimide in the presence of ethyl chloroformate, N-methylmoiphoUne (NMM) and DMF. The product is then coupled to the amino group of a lysine residue of a carrier protein to obtain a conjugate.
In one embodiment, compounds of the instant invention are synthesized by reacting thionyl chloride with succinylated norcocaine. The product is then conjugated to a carrier protein to obtam a conjugate. In another embodiment, compounds of the instant invention are synthesized by reacting succinylated norcocaine with HATU in DMF and diisopropylethylamiae as outlined by Carpino ((1993) J. Am. Chem. Soc. 115:4397-4398) the reference to vMch is incorporated herein in its entUrety. The product is added to an aqueous solution containing the carrier protein to obtam a conjugate.
hi another embodiment, compounds of the mvention are synthesized by reacting succinylated norcocaine with PyBroP in DMF and diisopropylethylamine. The product is added to an aqueous solution containing the carrier protein to obtain a conjugate. In a related embodiment the carrier protein is succinylated with succinic anhydride in borate buffer. The product is then coupled to norcocaine in the presence of EDC to obtain a conjugate.
In another embodiment, reduction of the free acid of coacaine in benzoyl ecgonine to its corresponding primary alcohol, is achieved using borane-dimethylsulfide complex. The alcohol is reacted with succinic anhydride in DMF,

the product of which is then conjugated to the free amino acid group of a carrier protein in the presence of EDC to obtain a conjugate.
In another embodiment, compoimds of the instant invention are synthesized by conjugating benzoyl ecgonine to the amino group of a lysine residue of a carrier protein m the presence of EDC to obtain a conjugate.
In one embodiment, the precursor of the conjugates is synthesized by acylating racemic nomicotine with succinic anhydride in methylene chloride in the presence of two equivalents of diisopropylethylamine. The product of this reaction is then coupled to the lysine residue of a carrier protein using HATU to obtain the conjugate. In another embodiment, selectively alkylating the pyridine nitrogen in (S)-(-)-nicotine in anhydrous methanol, with ethyl 3-bromobutyrate, 5-bromovaleric acid, 6-bromohexanoic acid or 8-bromooctanoic acid yield products suitable for conjugation to a carrier protein usii^ HATU.
Compositions, Vaccines, and the Administration Thereof, and Methods of Treatment
As discussed herem, the invention provides compositions which may be used for preventing and/or treating diseases or conditions. The invention flarther provides vaccination methods for preventing and/or treating diseases or conditions in individuals. In a preferred embodiment, compositions stimulate an unmune response leading to the production of immune molecules, including antibodies, that bind to organic molecules. The invention further provides vaccination methods for preventing and/or treating diseases or conditions in individuals.
The nature or type of immime response is not a limiting factor of this disclosure. The desired outcome of a therapeutic or prophylactic immune response may vary according to the disease, according to principles well known in the art. For example, a vaccine against an inhaled drug (eg nicotine, cocaine) may be designed to induce high titres of serum IgG and also of secreted sIgA antibodies in the respiratory epithelium, thus binding nicotine both in the respiratory tract and within the bloodstream. By comparison, titres of sIgA antibodies are presumably less relevant when targeting an injected drug of abuse (eg heroin). However, a vaccination methodology against an injected drug of abuse that results m high serum titres as well as sIgA will nontheless be effective, so long as serum titres are sufficient.

The invention comprises vaccines sufBcient to cure or prevent a disease or condition or addiction. The invention further comprises vaccines that reduce the number, severity or duration of symptoms; and vaccine compositions effective in reducing the number of individuals in a population with symptoms. The invention comprises compositions with effects upon the immune system that may aid in the treatment of a disease, as one facet in an overall therapeutic intervention against a disease. Given the notably complex nature of addiction, the invention comprises compositions that aid in therapy against drug addiction but are accompanied by psychiatric, behavioural, social and legal interventions.
Furthermore, it may be desired to stimulate different types of immune response dependmg on the disease, and according to principles known in the art. It is well knovm, for example, that some immune responses are more appropriate for a particular antigen than other immune responses. Some immune responses are, indeed, inappropriate and can cause pathology, such as pathologic inflammation.
The nature of the immune response can be affected by the nature of the antigen, route of introduction into the body, dose, dosage regimen, repetitive nature of the antigen, host background, and signalling factors of the immune system. Such knowledge is well known in the art. As such, an immune response may be tailored by the application of both art known theory and routine experimentation.
Furthermore, the invention embodies the use of differing core particles during the course of vaccination against a drug or drugs. Individuals who develop strong immune responses against core particles such as e.g. pili, may be immunized vrith compositions comprising the same hapten but differing in core particle.
While not wishing to be bound by theory or any particular mechanistic explanation for operation of the present invention, the conjugates of the present invention provide particular novel and surprising advantages as components of pharmaceutical compositions to generate an immune response, and particularly as vaccines. Other carriers known in the art including BSA, keyhole limpet hemocyanin, tetanus toxoid, bacterial outermembrane proteins, cholera toxin, and Pseudomonas aeruginosa Exotoxin A may be inappropriate for use in an individual, and in particular a human. The aforementioned carriers may induce allergic reactions, or stunulate pathologic immune responses (for example, cholera toxin, KLH, BSA). The aforementioned carriers may require the presence of adjuvants such as complete Freunds adjuvant, now considered inappropriate for use in

humans. A number of the carriers may be components of current vaccines (for example, tetanus toxiod, cholera toxin, Exotoxin A). As such, an individual may possess a high level of pre-existing immunity to these carriers, such that immunization with an antigen-carrier conjugate will induce a relatively greater unmune response to the carrier than to the novel antigen. For these reasons, mdividually or as a whole, the conjugates and compositions of the present mvention represent a useful improvement over the above-described carrier proteins. The preseent invention demonstrates the use of Nicotine-QP VLP conjugate composition to stimulate an immune response against nicotine without the use of complete Freund's adjuvant and without evidence of pathologic immune responses. In the use of the embodunents of the invention, haptens conjugated to core particles can be taken up by antigen presenting cells and thereby stimulate T-cell help to induce immune response. T helper cell responses can be divided into type 1 (THI) and type 2 (TH2) T helper cell responses (Romagnani, Immunol. Today 18:262-266 (1997)). Tfjl cells secrete interferon-gamma and other cytokines which trigger B cells to produce IgGl-3 antibodies. In contrast, a critical cytokine produced by TH2 cells is IL-4, which drived B cells to produce IgG4 and IgE. In many experimental systems, the development of THI and TH2 responses is mutually exclusive sinceTnl cells suppress the induction of TH2 cells and vice versa. Thus, antigens that trigger a strong THI response simultaneously suppress the development of TH2 responses and hence the production of IgE antibodies. Interestingly, virtually all viruses induce a THI response in the host and fail to trigger the production of IgE antibodies (Coutelier et al, J. Exp. Med. 7(55:64-69 (1987)). Antibodies of the IgE isotype are important components in allergic reactions. Mast cells bind IgE antibodies on their surface and release histamines and other mediators of allergic response upon binding of specific antigen to the IgE molecules bound on the mast cell surface. The isotype pattern typical of THI responses is not restricted to live vkuses but has also been observed for inactivated or recombinant vkal particles (Lo-Man et al, Eur. J. Immwiol. 25:1401-1407 (1998)). Thus, by usir^ the processes of the invention (e.g., AlphaVaccine Technology), viral particles can be decorated with various hapten and used for immunization. Due to the resultmg "vmd structure" of the haptm, a THI response will be elicited, "protective" IgGl-3 antibodies will be produced, and the production

of IgE antibodies which cause allergic reactions will be prevented. Thus, the invention embodies compositions c^Mible of mducing preferred immune responses, notably THI type responses. Futher, the invention embodies the use of compositions of the mvention to counter allergic reactions induced by alternative vaccines against haptens of interest.
A further advant^eous feature of the present mvention is that haptens may be presented on the in regular, repetitive arrays that are able to mduce efBcient iiranune responses both with and without T-cell help. This feature of the invention is particularly advantageous.
Unlike isolated proteins, viruses induce prompt and efficient immune responses in the absence of any adjuvants both with and without T -cell help (Bachmann & Zinkem^el,Ann. Rev. Immunol: 15:235-270 (1997)). Although vkuses often consist of few proteins, they are able to trigger much stronger immune responses than their isolated components. For B-cell responses, it is known that one crucial factor for the immunogenicity of viruses is the repetitiveness and order of surface epitopes. Many viruses exhibit a quasi- crystalline surface that displays a regular array of epitopes which efficiently crosslinks epitope-specific immunoglobulins on B cells (Bachmaim & Zinkemagel, Immunol. Today 17:553-558 (1996)). This crosslinking of surfece immunoglobulins on B cells is a strong activation signal that directly induces cell- cycle progression and the production of IgM antibodies. Further, such triggered B cells are able to activate T helper cells, which in turn mduce a switch from IgM to IgG antibody production m B cells and the generation of long-lived B cell memory - the goal of any vaccination (Bachmann & Zinkemagel, Ann. Rev. hnmunol. 15:235-270 (1997)). The present invention provides one way to improve the efEciency of vaccination by increasmg the degree of repetitiveness of the hapten to be used for immunization, through binding of the hapten to the core particles. As previously noted, the invention provides for compositions comprising core particle modified to alter the number and or arrangement of the first attachment sites.
As will be understood by one of ordinary skill m the art, v*en conjugates of the present invention are administered to an individual, they may be m a composition which contains salts, buffers, adjuvants and other substances, excipients or carriers which are desirable for improving the efficacy of the composition. Examples of materials suitable, or acceptible, for use in preparing

pharmaceutical compositions are provided in numerous sources including REMINGTON'S PHARMACEUTICAL SCIENCES (Osol, A, ed.. Mack Publishing Co., (1990)).
Compositions of the in'vention are said to be "plKmnacoio^cally acceptable" if their administration can be tolerated by a recipient individual. Further, the compositions of the invention will be administered in a "therapeutically effective amount" {i.e., an amount ttiat produces a desired physiological effect).
The compositions of the present invention may be administered by various methods knovm in the art, but will normally be administered by injection, infusion, inhalation, oral administration, or other suitable physical methods. The compositions may alternatively be administered mtramuscularly, intravenously, transmucosally, transdermally or subcutaneously. Components of compositions for administration include sterile aqueous {e.g., physiological saline) or non-aqueous solutions and suspensions. Examples of non-aqueous solvents are propylene glycol, polyethylene glycol, vegetable oils such as oUve oil, and injectable organic esters such as ethyl oleate. Carriers or occlusive dressings can be used to increase skin permeabiUty and enlwuce antigen absorption.
In one specific embodiment, a human with nicotme addiction, is immunized with 5 to 500 [ig, preferably 25 to 200 {ig, more preferably 50 to 100 ^ig, most preferably 100 \ig of Nic-QP conjugate, with boosts at 3 weeks and again at 6 weeks, more preferably with boosts at 4 weeks and again at 8 weeks. Routes of immunizations can comprise intramuscular, subcutaneous, intradennal, transdermal, or intravenous injections. Two weeks after iinmuni2ation, the immime response is monitored with kits as described elsewhere herein. The resulting immune response is specific for nicotine and comprises high serum IgG, and is sufficient to inhibit nicotine uptake into the brain. The resulting immune response is long lasting and thus the individual does not experience pleasurable effects from nicotine, and ceases nicotine use. Those skilled m ttie art will know from the measured immune response whether additional immunizations will be needed to maintain nicotine specific IgG levels. In an alternative embodiment of the presetit invention the nicotine-hapten carrier conjugates of the invention are administered by intranasal vaccination. This type of administration leads to high antibody titers encompassing IgA as indicated in the examples.

In a fiarther embodiment of the invention, a pharmaceutical composition is provided for treating iticotine addiction, palliating nicotine withdrawal symptoms, facilitating smoking cessation or preventing rel^se comprising a therapeutically effective combination of the vaccine composition of the invention and an additional agent. In one embodiment, the additional agent is selected from the group consisting of: auti-depressant; nicotine receptor modulator; canflabinoid receptor antagonist; opioid receptor antagonist; monoamine oxidase inhibitor, anxiolytic or any combination of these agents. Preferably, the additional agent is an anti¬depressant selected from Qie group consisting of bupropion, doxepin, desipramine, clomipramine, imipramine, nortriptyline, amitriptyline, protriptyline, trimipramine, fluoxetine, fluvoxamine, paroxetine, sertraline, phenelzine, tranylcypromine, amoxapine, maprotiline, trazodone, venlafaxine, mirtazapine, their phannaceutically active salts and their optical isomera. In a very preferred embodiment, tiie anti-depressant is eitiier bupropion or a phannaceutically acceptable salt thereof, or nortriptyline or a pliarraaceiitically acceptable salt thereof.
In another embodiment, tlie additional agent is a nicotine receptor modulator
selected from the group consisting of mecamylamine, SSR591813, amantadine,
pempidine, dihydro-beta-erytiiroidine, hexametiionium, eiysodine,
chlorisondamine, trimethaphan camsylate, tubocurarine chloride, d-tubocurarine, varenicline, their pharmaceutically acceptable salts and their optical isomers. In a very preferred embodiment, the nicotine receptor modulator is mecamylamine or a pharmaceutically acceptable salt thereof In another preferred embodiment, the nicotine receptor modulator is varenicline or a pharmaceutically acceptable salt thereof
In one embodiment, the present invention comprises a method of treating tobacco addiction or nicotine addiction, palUatmg nicotme withdrawal symptoms, preventing relapse or facilitating smoking cessation comprising the step of administering to a patient Ihe vaccine composition of the invention and an additional agent. In a preferred embodiment, the vaccine composition is administered intranasally, orally, subcutaneously, transdermally, intramuscularly or intravenously, and wherein said additional agent is administered orally or via a ttansdermal patch. In a more preferred embodiment, the vaccine composition of the invention comprises 0-succinyl-3'-hydroxymethyl-nicotine conjugated to Qp virus

like particle.
Antlnlepressants, nicotine receptor agonists and antagonists, cannabinoid and opioid receptor antagonists, monoamine oxidase inhibitors and anxiolytics are able to relieve certain symptoms during smoking cessation such as withdrawal, craving, depression, irritability, anergia, amotivation, appetite changes, nausea and hypersomnia. They mainly act directly on receptors in the brain. Furthermore, weight increase upon smoking cessation is a major concern for a number of people. Vaccination inhibits the uptake of the nicotine into the brain and thus inhibits its rewarding effects. It does not inhibit withdiawal symptoms but inhibits the reinforcement of nlcotme addiction upon a slip. Therefore, a combination of vaccination and the use of anti-depressants, nicotine receptor antagonists, cannabinoid receptor antagonists, monoamine oxidase inhibitors and anxiolytics and flirhter drugs inhibiting weight gain is beneficial for aid m smoking cessation and relapse prevention.
Anti-depressants are used to treat symptoms of nicotine withdrawal and aid smoking cessation. One such anti-depressant is bi^ropion and a sustained-release formulation of bupropion HCl under the tradename Zyban is marketed as an aid for smoking cessation. The mechanism of action of bupropion is presumed to involve inhibition of neural re-uptake of dopamine and/or norepinephrine. As dopamine has been associated with the rewardmg effects of addictive substances, such as nicotine, inhibition of the norepineplirine uptake was contemplated to induce a decrease of withdrawal symptoms. Methods to produce bupropion and pharmaceutically acceptable salts thereof are disclosed in U.S. Pat. Nos 3'819'706 and 3'885'046. Methods to produce optically pure C+)-bupropion and pure (-)-bupropion have been disclosed (Castaldi G, et al., J. Org. Chem., 1987, 52:3018, Musso et al., 1993, Chkality 5: 495-500).
A preferred embodiment of the invention envisages the combined treatment of subjects for aid ui smoking cessation or relapse prevention by vaccination usir^ nicotine-VLP conjugates, preferentially nlcotine-Qb conjugates, and administermg bupropion, preferably bupropion hydrochloride. The amount of bupropion to be admmistered is formulated so as to provide a initial dose of about 150 mg per day for 6 days which is then followed by a dose of 300 mg per day.
Nortriptyline is used to treat depressions and has also been shown to be active in aidir^ smoking cessation (da Costa et al., 2002, Chest, 122, 403-408).

Methods to produce nortryptyline are knovra to those skilled in the art. A preferred embodiment of the invention envis^es the combined treatment of subjects for aid in smoking cessation or relapse prevention by vaccination using nicotine-VLP conjugates, preferentially nicotine-Qb conjugates, and administering nortriptyline. Nortriptyline is administered in a dose of 10 -150 mg, most preferably 75 mg per day.
Additional anti-depressants contemplated for combination with vaccination include: doxepin, fluoxetine, desipramine, clomipramine, imipramine, amitriptyline, trimipramine, fluvoxamine, proxetine, sertraline, phenelzine, tranylcypromine, amoxapine, maprotiline, trazodone, venlafaxine, mJrtrazapine, theu-pharmaceutically active salts or their optical isomers.
Nicotine receptor agonists and antagonists attenuate the reward received by tobacco usage by blocking the receptors.
Varenicline tartrate is a fiirflier selective nicotinic receptor modulator.
Varenicline tartrate C7,8,9,10-tetrahydro-6,10-methano-6H-pyrazino[2,3-
h][3]benzazepine (2R,3R)-2,3-dihydroxybutanedionate) reduces severity of nicotine withdrawal symptoms. Its synthesis has been described m WO 01/62736. A preferred embodiment of the invention envisages the combined treatment of subjects for aid in smoking cessation or relapse prevention by vaccination using nicotine-VLP conjugates, preferentially nicotine-Qb conjugates, and administering varenicline, preferably varenicline tartrate. The dose of varenicline tartrate administered is 1 n^ twice daily.
(5aS,8S,10aR>5a,6,9,10-tetrahydro,7H,llH-8,10a-methanopyrido[2',3':5,6]pyrano-[2,3-d]azepine (SSR591813) is a compound tiiat binds with high aiSnity alpha4beta2 nicotinic acetylcholine receptor (nAChR) subtypes. The synthesis of derivatives is described in US 6538003. A preferred embodiment of the invention envisages the combmed treatment of subjects for aid in smokii^ cessation or rel^se prevention by vaccination using nicotine-VLP conjugates, preferentially nicotine-Qb conjugates, and administering SSR591813. Thedoseof SSR591813 is formulated to provide a dose between 1 mgandSOOmg daily.
In a preferred embodunent of the invention the nicotine receptor antagonist mecamylamine hydrochloride or an pharmaceutically acceptable salt thereof is given to subjects for aid in smoking cessation or relapse prevention in combination

with vaccination using nicotine-VLP conjugates, preferentially nicotine-Qb conjugates. Mecamylamine hydrochloride has been shown to block many of the physiological, behavioral and reinforcing effects of nicotine. Mecamylamine hydrochloride is foraaulated to provide a dose of about 1 mg to about 25 mg per day.
Further specific nicotine antagonists include amantadine, pempidine, dihydro-beta-erthyroidine, hexamethonium, erysodine, chlorisondamine, trimethaphan camsylate, tubocurarine chloride, d-tubocurarine, their pharmaceutically acceptable salts or their optical isomers.
Central cannabinoid receptor antagonists are also used to help quitting smoking. Such a cannabinoid antagonist is N-piperidino-5-(4-chloro-phenyl)-l-{2,4-dichloroplienyl)-4-methylpyrazole-3-carboxaimde, referred to below as rimonabant. Its synthesis and pharmaceutical compositions containing the same are disclosed in patent appHcations EP-576'357, EP-656'354, WO 96/02248 and WO 03/040105. The efficacy of rimonabant has been described by Cohen et al. (Behav Pharmacol. 2002,13,451-63).
A preferred embodiment of the invention, envisage the combined treatment of subjects for aid in smoku^ cessation or relapse prevention by vaccination using nicotine-VLP coajugatea, preferentially nicotine-Qb conjugates, and administerii^ rimonabant. The amount of rimonabant to be administered is formulated so as to provide a dose of 5 to 40 mg per day, preferably 20 mg/day.
In a further embodiment opoid antagonists such as naltrexone can be used in combination with vaccination against nicotine. The use of naltrexone and related compounds in smokii^ cessation are described m US patent application 6'004'970. Typical doses vary between 12.5 mg and 150 mg.
Anxiolytics have also been administered to treat nicotine withdrawal. Anxiolj'tics counter the mild anxiety symptoms that occur during smoking cessation treatment, or the treatment of alcoholism and other substance abuse. The anxiolytic isovaleramide has been recommended for the use in smoking cessation (Baladrin et al., WO 94/28888). Further anxiolytics comprise buspirone, hydroxyzine and meprobamate. Buspirone is administered in a dosage range of about 5 mg to 60 mg per day.
Monoamine oxidase inhibitors have been described for treatment of dmg witiidrawal symptoms (WO 92/21333 and WO 01/12176). Reversible selective

inhibitors of monoamine oxidase A, reversible selective inhibitors of monoamine oxidase B or reversible mixed inhibitors of monoamine oxidase A and B can have activity in reducing withdrawal symptoms. Among reversible monoamine oxidase A inhibitors befloxatone, moclobemide, brofaromine, phenoxathine, esuprone, befol, RS 8359 (Sarikyo), T794 (Tanabe), KP 9 (Kienitsky USA), E 2011psei), toloxatone, pirlindole, araiilavine, sercloremine and bazin^jrine may be cited. These compoimds are known and their preparations are described in the art. Among reversible selective inhibitors of monoamine oxidase B, lazabemide, milacemide, caroxazone, IFO, deprenyl, AGN-1135, MDL72145 and J-508 may be cited. The use of befloxatone or 3-[4-(4,4,4-trifluoro-3R-hydroxybutoxy)phenyl]5(R)-methoxymethyI-2-oxazolidinone for treatment of obesity has been described in WO 01/12176. The use of ihe deprenyl isomer selegeline has been described in W092/21333.
A further compound useful in smokii^ cessation is clonidine (Gourlay et al., Cochrane Library 2003, 2. A preferred embodiment of the invention envisages the combined treatment of subjects for aid in smoking cessation or relapse prevention by vaccination using nicotine-VLP conjugates, preferentially nicotine-Qb conjugates, and administerii^ clonidine, perferably clonidine hydrochloride.
A further compound useful in smoking cessation is sibutramine. Sibutramine has received FDA approval to help people lose weight and it inhibits serotonin and norepinephrine reuptake. Preferably, sibutramine is given in the hydrochloride monohydrate form. Dose administered is 1 to 20 mg daUy, preferably 10 or 15 mg daily. A preferred embodiment of the invention envisages the combined treatment of subjects for aid in smoking cessation or relapse prevention by vaccination using nicotine-VLP conjugates, preferentially nicotine-Qb conjugates, and administering sibutramine, preferably sibutramine hydrochloride.
All drug mentioned above rosy be given orally as a tablet or gel capsule or as a transdermal patches. Formulations of tablets, gel capsules and transdermal patches are described in the art.
Smoking cessation has also been treated with a combination of antidepressants and anxiolytics (Glazer, U.S. Patent No 4'788'189 or a combination of nicotine receptor antagonists and an antidepressant or anti-anxiety drug (Gary, WO 99/17803).
Further embodiments of the invention include immune molecules produced

by immunization with compositions of the mvention. Immune molecules include antibodies and T-cell receptors. Such immune molecules may be useful in a vaccinated individual for binding to target haptens. Immune molecules may also be useful vi'lien transferred to another individual not immimized against compositions of the invention, thereby to "passively" transfer immunity. In one embodiment, the immune molecule is an antibody. A monoclonal antibody suitable for binding a toxin, honnone or drug may be transferred into an individual to achieve therapy or prophylaxis. Antibodies against nicotine and other addictive drugs may provide tempory alleviation of addictive behaviour. In other embodiments, antibodies may be administered to an individual at risk of poisoning, or who has been acutely exposed to a toxic agent.
In another embodiment, antibodies are transferred to an individual with immune difficiencies such as observed with cyclosporin or other immunosuppressive dn^s, or with acquired immunodeficiency disorders e.g. HIV infection. HIV infection fi^uently co-occurs with addiction to drugs of abuse, particularly injectable drugs, and addiction may be an underlying cause leading to behaviors that increase the risk of individual acquiring HIV infection (e.g. sharing needles, prostitution). Thus, treatment of addictive behaviour is beneficial to preventing the transmission of HTV into iminfected individuals of the population.
In embodiments utilizing passive immunization, a pool of human donors is immunized with conjugates of the invention using optimal immunization regimens, as determined empirically. At various times, donors are bled by venipuncture and the titers of anti-cocame antibody are assayed by ELISA. Hyperimmune plasma &om multiple donors is pooled and the IgG fraction is isolated by cold alcohol fi'actionation. The antibody preparation is buffered, stabilized, preserved and standardized as needed for hyperimmune antibody preparations for human use. The level of anti-hapten antibody is standardized by ELISA or other antibody-based assay.
An appropriate dose of purified antibody Is administered to patients inttamuscularly, subcutaneously or intravenously. In one embodiment, tiie antibodies are administered with conjugate vaccine, at a different anatomical site m order to elicit active mununity. The appropriate dose is determined by assaying serum levels of recipients m a trail patient population by ELISA or other antibody-based assay at 24 hours or other ^propriate time point after injection of the

hyperinmiune antibody preparation and/ or assaying the effectiveness of different doses in inhibiting the effects of the hapten.
The passively transferred immune globulin inhibits the hormone, toxin or drug effects in the patients. The use of human donors, polyclonal antibody, and the large number of donors in the donor pool limits die chance of immune response by the patients to the transferred antibody.
Other embodiments of the invention include processes for the production of the compositions of the invention and methods of medical treatment usmg said compositions. Diverse approaches for the treatment of addiction are suitable as co-therapies in preventing relapse, including psychiatric, social and legal remedies. Pharmacologic agents usefid in co-treatment of addiction include desipramine, buprenorphine, naloxone, haloperidol, chlorproazdne, bromocriptine, ibogaine, mazuidol, antidepressants and others that will be apparent to the ordinarily skilled artisan.
Kits
.The invention also embodies the use of antibodies produced by immunization with compositions of the invention in kits for the detection of haptens in immunoassays (eg ELISA). In a related embodiment, repetitive ordered hapten arrays can be useful for. the detection of antibodies against h^tens m binding assays.
In some specific embodiments, the compositions of the present invention may be assembled into kits for use in detection m assays or industrial settings, in diagnosis or detection of diseases, conditions or disorders. Such kits according to the present invention may comprise at least one container containing one or more of the above-described conjugates or compositions, including hapten-core particle conjugates and immune molecules directed against such conjugates. Alternative kits of the invention may comprise one or more antibodies of the invention produced by the methods of the invention or by immum2ation methods familiar to the ordinarily skilled artisan using the conjugates and compositions of the present invention. The kits of the invention may optionally further comprise at least one additional container which may contain, for example, one or more antigens, one or more haptens, one or more core particles, one or more conjugates/compositions of the invention, one or more pharmaceutically acceptable carriers or excipients, one

or more buffers, one or more proteins, one or more nucleic acid molecules, and the like
The present invention provides kits that can be used in the above methods. In one embodiment, a kit comprises an antibody, produced by a method of the invention, preferably a purified antibody, in one or more containers. In a specific embodiment, the kits of the present invention contain a substantially isolated hapten which is specifically immunoreactive with an antibody included in the kit Preferably, the kits of the present invention finlher comprise a control antibody which does not react with the hapten of interest In another specific embodiment, the kits of the present invention contain a means for detecting the bindii^ of an antibody to a hapten of interest (e.g., the antibody may be conjugated to a detectable substrate such as a fluorescent compound, an enzymatic substrate, a radioactive compound or a luminescent compound, or a second antibody which recognizes the first antibody may be conjugated to a detectable substrate).
In another specific embodiment of the present invention, the kit is a diagnostic kit for use in screening serum containing antibodies specific against Nicotine. Such a kit includes antibodies of IgA, IgE, IgG and IgG subclasses duected against nicotine and obtained by the immunization of a human with nicotine-Qp VLP conjugates of the present invention. Such a kit includes a control antibody that does not react with nicotine, and substantially isolated nicotine, cotinine and nomicotine h^tens, and purified core particle free of hapten. Further, such a kit includes means for detecting the bindii^ of said antibody to nicotine hapten (e.g., the antibody may be conjugated to a fluorescent compound such as fluorescein or rhodamine which can be detected by flow cytometry, or HRP for use in an ELISA). In one specific embodiments, the kit may include a nicotine attached to a solid support. The invention embodies the use of such a kit, where the titre of different immunoglobulin classes and subclasses are determined in an ELISA.. The anti nicotine IgA, IgE and IgG antibodies provided in the kit serve as controls to assess the relative titre of antibodies in the patient serum. After binding of the antibody of the serum and the kit with nicotine hapten, and removing unbound serum components by washing, the antibodies are reacted with with antibodies specific for immunoglobulin subtypes that are conjugated to reporter molecules. After a fiirther washing step, to remove unbound labeled antibody, and

the amount of reporter associated with the solid phase is determined in the presence of a suitable fluorometric, luminescent or coloriraetric substrate (Sigma, St. Louis, MO).
Thus, by the use of the above kits, the invention provides a method for monitoring the progress of immuni2ation against nicotine. An immunized person will be monitored during the course of inimuni2ation for IgG and IgA antibodies against nicotine, and for the lack IgE antibodies against nicotine that would indicate the development of an allergic reaction If the immune response is primarily agamst the core particle rather than the hapten, an alternative nicotine conjugate will be utiUzed, with a different core partile and, in one embodiment, a different hapten.
In one embodiment a kit includes a solid support to which an Nicotine-core particle conjugate is attached. In this embodiment, bindir^ of antibody in the serum of an individual to the antigen presented on the core particle can be detected by binding of a i^rorter-labeled antibody.
The solid surface reagent in the above assay is prepared by known techniques for attaching protein material to solid support material, such as polymeric beads, dip sticks, 96-well plate or filter material. These attachment methods generally include non-s^iecific adsorption of the protein to the support or covalent attachment of the protein, typically through a free amine group, to a chemically reactive group on the solid support, such as an activated carboxy], hydroxyl, or aldehyde group. Alternatively, streptavidin coated plates can be used in conjunction with biotinylated antigen(s).
Thus, the invention provides an assay systems or kits for carrying out a diagnostic method. The kit generally includes bound recombinant antigen and a reporter-labeled antibody for detecting bound anti-antigen antibody. Other suitable kits of the present invention are understood to those of ordinary skill in the art.
It will be understood by one of oidiiuury skill in the relevant arts that other suitable modifications and adaptations to the methods and apphcations described herein are readily apparent and may be made witiiout departing from tiie scope of the invention or any embodiment thereof Having now described the present invention in detail, the same will be more clearly understood by reference to the follovraig examples, vidiich are included herevnth for purposes of illustration only and are not intended to be limiting of the invention.

EXAMPLES
EXAMPLE! Coupling Procedure forNicotine-QP Conjugate
A nicotine derivate suitable for coupling to VLPs was synthesized accordmg Langone et al. (1982, supra). Trans-4'-carboxycotiiiine is available from commercial sources. The methylester of traiis-4'-carboxycotinine is produced by reacting trans-4'-caTboxycotinine with methanolic sulfuric acid. The solution is neutralized with sodium bicarbonate, extracted with chloroform, concentrated on a rotary evaporator and recrystallized from ether-acetone. Reduction of the methyl ester with lithixim aluminium hydride m ether then produces tratis-3'-hydrojcymethylnicotine. The O'-succlnyl-hydroxymetfaylnicotme is then produced by the addition of succinic anhydride tn benzene. The solution is concentrated on a rotary evaporator. Activation of the carboxyl group is subsequently achieved by addition of EDC (l-Ethyl-3-(3-dimethylaminopropyl)-carbodiimide) and N-hydroxysuccinimide (NHS) resulting in the N-hydroxysuccinimide ester of O'-succinyl-hydroxymethylnicotiue (in the following abbreviated as "Suc-Nic")-
Qp CP VLPs (SEQ ID NO: 3) were dialysed agamst Hepes-buffered saline HBS (50 mM Hepes, 150 mM NaCl, pH 8.0). The nicotine derivative Suc-Nic was dissolved m HBS at a concentration of 121 mM. It was added to a Qp CP VLP solution (0.14 mM) at Ix, 5x, 50x, lOOx and 500x molar excess and incubated at room temperature for 2 h on a shaker. The reaction solution was then dialysed against HBS, pH 8.0 (cut off 10000 Da), flash-frozen in liquid nitrogen and stored at - 80°C. The nicotine derivative suc-nic reacts with lysines on the surface of Qp under formation of an amid bond. The resulting covalent conjugate is termed herein "Nic-QP".
SDS-PAGE analysis showed with increasing molar excess of Suc-Nic a shift of the QP monomer band to higher molecular weights (FIG. lA). The presence of nicotine in the coupling product was confirmed by a westemblot using an anti-nicotiue antiserum. While uncoupled QP control and Qp coupled to nicotine at a Ix and 5x excess did not show an anti-nicotine reactive band, the bands at 50x, lOOx

and 500x clearly demonstrated covalent coupling of nicotine to QP (FIG. IB). This was confirmed by an ELISA with nicotine-BSA coated on the wells and detection with an anti-nicotine antiserum. A higher absorbance was reached v/bsn Qp coupled with 500 fold excess nicotine was used compared to a vacccine produced with an 50 fold excess.
EXAMPLE 2
Immunizatloii of Mice with Nic-Qp and Measurement of Anti-nicotine
Antibody Titers
A. Immunization of mice
10 week-old female Balb/c mice were vaccinated twice with 30 jj,g of the nicotme-QP (Nic-QP) resultmg from the coupling using 500x excess of Suc-Nic. The vaccine was diluted in sterile PBS and given intranasally or injected subcutaneously with or without the addition of Alum (Imject, Pierce). 14 days after the first immunization the mice were boosted (Table I). On day 29 the nicotme-specific antibody titers in serum were determined by ELISA.

B. ELISA.
Sera were analyzed in a nicotine-specific ELISA: Microtiter plates (Maxisorp, Nunc) were coated overnight with 5 |4.g/inl nicotine coupled to BSA (NAB03) in coating buffer (pH 9.6). After washing and blockmg with 2% BSA in PBS, sera were added at different dilutions in 2 % BSA/1% FCS/PBS. After 2 hours incubation at room temperature the plates were washed (0.05% Tween 20/PBS) and HRPO-labeled antibodies specific for mouse antibody subclasses were added. After 1 hour incubation the plates were washed and the color substrate OPD in citric acid

buffer was added. After 5 minutes the color reaction was stopped with 5% H2SO4,
Optical densities at 450 nm were read in an ELISA Reader (Benchmark, Becton Dickinson). For the detection of IgE, sera were pre-incubated in Eppendorf tubes with Protein G beads (Pierce) for 30 min on a shaker before adding to the ELISA plate.
The Nic-QP vaccine induced nicotine-specific IgG antibodies (FIG. 3A). The ELISA titers were calculated for the total IgG response (FIG. 3B, Table II). The ELISA titer was defined as the dilution of the serum which gives a half-maximal optical density signal {OD 50%)) in the ELISA. For the subcutaneous route vnth Alum, the average IgG titers obtained with Nic-Qp werel3228. For the intranasal route, nicotine-QP titers were 38052.
IgG subtypes and IgE were also measured by ELISA and titers determined (FIG. 3, FIG. 4, Table 11). No significant IgE response above background (preimmune serum) could be detected for any of the conditions tested. The ratio of IgG2a to IgGl antibody titers is indicative for a Thl mediated immune response. A ratio of 2.1 was measured for the mice immunized subcutanously with Nic-Qp in the absence of Alum, and was even enhanced to 2.6 when applied intranasally. As expected Alum drove the immune response towards a more Th2 type response and resulted in a ratio of 0.4. Notably, the Nic-QP vaccines also induced high IgG2b and IgG3 titers. A significant amoimt of anti-nicotine IgA antibodies could be foimd in serum (FIG. 5) which are indicative for the presence of IgA in mucosal surfaces.
The high nicotine titres upon intranasal immunization are especially
noteworthy.



EXAMPLES Evaluation of Nicotine Distribution in Plasma and Brain in Rats
Groups of rats are immunized with the nicotine-VLP vaccine, boosted at day 21. One group receives a second boost at day 35. Seven to 10 days after the last boost rats are auestethized and ca&eters are placed in the femoral artery and vein for sampling and the jugular vein of the other leg for nicotine adminstration. Nicotine 0.03 mg/kg containing 3 microCi 3H-(-)-nicotine is infiised in Iml/kg 0.9% saline via the jugular vein over 10s. The radiolabel is added to permit estimation of nicotine concentrations &om very small volumes of blood. This the possible because metabolism of nicotine to cotinine over the first 90s after nicotine administration in rats negligible. Blood (0.3 ml) was removed fixim both the femoral artery and and vein catheers every 15 s up to 90s, centrifuged immediately and serum separated for assay. Rats are killed at 3 min by decapitation, the brain is removed quickly, rinsed with water and stored at -20°C until assayed. For measurement of 3H-nicotine concentration in serum, 100 ul serum, is mixed with iiqmd scintillation fluid. Brain samples were digested in 5 vol NaOH prior to extraction and analysed after addition of scintillation fluid.
Nicotine-specific antibodies induced by the vaccination are capable of binding 3H-nicotLae in serum and inhibit or lower its difftision into the brain. Accordingly, a decreased concentration of brain nicotine and an increased concentration of plasma nicotine are measured.
EXAMPLE 4 Chemical Coupling of Nicotine Hapten to HbcAg-Lys
O-succinyl-hydroxymethylnicotine is prepared as described in Example 1, and incubated with EDC and NHS to yield the activated N-hydroxysuccmamide

ester (Suc-Nic). Purified HbcAg-Lys VLP is prepared as described in copending U.S. patent application No. 10/050,902. Suc-Nic solution in HBS is added at Ix, 5x, 50x, lOOx and 500x molar excess to a 95% pure solution of HBcAg-Lys particles (2 mg/ml) and incubated for 2 h. at room temperature. After completion of the reaction, the mixture is dialyzed overnight against HBS, pH 8.0, flash frozen in liquid nitrogen and stored at -80°C. Reaction is monitored by SDS-PAGE analsrsis and western blot with antinicotine antiserum. Nicotine decorated particles are injected into rodents to induce immune responses against nicotine.
EXAMPLES Chemical Coupling of Nicotine Hapten to Type-1 PiU oiEscherichia coli
Type I pili are prepared from E. co/i strain W3U0 transformed with the vector pFIMAICDFGK, and purified by ultracentrifiigation, as described in commonly owned, co-pending U.S. Patent Application No. 10/050,902, filed January 18, 2002, the disclosure of which is incorporated herein by reference in its entirety. Activated hapten Suc-Nic in HBS are added at Ix, 5x, 50x, lOOx and 500x molar excess to a 95% pure solution of type I pili particles (2 mg/ml) and incubated for 2 h. at room temperature. After completion of the reaction, the mixture is dialyzed against HBS, pH 8.0, flash frozen in liquid nitrogen and stored at ~80°C. Reaction is monitored by SDS-PAGE analysis and western blot with antinicotine antiserum. Nicotine decorated particles are injected into rodents to induce immune responses against nicotine.
EXAMPLE 6
Synthesis of Multi-hapten Vaccine Suitable for Treatment of Nicotine
Addiction
A vaccine against nicotine addiction designed to target multiple epitopes of
nicotme and also the pharmaceutically active metabolites cotinine and nomicotine
is prepared. Individual 120inM solutions in HBS of 6-(carboxymethyIureido)-(±)-
nicotine (CMUNic), trans-3'-aininomethylnicotine succinate, O-succinyl-3'-
hydroxymethyl-nicotine, Trans-4'-carboxycotuiine, N-[l-oxo-6-[(25)-2-C3-pyridyt)-
l-pyrrolidinyl] hexyl]-p-alanine, 4-oxo-4-[[6-[(5S)-2-oxo-5-(3-pyridinyl)-l-
pyrrolidinyl]]hexyl] anunoj-butanoic acid, (2S)-2-(3-pyridinyl)-I-

pyiToUdinebutanoic acid phenyhnethyl ester, (2R)-2-(3-pyridinyI)-l-P3Trolidinebutanoic acid phenyhnethyl ester, Cotmine 4'~carboxylic acid, N-succmyl-6-ammo-(,+-,)~mcotme; 6-(.sigma.-aininocapramido)-(.+-.)-nicotine- and 6-(.sigma.--aminocapraniido)-(.+-.)-nicotine-conjugates; succinylated 3',4', and 5' aminomethylnicotine, 5 and 6 aminonicotine and 3',4', and 5' acetyl derivatives of acetyl nicotine. The solutions are mixed wilh EDC and NHS to form activated forms which are added, in separate reactions, at 10-100 molar excess to QP VLP as described elsewhere.
Individual solutions of S-l-(b-aminoethyl) nicotinium chloride dihydrochloride and S-1-Cb-aminoethyl) cotinium chloride hydrochloride solutions are coupled to QP VLP with l-cyclohexyl-3-(2-morpholinoethyl)-carbodiimide metho-p-toluenesulfonate.
From this selection of conjugates, eight of the nicotine hapten Q|3 VLP conjugates, a cotinine QP VLP conjugate and a nomicotine conjugate Qp VLP are then admixed to form a vaccine composition, which is used to vaccinate individuals. After 2 doses, individuals are then boosted 3 times with parallel haptens coupled to HBc-Lys VLP conjugates.
EXAMPLE? Synthesis of Cocaine YLP-Hapten Conjugate
A solution of norcocaine hydrochloride (1 g, 3.07 mmol), triethylamine (0.86 ml, 6.14 mmol) ui methylene chloride (20 ml) is treated with succinic anhydride (614 mg, 6.14 mmol) and the mixture heated at 45.degree. C. overnight, as described in US Patent 5,876,727. The solvents are removed under reduced pressure and the residue purified using silica gel flash chromatography (2:1 chloroformimetiianol as the eluent). This gives succinylated norcocaine (1.0 g, 84%) as a thick; syrup (3.beta.-(BenzoyIoxy)-8-succinoyl-8-azabicyclo[3.2.1]octane-2.beta,-carboxylic acid methyl ester). To a solution of the acid (14 mg, 0.036 mmol) m distilled water (1 ml) at O.degree. C, EDC (10.4 mg, 0.055 mmol) was added. After 5 minutes a solution of Qp VLP in PBS (1 ml) is added dropwise and the mixture is allowed to warm to ambient temperature overnight. The conjugate is purified by dialysis against PBS and the degree of conjugation analyzed by mass spectral analysis. The resultant conjugate is used to

immunize individuals.
Having now fiiUy described the present invention in some detail by way of illustration and example for purposes of clarity of understanding, it will be obvious to one of ordinary skill in the art that the same can be performed by modifying or changing the invention within a wide and equivalent range of conditions, formulations and other parameters without affecting the scope of the invention or any specific embodiment thereof, and that such modifications or changes are intended to be encompassed within the scope of the appended claims.
All publications, patents and patent applications mentioned in this specification are indicative of the level of skill of those skilled in the art to which this invention pertains, and are herein incorporated by reference to the same extent as if each individual publication, patent or patent application was specifically and individually indicated to be incorporated by reference.
EXAMPLES Evaluation of Nicotine Distribution in Plasma and Brain of Mice
Groups of 4 to 5 mice were immunized with 60 ug of the nicotine-VLP vaccine produced as described in EXAMPLE 1 and were boosted at day 35 and day 63 with the same amount of vaccine. Fourteen days after the last boost mice were injected i.v. at the base of the tail with a solution containing 750 ng (-)-nicotine hydrogen tartrate with 5 microCi 3H-(-)-nicotine. The amount of nicotine corresponds to 0.03 mg/kg which is equivalent to the nicotine uptake of 2 cigarettes by a smoker. The radiolabel was added to permit estimation of nicotine concentrations from very small volumes of blood. After five minutes mice were sacrificed by CO2. Blood was removed by punctation of the heart and serum was prepared. Brains was immediately dissected, cleaned from adhering blood and then-weights measured. For measurement of 3H-nicotine concentration in serum, 50 ul serum is mixed with liquid scintillation fluid. Brain samples were completely dissolved in 2 ml Tissue Solubilizer (Serva) and analysed after addition of scintillation fluid. From the radioactivities nicotine concentrations in serum and brain were calculated (Figure 7).
Nicotine-specific antibodies induced by the vaccination were enable of

binding 3H-mcotine in serum and inhibit or lower its diffusion into the brain. Accordingly, a decreased concentration of brain nicotine and an increased concentration of plasma nicotine were measured. The Nicotine-VLP vaccine was able to inliibit the nicotine uptake in brain by 56% in the absence of Alum and by 68% m the presence of Alum (Figure 7).
Further immunization schedules, such as immunization at day 0 and and boosting at day 14 also yielded in antibodies levels that were able to significantly reduce nicotine uptake into brain. In general, high anti-nicotine antibody titers correlated with a higher efficacy of the vaccination.
EXAMPLE 9: Cloning of the AP205 Coat Protein gene
The cDNA of AP205 coat protem (CP) (SEQ ID NO: 90) was assembled from two cDNA fragments generated firom phage AP205 RNA by using a reverse transcription-PCR technique and cloning in the commercial plasmid pCR 4-TOPO for sequencing. Reverse transcription techniques are well known to those of ordinary skill in the relevant art. The first fragment, contained in plasmid p205-246, contained 269 nucleotides upstream of the CP sequence and 74 nucleotides coding for the first 24 N-terminal amino acids of the CP. The second fragment, contained in plasmid p205-262, contained 364 nucleotides coding for amino acidsl2-I31of CP and an additional 162 nucleotides downstream of the CP sequence. Both p205-246 and p205-262 were a generous gift fiwm J. Klovins.
The plasmid 283.-58 was designed by two-step PCR, in order to fuse both CP fragments from plasmids p205-246 and p205-262 in one fiiU-length CP sequence.
An upstream primer pl.44 containing the Ncol site for cloning into plasmid pQbl85, or pl.45 containing the JUal site for cloning into plasmid pQblO, and a downstream primer pl.46 containing the Hindlli restricdon site were used (recognition sequence of the resfriction enzyme underlined):
pl.44 5'~NNCC ATG GCA AAT AAG CCA ATG CAA CCO-3' (SEQ ID NO: 5)
pl.45 5'-NNTCTAGAATnTCTGCGCACCCATCCCGG-3' (SEQ ID NO: 20)

pl.46 5'-NNAAGC TTA AGC AGT AGT ATC AGA CGA TAC G-3' (SEQ ID NO: 21)
! Two additional primers, pi.47, annealing at the 5' end of the fragment
contained in p205-262, and pl.48, annealing at the 3' end of the fiagment contained in plasmid p205-246 were used to amplify the fragments in tiie first PCR, Primers p 1.47 and p 1.48 are complementary to each other.
pl.47: 5'-GAGTGATCCAACTCGTTrATCAACTACATTT-
TCAGCAAGTCTG-3' (SEQ ID NO: 22)
pl.48: 5'-CAGACTTGCTGAAAATGTAGTTGATAAACGA-
GTTGGATCACTC-3' (SEQ ID NO: 23)
In the first two PCR reactions, two fragments were generated. The first feagment was generated with priraors pl.45 and pl.48 and template p205-246. The second fragment was generated with primers pl.47 and pl.46, and template p205-. 262. Both fragments were used as templates for the second PCR reaction, a splice-overlap extension, with the primer combinalion pl.45 and pl.46 or pl,44 and pi.46 . The product of the two second-step PCR reactions were digested with )ihal or JVcoJ respectively, and Hitidlll, and cloned with the same restriction sites into pQblO or pQblSS respectively, two pGEM-derived expression vectors under the control ofE.coii tryptophan operon promoter.
Two plasmids were obtained, pAP283~58 (SEQ ID NO: 15), containing the gene coding for wt AP205 CP (SEQ ED NO: 14) in pQblO, and pAP281-32 (SEQ ID NO: 19) with mutation Pro5->Thr (SEQ ID NO: 18), in pQbl85 . The coat protein sequences were verified by DNA sequencing. PAP283-58 contains 49 nucleotides upstream of the ATG codon of the CP, downstream of the Xbal site, and contains the putadve original ribosomal binding site of the coat protein mRNA.
EXAMPLE 10: Expression and Purification of Recombinant AP205 VLP
A. Expression of recombinant AP205 VLP E.coli JM109 was transformed with plasmid pAI^83-58. 5 ml of LB liquid medium with 20 jig/ml ampicUlin weie inoculated with a single colony, and incubated at 37 °C for 16-24 h without shaking.

J The prepared inoculum was diluted 1:100 in 100-300 ml of LB
medium, containing 20 (4.g/ml ampicillin and incubated at 37 "C overnight without shakijig. The resulting second inoculum was diluted 1:50 in 2TY medium, containing 0.2 % glucose and phosphate for buffering, and incubated at 37 "C overmght on a shaker. Cells were harvested by centrifiigation and frozen at -SO^C.
B. Purification of recombinant AP205 VLP
] Solutions and buffers:
1. Lysis buffer
50mMTris-HClpH8.0 with5mMEDTA,0.]% tritonXlOO and PMSF at 5 micrograms per ml.
2. SAS
Saturated ammonium sulphate in water
3. Buffer NET.
20 mM Tris-HCl, pH 7.8 with SmM EDTA and 150mMNaCl.
4. PEG
40% (w/v) polyethylenglycol 6000 in NET
Lysis:
Frozen cells were resuspended ia lysis buffer at 2 ml/g cells. The mixture was sonicated with 22 kH five tunes forl5 seconds, with intervals of Imin to cool the solution on ice. The lysate was then centriiiiged for 20 minutes at 12 000 rpm, usiag a F34-6-38 rotor (Ependorf). The centrifugation steps described below were all performed using the same rotor, except otherwise stated. TTie supernatant was stored at 4° C, while cell debris were washed twice with lysis buffer. After centrifugation, the supematants of the lysate and wash fractions were pooled.
Ammonium-sulpliate precipitation can be further used to purify AP205 VLP. In a first step, a concentration of ammonium-sulphate at which AP205 VLP does not precipitate is chosen. The resulting pellet is discarded. In the next step, an ammonium sulphate concentration at which AP205 VLP quantitatively precipitates is selected, and AP205 VLP is isolated from the pellet of this precipitation step by

centrifiigation (14 000 spm, for 20 min). The obtained pellet is solubilised in NET
buffer.
Chromatography:
4B column (2.8 X 70 cm), and eluted with NET buffer, at 4 ml/hour/fraction. Fractions 28-40 were collected, and precipitated with ammonium sulphate at 60% saturation. The fractions were analyzed by SDS-PAGE and Western Blot with an antiserum specific for AP205 prior to precipitetion. The pellet isolated by centrifugation was resolubilized in NET buffer, and loaded on a Sepharose 2B column (2.3 X 65 cm), eluted at 3 ml/h/fraction. Fractions were analysed by SDS-PAGE, and fractions 44-50 were collected, pooled and precipitated with ammomum sulphate at 60% saturation. The pellet isolated by centrifugation was resolubilized in NET buffer, and purified on a Sepharose 6B coluirm (2.5 X 47 cm), eluted at 3 ml/hour/fi-action. The fractions were analysed by SDS-PAGE. Fractions 23-27 were collected, the salt conceflti^tion adjusted to 0.5 M, and precipitated with PEG 6000, added from a 40% stock in water and to a final concentration of 13.3%. The pellet isolated by centrifugation was resolubilized in NET buffer, and loaded on tiie same Sepharose 2B column as above, eluted in the same manner. Fractions 43-53 were collected, and precipitated with ammonium sulphate at a saturation of 60%. The pellet isolated by centrifiigation was resolubilized in water, and the obtained protein solution was extensively dialyzed against water. About 10 mg of purified protein per gram of cells could be isolated. Examination of the virus-like particles In Electron microscopy showed that they were identical to the phage particles.


We Claim:
1. A hapten-carrier conjugate comprising:
a. a core particle comprising at least one first attachment site, wherein said
core particle is a virus-like particle of an RNA-phage; and
b. at least one hapten with at least one second attachment site, wherein said
hapten is a drug of abuse;
wherein said second attachment site is capable of association through at least one covalent non-peptide bond to said first attachment site so as to form an ordered and repetitive hapten-carrier conjugate.
2. The conjugate as claimed in claim 1, wherein said virus-like particle is a recombinant virus-like particle.
3. The conjugate as claimed in any one of claim 1 or 2, wherein said virus-like particle comprises, or alternatively consists of, recombinant proteins, or fragments thereof, of a RNA-phage.
4. The conjugate as claimed in claim 3, wherein said RNA-phage is selected from the group consisting of:

(a) bacteriophage Q[5;
(b) bacteriophage Rl 7;
(c) bacteriophage ft;
(d) bacteriophage GA;
(e) bacteriophage SP;
(f) bacteriophage MS2;
(g) bacteriophage Ml 1;
(h) bacteriophage MXl;
(i) bacteriophage NL95;
(j) bacteriophage f2
(k) bacteriophage AP205; and (1) bacteriophage PP7.

5. The conjugate as claimed in any one of claim 1 or 2 wherein said virus-like particle comprises, or alternatively consists of, recombinant proteins,or fragments thereof, of RNA-phage QP
6. The conjugate as claimed in any one of claims 2 to 5, wherein said recombinant proteins of said RNA phage comprise or alternatively consist essentially of, or alternatively consist of one or more mutant coat proteins of an RNA-phage, and wherein said mutant coat proteins of said RNA phage have been modified by (i) removal of at least one lysine residue by way of substitution; (ii) addition of at least one lysine residue by way of substitution; (iii) deletion of at least one lysine residue; or (d) addition of at least one lysine residue by way of insertion.
7. The conjugate as claimed in claim 3, wherein said recombinant proteins comprise coat proteins having the amino acid sequence as set forth in SEQ ID N0:3.
8. The conjugate as claimed in claim 3, wherein said virus-like particle essentially consists of coat proteins having the amino acid sequence of SEQ IDN0:3.
9. The conjugate as claimed in claim 5, wherein said recombinant proteins comprise mutant QP coat proteins, and wherein said mutant Qp coat proteins comprise proteins having an amino acid sequence selected from the group consisting of:

(a) the amino acid sequence of SEQ ID N0:6;
(b) the amino acid sequence of SEQ ID N0:7;
(c) the amino acid sequence of SEQ ID N0:8;
(d) the amino acid sequence of SEQ ID N0:9; and
(e) the amino acid sequence of SEQ ID NO: 10.

10. The conjugate as claimed in any one of the preceding claims, wherein said first attachment sites comprise an amino group.
11. The conjugate as claimed in any one of the preceding claims, wherein said first attachment sites comprise a carboxyl group.

12. The conjugate as claimed in any one of the preceding claims, wherein said at least one first attachment site is an aspartate or a gluiamate residue.
13. The conjugate as claimed in any one of the preceding claims, wherein said at least one first attachment site is a lysine residue.
14. The conjugate as claimed in claim 1, wherein said drug is nicotine, cotinine or nomicotine.
15. The conjugate as claimed in claim 1, wherein said drug is nicotine,
16. The conjugate as claimed in claim 14, wherein the conjugate is formed from starting materials selected from the group consisting of:

(a) 6-(carboxymethylureido)-(±)-nicotine (CMUNic);
(b) trans-3' -aminomethylnicotine succinate;
(c) 0-succinyl-3'-hydroxyra ethyl-nicotine;
(d) Trans-4'-carboxycotinine;
(e) N-[l-oxo-6-[{25)-2-{3-pyridyl)-l-pyrrolidinyl] hexyl]-p-alanine;
(f) 4-oxo-4-[[6-[(5S)-2-oxo-5-(3-pyridinyl)-l-pyrrolidinyl]]hexyl] amino]-butanoic acid;
(g) (2S)-2-{3-pyridinyl)-l-pyrrolidinebutanoic acid phenylmethyl ester;
(h) Cotinine 4'-carboxylic acid, N-succinyl-6-amino-(±)-nicotine;
(i) 6-(.sigma.-aminocapramido)-(±)-nicotine;
(j) 3' aminomethylnicotine;
(k) 4'aminomethylnicotine;
(1) 5' aminomethylnicotine;
(m) 5 aminonicotine;
(n) 6 aminonicotine;
(o) S-l-(b-aminoethyl) nicotinium chloride; and
(p) S-I-(b-aminoethyl) cotinium chloride.

17. The conjugate as claimed in claim 14 wherein, said hapten comprises the starting material 0-succinyl-3'-hydroxymethyl-nicotine.
18. The conjugate as claimed in claim 14, wherein said conjugate comprises 0-succinyl-3'-hydroxymethyl-nicotine conjugated to QP virus like particle.
19. The conjugate as claimed in claim 14 wherein, said hapten is formed from the starting material 0-succinyl-3'-hydroxymethyl-nicotine.
20. The conjugate as claimed in any one of the preceding claims, wherein said second attachment site is formed by reaction of the 0-succinyl moiety of said O-succinyl-3'-hydroxymethyl-nicotine with the first attachment site.
21. The conjugate as claimed in any one of the preceding claims, wherein the second attachment site contains, preferably is, an amide.
22. The conjugate as claimed in any one of the preceding claims, wherein said second attachment site is formed by reaction of the 0-succinyl moiety of said O-succinyl-3'-hydroxymethyl-nicotine with a lysine residue being said first attachment site.
23. The conjugate as claimed in any one of the preceding claims, wherein said conjugate comprises 0-succinyl-3'-hydroxymethyl-nicotine conjugated to a virus-like particle of a RNA-phage, preferably to a QP virus like particle, and hereby preferably to a QP virus like particle comprising, or preferably being composed of coat proteins of RNA-phage Qp.
24. The conjugate as claimed in claim 1, wherein said drug of abuse is cocaine,
25. A pharmaceutical composition comprising the conjugate as claimed in any one of the claims 1 to 24 and a pharmaceuticaliy acceptible carrier, wherein preferably said pharmaceutical composition (i) further comprises an adjuvant, or (ii) is devoid of an

adjuvant.
26. A vaccine composition comprising the conjugate as claimed in any one of the claims 1 to 26, wherein preferably said vaccine composition further comprises an adjuvant or alternatively is devoid of an adjuvant.
27. A pharmaceutical composition for treating nicotine addiction, palliating nicotine withdrawal symptoms, facilitating smoking cessation or preventing relapse comprising a therapeutically effective combination of the vaccine composition as claimed in any one of claims 1 to 26 and an additional agent.
28. The composition as claimed in claim 27, wherein said additional agent is selected from the group consisting of;

(a) anti-depressant;
(b) nicotine receptor modulator;
(c) cannabinoid receptor antagonist;
(d) opioid receptor antagonist;
(e) monoamine oxidase inhibitor; and
(f) anxiolytic.

29. The composition as claimed in claim 27, wherein said additional agent is an anti¬depressant selected from the group consisting of bupropion, doxepin, desipramine, clomipramine, imipramine, nortriptyline, amitriptyline, protriptyline, trimipramine, fluoxetine, fluvoxamine, paroxetine, sertraline, phenelzine, tranylcypromine, amoxapine, maprotiline, trazodone, venlafaxine, mirtazapine, their pharmaceutically active salts and their optical isomers, and preferably wherein said anti-depressant is either bupropion or a pharmaceutically acceptable salt thereof, or nortriptyline or a pharmaceutically acceptable salt thereof.
30. The composition as claimed in claim 27, wherein said additional agent is a nicotine receptor modulator selected from the group consisting of mecamylamine,

SSR591813, amantadine, pempidine, dihydro-beta-erythroidine, hexamethonium, erysodine, chlorisondamine, trimethaphan camsylate, tubocurarine chloride, d-tubocurarine, varenicline, their pharmaceutically acceptable salts and their optical isomers, and preferably wherein said nicotine receptor modulator is mecamytamine or a pharmaceutically acceptable salt thereof, or varenicline tartrate.
31. The composition as claimed in claim 27, wherein said additional agent is (i) a cannabinoid receptor antagonist, said cannabinoid antagonist being rimonabant; (ii) an anxiolytic selected from the group consisting of hydroxyzine, meprobamate, buspirone, their pharmaceutical salts and their optical isomers; (iii) clonidine; or (d) sibutramine.
32. A conjugate as claimed in any one of claims 1-24, wherein the conjugate is used for manufacturing a medicament for the treatment or prevention of addiction to a drug in an individual in need thereof
33. A vaccine composition as claimed in claim 26 and an additional agent, wherein said vaccine composition and said additional agent are used for manufacturing a medicament for treating tobacco addiction or nicotine addiction, palliating nicotine withdrawal symptoms, preventing relapse or facilitating smoking cessation in a patient in need thereof.
34. The composition as claimed in claim 33, wherein said vaccine composition is to be administered intranasally, orally, subcutaneously, transdermally, intramuscularly or intravenously, and wherein said additional agent is administered orally or via a transdermal patch..
35. The composition as claimed in claims 33 or 34, wherein said vaccine composhion
comprises 0-succinyl-3'-hydroxymethyl-nicotine conjugated to QP virus like particle.
36. The composition as claimed in claim 33, wherein said additional agent is defined in
any one of claims 28-31.

37. A hapien-carrier conjugate substantially as herein described with reference to the accompanying drawings and as illustrated in the foregoing examples.
Dated this 3l" day of December, 2004
1

Documents:

3077-chenp-2004 abstract-duplicate.pdf

3077-chenp-2004 abstract.pdf

3077-chenp-2004 claims-duplicate.pdf

3077-chenp-2004 claims.pdf

3077-chenp-2004 correspondence-others.pdf

3077-chenp-2004 correspondence-po.pdf

3077-chenp-2004 description (complete)-duplicate.pdf

3077-chenp-2004 description (complete).pdf

3077-chenp-2004 drawings-duplicate.pdf

3077-chenp-2004 drawings.pdf

3077-chenp-2004 form-1.pdf

3077-chenp-2004 form-13.pdf

3077-chenp-2004 form-18.pdf

3077-chenp-2004 form-26.pdf

3077-chenp-2004 form-3.pdf

3077-chenp-2004 form-5.pdf

3077-chenp-2004 pct.pdf

3077-chenp-2004 petition.pdf


Patent Number 230235
Indian Patent Application Number 3077/CHENP/2004
PG Journal Number 13/2009
Publication Date 27-Mar-2009
Grant Date 25-Feb-2009
Date of Filing 31-Dec-2004
Name of Patentee CYTOS BIOTECHNOLOGY AG
Applicant Address WAGISTRASSE 25, CH-8952, SCHLIEREN,
Inventors:
# Inventor's Name Inventor's Address
1 BACHMANN, MARTIN F GOLDACKERWEG 8, CH-8472, SEUZACH,
2 MAURER, PATRIK RYCHENBERGSTRASSE 38, CH-8400, WINTERTHUR,
PCT International Classification Number A61K39/385
PCT International Application Number PCT/EP03/07850
PCT International Filing date 2003-07-18
PCT Conventions:
# PCT Application Number Date of Convention Priority Country
1 60/396,575 2002-07-18 U.S.A.