Human papillomavirus type 16 (HPV-16) is the major causative agent of cervical cancer. To date, vaccine strategies against HPV-16 are based on the ability of the E7 oncoprotein to elicit an immune response against this virus. In this study, the use of an inducible or a constitutive system to produce the HPV-16 E7 protein in Lactococcus lactis, a non-pathogenic and non-invasive Gram-positive bacterium, was compared. The highest E7 production was obtained with the inducible system. When mice were immunized intranasally with recombinant lactococci expressing either inducible or constitutive E7, an antigen-specific cellular response (i.e. secretion of IL2 and IFN-ª cytokines) was evoked and was substantially higher in mice receiving L. lactis expressing E7 with the inducible system. As bacterial antigen location may influence the immune response, recombinant L. lactis strains that produced E7 in three cellular locations, intracellular, secreted or cell-wall-anchored were evaluated. The highest immune response was elicited by administration of L. lactis producing an inducible cell-wall-anchored form of E7 protein. These promising results represent a step towards the development of a new, safe mucosal vector to treat HPV-related cervical cancer.
INTRODUCTIONEpidemiological data have clearly shown that human papillomavirus type 16 (HPV-16) infection is the main aetiological factor for cervical cancer (CxCa) (Furumoto & Irahara, 2002). Worldwide, $400 000 women die annually from CxCa (Parkin et al., 1999). A prophylactic and/or therapeutic vaccine against this virus is thus a priority to prevent or to treat, respectively, CxCa. A prophylactic vaccine based on highly purified virus-like particles has recently been successfully used in trials in women, with a significant reduction observed in the incidence of both HPV-16 infection and related CxCa (Koutsky et al., 2002). However, such vaccines could probably not be used therapeutically in alreadyinfected patients because the virion capsid proteins are not detected in CxCa. The HPV-16 E7 protein, constitutively produced in cervical carcinomas, is required for the transformation process (Baker et al., 1987;Bedell et al., 1987;Dyson et al., 1989;Tanaka et al., 1989) and is considered a good antigen candidate for the development of a therapeutic vaccine against CxCa.Several studies have investigated the use of bacteria as E7 antigen delivery vehicles to elicit an immune response against HPV-16. In these studies, the vectors used were attenuated strains of pathogenic bacteria such as Salmonella and Mycobacterium spp. (Londoño et al., 1996; Jabbar et al., 2000). Although these recombinant strains elicited immune responses, invasiveness of the vectors and risks of reversion to pathogenicity limit their use in vulnerable groups such as immunocompromised patients or children. There is thus a need for the development of a new generation of safe delivery vehicles.Lactic acid bacteria (LAB) are promising candidates as safe vehicles for in vivo delivery of antigens. Compared with att...