Login| Sign Up| Help| Contact|

Patent Searching and Data


Title:
DIAGNOSTICS AND TREATMENTS OF PERIODONTAL DISEASE
Document Type and Number:
WIPO Patent Application WO/1997/016542
Kind Code:
A1
Abstract:
This invention relates to the PrtR-PrtK cell surface protein of Porphyromonas gingivalis and in particular a multimeric cell associated protein complex comprising the PrtR and PrtK proteins. Accordingly the invention provides a substantially purified antigenic complex for use in raising an antibody response directed against Porphyromonas gingivalis. The complex comprises at least one multimeric protein complex of arginine-specific and lysine-specific thiol endopeptidases each containing at least one adhesin domain, the complex having a molecular weight of greater than about 200 kDa. The invention also relates to pharmaceutical compositions and associated agents based on said complex for the detection, prevention and treatment of Periodontal disease associated with P. gingivalis.

Inventors:
REYNOLDS ERIC CHARLES (AU)
BHOGAL PETER SINGH (AU)
SLAKESKI NADA (AU)
Application Number:
PCT/AU1996/000673
Publication Date:
May 09, 1997
Filing Date:
October 30, 1996
Export Citation:
Click for automatic bibliography generation   Help
Assignee:
UNIV MELBOURNE (AU)
VICTORIAN DAIRY IND (AU)
REYNOLDS ERIC CHARLES (AU)
BHOGAL PETER SINGH (AU)
SLAKESKI NADA (AU)
International Classes:
C12N9/76; A61K31/00; A61K39/02; A61K39/395; A61K39/40; A61P1/00; A61P1/02; A61P37/00; A61P37/04; C07K2/00; C07K16/12; C12N9/52; A61K38/00; A61K39/00; (IPC1-7): C12N9/76; C07K2/00; C07K16/12; A61K39/02; A61K39/40
Domestic Patent References:
WO1995007286A11995-03-16
WO1995011298A11995-04-27
Foreign References:
AU4515196A1996-06-26
Other References:
PAVLOFF N., ET AL.: "MOLECULAR CLONING AND STRUCTURAL CHARACTERIZATION OF THE ARG-GINGIPAIN PROTEINASE OF PORPHYROMONAS GINGIVALIS. ÖBIOSYNTHESIS AS A PROTEINASE ADHESIN POLYPROTEIN.", JOURNAL OF BIOLOGICAL CHEMISTRY, AMERICAN SOCIETY FOR BIOCHEMISTRY AND MOLECULAR BIOLOGY, US, vol. 270., no. 03., 20 January 1995 (1995-01-20), US, pages 1007 - 1010., XP000606026, ISSN: 0021-9258, DOI: 10.1074/jbc.270.3.1007
OKAMOTO K, ET AL.: "STRUCTURAL CHARACTERIZATION OF ARGINGIPAIN, A NOVEL ARGININE-SPECIFIC CYSTEINE PROTEINASE AS A MAJOR PERIODONTAL PATHOGENIC FACTOR FROM PORPHYROMONAS GINGIVALIS", ARCHIVES OF BIOCHEMISTRY AND BIOPHYSICS, ACADEMIC PRESS, US, vol. 316, no. 02, 1 February 1995 (1995-02-01), US, pages 917 - 925, XP000990888, ISSN: 0003-9861, DOI: 10.1006/abbi.1995.1123
PIKE R., ET AL.: "LYSINE- AND ARGININE-SPECIFIC PROTEINASES FROM PORPHYROMONAS GINGIVALIS.", JOURNAL OF BIOLOGICAL CHEMISTRY, AMERICAN SOCIETY FOR BIOCHEMISTRY AND MOLECULAR BIOLOGY, US, vol. 269., no. 01., 7 January 1994 (1994-01-07), US, pages 406 - 411., XP000606021, ISSN: 0021-9258
BARKOCY-GALLAGHER G A, ET AL.: "ANALYSIS OF THE PRTP GENE ENCODING PORPHYPAIN, A CYSTEINE PROTEINASE OF PORPHYROMONAS GINGIVALIS", JOURNAL OF BACTERIOLOGY, AMERICAN SOCIETY FOR MICROBIOLOGY, US, vol. 178, no. 10, 1 May 1996 (1996-05-01), US, pages 2734 - 2741, XP002951436, ISSN: 0021-9193
OKAMOTO K, ET AL.: "CLONING AND SEQUENCING OF THE GENE ENCODING A NOVEL LYSINE-SPECIFICCYSTEINE PROTEINASE (LYS-GINGIPAIN) IN PORPHYROMONAS GINGIVALIS: STRUCTURAL RELATIONSHIP WITH THE ARGININE-SPECIFIC CYSTEINE PROTEINASE (ARG-GINGIPAIN)", JOURNAL OF BIOCHEMISTRY, OXFORD UNIVERSITY PRESS, GB, vol. 120, no. 02, 1 January 1996 (1996-01-01), GB, pages 398 - 406, XP000973918, ISSN: 0021-924X
ADUSE-OPOKU J, ET AL.: "CHARACTERIZATION, GENETIC ANALYSIS AND EXPRESSION OF A PROTEASE ANTIGEN (PRPRI) OF PORPHYROMONAS GINGIVALIS W50", INFECTION AND IMMUNITY, AMERICAN SOCIETY FOR MICROBIOLOGY., US, vol. 63, no. 12, 1 December 1995 (1995-12-01), US, pages 4744 - 4754, XP002951437, ISSN: 0019-9567
SLAKESKI N, CLEAL S, REYNOLDS E C: "CHARACTERIZATION OF A PORPHYROMONAS GINGIVALIS GENE PRTR THAT ENCODES AN ARGININE-SPECIFIC THIOL PROTEINASE AND MULTIPLE ADHESINS", BIOCHEMICAL AND BIOPHYSICAL RESEARCH COMMUNICATIONS, ACADEMIC PRESS INC. ORLANDO, FL, US, vol. 224, 1 January 1996 (1996-01-01), US, pages 605 - 610, XP002951441, ISSN: 0006-291X, DOI: 10.1006/bbrc.1996.1073
See also references of EP 0858504A4
Download PDF:
Claims:
Claims
1. A substantially purified antigenic complex for use in raising an antibody response directed against Porphyromonas gingivalis, the complex comprising at least one multimeric protein complex of argininespecific and lysinespecific thiol endopeptidases each containing at least one adhesin domain, the complex having a molecular weight of greater than about 200 kDa.
2. A substantially purified antigenic complex as claimed in claim 1 in which the multimeric protein complex is associated with virulent strains of Porphyromonas gingivalis. A substantially purified antigenic complex as claimed in claim 1 or claim 2 in which the multimeric protein complex has a molecular weight of about 294 to about 323 kDa .
3. A substantially purified antigenic complex as claimed in any one of claims 1 to 3 in which the multimeric protein complex is composed of 9 proteins.
4. A substantially purified antigenic complex as claimed in claim 4 in which the 9 proteins have the following Nterminal sequences DVYTDHGDLYNTPVRML, YTPVEEKQNGRMIVIVAKKYEGD, SGQAEIVLEAHDVWNDGSGYQILLDADHDQYGQVIPSDTHFL, PQSVWIERTVDLPAGTKYVAFR, ANEAKVVLAADNVWGDNTGYQFLLDA, ANEAKVVLAADNVWGDNTGYQFLLDA, PQSVWIERTVDLPAGTKYVAFR, ADFTETFESSTHGEAPAEWTTIDA, ADFTETFESSTHGEAPAEWTTIDA. A substantially purified antigenic complex as claimed in claim 5 in which the 9 proteins are PrtK48, PrtR45, PrtR44, PrtK39, PrtK44, PrtR27, PrtRl 7, PrtK15 and PrtR15. A substantially purified antigenic complex as claimed in claim 1 in which the thiol endopeptidases are rendered inactive A substantially purified antigenic complex as claimed in claim.
5. in which the thiol endopeptidases are rendered inactive by oxidation A substantially purified antigenic complex as claimed in claim 7 in which the thiol endopeptidases are rendered inactive by mutation 10 A substantially purified antigenic complex as claimed in claim 1 in which the multimeric protein complex is encoded by the DNA sequence shown in Figures 8B and 9B 11 A composition for use in eliciting an immune response directed against Porphyromonas gingivalis, the composition comprising an effective amount of the complex as claimed in any one of claims 1 to 10 and a suitable adjuvant and/or acceptable carrier 12 An antibody preparation comprising antibodies specifically directed against the complex as claimed in any one of claims 1 to 10 13 An antibody preparation as claimed in claim 12 in which the antibodies are polyclonal antibodies 14 An antibody preparation as claimed in claim 12 in which the antibodies are monoclonal antibodies 15 A method of treating a subject suffering from Porphyromonas gingivalis infection, the method comprising administering to the subject an amount ofthe antibody preparation as claimed in any one of claims 12 to 14 effective to at least partially neutralize the PrtRPrtK complex oϊ Porphyromonas gingivalis 16 A method as claimed in claim 15 in which the antibody preparation is administered as a mouth wash or as a dentifrice. A method of reducing the prospect of P. gingivalis infection in an individual and/or severity of disease, the method comprising administering to the individual an amount ofthe composition as claimed in claim 11 effective to induce an immune response in the individual directed against P. gingivalis A recombinant host cell, the host cell being transformed with a DNA sequence(s) encoding PrtRPrtK operatively linked to control sequences such that under appropriate conditions the host cell expresses PrtRPrtK A recombinant host cell as claimed in claim 18 in which the host cell is an oral commensal A recombinant host cell as claimed in claim 18 or claim 19 in which the host cell is transformed with the DNA sequences shown in Fig 8b and Fig 9b.
Description:
DIAGNOSTICS AND TREATMENTS OF PERIODONTAL DISEASE FIELD OF THE INVENTION

This invention relates to the PrtR-PrtK cell suiface protein of Poiphyromonas gingivalis and in particular a multimeric cell associated protein complex comprising the PrtR and PrtK proteins The invention also relates to pharmaceutical compositions and associated agents based on said complex for the detection, prevention and treatment of Periodontal disease associated with P. gingivalis

BACKGROUND OF THE INVENTION

Periodontal diseases are bacterial-associated inflammatory diseases ofthe supporting tissues ofthe teeth and range from the relatively mild form of gingivitis, the non-specific, reversible inflammation of gingival tissue to the more aggressive forms of periodontitis which are characterised by the destruction ofthe tooth's supporting structures Periodontitis is associated with a subgingival infection ofa consortium of specific Gram-negative bacteria that leads to the destruction ofthe periodontium and is a major public health problem One bacterium that has attracted considerable interest is P. gingivalis as the recovery of this microorganism from adult periodontitis lesions can be up to 50% ofthe subgingival anaerobically cultivable flora, whereas P. gingivalis is rarely recovered, and then in low numbers, from healthy sites. A proportional increase in the level of P. gingivalis in subgingival plaque has been associated with an increased severity of periodontitis and eradication ofthe microorganism from the cultivable subgingival microbial population is accompanied by resolution ofthe disease. The progression of periodontitis lesions in non- human primates has been demonstrated with the subgingival implantation of P. gingivalis These findings in both animals and humans suggest a major role for P. gingivalis in the development of adult periodontitis.

P. gingivalis is a black-pigmented, anaerobic, asaccharolytic, proteolytic Gram-negative rod that obtains energy from the metabolism of specific amino acids. The microorganism has an absolute growth requirement for iron, preferentially in the form of haeme or its Fe(III) oxidation product haemin and when grown under conditions of excess haemin is highly virulent in experimental animals. A number of virulence factors have been implicated in the pathogenicity of P. gingivalis including the capsule, adhesins, cytotoxins and extracellular hydrolytic enzymes. In particular, proteases have received a great deal of attention for their ability to degrade a broad range of host proteins including structural proteins and others

involved in defence The proteins that have been shown to be substrates for P. gingivalis proteolytic activity include collagen types 1 and IV, fibronectin, fibrinogen, laminin, complement and plasma clotting cascade proteins, αi-antitrypsin, α^macroglobulin, antichymotrypsin, antithrombin III, antiplasmin, cystatin C, IgG and IgA The major proteolytic activities associated with this organism have been defined by substrate specificity and are "trypsin-like", that is cleavage on the carboxyl side of arginyl and lysyl residues and collagenolytic although other minor activities have been reported

P. gingivalis trypsin-like proteolytic activity has been shown to degrade complement, generating biologically active C5a, impair the phagocytic and other functions of neutrophils by modifying surface receptors, and abrogate the clotting potential of fibrinogen prolonging plasma clotting time The trypsin-like proteolytic activity of P. gingivalis also generates Fc fragments from human IgGI stimulating the release of pro- inflammatory cytokines from mononuclear cells and is associated with vascular disruption and enhanced vascular permeation through the activation ofthe kallikrein- kinin cascade P. gingivalis spontaneous mutants with reduced trypsin-like activity as well as wild-type cells treated with the trypsin-like protease inhibitor N- ?-tosyl-L-lysine chloromethyl ketone are avirulent in animal models Further, it has been shown that P. gingivalis grown under controlled, haemin-excess conditions expressed more trypsin- like and less collagenolytic activity and were more virulent in mice relative to cells grown under haemin-limited but otherwise identical conditions. The increased expression ofthe trypsin-like activity by the more virulent P. gingivalis has led to the speculation that the trypsin-like proteolytic activity may be the major determinant for infection or disease However, the cell-associated trypsin-like proteolytic activities of P. gingivalis have not been characterised to date

There has been considerable endeavour to purify and characterise the trypsin-like proteases of P. gingivalis from cell-free culture fluids Chen et al, (1992) [J Biol Chem 267 18896- 18901] have purified and characterised a 50 kDa arginine-specific, thiol protease from the culture fluid of P. gingivalis H66 designated Arg-gingipain A similar arginine-specific thiol protease has been disclosed in JP 07135973 and the amino acid sequence disclosed in WO 9507286 and in Kirszbaum et al, 1995 [Biochem Biophys Res Comm 207424-431 ] Pike et al (1994) [J Biol Chem 269406- 11] have characterised a 60 kDa lysine-specific cysteine proteinase from the culture fluid of P. gingivalis H66 designated Lys-gingipain and the partial gene sequence for this enzyme was disclosed in WO 9511298 and fully disclosed in WO 9617936 However, prior to the development ofthe present invention it was unknown

that there existed on the cell surface of P. gingivalis a 300 kDa complex of arginine-specific and lysine-specific proteases both containing adhesin domains The 300 kDa complex has been designated the PrtR-PrtK complex The presence ofthe PrtR-PrtK cell surface complex exhibiting both arginine- and lysine-specific proteolytic activity together with adhesin activity was previously unknown Furthermore, the new PrtR-PrtK complex ofthe present invention is expressed on the cell surface, is a major virulence-associated factor and contains unique epitopes not displayed on the individual domains The previously disclosed arginine-specific and lysine-specific thiol proteases, as discussed, do not exhibit any of these features and have proven of limited application to date However, the aforementioned features have rendered the PrtR-PrtK complex ofthe invention ideal for development of diagnostic and immunoprophylactic products The PrtR-PrtK cell surface complex is accordingly of particular interest for diagnostics and neutralisation by passive immunity through oral compositions containing neutralising antibodies and by vaccine development In particular for the development of an intra-oral recombinant bacterial vaccine, where the recombinant bacterium expressing an inactivated PrtR-PrtK is a genetically engineered commensal inhabitant ofthe oral cavity

SUMMARY OF THE INVENTION

Accordingly in a first aspect the present invention consists in a substantially purified antigenic complex for use in raising an antibody response directed against Porphyromonas gingivalis, the complex comprising at least one multimeric protein complex of arginine-specific and lysine-specific thiol endopeptidases each containing at least one adhesin domain, the complex having a molecular weight of greater than about 200 kDa

In the context of this disclosure, the terms "adhesin" and "hemagglutinin" may be considered to be synonymous

In a preferred form ofthe present invention the multimeric protein complex is associated with virulent strains of Porphyromonas gingivalis, preferably has a molecular weight of about 294 to about 323 kDa and is preferably derived from P. gingivalis W50

It is also preferred that the multimeric protein complex is composed of 9 proteins These 9 proteins preferably have the following N-terminal sequences

DVYTDHGDLYNTPVRML

YTPVEEKQNGRMIVIVAKKYEGD SGQAEIVLEAHDVWNDGSGYQILLDADHDQYGQVIPSDTHFL

PQSVWIERTVDLPAGTKYVAFR

ANEAKVVLAADNVWGDNTGYQFLLDA

ANEAKVVLAADNVWGDNTGYQFLLDA

PQSVWIERTVDLPAGTKYVAFR ADFTETFESSTHGEAPAEWTTIDA

ADFTETFESSTHGEAPAEWTTIDA

It is presently preferred that the 9 proteins are PrtK48, PrtR45, PrtR44, PrtK39, PrtK44, PrtR27, PrtR17, PrtK 15 and PrtR 15 as described herein

As the purified antigenic complex normally has enzymatic activity it is preferred in a number of uses the thiol endopeptidases are rendered inactive This may be achieved in a number of ways, for example by oxidation or by mutation It is presently preferred that the inactivation is by oxidation

In yet another preferred embodiment ofthe present invention the multimeric protein complex is encoded by the DNA sequence shown in Figures 8B and 9B

In a second aspect the present invention consists in a composition for use in eliciting an immune response directed against Porphyromonas gingivalis, the composition comprising an effective amount ofthe complex ofthe first aspect ofthe present invention and a suitable adjuvant and/or acceptable carrier

In a third aspect the present invention consists in an antibody preparation comprising antibodies specifically directed against the complex ofthe first aspect ofthe present invention The antibodies may be polyclonal antibodies or monoclonal antibodies

In a fourth aspect the present invention consists in a method of treating a subject suffering from Porphyromonas gingivalis infection, the method comprising administering to the subject an amount ofthe antibody preparation ofthe third aspect of

the present invention effective to at least partially neutralize the PrtR-PrtK complex of Porphyromonas gingivalis

As will be recognised by those skilled in the art the antibody preparation may be administered by any of a number of well known routes, however, it is presently preferred that the preparation is administered orally

In a fifth aspect the present invention consists in a method of reducing the prospect of P. gingivalis infection in an individual and/or severity of disease, the method comprising administering to the individual an amount ofthe composition ofthe second aspect ofthe present invention effective to induce an immune response in the individual directed against P. gingivalis

ln yet a further aspect the present invention consists in a recombinant host cell, the host cell being transformed with a DNA sequence(s) encoding PrtR-PrtK operatively linked to control sequences such that under appropriate conditions the host cell expresses PrtR-PrtK

In another aspect, the present invention is directed to novel DNA sequences involving PrtR-PrtK constructs and vectors including plasmid DNA, and viral DNA such as human viruses, animal viruses, insect viruses, or bacteriophages which can be used to direct the expression of PrtR-PrtK protein in appropriate host cells from which the expressed protein may be purified Another aspect ofthe present invention provides methods for molecular cloning ofthe genes encoding the PrtR-PrtK complex The nucleic acid sequences ofthe present invention can be used in molecular diagnostic assays for P. gingivalis genetic material through nucleic acid hybridization, and including the synthesis of PrtR-PrtK sequence-specific oligonucleotides for use as primers and/or probes in amplifying, and detecting amplified, nucleic acids Additionally, PrtR-PrtK complex can be used as an immunogen in prophylactic and/or therapeutic vaccine formulations against pathogenic strains of P. gingivalis, whether the immunogen is chemically synthesized, purified from P. gingivalis, or purified from a recombinant expression vector system Alternatively, the genes encoding PrtR-PrtK may be incoφorated into a bacterial or viral vaccine comprising recombinant bacteria or virus which is engineered to produce PrtR-PrtK by itself, or in combination with immunogenic epitopes of other pathogenic microorganisms In addition, the genes encoding PrtR-PrtK operatively linked to one or more regulatory elements, can be introduced directly into humans to express the PrtR-PrtK to elicit a protective immune

response A vaccine can also be based upon a recombinant component ofa mutated PrtR- PrtK incoφorated into an appropriate vector and expressed in a suitable transformed host (eg. E. coli, Bacillus subtilis, Saccharomyces cerevisiae, COS cells, CHO cells and HeLa cells) containing the vector The vaccine can be based on an intra-oral recombinant bacterial vaccine, where the recombinant bacterium expressing an inactivated PrtR-PrtK is a commensal inhabitant ofthe oral cavity Unlike whole P. gingivalis cells or other previously prepared antigens based on fimbriae or the capsule the PrtR-PrtK complex ofthe invention or component parts thereof are safe and effective antigens for the preparation ofa vaccine for the prevention of P. g7//g7vα//.ϊ-associated periodontal disease The invention therefore provides a range of recombinant products based on the PrtR-PrtK complex

The invention also provides antibodies raised against the said PrtR-PrtK complex, herein called anti-PrtR-PrtK antibodies The antibodies may be blended into oral compositions such as toothpaste, mouthwash, toothpowders and liquid dentifrices, mouthwashes, troches, chewing gums, dental pastes, gingival massage creams, gargle tablets, dairy products and other foodstuffs

In another aspect the invention provides a method of diagnosis for the presence of P. gingivalis characterised by the use of any one or a combination of an antibody, antigen or nucleic acid probe as hereinbefore defined comprising the application of known techniques including for example, enzyme linked immunosorbent assay

The invention also provides diagnostic kits comprising antibodies, antigens and/or nucleic acid probes as hereinbefore defined

BRIEF DESCRIPTION OF FIGURES

Fig. 1. Anion exchange FPLC of a P. gingivalis W50 sonicate The sonicate in TC buffer containing 50 mM NaCl was applied to a Hiload XK 16/10 Q sepharose column and eluted using a linear gradient from 0 - 100% buffer B over 90 min at a flow rate of 2 0 ml min '1 Fractions (6 ml) were assayed for proteolytic and amidolytic activity using azocasein, Bz-L-Arg-/?NA and Z-L-Lys-/?NA The amidolytic activity of each 6 ml fraction with Bz-L-Arg-pNA is shown by the histogram

Fig. 2. Gel filtration FPLC of the pooled and concentrated fractions from Q sepharose anion exchange FPLC containing proteolytic/amidolytic activity Anion exchange

fractions containing the major peak of proteolytic/amidolytic activity were pooled, equilibrated in TC buffer containing 150 mM NaCl, concentrated and divided into four aliquots and each then independently applied to a gel filtration column (Superose 12 HR 10/30) and eluted using the same buffer at a flow rate of 0 3 ml min '1 Fractions (0.5 ml) were assayed for proteolytic and amidolytic activity Bz-L-Arg-/?NA amidolytic activity is shown by the histogram Vo and Vt indicate the void and total volumes of the column respectively The elution volumes of the standard proteins thyroglobulin 667 kDa, catalase 232 kDa and aldolase 158 kDa are marked

Fig 3. SDS-PAGE (boiled/reduced conditions) of the 300 kDa peak from gel filtration (Superose 12 HR 10/30) FPLC Lane 1, Pharmacia molecular mass standards (M r shown in kDa) Lane 2, 300 kDa peak from gel filtration FPLC Coomassie blue stained gel

Fig. 4. Specific cleavage sites (marked with arrows) of α s ι-casein by the proteolytic/amidolytic peak from gel filtration FPLC corresponding to 300 kDa The protein α„ι-casein was cleaved on the carboxyl side of arginyl and lysyl residues only

Fig. 5. Arg-sepharose FPLC of the 300 kDa gel filtration peak exhibiting Arg- and Lys-specific proteolytic activity Gel filtration fractions containing the major peak of proteolytic activity (300 kDa) were pooled and applied to an arginine-sepharose column

(5ml arginine-Sepharose 4B) and washed with TC buffer containing 50 mM NaCl at 0 1 ml min "1 until the baseline returned to zero The column was then further washed with

500 mM NaCl and then re-equilibrated with TC buffer containing 50 mM NaCl The column was first eluted with 200 mM lysine in TC buffer containing 50 mM NaCl, followed by 750 mM lysine in the same buffer The column was then re-equilibrated and eluted with 200 M arginine in the same buffer at a flow rate of 0 1 ml min '1 Peaks were collected and assayed for amidolytic and proteolytic activity Bz-L-Arg- ?NA amidolytic activity is shown by the histogram and the arrows indicate the start of each step gradient

Fig. 6. SDS-PAGE (boiled/reduced conditions) of 200 mM lysine eluant from the Arg- sepharose FPLC Lane 1, Pharmacia molecular mass standards (M r shown in kDa) Lane 2, 200 mM lysine eluant from Arg-sepharose FPLC Silver stained gel

Fig 7. SDS-PAGE (boiled/reduced conditions) of the 750 mM lysine and 200 mM arginine eluants from the arginine-Sepharose FPLC and the purified 45 kDa Arg- specific endopeptidase Lane 1, 750 mM lysine eluant Lane 2, 200 mM arginine eluant Lane 3, purified 45 kDa Arg-specific endopeptidase Lane 4, Pharmacia molecular mass standards (M r shown in kDa) Coomassie blue stained gel

Fig. 8a. Schematic representation of the prtR gene The PrtR nascent polyprotein is composed of a leader sequence, a prosequence followed by the Arg-specific cysteine proteinase PrtR45, and the adhesins PrtR44, PrtR15, PrtR17 and PrtR27 all preceded by an arginyl or lysyl residue

Fig. 8b. Nucleotide sequence of prtR.

Fig. 9a Schematic representation of the prtK gene The PrtK nascent polyprotein is composed of a leader sequence , a prosequence followed by the Lys-specific cysteine proteinase PrtK48, and the adhesins PrtK39, PrtK 15 and PrtK44 all preceded by an arginyl or lysyl residue

Fig. 9b. Nucleotide sequence of prtK

Fig. 10 SDS-PAGE of the PrtR-PrtK complex purified by diafiltration Lane 1 shows molecular mass markers Lane 2 shows components of the PrtR-PrtK purified by diafiltration

Fig 11. ELISA titration of sera from 5 mice immunized twice with the PrtR-PrtK complex emulsified in Freund's Incomplete Adjuvant Test sera (TS 32-36) and pre- immune sera (PIS 32-36) were screened using P. gingivalis W50 sonicate as the adsorbed antigen Primary antibody dilutions of 1/100, 1/500, 1/2500 and 1/12500 were used Bound antibody was determined using horseradish peroxidase-conjugated goat anti-mouse antibody and 3, 3 ',5, 5' tetramethylbenezidine The reaction product was quantitated spectrophotometrically using a 450 nm interference filter in a plate reader and recorded as optical density (O D ) readings

DETAILED DESCRIPTION OF THE INVENTION

The invention will now be described in greater detail by reference to the methods used and applied in the development ofthe invention and by reference to particular examples which provide the best methods known of performing the invention

The intra-oral bacterium Porphyromonas gingivalis possesses on its cell surface major trypsin-like proteinases as a 294-323 kDa heterodimeric protein complex of Arg-specific and Lys-specific thiol endopeptidases with hemagglutinins (adhesins) herein designated the PrtR- PrtK complex The PrtR-PrtK complex can be purified from P. gingivalis cells by ultrasonication or chloroform extraction followed by diafiltration or anion exchange and Lys-sepharose or Arg-sepharose chromatography The purified PrtR-PrtK complex is then used to generate antibodies using standard techniques The animals used for antibody generation can be rabbits, goats, chickens, sheep, horses, cows etc When a high antibody titre against the PrtR-PrtK complex is detected by immunoassay the animals are bled or eggs or milk are collected and the serum prepared and/or antibody purified using standard techniques or monoclonal antibodies produced by fusing spleen cells with myeloma cells using standard techniques The antibody (immunoglobulin fraction) may be separated from the culture or ascites fluid, serum, milk or egg by salting out, gel filtration, ion exchange and/or affinity chromatography, and the like, with salting out being preferred In the salting out method the antiserum or the milk is saturated with ammonium sulphate to produce a precipitate, followed by dialyzing the precipitate against physiological saline to obtain the purified immunoglobulin fraction with the specific anti-(PrtR-PrtK) The preferred antibody is obtained from the equine antiserum and the bovine antiserum and milk In this invention the antibody contained in the antiserum and milk obtained by immunising the animal with the inactivated PrtR-PrtK may be blended into the oral composition In this case the antiserum and milk as well as the antibody separated and purified from the antiserum and milk may be used Each of these materials may be used alone or in combination of two or more Antibodies against the PrtR-PrtK can be used in oral compositions such as toothpaste and mouthwash to neutralise the PrtR-PrtK and thus prevent disease The anti-(PrtR-PrtK) antibodies can also be used for the early detection of P. gingivalis in subgingival plaque samples by a chairside Enzyme Linked Immunosorbent Assay (ELISA)

For oral compositions it is preferred that the amount ofthe above antibodies administered is 00001 -50 g kg/day and that the content of the above antibodies is 00002 - 10% by weight preferably 0002 -5% by weight ofthe composition The oral composition of this invention

wliich contains the above-mentioned serum or milk antibody may be prepared and used in various forms applicable to the mouth such as dentifrice including toothpastes, toothpowders and liquid dentifrices, mouthwashes, troches, periodontal pocket irrigating devices, chewing gums, dental pastes, gingival massage creams, gargle tablets, dairy products and other foodstuffs The oral composition according to this invention may further include additional well known ingredients depending on the type and form ofa particular oral composition

In certain highly preferred forms ofthe invention the oral composition may be substantially liquid in character, such as a mouthwash or rinse In such a preparation the vehicle is typically a water-alcohol mixture desirably including a humectant as described below Generally, the weight ratio of water to alcohol is in the range of from about 1 1 to about 20 1 The total amount of water-alcohol mixture in this type of preparation is typically in the range of from about 70 to about 99 9% by weight ofthe preparation The alcohol is typically ethanol or isopropanol Ethanol is preferred

The pH of such liquid and other preparations ofthe invention is generally in the range of from about 4 5 to about 9 and typically from about 5 5 to 8 The pH is preferably in the range of from about 6 to about 8 0, preferably 7 4 The pH can be controlled with acid (e g citric acid or benzoic acid) or base (e g sodium hydroxide) or buffered (as with sodium citrate, benzoate, carbonate, or bicarbonate, disodium hydrogen phosphate, sodium dihydrogen phosphate, etc)

Other desirable forms of this invention, the oral composition may be substantially solid or pasty m character, such as toothpowder, a dental tablet or a dentifrice, that is a toothpaste (dental cream) or gel dentifrice The vehicle of such solid or pasty oral preparations generally contains dentally acceptable polishing material Examples of polishing materials are water-insoluble sodium metaphosphate, potassium metaphosphate, tricalcium phosphate, dihydrated calcium phosphate, anhydrous dicalcium phosphate, calcium pyrophosphate, magnesium orthophosphate, trimagnesium phosphate, calcium carbonate, hydrated alumina, calcined alumina, aluminium silicate, zirconium silicate, silica, bentonite, and mixtures thereof Other suitable polishing material include the particulate thermosetting resins such as melamine-, phenolic, and urea-formaldehydes, and cross-linked polyepoxides and polyesters Preferred polishing materials include crystalline silica having particle sized of up to about 5 microns, a mean particle size of up to about 1 1 microns, and a surface area of up to about

50,000 cm 2 /gm., silica gel or colloidal silica, and complex amoφhous alkali metal aluminosilicate.

When visually clear gels are employed, a polishing agent of colloidal silica, such as those sold under the trademark SYLOID as Syloid 72 and Syloid 74 or under the trademark

SANTOCEL as Santocel 100, alkali metal alumino-silicate complexes are particularly useful since they have refractive indices close to the refractive indices of gelling agent-liquid (including water and/or humectant) systems commonly used in dentifrices.

Many ofthe so-called "water insoluble" polishing materials are anionic in character and also include small amounts of soluble material. Thus, insoluble sodium metaphosphate may be formed in any suitable manner as illustrated by Thoφe's Dictionary of Applied Chemistry, Volume 9, 4th Edition, pp. 510-511. The forms of insoluble sodium metaphosphate known as Madrell's salt and Kurrol's salt are further examples of suitable materials. These metaphosphate salts exhibit only a minute solubility in water, and therefore are commonly referred to as insoluble metaphosphates (IMP). There is present therein a minor amount of soluble phosphate material as impurities, usually a few percent such as up to 4% by weight. The amount of soluble phosphate material, which is believed to include a soluble sodium trimetaphosphate in the case of insoluble metaphosphate, may be reduced or eliminated by washing with water if desired. The insoluble alkali metal metaphosphate is typically employed in powder form of a particle size such that no more than 1% ofthe material is larger than 37 microns

The polishing material is generally present in the solid or pasty compositions in weight concentrations of about 10% to about 99%. Preferably, it is present in amounts from about 10% to about 75% in toothpaste, and from about 70% to about 99% in toothpowder. In toothpastes, when the polishing material is silicious in nature, it is generally present in amount of about 10-30% by weight. Other polishing materials are typically present in amount of about 30-75% by weight.

In a toothpaste, the liquid vehicle may comprise water and humectant typically in an amount ranging from about 10% to about 80% by weight ofthe preparation. Glycerine, propylene glycol, sorbitol and polypropylene glycol exemplify suitable humectants/carriers. Also advantageous are liquid mixtures of water, glycerine and sorbitol. In clear gels where the refractive index is an important consideration, about 2.5 - 30% w/w of water, 0 to about 70% w/w of glycerine and about 20-80% w/w of sorbitol are preferably employed.

Toothpaste, creams and gels typically contain a natural or synthetic thickener or gelling agent in proportions of about 0.1 to about 10, preferably about 0.5 to about 5% w/w. A suitable thickener is synthetic hectorite, a synthetic colloidal magnesium alkali metal silicate complex clay available for example as Laponite (e.g. CP, SP 2002, D) marketed by Laporte Industries Limited. Laponite D is, approximately by weight 58.00% SiO 2 , 25.40% MgO, 3.05% Na 2 O, 0.98% Li 2 O, and some water and trace metals. Its true specific gravity is 2.53 and it has an apparent bulk density of 1.0 g/ml at 8% moisture.

Other suitable thickeners include Irish moss, iota carrageenan, gum tragacanth, starch, polyvinylpyrrolidone, hydroxyethylpropylcellulose, hydroxybutyl methyl cellulose, hydroxypropyl methyl cellulose, hydroxyethyl cellulose (e.g. available as Natrosol), sodium carboxymethyl cellulose, and colloidal silica such as finely ground Syloid (e.g. 244). Solubilizing agents may also be included such as humectant polyols such propylene glycol, dipropylene glycol and hexylene glycol, cellosolves such as methyl cellosolve and ethyl cellosolve, vegetable oils and waxes containing at least about 12 carbons in a straight chain such as olive oil, castor oil and petrolatum and esters such as amyl acetate, ethyl acetate and benzyl benzoate.

It will be understood that, as is conventional, the oral preparations are to be sold or otherwise distributed in suitable labelled packages Thus, ajar of mouthrinse will have a label describing it, in substance, as a mouthrinse or mouthwash and having directions for its use, and a toothpaste, cream or gel will usually be in a collapsible tube, typically aluminium, lined lead or plastic, or other squeeze, pump or pressurised dispenser for metering out the contents, having a label describing it, in substance, as a toothpaste, gel or dental cream.

Organic surface-active agents are used in the compositions ofthe present invention to achieve increased prophylactic action, assist in achieving thorough and complete dispersion ofthe active agent throughout the oral cavity, and render the instant compositions more cosmetically acceptable. The organic surface-active material is preferably anionic, nonionic or ampholytic in nature which does not denature the antibody ofthe invention, and it is preferred to employ as the surface-active agent a detersive material which imparts to the composition detersive and foaming properties while not denaturing the antibody Suitable examples of anionic surfactants are water-soluble salts of higher fatty acid monoglyceride monosulfates, such as the sodium salt ofthe monosulfated monoglyceride of hydrogenated coconut oil fatty acids, higher alkyl sulfates such as sodium lauryl sulfate, alkyl aryl

sulfonates such as sodium dodecyl benzene sulfonate, higher alkylsulfo-acetates, higher fatty acid esters of 1,2-dihydroxy propane sulfonate, and the substantially saturated higher aliphatic acyl amides of lower aliphatic amino carboxylic acid compounds, such as those having 12 to 16 carbons in the fatty acid, alkyl or acyl radicals, and the like. Examples ofthe last mentioned amides are N-lauroyl sarcosine, and the sodium, potassium, and ethanolamine salts of N-lauroyl, N-myristoyl, or N-palmitoyl sarcosine which should be substantially free from soap or similar higher fatty acid material The use of these sarconite compounds in the oral compositions ofthe present invention is particularly advantageous since these materials exhibit a prolonged marked effect in the inhibition of acid formation in the oral cavity due to carbohydrates breakdown in addition to exerting some reduction in the solubility of tooth enamel in acid solutions. Examples of water-soluble nonionic surfactants suitable for use with antibodies are condensation products of ethylene oxide with various reactive hydrogen- containing compounds reactive therewith having long hydrophobic chains (e.g. aliphatic chains of about 12 to 20 carbon atoms), which condensation products ("ethoxamers") contain hydrophilic polyoxyethylene moieties, such as condensation products of poly (ethylene oxide) with fatty acids, fatty alcohols, fatty amides, polyhydric alcohols (e.g sorbitan monostearate) and polypropyleneoxide (e.g. Pluronic materials)

Surface active agent is typically present in amount of about 0.1-5% by weight. It is noteworthy, that the surface active agent may assist in the dissolving ofthe antibody ofthe invention and thereby diminish the amount of solubilizing humectant needed.

Various other materials may be incoφorated in the oral preparations of this invention such as whitening agents, preservatives, silicones, chlorophyll compounds and/or ammoniated material such as urea, diammonium phosphate, and mixtures thereof These adjuvants, where present, are incoφorated in the preparations in amounts which do not substantially adversely affect the properties and characteristics desired.

Any suitable flavouring or sweetening material may also be employed. Examples of suitable flavouring constituents are flavouring oils, e.g. oil of spearmint, peppermint, wintergreen, sassafras, clove, sage, eucalyptus, marjoram, cinnamon, lemon, and orange, and methyl salicylate. Suitable sweetening agents include sucrose, lactose, maltose, sorbitol, xylitol, sodium cyclamate, perillartine, AMP (aspartyl phenyl alanine, methyl ester), saccharine, and the like Suitably, flavour and sweetening agents may each or together comprise from about 0 1% to 5% more ofthe preparation.

In the preferred practice of this invention an oral composition according to this invention such as mouthwash or dentifrice containing the composition ofthe present invention is preferably applied regularly to the gums and teeth, such as every day or every second or third day or preferably from 1 to 3 times daily, at a pH of about 4 5 to about 9, generally about 5 5 to about 8, preferably about 6 to 8, for at least 2 weeks up to 8 weeks or more up to a lifetime

The compositions of this invention can be incorporated in lozenges, or in chewing gum or other products, e.g by stirring into a warm gum base or coating the outer surface ofa gum base, illustrative of which may be mentioned jelutong, rubber latex, vinylite resins, etc , desirably with conventional plasticisers or softeners, sugar or other sweeteners or such as glucose, sorbitol and the like

The composition of this invention also includes targeted delivery vehicles such as periodontal pocket irrigation devices, collagen, elastin, or synthetic sponges, membranes or fibres placed in the periodontal pocket or used as a barrier membrane or applied directly to the tooth root

Another important form ofthe invention is a composition for use in eliciting an immune response directed against Porphyromonas gingivalis based on the PrtR-PrtK complex and suitable adjuvant delivered by nasal spray, orally or by injection to produce a specific immune response against the PrtR-PrtK complex thereby reducing colonisation of P. gingivalis and neutralising the PrtR-PrtK thereby preventing disease Due to the potent enzymatic activity ofthe complex typically the complex will be inactivated A vaccine can also be based upon a recombinant component ofthe PrtR-PrtK incoφorated into an appropriate vector and expressed in a suitable transformed host (eg E. coli, Bacillus subtilis, Saccharomyces cerevisiae, COS cells, CHO cells and HeLa cells) containing the vector Unlike whole P. gingivalis cells or other previously prepared antigens based on fimbriae or the capsule the PrtR-PrtK complex is a safe and effective antigens for the preparation ofa composition for use in the prevention of P. gwgϊv /Ys-associated periodontal disease The PrtR-PrtK complex can be produced using recombinant DNA methods as illustrated herein, or can be synthesized chemically from the amino acid sequence disclosed in the present invention Additionally, according to the present invention, the PrtR- PrtK complex may be used to generate antisera useful for passive immunization against periodontal disease and infections caused by P. gingivalis

Various adjuvants are used in conjunction with vaccine formulations The adjuvants aid by modulating the immune response and in attaining a more durable and higher level of immunity using smaller amounts of vaccine antigen or fewer doses than if the vaccine antigen were administered alone Examples of adjuvants include incomplete Freund's adjuvant (IF A), Adjuvant 65 (containing peanut oil, mannide monooleate and aluminium monostrearate), oil emulsions, Ribi adjuvant, the pluronic polyols, polyamines, Avridine, Quil A, saponin, MPL, QS-21, and mineral gels such as aluminium salts Other examples include oil in water emulsions such as SAF-1, SAF-0, MF59, Seppic ISA720, and other particulate adjuvants such as ISCOMs and ISCOM matrix An extensive but not exhaustive list of other examples of adjuvants are listed in Cox and Coulter 1992 [In Wong WK (ed ) Animals parasite control utilising technology Bocca Raton, CRC press, 1992, 49-112] In addition to the adjuvant the vaccine may include conventional pharmaceutically acceptable carriers, excipients, fillers, buffers or diluents as appropriate One or more doses ofthe vaccine containing adjuvant may be administered prophylactically to prevent periodontitis or therapeutically to treat already present periodontitis

In another preferred composition the preparation is combined with a mucosal adjuvant and administered via the oral route Examples of mucosal adjuvants are cholera toxin and heat labile E. coli toxin, the non-toxic B subunits of these toxins, genetic mutants of these toxins which have a reduced toxicity Other methods which may be utilised to deliver the PrtR-PrtK complex orally include incorporation ofthe protease into particles of biodegradable polymers (such as acrylates or polyesters) by microencapsulation to aid uptake ofthe microspheres from the gastrointestinal tract and to protect degradation ofthe proteins Liposomes, ISCOMs, hydrogels are examples of other potential methods which may be further enhanced by the incorporation of targeting molecules such as LTB, CTB or lectins for delivery ofthe PrtR-PrtK complex to the mucosal immune system In addition to the vaccine and the mucosal adjuvant or delivery system the vaccine may include conventional pharmaceutically acceptable carriers, excipients, fillers, coatings, dispersion media, antibacterial and antifungal agents, buffers or diluents as appropriate

Another mode of this embodiment provides for either a live recombinant viral vaccine, recombinant bacterial vaccine, recombinant attenuated bacterial vaccine, or an inactivated recombinant viral vaccine which is used to protect against infections caused by P. gingivalis Vaccinia virus is the best known example, in the art, of an infectious virus that is engineered

to express vaccine antigens derived from other organisms The recombinant live vaccinia virus, which is attenuated or otherwise treated so that it does not cause disease by itself, is used to immunize the host Subsequent replication ofthe recombinant virus within the host provides a continual stimulation ofthe immune system with the vaccine antigens such as PrtR-PrtK complex, thereby providing long lasting immunity

Other live vaccine vectors include adenovirus, cytomegalovirus, and preferably the poxviruses such as vaccinia (Paoletti and Panicali, U S Patent No 4,603,112) and attenuated Salmonella strains (Stocker et al , U S Patent Nos 5,210,035, 4,837,151, and 4,735,801, and Curtiss e/fl/ , 1988, Vaccine 6.155-160) Live vaccines are particularly advantageous because they continually stimulate the immune system which can confer substantially long-lasting immunity When the immune response is protective against subsequent P. gingi lis infection, the live vaccine itself may be used in a preventive vaccine against P. gingivalis In particular, the live vaccine can be based on a bacterium that is a commensal inhabitant ofthe oral cavity This bacterium can be transformed with a vector carrying a recombinant inactivated PrtR-PrtK and then used to colonise the oral cavity, in particular the oral mucosa Once colonised the oral mucosa, the expression ofthe recombinant protein will stimulate the mucosal associated lymphoid tissue to produce neutralising antibodies For example, using molecular biological techniques the genes encoding the PrtR-PrtK may be inserted into the vaccinia virus genomic DNA at a site which allows for expression of epitopes but does not negatively affect the growth or replication ofthe vaccinia virus vector The resultant recombinant virus can be used as the immunogen in a vaccine formulation The same methods can be used to construct an inactivated recombinant viral vaccine formulation except that the recombinant virus is inactivated, such as by chemical means known in the art, prior to use as an immunogen and without substantially affecting the immunogenicity ofthe expressed immunogen

In another variation of this embodiment, genetic material is used directly as the vaccine formulation Nucleic acid (DNA or RNA) containing sequences encoding the PrtR-PrtK protein complex operatively linked to one or more regulatory elements can be introduced directly to vaccinate the individual ("direct gene transfer") against pathogenic strains of P. gingivalis Direct gene transfer into a vaccinated individual, resulting in expression ofthe genetic material by the vaccinated individual's cells such as vascular endothelial cells as well as the tissue ofthe major organs, has been demonstrated by techniques in the art such as by injecting intravenously an expression plasmid cationic liposome complex (Zhu et al , 1993, Science 261 209-211 ) Other effective methods for delivering vector DNA into a target cell

are known in the art In one example, purified recombinant plasmid DNA containing viral genes has been used to inoculate (whether parentally, mucosally, or via gene-gun immunization) vaccines to induce a protective immune response (Fynan et al 1993, Proc Natl Acad Sci USA 90 11478-11482) In another example, cells removed from an individual can be transfected or electroporated by standard procedures known in the art, resulting in the introduction ofthe recombinant vector DNA into the target cell Cells containing the recombinant vector DNA may then be selected for using methods known in the art such as via a selection marker expressed in the vector, and the selected cells may then be re-introduced into the individual to express the PrtR-PrtK complex

As an alternative to active immunization, immunization may be passive, i e immunization comprising administration of purified immunoglobulin containing antibody against PrtR-PrtK

The present invention further provides the nucleotide sequence ofthe genes encoding the PrtR-PrtK complex, as well as the amino acid sequence deduced from the isolated genes According to one embodiment ofthe present invention, using recombinant DNA techniques the genes encoding the PrtR-PrtK complex are incoφorated into an expression vector, and the recombinant vector is introduced into an appropriate host cell thereby directing the expression of these sequences in that particular host cell The expression system, comprising the recombinant vector introduced into the host cell, can be used (a) to produce PrtR-PrtK complex which can be purified for use as an immunogen in vaccine formulations, (b) to produce PrtR-PrtK complex to be used as an antigen for diagnostic immunoassays or for generating P. g/vιg7rø//.ϊ-specific antisera of therapeutic and/or diagnostic value, (c) or if the recombinant expression vector is a live virus such as vaccinia virus, the vector itself may be used as a live or inactivated vaccine preparation to be introduced into the host's cells for expression of PrtR-PrtK complex, (d) for introduction into live attenuated bacterial cells or genetically engineered commensal intra-oral bacteria which are used to express PrtR-PrtK complex to vaccinate individuals, (e) or for introduction directly into an individual to immunize against the encoded and expressed PrtR-PrtK complex In particular the recombinant bacterial vaccine can be based on a commensal inhabitant ofthe human oral cavity or animal if the vaccine is to prevent periodontal disease in animals The recombinant bacterial vaccine expressing inactivated PrtR-PrtK can be used to colonise the oral cavity, supragingival or subgingival plaque The intra-oral bacterium can be isolated from the patient with periodontitis and genetically engineered to express inactivated PrtR-PrtK complex The production ofthe inactivated PrtR-PrtK within the oral cavity will not be toxic

to the oral mucosal tissues. However, the inactivated PrtR-PrtK will stimulate the mucosal-associated lymphoid tissues (MALT) to produce specific antibody to neutralise the PrtR-PrtK of P. gingivalis

Successful expression ofa protein or peptide requires that either the insert comprising the gene or gene fragment, or the vector itself, contain the necessary elements for transcription and translation which is compatible with, and recognized by the particular host system used for expression A variety of host systems may be utilized to express the PrtR-PrtK, which include, but are not limited to bacteria transformed with a bacteriophage vector, plasmid vector, or cosmid DNA; yeast containing yeast vectors; fungi containing fiingal vectors, insect cell lines infected with virus (e.g baculovirus); and mammalian cell lines transfected with plasmid or viral expression vectors, or infected with recombinant virus (e.g vaccinia virus, adenovirus, adeno-associated virus, retrovirus, etc )

Using methods known in the art of molecular biology various promoters and enhancers can be incoφorated into the vector or the DNA sequence encoding PrtR-PrtK to increase the expression ofthe PrtR-PrtK amino acid sequences, provided that the increased expression of the amino acid sequences is compatible with (for example, non-toxic to) the particular host cell system used. Further, the DNA can be fused to DNA encoding other antigens, such as other bacterial outer membrane proteins, or other bacterial, fiingal, parasitic, or viral antigens to create a genetically fused (sharing a common peptide backbone) multivalent antigen for use as an improved vaccine composition

The selection ofthe promoter will depend on the expression system used. Promoters vary in strength, i.e. ability to facilitate transcription. Generally, for the puφose of expressing a cloned gene, it is desirable to use a strong promoter in order to obtain a high level of transcription ofthe gene and expression into gene product. For example, bacterial, phage, or plasmid promoters known in the art from which a high level of transcription have been observed in a host cell system comprising E. coli include the lac promoter, tφ promoter, rec A promoter, ribosomal RNA promoter, the P R and P L promoters, lacUV5, ompF, bla, lpp, and the like, may be used to provide transcription ofthe inserted DNA sequence encoding PrtR-PrtK.

Additional, if PrtR-PrtK protein may be lethal or detrimental to the host cells, the host cell strain/line and expression vectors may be chosen such that the action ofthe promoter is inhibited until specifically induced. For example, in certain operons the addition of specific

inducers is necessary for efficient transcription ofthe inserted DNA (e g , the lac operon is induced by the addition of lactose or isopropylthio-beta-D-galactoside). A variety of operons such as the tφ operon, are under different control mechanisms The tφ operon is induced when tryptophan is absent in the growth media The P promoter can be induced by an increase in temperature of host cells containing a temperature sensitive lambda repressor. In this way, greater than 95% ofthe promoter-directed transcription may be inhibited in uninduced cells Thus, expression of recombinant PrtR-PrtK protein may be controlled by culturing transformed or transfected cells under conditions such that the promoter controlling the expression from the inserted DNA encoding PrtR-PrtK amino acid sequences is not induced, and when the cells reach a suitable density in the growth medium, the promoter can be induced for expression from the inserted DNA

Other control elements for efficient gene transcription or message translation include enchancers, and regulatory signals Enhancer sequences are DNA elements that appear to increase transcriptional efficiency in a manner relatively independent of their position and orientation with respect to a nearby gene. Thus, depending on the host cell expression vector system used, an enhancer may be placed either upstream or downstream from the inserted DNA sequences encoding PrtR-PrtK amino acid sequences to increase transcriptional efficiency. These or other regulatory sites, such as transcription or translation initiation signals, can be used to regulate the expression ofthe gene encoding PrtR-PrtK Such regulatory elements may be inserted into DNA sequences encoding PrtR-PrtK amino acid sequences or nearby vector DNA sequences using recombinant DNA methods described herein for insertion of DNA sequences

Accordingly, P. gingivalis nucleotide sequences containing regions encoding for PrtR-PrtK, can be ligated into an expression vector at a specific site in relation to the vector's promoter, control, and regulatory elements so that when the recombinant vector is introduced into the host cell the P. ^wgzrøΛs-specific DNA sequences can be expressed in the host cell For example, the PrtR-PrtK specific DNA sequences containing their own regulatory elements can be ligated into an expression vector in a relation or orientation to the vector promoter and control elements which will allow for co-expression ofthe PrtR and PrtK. The recombinant vector is then introduced into the appropriate host cells, and the host cells are selected, and screened for those cells containing the recombinant vector Selection and screening may be accomplished by methods known in the art including detecting the expression of a marker gene (e.g , drug resistance marker) present in the plasmid, immunoscreening for production of PrtR-PrtK specific epitopes using antisera generated to

PrtR-PrtK specific epitopes, and probing the DNA ofthe host's cells for PrtR-PrtK specific nucleotide sequence using one or more oligonucleotides and methods described herein

Genetic engineering techniques may also be used to characterize, modify and/or adapt the encoded PrtR-PrtK protein For example, site-directed mutagenesis to inactivate the protease domains ofthe PrtR-PrtK and to modif the protein in regions outside the protective domains, may be desirable to increase the safety and solubility

In particular the host organism for the vector containing the PrtR-PrtK genes and constructs can be a commensal inhabitant ofthe oral cavity; for example an inhabitant of subgingival plaque, supragingival plaque or a bacterium associated with the oral mucosa Examples of commensal intra-oral bacteria would be Streptococcus species and Actinomyces species, eg Streptococcus salivarius, Streptococcus sanguis, Actinomyces naeslundii. These organisms can be isolated from the periodontitis patient and then genetically engineered to express the inactivated PrtR-PrtK The DNA encoding the PrtR-PrtK could be linked with DNA encoding leader sequences of extracellular proteins of these commensal intra-oral bacteria The DNA encoding the PrtR-PrtK could also be linked with, or inserted into, the DNA encoding extracellular proteins to produce secreted fusion proteins Examples of extracellular proteins that could be used to produce fusion proteins with the inactivated PrtR-PrtK could be the glucosyltranferases (GTF) or fructosyltransferases (FTF) The recombinant organism would be then re-introduced into the patients oral cavity and once colonised the oral mucosa or teeth would express the inactivated PrtR-PrtK to stimulate the mucosal associated lymphoid tissue to produce neutralising antibodies

Due to the conservation ofthe genes encoding PrtR-PrtK, the nucleic acid sequences ofthe present invention can be used in molecular diagnostic assays for detecting P. gingivalis genetic material In particular, PrtR-PrtK sequence-specific oligonucleotides can be synthesized for use as primers and/or probes in amplifying, and detecting amplified, nucleic acids from P. gingivalis Recent advances in molecular biology have provided several means for enzymaticaUy amplifying nucleic acid sequences Currently the most commonly used method, PCR™ (polymerase chain reaction Cetus Coφoration) involved the use of Taq Polymerase, known sequences as primers, and heating cycles which separate the replicating deoxyribonucleic acid (DNA) strands and exponentially amplify a gene of interest Other amplification methods currently under development include LCR™ (ligase chain reaction, BioTechnica International) which utilizes DNA ligase, and a probe consisting of two halves ofa DNA segment that is complementary to the sequence ofthe DNA to be

amplified, enzyme QB replicase (Gene-Trak Systems) and a ribonucleic acid (RNA) sequence template attached to a probe complementary to the DNA to be copied which is used to make a DNA template for exponential production of complementary RNA, and NASBA™ (nucleic acid sequence-based amplification, Cangene Coφoration) which can be performed on RNA or DNA as the nucleic acid sequence to be amplified

Nucleic acid probes that are capable of hybridization with specific gene sequences have been used successfully to detect specific pathogens in biological specimens at levels of sensitivity approaching IO 3 - IO 4 organisms per specimen (1990, Gene Probes for Bacteria, eds Macario and deMacario, Academic Press) Coupled with a method that allows for amplification of specific target DNA sequences, species-specific nucleic acid probes can greatly increase the level of sensitivity in detecting organisms in a clinical specimen Use of these probes may allow direct detection without relying on prior culture and/or conventional biochemical identification techniques This embodiment ofthe present invention is directed to pnmers which amplify species-specific sequences ofthe genes encoding PrtR-PrtK of P. gingivalis, and to probes which specifically hybridize with these amplified DNA fragments By using the nucleic acid sequences ofthe present invention and according to the methods ofthe present invention, as few as one P. gingivalis organism may be detected in the presence of 10 ug/ml extraneous DNA

DNA may be extracted from clinical specimens which may contain P. gingivalis using methods known in the art For example, cells contained in the specimen may be washed in TE buffer and pelleted by centrifugation The cells then may be resuspended in 100 ul of amplification reaction buffer containing detergents and proteinase K Using the polymerase chain reaction, the resultant sample may be composed ofthe cells in lOmM Tris pH 8 3, 50mM KCl, 1 5mM MgCl 2 , 0 01% gelatin, 045% NP40™, 0 045% Tween 20™, and 60 ug/ml proteinase K The sample is incubated in a 55°C water bath for 1 hour Following the incubation, the sample is incubated at 95°C for 10 minutes to heat-inactivate the proteinase K The sample may then be amplified in accordance with standard PCR protocols

The following examples are further illustrative ofthe nature ofthe present invention, but it is understood that the invention is not limited thereto All amounts and proportions referred to herein are by weight unless otherwise indicated

EXAMPLE 1

(1) Preparation of Antigen.

A Anion exchange and affinity chromatography

P. gingivalis W50 was grown anaerobically at 37°C on lysed horse blood agar and in modified BM media containing 1 μg/ml hemin Bacteria were maintained on lysed horse blood plates by routine passage (< 10 passages) and used to inoculate batch cultures Batch culture growth in Brain Heart Infusion medium was monitored at 650 nm using a spectrophotometer (295E, Perkin-Elmer) Culture purity was checked routinely by Gram stain, microscopic examination and by using a variety of biochemical tests Stocks were maintained as lyophilised cultures A culture of P. gingivalis was grown to late logarithmic phase and the cells harvested by centrifugation (5,000 x g, 20 min, 4°C) and then resuspended in 160 ml TC buffer (20 mM Tris-HCl pH 7 4 and 5 mM CaCl 2 ) containing 50 mM NaCl and subjected to mild sonication using a Branson Sonifier 250 with an output control of 3 and a 50% duty cycle for 15 min at 4°C The sonicate was centrifuged (100,000 x^, 30 min, 4 °C) and the supernatant filtered (0.22 μm) prior to anion-exchange FPLC The sonicate was applied to an anion-exchange column (Hiload XK 16/10 Q Sepharose, Pharmacia-LKB) cooled to 4 °C, in multiple injections using a 50 ml superloop (Pharmacia-LKB) The sample was eluted using a linear gradient from 0 - 100% buffer B over 90 min at a flow rate of 2 0 ml min "1 The eluant was monitored at 280 nm and collected in 6 ml fractions using a Frac 100 fraction collector

(Pharmacia-LKB) Buffer A was TC buffer containing 50 mM NaCl and buffer B was TC buffer containing 500 mM NaCl Fractions were analysed for proteolytic and amidolytic activity using azocasein (A-2765, Sigma Chemical Co St Louis, MO), benzoyl-L-Arg- ?-nitroanilide (Bz-L-Arg-pNa, Sigma) and benzyloxycarbonyl-L-Lys- - nitroanilide (Z-L-Lys-/?Na, Calbiochem, Melbourne, Australia) vide infra Anion- exchange fractions containing the majority of proteolytic/amidolytic activity were pooled, washed and then concentrated in TC buffer containing 150 mM NaCl using a centricon 10 micro-concentrator (Amicon) The sample was then divided into four aliquots and each was independently applied to a gel filtration column (Superose 12, HR 10/30, Pharmacia-LKB) using TC buffer containing 150 mM NaCl at a flow rate of 0 3 ml min "1 The eluant was monitored at 280 nm and peaks collected using a Frac 100 fraction collector The M τ values of eluant peaks were determined using molecular mass gel filtration standards (Pharmacia-LKB) The peak containing the majority ofthe proteolytic/amidolytic activity was concentrated using a centricon 10 micro- concentrator and then applied at a flow rate of 0 1 ml min " to an Arg-sepharose column (5 ml arginine-Sepharose 4B beads, HR 5/5 column, Pharmacia-LKB) and the unbound

material collected. The column was washed with 500 mM NaCl and re-equilibrated with TC buffer containing 50 mM NaCl The column was first eluted with 200 mM lysine-HCl pH 7.4 in TC buffer containing 50 mM NaCl at a flow rate of 0.1 ml min "1 . This was followed by 750 mM lysine-HCl pH 7.4 in the same buffer. The column was then re-equilibrated with TC buffer containing 50 mM NaCl and then eluted with 200 mM arginine-HCl pH 7.4 in TC buffer containing 50 mM NaCl at a flow rate of 0.1 ml min "1 . The unbound material collected was then re-applied to the Arg-sepharose column and the elution steps repeated. This sequence was repeated until all proteolytic activity had bound to the column. The eluant was monitored at 280 nm and peaks collected using a Frac 100 fraction collector. The peaks eluted from the Arg-sepharose by 200 mM lysine and 200 mM arginine were equilibrated with TC buffer containing 50 mM NaCl and 1.0% octyl-β-D-glucopyranoside and then applied to a Mono Q (HR 5/5) anion-exchange column and eluted using a linear gradient of 0 - 100 % buffer B at a flow rate of 1.0 ml min "1 . Buffer A was TC buffer containing 50 mM NaCl and 0.1% octyl-β-D-glucopyranoside and buffer B was TC buffer containing 500 mM NaCl and 0.1% octyl-β-D-glucopyranoside. The eluant was monitored at 280 nm and eluant peaks collected using a Frac 100 fraction collector.

Azocasein, and z-L-lys- Na were used to routinely assay FPLC fractions for proteolytic and amidolytic activity. A sample of each fraction (20 - 200 :1) was incubated at 37 °C with azocasein (5 mg/ml final concentration) in TC buffer pH 8.0 containing 150 mM NaCl and 10 mM cysteine. For azocasein the reaction was stopped by the addition of 30% trichloroacetic acid at 4 °C. Samples were centrifuged and the wo ofthe supernatant measured using a spectrophotometer (Perkin Elmer, model 552).

For the synthetic chromogenic substrates samples of each chromatographic fraction (5 - 50 :1) were incubated at 37 °C with Bz-L-Arg-pNa or z-L-Lys-pNa (1.0 mM final concentration) in a total volume of 350 :1 100 mM Tris-HCl pH 8.0 buffer containing 150 mM NaCl, 10 mM cysteine and 5 mM CaCl 2 . Inhibitors and activators were added to the purified enzymes in 100 mM Tris-HCl pH 8.0 buffer containing 150 mM NaCl. Absorbance was measured at 410 nm in a Hewlett Packard 8452 A Diode Array spectrophometer and the amidolytic activity expressed in U, where U = μmol substrate converted min '1 at 37 °C. Trypsin (E C.3.4.21.4, T 8253 Sigma) was used as a standard. The protein concentration of FPLC fractions and purified samples was determined using the Bradford protein assay (Biorad) with BSA as a standard.

A sample ofthe gel filtration chromatographic fraction (20 μl) exhibiting the major proteolytic and amidolytic activity was incubated for 4 h at 37°C with 10 mg/ml of pure α s ι-casein dissolved in TC buffer pH 8 0 containing 150 mM NaCl and 50 mM 2-mercaptoethanol Following incubation the sample was equilibrated in 0 1% TFA (v/v) dissolved in Milli Q water (Buffer A) The sample was then applied to an HPLC reversed phase analytical column (C8, 7 μm, 4 6 mm x 220 mm. Applied Biosystems Inc Brownlee Aquapore RP 300) and peptides eluted using a linear gradient from 0 - 100% buffer B over 40 min at a flow rate of 1 ml min "1 (140 A solvent delivery system) Buffer B was 80% acetonitrile (v/v) in 0 1% (v/v) TFA in Milli Q water The eluant was monitored at 214 nm using a 1000S diode array detector (Applied Biosystems) Peaks were collected manually and peptides identified using a combination of amino acid composition and sequence analyses as described previously

SDS-PAGE was performed using a Mini protean II electrophoresis system (Biorad) with 12% (w/v), 1 mm separating gels, overlaid with 5% stacking gels (Laemmli, 1970) [Nature 277 680-685] Two volumes of each sample were mixed with one volume of buffer [0 5 M Tris-HCl, pH 6 8, 5% v/v 2-mercaptoethanol, 10 0% w/v SDS, 0 05% w/v bromophenol blue (75% v/v) and glycerol (25% v/v)] and heated to 100 °C for 4 min unless otherwise stated SDS-PAGE was performed at room temperature using a current of 30 - 50 mA and a potential difference of ≤ 200 V For silver staining, gels were fixed in methanol/water/acetic acid (45/45/10, v/v/v), washed in Milli Q water, reduced with 5 μg/ml dithiothreitol and then washed in Milli Q water, all for 30 min periods Gels were then stained for 20 min with 0 1% w/v AgNO 3 and developed with 3% w/v sodium carbonate containing 0 1% v/v formaldehyde and development stopped with glacial acetic acid For Coomassie blue staining, gels were fixed in 12% TCA and stained overnight using 0 1 % (w/v) purified Coomassie brilliant blue G 250 in 2 % (w/v) phosphoric acid, 6 % (w/v) ammonium sulphate Gels were destained with methanol/water/acetic acid (50/40/10, v/v/v) Proteins were transferred onto a PVDF membrane (Problott, Applied Biosystems Inc (ABl)) for sequence analysis using a transblot cell (Biorad) PVDF membrane was wetted in 100% methanol and soaked in transfer buffer (10 mM CAPS/ 10% methanol, pH 1 1 5) Transfer was performed using a potential difference of 60 V (300 mA) for 90 min Membranes were briefly stained using 0 1% (w/v) Coomassie brilliant blue R 250 in methanol/water/acetic acid (5/5/1, v/v/v) Protein bands were excised, destained for 10 - 30 sec in 50% methanol and then

the ^-terminal sequence determined using a Hewlett Packard 10005 A protein sequencer or a modified ABl 471-02 A protein sequencer fitted with a blott cartridge

The ultrasonication procedure was effective at releasing the cell-associated Arg- and Lys-specific proteolytic activity of P. gingivalis W50 and 15 min was required for maximal release of activity The sonicate of P. gingivalis W50 cells contained 0 30 mg ml "1 protein and 2 6 and 2 3 μmol min "1 mg protein "1 activity with 1 0 mM Bz-L-Arg- pNA and z-L-Lys-pNA as substrate respectively at 37 °C The crude sonicate was subjected to Q-sepharose anion exchange FPLC and a representative chromatogram is presented in Fig 1 Proteolytic/amidolytic activity eluted as one major peak between 246 - 320 mM NaCl (Fig 1) which was collected, concentrated using a centricon- 10 (Amicon) and then applied to the Superose 12 gel filtration column (Fig 2) Molecular mass gel filtration standards were used to determine the ofthe peaks obtained and the major peak, which also exhibited the major proteolytic/amidolytic activity, corresponded to 300 kDa (Fig 2) Proteolytic/amidolytic activity was also associated with the high molecular mass material (0 6 - > 2 0 x 10 6 Da) eluted from the gel filtration column The 300 kDa gel filtration peak contained seven bands at 48, 45, 44, 39, 27, 17 and 15 kDa on SDS-PAGE analysis (Fig 3) The seven bands were transblotted and subjected to N-terminal sequence analysis (Table 1 ) This analysis revealed that the 44 kDa band contained two proteins and the N-terminal sequences of these two 44 kDa proteins were assigned after further purification The N-terminal sequence of one ofthe 44 kDa proteins was identical to that ofthe 17 kDa protein and the 39 kDa and 27 kDa proteins also had identical N-termini (Table 1)

Table 1 N-terminal sequences of proteins in the 300 kDa complex separated by

SDS-PAGE

Band N-terminal sequence (kDa)

48 DVYTDHGDLYΝTPVRML

45 f YTPVEEKQΝGRMIVIVAKKYEGD

-W SGQAEIVLEAHDVWΝDGSGYQILLDADHDQYGQVIPSDTHFL

44 PQSVWIERTVDLPAGTKYVAFR

39 * ANEAKVVLAADNVWGDNTGYQFLLDA li ANEAKVVLAADNVWGDNTGYQFLLDA PQSVWIERTVDLPAGTKYVAFR

15 *' ' ADFTETFESSTHGEAPAEWTTIDA

Proteins eluted from Arg-sepharose by 200 mM lysine Proteins eluted from Arg-sepharose by 200 mM arginine

Repeated gel filtration analyses ofthe Q-sepharose purified material or crude sonicates indicated that the major proteolytic/amidolytic activity was associated with a peak corresponding to 300 kDa and higher molecular mass (0.6 - > 2 x 10 6 Da) material that when boiled in SDS and subjected to SDS-PAGE analysis contained the same seven bands at 48, 45, 44, 39, 27, 17 and 15 kDa (Fig. 3)

The 300 kDa gel filtration protein complex was incubated with α,ι-casein. The α,ι -casein peptides released by the action ofthe proteolytic activity ofthe 300 kDa complex were purified by RP-HPLC and identified by amino acid composition and sequence analyses. The sites of α,ι-casein cleavage by the material ofthe 300 kDa complex were the carboxyl side of arginyl and lysyl residues only (Fig 4). All arginyl and lysyl residues of α,ι-casein were cleaved except the N-terminal Arg and the Lys residues flanking the Ser(P) cluster sequence, presumably due to the high negative charge density (Fig. 4). The 300 kDa complex was then applied to an Arg-sepharose column and washed with TC buffer containing 500 mM NaCl (Fig 5) The Arg- sepharose was eluted first with 200 mM lysine in TC buffer (Fig. 5) which eluted a small amount ofthe 48 kDa, 44 kDa, 39 kDa and 15 kDa proteins ofthe 300 kDa complex as shown by SDS-PAGE (Fig 6 and Table 1 ) N-terminal sequence analysis of these transblotted proteins revealed that only one ofthe 44 kDa proteins ofthe 300 kDa complex was eluted with 200 mM lysine (Table 1 ) This fraction eluted from Arg- sepharose with 200 mM lysine contained only Lys-specific proteolytic/amidolytic

activity Next the Arg-sepharose column was eluted with 750 mM lysine (Fig 5) which removed the majority ofthe protein bound as the undissociated 300 kDa complex containing all seven bands (eight proteins) as shown by SDS-PAGE analysis (Fig 7) The 750 mM lysine eluant exhibited both Arg- and Lys-specific proteolytic/amidolytic activity characteristic ofthe 300 kDa complex The Arg-sepharose column was then eluted with 200 mM arginine in TC buffer (Fig 5) The 200 mM arginine eluant contained small amounts ofthe 45, 44, 27, 17 and 15 kDa proteins as shown by SDS- PAGE (Fig 7) This fraction exhibited only Arg-specific proteolytic/amidolytic activity N-terminal sequence analysis of these transblotted proteins eluted with 200 mM arginine revealed that only one ofthe 44 kDa proteins ofthe 300 kDa complex was eluted with 200 mM arginine and this 44 kDa protein was different to the 44 kDa protein eluted with 200 mM lysine (Table 1)

The proteins eluted from the Arg-sepharose column with 200 mM lysine and 200 mM arginine were washed, concentrated and equilibrated with TC buffer containing 50 mM NaCl and 1 0% octyl-β-D-glucopyranoside and applied independently to a Mono Q anion exchange column Elution from the Mono Q column with a NaCl gradient associated the Arg-specific proteolytic activity with the 45 kDa protein with a 25 fold purification over the original crude sonicate (Table 2, Fig 7) The specificity ofthe 45 kDa proteinase for arginyl residues was confirmed by the enzyme cleaving Bz-L-Arg- pNA but not z-L-Lys-pNA The Arg-specific 45 kDa enzyme was activated by thiols (particularly cysteine), not inhibited by PMSF or AEBSF but inhibited by sulphydryl- directed reagents, leupeptin and EDTA (Table 3) The inhibition by EDTA could be reversed by the addition of Ca 2* (Table 3) The pH optimum ofthe enzyme was 7 5-8 0 and activity dropped off dramatically as the pH was lowered below 7 0 These results indicate that the 45 kDa enzyme is a calcium- stabilized, Arg-specific cysteine endopeptidase The Lys-specific activity was characterized using the substrate Z-L-Lys- pNA and was associated with the 48 kDa protein purified from the 200 mM lysine eluant by Mono Q FPLC The Lys-specific enzyme was also activated by thiols and inhibited by sulphydryl-directed reagents but was not inhibited by leupeptin or EDTA Non-reducing SDS-PAGE without boiling ofthe 300 kDa complex produced bands corresponding to the relative molecular masses of approximately 300, 150, 104, 88, 76 and 66 kDa

Table 2 Purification ofthe 45 kDa Arg-specific proteinase PrtR45

Step Protein Proteolytic Specific Purification Yield

(mg) activity activity fold % (U*) U mg "1

Sonicate 48 0 124 2 6 1 100

Anion Exchange

FPLC (Q-sepharose) 8 2 64 7 8 3 52

Gel filtration FPLC

(Superose 12) 3 9 46 11 8 5 37

Affinity FPLC

(Arg-sepharose) 0 7 17 24 3 9 14

Anion exchange

FPLC 0 2 13 65 0 25 11

(mono Q)

Amidolytic activity using 1 0 mM Bz-L-Arg-pNA, 1 unit = μmol min "1 at 37 °C

Table 3 Effects of various activators/inhibitors on the activity ofthe 45 kDa

Arg-specific proteinase

* PCMB, p-chloromercuribenzoic acid; PMSF, phenylmethyl sulfonyl fluoride, AEB SF, [4-(2-aminoethyl)-benzenesulfonylfluoride]

These incubations also contained 1 0 mM 2-mercaptoethanol

The 45, 27, 17, 15 kDa and one ofthe 44 kDa protein components ofthe 300 kDa complex are encoded by the gene the PrtR as presented schematically in Fig 8a The complete nucleotide sequence and deduced amino acid sequence ofthe PrtR is shown in Fig 8b Each PrtR component is preceded by an arginyl or lysyl residue (Fig 8a, b) indicating that the polyprotein is processed by trypsin-like proteolytic specificity We have designated these component parts ofthe 300 kDa complex, by their relative molecular masses as determined by SDS-PAGE, as the PrtR45, PrtR44, PrtR27, PrtR 17 and PrtR 15 which fit well with the predicted sizes from the deduced PrtR amino acid sequence (53 9, 44 8, 29 5, 17 5 and 14 3 kDa respectively) The 44 kDa protein, the PrtR44, has been disclosed by previous workers as a culture fluid hemagglutinin/adhesin (Pike et al., 1994)[J Biol Chem 269 406-41 1] The PrtR44 has homology with the other non-proteinase components ofthe multiprotein complex suggesting a similar role for the PrtR27, PrtR 17 and PrtR 15 in interacting with the protease and/or in hemagglutination or adhesion The PrtR45 Arg-specific endopeptidase component ofthe PrtR complex has the same characteristics and N- terminal sequence as the 50 kDa Arg-specific proteinase identified in the culture supernatant of P. gingivalis H66 by Chen et al (1992)[J Biol Chem 267 18896-18901] designated Arg-gingipain

The other proteins ofthe 300 kDa complex, the 48 kDa Lys-specific proteinase, the other 44 kDa protein and the 39 kDa and 15 Da proteins are encoded by a single gene the prtK presented schematically in Fig 9a The complete nucleotide sequence and deduced amino acid sequence ofthe PrtK is shown in Fig 9b The prtK is similar to the prtR in that it encodes a putative leader sequence, a prosequence followed by the proteinase domain which is then followed by sequence-related adhesins that have high homology with the C-terminal adhesins of the prtR We have designated the 48 kDa Lys-specific proteinase the PrtK48 and its associated adhesins the PrtK39, PrtK15 and PrtK44 (Fig 9a, b) based on the sizes measured by SDS-PAGE which fit reasonably well with the predicted sizes from the deduced PrtK amino acid sequence (55 9, 44 8, 14 3 and 47 9 kDa respectively) The PrtK48 has the same enzyme characteristics as the 48 kDa proteinase purified from the culture supernatant of P. gingivalis 33277 by Fujimura et al. (1993) [Infect Immun 55 716-720] The PrtK48 also has the same N- terminal sequence and enzyme characteristics as the 60 kDa Lys-specific endopeptidase previously purified from the culture fluid of P. gingivalis H66 by Pike et al (1994) [J Biol Chem 269 406-411 ] and designated Lys-gingipain The PrtK39, PrtK 15 and PrtK44 are all sequence-related and have high homology with the PrtR

hemagglutinins/adhesins particularly the 15 kDa protein which is identical in both gene products suggesting that these proteins also are hemagglutinin/adhesins.

As the 300 kDa proteinase-adhesin complex and higher molecular mass forms are composed of proteins from the two genes, the prtR and prtK, we suggest that they be designated PrtR-PrtK complexes. The deduced molecular mass ofthe mature PrtR is 160 kDa (Fig. 9a, b) and mature PrtK is 163 kDa (Fig. 9b) such that the mass ofthe PrtR-PrtK heterodimer would be 323 kDa which is in good agreement with the r determined by gel filtration and non-boiling SDS-PAGE SDS-PAGE ofthe sample after boiling produced the seven bands of 48, 45, 44, 39, 27, 17 and 15 kDa corresponding to the domains ofthe two gene products, the PrtR and PrtK. These domains were only seen when the sample was boiled, with or without reducing agent, suggesting that the domains remain tightly non-covalently associated after proteolytic processing. The cell sonicate and the chromatographic fractions had minimal or no proteolytic activity in the absence of reducing agents thus ensuring minimal enzymic activity during the chromatographic purifications. The characterization ofthe 300 kDa cell-associated complex as being composed of processed domains ofthe two genes the prtR and prtK suggests that the secreted, mature PrtR and PrtK proteins associate and then are processed, perhaps autolytically. The identification of several ofthe domains ofthe PrtR and PrtK in the culture supernatant by independent groups is consistent with the proteolytic (autolytic) processing of these polyproteins.

The relative molecular mass ofthe processed PrtR-PrtK complex is likely to be attributable to the composition of 1 PrtK48 + 1 PrtR45 + 1 PrtR44 + 1 PrtK39 + 1 PrtK44 + 1 PrtR27 + 1 PrtR17 + 1 PrtK15 + 1 PrtRl 5 = 294-323 kDa depending on C- terminal truncation, that is the 300 kDa complex would contain the five domains ofthe prtR and the foi r domains ofthe prtK gene products (Figs 8 and 9). As high material (0.6 - ; 2 x 10° Da) on gel filtration (Fig. 2) was also composed ofthe seven PrtR-PrtK ban< s then this suggests that the 300 kDa PrtR-PrtK complexes may further associate to foi n larger cell-associated aggregates. The high amino acid sequence homology betv sen the PrtR44, PrtK39, PrtK44, PrtR27, PrtRl 7 and the 15 kDa protein of both the PrtR and PrtK suggests that these adhesins are responsible for the non-covalent c jhesive interactions between the components ofthe PrtR-PrtK complexes an * between the complexes themselves in the larger aggregates. It is interesting to note that some dissociation ofthe 300 kDa PrtR-PrtK complex occurred during the affinity chromatography on Arg-sepharose, although the majority ofthe

protein eluted as the undissociated complex with 750 mM lysine The partial dissociation ofthe complex on binding to substrate may be a mechanism by which the complex targets specific host macromolecules and cells releasing the proteinase/adhesin domains at the target site on binding

This example describes the purification ofa novel cell associated complex of Arg- specific and Lys-specific proteinases and sequence-related adhesins encoded by the two genes, the prtR and prtK

B Ultrafiltration and Diafiltration

P. gingivalis W50 was grown anaerobically at 37°C on lysed horse blood agar and in modified BM media containing 1 μg/ml hemin Bacteria were maintained on lysed horse blood plates by routine passage (< 10 passages) and used to inoculate batch cultures Batch culture growth in Brain Heart Infusion medium was monitored at 650 nm using a spectrophotometer (295E, Perkin-Elmer) Culture purity was checked routinely by Gram stain, microscopic examination and by using a variety of biochemical tests Stocks were maintained as lyophilised cultures A culture of P. gingivalis was grown to late logarithmic phase and the cells harvested by centrifugation (5,000 x g, 20 min, 4°C) Chloroform was added to the cell pellet and after gentle mixing the suspension was left for 15 min at room temperature Following chloroform treatment, 20 mM Tris-HCl pH 8 0 buffer containing 50 mM NaCl was added and gently mixed This mixture was then centrifuged (100,000 x , 30 min, 4°C) and the supernatant diafiltered through a 100,000 M r cut-off membrane (Amicon) with five volumes of distilled water This purifies and inactivates by oxidation the 294-323 kDa PrtR-PrtK which is freeze dried and used as an immunogen The PrtR-PrtK purified by diafiltration was composed of 48, 45, 44, 39, 27, 17 and 15 kDa components as shown by SDS-PAGE (Fig 10)

(2) Preparation of Antibodies

Polyclonal antiserum to PrtR-PrtK was raised in a rabbit by immunizing with the O 2 -inactivated PrtR-PrtK subcutaneously The rabbit was immunized at day 0 with 40 μg of protein in incomplete Freund's adjuvant, day 14 with 90 μg of protein in incomplete Freund's adjuvant, and day 28 with 60 μg of protein in incomplete Freund's adjuvant Immunizations were carried out using standard procedures Polyclonal antisera having a high titre against

P. gingivalis was obtained If desired the antibodies directed specifically against P. gingivalis can be obtained using standard procedures

EXAMPLE 2

Methods and compounds for vaccine formulations related to PrtR-PrtK

This embodiment ofthe present invention is to provide PrtR-PrtK protein to be used in as an immunogen in a prophylactic and/or therapeutic vaccine for active immunization to protect against or treat infections caused by P. gingivalis For vaccine puφoses, an antigen of P. gingivalis comprising a bacterial protein should be immunogenic, and induce functional antibodies directed to one or more surface-exposed epitopes on intact bacteria, wherein the epitope(s) are conserved amongst strains of P. gingivalis

In one illustration ofthe PrtR-PrtK protein having the properties desirable ofa vaccine antigen, the protein was purified from P. gingivalis using the method described herein in Example 1 Mice were immunized with the purified inactivated PrtR-PrtK protein (25 ug) with adjuvant (20 ug of QS21) two times at four week intervals The purified PrtR-PrtK was inactivated by air oxidation Blood from the immunized mice was drawn 32 days after the last immunization and the immune sera was pooled The pooled immune sera was assayed against whole bacteria (P. gingivalis strain W50) by an enzyme linked immunosorbent assay (ELISA) For the whole cell ELISA, overnight cultures of bacteria were harvested by a swab and suspended in PBS to an absorbance of 0 1 at 600nm Aliquots (100 ul) ofthe bacterial suspension were added to the wells ofa 96 well microtiter plate and dried overnight at room temperature The plates were blocked with IOOMI of 0 1% (w/v) gelatin in PBS This, and all remaining incubations, were for one hour at room temperature unless otherwise specified The blocking solution was removed and 100 u\ of the immune sera, diluted in PBS with 0 1% (w/v) gelatin, was added to the wells and incubated After washing three times with PBS, the bound antibodies were detected by incubating with 100 wl of alkaline phosphatase conjugated recombinant protein G ( 1 500 in PBS with 0 1% (w/v) gelatin) The plates were washed and colour development was facilitated by the addition of 100 Hi/well of p-nitrophenyl phosphate (2 mg/ml in diethanolamine) After 30 minutes, the reaction was stopped by adding 50 wl of 3M NaOH The absorbance was read at 492 nm using an ELISA reader Endpoint titers were determined as the reciprocal ofthe dilution at which the absorbance was greater than that of the blank wells The results demonstrated that immunization with inactivated PrtR-PrtK

elicit antibodies which can bind to one or more surface-exposed epitopes on intact P. gingivalis

Additional evidence supporting the immunogenicity ofthe PrtR-PrtK protein comes from a study ofthe human immune response to the PrtR-PrtK of P. gingivalis in which 86% of 43 patients with adult periodontitis had specific IgG in their sera to the PrtR-PrtK

Another illustration ofa desirable vaccine antigen is the O 2 -inactivated PrtR-PrtK It has been demonstrated that the cell surface PrtR-PrtK is the target of bactericidal antibody generated from immunization with the inactivated protein Polyclonal antiserum to PrtR- PrtK was raised in a rabbit by immunizing with the inactivated PrtR-PrtK subcutaneously A rabbit was immunized at day 0 with 40 μg of protein in incomplete Freund's adjuvant, day 14 with 90 μg of protein in incomplete Freund's adjuvant, and day 28 with 60 μg of protein in incomplete Freund's adjuvant The resultant antiserum was tested for its bactericidal activity against strain W50 of P. gingivalis The bacteria were grown to logarithmic phase in brain-heart infusion (BHI) broth An aliquot ofthe bacterial culture was diluted to 5 x 10 4 colony forming units (CFU) per ml in 10% bovine serum albumin in a balanced salt solution The bactericidal assay reaction contained bacteria, polyclonal antiserum to inactivated PrtR- PrtK protein, a complement source consisting of normal human serum which was absorbed with protein G to remove antibodies, and the balanced salt solution All reagents were added to the reaction to yield a 250 μl volume Aliquots of 25 μl ofthe reaction were removed and plated in triplicate on BHI agar at times 0 and 60 minutes The plates were incubated and colonies were counted the next day The percent killing was calculated using the average ofthe three triplicate values at the 2 times A representative example of data generated by the bactericidal assays is shown in Table 4 The results indicate that the polyclonal antiserum raised to the inactivated PrtR-PrtK is bactericidal for P. gingivalis As illustrated by Table 4, controls show that the antiserum does not kill bacteria in the absence of complement, and that the complement source does not kill the bacteria in the absence of the antiserum, indicating that the bactericidal activity is antibody directed and complement mediated

Table 4 Bactericidal activity of anti-(PrtR-PrtK) antibody

Sample Antiserum Complement CFU at CFU at Percent time 0 time 60 killing

10 μl 22 μl 225 100%

10 μl 227 390 0%

0 22 μl 254 286 0%

In further illustrating that the PrtR-PrtK protein possesses properties desirable ofa vaccine antigen, pooled immune sera raised to strain W50 was shown to have cross-reactivity with heterologous strains The pooled immune sera, prepared against PrtR-PrtK protein as described above, was examined for cross-reactivity with nine P. gingivalis strains from diverse clinical and geographical sources Bacteria from each culture were harvested by swabs and suspended in PBS to an optical absorbance of 1 0 at 600nm A microliter of each suspension was applied to a nitrocellulose membrane and allowed to dry The membrane was incubated one hour at room temperature in a solution of 5% non-fat dry milk in PBS to block the residual binding sites ofthe membrane The membrane was washed twice with PBS, and then immersed in the blocking solution containing the immune sera diluted to 1 1000 The membrane was incubated with the antibody overnight at 46°C with gentle shaking The membrane was washed three times with PBS and then incubated for 2 hours at room temperature with alkaline phosphatase conjugated recombinant protein G (1 1500 in PBS with 5% non-fat dry milk) The membrane was washed three times with PBS and bound antibody was detected by the addition of substrate The immune sera reacted with all strains as strongly, or to a greater extent than, strain W50 Thus, the antibodies elicited by immunization ofthe PrtR-PrtK protein isolated from strain W50 cross-reacted with all heterologous strains tested

For vaccine development, PrtR-PrtK may be purified from a host containing a recombinant vector which expresses PrtR-PrtK Such hosts include, but are not limited to, bacterial transformants, yeast transformants, filamentous fungal transformants, and cultured cells that

have been either infected or transfected with a vector which encodes PrtR-PrtK Many methods are known for the introduction ofa vaccine formulation into the human or animal to be vaccinated These include, but are not limited to, intradermal, intramuscular, intraperitoneal, intravenous, subcutaneous, ocular, intranasal, and oral administration The vaccine may further comprise a physiological carrier such as a solution, a polymer or liposomes, and an adjuvant, or a combination thereof

EXAMPLE 3

Protective efficacy of immunisation with the PrtR-PrtK complex in an animal model.

Various preparations of purified P. gingivalis proteins were tested in the mouse abscess model This model is loosely based on the methods described by Kesavalu et al (1992) [Infect Immun 60 1455-1464] A typical experiment is outlined below Briefly BALB/c mice were obtained from ARC (Perth, Australia) and were immunised subcutaneously in the scruff of the neck with the preparations and doses according to Table 5 before challenge with live P. gingivalis strain W50, which was given at 10 weeks of age Mice were given 2 doses of vaccine at 4 and 1 weeks before challenge Formalin killed P. gingivalis W50 cells were prepared by incubating an aliquot of cells in 0 5% (vol/vol) of buffered formal saline overnight at 4°C The chloroform extract of P. gingivalis was prepared as detailed in Example 2 Purification of PrtR-PrtK complex was performed as detailed in Example 1 The PrtR-PrtK domains were prepared by taking the PrtR- PrtK complex and incubating in the presence of 50mM 2-mercaptoethanol for 8 h at 4°C This resulted in the breakdown ofthe PrtR-PrtK complex to domains that were 15-115 kDa proteins as shown by gel filtration FPLC and SDS-PAGE as performed in Example 1

All preparations were emulsified with an equal volume of Freund's Incomplete Adjuvant (FIA, Sigma) prior to injection

Animals were bled before and 1 week after the immunisation schedule Sera were screened by ELISA using a P. gingivalis sonicate (prepared as in Example 1 ) as the adsorbed antigen The immunogenicity ofthe purified PrtR-PrtK complex is shown in Fig 1 1

Table 5. Immunization schedule

Group No. of Treatment Doses

2 1x10° Formalin killed P. gingivalis cells in FIA 1 1 1

2 Chloroform extracted P. gingivalis proteins in FIA 10

2 Affinity purified P. gingivalis PrtR-PrtK complex in FIA 5

2 PrtR-PrtK Domains in FIA 10

2 Tris-cysteine buffer in FIA 10

2 Tris-cysteine buffer 10

' FIA = Freunds incomplete adjuvant

For the preparation ofthe bacterial challenge P. gingivalis cells were grown at 37°C on lysed horse blood agar (HBA) plates until day 3 or 4 in an anaerobic chamber (Mark 3 Anaerobic Workstation , Don Whitley Scientific Limited; with an air mixture of 8% H 2 , 12% CO 2 , 80% N 2 ), then passaged into 20ml of brain heart infusion broth (BHIB, Oxoid) supplemented with 0.5g/L cysteine and lmg/L haemin for 24 hours in a standard incubator at 37°C. Finally, 3 ml of this culture was added to 400 ml of BHIB- cysteine media and incubated for approximately 15 hours in a standard incubator at 37°C, until the optical density at 650nm reached 0.18. The cells were then pelleted by centrifugation at 10,000 g for 30 minutes using a JA10 rotor in a Beckman High Speed centrifuge and then resuspended to a final dilution of 3xlθ'° cells per ml in BHIB-

cysteine media according to previously established growth curves for the W50 strain used in these experiments. Mice were marked for identification, their backs and chests shaved to make measurement of lesions possible, then weighed prior to inoculation with the challenge dose at a single site in the middle ofthe back A 0 1ml dose was given representing a predicted challenge dose of 3x10° bacteria per mouse. The inoculum dose was confirmed by culturing various dilutions ofthe challenge dose on lysed HBA plates and examining the number of colonies 7 days later

Following challenge mice were examined daily for the number and size of lesions on their body and their size estimated by measuring the approximate surface area in mm 2 involved Previous experiments had shown that in unimmunized mice, lesions developed on the belly ofthe mice following inoculation of live bacteria into the back or side Any distressed animals were culled Observations were carried out over two weeks and a summary of one such experiment is summarised below in Table 6 In this experiment while a dose of 3x10 9 bacteria per mouse was the desired number of bacteria, after plating out ofthe inoculum it was calculated that each mouse actually received a challenge dose of 3 17xl0 9 live P. gingivalis bacteria strain W50

When mice were immunised with the various P. gingivalis fractions significant reductions (p < 0.05) were seen in the size ofthe lesions with whole formalin killed P. gingivalis strain W50 cells (Group 1 ), the chloroform extracted proteins (Group 2) and the PrtR-PrtK complex (Group 3) when compared with the lesion size ofthe animals receiving FIA (Group 5) (Table 6) The PrtR-PrtK domains (Group 4) ofthe broken down PrtR-PrtK complex did not significantly reduce lesion size compared with the control (Group 5) These results clearly show that the complex works effectively as an immunogen whereas the PrtR-PrtK domains (15-1 15 kDa proteins) do not The only group of animals that had a number of animals (40%) that exhibited no visible lesions at all was the PrtR-PrtK complex group (Group 3). All other groups, including formalin killed cells (Group 1), had all animals exhibiting visible lesions indicating that the PrtR- PrtK complex was a better immunogen than formalin killed cells

Table 6. Immunisation with the PrtR-PrtK complex can protect mice from challenge with P. gingivalis

Lesion size

Group Mean maximum lesion \ size mm 2 P*

1 30 2 1 28 4' 0 0008

2 39 0 ± 33 2 0 009

3 30 0 ± 36 0 0 0028

4 88 3 ± 32 2 NS

5 86 8 ± 41 1 -

6 201 7 ± 125 8 0 012

* probability calculated by Mann Whitney rank sum test comparing Group 5 with other groups

9 mean ± SD

EXAMPLE 4

Cloning and sequence analysis of the prtR and prtK genes

Bacterial strains P. gingivalis W50 was grown in modified BM medium supplemented with 1 μg/ml haemin in an atmosphere of 10% CO 2 , 10% H 2 and 80% N 2 at 37°C Escherichia coli JMl 09 and Escherichia coli LE392 were grown in LB medium at 37°C Escherichia coli strains harbouring pUC 18 plasmids were grown in LB medium supplemented with lOOμg/ml ampicillin at 37°C

Genomic library construction

Chromosomal DNA was isolated from P. gingivalis W50 as described by Smith et al, [Oral Microbiol Immunol 4 47-51 (1989)] except that cells were pelleted from a 500ml late-exponential culture The genomic library was constructed from BamHI partially-digested W50 DNA which was partially-filled with dGTP and dATP and

ligated into LambdaGEM^-H Xhol half-site arms (Promega) and packaged using Packagene ® (Promega).

prtR gene characterisation: The genomic library was screened using degenerate synthetic oligonucleotides derived from the N-terminal sequence information ofthe purified PrtR45 The oligonucleotide probes were based on the amino acid sequence YEGDIKD (antisense) and KDFVDWKNQ (sense) and were 5' end-labelled using γ 32 P ATP and T4 polynucleotide kinase Approximately 1.5 x IO 4 phage were screened by lifting onto Nylon membrane filters and hybridised with radiolabeled oligonucleotides overnight in hybridisation buffer 6xSSC (SSC is 15mM sodium citrate, 150mM NaCl pH 8 0), 0.25% SDS, 5x Denhardt's solution and lOOμg/ml salmon sperm DNA at 44°C Filters were washed extensively in a solution of 5xSSC containing 0.01% SDS (w/v) at 44°C Positively-hybridising plaques were purified Standard protocols for end-labelling of oligonucleotides and screening procedures were essentially as described in Sambrook et al. (1989) [Molecular Cloning A Laboratory Manual, 2nd ed , Cold Spring Harbour Laboratory Press] Lambda clone four with an insert size of approximately 15kb was selected and this fragment contained the entire prtR gene The 15 kb fragment was cut with appropriate restriction enzymes and the fragments generated subcloned into pUC18 Escherichia coli JMl 09 was transformed with the recombinant plasmids using electroporation

prtK gene characterisation: The 5' portion ofthe gene encoding PrtK was isolated from the same genomic library described above The genomic library was screened using a degenerate synthetic oligonucleotide derived from the N-terminal sequence information ofthe purified PrtK48. The oligonucleotide probes were sense to the amino acid sequence DVYTDHGD and radiolabelled as described above. Hybridisation and washing conditions were as described above except that the temperature was 48°C and the filters were washed extensively in a solution of 3xSSC containing 0.01% SDS (w/v) at 48°C Lambda clone 12 with an insert size of approximately 15kb was selected and digested with BamHI and a 3.3kb fragment was ligated into plasmid ZfarøHI-BAP pUC18 and Escherichia coli JMl 09 transformed with the recombinant plasmid as described previously. Due to an internal BamHI site within prtK , the 3 3 kb BamHI fragment contained the 5' portion of prtK which constituted the end ofthe lambda 12 clone Sequence characterisation ofthe 3 3kb BamHI fragment showed that the DNA sequence encoding PrtK48 contains an internal EcoRI site Subsequently, a second oligonucleotide probe (lysur) specific to the sequence THIGAH which is found within

the PrtK48 was generated to determine a suitable strategy for cloning the 3 ' end of prtK. Southern blot analysis of genomic DNA indicated that a 7 5kb EcoRI fragment contained the entire 3' portion of prtK In order to characterise the 3' end of theprtλT gene a second genomic library was prepared EcoRI digested DNA fragments of 6-8 kb were purified from an agarose gel and subsequently ligated to EcoRI digested Lambda Zap H-calf intestinal phosphatase-treated vector (Stratagene) The genomic library enriched for 6-8kb P. gingivalis EcoRI fragments was packaged using Gigapacklll Gold packaging extract (Stratagene) according to the manufacturer's instructions The library was screened as described previously, using oligonucleotide lysur except that hybridisation temperatures were 42°C and filters were washed to 3xSSC containing 0 01% SDS (w/v) at 42°C In vivo excision ofthe Lambda Zap II positive genomic clone was performed (Stratagene instruction manual) to excise the pBluescript phagemid which was subsequently sequenced to generate the sequence information corresponding to the 3 'end of the prtK gene

DNA Sequencing Double-stranded plasmid template DNA prepared following the procedure of Li and Schweizer [Focus 15 19-20 (1993)] was sequenced in both directions using DNA sequence-derived, synthetic oligonucleotides, following the di¬ deoxy termination method [Proc Natl Acad Sci U S A 74 5463-5467 (1977)], using the Sequenase version 2 0 nucleotide sequencing kit purchased from United States Biochemicals Nucleotide and protein sequence data were analysed using programme suites accessed by the Australian National Genomic Information Service (ANGIS)

EXAMPLE 5

The following is an example ofa proposed toothpaste formulation containing anti-(PrtR-PrtK) antibodies

Ingredient % w/w

Dicalcium phosphate dihydrate 500

Glycerol 200

Sodium carboxymethyl cellulose 1 0

Sodium lauryl sulphate 1 5

Sodium lauroyl sarconisate 0 5

Flavour 1 0

Sodium saccharin 0 1

Chlorhexidine gluconate 0 01

Dextranase 0 01

Goat serum containing anti-(PrtR-PrtK) 0 2

Water balance

EXAMPLE 6

The following is an example ofa proposed toothpaste formulation

Ingredient % w/w

Dicalcium phosphate dihydrate 50 0

Sorbitol 10 0

Glycerol 10 0

Sodium carboxymethyl cellulose 1 0

Sodium lauryl sulphate 1 5

Sodium lauroyl sarconisate 0 5

Flavour 1 0

Sodium saccharin 0 1

Sodium monofluorophosphate 0 3

Chlorhexidine gluconate 0 01

Dextranase 001

Bovine serum containing anti-(PrtR-PrtK) 02

Water balance

EXAMPLE 7

The following is an example ofa proposed toothpaste formulation

Ingredient % w/w

Dicalcium phosphate dihydrate 500

Sorbitol 100

Glycerol 100

Sodium carboxymethyl cellulose 1 0

Lauroyl diethanolamide 1 0

Sucrose monolaurate 2 0

Flavour 1 0

Sodium saccharin 0 1

Sodium monofluorophosphate 0 3

Chlorhexidine gluconate 001

Dextranase 001

Bovine milk lg containing anti-(PrtR-PrtK) 0 1

Water balance

EXAMPLE 8

The following is an example ofa proposed toothpaste formulation

Ingredient % w/w

Sorbitol 22 0

Irish moss 1 0

Sodium Hydroxide (50%) 1 0

Gantrez 19 0

Water (deionised) 269

Sodium Monofluorophosphate 0 76

Sodium saccharine 0 3

Pyrophosphate 2 0

Hydrated alumina 48 0

Flavour oil 095 anti-(PrtR-PrtK) mouse monoclonal 0 3 sodium lauryl sulphate 2 00

EXAMPLE 9

The following is an example ofa proposed liquid toothpaste formulation

Ingredient % w/w

Sodium polyacrylate 50 0

Sorbitol 100

Glycerol 200

Flavour 1 0

Sodium saccharin 0 1

Sodium monofluorophosphate 0 3

Chlorhexidine gluconate 001

Ethanol 3 0

Equine lg containing anti-(PrtR-PrtK) 0 2

Linolic acid 0 05

Water balance

EXAMPLE 10

The following is an example ofa proposed mouthwash formulation

Ingredient % w/w

Ethanol 200

Flavoui 1 0

Sodium saccharin 0 1

Sodium monofluorophosphate 0 3

Chlorhexidine gluconate 0 01

Lauroyl diethanolamide 0 3

Rabbit lg containing anti-(PrtR-PrtK) 02

Water balance

It will be appreciated by persons skilled in the art that numerous variations and/or modifications may be made to the invention as shown in the specific embodiments without departing from the spirit or scope ofthe invention as broadly described The present embodiments are, therefore, to be considered in all respects as illustrative and not restrictive