Improved molecular vaccines comprise nucleic acid vectors that encode a
fusion polypeptide that includes polypeptide or peptide physically linked
to an antigen. The linked polypeptide is one that (a) promotes processing
of the expressed fusion polypeptide via the MHC class I pathway and/or
(b) promotes development or activity of antigen presenting cells,
primarily dendritic cells. These vaccines employ one of several types of
nucleic acid vectors, each with its own relative advantages: naked DNA
plasmids, self-replicating RNA replicons and suicidal DNA-based on viral
RNA replicons. Administration of such a vaccine results in enhance immune
responses, primarily those mediated by CD8+ cytotoxic T lymphocytes,
directed against the immunizing antigen part of the fusion polypeptide.
Such vaccines are useful against tumor antigens, viral antigens and
antigens of other pathogenic microorganisms and can be used in the
prevention or treatment of diseases that include cancer and infections.