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TW201408321A - Synergistic combination for treating cancer - Google Patents

Synergistic combination for treating cancer Download PDF

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TW201408321A
TW201408321A TW102121624A TW102121624A TW201408321A TW 201408321 A TW201408321 A TW 201408321A TW 102121624 A TW102121624 A TW 102121624A TW 102121624 A TW102121624 A TW 102121624A TW 201408321 A TW201408321 A TW 201408321A
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cancer
arginine
degrading enzyme
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arginase
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Stanley Chang
Young-Sun Lin
Kuei-Tai Lai
Huei-Luen Huang
Hsiang-Ting Hsu
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Medigen Biotechnology Corp
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Abstract

The present invention relates to a new approach for treating cancer by using a synergistic combination of an arginine degradation enzyme and an inhibitor of autophagy to deprive cancer cells of arginine. A pharmaceutical composition for treating cancers comprising the synergistic combination and a method for treating cancers comprising the synergistic combination are provided.

Description

治療癌症之協同組合 Synergistic combination for treating cancer 【相關申請】[related application]

本申請案主張美國臨時申請案第61/660,966號的優先權,該美國臨時申請案於2012年6月18日提出,在此藉由引用方式將該案內容全部併入。 The present application claims the benefit of U.S. Provisional Application No. 61/660,966, the entire disclosure of which is incorporated herein by reference.

本發明係關於癌症的治療,具體而言是藉由使用精胺酸降解酶與自噬作用抑制劑的組合。 The present invention relates to the treatment of cancer, in particular by the use of a combination of a arginine degrading enzyme and an autophagy inhibitor.

大鼠肝臟萃取物中被發現具有高量的精胺酸酶(arginase),在體外試驗中展現抗腫瘤的特性(Burton等人,1967,Can J.Biochem.45,289-297)。在後續的實驗中顯示,該酵素的抗腫瘤特性是因為精胺酸的耗盡所致,且在低含量精胺酸的培養基中出現癌細胞無法修復的細胞死亡(Storr及Burton,1974,Br.J.Cancer 30,50-59)。精胺酸是一種無法被取代的胺基酸,在缺乏精胺酸的情況下,蛋白質的合成會產生紊亂,而精胺酸一再的耗盡可以殺死腫瘤且不會造成腫瘤產生「抗性」(Lamb等人,2000,Experimental Cell Research 225,238-249)。精胺酸耗盡在活體外展現的抗腫瘤特性已在最近的許多研究中獲得證實(Scott等人,2000,Br.J.Cancer 83,800-810;Wheatley等人,2000,Cellular Physiol.Biochem.10,37-55)。 High amounts of arginase have been found in rat liver extracts and exhibit anti-tumor properties in in vitro assays (Burton et al., 1967, Can J. Biochem. 45, 289-297). In subsequent experiments, the anti-tumor properties of the enzyme were due to depletion of arginine and cell death in cancer cells that could not be repaired in low arginine-based medium (Storr and Burton, 1974, Br) .J. Cancer 30, 50-59). Arginine is an amino acid that cannot be substituted. In the absence of arginine, the synthesis of protein can cause disorder, and the repeated depletion of arginine can kill the tumor without causing tumor resistance. (Lamb et al., 2000, Experimental Cell Research 225, 238-249). The anti-tumor properties exhibited by arginine depletion in vitro have been confirmed in many recent studies (Scott et al., 2000, Br. J. Cancer 83, 800-810; Wheatley et al., 2000, Cellular Physiol. Biochem. 10). , 37-55).

有三種精胺酸降解酶可以造成精胺酸耗盡:精胺酸酶(arginase)、精胺酸去亞胺酶(arginine deiminase,ADI)及精胺酸脫羧酶(arginine decarboxylase)。美國專利第7,951,366號(Cheng等人,首次公開於2003年12月23日)揭露了一種人類重組精胺酸酶及其醫藥組合物,該重組精胺酸酶具有足夠高量的酵素活性及穩定性,以維持病患體內「足夠的精胺酸耗盡」。ADI-PEG20是一種用來降低免疫原性以及提高生物利用性的聚二乙醇化精胺酸去亞胺酶,已有報導揭示ADI-PEG20可造成精胺酸耗盡,因此造成腫瘤細胞死亡(Feun及Savaraj,2006,Expert Opin Investig Drugs 15,815-22)。然而,以ADI-PEG20所鎖定的代謝靶向通常會導致腫瘤的穩定化,而非造成腫瘤絕對體積的減少(M.P.Kelly等人,2012,Brit.J.Cancer 106,324-332)。美國專利第7,323,167號(Clark,首次公開於2005年6月16日)揭露了以聚乙二醇(polyethylene glycol,PEG)修飾的精胺酸去亞胺酶以及以該修飾的精胺酸去亞胺酶治療癌症的方法。美國專利申請案公開號第20030017146號(Tepic,公開於2003年1月23日)揭露了一種治療癌症的醫療組合物,其包含精胺酸分解酶,具體而言是一種大腸桿菌之生物合成的精胺酸脫羧酶及其修飾物,可經聚二乙醇化。 There are three arginine degrading enzymes that can cause arginine depletion: arginase, arginine deiminase (ADI), and arginine decarboxylase. U.S. Patent No. 7,951,366 (Cheng et al., issued Dec. 23, 2003) discloses a human recombinant arginase and a pharmaceutical composition thereof having a sufficiently high amount of enzyme activity and stability Sexuality to maintain "sufficient arginine depletion" in patients. ADI-PEG20 is a polydiethanolated arginine deiminase used to reduce immunogenicity and improve bioavailability. It has been reported that ADI-PEG20 can cause arginine depletion, thus causing tumor cell death ( Feun and Savaraj, 2006, Expert Opin Investig Drugs 15, 815-22). However, metabolic targeting locked by ADI-PEG 20 typically results in stabilization of the tumor rather than a reduction in the absolute volume of the tumor (M.P. Kelly et al., 2012, Brit. J. Cancer 106, 324-332). U.S. Patent No. 7,323,167 (Clark, first published on June 16, 2005) discloses arginine deiminase modified with polyethylene glycol (PEG) and modified arginine A method of treating cancer by aminase. US Patent Application Publication No. 20030017146 (Tepic, published Jan. 23, 2003) discloses a medical composition for treating cancer comprising a arginolytic enzyme, in particular a biosynthesis of Escherichia coli The arginine decarboxylase and its modifications can be polydiethanolated.

具體而言,美國專利第6,261,557號(Tepic等人,公開於2001年7月17日)揭露了一種醫療組合物及治療癌症的方法,其中精胺酸分解酶與蛋白質分解抑制劑(如胰島素)合併使用,以防止人體因為體內自然平衡的機制,進而從人體肌肉補充耗盡的精胺酸的問題。雖然胰島素可以作為蛋白質分解抑制劑,但其亦對人體具有深遠的生理影響,若病患的血糖濃度未能嚴格地維持在狹窄的正常範圍之內,則可能有致命的作用。 In particular, U.S. Patent No. 6,261,557 (Tepic et al., issued July 17, 2001) discloses a medical composition and a method of treating cancer, wherein a arginolytic enzyme and a protein degradation inhibitor (such as insulin) are disclosed. Combined use to prevent the body from replenishing the depleted arginine from the body muscles because of the natural balance mechanism in the body. Although insulin can act as a protein degradation inhibitor, it also has profound physiological effects on the human body. If the patient's blood glucose concentration is not strictly maintained within the narrow normal range, it may have a fatal effect.

因此,仍有需要研發一種透過精胺酸耗盡來治療癌症的新方法,以提高抗癌功效以及安全性。 Therefore, there is still a need to develop a new method for treating cancer through arginine depletion to improve anticancer efficacy and safety.

本發明係關於一種藉由使用精胺酸降解酶與自噬作用抑制劑的協同組合之治療癌症的新方法。 The present invention relates to a novel method of treating cancer by using a synergistic combination of a arginine degrading enzyme and an autophagy inhibitor.

在一方面,本發明提供一種治療癌症的組合,包含精胺酸降解酶以及自噬作用抑制劑,以耗盡癌細胞的精胺酸,提供抑制癌細胞生長及/或甚至造成癌細胞死亡的協同功效。 In one aspect, the invention provides a combination for treating cancer comprising a arginine degrading enzyme and an autophagy inhibitor to deplete arginine of a cancer cell, providing inhibition of cancer cell growth and/or even causing cancer cell death. Synergistic effect.

在本發明的部分具體實施例中,該組合可為一種包含精胺酸降解酶及自噬作用抑制劑的醫藥組合物之形式;該組合亦可為兩種醫藥組合物之形式,分別包含精胺酸降解酶及自噬作用抑制劑,其為同時或依序投與。 In some embodiments of the invention, the combination may be in the form of a pharmaceutical composition comprising a arginine degrading enzyme and an autophagy inhibitor; the combination may also be in the form of two pharmaceutical compositions, each comprising a fine Amino acid degrading enzymes and autophagy inhibitors, which are administered simultaneously or sequentially.

在另一方面,本發明提供一種治療癌症的方法,包含對有需要的個體投與足夠量的精胺酸降解酶,以使該個體血清中的精胺酸維持在極低的含量,並同時或依序投與自噬作用抑制劑,以抑制透過自噬作用方式來釋放精胺酸,使該癌細胞保持在飢餓的環境,藉由抑制該癌細胞生長及/或造成該癌細胞死亡,以提供治療癌症的協同功效。在一本發明的具體實例中,該自噬作用抑制劑係為一種抑制透過自噬作用方式造成細胞內精胺酸循環的藥劑。 In another aspect, the invention provides a method of treating cancer comprising administering to a subject in need thereof a sufficient amount of a arginine degrading enzyme to maintain arginine in the serum of the individual at an extremely low level, and at the same time Or sequentially administering an autophagy inhibitor to inhibit release of arginine by means of autophagy, thereby maintaining the cancer cell in a starved environment by inhibiting the growth of the cancer cell and/or causing the cancer cell to die. To provide synergistic effects in the treatment of cancer. In a specific embodiment of the invention, the autophagy inhibitor is an agent that inhibits intracellular arginine cycling by means of autophagy.

具體而言,本發明提供一種治療癌症的方法,係藉由使用精胺酸降解酶(例如,精胺酸酶)以及氯喹(chloroquine)或其醫藥上可接受的鹽類(例如,二磷酸氯喹,chloroquine diphosphate)的組合以治療癌症。 In particular, the present invention provides a method of treating cancer by using a arginine degrading enzyme (for example, arginine) and chloroquine or a pharmaceutically acceptable salt thereof (for example, chloroquine diphosphate) , a combination of chloroquine diphosphate) to treat cancer.

本發明並提供一種精胺酸降解酶(例如,精胺酸酶)以及氯喹(chloroquine)或其醫藥上可接受的鹽類(例如,二磷酸氯喹,chloroquine diphosphate)的組合在治療癌症上的應用。 The present invention also provides a combination of a arginine degrading enzyme (for example, arginine) and chloroquine or a pharmaceutically acceptable salt thereof (for example, chloroquine diphosphate) for treating cancer. .

現將參照以下說明及具體實施例以更特定地描述本發明。應當指出的是,在此呈現的本發明之較佳具體實施例的以下說明僅為闡明及說明之目的,而非用以窮盡或將本發明之範圍限制在所揭露的精確形式。 The invention will now be described more specifically with reference to the following description and specific embodiments. It should be noted that the following description of the preferred embodiments of the present invention is intended to be illustrative and not restrictive.

為了闡述本發明之目的,以現行較佳的具體實施例圖式呈現。然而,應當理解的是,本發明並不受限於所呈現的較佳具體實施例。 For the purpose of illustrating the invention, embodiments are illustrated in the present preferred embodiments. However, it should be understood that the invention is not limited to the preferred embodiments presented.

在圖式中:圖1顯示為在實施例3中測量的不同細胞的抑制率之結果,(A)及(B)為Hep 3B細胞,(C)為PC-3細胞,(D)為U2OS細胞,以及(E)為COLO205細胞(A & A+Q,t<0.01 * t<0.001** t<0.0001 ***;Q & A+Q,t<0.01# t<0.001## t<0.0001 ###)。 In the drawings: Figure 1 shows the results of inhibition rates of different cells measured in Example 3, (A) and (B) are Hep 3B cells, (C) is PC-3 cells, and (D) is U2OS. Cells, and (E) are COLO205 cells (A & A+Q, t<0.01 * t<0.001** t<0.0001 ***; Q & A+Q, t<0.01# t<0.001## t<0.0001 ###).

圖2顯示在實施例4之動物試驗的結果。 Figure 2 shows the results of the animal test in Example 4.

除非另有定義,否則在此所用的所有技術及科學用語皆具有與本發明所屬技術領域中的技藝者所通常理解的相同意義。 All technical and scientific terms used herein have the same meaning as commonly understood by those skilled in the art to which this invention belongs, unless otherwise defined.

除非文中另有清楚的指示,否則本文中所用之單數形式「一」(a,an)、「該」(the)皆包含複數形式。因此,例如,參考「一樣品」包含該樣品的複數形式及本領域技藝者所知的其等同物。 As used herein, the singular forms "a", "the" Thus, for example, reference to "a sample" includes plural forms of the sample and equivalents thereof as known to those skilled in the art.

近年來,一種名為精胺酸去亞胺酶(ADI)的精胺酸耗盡藥 物已經進展到臨床試驗階段。臨床試驗第I/Ⅱ期報告指出,該藥物對抗肝癌及黑色素瘤具有中等的活性,並被確認會造成血清中精胺酸的耗盡,導致癌細胞快速死亡。以精胺酸耗盡來治療的癌症需依賴外源性精胺酸來生長,其被稱為精胺酸營養缺陷型。然而,在一飢餓的環境下,癌細胞內以自噬作用的保護方式來對抗精胺酸耗盡的後果,在某種程度來說,可能與在癌症病患體內無法以酶耗盡血清精胺酸有關。因此,本發明提供了一種新的癌症治療方法,係藉由利用血清精胺酸耗盡與自噬作用抑制作用的組合來治療癌症。 In recent years, a arginine depleted drug called arginine deiminase (ADI) The substance has progressed to the clinical trial stage. The Phase I/II report of the clinical trial indicated that the drug has moderate activity against liver cancer and melanoma and has been confirmed to cause depletion of arginine in serum, resulting in rapid death of cancer cells. Cancers treated with arginine depletion are dependent on exogenous arginine for growth, which is known as arginine auxotrophy. However, in a starvation environment, cancer cells are protected by autophagy to counteract the consequences of arginine depletion. To some extent, it may not be able to deplete serum by enzymes in cancer patients. Amino acid related. Accordingly, the present invention provides a novel cancer treatment method for treating cancer by utilizing a combination of serum arginine depletion and autophagy inhibition.

本發明提供一種治療癌症的組合,包含精胺酸降解酶以及自噬作用抑制劑,用以耗盡精胺酸的癌細胞,以提供在抑制癌細胞生長,及/或甚至造成癌細胞死亡上的協同功效。 The present invention provides a combination for treating cancer comprising a arginine degrading enzyme and an autophagy inhibitor for depleting serotonin cancer cells to provide for inhibiting cancer cell growth and/or even causing cancer cell death. Synergistic effect.

根據本發明,該組合可為一種包含精胺酸降解酶以及自噬作用抑制劑的醫藥組合物形式;或者該組合物可為兩種醫藥組合物形式,分別包含精胺酸降解酶以及自噬作用抑制劑,其為同時或依序投與。 According to the present invention, the combination may be in the form of a pharmaceutical composition comprising a arginine degrading enzyme and an autophagy inhibitor; or the composition may be in the form of two pharmaceutical compositions comprising arginine degrading enzyme and autophagy, respectively Inhibitors of action, which are administered simultaneously or sequentially.

此外,本發明提供一種治療癌症的方法,包含對有需要的個體投與精胺酸降解酶,其量足以使該個體血清中的精胺酸維持在極低的含量,並同時或依序地結合投與自噬作用抑制劑,其量足以抑制透過自噬作用方式來釋放精胺酸,使該癌細胞保持在飢餓的環境,藉由抑制該癌細胞生長及/或造成該癌細胞死亡,以提供治療癌症的協同功效。人體血清精胺酸的正常濃度為50至150μM。血清精胺酸含量的充分減少以使癌細胞維持在處於飢餓環境下,以被預期可在癌症治療上提供協同功效。在本文中所用的血清精胺酸含量的減少是指減少血清精胺酸的量或濃度至低於正常 量,例如正常量的約70%或更少,約60%或更少,約50%或更少,約40%或更少,約30%或更少。 Furthermore, the present invention provides a method of treating cancer comprising administering to a subject in need thereof a arginine degrading enzyme in an amount sufficient to maintain arginine in the serum of the individual at an extremely low level, and simultaneously or sequentially Inhibiting the administration of an autophagy inhibitor in an amount sufficient to inhibit release of arginine by means of autophagy, thereby maintaining the cancer cell in a starved environment by inhibiting the growth of the cancer cell and/or causing the cancer cell to die, To provide synergistic effects in the treatment of cancer. The normal concentration of human serum arginine is 50 to 150 μM. A sufficient reduction in serum arginine content to maintain cancer cells in a starvation environment is expected to provide synergistic efficacy in cancer treatment. The reduction in serum arginine content used herein means reducing the amount or concentration of serum arginine to below normal The amount, for example, is about 70% or less of the normal amount, about 60% or less, about 50% or less, about 40% or less, about 30% or less.

如本文所用,術語「精胺酸降解酶」係指用以降解或分解精胺酸的酵素,包含但不限於精胺酸酶、精胺酸去亞胺酶以及精胺酸脫羧酶,其可為自然存在或重組的酵素,源自於人類、動物、植物、真菌或細菌(例如,熱速芽孢桿菌,Bacillus caldovelox)。該精胺酸降解酶最佳地可為聚乙二醇化(PEGylation)以達到所欲之生物及藥理活性。 As used herein, the term "arginine degrading enzyme" refers to an enzyme used to degrade or decompose arginine, including but not limited to arginase, arginine deiminase, and arginine decarboxylase, which may An enzyme that is naturally occurring or recombined, derived from humans, animals, plants, fungi, or bacteria (eg, Bacillus caldovelox ). The arginine degrading enzyme may optimally be PEGylated to achieve the desired biological and pharmacological activity.

本文所使用之「精胺酸酶」乙詞是指一含有金屬活化的氫氧根離子的錳金屬酶,該金屬活化的氫氧根離子是一種在金屬酶中關鍵的親核試劑,用以催化水解或水合反應。 As used herein, the term "arginase" refers to a manganese metalloenzyme containing a metal-activated hydroxide ion, which is a key nucleophile in metalloenzymes. Catalytic hydrolysis or hydration reaction.

在本發明的一具體實施例中,該精胺酸降解酶可為精胺酸去亞胺酶,其最佳地可為聚乙二醇化以達到所欲之生物及藥理活性。例如,該精胺酸降解酶可為經修飾的精胺酸去亞胺酶(ADI-PEG20),經聚乙二醇(PEG)修飾的精胺酸去亞胺酶,如美國專利第7,323,167號所揭露者,該專利係在此引入作為參考。該精胺酸降解酶亦可為以大腸桿菌(E.coli)生物合成的精胺酸降解酶,如美國專利申請案公開號第20030017146號所揭露者,該專利係在此引入作為參考。另一方面,該精胺酸降解酶可為人類重組精胺酸酶,如美國專利第7,951,366號所揭露者,該專利係在此引入作為參考。 In a particular embodiment of the invention, the arginine degrading enzyme may be a arginine deiminase, which may optimally be PEGylated to achieve the desired biological and pharmacological activity. For example, the arginine degrading enzyme can be a modified arginine deiminase (ADI-PEG20), a polyethylene glycol (PEG) modified arginine deiminase, such as U.S. Patent No. 7,323,167. The disclosure is hereby incorporated by reference. The arginine degrading enzyme may also be a arginine degrading enzyme biosynthesized by E. coli , as disclosed in U.S. Patent Application Publication No. 20030017146, which is incorporated herein by reference. In another aspect, the arginine degrading enzyme can be a human recombinant arginase, as disclosed in U.S. Patent No. 7,951,366, the disclosure of which is incorporated herein by reference.

在一具體實施例中,根據本發明用以進行聚二乙醇化的PEG具有範圍在200至20,000道爾頓(daltons),具體而言從400至10,000道爾頓,更具體而言從800至8,000道爾頓的分子量。PEG的實例包括但不限於 PEG200、PEG300、PEG400、PEG600、PEG1,000、PEG2,000、PEG3,000、PEG4,000、PEG5,000、PEG6,000、PEG8,000或PEG20,000。 In a specific embodiment, the PEG used to carry out the polydiethanolation according to the invention has a range from 200 to 20,000 daltons, in particular from 400 to 10,000 daltons, more specifically from 800 to Molecular weight of 8,000 Daltons. Examples of PEG include, but are not limited to PEG 200, PEG 300, PEG 400, PEG 600, PEG 1,000, PEG 2,000, PEG 3,000, PEG 4,000, PEG 5,000, PEG 6,000, PEG 8,000 or PEG 20,000.

本文所用之「自噬作用」乙詞或稱為「自吞噬作用」乙詞是指一種分解代謝過程,包含透過溶酶體(lysosomal)方式造成細胞所含組成物的降解。自噬作用是一種飢餓細胞自不必要的程序中重新分配養份到更為需要的程序中的一種主要機制。 As used herein, the term "autophagy" or "autophagy" refers to a process of catabolism that involves the degradation of components contained in cells by lysosomal means. Autophagy is a major mechanism by which starved cells redistribute nutrients from unnecessary procedures into more desirable programs.

本文所用之「自噬作用抑制劑」乙詞是指一種用以抑制透過自噬作用造成之細胞養份再循環的藥劑,特定而言,該細胞養份再循環是起因於在癌細胞中養份的耗盡。在本發明的一個實例中,該自噬作用抑制劑係為一種用以抑制透過自噬作用造成之細胞精胺酸再循環的藥劑。該自噬作用抑制劑可為,但不限於,羥氯喹啉(hydroxychloroquine)、二磷酸氯喹(chloroquine diphosphate)、硫蔥酮(lucanthone)、巴弗洛霉素A1(Bafilomycin A1)、司包汀-1(Spautin-1)、KU-55933、Go 6976、3-甲基腺嘌呤(3-Methyladenine)、N-乙醯基-L-半胱氨酸(N-Acetyl-L-cysteine)、L-天門冬醯胺(L-Asparagine)、E-64d、渥曼青黴素(Wortmannin)、毒胡蘿蔔素(Thapsigargin)、LY-294,002氯化氫(LY-294,002 hydrochloride)、或DBeQ。 As used herein, the term "autophagy inhibitor" refers to an agent for inhibiting the recycling of cellular nutrients caused by autophagy. In particular, the recycling of cell nutrients is caused by cancer cells. The exhaustion of the share. In one embodiment of the invention, the autophagy inhibitor is an agent for inhibiting cellular arginine recycling by autophagy. The autophagy inhibitor can be, but is not limited to, hydroxychloroquine, chloroquine diphosphate, lucanthone, bafilomycin A1, and succinyl- 1 (Spautin-1), KU-55933, Go 6976, 3-Methyladenine, N-Acetyl-L-cysteine, L- L-Asparagine, E-64d, Wortmannin, Thapsigargin, LY-294, 002 hydrogen chloride (LY-294, 002 hydrochloride), or DBeQ.

本文所用之「癌症」乙詞是指一類疾病,其中一群細胞顯現出不受控制的生長、入侵(侵犯以及破壞鄰近組織),以及有時候轉移(透過淋巴或血液擴散到身體內其他位置)。根據本發明,欲被治療的癌症包括,但不限於,乳癌、肺癌、前列腺癌、卵巢癌、肝癌(例如,肝細胞癌)、結腸癌、腎癌、直腸癌、皮膚癌(例如,黑色素瘤)、骨肉瘤以及間皮瘤。 As used herein, the term "cancer" refers to a group of diseases in which a group of cells exhibit uncontrolled growth, invasion (invasion and destruction of adjacent tissues), and sometimes metastasis (through lymph or blood to other locations in the body). According to the present invention, cancers to be treated include, but are not limited to, breast cancer, lung cancer, prostate cancer, ovarian cancer, liver cancer (for example, hepatocellular carcinoma), colon cancer, kidney cancer, rectal cancer, skin cancer (for example, melanoma). ), osteosarcoma and mesothelioma.

如本文所用,根據本發明需要治療的個體包括人類及非人類的哺乳類動物。非人類的哺乳類動物包括,但不限於,寵物動物,如貓、狗等此類動物,以及家畜動物,如牛、馬、綿羊、山羊、豬等此類動物。 As used herein, an individual in need of treatment in accordance with the present invention includes humans and non-human mammals. Non-human mammals include, but are not limited to, pet animals such as cats, dogs, and the like, as well as livestock animals such as cattle, horses, sheep, goats, pigs, and the like.

「有效量」乙詞或其類似辭彙是指活性藥劑或組合物在一個體內足以達到所欲治療、預防,及/或生物效果的量,例如,減少該精胺酸酶血清量,提供在抑制癌細胞生長或造成癌細胞死亡上的協同功效。針對一具體應用的確切有效量可能各有不同,例如,依照藥劑或組合物的類型或劑量的不同,以及待治療的個體的體重、年齡以及健康狀況的不同而有異。在人類個體體內使用的有效量可以根據動物模式以及臨床試驗來決定。 An "effective amount" or similar vocabulary means an amount of the active agent or composition sufficient to achieve the desired therapeutic, prophylactic, and/or biological effect in one body, for example, reducing the amount of the arginine serum, provided Synergistic effect on inhibiting cancer cell growth or causing cancer cell death. The exact effective amount for a particular application may vary, for example, depending on the type or dosage of the agent or composition, and the weight, age, and health of the individual to be treated. The effective amount to be used in a human subject can be determined based on animal models and clinical trials.

在一方面,本發明提供一種治療癌症的方法,藉由使用精胺酸降解酶以及氯喹或其醫藥上可接受的鹽類的組合以治療癌症。 In one aspect, the invention provides a method of treating cancer by treating a cancer by using a combination of a arginine degrading enzyme and chloroquine or a pharmaceutically acceptable salt thereof.

本文所用之「醫藥上可接受的鹽類」乙詞是指一種對於待接受治療的個體無害的鹽類,且該鹽類可維持該活性化合物的生物有效性及性質。鹽類亦可衍生自下列藥理上或生理上可接受的無機與有機酸:鹽酸、氰溴酸、硫酸、硝酸、富馬酸、磷酸、二磷酸、琥珀酸、酒石酸、醋酸、檸檬酸、甲磺酸、蟻酸、苯甲酸,以及丙二酸,但不限於其中。鹽類亦可衍生自下列藥理上或生理上可接受的無機與有機鹼:鹼金屬(例如鈉)、鹼土金屬(例如鎂),以及銨鹽,但不限於其中。氯喹的醫藥上可接受的鹽類實例包括磷酸氯喹(chloroquine phosphate)、二磷酸氯喹(chloroquine diphosphate)或硫酸氯喹(chloroquine sulphate)。 As used herein, the term "pharmaceutically acceptable salts" refers to a salt that is not deleterious to the individual to be treated, and which maintains the biological effectiveness and properties of the active compound. Salts may also be derived from the following pharmacologically or physiologically acceptable inorganic and organic acids: hydrochloric acid, cyanuric acid, sulfuric acid, nitric acid, fumaric acid, phosphoric acid, diphosphoric acid, succinic acid, tartaric acid, acetic acid, citric acid, A Sulfonic acid, formic acid, benzoic acid, and malonic acid, but are not limited thereto. The salts may also be derived from the following pharmacologically or physiologically acceptable inorganic and organic bases: alkali metal (e.g., sodium), alkaline earth metal (e.g., magnesium), and ammonium salts, but are not limited thereto. Examples of pharmaceutically acceptable salts of chloroquine include chloroquine phosphate, chloroquine diphosphate or chloroquine sulphate.

此外,本發明之組合也建議與化療藥物或治療癌症之標靶藥劑共同使用以產生協同作用。 In addition, combinations of the invention are also suggested for use in conjunction with chemotherapeutic drugs or target agents for treating cancer to produce synergistic effects.

在本發明中,可使用任何的化療藥物或治療癌症之標靶藥劑。化療藥物包括,但不限於,小分子藥物,例如13-順式視黃酸(13-cis-Retinoic Acid)、2-氯脫氧腺苷(2-Chlorodeoxyadenosine)、5-阿扎胞苷(5-Azacitidine)、5-氟脲嘧啶(5-Fluorouracil)、6-巰基嘌呤(6-Mercaptopurine)、6-硫鳥嘌呤(6-Thioguanine)、放線菌素-D(Actinomycin-D)、阿黴素(Adriamycin)、氨甲喋呤(Amethopterin)、阿糖胞苷(Ara-C)、博來黴素(bleomycin)、喜樹鹼(camptothecin)、順鉑(cisplatin)、唐黴素(Daunorubicin)、依托泊苷(Etoposide)、吉非替尼(Gefitinib)、吉西他濱(Gemcitabine)、羥基脲(Hydroxyurea)、甲氨蝶呤(Methotrexate)、紫杉醇(Paclitaxel)、索拉非尼(Sorafenib)、他莫昔芬(Tamoxifen)、紅豆衫醇(Taxol)、替莫唑胺(Temozolomide)、沙利度胺(Thalidomide)、長春花鹼(Vinblastine)或VP-16;單株抗體或蛋白質,例如,阿來組單株抗體(Alemtuzumab)、利妥昔單株抗體(Rituximab)、曲妥珠單株抗體(Trastuzumab)、尼妥珠單株抗體(Nimotuzumab)、西妥昔單株抗體(cetuximab)、貝伐單株抗體(Bevacizumab)、顆粒單核球群落刺激生長因子(GM-CSF)、干擾素α(IFN-alpha)、介白素-2(IL-2)、介白素-11(IL-11);或DNA去甲基化酶抑制劑(DNA demethylase inhibitor)。 In the present invention, any chemotherapeutic drug or a target agent for treating cancer can be used. Chemotherapeutic drugs include, but are not limited to, small molecule drugs such as 13-cis-Retinoic Acid, 2-Chlorodeoxyadenosine, 5-Azacitidine (5- Azacitidine), 5-fluorourouracil, 6-Mercaptopurine, 6-Thioguanine, Actinomycin-D, doxorubicin (Azacitidine) Adriamycin), Amethopterin, cytarabine (Ara-C), bleomycin, camptothecin, cisplatin, daunorubicin, etoposide ( Etoposide), Gefitinib, Gemcitabine, Hydroxyurea, Methotrexate, Paclitaxel, Sorafenib, Tamoxifen , Taxol, Temozolomide, Thalidomide, Vinblastine or VP-16; monoclonal antibodies or proteins, for example, Alemtuzumab, Rituximab, trastuzumab, Nimotuzumab, Cetuximab Monoclonal antibody (cetuximab), Bevacizumab antibody, granulocyte mononuclear globulin-stimulated growth factor (GM-CSF), interferon alpha (IFN-alpha), interleukin-2 (IL-2), Interleukin-11 (IL-11); or DNA demethylase inhibitor (DNA demethylase inhibitor).

該醫藥組合物包含治療上有效量的該協同組合,其係取決於投與的模式以及待治療之個體的狀況,包括年齡、體重、症狀、治療效果、投與途徑以及治療時間。 The pharmaceutical composition comprises a therapeutically effective amount of the synergistic combination depending on the mode of administration and the condition of the individual to be treated, including age, weight, symptoms, therapeutic effect, route of administration, and time of treatment.

本發明之醫藥組合物可以任何合適的途徑投與,包括,但不限於,非口服或口服投與。例如,該醫藥組合物可以靜脈投與、腹腔內投 與、肌肉內投與、心室內投與、鼻腔投與、體外投與或口服投與。以非口服投與的醫藥組合物可以製備為溶液、懸浮液、乳劑,以及固體可注射組合物的形式,該組合物係於使用前立即溶解或懸浮於一溶劑內。該注射物可以透過在一稀釋劑中溶解、懸浮,或乳化一或多個活性成分來製備。該稀釋劑的實例為注射用蒸餾水、生理食鹽水、蔬菜油、酒精,及其組合。再者,該注射物可包含佐劑、穩定劑、增溶劑、懸浮劑、乳化劑、舒緩劑、緩衝劑、防腐劑等。該注射劑在最終製劑步驟中滅菌或是以無菌製程製備。 The pharmaceutical compositions of this invention may be administered by any suitable route including, but not limited to, parenteral or oral administration. For example, the pharmaceutical composition can be administered intravenously, intraperitoneally , intramuscular administration, intraventricular administration, nasal administration, in vitro administration, or oral administration. The pharmaceutical compositions for parenteral administration can be prepared in the form of solutions, suspensions, emulsions, and solid injectable compositions which are dissolved or suspended in a solvent immediately before use. The injection can be prepared by dissolving, suspending, or emulsifying one or more active ingredients in a diluent. Examples of such diluents are distilled water for injection, physiological saline, vegetable oil, alcohol, and combinations thereof. Further, the injection may contain an adjuvant, a stabilizer, a solubilizer, a suspending agent, an emulsifier, a soothing agent, a buffering agent, a preservative, and the like. The injection is sterilized in the final formulation step or is prepared in a sterile process.

該醫藥組合物亦可被口服投與,其中該組合物可為固體或液體形式。固體組合物包括錠劑、丸劑、膠囊、可分散的粉劑、顆粒及其類似物。另一方面,口服用液體組合物包括醫藥上可接受的水溶液、懸浮液、乳劑、糖漿、酏劑及其類似物。在該組合物中,一或多個活性化合物可被溶解、懸浮或乳化於常用的稀釋劑內(例如純化的水、酒精或其混合物等)。 The pharmaceutical composition can also be administered orally, wherein the composition can be in solid or liquid form. Solid compositions include lozenges, pills, capsules, dispersible powders, granules, and the like. In another aspect, liquid compositions for oral administration include pharmaceutically acceptable aqueous solutions, suspensions, emulsions, syrups, elixirs, and the like. In the composition, one or more of the active compounds may be dissolved, suspended or emulsified in a conventional diluent (for example, purified water, alcohol or a mixture thereof, etc.).

現在,藉由參照以下具體實施例,本發明將被更特定地描述,該具體實施例係為了闡明之目的所提供,而非用以限制本發明。 The present invention will now be described more specifically by reference to the preferred embodiments thereof,

實施例1:精胺酸酶的表現及純化Example 1: Performance and purification of arginase

含有pDEST17-rArg1(大鼠精胺酸酶I)質體的大腸桿菌係用來生產重組精胺酸酶(即rArg),pArg係收集自豬肝臟,左旋精胺酸酶(L-Arg)係收集自牛肝臟(A3233 SIGMA)。 E. coli containing pDEST17-rArg1 (rat arginase I) plastid was used to produce recombinant arginase (rArg), pArg was collected from pig liver, L-arginase (L-Arg) Collected from bovine liver (A3233 SIGMA).

大鼠精胺酸酶I基因係來自大鼠肝臟cDNA以PCR擴增,並選殖至細菌表現載體pDEST17。結果所得之質體係用來進行重組精胺酸酶的表現。 The rat arginase I gene line was derived from rat liver cDNA by PCR amplification and colonized into the bacterial expression vector pDEST17. The resulting quality system was used to perform the performance of recombinant arginase.

大腸桿菌,ArcticExpress(DE3)株,其細胞中含有 pDEST17-rArg1質體,係生長於含有胺苄青黴素(ampicillin,100g/ml)的Teriffic液體培養基中。於37℃下培養8小時後,將1mM異丙基-β-D-硫代半乳糖苷(IPTG)以及0.1mM氯化錳(MnCl2)加入該液體培養基中,並將培養溫度降至20℃。將該大腸桿菌於20℃下進行整夜培養後,以離心收集該菌。將獲得的菌體團塊於20mM Tris/HCl pH7.5,1% Triton X-114溶液中以重複超音波震盪清洗3次後離心。在最後一次離心後,將蛋白質團塊以PBS溶液清洗數次、分裝,並存放於-80℃。 Escherichia coli, Arctic Express (DE3) strain, which contains pDEST17-rArg1 plastids, was grown in Teriffic liquid medium containing ampicillin (100 g/ml). After culturing at 37 ° C for 8 hours, 1 mM isopropyl-β-D-thiogalactoside (IPTG) and 0.1 mM manganese chloride (MnCl 2 ) were added to the liquid medium, and the culture temperature was lowered to 20 °C. After the Escherichia coli was cultured overnight at 20 ° C, the bacteria were collected by centrifugation. The obtained bacterial mass was centrifuged in a 20 mM Tris/HCl pH 7.5, 1% Triton X-114 solution with repeated ultrasonic shock for 3 times and then centrifuged. After the last centrifugation, the protein pellet was washed several times with PBS solution, dispensed, and stored at -80 °C.

除了自大鼠肝臟取得精胺酸酶之外,亦自豬肝臟取得精胺酸酶。冷凍的豬肝臟係於20mM Tris/HCl pH7.5溶液中均質研磨,並以20,000g離心30分鐘以得到澄清之裂解液。取上清液至一玻璃燒杯中,加入氯化錳(MnCl2)至最終濃度為10mM。以60℃對該蛋白質溶液加熱30分鐘後,迅速置於冰上冷卻,接著以20,000g離心30分鐘。加入硫酸銨至70%的飽和度以沈澱上清液中的蛋白質,將沉澱的蛋白質重新懸浮於20mM Tris/HCl pH7.5溶液中,接著以Amicon Ultra-15離心過濾裝置濃縮蛋白質。接著分裝該精胺酸酶粗萃取物並在-80℃的溫度下存放,然後以本領域所知悉的尿素測量法測定精胺酸酶的活性。 In addition to obtaining arginase from rat liver, arginase was also obtained from pig liver. The frozen pig liver was homogenized in a 20 mM Tris/HCl pH 7.5 solution and centrifuged at 20,000 g for 30 minutes to obtain a clear lysate. The supernatant was taken to a glass beaker and manganese chloride (MnCl 2 ) was added to a final concentration of 10 mM. After heating the protein solution at 60 ° C for 30 minutes, it was rapidly placed on ice for cooling, followed by centrifugation at 20,000 g for 30 minutes. Ammonium sulfate was added to 70% saturation to precipitate the protein in the supernatant, and the precipitated protein was resuspended in a 20 mM Tris/HCl pH 7.5 solution, followed by concentration of the protein with an Amicon Ultra-15 centrifugal filter device. The crude arginase extract is then dispensed and stored at a temperature of -80 ° C, and the arginase activity is determined by urea measurement as known in the art.

實施例2:重組及純化的豬精胺酸酶之聚二乙醇化Example 2: Polydiethanolation of recombinant and purified porcine arginase

首先,以mPEG-SPA(sigma 85969 PEG5000)對該精胺酸酶進行聚二乙醇化。在PBS緩衝液(pH 7.4)中以蛋白質:PEG分子量比為1:20的條件下,將mPEG-SPA共軛連接重組精胺酸酶或純化的豬精胺酸酶(此處稱為Arg)。該樣本於25℃下攪拌3小時至PEG分子充分與rArg(重組精胺酸酶)反應。接續以離心過濾裝置(Amicon Ultra-15)移除聚二乙醇混 合物中游離形式的mPEG-SPA。該蛋白質濃度係以BCA試劑(pierce)進行測量。rArg聚二乙醇化的程度係以SDS-PAGE來決定。 First, the arginase was polydiethanolated with mPEG-SPA (sigma 85969 PEG5000). Conjugation of mPEG-SPA to recombinant arginase or purified porcine arginase (herein referred to as Arg) in PBS buffer (pH 7.4) with a protein:PEG molecular weight ratio of 1:20 . The sample was stirred at 25 ° C for 3 hours until the PEG molecule reacted sufficiently with rArg (recombinant arginase). Continue to remove the polydiethanol mixture with a centrifugal filter (Amicon Ultra-15) The free form of mPEG-SPA in the complex. This protein concentration was measured by BCA reagent (pierce). The degree of rArg polydiethanolation is determined by SDS-PAGE.

將蛋白質樣本與樣本緩衝液混合並於99℃下靜置10分鐘,以準備用於8% SDS-PAGE。接著,將煮沸的樣本載入膠體內的樣本井(wells)中,並進行電泳。當蛋白質分子量標記(marker)到達玻璃板的底部時,停止SDS-PAGE電泳。接著,以考馬斯藍染劑(Coomassie Blue)對膠體染色30分鐘,接著於一溶液(含40%甲醇以及10%冰醋酸)中去染。 The protein sample was mixed with sample buffer and allowed to stand at 99 ° C for 10 minutes to prepare for 8% SDS-PAGE. Next, the boiled sample is loaded into sample wells in the gel and electrophoresed. When the protein molecular weight marker reaches the bottom of the glass plate, SDS-PAGE electrophoresis is stopped. Next, the colloid was stained with Coomassie Blue for 30 minutes, followed by de-staining in a solution containing 40% methanol and 10% glacial acetic acid.

實施例3:細胞培養及細胞增殖分析(MTS分析法)Example 3: Cell culture and cell proliferation analysis (MTS assay)

細胞(Hep3B細胞、COLO205細胞、PC-3細胞、U2OS細胞)係分別以含有10%(v/v)胎牛血清以及100 units/mL青黴素/鏈黴素的MEM、DMEM、F-12或McCoy’s 5A培養基維持。 Cells (Hep3B cells, COLO205 cells, PC-3 cells, U2OS cells) were MEM, DMEM, F-12 or McCoy's containing 10% (v/v) fetal bovine serum and 100 units/mL penicillin/streptomycin, respectively. 5A medium was maintained.

該細胞係以每孔每100μl培養基含有2x103個細胞的密度種於平底96孔培養盤中,並培養24小時。接著,將該L-Arg-PEG5000(14μl,0-1U/ml)以及二磷酸氯喹鹽類(CQ,6μl,0-10U/ml)加入每孔中。將該培養盤進一步培養72小時。接著,將含有24μl的MTS/PMS溶液[(333μg/ml MTS,3-(4,5-二甲基噻唑-2-基)-5-(3-羧基甲氧基苯基)-2-(4-磺苯基)-2H-四唑鎓,內鹽,Promega G111A)以及25μM PMS(甲硫吩嗪,Sigma P9625)]的混合物加入每個孔中,並將該培養盤再培養2小時。以波長490nm吸光度的測量判定細胞增殖的情形。該抑制率(%)係以下列方程式計算: The cell line was seeded in a flat-bottom 96-well culture dish at a density of 2 x 10 3 cells per well per 100 μl of medium and cultured for 24 hours. Next, L-Arg-PEG5000 (14 μl, 0-1 U/ml) and chloroquine diphosphate (CQ, 6 μl, 0-10 U/ml) were added to each well. The plate was further incubated for 72 hours. Next, it will contain 24 μl of MTS/PMS solution [(333 μg/ml MTS, 3-(4,5-dimethylthiazol-2-yl)-5-(3-carboxymethoxyphenyl)-2-() A mixture of 4-sulfophenyl)-2H-tetrazolium, internal salt, Promega G111A) and 25 μM PMS (methylthiophene, Sigma P9625) was added to each well, and the plate was incubated for an additional 2 hours. The cell proliferation was determined by measurement of the absorbance at a wavelength of 490 nm. The inhibition rate (%) is calculated by the following equation:

圖1(A)-圖1(E)顯示為不同細胞的抑制作用。由此可見,不論與單獨使用精胺酸降解酶或單獨使用自噬作用抑制劑相比,精胺酸降解酶與自噬作用抑制劑的組合在抑制癌細胞增殖上均展現出協同作用。 Figure 1 (A) - Figure 1 (E) shows the inhibition of different cells. Thus, the combination of arginine degrading enzyme and autophagy inhibitor exhibited a synergistic effect in inhibiting cancer cell proliferation regardless of whether arginine degrading enzyme alone or autophagy inhibitor was used alone.

實施例4:動物試驗Example 4: Animal test

精胺酸酶活性分析Analysis of arginase activity

使用市售精胺酸活性比色分析套組(BioAssay Systems,Hayward,CA)來測量因精胺酸酶而造成自左旋-精胺酸釋出尿素的釋出率。一單位的精胺酸酶係定義為在pH 9.5及37℃下每分鐘將1μmole的左旋-精胺酸轉化為鳥胺酸(ornithine)及尿素的酵素量。 The release rate of urea released from L-arginine by arginase was measured using a commercially available arginine active colorimetric assay kit (BioAssay Systems, Hayward, CA). One unit of arginase is defined as the amount of enzyme that converts 1 μmole of L-arginine to ornithine and urea per minute at pH 9.5 and 37 °C.

為了藥效動力學(PD)評估的小鼠以及異種移植模型: 本研究所使用的BALB/c裸鼠係來自樂斯科生技股份有限公司(BioLASCO Taiwan Co.,Ltd),所有的小鼠在試驗開始時為6週齡母鼠。小鼠居住於室溫下鋪設有軟墊的塑膠籠內,且於12小時光/暗週期,可自由獲得飲水及食物。這些小鼠係用來進行rArg-peg5,000以及rArg-peg5,000加上二磷酸氯喹鹽類(CQ)的藥效動力學(PD)評估。 Mice and xenograft models evaluated for pharmacodynamics (PD): BALB/c nude mice used in this study were from BioLASCO Taiwan Co., Ltd., all mice At the beginning of the trial, the 6-week-old mother was used. The mice live in a plastic cage with a cushion at room temperature and free access to water and food during a 12-hour light/dark cycle. These mice were used for pharmacodynamic (PD) assessment of rArg-peg 5,000 and rArg-peg 5,000 plus chloroquine diphosphate (CQ).

在試驗第0天時將腫瘤細胞植入BALB/c裸鼠中。腫瘤細胞係預先以下列步驟處理。COLO205細胞以及PC-3細胞係收集自組織培養瓶,以胰蛋白酶處理後並重新懸浮於PBS或含有50%基質膠(metrigel,BD)的PBS中,用以異種移植。約1x105個COLO205細胞或1x106個PC-3細胞以皮下注射(subcutaneously,s.c.)方式注射到每隻小鼠的右腋窩。約兩週後,該 起始固體腫瘤係穩固地建立在小鼠體內。接著,該異種移植係用來進行藥效動力學(PD)評估。 Tumor cells were implanted into BALB/c nude mice on day 0 of the experiment. Tumor cell lines were previously treated in the following steps. COLO205 cells and PC-3 cell lines were collected from tissue culture flasks, trypsinized and resuspended in PBS or PBS containing 50% matrigel (BD) for xenografting. About 1×10 5 COLO205 cells or 1×10 6 PC-3 cells were injected subcutaneously (sc) into the right axilla of each mouse. About two weeks later, the starting solid tumor system was firmly established in mice. This xenograft is then used to perform pharmacodynamic (PD) assessment.

該小鼠接著隨機分為以下四組:第1組,PBS(對照組);第2組,CQ組(35mg/kg);第3組,Arg-peg5,000組(250U/每隻小鼠);以及第4組,Arg-peg5,000(250U/每隻小鼠)加上CQ(35mg/kg)。精胺酸酶或精胺酸酶與CQ的組合係以腹腔注射(i.p.)方式施打至小鼠體內,每6或7天注射4劑量。CQ係在Arg-peg5,000投與後24小時給藥。以PBS作為對照試驗。 The mice were then randomized into the following four groups: group 1, PBS (control group); group 2, CQ group (35 mg/kg); group 3, Arg-peg 5,000 group (250 U per mouse) And Group 4, Arg-peg 5,000 (250 U/per mouse) plus CQ (35 mg/kg). The combination of arginase or arginase with CQ was administered intraperitoneally (i.p.) to mice in 4 doses every 6 or 7 days. The CQ line was administered 24 hours after Arg-peg 5,000 administration. PBS was used as a control test.

腫瘤大小係以電子式游標卡尺量測並以下列方程式計算:腫瘤體積=(寬度)2 x長度/2 Tumor size was measured with an electronic vernier caliper and calculated using the following equation: tumor volume = (width) 2 x length / 2

腫瘤體積的增加百分比係用以下方程式計算:(每次測量的腫瘤體積)-(第一次注射Arg-PEG5000的腫瘤體積)/(第一次注射Arg-PEG5000的腫瘤體積) The percentage increase in tumor volume was calculated using the following formula: (tumor volume per measurement) - (the tumor volume of the first injection of Arg-PEG 5000) / (the tumor volume of the first injection of Arg-PEG 5000)

抑制率(%)係以下列方程式計算: The inhibition rate (%) is calculated by the following equation:

圖2顯示該動物試驗的結果:精胺酸降解酶與自噬作用抑制劑的組合提供了在治療癌症上的協同作用。 Figure 2 shows the results of this animal test: the combination of arginine degrading enzymes and autophagy inhibitors provides a synergistic effect in the treatment of cancer.

相信本發明所屬技術領域中具有通常知識者可以在沒有圖解下根據本文之說明而將本發明應用至其最廣之範圍。因此,本文所提供之描述及申請專利範圍應被理解為僅用來作為闡釋之目的,而非以任何方式來限制本發明之範圍。 It is believed that one skilled in the art to which the invention pertains can apply the invention to the broadest scope of the invention. Accordingly, the description and claims of the invention are intended to be

Claims (15)

一種組合用於製造治療癌症之藥物之用途,其中該組合包含精胺酸降解酶與自噬作用抑制劑,以去除癌細胞的精胺酸,提供抑制癌細胞生長,及/或造成癌細胞死亡的協同功效。 A combination for the manufacture of a medicament for the treatment of cancer, wherein the combination comprises a arginine degrading enzyme and an autophagy inhibitor to remove arginine from cancer cells, to provide inhibition of cancer cell growth, and/or to cause cancer cell death Synergistic effect. 如申請專利範圍第1項之用途,其中該藥物係為包含該精胺酸降解酶的醫藥組合物之形式,或是二種分開的醫藥組合物之形式,分別包含精胺酸降解酶及自噬作用抑制劑,同時或依序投與。 The use of the first aspect of the patent application, wherein the medicament is in the form of a pharmaceutical composition comprising the arginine degrading enzyme, or in the form of two separate pharmaceutical compositions comprising arginine degrading enzyme and The phagocytosis inhibitor is administered simultaneously or sequentially. 如申請專利範圍第1項之用途,其中該精胺酸降解酶係選自於由精胺酸酶、精胺酸去亞胺酶、精胺酸脫羧酶及其任意組合所組成之群組。 The use of the first aspect of the invention, wherein the arginine degrading enzyme is selected from the group consisting of arginase, arginine deiminase, arginine decarboxylase, and any combination thereof. 如申請專利範圍第1項之用途,其中該精胺酸降解酶係經聚乙二醇化。 The use of the first aspect of the patent application, wherein the arginine degrading enzyme is PEGylated. 如申請專利範圍第1項之用途,其中該自噬作用抑制劑係選自於由羥氯喹啉(hydroxychloroquine)、二磷酸氯喹(chloroquine diphosphate)、硫蔥酮(lucanthone)、巴弗洛霉素A1(Bafilomycin A1)、司包汀(Spautin-1)、KU-55933、Go 6976、3-甲基腺嘌呤(3-Methyladenine)、N-乙醯基-L-半胱氨酸(N-Acetyl-L-cysteine)、L-天門冬醯胺(L-Asparagine)、E-64d、渥曼青黴素(Wortmannin)、毒胡蘿蔔素(Thapsigargin)、LY-294,002氯化氫(LY-294,002 hydrochloride)、DBeQ及其任意組合所組成之群組。 The use of the first aspect of the invention, wherein the autophagy inhibitor is selected from the group consisting of hydroxychloroquine, chloroquine diphosphate, lucanthone, bafilomycin A1. (Bafilomycin A1), Spautin-1, KU-55933, Go 6976, 3-Methyladenine, N-Acetyl-L-cysteine (N-Acetyl- L-cysteine), L-Asparagine, E-64d, Wortmannin, Thapsigargin, LY-294, 002 Hydrogen Chloride (LY-294, 002 hydrochloride), DBeQ and any A group of combinations. 如申請專利範圍第1項之用途,其中該癌症為乳癌、肺癌、前列腺癌、卵巢癌、肝癌、結腸癌、腎癌、直腸癌、皮膚癌、骨肉瘤或間皮瘤。 The use of the first aspect of the patent application, wherein the cancer is breast cancer, lung cancer, prostate cancer, ovarian cancer, liver cancer, colon cancer, kidney cancer, rectal cancer, skin cancer, osteosarcoma or mesothelioma. 如申請專利範圍第6項之用途,其中該肝癌為肝細胞癌。 The use of the sixth aspect of the patent application, wherein the liver cancer is hepatocellular carcinoma. 如申請專利範圍第6項之用途,其中該皮膚癌為黑色素瘤。 The use of the sixth aspect of the patent application, wherein the skin cancer is melanoma. 如申請專利範圍第1項之用途,其中該藥物可與癌症之化療藥物或標靶藥劑合併投與。 For example, the application of the scope of claim 1 can be combined with a chemotherapy drug or a target drug for cancer. 如申請專利範圍第9項之用途,其中該化療藥物係為13-順式視黃酸(13-cis-Retinoic Acid)、2-氯脫氧腺苷(2-Chlorodeoxyadenosine)、5-阿扎胞苷(5-Azacitidine)、5-氟脲嘧啶(5-Fluorouracil)、6-巰基嘌呤(6-Mercaptopurine)、6-硫鳥嘌呤(6-Thioguanine)、放線菌素-D(Actinomycin-D)、阿黴素(Adriamycin)、氨甲喋呤(Amethopterin)、阿糖胞苷(Ara-C)、博來黴素(bleomycin)、喜樹鹼(camptothecin)、順鉑(cisplatin)、唐黴素(Daunorubicin)、依托泊苷(Etoposide)、吉非替尼(Gefitinib)、吉西他濱(Gemcitabine)、羥基脲(Hydroxyurea)、甲氨蝶呤(Methotrexate)、紫杉醇(Paclitaxel)、索拉非尼(Sorafenib)、他莫昔芬(Tamoxifen)、紅豆衫醇(Taxol)、替莫唑胺(Temozolomide)、沙利度胺(Thalidomide)、長春花鹼(Vinblastine)或VP-16。 The use of the ninth aspect of the patent application, wherein the chemotherapeutic drug is 13-cis-Retinoic Acid, 2-Chlorodeoxyadenosine, 5-Azacitidine (5-Azacitidine), 5-Fluorouracil, 6-Mercaptopurine, 6-Thioguanine, Actinomycin-D, A Adriamycin, Amethopterin, cytarabine (Ara-C), bleomycin, camptothecin, cisplatin, daunorubicin, relying on Etoposide, Gefitinib, Gemcitabine, Hydroxyurea, Methotrexate, Paclitaxel, Sorafenib, Tamoxifen (Tamoxifen), Taxol, Temozolomide, Thalidomide, Vinblastine or VP-16. 如申請專利範圍第9項之用途,其中該標靶藥劑為單株抗體或蛋白質。 The use of claim 9, wherein the target agent is a monoclonal antibody or protein. 如申請專利範圍第11項之用途,其中該標靶藥劑為阿來組單株抗體(Alemtuzumab)、利妥昔單株抗體(Rituximab)、曲妥珠單株抗體(Trastuzumab)、尼妥珠單株抗體(Nimotuzumab)、西妥昔單株抗體(cetuximab)、貝伐單株抗體(Bevacizumab)、顆粒單核球群落刺激生長因子(GM-CSF)、干擾素α、介白素-2、或介白素-11。 The use of the scope of claim 11 wherein the target agent is Alemtuzumab, Rituximab, Trastuzumab, Ninotex Antibody (Nimotuzumab), Cetuximab antibody (cetuximab), Bevacizumab antibody, granulocyte mononuclear globulin-stimulated growth factor (GM-CSF), interferon alpha, interleukin-2, or Interleukin-11. 一種組合用於製造治療癌症之藥物之用途,其中該組合包含精胺酸降解酶以及氯喹(chloroquine)或其醫藥上可接受的鹽類。 A use in combination for the manufacture of a medicament for the treatment of cancer, wherein the combination comprises a arginine degrading enzyme and chloroquine or a pharmaceutically acceptable salt thereof. 一種組合用於製造治療癌症之藥物之用途,其中該組合包含精胺酸酶 及二磷酸氯喹(chloroquine diphosphate)。 A combination for the manufacture of a medicament for treating cancer, wherein the combination comprises arginase And chloroquine diphosphate. 一種用於治療癌症之醫藥組合物,其包含精胺酸酶降解酶及氯喹或其醫藥上可接受的鹽類。 A pharmaceutical composition for treating cancer comprising a arginase degrading enzyme and chloroquine or a pharmaceutically acceptable salt thereof.
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CN115919869A (en) * 2022-12-17 2023-04-07 长沙市中心医院 Application of 3-methyladenine as paclitaxel sensitizer in preparation of medicine for treating nasopharyngeal carcinoma

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